2023-11-14T10:36:47-06:00 2022-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2022-01-01 150532220 OSWEGO HOSPITAL OSWE 3153495531 110 WEST SIXTH STREET OSWEGO NY 13126 ERIC T CAMPBELL CHIEF FINANCIAL OFFICER 3153495531 2023-11-13 1 ERIC CAMPBELL 999009999 1 THOMAS J GIUFRE P00841958 3154463600 2023-11-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL BACKUS 110 WEST SIXTH STREET OSWEGO NY 13126 154633586 0 X WWW.OSWEGOHEALTH.ORG X 1881 NY OSWEGO HOSPITAL'S MISSION IS TO PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF THE RESIDENTS IN OSWEGO COUNTY. OSWEGO HOSPITAL IS A SOLE COMMUNITY PROVIDER. OSWEGO HOSPITAL SERVES A PRIMARY SERVICE AREA OF APPROXIMATELY 118,000 RESIDENTS WHICH IS COMPRISED OF OSWEGO, FULTON, MEXICO, CENTRAL SQUARE, HANNIBAL, PULASKI AND STERLING. IN ADDITION, OSWEGO HOSPITAL PROVIDES SERVICES IN PARISH AND PHOENIX. 18 13 1335 0 0 0 4687111 1681025 121479737 128167342 1903993 1294187 20824307 22326929 148895148 153469483 0 0 0 0 81639882 86915989 0 0 245020 64957561 74498075 146597443 161414064 2297705 -7944581 140109521 126466334 57702348 52910268 82407173 73556066 THE MISSION OF OSWEGO HEALTH IS TO PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF RESIDENTS IN OUR COMMUNITY.YOUR HEALTH AND WELLNESS LEADER DEDICATED TO EXCELLENT CARE. 0 0 65061346 47774307 INPATIENT SERVICES PROVIDED BY OSWEGO HOSPITAL TO RESIDENTS OF OSWEGO COUNTY AND THE SURROUNDING AREAS: MEDICAL/SURGICAL/WOMEN SERVICES (MATERNITY, NEWBORN AND NURSERY)/INTENSIVE CARE/INPATIENT BEHAVIORAL HEALTH. 78054397 80393035 OUTPATIENT SERVICES PROVIDED BY OSWEGO HOSPITAL TO RESIDENTS OF OSWEGO COUNTY AND SURROUNDING AREAS: EMERGENCY/REHABILIATION SERVICES/OCCUPATIONAL HEALTH/ REFERRED AMBULATORY AND AMBULATORY SURGICAL/REFERRED DIAGNOSTIC AND THERAPEUTIC TESTING CONSISTING OF: LABORATORY/ACR ACCREDITED RADIOLOGY/COMPUTER TOMOGRAPHY(CT), MAGNETIC RESONANCE IMAGING(MRI), NUCLEAR MEDICINE AND ULTRASOUND IMAGING SERVICES/ADULT, CHILD AND FAMILY OUTPATIENT BEHAVIORAL HEALTH SERVICES. 22443236 22443236 143115743 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 1 0 0 1 112 0 1 1335 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ERIC T CAMPBELL-OSWEGO HOSPITAL 3153495531 110 WEST SIXTH STREET OSWEGO NY 13126 MICHAEL HARLOVIC PRESIDENT AND CEO 40.00 X X 747653 0 16720 DUANE TULL CHIEF MEDICAL OFFICER 1.00 1.00 X X 543363 0 23516 ED ALBERTS CHAIR 1.00 1.00 X X 0 0 0 PETER CULLINAN SECRETARY 1.00 1.00 X 0 0 0 MARK SLAYTON TREASURER 1.00 1.00 X X 0 0 0 LYNNE EGGERT DIRECTOR 1.00 1.00 X 0 0 0 RONALD TASCARELLA DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM CLARK DIRECTOR 1.00 1.00 X 0 0 0 TIMOTHY BARNHART DIRECTOR 1.00 1.00 X 0 0 0 ADAM GAGAS DIRECTOR 1.00 1.00 X 0 0 0 DANIEL DORSEY DIRECTOR 1.00 1.00 X 0 0 0 ELLEN HOLST DIRECTOR 1.00 1.00 X 0 0 0 ATOM AVERY PAST CHAIR 1.00 1.00 X X 0 0 0 SCOTT VANGORDER DO DIRECTOR 1.00 1.00 X 0 0 0 VICTORIA FURLONG VICE CHAIR 1.00 1.00 X X 0 0 0 ELIZABETH BOZEMAN PRESIDENT, MEDICAL STAFF 1.00 1.00 X X 0 0 0 KATIE TOOMEY DIRECTOR 1.00 1.00 X 0 0 0 PALOMA SARKAR DIRECTOR 1.00 1.00 X 0 0 0 ERIC CAMPBELL CFO 40.00 X 354300 0 9948 MICHAEL BACKUS EVP, COO 40.00 X 379966 0 798 KAMALJEET BANGA ORTHOPEDIC SURGEON 40.00 X 628647 0 37422 NICHOLAS GROCH ENT PHYSICIAN 40.00 X 588736 0 37447 MICHAEL DIAZ ORTHOPEDIC SURGEON 40.00 X 607726 0 36797 MARIOVISTO F FROGOZO ANESTHESIA PHYSICIAN 40.00 X 532273 0 13912 SURI KARTHIKEYAN GASTROENTEROLOGY 40.00 X 645060 0 14425 5027724 0 190985 9 0 1 0 DAVIN HEALTHCARE WORKFORCE SOLUTIONS INC PO BOX 1355 MIDDLETOWN OH 45042 HEALTHCARE WORKERS 2831707 JACKSON NURSE PROFESSIONALS LLC PO BOX 404118 ATLANTA GA 30384 HEALTHCARE WORKERS 2360253 TITAN MEDICAL GROUP LLC 2110 SOUTH 169TH PLAZA STE 100 OMAHA NE 68130 HEALTHCARE WORKERS 1484735 REHAB RESOURCES PC 159 WEST FIRST STREET OSWEGO NY 13126 PHYSICAL THERAPY 1406027 JACKSON THERAPY PARTNERS LLC PO BOX 277637 ATLANTA GA 30384 HEALTHCARE WORKERS 898615 95 990149 549343 141533 1681025 MEDICAID AND MEDICARE 900099 73307062 73307062 INSURANCE AND OTHER 900099 54860280 54860280 128167342 1273085 1273085 1047796 1164103 -116307 -116307 -116307 21102 0 21102 21102 21102 HOSPITAL CONTRACT SVCS 900099 18934548 18934548 PHARMACY SALES 900099 534795 534795 2973893 2973893 22443236 153469483 150610578 0 1177880 2076264 566878 1509386 71252217 64072599 6973887 205731 1221936 1071987 146566 3383 7619412 6684404 913915 21093 4746160 4163740 569281 13139 663612 211353 452259 330261 40000 290261 126102 126102 46175 46175 31848 31848 546526 6244 540282 655998 409128 246338 532 2886364 2445939 440425 1753191 1412626 340565 123107 79970 43001 136 904018 766076 137942 7747177 6565050 1182127 1015188 181032 834156 PURCHASE SERVICES 20508881 18209630 2299251 SUPPLIES - MEDICAL 11006545 10967489 39042 14 BAD DEBT NON PATIENT 10718701 10718701 PHARMACY 5717385 5717366 19 9716996 8825531 890473 992 161414064 143115743 18053301 245020 4252 4252 31524356 17827834 36999 36999 14438088 15238178 1753005 1472922 2617030 2498962 2242565 2364891 179511734 113788351 67691205 65723383 17619315 15848267 1049855 700344 1132851 4750302 140109521 126466334 19682927 20220047 21036395 21371883 16983026 11318338 57702348 52910268 X 71079071 63817548 11328102 9738518 82407173 73556066 140109521 126466334 X -7944581 -2192519 1285993 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 27500 0 1 18675 0 46175 0 PART II-B, LINE 1: LINE 1F, ACTIVITIES PAID FOR LOBBYING EFFORTS FOR HOSPITAL ISSUES IN NYS. LINE 1H, 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 DUES PAID THAT REPRESENT LOBBYING IS APPROXIMATELY 22.64% OF $82,471. THE REMAINDER IS ATTRIBUTED TO PROVIDING NECESSARY INFORMATION AND ANALYTICS REGARDING HEALTH CARE LEGISLATION AND GOVERNMENT REGULATIONS. THE LOBBYING EFFORTS ARE AIMED SPECIFICALLY AT HEALTH CARE ISSUES ACROSS THE HEALTH CARE INDUSTRY. 0 11328214 1114520 -1218709 0 107500 1378007 9738518 12344853 160417 910304 1698488 154601 234270 11328214 21011752 355348 431600 -8428595 389561 635912 12344853 10264575 232280 971171 10007532 100911 362894 21011752 10662830 232676 -25674 469085 136172 10264575 0.31000 0.69000 0 0 505045 505045 103166199 50949039 52217160 4064 4064 0 74433406 62835248 11598158 1403020 1403020 65723383 DUE TO 3RD PARTY PAYOR 4018886 LTD PENSION OBLIGATION 1902321 OTHER LIABILITIES 2555303 OPERATING LEASE RIGHT-OF-USE OBLIGATION 2841828 11318338 X 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. PART X, LINE 2: 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. AS OF DECEMBER 31, 2022 AND 2021, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2019 THROUGH 2022. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. 1 1 X 1 X 1 X 1 1 1 0 1 1 141856 141856 0.00090 38722255 26818536 11903719 0.07580 38864111 26818536 12045575 0.07670 18 209587 209587 0.00130 11490342 6633381 4856961 0.03090 18 11699929 6633381 5066548 0.03220 18 50564040 33451917 17112123 0.10890 0 4385998 2039928 46920791 56670917 -9750126 X 1 0 2 1 OSWEGO HOSPITAL 110 WEST SIXTH STREET OSWEGO NY 13126 X X X 2 OSWEGO HOSP- LAKEVIEW CENTER FOR MENTAL HEALTH AND WELLNESS 29 EAST CAYUGA OSWEGO NY 13126 X MENTAL HEALTH SERVICES O/P,REHAB O/P, AND PSYCH OSWEGO HOSPITAL 0 0 1 X X X X X X X X X 21 1 0 0 1 X WWW.OSWEGOHEALTH.ORG X 1 21 1 HTTPS://WWW.OSWEGOHEALTH.ORG/ABOUT-US/COMMUNITY-IMPACT/ 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.OSWEGOHEALTH.ORG/PATIENTS-FAMILIES/BILLING-INFORMATION/FINANCIA X HTTPS://WWW.OSWEGOHEALTH.ORG/FORMS/APPLICATION-FOR-FINANCIAL-ASSISTANCE/ X HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/OSWEGO-HEALTH-SITE-341/ME X X X X X X 1 X 0 X X X 1 X 0 0 OSWEGO HOSPITAL PART V, SECTION B, LINE 5: TO IDENTIFY THE PERCEPTION OF CURRENT HEALTHCARE SERVICES AND NEEDS OF OSWEGO COUNTY RESIDENTS, A COMMUNITY-TARGETED ONLINE SURVEY AND IN-DEPTH INDIVIDUAL (IDI) SURVEYS WERE CONDUCTED FROM KEY STAKEHOLDERS, WITH CROSS-REPRESENTATION FROM TOWNSHIPS AND BUSINESS SECTORS, BETWEEN SEPTEMBER 8TH-SEPTEMBER 24TH, 2021. AS A RESULT, A TOTAL OF 1,330 ONLINE SURVEY RESPONSES WERE ANALYZED IN ADDITION TO FEEDBACK FROM 15 IDIS. SURVEY RESPPONDENT DEMOGRAPHICS WERE 67% FEMALE AND 65% OVER THE AGE OF 55. SURVEY RESPONDENTS WERE TAKEN ACROSS VARIOUS ZIP CODES IN OUR PRIMARY AND SECONDARY SERVICE AREAS WITH 38% LOCATED IN 13126 AND 18% IN 13069. IN DEVELOPING THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OSWEGO HEALTH UTILIZED DATA FROM THE NEW YORK STATE PREVENTION AGENDA DASHBOARD, CONDUCTED A SURVEY OF THE COMMUNITY, AND HELD IN-DEPTH INTERVIEWS (IDI) WITH KEY COMMUNITY MEMBERS.OSWEGO HOSPITAL ALSO PARTICIPATED IN THE OSWEGO COUNTY HEALTH ASSESSMENT WHICH WAS CONDUCTED DURING 2022 WHICH HAS BEEN POSTED TO THE OSWEGO HEALTH WEBSITE. THE OSWEGO COUNTY HEALTH ASSESSMENT WAS COMPLETED IN ACCORDANCE WITH THE NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA AND INCLUDED OSWEGO HOSPITAL. OSWEGO HOSPITAL COMPLETED AN ORGANIZATION SPECIFIC COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2021 WITH TARGETED FOCUS AREAS AND IMPLEMENTATION PLANS WHICH HAVE BEEN DISCLOSED WITHIN SCHEDULE H, PART V OF THE FORM 990. OSWEGO HOSPITAL PART V, SECTION B, LINE 11: A. THE NEEDS IDENTIFIED IN THE CHNA, TO BE ADDRESSED BY OSWEGO HEALTH IN THIS IMPLEMENTATION PLAN ARE: 1. FOCUSED RECRUITMENT EFFORT WITH IMPROVED ACCESS TO PRIMARY CARE. 2. INCREASE MENTAL HEALTH SERVICES OFFERED THROUGHOUT THE COMMUNITY. 3. EDUCATE COMMUNITY ON LOCAL RESOURCES AVAILABLE FOR STROKE CARE. B. FOR PRIMARY CARE RECRUITMENT, OSWEGO HEALTH WILL ROLL OUT A RECRUITMENT ASSISTANCE PROGRAM THAT PROVIDES ASSISTANCE TO PRIVATE PRACTICES TO HELP MEET THE DEMANDS OF THE COMMUNITY AND WILL DEPLOY A COMMUNITCATION STRATEGY THROUGHOUT THE COMMUNITY THAT STRESSES THE CRITICAL IMPORTANCE OF HAVING A PRIMARY CARE PROVIDER AS IT RELATES TO PREVENTATIVE CARE. IN ADDITION, OSWEGO HEALTH WILL CONTINUE EFFORTS TO EXPAND EXISTING PRIMARY CARE PRACTICES IN ORDER TO ENSURE THE COMMUNITY HAS ACCESS TO PRIMARY CARE.C. FOR INCREASING MENTAL HEALTH SERVICES, OSWEGO HEALTH EMPLOYEES ARE PART OF THE OSWEGO COUNTY SUICIDE PREVENTATION COALITION, WHICH ALSO INCLUDED MANY COMMUNTIY HEALTHCARE PARTNERS. THE COALITION IS ACTIVELY WORKING ON PROGRAMS AND TOOLS THAT REDUCE THE COUNTY SUICIDE RATE. THE COALITION HAS DEVELOPED TWO SUBCOMMITTEES; ONE THAT HAS TARGETED YOUTH AND STUDENTS, WITH THE SECOND FOCUSING ON THE REMAINDER OF THE COMMUNITY, INCLUDING VETERANS, ELDERLY AND THE COMMUNITY IN GENERAL. AMONG THE GOALS OF THE COALITION IS TO PROMOTE SUICIDE AWARENESS AND PREVENTION THROUGH THE SCHOOLS, COMMUNITY EVENTS, TRAINING, ETC. OSWEGO HEALTH HAS ESTABLISHED OUTPATIENT MENTAL HEALTH CLINICS IN OSWEGO, FULTON AND SEVERAL SCHOOLS THROUGHOUT THE COUNTY TO ENSURE PATIENTS HAVE ACCESS TO THIS SERVICE.D. FOR EDUCATING THE COMMUNITY ON LOCAL RESOURCES AVAILABLE FOR STROKE CARE, OSWEGO HEALTH WILL WORK WITH COMMUNITY PROVIDERS AND AFFILIATED ORGANIZATIONS TO INCREASE AWARENESS OF LOCAL SERVICES AVAILABLE FOR STROKE CARE THROUGHOUT THE COMMUNITY. 10 1 - FULTON MEDICAL CENTER 510 S FOURTH ST FULTON NY 13069 OUTPATIENT CLINIC 2 - CENTRAL SQUARE MEDICAL CENTER 3045 EAST AVE CENTRAL SQUARE NY 13036 OUTPATIENT CLINIC 3 - PULASKI HEALTH CENTER LAB & RADIOLOGY 61 DELANO ST PULASKI NY 13142 OUTPATIENT CLINIC 4 - OSWEGO HOSPMEXICO FAMILY HEALTH CENTER 5856 SCENIC AVE MEXICO NY 13114 OUTPATIENT CLINIC 5 - AMS OF OSWEGO HEALTH 98 N SECOND ST FULTON NY 13069 OUTPATIENT CLINIC 6 - PARISH HEALTH SERVICES CENTER 10 CARLTON DRIVE PARISH NY 13131 OUTPATIENT CLINIC 7 - OSWEGO HOSP RADIOLOGY & LAB SERVICES 10 GEORGE ST OSWEGO NY 13126 OUTPATIENT CLINIC 8 - PHOENIX HEALTH SERVICES CENTER 7 BRIDGE ST PHOENIX NY 13135 OUTPATIENT CLINIC 9 - FULTON MEDICAL OFFICE BUILDING 522 S 4TH ST FULTON NY 13069 OUTPATIENT CLINIC 10 - STATE ROUTE 104 EAST PHYSICAL THERAPY 300 ST RTE 104 EAST OSWEGO NY 13126 OUTPATIENT CLINIC PART I, LINE 7: THE RCC USED TO CALCULATE COLUMN (C) DOES NOT INCLUDE BAD DEBTS. WE APPLIED THE RATIO OF COST TO CHARGES AGAINST THE BAD DEBT AMOUNT TO OBTAIN THE COST 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 I, LINE 7G: OSWEGO HOSPITAL OPERATES THE FOLLOWING SERVICES AT A LOSS TO THE ORGANIZATION: INPATIENT HOSPITALIST PROGRAM AND ANESTHESIA PROGRAM, IN EACH CASE THE COMMUNITY'S CAPACITY TO PROVIDE THE SERVICE WOULD BE BELOW THE COMMUNITY'S NEED FOR THE SERVICE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,385,998. PART III, LINE 3: ESTIMATED AMOUNT OF BAD DEBT EXPENSE REASONABLY ATTRIBUTED TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE IS BASED ON THE ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR UNINSURED PATIENTS AS REPORTED ON THE ANNUAL NEW YORK STATE COST REPORT. OSWEGO COUNTY RESIDENTS HAVE A PER CAPITA ANNUAL INCOME OF $31,565 AS REPORTED ON THE LATEST FEDERAL CENSUS WHICH WOULD RESULT IN SOME LEVEL OF FINANCIAL ASSISTANCE FOR THE AVERAGE OSWEGO COUNTY RESIDENT. PART III, LINE 4: INFORMATION RELATING TO BAD DEBT EXPENSE IS INCLUDED IN FOOTNOTE 2(L) NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE ON PAGE 14-18 OF THE ATTACHED FINANCIAL STATEMENTS. 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 37% 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, OUR ELDERLY POPULATION 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 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 AN INTERNALLY COMPLETED COMMUNITY PERCEPTION STUDY. IN 2021, CHNA WAS COMPLETED TO INVENTORY, ASSESS, AND PRIORITIZE HEALTHCARE NEEDS AND SERVICES WITHIN THE COMMUNITY. IT ALSO COMPLIES WITH THE RECENT FEDERAL REGULATORY STATUTE. THE CHNA IS DESIGNED TO ENHANCE OSWEGO HEALTH'S OVERALL STRATEGIC PLAN AND AID THEM IN IDENTIFYING WHAT SERVICES ARE MOST NEEDED AND DESIRED BY THE COMMUNITY IT SERVES. THE ULTIMATE GOAL IS TO OPTIMIZE HEALTHCARE DELIVERY AND TO PROVIDE HIGH QUALITY CARE. THIS CHNA FULFILLS THE REQUIREMENTS OF NEW STATUTES PUT IN PLACE BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) THAT REQUIRES NON-PROFIT HOSPITALS TO CONDUCT CHNAS EVERY THREE YEARS TO REMAIN IN COMPLIANCE. THE CHNA UTILIZES INPUT FROM MEMBERS OF THE COMMUNITY IN THE FORM OF STAKEHOLDERS AND RESIDENTS AND REPRESENT AN INTEREST IN THE OSWEGO HEALTH SERVICE AREA. 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. ALL PATIENTS ADMITTED TO OSWEGO HOSPITAL ARE PROVIDED WITH A BROCHURE TITLED "MEDICAL BILLS EXPLAINED" WHICH OUTLINES PAYMENT OPTIONS AND SOURCES OF APPLICATIONS FOR FINANCIAL ASSISTANCE. OUR FINANCIAL ASSISTANCE POLICY AND APPLICATION IS ALSO AVAILABLE ON THE WEBSITE AT WWW.OSWEGOHEALTH.ORG. OSWEGO HOSPITAL HAS A FINANCIAL COUNSELOR ON STAFF THAT IS CERTIFIED APPLICATION COUNSELOR WITH TRAINING IN THE NYS HEALTH INSURANCE EXCHANGE. PART VI, LINE 4: THE OSWEGO HOSPITAL 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 RESIDENTS OF OSWEGO COUNTY WHICH HAS A POPULATION OF 118,000. 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, PHOENIX AND PULASKI. PART VI, LINE 5: A. AS OSWEGO COUNTY'S HEALTHCARE LEADER, OSWEGO HEALTH TAKES SERIOUSLY ITS COMMITMENT TO PROVIDE EDUCATIONAL HEALTH SERVICES AND PROGRAMS TO COMMUNITY RESIDENTS. IN ORDER TO FURTHER PROMOTE HEALTHCARE IN THE COMMUNITY, OSWEGO HEALTH COMPLETED MONTHLY LIVE ON-LINE EDUCATION EVENTS FOR THE COMMUNITY FEATURING DIFFERENT CLINICAL TOPICS, CONDUCTED A COMMUNITY HERNIA SCREENING EVENT, COVID-19 VACCINATION CLINICS, MULTI-FACTOR BLOOD ANALYSIS SCREENINGS FOR COMMUNITY MEMBERS, FAMILY FLU CLINIC FOR FAMILIES OF OSWEGO HEALTH EMPLOYEES AND WEEKLY EDUCATION EVENTS AT THE OSWEGO AND FULTON FARMERS MARKETS.B. IN ADDITION, OSWEGO HEALTH HAS A BOARD OF DIRECTORS WHICH IS MADE UP OF CROSS SECTION OF MEMBERS OF THE COMMUNITY SERVED BY OSWEGO HEALTH, AS WELL AS MEDICAL STAFF WHICH IS OPEN TO COMMUNITY PROVIDERS. C. OSWEGO HEALTH ALSO HAS ACTIVELY FOCUSED ON PRIMARY CARE PROVIDER RECRUITMENT DURING 2021 RESULTING IN THREE NEW ADVANCED PRACTICE PROVIDERS JOINING THE COMMUNITY. PART VI, LINE 6: THE OSWEGO HEALTH SYSTEM PROVIDES MANY SERVICES AND PROGRAMS THAT TOGETHER PROVIDE THE REGION WITH HEALTHCARE SERVICES FROM BIRTH TO MATURITY. OSWEGO HEALTH, INC., SOLE MEMBER OF SYSTEM CORPORATIONS, 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 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; AS WELL AS THE FULTON MEDICAL CENTER (FMC) IN FULTON. THE FMC PROVIDES AN URGENT CARE, MEDICAL IMAGING, LABORATORY, PHYSICAL THERAPY AND OCCUPATIONAL HEALTH SERVICES. OSWEGO HEALTH ALSO OPERATES THE CENTRAL SQUARE MEDICAL CENTER IN THE VILLAGE OF CENTRAL SQUARE, WHICH OFFERS URGENT CARE, LABORATORY, MEDICAL IMAGING AND PHYSICAL THERAPY SERVICES. PART VI, LINE 7, REPORTS FILED WITH STATES NY 1 X X X X 0 1 0 0 1 0 0 0 0 MICHAEL HARLOVIC PRESIDENT AND CEO 553903 0 138750 0 55000 0 9150 0 7570 0 764373 0 0 0 KAMALJEET BANGA ORTHOPEDIC SURGEON 603647 0 25000 0 0 0 9150 0 28272 0 666069 0 0 0 SURI KARTHIKEYAN GASTROENTEROLOGY 620060 0 25000 0 0 0 1125 0 13300 0 659485 0 0 0 MICHAEL DIAZ ORTHOPEDIC SURGEON 607726 0 0 0 0 0 9150 0 27647 0 644523 0 0 0 NICHOLAS GROCH ENT PHYSICIAN 588736 0 0 0 0 0 9150 0 28297 0 626183 0 0 0 DUANE TULL CHIEF MEDICAL OFFICER 543363 0 0 0 0 0 9150 0 14366 0 566879 0 0 0 MARIOVISTO F FROGOZO ANESTHESIA PHYSICIAN 507273 0 25000 0 0 0 0 0 13912 0 546185 0 0 0 MICHAEL BACKUS EVP, COO 337216 0 42750 0 0 0 0 0 798 0 380764 0 0 0 ERIC CAMPBELL CFO 309750 0 44550 0 0 0 9150 0 798 0 364248 0 0 0 PART I, LINE 4B THE CEO FOR OSWEGO HEALTH HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHEREBY ANNUAL CREDITS WILL BE MADE TO A DEFERRED COMPENSATION ACCOUNT WITHIN THIRTY DAYS OF JUNE 30 EACH YEAR IN WHICH THE CEO RENDERS SERVICES TO THE ORGANIZATION. ANNUAL CREDITS ARE BASED ON A PERCENTAGE OF THE CEO'S BASE COMPENSATION FOR THE YEAR OF SERVICE. VESTING OF THE DEFERRED COMPENSATION ACCOUNT IS CONTINGENT UPON CONTINUOUS EMPLOYMENT OF THE CEO. CYNTHIA TASCARELLA EMPLOYEE 75343 EMPLOYMENT OF CYNTHIA TASCARELLA BY OSWEGO HOSPITAL. SHE IS THE SPOUSE OF BOARD MEMBER, RONALD TASCARELLA. 0 ED ALBERTS (DIRECTOR) OWNER OF REHAB RESOURCES 1406027 PROVIDES PT,OT AND SPEECH THERAPY SERVICES 0 ADAM GAGAS (DIRECTOR) PRESIDENT OF DISCIPLINED CAPITAL 31847 PROVIDES INVESTMENT SERVICES 0 0 FORM 990, PART VI, SECTION A, LINE 2 CYNTHIA TASCARELLA IS THE SPOUSE OF BOARD MEMBER, RONALD TASCARELLA, AND RECEIVED COMPENSATION IN THE AMOUNT OF $75,343. 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 11B FORM 990 AND ITS SUPPORTING AND SUPPLEMENTAL INFORMATION WAS PREPARED AND VERIFIED FOR ACCURACY BY THE SENIOR ACCOUNTANT ALL TOTALS ARE TIED TO THE FINANCIAL STATEMENTS WHICH HAVE BEEN AUDITED BY AN OUTSIDE ACCOUNTING FIRM. THE RETURN IS REVIEWED INTERNALLY BY THE CHIEF FINANCIAL OFFICER. 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 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. COMPENSATION IS BASED ON SALARY BENCHMARK DATA OBTAINED FROM AN INDEPENDENT CONSULTANT AND GATHERED FROM VARIOUS INDEPENDENT SOURCES. FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS ARE MADE AVALABLE BY REQUEST AND/OR SUBJECT TO COVENANT REQUIREMENTS IN DEBT INSTRUMENTS. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN PENSION LIABILITY 1,883,080. OTHER COMP OF NPPS -497,087. CHANGE IN INTEREST NET ASSET -100,000. FORM 990, PART XII, LINE 2C THERE HAS BEEN NO CHANGE TO THE PROCESS OSWEGO HEALTH INC 110 WEST SIXTH STREET OSWEGO NY 13126 161555936 PARENT HEALTH COMPANY NY 501 C 3 LINE 11B SCHEDULE A N/A 0 SENECA HILL MANOR INC 20 MANOR DRIVE OSWEGO NY 13126 223163818 LONG TERM CARE NY 501 C 3 LINE 11 TYPE III OSWEGO HEALTH INC 0 SPRINGSIDE AT SENECA HILL 10 COUNTY RT 45A OSWEGO NY 13126 161555935 ADULT LIVING FACILITY NY 501 C 3 LINE 9 SCHEDULE A OSWEGO HEALTH INC 0 OH PROPERTIES INC 110 WEST SIXTH STREET OSWEGO NY 13126 161365960 REAL ESTATE COMPANY NY 501 C 3 LINE 11 2 SCHEDULE A OSWEGO HEALTH INC 0 PHYSICIAN CARE PC 110 WEST SIXTH STREET OSWEGO NY 13126 900864974 NONPROFIT CORPORATION NY 501 C 3 LINE 11 TYPE III OSWEGO HOSPITAL 1 OSWEGO HEALTH FOUNDATION INC 110 WEST SIXTH STREET OSWEGO NY 13126 800822020 SUPPORTING ORGANIZATION NY 501 C 3 LINE 11A SCHEDULE A OSWEGO HEALTH INC 0 OH SERVICES INC 110 WEST SIXTH STREET OSWEGO NY 13126 161390603 HEARING DIAGNOSTICS AND SOLUTIONS NY OSWEGO HEALTH INC 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 PHYSICIAN CARE PC D 15025764 DEMAND NOTE AGREEMENT (FMV) PHYSICIAN CARE PC J 17529850 LEASE,ADMIN & PROF SERVICE AGREEM PHYSICIAN CARE PC Q 8881030 PAYMENT FROM CONTROLLED ENTITY(FM PHYSICIAN CARE PC A 432866 LEASE AGREEMENTS (FMV)