﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-10-17T13:29:33-05:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>FUST CHARLES CHAMBERS LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>5784 WIDEWATERS PARKWAY</AddressLine1>
        <City>SYRACUSE</City>
        <State>NY</State>
        <ZIPCode>13214</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>150532220</EIN>
      <Name>
        <BusinessNameLine1>OSWEGO HOSPITAL</BusinessNameLine1>
      </Name>
      <NameControl>OSWE</NameControl>
      <Phone>3153495695</Phone>
      <USAddress>
        <AddressLine1>110 WEST SIXTH STREET</AddressLine1>
        <City>OSWEGO</City>
        <State>NY</State>
        <ZIPCode>13126</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>ROBERT POMPO</Name>
      <Title>EXECUTIVE VP-FINANCE</Title>
      <Phone>3153495695</Phone>
      <DateSigned>2011-10-13</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Phone>3154463600</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="10">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>NANCY DEAVERS</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>110 WEST SIXTH STREET</AddressLine1>
        <City>OSWEGO</City>
        <State>NY</State>
        <ZIPCode>13126</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>117955224</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.OSWEGOHEALTH.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1881</YearFormation>
      <StateLegalDomicile>NY</StateLegalDomicile>
      <ActivityOrMissionDescription>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 121,000 RESIDENTS WHICH IS COMPRISED OF OSWEGO, FULTON, MEXICO, HANNIBAL, PULASKI AND STERLING. IN ADDITION, OSWEGO HOSPTIAL PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT SERVICES TO THE GREATER OSWEGO COUNTY REGTION AND HAS EXTENSION CLINICS LOCATED IN FULTON, MEXICO, PARISH AND PHOENIX.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>17</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>17</NbrIndependentVotingMembers>
      <TotalNbrEmployees>1233</TotalNbrEmployees>
      <TotalNbrVolunteers>15</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>14945812</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>18088667</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>89895974</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>97367180</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>217660</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>322189</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>1309710</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>1974348</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>106369156</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>117752384</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>50790391</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>56030337</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>153974</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>42669970</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>49296886</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>93460361</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>105327223</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>12908795</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>12425161</RevenuesLessExpensesCY>
      <TotalAssetsBOY>103371878</TotalAssetsBOY>
      <TotalAssetsEOY>125663301</TotalAssetsEOY>
      <TotalLiabilitiesBOY>49608762</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>58773370</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>53763116</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>66889931</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>THE MISSION OF OSWEGO HEALTH IS TO PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF RESIDENTS IN OUR COMMUNITY.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>24328418</Expense>
      <Revenue>19920382</Revenue>
      <Description>OSWEGO HOSPITAL HAS BEEN MEETING THE HEALTHCARE NEEDS OF OSWEGO COUNTY SINCE 1881. WE HAVE GROWN FROM A 6 BED ACUTE CARE FACILITY TO 164 BED COMMUNITY HOSPITAL. WE HAVE A PEDIATRICS DEPARTMENT, TWO MEDICAL SURGICAL FLOORS AND A WELL EQUIPPED EMERGENCY DEPARTMENT. OSWEGO HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION.PATIENT DAYS FOR 2010 WERE 16,883.</Description>
      <Activity2>
        <Expense>20230182</Expense>
        <Revenue>28285015</Revenue>
        <Description>OUTPATIENT REFERRED AMBULATORY 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. OSWEGO HOSPITAL'S MAMMOGRAPHY IMAGING SERVICES HAVE BEEN ACCREDITED BY THE ACR FOR THE PAST FIFTEEN YEARS AND CONTINUED TO BE ACCREDITED THIS YEAR. LATE 2010, OSWEGO HOSPITAL ADDED A DR (DIRECT RADIOGRAPHY) SYSTEM TO ITS RADIOLOGY SERVICES. THIS FORM OF IMAGING REPLACES FILM AND IS AVAILABLE ON PACS (PICTURE ARCHIVING COMMUNICATIONS SYSTEM). THIS GIVES IMMEDIATE ACCESS OF RESULTS TO PROVIDERS OF CARE. OSWEGO HOSPITAL ALSO PERFORMED EXTENSIVE RENOVATION DURING 2010 TO THE RADIOLOGY DEPARTMENT WHICH RESULTED IN BETTER PATIENT ACCESS AND PATIENT FLOW. IN ADDITION, OSWEGO HOSPITAL PROVIDES BEHAVIORAL ADULT AND CHILDRENS SERVICES. OSWEGO HOSPITAL CONTINUED ITS SERVICES IN THE URGENT CARE CENTER IN FULTON NEW YORK. ADMISSIONS/VISITS IN 2010 TOTALLED 259,257.</Description>
      </Activity2>
      <Activity3>
        <Expense>8194469</Expense>
        <Revenue>6558690</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. OUTPATIENT VISITS TO THE EMERGENCY DEPARTMENT IN 2010 TOTALLED 16,275.</Description>
      </Activity3>
      <ActivityOther>
        <Expense>35852513</Expense>
        <Revenue>43773068</Revenue>
        <Description>HEALTH CARE DELIVERY: OSWEGO HOSPITAL PROVIDES INPATIENT CARE TO THE COMMUNITY - PAID DISCHARGES WERE 1256 EXCLUDING PROGRAM 1 ABOVE.OSWEGO HOSPITAL PROVIDES OUTPATIENT CARE TO THE COMMUNITY-VISITS WERE 136,435 (EXCLUDING PROGRAMS 2 AND 3 ABOVE)</Description>
      </ActivityOther>
      <TotalOfOtherProgramServiceExp>35852513</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceRev>43773068</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>88605582</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="RetDoc1039700001">0</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="RetDoc1039700001">1</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">1</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital referenceDocumentId="RetDoc1041500001">1</Hospital>
      <FinancialStmtAttached>0</FinancialStmtAttached>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="RetDoc1042800001">0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="RetDoc1042800001">0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="RetDoc1042800001">1</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="RetDoc1042800001">0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>94</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>1233</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>17</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>17</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>1</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>1</MembersOrStockholders>
      <ElectionOfBoardMembers>1</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>1</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>NY</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>LINDA O'DONNELL</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>3153495912</TelephoneNumber>
        <AddressUS>
          <AddressLine1>110 WEST SIXTH STREET</AddressLine1>
          <City>OSWEGO</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>MARY MCGOWAN ESQ</NamePerson>
        <Title>CHAIRMAN</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHRIS BURRITT</NamePerson>
        <Title>1ST VICE CHAIR</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PETER CULLINAN</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK SLAYTON</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID DANO</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PATRICIA MEARS</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARY SLIMMER</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES MOLINARI PHD</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES TSCHUDY REVEREND</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BARBARA HANDLEY PLACE</NamePerson>
        <Title>AUXILIARY PRESIDENT</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TARA FITZGIBBONS</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM MAHON MD</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRENDAN FEAR</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARGARET SATERLEE MD</NamePerson>
        <Title>PRESIDENT OF MED STAFF</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOSEPH MATHER MD</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANN C GILPIN</NamePerson>
        <Title>CEO AND PRESIDENT</Title>
        <AverageHoursPerWeek>60.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>242266</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14908</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RENATO MANDANAS MD</NamePerson>
        <Title>VP MEDICAL AFFAIRS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>272411</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>3182</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NANCY DEAVERS</NamePerson>
        <Title>CHIEF OPERATIONS OFFICER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>146023</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12690</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT POMPO</NamePerson>
        <Title>EXEC VICE PRES FINANCE</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>169624</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10408</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MIHAI T SIMIONESCU MC</NamePerson>
        <Title>PSYCHIATRIST</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>217180</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>4519</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANTONIO SANCHEZ</NamePerson>
        <Title>STAFF PSYCHIATRIST</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>240983</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11608</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SANCHEZ VERMA</NamePerson>
        <Title>ANESTHESIOLOGIST</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>383567</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15844</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN ELLIE</NamePerson>
        <Title>ANESTHESIOLOGIST</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>411015</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>2730</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARIJA D MUTZBDZIC</NamePerson>
        <Title>PSYCHIATRIST</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>250778</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15491</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2333847</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>91380</TotalOtherCompensation>
      <NumberIndividualsGT100K>36</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>REHAB RESOURCES PC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>159 WEST FIRST STREET</AddressLine1>
            <City>OSWEGO</City>
            <State>NY</State>
            <ZIPCode>13126</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICAL THERAPY</DescriptionOfServices>
        <Compensation>918246</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>KING AND KING ARCHITECTS LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>358 WEST JEFFERSON STREET</AddressLine1>
            <City>SYRACUSE</City>
            <State>NY</State>
            <ZIPCode>13202</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ARCHITECTS</DescriptionOfServices>
        <Compensation>771482</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PORT CITY EMERGENCY PHYSICIANS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 793</AddressLine1>
            <City>TRAVERSE CITY</City>
            <State>MI</State>
            <ZIPCode>49685</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ED PHYSICIAN SERVICES</DescriptionOfServices>
        <Compensation>453823</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>VALIS PATIL MD</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3534 WHISPERINGWAY</AddressLine1>
            <City>BALDWINSVILLE</City>
            <State>NY</State>
            <ZIPCode>13027</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN</DescriptionOfServices>
        <Compensation>447979</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>JACKSON AND COKER</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 277638</AddressLine1>
            <City>ALTANTA</City>
            <State>GA</State>
            <ZIPCode>30384</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONTRACT LABOR CRNA</DescriptionOfServices>
        <Compensation>405087</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>14</NumberOfContractorsGT100K>
      <GovernmentGrants>17865000</GovernmentGrants>
      <AllOtherContributions>223667</AllOtherContributions>
      <TotalContributions>18088667</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEDICAID AND MEDICARE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>48567591</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>48567591</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>INSURANCE AND OTHER</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>43808388</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>43808388</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PRIVATE PAYOR</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>4558154</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4558154</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>433047</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>433047</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>97367180</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>412590</TotalRevenueColumn>
        <ExclusionAmount>412590</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>194355</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>112439</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>81916</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>81916</TotalRevenueColumn>
        <ExclusionAmount>81916</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <LessCostOthBasisSalesExpenses>
        <Securities>90401</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-90401</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-90401</TotalRevenueColumn>
        <ExclusionAmount>-90401</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>PHARMACY SALES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>927700</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>927700</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA SALES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>275574</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>275574</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>AUXILIARY</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>-33299</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-33299</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>722457</TotalRevenueColumn>
        <ExclusionAmount>722457</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>1892432</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>117752384</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>98537155</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>1126562</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>639091</Total>
        <ManagementAndGeneral>639091</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>46068914</Total>
        <ProgramServices>37449661</ProgramServices>
        <ManagementAndGeneral>8557255</ManagementAndGeneral>
        <Fundraising>61998</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>805151</Total>
        <ProgramServices>645557</ProgramServices>
        <ManagementAndGeneral>158525</ManagementAndGeneral>
        <Fundraising>1069</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>5201891</Total>
        <ProgramServices>4170785</ProgramServices>
        <ManagementAndGeneral>1024201</ManagementAndGeneral>
        <Fundraising>6905</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>3315290</Total>
        <ProgramServices>2658141</ProgramServices>
        <ManagementAndGeneral>652748</ManagementAndGeneral>
        <Fundraising>4401</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>296856</Total>
        <ManagementAndGeneral>296856</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>126014</Total>
        <ManagementAndGeneral>126014</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>5053310</Total>
        <ProgramServices>4974314</ProgramServices>
        <ManagementAndGeneral>78996</ManagementAndGeneral>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>10931156</Total>
        <ProgramServices>10205694</ProgramServices>
        <ManagementAndGeneral>720366</ManagementAndGeneral>
        <Fundraising>5096</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>2387630</Total>
        <ProgramServices>1914359</ProgramServices>
        <ManagementAndGeneral>470101</ManagementAndGeneral>
        <Fundraising>3170</Fundraising>
      </InformationTechnology>
      <Occupancy>
        <Total>3286251</Total>
        <ProgramServices>2612571</ProgramServices>
        <ManagementAndGeneral>669169</ManagementAndGeneral>
        <Fundraising>4511</Fundraising>
      </Occupancy>
      <Travel>
        <Total>387322</Total>
        <ProgramServices>331916</ProgramServices>
        <ManagementAndGeneral>54755</ManagementAndGeneral>
        <Fundraising>651</Fundraising>
      </Travel>
      <Interest>
        <Total>222047</Total>
        <ProgramServices>178033</ProgramServices>
        <ManagementAndGeneral>43719</ManagementAndGeneral>
        <Fundraising>295</Fundraising>
      </Interest>
      <DepreciationDepletion>
        <Total>5168033</Total>
        <ProgramServices>4123867</ProgramServices>
        <ManagementAndGeneral>1037173</ManagementAndGeneral>
        <Fundraising>6993</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>1273234</Total>
        <ProgramServices>913602</ProgramServices>
        <ManagementAndGeneral>359632</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>9338178</Total>
        <ProgramServices>9338178</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHARMACEUTICALS</Description>
        <Total>3706177</Total>
        <ProgramServices>3691690</ProgramServices>
        <ManagementAndGeneral>14487</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER DIRECT EXPENSE</Description>
        <Total>2838206</Total>
        <ProgramServices>2234536</ProgramServices>
        <ManagementAndGeneral>600621</ManagementAndGeneral>
        <Fundraising>3049</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER PURCHASED SERVICE</Description>
        <Total>2316692</Total>
        <ProgramServices>1575499</ProgramServices>
        <ManagementAndGeneral>741193</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CONSULTING AND OTHER</Description>
        <Total>1965780</Total>
        <ProgramServices>1587179</ProgramServices>
        <ManagementAndGeneral>322765</ManagementAndGeneral>
        <Fundraising>55836</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>105327223</Total>
        <ProgramServices>88605582</ProgramServices>
        <ManagementAndGeneral>16567667</ManagementAndGeneral>
        <Fundraising>153974</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>4535</BOY>
        <EOY>3932</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>14346524</BOY>
        <EOY>12328424</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>16455250</BOY>
        <EOY>16766266</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>1990783</BOY>
        <EOY>1666661</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>855316</BOY>
        <EOY>1324537</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>2150619</BOY>
        <EOY>2442478</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>98780445</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>44162577</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>40146928</BOY>
        <EOY>54617868</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>11665706</BOY>
        <EOY>12842264</EOY>
      </InvestmentsPubTradedSecurities>
      <IntangibleAssets>
        <BOY>747219</BOY>
        <EOY>716101</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>15008998</BOY>
        <EOY>22954770</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>103371878</BOY>
        <EOY>125663301</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>10404021</BOY>
        <EOY>13685698</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>29322098</BOY>
        <EOY>33139873</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>9882643</BOY>
        <EOY>11947799</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>49608762</BOY>
        <EOY>58773370</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>36624453</BOY>
        <EOY>41594208</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>10416758</BOY>
        <EOY>18573818</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>6721905</BOY>
        <EOY>6721905</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>53763116</BOY>
        <EOY>66889931</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>103371878</BOY>
        <EOY>125663301</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>12425161</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>701654</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>1</RalliesDemonstrations>
      <RalliesDemonstrationsAmount>21191</RalliesDemonstrationsAmount>
      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>21191</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</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 $68,000. 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>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>17138684</BeginningOfYearBalance>
        <Contributions>-18060173</Contributions>
        <InvestmentEarningsOrLosses>-178256</InvestmentEarningsOrLosses>
        <OtherExpenditures>10081387</OtherExpenditures>
        <EndOfYearBalance>25295726</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>7729542</BeginningOfYearBalance>
        <Contributions>-14077387</Contributions>
        <InvestmentEarningsOrLosses>-123942</InvestmentEarningsOrLosses>
        <OtherExpenditures>5352415</OtherExpenditures>
        <EndOfYearBalance>17138684</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>7523557</BeginningOfYearBalance>
        <Contributions>29443</Contributions>
        <InvestmentEarningsOrLosses>396924</InvestmentEarningsOrLosses>
        <OtherExpenditures>220382</OtherExpenditures>
        <EndOfYearBalance>7729542</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.73000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.27000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>543887</OtherCostOrOtherBasis>
        <BookValue>543887</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>39320799</OtherCostOrOtherBasis>
        <Depreciation>13380586</Depreciation>
        <BookValue>25940213</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>1065216</OtherCostOrOtherBasis>
        <Depreciation>599074</Depreciation>
        <BookValue>466142</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>45767520</OtherCostOrOtherBasis>
        <Depreciation>30182917</Depreciation>
        <BookValue>15584603</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>12083023</OtherCostOrOtherBasis>
        <BookValue>12083023</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>54617868</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>GRANTS RECEIVABLE</Description>
        <BookValue>19149174</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS WHOSE USE IS LIMITED</Description>
        <BookValue>3789484</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER MISC</Description>
        <BookValue>16112</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>22954770</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATE</Description>
        <Amount>706961</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ADVANCE FROM 3RD PARTY</Description>
        <Amount>399000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO 3RD PARTY PAYOR</Description>
        <Amount>3072747</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER POST RETIREMENT OBLIGATION</Description>
        <Amount>144178</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LTP PENSION OBLIGATION</Description>
        <Amount>6281963</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT</Description>
        <Amount>1342950</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>11947799</TotalOfAmounts>
      <TotalRevenue>117752384</TotalRevenue>
      <TotalExpenses>105327223</TotalExpenses>
      <ExcessOrDeficitForYear>12425161</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>1000087</NetUnrealizedGLOnInvestments>
      <OtherAmount>-298433</OtherAmount>
      <TotalAdjustments>701654</TotalAdjustments>
      <ExcessOrDeficitPerFS>13126815</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>117871118</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>117871118</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>27004</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>-145738</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-118734</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>117752384</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>105412658</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>112439</OtherExpensesIncluded>
      <ExpensesNotRptdF990>112439</ExpensesNotRptdF990>
      <ExpensesSubtotal>105300219</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>27004</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>27004</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>105327223</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>TEMPORARILY RESTRICTED FUNDS ARE USED PRIMARLY FOR NEW CONSTRUCTION AND EQUIPMENT. THE INTEREST EARNED ON THE PERMANENTLY RESTRICTED FUNDS ARE FOR OPERATIONS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>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, 2010 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 2007 THROUGH 2010.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CHANGE IN PENSION LIABILITY 114,812. CHANGE IN RETIREMENT OBLIGATION -99,743. OTHER 1,334. TRANSFER TO AFFILIATES -314,836.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>ADD BACK RENT COSTS -112,439. AUXILIARY LOSS -33,299.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL COSTS 112,439.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>300.000000000000</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>339998</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>339998</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00370</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>21574690</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>20409071</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1165619</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01110</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>21914688</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>20409071</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1505617</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01480</PercentOfTotalExpense>
      </TotalCharityCare>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>21914688</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>20409071</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1505617</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01480</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>4608618</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>29267871</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>39137630</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-9869759</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>0</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>OSWEGO HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>110 WEST SIXTH STREET</AddressLine1>
          <City>OSWEGO</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>OSWEGO HOSPITAL - NOT REQUIRED IN 2010</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>0</EligibilityCriteriaExplained>
        <UsesFPGFree>0</UsesFPGFree>
        <UsesFPGDiscounted>0</UsesFPGDiscounted>
        <ExplainsBasis>0</ExplainsBasis>
        <ExplainsApplicationMethod>0</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>0</IncludesPublicityMeasures>
        <ActionsOnNonpayment>0</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>0</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: WE USED THE RATIO OF COSTS TO CHARGES FOR THE CALCULATION OF COSTS. WE USED TOTAL EXPENSES LESS BAD DEBT OF $9,338,178 TO CALCULATE THE PERCENTAGE. CHARITY CARE WRITE OFFS WERE TAKEN DIRECTLY FROM OUR GENERAL LEDGER INFORMATION AND THE RCC WAS APPLIED TO OBTAIN COSTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, L7 COL(F): BAD DEBT EXPENSE OF $9,338,178 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: WE APPLIED THE RATIO OF COST TO CHARGES AGAINST THE BAD DEBT AMOUNT OF $9,338,178 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: USED MEDICARE ONLY TOTAL CHARGES FROM REVENUE REPORT FOR 2010 AND APPLIED THE RATIO OF COST TO CHARGES CALCULATED ON WORKSHEET 2 OF SCHEDULE H. APPROXIMATELY 36% OF OUR REVENUE IS DERIVED FROM MEDICARE PATIENTS. WE FEEL THE SHORTFALL FROM THIS PROGRAM IS DIRECTLY A COMMUNITY BENEFIT IN THAT WE ARE THE SOLE PROVIDER OF SERVICES IN OSWEGO COUNTY. THE ELDERLY POPULATION IN THIS AREA IS SIGNIFICANT AND WITHOUT OUR SERVICES, THESE PEOPLE WOULD HAVE TO TRAVEL 40 - 50 MILES FOR CARE. THIS COULD BE CRITICAL IN EMERGENCY SITUATIONS. MANY 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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. ADDITIONALLY, OSWEGO HOSPITAL CONTRACTED WITH THE CENTRAL NEW YORK HEALTH SYSTEM AGENCY, INC. TO PROVIDE A MEDICAL STAFF DEVELOPMENT PLAN.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 121,000. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: AS OSWEGO COUNTY'S HEALTHCARE LEADER, OSWEGO HOSPITAL TAKES SERIOUSLY ITS COMMITMENT TO PROVIDE EDUCATIONAL HEALTH SERVICES AND PROGRAMS TO COMMUNITY RESIDENTS. DURING 2010, OSWEGO HEALTH EMPLOYEES TOOK PART IN NUMEROUS HEALTH FAIR EVENTS AND OFFERED FREE HEATLH 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 METERIALS. 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 SPONSORED BY FORMER STATE SENATOR DARREL AUBERTINE, 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 NOVELIS 10KAN. OSWEGO HEALTH SPONSORED THE EVENT'S WELLNESS TENT AND PROVIDED FREE HEALTH SCREENINGS. THE 10KAN 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, SUNY-OSWEGO, OSWEGO CITY SCHOOL DISTRICT, NOVELIS, AS WELL AS OTHER AGENCIES AND EMPLOYERS.OUR ORGANIZATION 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. FINALLY, OSWEGO HOSPITAL HOSTED BLOOD DRIVES FOR THE AMERICN RED CROSS DURING 2010.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 7: 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 MANAR 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 IMAGES, 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>REPORTS FILED WITH STATES</Identifier>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>NY</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>ANN C GILPIN</NamePerson>
        <BaseCompensationFilingOrg>242266</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3153</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11755</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>257174</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RENATO MANDANAS MD</NamePerson>
        <BaseCompensationFilingOrg>272411</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>2043</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>1139</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>275593</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>NANCY DEAVERS</NamePerson>
        <BaseCompensationFilingOrg>146023</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1171</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11519</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>158713</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT POMPO</NamePerson>
        <BaseCompensationFilingOrg>169624</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>2656</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7752</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>180032</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MIHAI T SIMIONESCU MC</NamePerson>
        <BaseCompensationFilingOrg>217180</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3380</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>1139</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>221699</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANTONIO SANCHEZ</NamePerson>
        <BaseCompensationFilingOrg>240983</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>48</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11560</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>252591</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SANCHEZ VERMA</NamePerson>
        <BaseCompensationFilingOrg>362633</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>20934</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4284</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11560</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>399411</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN ELLIE</NamePerson>
        <BaseCompensationFilingOrg>387263</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>23752</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1999</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>731</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>413745</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARIJA D MUTZBDZIC</NamePerson>
        <BaseCompensationFilingOrg>250778</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3931</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11560</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>266269</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JAMES CULLINAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER</Relationship>
        <AmountOfTransaction>106560</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT OF JAMIE CULLINAN BY OSWEGO HOSPITAL AND IS A BROTHER TO BOARD MEMBER, PETE CULLINAN.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 2</Identifier>
        <Explanation>JAMIE CULLINAN IS A BROTHER TO A BOARD MEMBER, PETE CULLINAN IN THE AMOUNT OF $106,560.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>OSWEGO HEALTH INC IS THE SOLE MEMBER OF THE OSWEGO HOSPITAL</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>OSWEGO HEALTH INC, THE SOLE MEMBER MAY APPOINT, AND REMOVE DIRECTORS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>DECISIONS OF THE GOVERNING BODY ARE APPROVED BY OSWEGO HEALTH INC., THE SOLE MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>FORM 990 AND ITS SUPPORTING AND SUPPLEMENTAL INFORMATION WAS PREPARED AND VERIFIED FOR ACCURACY BY THE FINANCIAL ANALYST. ALL TOTALS ARE TIED TO THE FINANCIAL STATEMENTS WHICH HAVE BEEN AUDITED BY AN OUTSIDE AUDIT FIRM. THE RETURN IS REVIEWED INTERNALLY BY THE EXECUTIVE VP OF FINANCE. IN ADDITION, THE RETURN IS REVIEWED BY AN OUTSIDE AUDIT FIRM. THE 990 IS THEN PRESENTED TO THE OSWEGO HEALTH AUDIT COMMITTEE AND MADE AVAILABLE TO MEMBERS OF THE HOSPITAL BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>OUR OFFICERS AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST OF THEMSELVES AND THEIR FAMILY MEMBERS ON A QUESTIONNAIRE DISTRIBUTED ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE POSITION OF CEO/PRESIDENT IS CURRENTLY THE ONLY POSITION WHICH THE COMPENSATION IS REVIEWED AND APPROVED BY THE GOVERNING BOARD. THIS PROCESS WAS DONE FOR THE CURRENT YEAR AS WELL AS PREVIOUSLY. OTHER OFFICERS POSITIONS/SALARIES OF OSWEGO HOSPITAL ARE REVIEWED BY A COMMITTEE WHICH INCLUDES THE CEO AND HUMAN RESOURCES DIRECTOR. COMPENSATION IS DETERMINED BASED UPON COMPARISONS WITH NATIONAL, REGIONAL AND LOCAL SALARY SURVEYS FOR SIMILAR POSITIONS. SALARY BENCHMARK DATA MAY BE OBTAINED FROM AN INDEPENDENT CONSULTANT OR BE GATHERED FROM VARIOUS INDEPENDENT SOURCES. PERFORMANCE EVALUATIONS ARE COMPLETED ON ALL OFFICERS AND KEY EMPLOYEES WHICH IS AN INTEGRAL PART OF THE SALARY DETERMINATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 1,000,087. CHANGE IN PENSION LIABILITY 114,812. CHANGE IN RETIREMENT OBLIGATION -99,743. OTHER 1,334. TRANSFER TO AFFILIATES -314,836. TOTAL TO FORM 990, PART XI, LINE 5: 701,654.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OSWEGO HEALTH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>110 WEST SIXTH 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 11B SCHEDULE A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SENECA HILL MANOR INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>20 MANOR DRIVE</AddressLine1>
          <City>OSWEGO</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </AddressUS>
        <EIN>223163818</EIN>
        <PrimaryActivities>LONG TERM CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 C 3</ExemptCodeSection>
        <PublicCharityStatus>LINE 11 TYPE III</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SPRINGSIDE AT SENECA HILL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10 COUNTY RT 45A</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>HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OH PROPERTIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>110 WEST SIXTH STREET</AddressLine1>
          <City>OSWEGO</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </AddressUS>
        <EIN>161365960</EIN>
        <PrimaryActivities>REAL ESTATE COMPANY</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 C 3</ExemptCodeSection>
        <PublicCharityStatus>LINE 11 2 SCHEDULE A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>OH SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>110 WEST SIXTH STREET</AddressLine1>
          <City>OSWEGO</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </AddressUS>
        <EIN>161390603</EIN>
        <PrimaryActivity>INACTIVE CORPORATION</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfEOYAssets>5000</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ONTARIOS MEDICAL PRACTICE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>110 WEST SIXTH STREET</AddressLine1>
          <City>OSWEGO</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </AddressUS>
        <EIN>412069668</EIN>
        <PrimaryActivity>ANESTHESIA GROUP</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <TypeOfEntity>S</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>1</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SENECA HILL MANOR INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>54298</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OH PROPERTIES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>2270000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OH PROPERTIES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>506995</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SENECA HILL MANOR INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>64046</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SPRINGSIDE AT SENECA HILL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>85916</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SENECA HILL MANOR INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>1994733</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OH PROPERTIES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>74400</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OH PROPERTIES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>75000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>