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OLEAN GENERAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OLEAN GENERAL HOSPITAL (EIN 16-0743102)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123219349300232
Schema version
2010v3.4
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)
Timestamp2011-11-15T15:01:14-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1403 MAIN STAddressLine1
CityBUFFALOCity
StateNYState
ZIP Code14203ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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)
NameRICHARD G BRAUNName
TitleCHIEF FINANCIAL OFFICERTitle
Phone7163732600Phone
Date Signed2011-11-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL J GRIMALDIName
Phone7168563300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts104325449GrossReceipts
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 HTE 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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1098TotalNbrEmployees
Total Nbr Volunteers275TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year588069ContributionsGrantsPriorYear
Contributions Grants Current Year575433ContributionsGrantsCurrentYear
Program Service Revenue Prior Year93921023ProgramServiceRevenuePriorYear
Program Service Revenue CY95048771ProgramServiceRevenueCY
Investment Income Prior Year110108InvestmentIncomePriorYear
Investment Income Current Year390078InvestmentIncomeCurrentYear
Other Revenue Prior Year1485344OtherRevenuePriorYear
Other Revenue Current Year1962190OtherRevenueCurrentYear
Total Revenue Prior Year96104544TotalRevenuePriorYear
Total Revenue Current Year97976472TotalRevenueCurrentYear
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 Year49311052SalariesEtcPriorYear
Salaries Etc Current Year50836755SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year43842296OtherExpensePriorYear
Other Expenses Current Year45348573OtherExpensesCurrentYear
Total Expenses Prior Year93153348TotalExpensesPriorYear
Total Expenses Current Year96185328TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2951196RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1791144RevenuesLessExpensesCY
Total Assets BOY112722453TotalAssetsBOY
Total Assets EOY128808524TotalAssetsEOY
Total Liabilities BOY39930764TotalLiabilitiesBOY
Total Liabilities EOY51423931TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY72791689NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY77384593NetAssetsOrFundBalancesEOY
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 EXCELLENCEMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense73931456Expense
Revenue96197588Revenue
DescriptionIN 2010, OLEAN GENERAL HOSPITAL DISCHARGED APPROXIMATELY 8,200 PATIENTS AND PROVIDED SERVICES TO ALMOST 160,000 OUTPATIENT VISITORS.INTENSIVISTS-DURING 2010 OGH ADDED AROUND THE CLOCK SPECIALIST COVERAGE IN THE INTENSIVE CARE UNIT (ICU). THE SPECIAL TRAINED EXPERT PHYSICIANS (CALLED INTENSIVISTS) REPRESENT A $1M INVESTMENT IN PROVIDING THE MOST ADVANCED CARE TO THE COMMUNITYS SICKEST PATIENTS. HEALTH LITERATURE POINTS TO A 40% REDUCTION IN ICU MORTALITY WHEN PATIENTS ARE CARED FOR BY INTENSIVISTS. ONLY 15 TO 20% OF HOSPITALS IN THE USA HAVE SUCH COVERAGE.OUTPATIENT SURGERY- DURING 2010 OGH FILED FOR, RECEIVED APPROVAL FOR AND BEGAN CONSTRUCTION ON A $10.4M OUTPATIENT SURGERY CENTER. THIS HOSPITAL-BASED CENTER WILL HOUSE FOUR (4) STATE OF THE ART OUTPATIENT OPERATING ROOMS, THREE ENDOSCOPY ROOMS AND 20 PRIVATE PATIENT STAGING BAYS. IT IS EXPECTED TO OPEN IN JUNE 2012.RENOVATIONS- DURING 2010 OGH INVESTED OVER $2.5M IN RENOVATIONS TO THE NEWBORN/OBSTETRICAL UNITS AND THE INTENSIVE CARE UNIT. THE RENOVATIONS ENSURE OUR PATIENTS HAVE THE MOST MODERN ACCOMMODATIONS IN THE REGION. THESE WERE THE LAST TWO UNITS THROUGHOUT THE ENTIRE HOSPITAL TO BE RENOVATED.HOSPITAL INFORMATION SYSTEM- DURING 2010 OGH SELECTED A NEW HOSPITAL INFORMATION SYSTEM (HIS) AND BEGAN INSTALLATION OF THE SYSTEM. THE $4M INVESTMENT IS CRITICAL TO THE MANAGEMENT OF PATIENT CARE AND INFORMATION AS THE PRODUCT SELECTED 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 WILL YIELD CERTAIN EFFICIENCIES OF OPERATION.Description
Total Program Service Expense73931456TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Attached0FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096167NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1098NumberOfEmployees
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
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
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 BRAUNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7163756104TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
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/CEO37.50X28474423297288645X
DR MUHAMMED JAVED
SECRETARY2.00X000X
DANIEL MCCUNE
VICE CHAIRMAN2.00X000X
DR RICHARD MCDOWELL
DIRECTOR2.00X000
DR JILL OWENS
DIRECTOR2.00X000
EDWIN PECHT
DIRECTOR2.00X000
DAVID PRINCE
CHAIRMAN15.00X000X
LYNDA QUICK
DIRECTOR2.00X000
EDWARD SHARKEY
DIRECTOR2.00X000
BRENDA SNOW
DIRECTOR2.00X000
DR LUIS GONZALEZ
DIRECTOR2.00X000
TIMOTHY MCNAMARA
SR VP HUMAN RESOURCES37.501144658288917522X
JASON YAWORSKY
SR VP/CIO OF UAHS37.50802325809918675X
RICHARD BRAUN
VP FINANCE37.5013633611154822294X
RONALD MORNELLI
VP OPERATIONS37.50203183022521X
KAREN FOHL
VP INSTITUTIONAL ADVANCEMENT37.5083962209918443X
DR WILLIAM MILLS
VP MEDICAL AFFAIRS37.5013001710637822542X
CATHLEEN WRIGHT
VP PATIENT CARE SERVICES37.5016940606284X
DR RICHARD SCOTT
PATHOLOGIST37.50246645016442X
DR GARY CARL
UROLOGIST37.5045779509052X
DR ROBERT KRALL
LAB DIRECTOR37.50318858012140X
DR MARTHA TYMESON
PHYSICIAN37.50239722016407X
DR GREGORY MCCRAITH
CHIEF OF DENTAL MEDICINE37.50215812011718X
JOHN EICHNER
FORMER VP FINANCE37.5066431481059814X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2747608TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs660982TotalReportableCompFrmRltdOrgs
Total Other Compensation282499TotalOtherCompensation
Number Individuals GT100 K28NumberIndividualsGT100K
Formers Listed1FormersListed
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
QUEST DIAGNOSTICS INC
2178 COLLECTION CENTER DRIVECHICAGOIL60693LABORATORY SERVICES895110
TWIN TIERS ADVANCED LLC
2223 WEST STATE STREETOLEANNY14760RADIOLOGY EQUIPMENT LEASE PAYMENTS826288
EXIGENCE HOSPITALIST MED OF OLEAN
1 JOHN JAMES AUDOBON PARKWAYAMHERSTNY14228HOSPITALIST SERVICES785187
ZAFAR MIRZA
1604 GEMINI DRIVEOLEANNY14760ENDOSCOPY SERVICES773756
DUGGAN & DUGGAN
85 WEST MAIN STREETALLEGANYNY14706CONSTRUCTION SERVICES451744
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
Government Grants550433GovernmentGrants
All Other Contributions25000AllOtherContributions
Total Contributions575433TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6219909246921192469211
CONTRACT SERVICE REVEN62199015172891517289
PHYSICIAN SERVICE REVE62199010622711062271
FieldValueIRS element (for citing)
Total Program Service Revenue95048771TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column257991TotalRevenueColumn
Exclusion$257,991ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real201020Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real201020Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column201020TotalRevenueColumn
Exclusion$201,020ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6481064Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6348977Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities132087Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column132087TotalRevenueColumn
Exclusion$132,087ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA/VENDING722210612353$612,353
DISCOUNTS/REBATES9000999660196601

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1052216TotalRevenueColumn
Related Or Exempt Function Income1052216RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1761170TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column97976472TotalRevenueColumn
Related Or Exempt Function Income96197588RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,203,451ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1332314Total
Management And General1332314ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37939831Total
Program Services31606213ProgramServices
Management And General6333618ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2750866Total
Program Services2260918ProgramServices
Management And General489948ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6044089Total
Program Services4945707ProgramServices
Management And General1098382ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2769655Total
Program Services2236419ProgramServices
Management And General533236ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total267426Total
Management And General267426ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35000Total
Management And General35000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3298398Total
Program Services3298398ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14994923Total
Program Services14586802ProgramServices
Management And General408121ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total120502Total
Program Services25182ProgramServices
Management And General95320ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1329532Total
Program Services930672ProgramServices
Management And General398860ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6645417Total
Program Services4651792ProgramServices
Management And General1993625ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1194837Total
Program Services797666ProgramServices
Management And General397171ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES680921545071592302056
BAD DEBTS38631303863130
OTHER351761712326692284948
LEASE/RENT28069562407400399556
LINEN46562044445921161

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total96185328Total
Program Services73931456ProgramServices
Management And General22253872ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14329216BOY
EOY12023720EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1380440BOY
EOY16053065EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6761280BOY
EOY7964115EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1716546BOY
EOY1782708EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1307442BOY
EOY1519183EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis109960043LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec58341239LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY51999505BOY
EOY51618804EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5608185BOY
EOY10285906EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY6752697BOY
EOY3720037EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22867142BOY
EOY23840986EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY112722453BOY
EOY128808524EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20892944BOY
EOY22560199EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY10550000BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5360866BOY
EOY26020898EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3126954BOY
EOY2842834EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39930764BOY
EOY51423931EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY46425760BOY
EOY50185038EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16752155BOY
EOY17199878EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9613774BOY
EOY9999677EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY72791689BOY
EOY77384593EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY112722453BOY
EOY128808524EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1791144ReconcilationRevenueExpenses
Reconcilation Other Changes2801760ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 Balance13741322BeginningOfYearBalance
Contributions1795143Contributions
Investment Earnings Or Losses1473816InvestmentEarningsOrLosses
Other Expenditures-1769797OtherExpenditures
End Of Year Balance15240483EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Balance0.21600PermanentEndowmentEOYBalance
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 Basis1862751OtherCostOrOtherBasis
Book Value1862751BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis65144796OtherCostOrOtherBasis
Depreciation31078875Depreciation
Book Value34065921BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2927296OtherCostOrOtherBasis
Depreciation2122302Depreciation
Book Value804994BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis37588366OtherCostOrOtherBasis
Depreciation25140062Depreciation
Book Value12448304BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2436834OtherCostOrOtherBasis
Book Value2436834BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings51618804TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS HELD BY OTHERS21945803
OTHER ASSETS1895183
FieldValueIRS element (for citing)
Total Book Value Other Assets23840986TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD-PARTY PAYOR SETTLEMENTSDescription
Amount$2,842,834Amount
FieldValueIRS element (for citing)
Total Of Amounts2842834TotalOfAmounts
Total Revenue97976472TotalRevenue
Total Expenses96185328TotalExpenses
Excess Or Deficit For Year1791144ExcessOrDeficitForYear
Net Unrealized GL On Investments3556662NetUnrealizedGLOnInvestments
Other-$754,902OtherAmount
Total Adjustments2801760TotalAdjustments
Excess Or Deficit Per FS4592904ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt100778232TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3556662NetUnrealizedGainsInvestments
Other Revenues-754902OtherRevenues
Revenue Not Rptd F9902801760RevenueNotRptdF990
Revenue Subtotal97976472RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99097976472TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt96185328TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal96185328ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99096185328TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:PENSION LIABILITY ADJUSTMENT -754,902.
PART XII, LINE 2D - PENSION LIABILITY ADJUSTMENT = -754,902

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 Expense833933TotalCommunityBenefitExpense
Direct Offsetting Revenue69394DirectOffsettingRevenue
Net Community Benefit Expense764540NetCommunityBenefitExpense
Percent Of Total Expense0.00790PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense14669136TotalCommunityBenefitExpense
Direct Offsetting Revenue11710444DirectOffsettingRevenue
Net Community Benefit Expense2958692NetCommunityBenefitExpense
Percent Of Total Expense0.03080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense15503069TotalCommunityBenefitExpense
Direct Offsetting Revenue11779838DirectOffsettingRevenue
Net Community Benefit Expense3723232NetCommunityBenefitExpense
Percent Of Total Expense0.03870PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs17NumberOfActivitiesOrPrograms
Persons Served6928PersonsServed
Total Community Benefit Expense112948TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense112948NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense250521TotalCommunityBenefitExpense
Direct Offsetting Revenue261895DirectOffsettingRevenue
Net Community Benefit Expense-11374NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served0PersonsServed

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Persons Served6928PersonsServed
Total Community Benefit Expense363469TotalCommunityBenefitExpense
Direct Offsetting Revenue261895DirectOffsettingRevenue
Net Community Benefit Expense101574NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Persons Served6928PersonsServed
Total Community Benefit Expense15866538TotalCommunityBenefitExpense
Direct Offsetting Revenue12041733DirectOffsettingRevenue
Net Community Benefit Expense3824806NetCommunityBenefitExpense
Percent Of Total Expense0.03990PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,948,999BadDebtExpenseAmount
Amount Reimbursed By Medicare26238013AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare25711695CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall526318MedicareSurplusOrShortfall

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 Line1NOT REQUIREDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained0EligibilityCriteriaExplained
Uses FPG Free0UsesFPGFree
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis0ExplainsBasis
Explains Application Method0ExplainsApplicationMethod
Includes Publicity Measures0IncludesPublicityMeasures
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 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 SURGEON, AN ONCOLOGIST, A PSYCHIATRIST, AND A WOUND CARE/VASCULAR SURGEON WERE ALL RECRUITED TO THE HOSPITAL'S SERVICE AREA IN 2010.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 2010 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 2010 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 HOSPITALS 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 HOSPITALS SERVICE AREA.STEPS 4, 5 AND 6 IDENTIFIED GOALS, STRATEGIES, AND OBJECTIVES THAT WILL SERVE AS OLEAN GENERAL HOSPITALS 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 HOSPITALS 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 HOSPITALS 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. EMRS 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 REFORMS 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 PREFERENCE, 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 HOSPITALS 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 GOVERNMENTS 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 TODAYS(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 7: 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
HOSPITAL LEADERS FALL INTO 4 MAJOR AREAS: NURSING SUPPLY AND DEMAND, NURSING LEADERSHIP, PRACTICE ENVIRONMENTS, AND THE PIPELINE FOR NURSING FACULTY AND STUDENTS.7. PUBLIC TRUST: PUBLIC OPINION POLLING OVER THE PAST FEW YEARS CONTINUES TO INDICATE SIGNIFICANT ATTRITION IN PUBLIC CONFIDENCE IN THE HEALTH CARE SYSTEM IN GENERAL AND IN HOSPITALS IN PARTICULAR. A CLEAR MAJORITY OF AMERICANS REPORT THEY DO NOT FULLY TRUST HOSPITALS. THIS DECLINE PARALLELS THE NEGATIVE PORTRAYAL OF HOSPITALS IN POPULAR CULTURE AND THE NEWS MEDIA. THE LONGER NEGATIVE IMAGES PERSIST, THE MORE DIFFICULTY HOSPITALS WILL HAVE WITH RESPECT TO RECAPTURING A POSITIVE IMAGE AND IMPROVED TRUST FROM PATIENTS AND THE PUBLIC AT LARGE.NEEDS ASSESSMENT (CONTINUED)SCHEDULE H PART V LINE 2 (CONTINUED)

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 (13 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
2847442329720000380193110610736878433349927286200
TIMOTHY MCNAMARA
11446582889000017081237845561221246289024800
JASON YAWORSKY
80232580990000121888296146961910646594200
RICHARD BRAUN
13633611154800002021165410241837814859812158000
RONALD MORNELLI
2031830000030000195210225704000
DR WILLIAM MILLS
13001710637800001941158810457855614241511652200
CATHLEEN WRIGHT
169406000000062840175690000
DR RICHARD SCOTT
2466450000036750127670263087000
DR GARY CARL
457795000003675053770466847000
DR ROBERT KRALL
318858000003675084650330998000
DR MARTHA TYMESON
2397220000036400127670256129000
DR GREGORY MCCRAITH
215812000003253084650227530000
JOHN EICHNER
66431481050000100572846873394721235222700

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
IN 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 12C
THE 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 B, LINE 15
THE 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.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 3,556,662. PENSION LIABILITY ADJUSTMENT -754,902. TOTAL TO FORM 990, PART XI, LINE 5: 2,801,760.FORM 990, PART XI, LINE 5:
THERE HAVE NOT BEEN ANY CHANGES TO THE AUDIT OVERSIGHT PROCESS IN THE CURRENT YEAR.FORM 990, PART XII, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1OLEAN GENERAL HOSPITAL FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1515 MAIN STREETAddressLine1
CityOLEANCity
StateNYState
ZIP Code14760ZIPCode
FieldValueIRS element (for citing)
EIN161497087EIN
Primary ActivitiesFUNDRAISINGPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11D, III-OPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg

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 Income44917ShareOfTotalIncome
Share Of EOY Assets3448194ShareOfEOYAssets
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 Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
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 (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
OLEAN GENERAL SERVICES CORPORATION
A214927FAIR MARKET VALUE OF SERVICES
OLEAN GENERAL HOSPITAL FOUNDATION
B71514FAIR MARKET VALUE OF SERVICES
OLEAN GENERAL HOSPITAL FOUNDATION
C1540408FAIR MARKET VALUE OF SERVICES