Olean General Hospital

“Upper allegheny health system, inc. Is the sole corporate member of the hospital.”

“Governance decisions are submit to approval by kaleida health.”

“A draft copy of the form 990 is reviewed for accuracy and completeness by the hospital's chief financial officer and senior management of upper allegheny health system. In addition, a final draft copy of the form 990 is provided to members of the board of directors to review and comment prior to filing with the irs.”

“The hospital's conflict of interest policy is presented and reviewed annually. Each member of the board completes a disclosure form. See the formal policy, as outlined in the organization's bylaws, below. Conflicts of interest: each director, prior to taking his position on the board, and all present directors as soon as practicable after the adoption of these bylaws, shall submit in writing to the chairman of the board and the chief executive officer a list of all business or other organizations of which he is an officer, director, trustee, member, owner (either as sole proprietor or partner), shareholder with 5% or greater interest in all outstanding voting share, employee or agent, wiht which the corporate has, or might be reasonably in the future enter into, a relationship or a transaction in which the director would have conflicting interests. Each written statement will be resubmitted with any necessary changes each year. The chairman of the board shall become familiar with the statements of all directors in order to guide his conduct shall a conflict arise. The chairman-elect of the board shall be familiar with the statement filed by the chairman. Should the chairman-elect position be vacant, the most senior member of the executive committee will assume this responsibility. At such time as any matter comes before the board in such a way as to give rise to a conflict of interest, the affected director shall make known the potential conflict whether disclosed by his written statement or not, and after answering any questions that might be asked of him, shall withdraw from the meeting for so long as the matter shall continue under discussion. Should the matter be brought to a vote, the affected director shall not vote on it. In the event the conflict of interest affects the chairman, the chairman-elect in empowered and shall require that the chairman remove himself in the same manner, and for the duration of discussion and action on the matter the chairman-elect shall preside. Should the chairman-elect position be vacant, the most senior member of the executive committee will assume this responsibility. If the matter is the item of business for which a special meeting of the board was called, the affected director shall not be counted to establish a quorum, nor shall he participate in the deliberations or vote on it.”

“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.”

“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.”

“The 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 on the olean campus and 89 beds at the bradford campus, the hospital provides the community with vital health care services including medical/surgical, pediatric and obstetrical care. The hospital also provides intensive and coronary care, behavioral health, chronic dialysis, and 24 hour emergency services with access to helicopters for emergency transfer of patients requiring tertiary care. Additional services include diagnostic imaging, laboratory, cardiopulmonary, occupational wellness, diabetes teaching, patient education, radiation oncology specifically on the ogh campus, 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.”

“Physician fees: program service expenses 12,136,754. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,136,754. Consulting: program service expenses 0. Management and general expenses 1,025,161. Fundraising expenses 0. Total expenses 1,025,161. Maintenance contracts: program service expenses 69,311. Management and general expenses 5,345,803. Fundraising expenses 0. Total expenses 5,415,114. Building and equipment maintenance and repairs: program service expenses 1,170,393. Management and general expenses 165,125. Fundraising expenses 0. Total expenses 1,335,518. Other purchased services: program service expenses 17,013,817. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,013,817. Collection fees: program service expenses 0. Management and general expenses 630,948. Fundraising expenses 0. Total expenses 630,948. Non-healthcare provider fees: program service expenses 0. Management and general expenses 6,843,195. Fundraising expenses 0. Total expenses 6,843,195.”

“Pension liability adjustment -9,296,002. Net assets contributions -106,529. Net depreciation of funds held in trust and foundation 651,036.”

“The audit and compliance committee assumes responsibility for the oversight of the audit, as well as the choice of an independent accountant. The process has not changed from the prior year. As part of kaleida health, the financial statements of olean general hospital are part of the consolidated statements issued by kaleida health. Additional information is contained within the kaleida health long-form report. Any audit issues raised by the kaleida health auditors are reviewed by the ogh audit and compliance committee. Kaleida health has an audit and compliance committee that oversees the process and selected the independent accountant.”