OSWEGO HOSPITAL INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- OSWEGO HOSPITAL INC (EIN 15-0532220)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201213199349306651
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T17:01:35-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161226221 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1 |
| City | SYRACUSE | City |
| State | NY | State |
| ZIP Code | 13214 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150532220 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSWEGO HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OSWE | NameControl |
| Phone | 3153495695 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WEST SIXTH STREET | AddressLine1 |
| City | OSWEGO | City |
| State | NY | State |
| ZIP Code | 13126 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT POMPO | Name |
| Title | EXECUTIVE VP-FINANCE | Title |
| Phone | 3153495695 | Phone |
| Date Signed | 2012-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH J SCHLEGEL | Name |
| PTIN | P00301329 | PTIN |
| Phone | 3154463600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ANN GILPIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WEST SIXTH STREET | AddressLine1 |
| City | OSWEGO | City |
| State | NY | State |
| ZIP Code | 13126 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 106864625 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.OSWEGOHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1881 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | OSWEGO HOSPITAL'S MISSION IS TO PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF THE RESIDENTS IN OSWEGO COUNTY. IN OCTOBER 2009, OSWEGO HOSPITAL WAS GRANTED STATUS OF A SOLE COMMUNITY PROVIDER DUE TO THE CLOSING OF A L LEE MEMORIAL HOSPITAL 10 MILES SOUTH IN THE CITY OF FULTON. OSWEGO HOSPITAL SERVES A PRIMARY SERVICE AREA OF APPROXIMATELY 122,228 RESIDENTS WHICH IS COMPRISED OF OSWEGO, FULTON, MEXICO, HANNIBAL, PULASKI AND STERLING. IN ADDITION, OSWEGO HOSPITAL PROVIDES SERVICES IN PARISH AND PHOENIX. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 22 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1223 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 18088667 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 9248594 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 97367180 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 95181313 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 322189 | InvestmentIncomePriorYear |
| Investment Income Current Year | 585657 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1974348 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1571294 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 117752384 | TotalRevenuePriorYear |
| Total Revenue Current Year | 106586858 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 56030337 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 57342583 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 45577 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 49296886 | OtherExpensePriorYear |
| Other Expenses Current Year | 44210890 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 105327223 | TotalExpensesPriorYear |
| Total Expenses Current Year | 101553473 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 12425161 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5033385 | RevenuesLessExpensesCY |
| Total Assets BOY | 125489414 | TotalAssetsBOY |
| Total Assets EOY | 125305135 | TotalAssetsEOY |
| Total Liabilities BOY | 58773370 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 63007364 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 66716044 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 62297771 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF OSWEGO HEALTH IS TO PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF RESIDENTS IN OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 28802886 | Expense |
| Revenue | 33322627 | Revenue |
| Description | INPATIENT SERVICES: WE PROVIDE SERVICES TO OSWEGO COUNTY AND THE SURROUNDING AREAS FOR THEIR MEDICAL AND SURGICAL NEEDS. INPATIENT SERVICES INCLUDE OBSERVATION BEDS (NON-DISTINCT), SURGICAL SERVICES, PEDIATRICS, MATERNITY, INTENSIVE CARE UNIT AND NURSERY / NEWBORN SERVICES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 16964869 | Expense |
| Revenue | 34081897 | Revenue |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9803753 | Expense |
| Revenue | 7869552 | Revenue |
| Description | 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. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 24537484 | Expense |
| Revenue | 21034953 | Revenue |
| Description | 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 INPATIENT AND OUTPATIENT CARE TO THE COMMUNITY FROM ITS CLINIC AND PCAP CLINIC. WE PROVIDE PRIMARY CARE SERVICES AT MULTIPLE LOCATIONS WITHIN THE COUNTY. THESE CLINICS ARE LOCATED IN PHOENIX, PARISH AMD MEXICO. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 24537484 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 21034953 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 80108992 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 151 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1223 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 25 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 22 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIMOTHY A PETHYBRIDGE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3153495912 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WEST SIXTH STREET | AddressLine1 |
| City | OSWEGO | City |
| State | NY | State |
| ZIP Code | 13126 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MARY MCGOWAN ESQ | |||||||
| SECRETARY | 0.00 | X | X | 0 | 0 | 0 | |
| CHRIS BURRITT | |||||||
| 1ST VICE CHAIR | 0.00 | X | X | 0 | 0 | 0 | |
| PETER CULLINAN | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| MARK SLAYTON | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| PATRICIA MEARS | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| BARBARA BATEMAN | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| JAMES TSCHUDY REVEREND | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| PAMELA CARACCIOLI | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| JOHN FITZGIBBONS | |||||||
| TREASURER | 0.00 | X | X | 0 | 0 | 0 | |
| WILLIAM MAHON MD | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| WILLIAM CLARK | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| JOSEPH MATHER MD | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| ALLISON DUGGAN MD | |||||||
| VP MEDICAL AFFAIRS | 40.00 | X | X | 42692 | 0 | 0 | |
| ANN C GILPIN | |||||||
| CEO AND PRESIDENT | 60.00 | X | X | 243430 | 0 | 23208 | |
| RENATO MANDANAS MD | |||||||
| VP MEDICAL AFFAIRS | 40.00 | X | X | 284041 | 0 | 16743 | |
| ADAM GAGAS | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| WILLIAM GALLOWAY | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| BERNIE HENDERSON | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| YVONNE PETRELLA | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| THOMAS SCHNEIDER | |||||||
| CHAIRMAN | 0.00 | X | X | 0 | 0 | 0 | |
| RICK SHAW | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| LINDA TYRRELL | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| DAVID VICKERY | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| ELLEN HOLST | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| PAUL KURTZMAN | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| ROBERT POMPO | |||||||
| EXEC VICE PRES FINANCE | 40.00 | X | 167773 | 0 | 18496 | ||
| SANJEEV VERMA | |||||||
| ANESTHESIOLOGIST | 40.00 | 422316 | 0 | 23318 | X | ||
| JOHN ELLIE | |||||||
| ANESTHESIOLOGIST | 40.00 | 545130 | 0 | 5992 | X | ||
| SIMON CHUNG LEE | |||||||
| ANESTHESIOLOGIST | 40.00 | 437533 | 0 | 6090 | X | ||
| MERVAT EID | |||||||
| ANESTHESIOLOGIST | 40.00 | 290200 | 0 | 0 | X | ||
| MICHAEL ALCASID | |||||||
| HOSPITALIST | 40.00 | 285328 | 0 | 3394 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2718443 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 97241 | TotalOtherCompensation |
| Number Individuals GT100 K | 37 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REHAB RESOURCES PC | |||||
| 159 WEST FIRST STREET | OSWEGO | NY | 13126 | PHYSICAL THERAPY | 900365 |
| SUNBELT STAFFING | |||||
| PO BOX 1024640 | ALTANTA | GA | 30368 | STAFFING SVCS | 785261 |
| MEDICAL IMAGING CENTER LLP | |||||
| 5008 BRITTONFIELD PKWY PO BOX 2011 | EAST SYRACUSE | NY | 13057 | MEDICAL IMAGING | 657977 |
| KING & KING ARCHITECTS LLP | |||||
| 358 WEST JEFFERSON ST | SYRACUSE | NY | 13202 | ARCHITECTS | 654270 |
| VALIS PATIL MD | |||||
| 3634 WHISPERING WOODS TER | BALDWINSVILLE | NY | 13027 | PHYSICIAN | 439493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 20 | NumberOfContractorsGT100K |
| Government Grants | 9040000 | GovernmentGrants |
| All Other Contributions | 208594 | AllOtherContributions |
| Total Contributions | 9248594 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAID AND MEDICARE | 900099 | 51714423 | 51714423 |
| INSURANCE AND OTHER | 900099 | 43070157 | 43070157 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 396733 | TotalRevenueColumn |
| Related Or Exempt Function Income | 396733 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 95181313 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 596479 | TotalRevenueColumn |
| Exclusion | $596,479 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 265095 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 266945 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -1850 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1850 | TotalRevenueColumn |
| Exclusion | -$1,850 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10822 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -10822 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -10822 | TotalRevenueColumn |
| Exclusion | -$10,822 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PHARMACY SALES | 900099 | 1019555 | 1019555 |
| CAFETERIA SALES | 900099 | 108161 | 108161 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 445428 | TotalRevenueColumn |
| Exclusion | $445,428 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1573144 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 106586858 | TotalRevenueColumn |
| Related Or Exempt Function Income | 96309029 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,029,235 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 883346 | Total |
| Management And General | 883346 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45891735 | Total |
| Program Services | 37711368 | ProgramServices |
| Management And General | 8180367 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 593973 | Total |
| Program Services | 478878 | ProgramServices |
| Management And General | 115095 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6663715 | Total |
| Program Services | 5305376 | ProgramServices |
| Management And General | 1358339 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3309814 | Total |
| Program Services | 2668464 | ProgramServices |
| Management And General | 641350 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 424867 | Total |
| Management And General | 419273 | ManagementAndGeneral |
| Fundraising | 5594 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164326 | Total |
| Management And General | 164326 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3630940 | Total |
| Program Services | 2837472 | ProgramServices |
| Management And General | 793468 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8224877 | Total |
| Program Services | 7186924 | ProgramServices |
| Management And General | 1034799 | ManagementAndGeneral |
| Fundraising | 3154 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2345504 | Total |
| Program Services | 1488075 | ProgramServices |
| Management And General | 857429 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2972966 | Total |
| Program Services | 1824510 | ProgramServices |
| Management And General | 1148456 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252481 | Total |
| Program Services | 205996 | ProgramServices |
| Management And General | 46395 | ManagementAndGeneral |
| Fundraising | 90 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 386478 | Total |
| Program Services | 286357 | ProgramServices |
| Management And General | 100121 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6152487 | Total |
| Program Services | 4327473 | ProgramServices |
| Management And General | 1825014 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1044531 | Total |
| Program Services | 797853 | ProgramServices |
| Management And General | 246678 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| OTHER PURCHASED SERVICE | 7293777 | 4772901 | 2520876 | |
| BAD DEBT | 5944902 | 5944902 | ||
| PHARMACEUTICALS | 2263693 | 2263693 | ||
| OTHER DIRECT EXPENSE | 1652608 | 659246 | 956623 | 36739 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1456453 | Total |
| Program Services | 1349504 | ProgramServices |
| Management And General | 106949 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101553473 | Total |
| Program Services | 80108992 | ProgramServices |
| Management And General | 21398904 | ManagementAndGeneral |
| Fundraising | 45577 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3932 | BOY |
| EOY | 4905 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12154537 | BOY |
| EOY | 10375027 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16766266 | BOY |
| EOY | 16656533 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1666661 | BOY |
| EOY | 1526932 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1324537 | BOY |
| EOY | 1233315 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2442478 | BOY |
| EOY | 2705790 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 118685898 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 50224596 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54617868 | BOY |
| EOY | 68461302 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12842264 | BOY |
| EOY | 12082634 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 716101 | BOY |
| EOY | 935502 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22954770 | BOY |
| EOY | 11323195 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125489414 | BOY |
| EOY | 125305135 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13685698 | BOY |
| EOY | 12166160 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33139873 | BOY |
| EOY | 31778782 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11947799 | BOY |
| EOY | 19062422 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58773370 | BOY |
| EOY | 63007364 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41420321 | BOY |
| EOY | 47458878 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18573818 | BOY |
| EOY | 8116988 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6721905 | BOY |
| EOY | 6721905 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66716044 | BOY |
| EOY | 62297771 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125489414 | BOY |
| EOY | 125305135 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5033385 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -9451658 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $21,127 | RalliesDemonstrationsAmount |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 21127 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | 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 31% OF $69,008. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 25295723 | BeginningOfYearBalance |
| Contributions | 9113540 | Contributions |
| Investment Earnings Or Losses | 232063 | InvestmentEarningsOrLosses |
| Other Expenditures | 19803359 | OtherExpenditures |
| End Of Year Balance | 14837967 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 17138663 | BeginningOfYearBalance |
| Contributions | 18060173 | Contributions |
| Investment Earnings Or Losses | 174780 | InvestmentEarningsOrLosses |
| Other Expenditures | 10077893 | OtherExpenditures |
| End Of Year Balance | 25295723 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7729541 | BeginningOfYearBalance |
| Contributions | 14885499 | Contributions |
| Investment Earnings Or Losses | -123941 | InvestmentEarningsOrLosses |
| Other Expenditures | 5352436 | OtherExpenditures |
| End Of Year Balance | 17138663 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7523557 | BeginningOfYearBalance |
| Contributions | 176403 | Contributions |
| Investment Earnings Or Losses | 249964 | InvestmentEarningsOrLosses |
| Other Expenditures | 220383 | OtherExpenditures |
| End Of Year Balance | 7729541 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.45000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.55000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 543887 | OtherCostOrOtherBasis |
| Book Value | 543887 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 53388644 | OtherCostOrOtherBasis |
| Depreciation | 15219020 | Depreciation |
| Book Value | 38169624 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1065216 | OtherCostOrOtherBasis |
| Depreciation | 654744 | Depreciation |
| Book Value | 410472 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 50362448 | OtherCostOrOtherBasis |
| Depreciation | 34350832 | Depreciation |
| Book Value | 16011616 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13325703 | OtherCostOrOtherBasis |
| Book Value | 13325703 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 68461302 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| GRANTS RECEIVABLE | 7471966 |
| ASSETS WHOSE USE IS LIMITED | 3851229 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 11323195 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATE | $626,623 |
| ADVANCE FROM 3RD PARTY | $392,038 |
| DUE TO 3RD PARTY PAYOR | $2,094,466 |
| OTHER POST RETIREMENT OBLIGATION | $153,265 |
| LTP PENSION OBLIGATION | $15,231,172 |
| ASSET RETIREMENT | $564,858 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 19062422 | TotalOfAmounts |
| Total Revenue | 106586858 | TotalRevenue |
| Total Expenses | 101553473 | TotalExpenses |
| Excess Or Deficit For Year | 5033385 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -727989 | NetUnrealizedGLOnInvestments |
| Other | -$8,723,669 | OtherAmount |
| Total Adjustments | -9451658 | TotalAdjustments |
| Excess Or Deficit Per FS | -4418273 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 106824432 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 106824432 | RevenueSubtotal |
| Investment Expenses Not Included | 29371 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -266945 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -237574 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 106586858 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 101791047 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 266945 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 266945 | ExpensesNotRptdF990 |
| Expenses Subtotal | 101524102 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 29371 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 29371 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 101553473 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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: | THE 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. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE HOSPITAL'S FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2011 THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2008 THROUGH 2011. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN PENSION LIABILITY -8,723,669. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | ADD BACK RENT COSTS -266,945. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL COSTS 266,945. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 419193 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 419193 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00410 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27297918 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20993567 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6304351 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06210 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27717111 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20993567 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6723544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06620 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 24 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 13680 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13680 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 24 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 13680 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 13680 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 24 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 27730791 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20993567 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6737224 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06630 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,921,001 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 31043504 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 40514247 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -9470743 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| OSWEGO HOSPITAL | ||||||||
| 1 | 110 WEST SIXTH STREET | OSWEGO | NY | 13126 | X | X | X | |
| OSWEGO HOSP-ALVIN L KRAKAU MTL HLTH CTR | ||||||||
| 2 | 74 BUNNER ST | OSWEGO | NY | 13126 | X | MENTAL HEALTH SERVICES O/P,REHAB O/P, AND PSYCH | ||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSWEGO HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 300.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 100.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| FULTON MEDICAL HEALTH CENTER | ||||
| 510 S FOURTH ST | FULTON | NY | 13069 | 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation | IdentifierIdentifier | Return 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 $5,944,902 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 $5,944,902 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 35% 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 19D: 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 HEALTHSTREAM RESEARCH IS ENGAGED TO PROVIDE COMMUNITY PERCEPTION STUDIES. | ||
| 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. THIS INFORMATION 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 2011, 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 2011. | ||
| PART VI, LINE 6: THE OSWEGO HEALTH SYSTEM PROVIDES MANY SERVICES AND PROGRAMS THAT TOGETHER PROVIDE THE REGION WITH HEALHTCARE SERVICES FROM BIRTH TO MATURITY. OSWEGO HEALTH, INC., THE PARENT COMPANY, 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. | ||
| NY | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALLISON DUGGAN MD | |||||||||||||
| 42692 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 42692 | 0 | 0 | 0 |
| ANN C GILPIN | |||||||||||||
| 243430 | 0 | 0 | 0 | 0 | 0 | 8714 | 0 | 14494 | 0 | 266638 | 0 | 0 | 0 |
| RENATO MANDANAS MD | |||||||||||||
| 284041 | 0 | 0 | 0 | 0 | 0 | 4554 | 0 | 12189 | 0 | 300784 | 0 | 0 | 0 |
| ROBERT POMPO | |||||||||||||
| 167773 | 0 | 0 | 0 | 0 | 0 | 6178 | 0 | 12318 | 0 | 186269 | 0 | 0 | 0 |
| SANJEEV VERMA | |||||||||||||
| 422316 | 0 | 0 | 0 | 0 | 0 | 10728 | 0 | 12590 | 0 | 445634 | 0 | 0 | 0 |
| JOHN ELLIE | |||||||||||||
| 545130 | 0 | 0 | 0 | 0 | 0 | 4125 | 0 | 1867 | 0 | 551122 | 0 | 0 | 0 |
| SIMON CHUNG LEE | |||||||||||||
| 437533 | 0 | 0 | 0 | 0 | 0 | 962 | 0 | 5128 | 0 | 443623 | 0 | 0 | 0 |
| MERVAT EID | |||||||||||||
| 290200 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 290200 | 0 | 0 | 0 |
| MICHAEL ALCASID | |||||||||||||
| 285328 | 0 | 0 | 0 | 0 | 0 | 2484 | 0 | 910 | 0 | 288722 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| JAMES CULLINAN | |||
| FAMILY MEMBER | 103799 | EMPLOYMENT OF JAMES CULLINAN BY OSWEGO HOSPITAL AND IS A BROTHER TO BOARD MEMBER, PETE CULLINAN. | 0 |
| CHRIS BURRITT | |||
| BOARD MEMBER | 37000 | TRANSACTIONS WITH R.M. BURRITT MOTORS, INC. FOR CAR REPAIRS / PURCHASE. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | JAMIE CULLINAN IS A BROTHER TO A BOARD MEMBER, PETE CULLINAN IN THE AMOUNT OF $103,799. | |
| 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. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -727,989. CHANGE IN PENSION LIABILITY -8,723,669. TOTAL TO FORM 990, PART XI, LINE 5: -9,451,658. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| PART XII LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | OSWEGO HEALTH INC | |
| SPRINGSIDE AT SENECA HILL | |||||||||||
| 10 COUNTY RT 45A | OSWEGO | NY | 13126 | 161555935 | ADULT LIVING FACILITY | NY | 501 C 3 | LINE 9 SCHEDULE A | 0 | OSWEGO HEALTH INC | |
| OH PROPERTIES INC | |||||||||||
| 110 WEST SIXTH STREET | OSWEGO | NY | 13126 | 161365960 | REAL ESTATE COMPANY | NY | 501 C 3 | LINE 11 2 SCHEDULE A | 0 | OSWEGO HEALTH INC | |
| HOSPITALS HOME HEALTH CARE INC | |||||||||||
| 113 SCHUYLER STREET | FULTON | NY | 13069 | 161391400 | HOME HEALTH AGENCY | NY | 501 C 3 | LINA 3 SCHEDULE A | 0 | OSWEGO HOSPITAL | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OH SERVICES INC | |||||||||||
| 110 WEST SIXTH STREET | OSWEGO | NY | 13126 | 161390603 | INACTIVE CORPORATION | NY | OSWEGO HEALTH INC | C | 75 | 5000 | 1.00000 |
| ONTARIO MEDICAL PRACTICE PC | |||||||||||
| 110 WEST SIXTH STREET | OSWEGO | NY | 13126 | 412069668 | INACTIVE CORPORATION | NY | OSWEGO HEALTH INC | S | 943 | 5376 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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