2026-07-06T08:02:30-05:00 2024-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-01-01 150532220 OSWEGO HOSPITAL OSWE 3153495531 110 WEST SIXTH STREET OSWEGO NY 13126 ERIC T CAMPBELL CHIEF FINANCIAL OFFICER 3153495531 2026-06-23 1 1 THOMAS J GIUFRE P00841958 3154463600 2026-06-23 2024 2025-03-06 01:10:19Z X MICHAEL BACKUS 110 WEST SIXTH STREET OSWEGO NY 13126 186125513 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 11 1449 0 0 0 8052665 2787349 149551339 148627202 3331613 3993479 24516927 29343146 185452544 184751176 0 0 0 0 96480358 102394801 0 0 263077 72300194 83675310 168780552 186070111 16671992 -1318935 134023773 147757503 41927112 55051130 92096661 92706373 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 71688858 51417912 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. 92971299 97209290 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. 29457652 29457652 164660157 1 1 1 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 1 1 1 0 0 1 135 0 1 1449 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 11 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 BACKUS PRESIDENT AND CEO 40.00 X X 554436 0 10689 ED ALBERTS PAST CHAIR 1.00 1.00 X X 0 0 0 PETER CULLINAN VICE CHAIR 1.00 1.00 X 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 SECRETARY 1.00 1.00 X 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 DIRECTOR 1.00 1.00 X X 0 0 0 SCOTT VANGORDER DO DIRECTOR 1.00 1.00 X 0 0 0 VICTORIA FURLONG CHAIR 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 WAJEEH SANA CHIEF MEDICAL OFFICER 1.00 1.00 X X 146980 0 246 MICHAEL ALCASID PRESIDENT MEDICAL STAFF 1.00 0.00 X X 336786 0 29265 ERIC CAMPBELL CFO 40.00 X 407767 0 11148 NICHOLAS GROCH ENT PHYSICIAN 40.00 X 707922 0 43326 SURI KARTHIKEYAN GASTROENTEROLOGY 40.00 X 803224 0 26260 MICHAEL DIAZ ORTHOPEDIC SURGEON 40.00 X 736132 0 42403 MOHAMMAD ALI GASTROENTEROLOGY 40.00 X 978265 0 39645 MARK VADNEY ANESTHESIOLOGY 40.00 X 712724 0 27275 DUANE TULL FORMER CHIEF MEDICAL OFFICER 1.00 1.00 X 668222 0 27764 6052458 0 258021 191 1 1 0 ARAMARK DALLAS LOCKBOX PO BOX 978839 DALLAS TX 75397 FOOD SERVICES 2122760 REHAB RESOURCES PC 159 WEST FIRST STREET OSWEGO NY 13126 PHYSICAL THERAPY 1806451 DAVIN HEALTHCARE WORKFORCE PO BOX 1355 MIDDLETOWN OH 45042 HEALTHCARE WORKERS 1210401 SECURITAS SECURITY SERVICES PO BOX 403412 ATLANTA GA 30384 SECURITY SERVICES 1157095 QUEST DIAGNOSTICS PO BOX 645709 PITTSBURGH PA 15264 LABORATORY SERVICES 989279 37 401721 1872630 512998 2787349 MEDICAID AND MEDICARE 900099 85582432 85582432 INSURANCE AND OTHER 900099 63044770 63044770 148627202 4048153 4048153 1095067 1209573 -114506 -114506 -114506 9955 100135 3101 161663 6854 -61528 -54674 -54674 HOSPITAL CONTRACT SVCS 900099 24591381 24591381 ALL OTHER REVENUE 900099 4271763 4271763 PHARMACY SALES 900099 594508 594508 29457652 184751176 178084854 0 3878973 1497317 513277 984040 695986 695986 83791359 76325058 7247094 219207 1392150 1236350 152273 3527 9382652 8332607 1026271 23774 5635337 5004667 616391 14279 2680190 232955 2447235 249634 69116 180518 119621 119621 115713 115713 32642 32642 560810 1426 559384 791086 543243 246763 1080 2986337 2530658 455679 1634516 1220609 412955 952 119956 89217 30641 98 820210 695056 125154 6968396 5905102 1063294 1467007 529844 937163 BAD DEBT NON PATIENT 17201507 17201507 PURCHASED SERVICES 15199115 12459202 2739913 SUPPLIES - MEDICAL 11880158 11799102 81056 BAD DEBT 5786109 5786109 15062303 13489066 1573077 160 186070111 164660157 21146877 263077 4252 4252 24878403 35515364 37999 247757 14104269 16093504 77442 499649 2196119 3917970 2610350 2585732 2410040 2771211 186260200 127834179 59185222 58426021 16030798 16327418 700344 700344 11788535 10668281 134023773 147757503 17676126 22042943 18377615 16319625 5873371 16688562 41927112 55051130 X 81926260 81847045 10170401 10859328 92096661 92706373 134023773 147757503 X -1318935 607675 1320972 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 150 0 15 4 1 1 0 0 0 0 0 1 90100 0 1 25613 0 115713 0 PART I-A, LINE 1: IN APRIL 2026, IT WAS DISCOVERED THAT OSWEGO HOSPITAL HAD INADVERTENTLY ENGAGED IN A POLITICAL CAMPAIGN-RELATED ACTIVITY DURING THE TAX YEAR ENDED DECEMBER 31, 2024. WITHOUT PRIOR NOTICE TO THE ORGANIZATION, THE 2024 INVOICE FOR ANNUAL MEMBERSHIP DUES FROM A REGIONAL NONPROFIT CHAMBER OF COMMERCE INCLUDED A LINE ITEM FOR A CONTRIBUTION TO THE CHAMBER'S POLITICAL ACTION COMMITTEE (PAC). THE PRESIDENT & CEO, WHO OVERSEES THE ORGANIZATION'S RELATIONSHIP WITH THE CHAMBER OF COMMERCE, APPROVED PAYMENT OF THE INVOICE WITHOUT RECOGNIZING THE INCLUSION OF THE PAC CONTRIBUTION. THE MEMBERSHIP DUES INVOICE WAS PAID DIRECTLY TO THE CHAMBER OF COMMERCE, WHICH SUBSEQUENTLY REMITTED THE CONTRIBUTION TO THE PAC ON THE ORGANIZATION'S BEHALF. OSWEGO HOSPITAL DID NOT MAKE A DIRECT PAYMENT OR CONTRIBUTION TO THE PAC. PART I-B, LINE 4B: ALL FEES PAID TO THE CHAMBER OF COMMERCE WHICH WERE LATER REMITTED TO THE PAC ON OUR BEHALF HAVE BEEN RECOVERED BY OUR ORGANIZATION AS OF MAY 7, 2026. 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 27.07% OF $94,629. 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 10170401 531418 1075272 288618 629145 10859328 9738518 239744 1050501 153244 705118 10170401 11328214 1114520 -1218709 107500 1378007 9738518 12344853 160417 910304 1698488 154601 234270 11328214 21011752 355348 431600 -8428595 389561 635912 12344853 0.38000 0.62000 0 0 505045 505045 103256902 59012313 44244589 4064 4064 0 80614335 68817802 11796533 1879854 1879854 58426021 OPERATING LEASES RIGHT-OF-USE ASSETS 3723174 INSURANCE RECOVERY LT 1884633 LTP MISC AR & RESERVE -489 DUE FROM THIRD PARTY PAYORS 2530673 OTHER ACCOUNTS RECEIVABLE 2530290 10668281 OTHER LIABILITIES 3923634 OPERATING LEASE RIGHT-OF-USE OBLIGATION 3723175 DUE TO 3RD PARTY PAYOR 9041753 16688562 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, 2024 AND 2023, 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 2021 THROUGH 2024. 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 156175 156175 0.00090 40269407 36669109 3600298 0.02000 40425582 36669109 3756473 0.02090 59 310027 310027 0.00170 17797272 9558976 8238296 0.04570 59 18107299 9558976 8548323 0.04740 59 58532881 46228085 12304796 0.06830 0 5786109 2754768 49466441 62375877 -12909436 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 24 1 0 0 1 X WWW.OSWEGOHEALTH.ORG X 1 24 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C 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 BETTER UNDERSTAND HOW OSWEGO COUNTY RESIDENTS PERCEIVE LOCAL HEALTHCARE SERVICES AND TO IDENTIFY UNMET NEEDS, OSWEGO HEALTH CONDUCTED A COMMUNITY-FOCUSED ONLINE SURVEY AND A SERIES OF IN-DEPTH INDIVIDUAL INTERVIEWS WITH KEY STAKEHOLDERS FROM JUNE 17 TO JULY 5, 2024. IN TOTAL, 861 ONLINE SURVEY RESPONSES AND FEEDBACK FROM EIGHT IDI PARTICIPANTS WERE ANALYZED.RESPONDENT DEMOGRAPHICS:SURVEY PARTICIPANTS WERE PREDOMINANTLY FEMALE (71%), WITH 43% AGED 65 AND OLDER. RESPONSES WERE COLLECTED FROM A BROAD RANGE OF ZIP CODES WITHIN OSWEGO HEALTH'S PRIMARY AND SECONDARY SERVICE AREAS 49% FROM 13126 AND 18% FROM 13069. THE EIGHT IN-DEPTH INTERVIEWS INCLUDED REPRESENTATIVES FROM GOVERNMENT, FINANCIAL, EDUCATIONAL, AND PRIVATE SECTORS TO ENSURE DIVERSE COMMUNITY PERSPECTIVES.IN DEVELOPING THIS COMMUNITY HEALTH NEEDS ASSESSMENT, OSWEGO HEALTH UTILIZED MULTIPLE DATA SOURCES, INCLUDING THE NEW YORK STATE PREVENTION AGENDA DASHBOARD, A COMMUNITY-WIDE SURVEY, AND A SERIES OF IN-DEPTH INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS.OSWEGO HOSPITAL ALSO PARTICIPATED IN THE OSWEGO COUNTY HEALTH ASSESSMENT CONDUCTED IN 2022, WHICH IS AVAILABLE ON THE OSWEGO HEALTH WEBSITE. THIS COUNTYWIDE ASSESSMENT WAS COMPLETED IN ALIGNMENT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH'S PREVENTION AGENDA AND INCLUDED PARTICIPATION FROM OSWEGO HOSPITAL. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.OSWEGOHEALTH.ORG/PATIENTS-FAMILIES/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.OSWEGOHEALTH.ORG/PATIENTS-FAMILIES/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/OSWEGO-HEALTH-SITE-341/MEDIA/95E6A8CB744A4CF6B670E2A3F6086EF7/FINANCIAL-ASSISTANCE-SUMMARY-2025.PDF PART V, LINE 10A, MOST RECENTLY ADOPTED IMPLEMENTATION STARTEGY'S WEBSITE: HTTPS://WWW.OSWEGOHEALTH.ORG/ABOUT-US/COMMUNITY-IMPACT/ 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 $ 5,786,109. PART I, LINE 7B MEDICAID SUPPLEMENTAL PAYMENTS OF APPROXIMATELY $6M WERE RECEIVED DURING 2024. THESE SUPPLEMENTAL PAYMENTS ARE INCLUDED IN MEDICAID REVENUE ON LINE 7B OF PART I. WITHOUT THESE SUPPLEMENTAL PAYMENTS, NET COMMUNITY BENEFIT EXPENSE FOR MEDICAID WOULD TOTAL APPROXIMATELY $11.6M FOR 2024. 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 MEDIAL HOUSEHOLD ANNUAL INCOME OF $70,076 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(K) NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE ON PAGE 12-18 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 43% 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 2024, 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 V, SECTION B, LINE 11: A. THE NEEDS IDENTIFIED IN THE CHNA, TO BE ADDRESSED BY OSWEGO HEALTH IN THIS IMPLEMENTATION PLAN ARE:PRIORITY 1 - PREVENTATIVE SERVICES FOR CHRONIC DISEASE PREVENTION AND CONTROL: OBJECTIVE IMPROVE ACCESS TO DIABETES EDUCATION FOR INDIVIDUALS WITH DIABETES DIAGNOSIS AND RISK FOR COMPLICATIONS AND COMORBIDITIES. GOAL: INCREASE THE NUMBER OF INDIVIDUALS SERVED BY THE DIABETES SELF-MANAGEMENT EDUCATION & SUPPORT PROGRAM (LED BY CERTIFIED DIABETES CARE & EDUCATION SPECIALIST) BY 10%. BACKGROUND: THE DIABETES SELF-MANAGEMENT PROGRAM IS AN EDUCATIONAL PROGRAM THAT HELPS INDIVIDUALS WITH DIABETES EFFECTIVELY MANAGE THEIR CONDITION. IT EMPOWERS PARTICIPANTS BY TEACHING THEM (REMOVE) THE SELF-MANAGEMENT SKILLS AND KNOWLEDGE NECESSARY TO CONTROL THEIR BLOOD SUGAR LEVELS, MANAGE MEDICATIONS, AND MAKE INFORMED LIFESTYLE CHOICES. THE GOAL OF THE DIABETES SELF-MANAGEMENT PROGRAM IS TO IMPROVE QUALITY OF LIFE, REDUCE COMPLICATIONS, AND MINIMIZE THE LONGTERM IMPACT OF DIABETES ON HEALTH.PRIORITY 2 - MENTAL WELLBEING: OBJECTIVE: IMPROVE THE MENTAL HEALTH OF RESIDENTS IN OUR COMMUNITY. GOAL: REDUCE THE NUMBER OF POOR MENTAL HEALTH DAYS REPORTED BY OSWEGO COUNTY RESIDENTS. BACKGROUND: THE AGE-ADJUSTED POOR MENTAL HEALTH DAYS IN 2023 WAS 5.5.PRIORITY 3 - SAFE AND HEALTHY COMMUNITIES: OBJECTIVE: INCREASE ACCESS TO COMMUNITY SERVICES AND SUPPORT BY RECRUITING SPECIALISTS AND COMMUNITY CLINICIANS. GOAL: EXPAND ACCESS TO CARE IN BOTH OSWEGO AND FULTON AND RECRUIT NINE CLINICIANS. BACKGROUND: AS OF DECEMBER 1, 2024, OSWEGO HEALTH HAS 244 LICENSED/ CREDENTIALED PHYSICIANS. 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 PART VI, LINE 5: A. AS OSWEGO COUNTY'S HEALTHCARE LEADER, OSWEGO HEALTH IS DEEPLY COMMITTED TO PROMOTING HEALTH AND WELLNESS IN OUR COMMUNITY THROUGH A WIDE RANGE OF EDUCATIONAL SERVICES AND PROGRAMS. TO FURTHER THIS MISSION, WE HAVE HOSTED MONTHLY LIVE ONLINE EDUCATION EVENTS COVERING VARIOUS CLINICAL TOPICS, ENSURING RESIDENTS HAVE ACCESS TO VALUABLE HEALTH INFORMATION. OUR COMMUNITY INITIATIVES INCLUDE A SUCCESSFUL HERNIA SCREENING EVENT, MULTI-FACTOR BLOOD ANALYSIS SCREENINGS, AND FAMILY FLU CLINICS SPECIFICALLY DESIGNED FOR THE FAMILIES OF OSWEGO HEALTH EMPLOYEES.ADDITIONALLY, WE ENGAGE WITH THE COMMUNITY AT LOCAL FARMERS' MARKETS BY OFFERING WEEKLY EDUCATIONAL EVENTS, COLLABORATING WITH THE YMCA TO PROVIDE CPR TRAINING, AND PARTICIPATING IN SCHOOL SPORTS PARENT MEETINGS ALONGSIDE ORTHOPEDIC PROVIDERS TO DISCUSS INJURY PREVENTION. WE ALSO TAKE PART IN LOCAL SCHOOL SAFETY EVENTS AND DISTRIBUTE SUNSCREEN AT VARIOUS NON-PROFIT GATHERINGS. THROUGH THESE EFFORTS, OSWEGO HEALTH IS DEDICATED TO EMPOWERING RESIDENTS WITH THE KNOWLEDGE AND RESOURCES THEY NEED TO LEAD HEALTHIER LIVES.B. IN ADDITION, OSWEGO HEALTH HAS A BOARD OF DIRECTORS WHICH IS MADE UP OFCROSS SECTION OF MEMBERS OF THE COMMUNITY SERVED BY OSWEGO HEALTH, AS WELLAS MEDICAL STAFF WHICH IS OPEN TO COMMUNITY PROVIDERS.C. OSWEGO HEALTH HAS ACTIVELY FOCUSED ON PRIMARY CARE BEHAVIORAL HEALTH RECRUITMENT DURING 2024 RESULTING IN TWO NEW PRIMARY CARE PROVIDERS AND TWO NEW BEHAVIORAL HEALTH PROVIDERS. PART VI, LINE 6: THE OSWEGO HEALTH SYSTEM PROVIDES MANY SERVICES AND PROGRAMS THAT TOGETHERPROVIDE THE REGION WITH HEALTHCARE SERVICES FROM BIRTH TO MATURITY. OSWEGOHEALTH, INC., SOLE MEMBER OF SYSTEM CORPORATIONS, IS A NOT-FOR-PROFITHOLDING CORPORATION, ESTABLISHED IN 1997, THAT CONSTITUTES AN INTEGRATED,COMPREHENSIVE HEALTHCARE SYSTEM. THIS INCLUDES OSWEGO HOSPITAL, A 164-BEDCOMMUNITY HOSPITAL PROVIDING ACUTE, MEDICAL, EMERGENCY, SURGICAL,MATERNITY AND BEHAVIORAL SERVICES; THE MANOR AT SENECA HILL, A 120-BEDSKILLED NURSING FACILITY THAT ALSO OFFERS REHABILITATION SERVICES AND ANADULT DAY HEALTH SERVICES PROGRAM; AND SPRINGSIDE AT SENECA HILL, WHICHPROVIDES RETIREMENT LIVING; AS WELL AS THE FULTON MEDICAL CENTER (FMC) INFULTON. THE FMC PROVIDES AN URGENT CARE, MEDICAL IMAGING, LABORATORY,PHYSICAL THERAPY AND OCCUPATIONAL HEALTH SERVICES. OSWEGO HEALTH ALSOOPERATES THE CENTRAL SQUARE MEDICAL CENTER IN THE VILLAGE OF CENTRALSQUARE, WHICH OFFERS URGENT CARE, LABORATORY, MEDICAL IMAGING AND PHYSICALTHERAPY SERVICES. PART VI, LINE 7, REPORTS FILED WITH STATES NY 1 X X X X 0 0 0 0 0 0 0 0 0 MOHAMMAD ALI GASTROENTEROLOGY 943265 0 35000 0 0 0 8444 0 31201 0 1017910 0 0 0 SURI KARTHIKEYAN GASTROENTEROLOGY 803224 0 0 0 0 0 10350 0 15910 0 829484 0 0 0 MICHAEL DIAZ ORTHOPEDIC SURGEON 736132 0 0 0 0 0 10350 0 32053 0 778535 0 0 0 NICHOLAS GROCH ENT PHYSICIAN 682922 0 25000 0 0 0 10350 0 32976 0 751248 0 0 0 MARK VADNEY ANESTHESIOLOGY 687724 0 25000 0 0 0 3126 0 24149 0 739999 0 0 0 DUANE TULL FORMER CHIEF MEDICAL OFFICER 668222 0 0 0 0 0 10350 0 17414 0 695986 0 0 0 MICHAEL BACKUS PRESIDENT AND CEO 462186 0 92250 0 0 0 9891 0 798 0 565125 0 0 0 ERIC CAMPBELL CFO 365767 0 42000 0 0 0 10350 0 798 0 418915 0 0 0 MICHAEL ALCASID PRESIDENT MEDICAL STAFF 311786 0 25000 0 0 0 8349 0 20916 0 366051 0 0 0 MICHAEL BACKUS CEO SPLIT-DOLLAR LIFE INSURANCE ARRANGEMENT X 150000 157746 0 1 1 ERIC CAMPBELL CFO SPLIT-DOLLAR LIFE INSURANCE ARRANGEMENT X 100000 107180 0 1 1 MARK BROWN VP HR SPLIT-DOLLAR LIFE INSURANCE ARRANGEMENT X 72000 77169 0 1 1 JAMIE LESZCZYNSKI SVP COMMUNICATIONS SPLIT-DOLLAR LIFE INSURANCE ARRANGEMENT X 53000 56805 0 1 1 KATHRYN PAGLIAROLI SVP CLINICAL OPERATION; CNO SPLIT-DOLLAR LIFE INSURANCE ARRANGEMENT X 94000 100749 0 1 1 499649 CYNTHIA TASCARELLA EMPLOYEE 28713 EMPLOYMENT OF CYNTHIA TASCARELLA BY OSWEGO HOSPITAL. SHE IS THE SPOUSE OF BOARD MEMBER, RONALD TASCARELLA. 0 ED ALBERTS (DIRECTOR) OWNER OF REHAB RESOURCES 1806451 PROVIDES PT,OT AND SPEECH THERAPY SERVICES 0 ADAM GAGAS (DIRECTOR) PRESIDENT OF DISCIPLINED CAPITAL 32642 PROVIDES INVESTMENT SERVICES 0 0 SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS: THE LOAN IS PART OF AN EMPLOYEE BENEFIT. FORM 990, PART I, ITEM B, AMENDED RETURN: IN APRIL 2026, IT WAS DISCOVERED THAT OSWEGO HOSPITAL HAD INADVERTENTLY ENGAGED IN A POLITICAL CAMPAIGN-RELATED ACTIVITY DURING THE TAX YEAR ENDED DECEMBER 31, 2024. AS A RESULT OF THE CORRECTIVE ACTIONS TAKEN WITH RESPECT TO THE TAXABLE EVENT, FORM 4720 IS REQUIRED TO BE FILED FOR 2024. ACCORDINGLY, THE 2024 FORM 990 IS BEING AMENDED TO REFLECT THE CORRECTIVE ACTION TAKEN. PART IV, LINE 3 OF THE AMENDED RETURN IS ANSWERED "YES" TO DISCLOSE THAT THE ORGANIZATION ENGAGED IN DIRECT OR INDIRECT POLITICAL CAMPAIGN ACTIVITIES. IN ADDITION, SCHEDULE C, PARTS I-A AND PART I-B HAVE BEEN COMPLETED TO REPORT THE POLITICAL CAMPAIGN ACTIVITY AND THE RELATED REQUIREMENT TO FILE FORM 4720. SCHEDULE C, PART IV HAS ALSO BEEN UPDATED TO INCLUDE THE APPLICABLE DISCLOSURES RELATED TO PARTS I-A AND I-B. 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 $28,713. 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 CONTROLLER. 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 1,710,503. OTHER COMP OF NPPS -689,531. CHANGE IN INTEREST NET ASSET 300,000. 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 19348586 DEMAND NOTE AGREEMENT (FMV) PHYSICIAN CARE PC J 21551880 LEASE ADMIN & PROF SERVICE AGREEM PHYSICIAN CARE PC Q 8697438 PAYMENT FROM CONTROLLED ENTITY(FM PHYSICIAN CARE PC A 434614 LEASE AGREEMENTS (FMV)