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OLEAN GENERAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
OLEAN GENERAL HOSPITAL (EIN 16-0743102)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201203209349307395
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T15:30:32-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN160765486EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LUMSDEN & MCCORMICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1369 FRANKLIN STREETAddressLine1
CityBUFFALOCity
StateNYState
ZIP Code14202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN160743102EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OLEAN GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOLEANameControl
Phone7163732600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1515 MAIN STREETAddressLine1
CityOLEANCity
StateNYState
ZIP Code14760ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY J FINANName
TitlePRESIDENT AND CEOTitle
Phone7163732600Phone
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL J GRIMALDIName
PTINP01295846PTIN
Phone7168563300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTIMOTHY J FINANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1515 MAIN STREETAddressLine1
CityOLEANCity
StateNYState
ZIP Code14760ZIPCode
FieldValueIRS element (for citing)
Gross Receipts101131371GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OGH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1898YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF OLEAN GENERAL HOSPITAL TO PROVIDE EXCELLENT CARE IN RESPONSE TO THE HEALTH CARE NEEDS OF THE COMMUNITY. IN SUPPORT OF THIS MISSION, OLEAN GENERAL HOSPITAL IS COMMITTED TO THE FOLLOWING:- COMPASSION: OUR SYMPATHETIC AWARENESS OF EACH PERSON'S NEEDS- INTEGRITY: OUR DEDICATION TO HONESTLY- INNOVATION: OUR PURSUIT OF CREATIVITY- RESPECT: OUR COMMITMENT TO TREAT EVERYONE WITH DIGNITY- COMMUNITY: OUR UNDERSTANDING THAT WE EXIST TO SERVE THOSE AMONG US- EDUCATION: OUR BELIEF THAT KNOWLEDGE FOSTERS EXCELLENCEActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1116TotalNbrEmployees
Total Nbr Volunteers175TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year575433ContributionsGrantsPriorYear
Contributions Grants Current Year343908ContributionsGrantsCurrentYear
Program Service Revenue Prior Year95048771ProgramServiceRevenuePriorYear
Program Service Revenue CY97696577ProgramServiceRevenueCY
Investment Income Prior Year390078InvestmentIncomePriorYear
Investment Income Current Year125530InvestmentIncomeCurrentYear
Other Revenue Prior Year1962190OtherRevenuePriorYear
Other Revenue Current Year2965356OtherRevenueCurrentYear
Total Revenue Prior Year97976472TotalRevenuePriorYear
Total Revenue Current Year101131371TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year50836755SalariesEtcPriorYear
Salaries Etc Current Year49932806SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year45348573OtherExpensePriorYear
Other Expenses Current Year50276556OtherExpensesCurrentYear
Total Expenses Prior Year96185328TotalExpensesPriorYear
Total Expenses Current Year100209362TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1791144RevenuesLessExpensesPriorYear
Revenues Less Expenses CY922009RevenuesLessExpensesCY
Total Assets BOY128808524TotalAssetsBOY
Total Assets EOY141218595TotalAssetsEOY
Total Liabilities BOY51423931TotalLiabilitiesBOY
Total Liabilities EOY49734706TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY77384593NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY91483889NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF OLEAN GENERAL HOSPITAL IS TO PROVIDE EXCELLENT CARE IN RESPONSE TO THE HEALTH CARE NEEDS OF THE COMMUNITY. IN SUPPORT OF THIS MISSION, OLEAN GENERAL HOSPITAL IS COMMITTED TO THE FOLLOWING:- COMPASSION: OUR SYMPATHETIC AWARENESS OF EACH PERSON'S NEEDS- INTEGRITY: OUR DEDICATION TO HONESTY- INNOVATION: OUR PURSUIT OF CREATIVITY- RESPECT: OUR COMMITMENT TO TREAT EVERYONE WITH DIGNITY- COMMUNITY: OUR UNDERSTANDING THAT WE EXIST TO SERVE THOSE AMONG US- EDUCATION: OUR BELIEF THAT KNOWLEDGE FOSTERS EXCELLENCETHE HOSPITAL IS GOVERNED BY A 17 MEMBER BOARD OF DIRECTORS COMPRISED OF 16 VOLUNTARY INDIVIDUALS WHO RESIDE THROUGHOUT THE OLEAN GENERAL HOSPITAL AND BRADFORD REGIONAL MEDICAL CENTER SERVICE AREAS AND THE CEO OF UPPER ALLEGHENY HEALTH SYSTEM. WITH A LICENSED CAPACITY OF 186 BEDS, THE HOSPITAL PROVIDES THE COMMUNITY WITH VITAL HEALTH CARE SERVICES INCLUDING MEDICAL/SURGICAL, PEDIATRIC AND OBSTETRICAL CARE. THE HOSPITAL ALSO PROVIDES INTENSIVE(CONTINUED)MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense75492491Expense
Grants343908Grants
Revenue99790263Revenue
DescriptionIN 2011, OLEAN GENERAL HOSPITAL DISCHARGED APPROXIMATELY 8,000 PATIENTS AND PROVIDED SERVICES TO ALMOST 165,000 OUTPATIENT VISITORS.CLINICAL CAPABILITIES - DURING 2011 OLEAN GENERAL HOSPITAL FILED FOR APPROVAL TO OPEN A JOINTLY OPERATED CARDIAC CATHETERIZATION LAB AT OLEAN GENERAL HOSPITAL. THE LAB WILL OPEN IN LATE 2012 SINCE NYS DEPARTMENT OF HEALTH APPROVAL TO OPERATE HAS BEEN RECEIVED. THE LAB WILL BE JOINTLY OPERATED WITH UPSTATE NEW YORK'S LARGEST CARDIAC CARE SERVICES PROVIDER. THIS PARTNER WILL IN ESSENCE DECOMMISSION A LAB IN BUFFALO AND RELOCATE IT TO OLEAN, NEW YORK MOVEMENT OF THIS SERVICE WILL SAVE HUNDREDS OF PEOPLE ANNUALLY A TRIP OF 80 PLUS MILES TO BUFFALO FOR SERVICES THAT CAN SAFELY BE PROVIDED LOCALLY. THIS LOCAL LAB WILL PROVIDE EASE OF ACCESS AND DECREASED COSTS FOR THE RESIDENTS IN AND AROUND OLEAN, NEW YORK.OUTPATIENT SURGERY- DURING 2011 OLEAN GENERAL HOSPITAL COMPLETED MOST OF THE CONSTRUCTION ON ITS $10.4M OUTPATIENT SURGERY CENTER. THIS HOSPITAL-BASED CENTER WILL HOUSE FOUR STATE OF THE ART OUTPATIENT OPERATING ROOMS, THREE ENDOSCOPY ROOMS AND 20 PRIVATE PATIENT STAGING BAYS AND WILL OPEN IN JUNE 2012.HOSPITAL INFORMATION SYSTEM- DURING 2011 OGH INSTALLED A NEW HOSPITAL INFORMATION SYSTEM (HIS). THE $4M INVESTMENT IS CRITICAL TO THE MANAGEMENT OF PATIENT CARE AND INFORMATION AS THE PRODUCT INSTALLED INCLUDES AN ELECTRONIC MEDICAL RECORD, COMPUTERIZED MEDICATION RECORDS, COMPUTERIZED PHYSICIAN ORDER ENTRY AND CREATES A COMMON PLATFORM FOR USE BY OGHS SISTER CORPORATION IN UAHS, WHICH HAS ALREADY DEMONSTRATED EFFICIENCIES OF CLOSE TO $500,000 ANNUALLY.PHYSICIAN PRACTICE ELECTRONIC HEALTH RECORDS- DURING 2011 OGH, ALONG WITH ITS SISTER HOSPITAL IN UAHS SELECTED AND INSTALLED AN ELECTRONIC HEALTH RECORD (EHR) FOR ITS EMPLOYED PHYSICIANS AND PHYSICIAN EXTENDERS AS WELL AS FOR COMMUNITY PHYSICIANS INTERESTED IN SUCH A SYSTEM. THE SYSTEM INCLUDES AN ELECTRONIC HEALTH RECORD AS WELL AS A PRACTICE MANAGEMENT SYSTEM AND WILL BENEFIT THE PHYSICIANS, PATIENTS, THE HOSPITALS AND INSURERS IN THE FOLLOWING WAYS:- MORE COMPREHENSIVE, REAL TIME DOCUMENTATION SYSTEM- ABILITY TO ELECTRONICALLY SHARE INFORMATION WITH AND FROM PHYSICIAN OFFICES- ABILITY TO CREATE STANDARD PATHWAYS OF CARE BASED ON EVIDENCE BASED STANDARDS, THROUGH THE USE OF TEMPLATES- ABILITY TO UTILIZE E-PRESCRIBING FOR PHARMACEUTICALS- ABILITY TO INTEGRATE WITH THE HOSPITAL HIS- PROVIDES A MORE COST EFFECTIVE IT PLATFORM AS THE SERVERS ON WHICH THE SYSTEM IS INSTALLED ARE CENTRALLY MAINTAINED AND MANAGED BY THE HOSPITALQUALITY/EFFICIENT OPERATIONS-DURING 2011 OGH IMPLEMENTED A HEALTHCARE-ADAPTED LEAN/A3 PROGRAM. THIS PROGRAM IS A PROCESS IMPROVEMENT/DECISION MAKING SET OF TOOLS. IT IS BASED ON THE TOYOTA PRODUCTION SYSTEM OF PROCESS IMPROVEMENT AND A GOAL OF REDUCING WASTE AND REWORK IN PROCESSES, INCLUDING PATIENT AND PHYSICIAN TIME. CLOSE TO 70 OGH STAFF AND MANAGERS HAVE RECEIVED INTENSIVE TRAINING IN THE PROGRAM AND ALL EMPLOYEES HAVE BEEN GIVEN AWARENESS TRAINING ON THE NEW TOOLS. MANAGEMENT HAS HIGH EXPECTATIONS OF SUCCESS USING THIS METHODOLOGY AND BELIEVES THE TOOLS BROUGHT FORWARD UNDER THIS PROGRAM WILL ASSIST THE UAHS HOSPITALS IN GAINING YET MORE EFFICIENCY IN THE CARE WE PROVIDE.Description
Total Program Service Expense75492491TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096156NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1116NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RICHARD G BRAUN JR CPABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7163756190TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1130 SOUTH UNION ST SUITE 300AddressLine1
CityOLEANCity
StateNYState
ZIP Code14760ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
LIVINGSTON ALEXANDER
DIRECTOR2.00X000
ROBERTA BRUNNER
DIRECTOR2.00X000
THOMAS BUFFAMANTE
DIRECTOR2.00X000
CARLYLE CONN
DIRECTOR2.00X000
MARTIN DIGEL
TREASURER2.00X000X
DR PIERRE DIONNE
DIRECTOR2.00X000
TIMOTHY FINAN
PRESIDENT/CEO37.50X28943029599682396X
DR MUHAMMED JAVED
SECRETARY2.00X000X
DANIEL MCCUNE
VICE CHAIRMAN2.00X000X
DR RICHARD MCDOWELL
DIRECTOR2.00X000
BRENDA MCGEE
DIRECTOR2.00X000
DR JILL OWENS
DIRECTOR2.00X000
DAVID PRINCE
CHAIRMAN15.00X000X
LYNDA QUICK
DIRECTOR2.00X000
RICHARD ROUPE
DIRECTOR2.00X000
EDWARD SHARKEY
DIRECTOR2.00X000
DR LUIS GONZALEZ
DIRECTOR2.00X000
TIMOTHY MCNAMARA
SR VP HUMAN RESOURCES37.501210499403625581X
JASON YAWORSKY
SR VP/CIO OF UAHS37.501054257347920826X
JEFFREY ZEWE
VP PATIENT CARE SERVICES37.50164390022380X
RICHARD BRAUN
VP FINANCE37.5016346712819626511X
RONALD MORNELLI
VP OPERATIONS37.50238562021635X
KAREN FOHL
VP INSTITUTIONAL ADVANCEME37.5011499107574X
DR WILLIAM MILLS
VP MEDICAL AFFAIRS37.5015314112440323677X
CATHLEEN WRIGHT
VP PATIENT CARE SERVICES37.5019761607247X
HELEN COLE
VP PATIENT CARE SERVICES37.501913213408716382X
KEVIN HAUGHNEY
VP FINANCE/CORPORATE CONTROLLER37.50788136417112651X
DR TARA MANCL
PHYSICIAN37.5038012206980X
DR ARTHUR GOLDSTEIN
PHYSICIAN37.50297215013831X
DR ROBERT KRALL
CHIEF OF PATHOLOGY37.50294740013006X
MICHAEL DOMBOSKI
DENTIST37.502915400106X
DR DAVID DIMARCO
PHYSICIAN37.50280001011427X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3189634TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs914368TotalReportableCompFrmRltdOrgs
Total Other Compensation312210TotalOtherCompensation
Number Individuals GT100 K30NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EE AUSTIN & SON INC
PO BOX 1438ERIEPA16512CONSTRUCTION CONTRACTOR5407787
COMPLETERX LTD
3100 S GESSNER SUITE 640HOUSTONTX77063PHARMACY OUTSOURCE VENDOR5120291
QUEST DIAGNOSTICS INC
2178 COLLECTION CENTER DRIVECHICAGOIL60693LABORATORY SERVICES992301
EXIGENCE HOSPITALIST MED OF OLEAN
1 JOHN JAMES AUDOBON PARKWAYAMHERSTNY14228HOSPITALIST SERVICES989641
ZAFAR MIRZA
1604 GEMINI DRIVEOLEANNY14760ENDOSCOPY SERVICES865134
FieldValueIRS element (for citing)
Number Of Contractors GT100 K30NumberOfContractorsGT100K
Government Grants305708GovernmentGrants
All Other Contributions38200AllOtherContributions
Total Contributions343908TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6219909521436095214360
PHYSICIAN SERVICE REVE62199012802901280290
CONTRACT SERVICE REVEN62199012019271201927
FieldValueIRS element (for citing)
Total Program Service Revenue97696577TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column125530TotalRevenueColumn
Exclusion$125,530ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real196296Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real196296Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column196296TotalRevenueColumn
Exclusion$196,296ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA/VENDING722210675374$675,374
DISCOUNTS/REBATES900099431158431158

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1662528TotalRevenueColumn
Related Or Exempt Function Income1662528RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2769060TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column101131371TotalRevenueColumn
Related Or Exempt Function Income99790263RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$997,200ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1641016Total
Management And General1641016ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37658420Total
Program Services31239256ProgramServices
Management And General6419164ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2350656Total
Program Services1898089ProgramServices
Management And General452567ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5410309Total
Program Services4368673ProgramServices
Management And General1041636ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2872405Total
Program Services2319387ProgramServices
Management And General553018ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total231087Total
Management And General231087ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5112240Total
Program Services4915754ProgramServices
Management And General196486ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total463790Total
Program Services463790ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16235634Total
Program Services15987567ProgramServices
Management And General248067ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total202810Total
Management And General202810ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total619708Total
Management And General619708ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7279213Total
Program Services5095449ProgramServices
Management And General2183764ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1376747Total
Program Services131256ProgramServices
Management And General1245491ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES926479060251793239611
BAD DEBTS35617583561758
OTHER32363146258212610493
LEASE/RENT21977581950633247125

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total494707Total
Program Services471637ProgramServices
Management And General23070ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total100209362Total
Program Services75492491ProgramServices
Management And General24716871ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12023720BOY
EOY6759298EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16053065BOY
EOY14522230EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7964115BOY
EOY13805400EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1782708BOY
EOY1853253EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1519183BOY
EOY1811091EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis124465648LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec65110148LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY51618804BOY
EOY59355500EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11736043BOY
EOY7623027EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2269900BOY
EOY2192131EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY23840986BOY
EOY33296665EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY128808524BOY
EOY141218595EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22560199BOY
EOY24282368EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY26020898BOY
EOY22676651EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2842834BOY
EOY2775687EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY51423931BOY
EOY49734706EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY50185038BOY
EOY54360025EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17199878BOY
EOY16514222EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9999677BOY
EOY20609642EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77384593BOY
EOY91483889EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY128808524BOY
EOY141218595EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses922009ReconcilationRevenueExpenses
Reconcilation Other Changes13177287ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance15240483BeginningOfYearBalance
Contributions233814Contributions
Investment Earnings Or Losses488971InvestmentEarningsOrLosses
Other Expenditures-2239405OtherExpenditures
End Of Year Balance13723863EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance13741322BeginningOfYearBalance
Contributions1795143Contributions
Investment Earnings Or Losses1473816InvestmentEarningsOrLosses
Other Expenditures-1769797OtherExpenditures
End Of Year Balance15240483EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12593321BeginningOfYearBalance
Contributions1372764Contributions
Investment Earnings Or Losses890168InvestmentEarningsOrLosses
Other Expenditures-1114931OtherExpenditures
End Of Year Balance13741322EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15120377BeginningOfYearBalance
Contributions966664Contributions
Investment Earnings Or Losses-2487704InvestmentEarningsOrLosses
Other Expenditures-1006016OtherExpenditures
End Of Year Balance12593321EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.65900BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.21700PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.12400TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2024951OtherCostOrOtherBasis
Book Value2024951BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis66697039OtherCostOrOtherBasis
Depreciation33812250Depreciation
Book Value32884789BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3513415OtherCostOrOtherBasis
Depreciation2477583Depreciation
Book Value1035832BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis44303575OtherCostOrOtherBasis
Depreciation28820315Depreciation
Book Value15483260BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7926668OtherCostOrOtherBasis
Book Value7926668BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings59355500TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS HELD BY OTHERS31104948
OTHER ASSETS2191717
FieldValueIRS element (for citing)
Total Book Value Other Assets33296665TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD-PARTY PAYOR SETTLEMENTSDescription
Amount$2,775,687Amount
FieldValueIRS element (for citing)
Total Of Amounts2775687TotalOfAmounts
Total Revenue101131371TotalRevenue
Total Expenses100209362TotalExpenses
Excess Or Deficit For Year922009ExcessOrDeficitForYear
Net Unrealized GL On Investments11469123NetUnrealizedGLOnInvestments
Other$1,708,164OtherAmount
Total Adjustments13177287TotalAdjustments
Excess Or Deficit Per FS14099296ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt114308658TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments11469123NetUnrealizedGainsInvestments
Other Revenues1708164OtherRevenues
Revenue Not Rptd F99013177287RevenueNotRptdF990
Revenue Subtotal101131371RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990101131371TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt100209362TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal100209362ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990100209362TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:PENSION LIABILITY ADJUSTMENT 1,708,164.
PART XII, LINE 2D - OTHER ADJUSTMENTS:PENSION LIABILITY ADJUSTMENT 1,708,164.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense792003TotalCommunityBenefitExpense
Direct Offsetting Revenue25592DirectOffsettingRevenue
Net Community Benefit Expense766410NetCommunityBenefitExpense
Percent Of Total Expense0.00760PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense16403263TotalCommunityBenefitExpense
Direct Offsetting Revenue13384218DirectOffsettingRevenue
Net Community Benefit Expense3019045NetCommunityBenefitExpense
Percent Of Total Expense0.03010PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense17195266TotalCommunityBenefitExpense
Direct Offsetting Revenue13409810DirectOffsettingRevenue
Net Community Benefit Expense3785455NetCommunityBenefitExpense
Percent Of Total Expense0.03770PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs30NumberOfActivitiesOrPrograms
Persons Served26590PersonsServed
Total Community Benefit Expense96634TotalCommunityBenefitExpense
Direct Offsetting Revenue3605DirectOffsettingRevenue
Net Community Benefit Expense93029NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense250581TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense250581NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served270PersonsServed
Total Community Benefit Expense1677TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1677NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs32NumberOfActivitiesOrPrograms
Persons Served26860PersonsServed
Total Community Benefit Expense348892TotalCommunityBenefitExpense
Direct Offsetting Revenue3605DirectOffsettingRevenue
Net Community Benefit Expense345287NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs32NumberOfActivitiesOrPrograms
Persons Served26860PersonsServed
Total Community Benefit Expense17544158TotalCommunityBenefitExpense
Direct Offsetting Revenue13413415DirectOffsettingRevenue
Net Community Benefit Expense4130742NetCommunityBenefitExpense
Percent Of Total Expense0.04110PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,726,937BadDebtExpenseAmount
Amount Reimbursed By Medicare23832272AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare24673870CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-841598MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1OLEAN GENERAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1515 MAIN STREETAddressLine1
CityOLEANCity
StateNYState
ZIP Code14760ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
OtherDENTAL CLINIC, RADIATION ONCOLOGYOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1OLEAN GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent300.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 6A: N/A - REPORT FILED BY OGH.
PART I, LINE 7G: SUBSIDIZED PROGRAMS ARE NOT RECORDED AT THIS LEVEL OF DETAIL. ALL COSTS ASSOCIATED WITH THESE PROGRAMS, INCLUDING IP PSYCHIATRIC DEPARTMENT, EMERGENCY DEPARTMENT AND SALAMANCA CLINIC ARE INCLUDED IN THE AMOUNTS PROVIDED.
PART II: A RECENT PHYSICIAN MANPOWER STUDY DEMONSTRATED THAT THE OLEAN AREA HAS SIGNIFICANT PRIMARY CARE AND SPECIALIST SHORTAGES, RESULTING IN LIMITED ACCESS TO CARE FOR PATIENTS. THERE IS A PRESENT NEED FOR 8.7 PRIMARY CARE PHYSICIANS AND A PROJECTED NEED OF 14.6 BY 2013. THIS COMMUNITY ALSO HAS A SIGNIFICANT NEED FOR SPECIALISTS INCLUDING ORTHOPEDIC SURGEONS, ENT, PSYCHIATRISTS AND UROLOGISTS. OLEAN GENERAL HOSPITAL'S AGGRESSIVE AND SUCCESSFUL RECRUITMENT EFFORTS HAVE RESULTED IN SIGNIFICANTLY INCREASING ACCESS TO CARE FOR THE PATIENTS IT SERVES. PHYSICIANS ARE RECRUITED TO THE HOSPITAL'S SERVICE AREA BY THE EXCELLENCE AND UNIQUENESS OF THE SERVICES OFFERED. SOME OF THE SERVICES AND PROGRAMS THAT SET OLEAN APART FROM OTHER RURAL HOSPITALS INCLUDE THE DENTAL CENTER, PRIMARILY DEVELOPED TO SERVE THE MEDICAID POPULATION; THE WOUND CARE CENTER, SPECIALIZING IN WOUND HEALING AND HYPERBARIC MEDICINE ; AND THE HOSPITALIST PROGRAM, WHICH PROVIDES CONTINUOUS PHYSICIAN COVERAGE FOR INPATIENTS. A GENERAL DENTIST, AN ORTHOPEDIC SURGEON, A GASTROENTEROLOGIST, AND AN INTERNAL MEDICINE PHYSICIAN WERE ALL RECRUITED TO THE HOSPITAL'S SERVICE AREA IN 2011.THE HOSPITAL ALSO PROVIDES CLINICAL ROTATIONS FOR MEDICAL STUDENTS IN INTERNAL AND EMERGENCY MEDICINE THROUGH AN AFFILLIATION AGREEMENT WITH LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE. IN ADDITION, ST BONAVENTURE UNIVERSITY PRE-MEDICAL STUDENTS PARTICIPATE IN A 14 WEEK ROTATION PROVIDING EXPOSURE TO VARIOUS CLINICAL SPECIALTIES AND DIAGNOSTIC MODALITIES, FOR AN INDEPTH EXPOSURE TO THE REALITIES OF A CAREER IN MEDICINE.
PART III, LINE 4: THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL COLLECTIONS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. DELINQUENT RECEIVABLES ARE GENERALLY WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT AND OTHER THIRD-PARTY PAYERS. THE HOSPITAL'S 2011 RCC WAS APPLIED TO THE TOTAL BAD DEBT EXPENSE TO DETERMINE BAD DEBT EXPENSE AT COST. THE BAD DEBT AMOUNTS ABSORBED BY THE HOSPITAL ARE PART OF ITS COMMUNITY BENEFIT DUE TO ITS POLICY TO PROVIDE MEDICAL SERVICE TO THE COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY.
PART III, LINE 8: THE ALLOWABLE COSTS REPORTED ON LINE 6 ARE DIRECTLY FROM THE HOSPITAL'S 2011 MEDICARE COST REPORT, WHICH IS PREPARED USING A RATIO OF CHARGES TO COSTS BASIS (RCC) AS REQUIRED BY MEDICARE.
PART III, LINE 9B: COLLECTION PRACTICES:I) OGH WILL NOT CAUSE THE FORCED SALE OR FORECLOSURE ON A PATIENTS PRIMARY RESIDENCE.II) OGH WILL NOT SEND ACCOUNT TO COLLECTION IF THE PATIENT HAS SUBMITTED A COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE, INCLUDING THE REQUIRED DOCUMENTATION, WHILE AN APPLICATION IS PENDING.III) OGH WILL PROVIDE WRITTEN NOTIFICATION TO A PATIENT AT LEAST 30-DAYS BEFORE AN ACCOUNT IS SENT TO COLLECTION. THIS WRITTEN NOTICE MAY BE INCLUDED ON A BILL. IV) OGH REQUIRES THAT A COLLECTION AGENCY HAVE ITS WRITTEN CONSENT PRIOR TO STARTING LEGAL ACTION FOR COLLECTION.V) OGH WILL TRAIN ALL GENERAL HOSPITAL STAFF WHO INTERACT WITH PATIENTS OR HAVE RESPONSIBILITY FOR BILLING AND COLLECTION.VI) OGH WILL MEASURE OUR COMPLIANCE WITH THESE POLICES.VII) OGH REQUIRES ANY COLLECTION AGENCY UNDER CONTRACT TO FOLLOW OUR FINANCIAL ASSISTANCE POLICY AND PROVIDES INFORMATION TO PATIENTS ON HOW TO APPLY, WHERE APPROPRIATE.VIII)OGH DOES NOT ALLOW COLLECTION ACTIVITY IF THE PATIENT IS DETERMINED ELIGIBLE FOR MEDICAID FOR THE SERVICES THAT WERE RENDERED AND OGH IS ABLE TO COLLECT MEDICAID PAYMENT.
PART VI, LINE 2: THE STRATEGIC PLANNING COMMITTEE OF OLEAN GENERAL HOSPITAL IS CHARGED WITH DEVELOPING A LONG-RANGE STRATEGIC PLAN FOR THE HOSPITAL. THE PURPOSE OF THE PLAN IS TO PROVIDE DIRECTION AND CONTEXT FOR HOSPITAL DECISION MAKING AND RESOURCE ALLOCATION CONSISTENT WITH LOCAL HEALTH CARE NEEDS AND MARKET OPPORTUNITIES. TO ACCOMPLISH THIS TASK, THE COMMITTEE CREATED A COMPREHENSIVE, PARTICIPATORY PROCESS TO SOLICIT INPUT FROM ALL LEVELS OF THE ORGANIZATION AND THE COMMUNITY. A MULTI-STEP PLANNING PROCESS WAS INITIATED.STEP 1 INVOLVED THE REVIEW AND REVISION OF THE HOSPITAL'S MISSION AND VISION STATEMENTS. BOTH STATEMENTS WERE MODIFIED FROM WHAT HAD PREVIOUSLY EXISTED. A CONCISE, VALUE DRIVEN MISSION STATEMENT WAS DEVELOPED IN RESPONSE TO THE NEED FOR MISSION STATEMENTS TO DESCRIBE "WHO WE ARE." ADDITIONALLY, SEVERAL CORE VALUES WERE DELINEATED IN SUPPORT OF THE MISSION STATEMENT. THE VISION STATEMENT WAS DEVELOPED IN RESPONSE TO THE QUESTION OF "WHAT DO WE WISH TO BECOME" WITH THE UNDERSTANDING THAT VISION STATEMENTS SHOULD BE REALISTIC, CREDIBLE, AND POSSESS THE ABILITY TO INSPIRE AND MOTIVATE. STEP 2 IDENTIFIED A SERIES OF CRITICAL ISSUES FACING OLEAN GENERAL HOSPITAL THAT WILL PROVIDE THE CONTEXT FOR THE HOSPITAL'S NEAR TERM OPERATING ENVIRONMENT WITH RESPECT TO CARE DELIVERY, REGULATION, COMPETITION, FINANCE AND KEY PUBLICS. STEP 3 INVOLVED THE DEVELOPMENT OF A COMPREHENSIVE ENVIRONMENTAL ANALYSIS, INCLUDING AN INTERNAL AND EXTERNAL ASSESSMENT OF OLEAN GENERAL HOSPITAL. THE INTERNAL ASSESSMENT WAS PROVIDED VIA MULTIPLE FOCUS GROUPS - OPEN DISCUSSIONS ABOUT THE HOSPITAL'S STRENGTHS, WEAKNESSES, OPPORTUNITIES AND THREATS. THESE FOCUS GROUPS, FACILITATED BY AN OUTSIDE CONSULTANT RETAINED BY THE HOSPITAL, PROVIDED INPUT FROM PHYSICIANS, EMPLOYEES, VOLUNTEERS AND THE COMMUNITY AND PROVIDED SIGNIFICANT INSIGHT INTO STRENGTHS, WEAKNESSES, AND OPPORTUNITIES FOR IMPROVEMENT. THE EXTERNAL ASSESSMENT WAS DEVELOPED FROM THE COMPILATION OF UTILIZATION, MARKET SHARE DEMOGRAPHIC AND FINANCIAL DATA AND PHYSICIAN WORKFORCE INFORMATION SPECIFIC TO OLEAN GENERAL HOSPITAL'S SERVICE AREA.STEPS 4, 5 AND 6 IDENTIFIED GOALS, STRATEGIES, AND OBJECTIVES THAT WILL SERVE AS OLEAN GENERAL HOSPITAL'S PRIORITIES THROUGH 2013. GOALS RESPOND TO THE QUESTION "WHAT ARE THE KEY PRIORITIES?" A SERIES OF STRATEGIES WERE DEVELOPED WHICH RESPOND TO THE QUESTION "HOW DO WE ACHIEVE OUR PRIORITIES?" FINALLY, A NUMBER OF SPECIFIC OBJECTIVES WERE DEVELOPED WHICH RESPOND TO THE QUESTION "WHAT WILL BE ACCOMPLISHED ANNUALLY?" OBJECTIVES WERE GENERATED BY SENIOR MANAGEMENT AND FORM THE BASIS FOR NEAR TERM ADMINISTRATIVE WORKPLANS.ESSENTIAL TO THE SUCCESS OF ANY STRATEGIC PLAN IS THE HOSPITAL'S ABILITY TO BOTH IMPLEMENT RECOMMENDATIONS MADE WITHIN THE PLAN AND TO RECOGNIZE THE DOCUMENT AS A DYNAMIC AND FLEXIBLE TOOL TO BE USED AS A GUIDE FOR THE FUTURE. SPECIFIC GOALS AND STRATEGIES MAY OR MAY NOT BE OBTAINED AND, UPON EVALUATION AND THE AVAILABILITY OF NEW INFORMATION AND DEVELOPMENTS, MAY NEED TO BE MODIFIED. A SUCCESSFUL STRATEGIC PLAN RECOGNIZES THIS POTENTIAL FOR CHANGE AND IS FLEXIBLE ENOUGH TO ACCOMMODATE NEW OR DIFFERENT OPPORTUNITIES AND CHALLENGES.CRITICAL HEALTH CARE ISSUESTHE RECENTLY ENACTED HEALTHCARE REFORM LEGISLATION UNDERSCORES MANY OF THE SIGNIFICANT ISSUES CURRENTLY FACING HOSPITALS. FOLLOWING IS LISTING OF CRITICAL ISSUES THAT WILL IMPACT HOSPITALS OVER THE NEXT SEVERAL YEARS. 1. QUALITY: HEALTH CARE QUALITY AND SAFETY ARE NOW STRATEGICALLY IMPORTANT, NOT JUST PROFESSIONALLY IMPORTANT. THE ADVENT OF WIDESPREAD PUBLIC REPORTING OF HOSPITAL QUALITY RESULTS ASSURES THAT A HOSPITAL'S QUALITY PERFORMANCE IS NO LONGER ONLY VISIBLE TO THE DIRECTOR OF QUALITY, QA COMMITTEE MEMBERS AND VARIOUS REGULATORS. THE NET EFFECT OF THIS TRANSPARENCY TREND OVER THE NEXT 5 YEARS WILL BE THAT THE DEFINITION OF A "GOOD HOSPITAL" WILL SHIFT SIGNIFICANTLY. NO LONGER WILL IT BE ENOUGH TO HAVE ATTRACTIVE FACILITIES, GOOD TECHNOLOGIES AND SKILLED DOCTORS AND NURSES. HOSPITALS WILL NEED TO MARSHAL THOSE RESOURCES INTO A QUALITY AND SAFETY SYSTEM CAPABLE OF RELIABLY PRODUCING MEASURED QUALITY RESULTS. PROVIDER PAYMENTS WILL INCREASINGLY BE A FUNCTION OF QUALITY OUTCOMES AND QUALITY BONUSES WILL BE DRAWN FROM ANNUAL PAYMENT UPDATES. INFORMATION SYSTEMS CAPABLE OF PROVIDING VALID AND RELIABLE QUALITY AND OUTCOME INDICATORS WILL BE A NECESSITY AS WILL THE USE OF EVIDENCE BASED GUIDELINES BY CLINICAL PROVIDERS. CONSUMERS WILL SEEK AND USE PERFORMANCE INFORMATION, INCLUDING PATIENT SATISFACTION INFORMATION, TO GUIDE THEIR CHOICE OF PROVIDERS.2. INFORMATION TECHNOLOGY: HEALTH INFORMATION TECHNOLOGY INCLUDES COMPUTER BASED TOOLS DEVELOPED SPECIFICALLY FOR HEALTH CARE DELIVERY. THESE TOOLS CAN PROVIDE CLINICIANS UP-TO-DATE INFORMATION ON THEIR PATIENTS, ACCESS TO THE LATEST MEDICAL KNOWLEDGE AND BEST PRACTICES THROUGH DECISION SUPPORT SYSTEMS. IT IS UNDERSTOOD THAT INVESTMENTS IN NEW CLINICAL AND INFORMATION TECHNOLOGY CAN SIGNIFICANTLY ENHANCE PATIENT SAFETY AND CLINICAL OUTCOMES. COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE), BAR CODING AND ITS POTENTIAL TO REDUCE MEDICATION ERRORS, AND ELECTRONIC MEDICAL RECORDS (EMRS) AND THEIR POSITIVE IMPACT ON MEDICAL ERRORS ARE ALL EXAMPLES OF HEALTH CARES USE OF IT SOLUTIONS TO IMPROVE QUALITY. THE FEDERAL GOVERNMENT HAS HIGHLIGHTED THE ROLE OF HEALTH INFORMATION TECHNOLOGY AS A MEANS TO IMPROVE HEALTH CARE QUALITY, SAFETY AND NOW IS PROVIDING STIMULUS AND INCENTIVE PAYMENTS TO PROVIDERS TO FACILITATE AND HASTEN THEIR ADOPTION INTO THE CARE DELIVERY PROCESS. EMR'S WILL BECOME A PREREQUISITE OF ANY DELIVERY SYSTEM THAT INTENDS TO PROVIDE COORDINATED COST EFFECTIVE CARE.3. PHYSICIANS: PHYSICIANS HAVE EMERGED AS CRITICAL OPERATIONAL AND STRATEGIC PARTNERS TO HOSPITALS. THOSE THAT ARE SUCCESSFUL IN ENGAGING AND COLLABORATING WITH THEIR MEDICAL STAFFS WILL BE BEST ABLE TO DEMONSTRATE HIGH QUALITY CARE AND COMPLIANCE WITH HEALTH REFORM'S VALUE BASED PURCHASING AND OTHER QUALITY MANDATES.ADDITIONALLY, GIVEN THE INCREASE IN DEMAND FOR HEALTHCARE SERVICES THAT WILL BE OCCASIONED BY REFORM, THE ABILITY TO SUCCESSFULLY RECRUIT PHYSICIANS WILL BE CRITICAL. AT A TIME WHEN HEALTHCARE REFORM INITIATIVES EMPHASIZE THE ROLE OF PRIMARY CARE, THERE IS A SPECIAL NEED TO INTENSIFY EFFORTS TO RECRUIT PRIMARY CARE PROVIDERS. BECAUSE THE VAST MAJORITY OF NEW PHYSICIANS PREFER EMPLOYMENT AS THEIR PRACTICE PREFERENC,, THE ABILITY OF HOSPITALS TO BE ABLE TO OFFER PHYSICIANS A CONTEMPORARY AND COMPETITIVE "EMPLOYMENT PLATFORM" IS ESSENTIAL.4. FINANCE AND CAPITAL: FINANCIAL PERFORMANCE AND ACCESS TO CAPITAL WILL CONTINUE TO BE AMONG THE MOST CRITICAL ISSUES CONFRONTING HOSPITALS. EVEN WITH HEALTHCARE REFORM, HEALTHCARE COSTS WILL CONTINUE TO OUTPACE INFLATION. INCREASING WAGE AND SALARY COSTS, AND RISING HEALTH CARE COSTS IN GENERAL WILL CONTINUE TO IMPACT OPERATING PERFORMANCE AND PRESS HOSPITALS TO CONTINUE A RELENTLESS FOCUS ON COST MANAGEMENT. ADDITIONALLY, REVENUE STRATEGIES WILL NEED TO BE DEVELOPED TO GENERATE PROFITABLE GROWTH IN PATIENT VOLUME, AS WILL THE NEED TO ENSURE OPTIMAL MANAGEMENT OF ALL REVENUE CYCLE ACTIVITIES. HOSPITALS ARE FACING SIGNIFICANT PAYMENT REDUCTIONS IN TERMS OF DECREASES IN MEDICARE UPDATES, DISPROPORTIONATE SHARE, SNF AND HOMECARE PAYMENTS. AS HOSPITALS CONTINUE TO POST LOW OR NO PROFIT MARGINS, INVESTMENT INCOME WILL BE MORE IMPORTANT THAN EVER. HOWEVER, GIVEN THE FACT THAT INVESTMENT INCOME IS A HIGHLY UNCERTAIN COMPONENT OF A HOSPITAL'S OVERALL FINANCIAL HEALTH, HOSPITALS WILL BE DRIVEN TO PURSUE MORE PHILANTHROPY. HOSPITAL CAPITAL SPENDING WILL BE DRIVEN BY GROWING DEMANDS FOR ADVANCED TECHNOLOGY NEEDED TO ENSURE PATIENT QUALITY AND SAFETY, THE NEED TO REPLACE AND UPDATE AGING FACILITIES, AND THE DESIRE AND NEED TO IMPROVE TECHNOLOGY BASED SERVICES.5. RISK MANAGEMENT AND COMPLIANCE: HEALTHCARES TECHNOLOGY HAS NEVER BEEN MORE COMPLICATED, PATIENTS DEMANDS HIGHER, AND THE BUSINESS CHALLENGES GREATER. ACCORDINGLY, COMPREHENSIVE RISK MANAGEMENT PROGRAM ARE ESSENTIAL IN ASSURING CARE DELIVERY SYSTEMS THAT ARE HIGHLY EFFECTIVE IN TERMS OF ASSURING APPROPRIATE LEVELS OF PATIENT SAFETY AND QUALITY.THE DEPARTMENT OF JUSTICE ESTIMATES THAT THE FEDERAL GOVERNMENT LOSES BILLIONS OF DOLLARS ANNUALLY IN HEALTH CARE FRAUD. CONSEQUENTLY, THE GOVERNMENT'S HEALTHCARE FRAUD ENFORCEMENT ACTIVITIES WITH RESPECT TO ALL HEALTHCARE PROVIDERS CONTINUE TO GROW AND EXPAND. WELL ESTABLISHED CORPORATE COMPLIANCE PROGRAMS ARE ESSENTIAL IN TERMS OF ALLOWING HOSPITALS TO IDENTIFY POTENTIAL AREAS OF LIABILITY AND TO CORRECT PROBLEMS.6. NURSING: NURSES AND NURSING CARE ARE CENTRAL TO THE DELIVERY OF SAFE AND EFFECTIVE PATIENT CARE. ACCORDINGLY, ENSURING AN ADEQUATE NURSING WORKFORCE AND CREATING A WORK ENVIRONMENT THAT SUPPORTS NURSING PRACTICE AND INTERDISCIPLINARY COLLABORATION ARE IMPORTANT PRIORITIES FOR HOSPITALS TODAY. THE HIGH RISK NURSING ISSUES CONFRONTING TODAY'S HOSPITAL(CONTINUED)
PART VI, LINE 3: INSURANCE INFORMATION IS GATHERED DURING THE SCHEDULING AND/OR REGISTRATION PROCESS. IF THE PATIENT INDICATES THAT THEY HAVE NO INSURANCE, REGISTRATION STAFF WILL ASK THE PATIENT FOR PERMISSION TO TRANSFER THEM TO SOUTHERN TIER HEALTHCARE SYSTEMS FOR ASSISTANCE WITH SCREENING FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS (I.E. MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS). SOUTHERN TIER HEALTHCARE SYSTEMS' PERSONNEL WILL CONTACT THE PATIENT AND DISCUSS OPTIONS, INCLUDING THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ALL REGISTRATION, CARE MANAGEMENT AND BILLING PERSONNEL ARE EDUCATED ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND CAN DISCUSS AND SHARE INFORMATION WITH PATIENTS AT ANY TIME BEFORE, DURING OR AFTER THE EPISODE OF CARE. BILLING STATEMENTS CONTAIN THE FOLLOWING MESSAGE: IF YOU HAVE ANY QUESTIONS OR WOULD LIKE TO APPLY FOR OUR FINANCIAL ASSISTANCE PROGRAM, PLEASE CALL OUR OFFICE AT ...". THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL WEBSITE TO HELP EDUCATE THE PUBLIC.
PART VI, LINE 4: OLEAN GENERAL HOSPITAL IS LOCATED IN OLEAN, NY WHICH, WITH A POPULATION OF 15,000, IS THE LARGEST CITY IN CATTARAUGUS COUNTY. THE HOSPITAL SERVES APPROXIMATELY 100,000 RESIDENTS OF THE CITY AND THE SURROUNDING RURAL COUNTIES. AS OF THE 2000 CENSUS, THE POPULATION OF THE AREA WAS DISTRIBUTED AS FOLLOWS: 25% UNDER THE AGE OF 18, 57% AGE 18 TO 64 AND 18% 65 AND OLDER. THE MEDIAN INCOME IN THE AREA WAS $30,400, WHILE PER CAPITAL INCOME WAS $17,169 AND 16% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 21% OF THOSE UNDER AGE 18 AND 10% OF THOSE AGE 65 AND OLDER.
PART VI, LINE 6: OLEAN GENERAL HOSPITAL IS PART OF THE UPPER ALLEGHENY HEALTH SYSTEM (UAHS), AN INTEGRATION OF TWO REGIONAL HOSPITALS UNDER A COMMON PARENT ORGANIZATION. UAHS HAS A MISSION OF COLLABORATIVE HEALTH CARE IN THE TWO COMMUNITIES SERVED BY THE INTEGRATED HOSPITALS TO MEET THE HEALTH CARE NEEDS OF THE RESIDENTS AND SURROUNDING AREAS. THIS INTEGRATION ALSO ALLOWS BOTH HOSPITALS TO REALIZE MORE ROBUST PURCHASING POWER AND PHYSICIAN RECRUITMENT OPPORTUNITIES THAN EITHER HOSPITAL COULD GENERATE ON THEIR OWN.
NYREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TIMOTHY FINAN
2554332681802750022500649753166946007115582136600530181700
TIMOTHY MCNAMARA
11833191812002718222431410123421009813653210413400
JASON YAWORSKY
10420672482001219997264401000081821180698166100
JEFFREY ZEWE
1568090007581000223800186770000
RICHARD BRAUN
161985126984001482121236750125601027617970213847200
RONALD MORNELLI
2350130003549035130181220260197000
DR WILLIAM MILLS
15165912329300148211103675090011100116581713540400
CATHLEEN WRIGHT
195383000223300072470204863000
HELEN COLE
17431132695001701139222460777563612915314044800
KEVIN HAUGHNEY
7820663674006074970069585693857716986400
DR TARA MANCL
299296080060076600069800387102000
DR ARTHUR GOLDSTEIN
2642350322140766000138310311046000
DR ROBERT KRALL
29397400076603675093310307746000
MICHAEL DOMBOSKI
29154000000001060291646000
DR DAVID DIMARCO
279235000766000114270291428000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CATTARAUGUS COUNTY CAPITAL RESOURCES CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN273458026IssuerEIN
Date Issued2010-10-06DateIssued
Issue Price21585000IssuePrice
Description Of PurposeREFUNDING OF BONDS, FINANCE AND NEW AMBULATORY SURGERY CENTER & HISDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1980000AmountRetired
Total Proceeds21585000TotalProceeds
Issuance Costs From Proceeds431700IssuanceCostsFromProceeds
Capital Expenditures6416922CapitalExpenditures
Other Spent Proceeds10139722OtherSpentProceeds
Amount Unspent4596656AmountUnspent
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MISSION STATEMENTFORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:(CONTINUED)AND CORONARY CARE, BEHAVIORAL HEALTH, CHRONIC DIALYSIS, AND 24 HOUR EMERGENCY SERVICES (INCLUDING URGENT CARE AND A CHEST PAIN CLINIC) WITH AN ON-SITE HELICOPTER FOR EMERGENCY TRANSFER OF PATIENTS REQUIRING TERTIARY CARE. ADDITIONAL SERVICES INCLUDE DIAGNOSTIC IMAGING, LABORATORY, CARDIOPULMONARY, OCCUPATIONAL WELLNESS, DIABETES TEACHING, PATIENT EDUCATION, RADIATION ONCOLOGY, A SLEEP DISORDERS CENTER, OUTPATIENT PRIMARY CARE, AND A DENTAL CENTER. OLEAN GENERAL HOSPITAL, IN CONJUNCTION WITH THE STATE UNIVERSITY OF NEW YORK AT BUFFALO, SPONSORS NEW YORK STATE'S ONLY RURAL TRACK POST GRADUATE MEDICAL EDUCATION/RESIDENCY TRAINING PROGRAM.
FORM 990, PART VI, SECTION A, LINE 3ENVIRONMENTAL SERVICES
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE COMMITTEE PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CIN ORDER TO PROTECT THE HOSPITAL'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MAY BENEFIT THE PRIVATE INTEREST OF A DIRECTOR OR OFFICER, PERIODIC REVIEWS ARE CONDUCTED. THE PERIODIC REVIEWS, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: A. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING B. WHETHER ACQUISITIONS OR PROPERTY AND SERVICES FROM ANY PERSON RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT C. WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS (IF ANY) CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES, AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT D. WHETHER AGREEMENTS TO PROVIDE CHARITABLE SERVICES AND AGREEMENTS WITH OTHER SERVICE PROVIDERS AND THIRD PARTIES FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OF IMPERMISSIBLE PRIVATE BENEFIT IN CONDUCTING THE PERIODIC REVIEWS, THE HOSPITAL MAY, BUT NEED NOT, USE OUTSIDE ADVISORS. IF OUTSIDE EXPERTS ARE USED, THEIR USE SHALL NOT RELIEVE THE BOARD OF ITS RESPONSIBILITY FOR ENSURING THAT PERIODIC REVIEW ARE CONDUCTED.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE OF THE HOSPITAL D/B/A THE EXECUTIVE COMPENSATION COMMITTEE (THE COMMITTEE) IS APPOINTED BY THE BOARD OF DIRECTORS TO ASSIST THE BOARD IN ESTABLISHING AND OVERSEEING THE EXECUTIVE COMPENSATION PROGRAM OF THE HOSPITAL. THE COMMITTEE IS RESPONSIBLE FOR ADHERING TO THE OVERALL COMPENSATION PHILOSOPHY OF THE HOSPITAL. THE COMPENSATION PHILOSOPHY IS A TOTAL COMPENSATION CONCEPT THAT WILL EMPLOY A COMBINATION OF BASE SALARY, VARIABLE OPPORTUNITY, FLEXIBLE BENEFITS, DEFERRED COMPENSATION AND OTHER PERQUISITES AS MAY BE NEEDED FROM TIME TO TIME TO MAINTAIN A COMPETITIVE POSITION WITH PEER INSTITUTIONS IN THE REGION.
FORM 990, PART VI, SECTION C, LINE 19THE HOSPITAL HAS AVAILABLE, UPON REQUEST TO ADMINISTRATION, ITS MOST RECENTLY FILED FORM 990, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS. THE HOSPITAL ALSO REPORTS ANNUALLY ITS COMMUNITY BENEFIT EFFORTS AND ISSUES ANNUAL REPORT THAT INCLUDES FINANCIAL AND OTHER INFORMATION OF INTEREST TO THE PUBLIC.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 11,469,123. PENSION LIABILITY ADJUSTMENT 1,708,164. TOTAL TO FORM 990, PART XI, LINE 5: 13,177,287.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
OLEAN GENERAL HOSPITAL FOUNDATION
515 MAIN STREETOLEANNY14760161497087FUNDRAISINGNY501(C)(3)LINE 11D, III-ON/A0
UPPER ALLEGHENY HEALTH SYSTEM INC
515 MAIN STREETOLEANNY14760271255425SOLE CORP MEMBER OF BRADFORD REGIONAL MEDICAL CTR & OLEAN GENERAL HOSPITALNY501(C)(3)LINE 11D, III-ON/A0
BRADFORD HOSPITAL DBA BRADFORD REGIONAL MEDICAL CENTER
116 INTERSTATE PARKWAYBRADFORDPA16701250965270HOSPITALNY501(C)(3)LINE 11D, III-O0UPPER ALLEGHENY HEALTH SYSTEM INC

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1OLEAN GENERAL HEALTHCARE SYSTEMS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line185 WOODRIDGE DRIVEAddressLine1
CityAMHERSTCity
StateNYState
ZIP Code14228ZIPCode
FieldValueIRS element (for citing)
EIN161544460EIN
Primary ActivityPROVIDER OF DURABLE MEDICAL EQUIPMENT, HOME CARE PRODUCTS, AND SERVICESPrimaryActivity
Legal Domicile StateNYLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1OLEAN GENERAL SERVICES CORPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1515 MAIN STREETAddressLine1
CityOLEANCity
StateNYState
ZIP Code14760ZIPCode
FieldValueIRS element (for citing)
EIN161447054EIN
Primary ActivityJOINT VENTURE HOLDING COMPANYPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OLEAN GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income171303ShareOfTotalIncome
Share Of EOY Assets3495946ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
OLEAN GENERAL SERVICES CORPORATION
A204579FAIR MARKET VALUE OF SERVICES
OLEAN GENERAL HOSPITAL FOUNDATION
B151980FAIR MARKET VALUE OF SERVICES
OLEAN GENERAL HOSPITAL FOUNDATION
C1764829FAIR MARKET VALUE OF SERVICES
OLEAN GENERAL HOSPITAL FOUNDATION
M1733FAIR MARKET VALUE OF SERVICES
OLEAN GENERAL HOSPITAL FOUNDATION
N76584FAIR MARKET VALUE OF SERVICES