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        <ExplanationTxt>THE FORMER CEO FOR OSWEGO HEALTH HAD A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHEREBY ANNUAL CREDITS WERE MADE TO A DEFERRED COMPENSATION ACCOUNT WITHIN THIRTY DAYS OF JUNE 30 EACH YEAR IN WHICH THE CEO RENDERED SERVICES TO THE ORGANIZATION. ANNUAL CREDITS WERE BASED ON A PERCENTAGE OF THE CEO'S BASE COMPENSATION FOR THE YEAR OF SERVICE. VESTING OF THE DEFERRED COMPENSATION ACCOUNT WAS CONTINGENT UPON CONTINUOUS EMPLOYMENT OF THE CEO. DURING 2023, THE FORMER CEO RECEIVED $55,000 FOR SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PAYMENT AND $277,500 FOR A SALARY CONTINUATION PAYMENT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>DUANE TULL, MD BECAME SOLE STOCKHOLDER ON DECEMBER 1, 2019.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN CARE, P.C. IS A NEW YORK STATE PROFESSIONAL SERVICES CORPORATION WHICH IS A TAX-EXEMPT CAPTIVE P.C. THE SOLE SHAREHOLDER, DUANE TULL, M.D. IS THE CHIEF MEDICAL OFFICER OF OSWEGO HOSPITAL, A SECTION 501(C)(3), ACUTE CARE HOSPITAL. PURSUANT TO PHYSICIAN CARE, P.C.'S BY-LAWS, OSWEGO HOSPITAL APPROVES THE SHAREHOLDERS OF PHYSICIAN CARE, P.C. THE SHAREHOLDER OF PHYSICIAN CARE, P.C. HAS ENTERED INTO A SHAREHOLDER AGREEMENT WITH OSWEGO HOSPITAL WHEREBY THE SHAREHOLDER SHALL GRANT TO A PERSON DESIGNATED BY THE HOSPITAL AN IRREVOCABLE PROXY TO VOTE ALL THE SHARE OF STOCK OF THE CORPORATION THEN OWNED BY SUCH SHAREHOLDER ON ALL MATTERS PRESENTED TO THE SHAREHOLDERS FOR A VOTE, INCLUDING WITHOUT LIMITATION: A)THE ELECTION OF DIRECTORS AND OFFICERS OF THE CORPORATION, B)AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BY-LAWS, C)APPROVAL OF THE STRATEGIC PLAN, D)THE ANNUAL OPERATING AND CAPITAL BUDGET, E)THE INCURRENCE OF ANY DEBT, F)THE SALE OR LEASE OF PROPERTY, G)THE MERGER OR DISSOLUTION OF THE CORPORATION, H)SETTLEMENT OF ANY CLAIM AGAINST THE CORPORATION, I)ANY REORGANIZATION OF THE CORPORATION, J)ANY AGREEMENT BETWEEN THE CORPORATION AND SHAREHOLDER, K)ANY CONTRACT GREATER THAN THREE YEARS, AND L)THE SELECTION OF THE CORPORATIONS AUDITORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS GIVEN TO THE OSWEGO HOSPITAL BOARD OF DIRECTORS FOR REVIEW BEFORE FILING.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OSWEGO HOSPITAL OFFICERS AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST OF THEMSELVES AND THEIR FAMILY MEMBERS ON A QUESTIONNAIRE DISTRIBUTED ANNUALLY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION AND PERFORMANCE OF THE ORGANIZATION'S PRESIDENT &amp; 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 &amp; 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 INDEPENDENET CONSULTANT AND GATHERED FROM VARIOUS INDEPENDENT SOURCES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS STORED ON SITE AND IS AVAILABLE FOR REVIEW TO THE GENERAL PUBLIC DURING NORMAL BUSINESS HOURS UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY, ARE STORED ON SITE AND ARE AVAILABLE FOR INSPECTION DURING NORMAL BUSINESS HOURS AND UPON REQUEST. FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE FOR PUBLIC INSPECTION.</ExplanationTxt>
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        <ExplanationTxt>OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 13,401,984. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,401,984.</ExplanationTxt>
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        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OH SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>110 WEST SIXTH STREET</AddressLine1Txt>
          <CityNm>OSWEGO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13126</ZIPCd>
        </USAddress>
        <EIN>161390603</EIN>
        <PrimaryActivitiesTxt>HEARING DIAGNOSTICS &amp; SOLUTIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OSWEGO HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>