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Oswego Hospital
Oswego, NY 13126
(click a facility name to update Individual Facility Details panel)
Bed count | 132 | Medicare provider number | 330218 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
Oswego HospitalDisplay data for year:
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 146,597,443 Total amount spent on community benefits as % of operating expenses$ 14,041,633 9.58 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 138,301 0.09 %Medicaid as % of operating expenses$ 10,055,009 6.86 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 3,720,167 2.54 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 128,156 0.09 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 3,784,627 2.58 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 1,515,879 40.05 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 58415380 including grants of $ 0) (Revenue $ 48853277) INPATIENT SERVICES PROVIDED BY OSWEGO HOSPITAL TO RESIDENTS OF OSWEGO COUNTY AND THE SURROUNDING AREAS: MEDICAL/SURGICAL/WOMEN SERVICES(MATERNITY,NEWBORN AND NURSERY)/INTENSIVE CARE/INPATIENT BEHAVIORAL HEALTH.
4B (Expenses $ 70655053 including grants of $ 0) (Revenue $ 72626460) OUTPATIENT SERVICES PROVIDED BY OSWEGO HOSPITAL TO RESIDENTS OF OSWEGO COUNTY AND SURROUNDING AREAS: EMERGENCY/REHABILIATION SERVICES/OCCUPATIONAL HEALTH/ REFERRED AMBULATORY AND AMBULATORY SURGICAL/REFERRED DIAGNOSTIC AND THERAPEUTIC TESTING CONSISTING OF: LABORATORY/ACR ACCREDITED RADIOLOGY/COMPUTER TOMOGRAPHY(CT),MAGNETIC RESONANCE IMAGING(MRI),NUCLEAR MEDICINE AND ULTRASOUND IMAGING SERVICES/ADULT, CHILD AND FAMILY OUTPATIENT BEHAVIORAL HEALTH SERVICES.
4D (Expenses $ 0 including grants of $ 0) (Revenue $ 20904692)
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Facility Information
OSWEGO HOSPITAL PART V, SECTION B, LINE 5: TO IDENTIFY THE PERCEPTION OF CURRENT HEALTHCARE SERVICES AND NEEDS OF OSWEGO COUNTY RESIDENTS, A COMMUNITY-TARGETED ONLINE SURVEY AND IN-DEPTH INDIVIDUAL (IDI) SURVEYS WERE CONDUCTED FROM KEY STAKEHOLDERS, WITH CROSS-REPRESENTATION FROM TOWNSHIPS AND BUSINESS SECTORS, BETWEEN SEPTEMBER 8TH-SEPTEMBER 24TH, 2021. AS A RESULT, A TOTAL OF 1,330 ONLINE SURVEY RESPONSES WERE ANALYZED IN ADDITION TO FEEDBACK FROM 15 IDIS. SURVEY RESPPONDENT DEMOGRAPHICS WERE 67% FEMALE AND 65% OVER THE AGE OF 55. SURVEY RESPONDENTS WERE TAKEN ACROSS VARIOUS ZIP CODES IN OUR PRIMARY AND SECONDARY SERVICE AREAS WITH 38% LOCATED IN 13126 AND 18% IN 13069. IN DEVELOPING THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OSWEGO HEALTH UTILIZED DATA FROM THE NEW YORK STATE PREVENTION AGENDA DASHBOARD, CONDUCTED A SURVEY OF THE COMMUNITY, AND HELD IN-DEPTH INTERVIEWS (IDI) WITH KEY COMMUNITY MEMBERS.
OSWEGO HOSPITAL PART V, SECTION B, LINE 11: A. THE NEEDS IDENTIFIED IN THE CHNA, TO BE ADDRESSED BY OSWEGO HEALTH IN THIS IMPLEMENTATION PLAN ARE: 1. FOCUSED RECRUITMENT EFFORT WITH IMPROVED ACCESS TO PRIMARY CARE. 2. INCREASE MENTAL HEALTH SERVICES OFFERED THROUGHOUT THE COMMUNITY. 3. EDUCATE COMMUNITY ON LOCAL RESOURCES AVAILABLE FOR STROKE CARE. B. FOR PRIMARY CARE RECRUITMENT, OSWEGO HEALTH WILL ROLL OUT A RECRUITMENT ASSISTANCE PROGRAM THAT PROVIDES ASSISTANCE TO PRIVATE PRACTICES TO HELP MEET THE DEMANDS OF THE COMMUNITY AND WILL DDEPLOY A COMMUNITCATION STRATEGY THROUGHOUT THE COMMUNITY THAT STRESSES THE CRITICAL IMPORTANCE OF HAVING A PRIMARY CARE PROVIDER AS IT RELATES TO PREVENTATIVE CARE AND ULTIMATE FINANCIAL SAVINGS.C. FOR INCREASING MENTAL HEALTH SERVICES, OSWEGO HEALTH EMPLOYEES ARE PART OF THE OSWEGO COUNTY SUICIDE PREVENTATION COALITION, WHICH ALSO INCLUDED MANY COMMUNTIY HEALTHCARE PARTNERS. THE COALITION IS ACTIVELY WORKING ON PROGRAMS AND TOOLS THAT REDUCE THE COUNTY SUICIDE RATE. THE COALITION HAS DEVELOPED TWO SUBCOMMITTEES; ONE THAT HAS TARGETED YOUTH AND STUDENTS, WITH THE SECOND FOCUSING ON THE REMAINDER OF THE COMMUNITY, INCLUDING VETERANS, ELDERLY AND THE COMMUNITY IN GENERAL. AMONG THE GOALS OF THE COALITION IS TO PROMOTE SUICIDE AWARENESS AND PREVENTION THROUGH THE SCHOOLS, COMMUNITY EVENTS, TRAINING, ETC.D. FOR EDUCATING THE COMMUNITY ON LOCAL RESOURCES AVAILABLE FOR STROKE CARE, OSWEGO HEALTH WILL WORK WITH COMMUNITY PROVIDERS AND AFFILIATED ORGANIZATIONS TO INCREASE AWARENESS OF LOCAL SERVICES AVAILABLE FOR STROKE CARE THROUGHOUT THE COMMUNITY.
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Supplemental Information
PART I, LINE 7: THE RCC USED TO CALCULATE COLUMN (C) DOES NOT INCLUDE BAD DEBTS. WE APPLIED THE RATIO OF COST TO CHARGES AGAINST THE BAD DEBT AMOUNT TO OBTAIN THE COST RELATED TO BAD DEBT CHARGE WRITE-OFFS. THIS RATIO WAS CALCULATED USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE AND THEREFORE ARE NOT REPORTED AS REVENUE. THE HOSPITAL DOES NOT APPLY DISCOUNTS AND/OR PAYMENTS TO BAD DEBT EXPENSE. A RECOVERY OF A BAD DEBT WOULD BE OFFSET AGAINST THE BAD DEBT EXPENSE.
PART I, LINE 7G: OSWEGO HOSPITAL OPERATES THE FOLLOWING SERVICES AT A LOSS TO THE ORGANIZATION: INPATIENT HOSPITALIST PROGRAM AND ANESTHESIA PROGRAM, IN EACH CASE THE COMMUNITY'S CAPACITY TO PROVIDE THE SERVICE WOULD BE BELOW THE COMMUNITY'S NEED FOR THE SERVICE.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,784,627.
PART III, LINE 3: ESTIMATED AMOUNT OF BAD DEBT EXPENSE REASONABLY ATTRIBUTED TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE IS BASED ON THE ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR UNINSURED PATIENTS AS REPORTED ON THE ANNUAL NEW YORK STATE COST REPORT. OSWEGO COUNTY RESIDENTS HAVE A PER CAPITA ANNUAL INCOME OF $30,026 AS REPORTED ON THE LATEST FEDERAL CENSUS WHICH WOULD RESULT IN SOME LEVEL OF FINANCIAL ASSISTANCE FOR THE AVERAGE OSWEGO COUNTY RESIDENT.
PART III, LINE 4: INFORMATION RELATING TO BAD DEBT EXPENSE IS INCLUDED IN FOOTNOTE 2(K) NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE ON PAGE 12-16 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8: USED MEDICARE ONLY TOTAL CHARGES FROM REVENUE REPORT AND APPLIED THE RATIO OF COST TO CHARGES CALCULATED ON WORKSHEET 2 OF SCHEDULE H. APPROXIMATELY 37% OF OUR REVENUE IS DERIVED FROM MEDICARE PATIENTS. WE FEEL THE SHORTFALL FROM THIS PROGRAM IS DIRECTLY A COMMUNITY BENEFIT IN THAT WE ARE THE SOLE PROVIDER OF SERVICES IN OSWEGO COUNTY. THE ELDERLY POPULATION IN THIS AREA IS SIGNIFICANT AND WITHOUT OUR SERVICES, OUR ELDERLY POPULATION WOULD HAVE TO TRAVEL 40 - 50 MILES FOR CARE. THIS COULD BE CRITICAL IN EMERGENCY SITUATIONS. SOME OF THESE PEOPLE ARE ALONE AND HAVE NO READILY AVAILABLE MEANS OF TRANSPORTATION. WE ALSO HAVE EXTREME WEATHER DURING 3 TO 4 MONTHS OF THE YEAR WHICH ADDS BURDEN TO THE TRANSPORTATION ISSUE OF THESE PEOPLE.
PART VI, LINE 2: IN ADDITION TO REGULAR COMMUNICATION WITH OUR VOLUNTEER BOARD AND COMMITTEE MEMBERS, OSWEGO HOSPITAL UNDERTAKES MANY PLANNING ACTIVITES TO DETERMINE THE HEALTH NEEDS OF RESIDENTS. STRATEGIC PLANNING IDENTIFIES CRITICAL ISSUES AND ESTABLISHES 3-5 YEAR GOALS BASED ON OUR IN-DEPTH INTERNAL AND EXTERNAL EXAMINATION OF THE ORGANIZATION. PRESS GANEY HAS BEEN CONTRACTED TO SURVEY PATIENT SATISFACTION AND AN INTERNALLY COMPLETED COMMUNITY PERCEPTION STUDY. IN 2021, CHNA WAS COMPLETED TO INVENTORY, ASSESS, AND PRIORITIZE HEALTHCARE NEEDS AND SERVICES WITHIN THE COMMUNITY. IT ALSO COMPLIES WITH THE RECENT FEDERAL REGULATORY STATUTE. THE CHNA IS DESIGNED TO ENHANCE OSWEGO HEALTH'S OVERALL STRATEGIC PLAN AND AID THEM IN IDENTIFYING WHAT SERVICES ARE MOST NEEDED AND DESIRED BY THE COMMUNITY IT SERVES. THE ULTIMATE GOAL IS TO OPTIMIZE HEALTHCARE DELIVERY AND TO PROVIDE HIGH QUALITY CARE. THIS CHNA FULFILLS THE REQUIREMENTS OF NEW STATUTES PUT IN PLACE BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) THAT REQUIRES NON-PROFIT HOSPITALS TO CONDUCT CHNAS EVERY THREE YEARS TO REMAIN IN COMPLIANCE. THE CHNA UTILIZES INPUT FROM MEMBERS OF THE COMMUNITY IN THE FORM OF STAKEHOLDERS AND RESIDENTS AND REPRESENT AN INTEREST IN THE OSWEGO HEALTH SERVICE AREA.
PART VI, LINE 3: "OSWEGO HOSPITAL HAS COLLABORATED WITH ORGANIZATIONS THAT MAINTAIN FACILITATED ENROLLERS IN OSWEGO COUNTY, SUCH AS OSWEGO COUNTY OPPORTUNITIES, NORTHERN OSWEGO COUNTY HEALTH SERVICES, THE RURAL MIGRANT MINISTRY AND OTHERS TO ENSURE THAT INDIVIDUALS THAT NEED ASSISTANCE IN PAYING THEIR MEDICAL BILLS ARE PROVIDED INFORMATION ON AVAILABLE PROGRAMS AND THE ELIGIBILITY REQUIREMENTS OF THESE PROGRAMS. THE HOSPITAL ALSO PROVIDES A PLACE FOR INDIVIDUALS TO MEET ONE ON ONE WITH FACILITATED ENROLLMENT PROVIDERS AT SEVERAL LOCATIONS ACROSS OSWEGO COUNTY. ALL PATIENTS ADMITTED TO OSWEGO HOSPITAL ARE PROVIDED WITH A BROCHURE TITLED ""MEDICAL BILLS EXPLAINED"" WHICH OUTLINES PAYMENT OPTIONS AND SOURCES OF APPLICATIONS FOR FINANCIAL ASSISTANCE. OUR FINANCIAL ASSISTANCE POLICY AND APPLICATION IS ALSO AVAILABLE ON THE WEBSITE AT WWW.OSWEGOHEALTH.ORG. OSWEGO HOSPITAL HAS A FINANCIAL COUNSELOR ON STAFF THAT IS CERTIFIED APPLICATION COUNSELOR WITH TRAINING IN THE NYS HEALTH INSURANCE EXCHANGE."
PART VI, LINE 4: THE OSWEGO HOSPITAL SERVICE AREA ENCOMPASSES MUCH OF OSWEGO COUNTY, A RURAL AND ECONOMICALLY-CHALLENGED REGION. OSWEGO HOSPITAL IS PART OF THE OSWEGO HEALTH SYSTEM PROVIDING CARE TO APPROXIMATELY 85,900 RESIDENTS IN THE COUNTY, WHICH HAS A TOTAL POPULATION OF APPROXIMATELY 120,000. WITHIN THE BOUNDARIES OF OSWEGO COUNTY ARE THE CITIES OF FULTON AND OSWEGO, AS WELL AS SEVERAL TOWNS AND VILLAGES, INCLUDING CENTRAL SQUARE, MEXICO, PARISH, PHOENIX AND PULASKI.
PART VI, LINE 7, REPORTS FILED WITH STATES NY
PART VI, LINE 5: A. AS OSWEGO COUNTY'S HEALTHCARE LEADER, OSWEGO HEALTH TAKES SERIOUSLY ITS COMMITMENT TO PROVIDE EDUCATIONAL HEALTH SERVICES AND PROGRAMS TO COMMUNITY RESIDENTS. IN ORDER TO FURTHER PROMOTE HEALTHCARE IN THE COMMUNITY, OSWEGO HEALTH COMPLETED MONTHLY LIVE ON-LINE EDUCATION EVENTS FOR THE COMMUNITY FEATURING DIFFERENT CLINICAL TOPICS, CONDUCTED A COMMUNITY HERNIA SCREENING EVENT, COVID-19 VACCINATION CLINICS, MULTI-FACTOR BLOOD ANALYSIS SCREENINGS FOR COMMUNITY MEMBERS, FAMILY FLU CLINIC FOR FAMILIES OF OSWEGO HEALTH EMPLOYEES AND WEEKLY EDUCATION EVENTS AT THE OSWEGO AND FULTON FARMERS MARKETS.B. IN ADDITION, OSWEGO HEALTH HAS A BOARD OF DIRECTORS WHICH IS MADE UP OF CROSS SECTION OF MEMBERS OF THE COMMUNITY SERVED BY OSWEGO HEALTH, AS WELL AS MEDICAL STAFF WHICH IS OPEN TO COMMUNITY PROVIDERS. C. OSWEGO HEALTH ALSO HAS ACTIVELY FOCUSED ON PRIMARY CARE PROVIDER RECRUITMENT DURING 2021 RESULTING IN THREE NEW ADVANCED PRACTICE PROVIDERS JOINING THE COMMUNITY.
PART VI, LINE 6: THE OSWEGO HEALTH SYSTEM PROVIDES MANY SERVICES AND PROGRAMS THAT TOGETHER PROVIDE THE REGION WITH HEALTHCARE SERVICES FROM BIRTH TO MATURITY. OSWEGO HEALTH, INC., SOLE MEMBER OF SYSTEM CORPORATIONS, IS A NOT-FOR-PROFIT HOLDING CORPORATION, ESTABLISHED IN 1997, THAT CONSTITUTES AN INTEGRATED, COMPREHENSIVE HEALTHCARE SYSTEM. THIS INCLUDES OSWEGO HOSPITAL, A 164-BED COMMUNITY HOSPITAL PROVIDING ACUTE, MEDICAL, EMERGENCY, SURGICAL, MATERNITY AND BEHAVIORAL SERVICES; THE MANOR AT SENECA HILL, A 120-BED SKILLED NURSING FACILITY THAT ALSO OFFERS REHABILITATION SERVICES AND AN ADULT DAY HEALTH SERVICES PROGRAM; AND SPRINGSIDE AT SENECA HILL, WHICH PROVIDES RETIREMENT LIVING; AS WELL AS THE FULTON MEDICAL CENTER (FMC) IN FULTON. THE FMC PROVIDES AN URGENT CARE, MEDICAL IMAGING, LABORATORY, PHYSICAL THERAPY AND OCCUPATIONAL HEALTH SERVICES. OSWEGO HEALTH ALSO OPERATES THE CENTRAL SQUARE MEDICAL CENTER IN THE VILLAGE OF CENTRAL SQUARE, WHICH OFFERS URGENT CARE, LABORATORY, MEDICAL IMAGING AND PHYSICAL THERAPY SERVICES.