BASSETT HOSPITAL OF SCHOHARIE COUNTY: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BASSETT HOSPITAL OF SCHOHARIE COUNTY (EIN 14-1772971)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-14
- IRS object ID
- 202433199349310098
- Schema version
- 2023v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-14T13:51:16-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 BROADWAY 4TH FLOOR | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 122072974 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141772971 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BASSETT HOSPITAL OF SCHOHARIE COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BASS | BusinessNameControlTxt |
| Phone | 5182543456 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 178 GRANDVIEW DRIVE | AddressLine1Txt |
| City | COBLESKILL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12043 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STACI THOMPSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5182543456 | PhoneNum |
| Signature | 2024-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GENEVA FURLANO | PreparerPersonNm |
| PTIN | P01877392 | PTIN |
| Phone | 5184274600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COBLESKILL REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STACI THOMPSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 178 GRANDVIEW DRIVE | AddressLine1Txt |
| City | COBLESKILL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12043 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $47,138,919 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | COBLESKILLHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | PROVISION OF HEALTH CARE SERVICES TO RESIDENTS OF SCHOHARIE COUNTY AND THE SURROUNDING REGION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 217 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,367,648 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,381,131 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,669,165 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $44,626,394 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,712 | PYInvestmentIncomeAmt |
| CY Investment Income | $111,675 | CYInvestmentIncomeAmt |
| PY Other Revenue | $691,341 | PYOtherRevenueAmt |
| CY Other Revenue | $14,750 | CYOtherRevenueAmt |
| PY Total Revenue | $44,747,866 | PYTotalRevenueAmt |
| CY Total Revenue | $47,133,950 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,281,855 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,690,026 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,811,999 | PYOtherExpensesAmt |
| CY Other Expenses | $24,235,998 | CYOtherExpensesAmt |
| PY Total Expenses | $35,093,854 | PYTotalExpensesAmt |
| CY Total Expenses | $38,926,024 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,654,012 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,207,926 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $49,556,369 | TotalAssetsBOYAmt |
| Total Assets EOY | $60,021,391 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,366,316 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,616,412 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $46,190,053 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $54,404,979 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVISION OF HEALTH CARE SERVICES TO RESIDENTS OF SCHOHARIE COUNTY AND THE SURROUNDING REGION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $29,845,266 | ExpenseAmt |
| Revenue | $44,626,394 | RevenueAmt |
| Desc | PROVISION OF HOSPITAL CARE TO RESIDENTS OF SCHOHARIE COUNTY AND THE SURROUNDING REGION. INPATIENT AND OUTPATIENT SERVICES PROVIDED TO OUR PATIENTS RESULTED IN:HOSPITALIZATIONS: 816PATIENT DAYS: 4,817CLINIC VISITS: 25,927ER VISITS: 11,865SURGICAL CASES: 410 | Desc |
| Total Program Service Expenses | $29,845,266 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 217 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRAIG FAERBER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6075473635 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE ATWELL ROAD | AddressLine1Txt |
| City | COOPERSTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13326 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN A KROLL | ||||||||||
| CHAIR | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA A O'CONNOR PHD | ||||||||||
| VICE CHAIR | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ANTONINO COGLIANDRO | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JENNIFER SAUNDERS | ||||||||||
| TREASURER | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DANIEL M AYRES | ||||||||||
| SECRETARY | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DEBORAH FUNK VALOIS MD | ||||||||||
| TRUSTEE | 0.50 | 40.00 | Yes (X) | $0 | $438,600 | $37,855 | ||||
| AMY E GILDEMEISTER PHD | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH R SELLERS MD | ||||||||||
| TRUSTEE | 0.50 | 40.00 | Yes (X) | $0 | $266,438 | $25,539 | ||||
| SUE ELLEN WAGNER | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN ZACHAREK | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN PALMER | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| TOMMY IBRAHIM MD | ||||||||||
| PRESIDENT | 0.50 | 0.00 | Yes (X) | $0 | $709,126 | $33,236 | ||||
| SUSAN OAKES-FERRUCCI | ||||||||||
| CHIEF HOSPITAL EXECUTIVE / HCE | 40.00 | 0.00 | $257,286 | $0 | $20,056 | Yes (X) | ||||
| CHRISTOPHER MANLEY | ||||||||||
| SUPERVISING PHARMACIST | 40.00 | 0.00 | $167,883 | $0 | $13,538 | Yes (X) | ||||
| GHAZALA NATHU | ||||||||||
| CLINICAL DIRECTOR LABORATORY | 40.00 | 0.00 | $227,844 | $0 | $8,812 | Yes (X) | ||||
| MARCIA WHITBECK | ||||||||||
| PHAMACIST II | 40.00 | 0.00 | $189,058 | $0 | $8,181 | Yes (X) | ||||
| KIMBERLY ZIELINSKI | ||||||||||
| RN IV - ACUTE SERVICES | 40.00 | 0.00 | $151,184 | $0 | $6,426 | Yes (X) | ||||
| CINDY PALMER | ||||||||||
| RN | 40.00 | 0.00 | $150,047 | $0 | $7,011 | Yes (X) | ||||
| ERIC STEIN | ||||||||||
| FORMER PRESIDENT | 0.00 | 40.00 | $0 | $162,020 | $0 | Yes (X) | ||||
| CHRISTINE PIRRI | ||||||||||
| FORMER VP NON-CLINICAL OPS | 0.00 | 40.00 | $0 | $366,284 | $2,420 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,143,302 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,942,468 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $163,074 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BUSINESSSOLVERCOM | |||||
| P O BOX 850411 | MINNEAPOLIS | MN | 55485 | SOFTWARE | $1,443,340 |
| DAVIN HEALTHCARE WORKFORCE SOLUTIONS | |||||
| 114 POWELL STREET | SAN FRANCISCO | CA | 12866 | AGENCY | $1,035,392 |
| TRUSTED NURSE STAFFING LLC | |||||
| 500 SENECA ST 501 | BUFFALO | NY | 14204 | AGENCY | $644,887 |
| MAYO MEDICAL LABORATORIES | |||||
| 3050 SUPERIOR DRIVE NW | ROCHESTER | MN | 55905 | LAB TESTING SERVICES | $566,808 |
| CROTHALL FACILITIES MANAGEMENT | |||||
| 1500 LIBERTY RIDGE DR | WAYNE | PA | 19087 | FACILITIES MANAGEMENT | $406,121 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $733,505 | RelatedOrganizationsAmt |
| All Other Contributions | $1,647,626 | AllOtherContributionsAmt |
| Total Contributions | $2,381,131 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $44,626,394 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $44,626,394 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $44,626,394 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $116,644 | TotalRevenueColumnAmt |
| Exclusion | $116,644 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,750 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,750 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,750 | TotalRevenueColumnAmt |
| Exclusion | $14,750 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,969 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$4,969 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,969 | TotalRevenueColumnAmt |
| Exclusion | -$4,969 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,133,950 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $44,626,394 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $126,425 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,342 | TotalAmt |
| Management And General | $277,342 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,511,138 | TotalAmt |
| Program Services | $8,107,932 | ProgramServicesAmt |
| Management And General | $3,403,206 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,801 | TotalAmt |
| Program Services | $182,084 | ProgramServicesAmt |
| Management And General | $22,717 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,772,099 | TotalAmt |
| Program Services | $1,200,300 | ProgramServicesAmt |
| Management And General | $571,799 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $924,646 | TotalAmt |
| Program Services | $626,293 | ProgramServicesAmt |
| Management And General | $298,353 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,846,344 | TotalAmt |
| Program Services | $7,049,092 | ProgramServicesAmt |
| Management And General | $3,797,252 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360 | TotalAmt |
| Management And General | $1,360 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,500 | TotalAmt |
| Management And General | $12,500 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,092 | TotalAmt |
| Management And General | $8,092 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,139,626 | TotalAmt |
| Program Services | $3,139,626 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,436 | TotalAmt |
| Management And General | $1,436 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,356 | TotalAmt |
| Program Services | $40,881 | ProgramServicesAmt |
| Management And General | $19,475 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $518,527 | TotalAmt |
| Program Services | $351,215 | ProgramServicesAmt |
| Management And General | $167,312 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,750 | TotalAmt |
| Program Services | $47,750 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,127 | TotalAmt |
| Program Services | $6,127 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,603 | TotalAmt |
| Program Services | $34,523 | ProgramServicesAmt |
| Management And General | $10,080 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,094,632 | TotalAmt |
| Program Services | $741,430 | ProgramServicesAmt |
| Management And General | $353,202 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $423,445 | TotalAmt |
| Program Services | $286,813 | ProgramServicesAmt |
| Management And General | $136,632 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| REAGENTS AND PHARMACEUT | $2,538,299 | $2,538,299 |
| SUPPLIES | $1,768,626 | $1,768,626 |
| BAD DEBT EXPENSE | $1,642,440 | $1,642,440 |
| CHARITY CARE | $101,085 | $101,085 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,980,750 | TotalAmt |
| Program Services | $1,980,750 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,926,024 | TotalAmt |
| Program Services | $29,845,266 | ProgramServicesAmt |
| Management And General | $9,080,758 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,342,065 | BOYAmt |
| EOY | $3,291,684 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,723,360 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,173,217 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,406,140 | BOYAmt |
| EOY | $726,194 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $398,113 | BOYAmt |
| EOY | $353,356 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,869 | BOYAmt |
| EOY | $127,502 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $30,500,637 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,950,005 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,488,834 | BOYAmt |
| EOY | $7,550,632 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,941,565 | BOYAmt |
| EOY | $44,248,663 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,556,369 | BOYAmt |
| EOY | $60,021,391 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,595,725 | BOYAmt |
| EOY | $1,729,485 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,276,685 | BOYAmt |
| EOY | $2,978,041 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $493,906 | BOYAmt |
| EOY | $908,886 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,366,316 | BOYAmt |
| EOY | $5,616,412 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,741,694 | BOYAmt |
| EOY | $53,274,295 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,359 | BOYAmt |
| EOY | $1,130,684 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,190,053 | BOYAmt |
| EOY | $54,404,979 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,556,369 | BOYAmt |
| EOY | $60,021,391 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,207,926 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,000 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $8,092 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,092 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | IROQUOIS HEALTHCARE ALLIANCE DUES ALLOCATE 54% TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2023 WERE $6,792. AMERICAN HOSPITAL ASSOCIATION DUES ALLOCATE 27.29% TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2023 WERE $16,214 THE HEALTHCARE ASSOCIATION OF NYS (HANYS) DUES ALLOCATE 11.19% TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2023 WERE $0. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $307,182 | BeginningYearBalanceAmt |
| Contributions | $679,953 | ContributionsAmt |
| End Year Balance | $987,135 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $306,265 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $917 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $307,182 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $306,098 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $167 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $306,265 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $305,552 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $546 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $306,098 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $304,698 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $854 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $305,552 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,584 | OtherCostOrOtherBasisAmt |
| Book Value | $33,584 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,704,891 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,515,071 | DepreciationAmt |
| Book Value | $6,189,820 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,549,426 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,492,670 | DepreciationAmt |
| Book Value | $1,056,756 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,212,736 | OtherCostOrOtherBasisAmt |
| Depreciation | $942,264 | DepreciationAmt |
| Book Value | $270,472 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,550,632 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTIES | $42,344,652 |
| RIGHT TO USE ASSETS | $925,876 |
| OTHER ASSETS | $978,135 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $44,248,663 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASES | Desc |
| Amt | $908,886 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $908,886 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | INTENDED USES FOR ENDOWMENT FUNDS ENDOWMENT FUNDS HELD WITH INTEREST EARNED ARE UNRESTRICTED FOR GENERAL HOSPITAL EXPENDITURES. |
| PART X, LINE 2: | FIN 48 FOOTNOTE BASSETT HOSPITAL OF SCHOHARIE CTY IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BASSETT HEALTHCARE NETWORK (THE NETWORK). THE TEXT OF THE FIN 48 FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS IS AS FOLLOWS: THE NETWORK'S VARIOUS SUBSIDIARIES GENERALLY CONSIST OF NOT-FOR-PROFIT CORPORATIONS ORGANIZED IN ACCORDANCE WITH SECTION 501(C)(3) OF THE IRC AND THEREFORE ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. THE NETWORK RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES OR UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED. FOR TAXABLE SUBSIDIARIES OR INVESTMENTS, INCLUDING CCE, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES OF TEMPORARY DIFFERENCES BY APPLYING ENACTED STATUTORY TAX RATES APPLICABLE TO FUTURE YEARS FOR THE DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENTS AND TAX BASIS OF EXISTING ASSETS AND LIABILITIES. SUCH DEFERRED TAX ASSETS AND LIABILITIES WERE NOT MATERIAL AS OF DECEMBER 31, 2023 AND 2022. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $101,085 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,669 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $57,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,225,469 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,435,395 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,790,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,326,554 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,479,064 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,847,490 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04750 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $197,144 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,362 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $171,782 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $197,144 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,362 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $171,782 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,523,698 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,504,426 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,019,272 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05190 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $12,216,501 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,620,948 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$404,447 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BASSETT HOSPITAL OF SCHOHARIE COUNTY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 178 GRANDVIEW DRIVE | AddressLine1Txt |
| City | COBLESKILL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12043 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | COBLESKILLHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 4720700C | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BASSETT HOSPITAL OF SCHOHARIE CTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BASSETT HOSPITAL OF SCHOHARIE CTY | PART V, SECTION B, LINE 5: THE BASSETT HEALTHCARE NETWORK (BHN) COLLABORATED WITH SCHOHARIE COUNTY PUBLIC HEALTH (SCPH) AND COBLESKILL REGIONAL HOSPITAL TO DEVELOP THE COMMUNITY HEALTH NEEDS ASSESSMENT/ COMMUNITY HEALTH ASSESSMENT IN ADDITION TO THE COMMUNITY SERVICE PLAN/COMMUNITY HEALTH IMPROVEMENT PLAN. THIS DOCUMENT IS A COLLECTION OF DATA FROM VARIOUS SOURCES, INCLUDING FEDERAL AND STATE DATABASES AND SURVEYS COLLECTED FROM COMMUNITY MEMBERS AND COMMUNITY SERVICE ORGANIZATIONS. THE SURVEYS, COMMUNITY ENGAGEMENT AND STAKEHOLDER ENGAGEMENT WERE OFFERED ELECTRONICALLY DURING THE DATES OF JUNE 29, 2022, TO AUGUST 6, 2022. INFORMATION COLLECTED REFLECTS THE CURRENT COUNTY STATUS AND PROBLEMS RELATED TO SIGNIFICANT HEALTH NEEDS OR SOCIAL DETERMINANTS OF HEALTH (SDOH). AFTER THE COLLECTION OF DATA WAS COMPLETE, THE COLLABORATION OF PARTNERS HELD A STAKEHOLDER FOCUS GROUP TO DISCUSS POTENTIAL INTERVENTIONS AND DECIDE WHAT AREAS SHOULD BE ADDRESSED IN THIS NYS PREVENTION AGENDA CYCLE 2022-2024. THE STAKEHOLDER FOCUS GROUP WAS HELD THROUGH ZOOM ON SEPTEMBER 12, 2022. |
| BASSETT HOSPITAL OF SCHOHARIE CTY | PART V, SECTION B, LINE 6B: SCHOHARIE COUNTY PUBLIC HEALTH (SCPH) AND BASSETT HEALTHCARE NETWORK (BHN) |
| BASSETT HOSPITAL OF SCHOHARIE CTY | PART V, SECTION B, LINE 11: THE ORGANIZATION ADDRESSED SIGNIFICANT, PRIORITIZED HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY, AND PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY. FOR NEEDS NOT ADDRESSED AS A COLLABORATIVE, WE ADDRESS SOME AS AN INDIVIDUAL ORGANIZATION AND ALSO CONTINUE TO REPRIORITIZE HIGHEST DEMAND.BASSETT HOSPITAL OF SCHOHARIE COUNTYTHE HOSPITAL'S CHNA AND IMPLEMENTATION STRATEGY ARE MADE AVAILABLE ONITS WEBSITE:HTTPS://WWW.BASSETT.ORG/SITES/DEFAULT/FILES/2023-03/SCHOHARIE_COUNTY_COMMUNITY_HEALTH_NEEDS_ASSESSMENT_AND_COMMUNITY_SERVICE_PLAN_2022-2024.PDFBASSETT HOSPITAL OF SCHOHARIE COUNTY |
| BASSETT HOSPITAL OF SCHOHARIE CTY | PART V, SECTION B, LINE 16J: PART V, LINES 16A-16CTHE HOSPITAL'S FAP, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON ITS WEBSITE:WWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBASSETT HOSPITAL OF SCHOHARIE COUNTYPART VBILLING AND COLLECTIONSBEGINNING IN JULY 2021, BASSETT HEALTHCARE NETWORK, THE PARENT ORGANIZATION OF BASSETT HOSPITAL OF SCHOHARIE COUNTY, ENTERED INTO A SERVICE AGREEMENT WITH OPTUM INSIGHT. THIS AGREEMENT RESULTED IN VARIOUS INFORMATION TECHNOLOGY, REVENUE CYCLE, AND BUSINESS ANALYTIC SERVICES ONCE PERFORMED BY BASSETT HEALTHCARE NETWORK BEING TRANSITIONED TO OPTUM INSIGHT, ALONG WITH THE FORMER BASSETT EMPLOYEES WHO PROVIDED THEM. THE TRANSITION INCLUDED PORTIONS OF THE BILLING AND COLLECTION ACTIVITIES FOR THE HOSPITALS IN THE NETWORK. HOWEVER, DESPITE THE CHANGE IN SERVICE PROVIDER, THE BILLING AND COLLECTION POLICIES OF THE HOSPITAL DID NOT CHANGE AS A RESULT OF THE TRANSITION. |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
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| PART I, LINE 3C: | OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE BASSETT HOSPITAL OF SCHOHARIE COUNTY (BHSC) IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT RENDERS MEDICAL CARE TO ALL PERSONS IN NEED OF SUCH CARE, REGARDLESS OF THEIR ABILITY TO PAY. TO SUPPORT PATIENTS WHO MAY HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS, THE COMMUNITY SERVICE PROGRAM (CSP) IS AVAILABLE. UNDER THE HOSPITAL POLICY GOVERNING THE CSP, BASSETT HOSPITAL OF SCHOHARIE COUNTY PROVIDES A LEVEL OF UNCOMPENSATED CARE EACH YEAR TO PERSONS UNABLE TO PAY THE TOTAL COST OF THE HOSPITAL SERVICES RENDERED. CSP ELIGIBILITY IS LIMITED TO SERVICES FOR THOSE PERSONS WHO ARE DETERMINED INELIGIBLE FOR MEDICAID WITHIN 60 DAYS PRIOR TO THE APPLICATION AND WHOSE ANNUAL FAMILY GROSS INCOME, AS DETERMINED BY AN APPLICATION FOR MEDICAID WITHIN THE SIX MONTHS PRIOR TO AN APPLICATION, DOES NOT EXCEED 300% OF THE FEDERAL POVERTY INCOME GUIDELINES, WHICH ARE UPDATED ANNUALLY. AN APPLICATION FOR THE CSP FREE CARE REQUIRES VERIFICATION OF INCOME FOR THE SIX MONTHS IMMEDIATELY PRECEDING THE APPLICATION AND, IF FAMILY INCOME IS BELOW THE MEDICAID GUIDELINES, A MEDICAID APPLICATION IS ALSO REQUIRED. |
| PART I, LINE 6A: | RELATED ORGANIZATION INFORMATIONTHE BASSETT HOSPITAL OF SCHOHARIE COUNTY COMMUNITY BENEFITS REPORT IS CONTAINED IN A REPORT PREPARED BY BASSETT HEALTHCARE NETWORK. |
| PART I, LINE 7: | COSTING METHODOLOGY EXPLANATIONFOR SECTIONS (A) CHARITY CARE AT COST, (B) UNREIMBURSED MEDICAID, (F) HEALTH PROFESSIONS EDUCATION, THE COSTING METHODOLOGY APPLIED IS A COST-TO-CHARGE RATIO CALCULATION, AS USED ON FILED STATE AND FEDERAL COST REPORTS. INDIRECT COSTS WERE APPLIED TO (G) SUBSIDEZED HEALTH SERVICES AND (I) CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS, WHICH INCLUDE THE DIRECT SALARY COSTS FOR HOSPITAL STAFF WHOSE TIME WAS COMPENSATED BY THE HOSPITAL FOR TIME SPENT PARTICIPATING IN ACTIVITIES THAT QUALIFY AS COMMUNITY BENEFITS PLUS THE CURRENT FISCAL YEAR FICA RATE.LINE 7B MEDICAID SHORTFALLTHE MEDICAID SHORTFALL IS INCLUDED IN THIS LINE IN THE AMOUNT OF $1,790,074.DURING 2023, THE HOSPITAL'S UNREIMBURSED MEDICAID WAS PARTIALLY OFFSET BY DIRECTED PAYMENT TEMPLATE (DPT) FUNDS RECEIVED THROUGH NEW YORK STATE'S HOSPITAL VITAL ACCESS PROVIDER ASSURANCE PROGRAM. THOSE FUNDS ARE INCLUDED IN THE DIRECT OFFSETTING REVENUE TOTAL REPORTED ON PART I LINE 7B COLUMN |
| SCHEDULE H, PART I, LINE 7, COLUMN (F) | EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEPART I, LINE 7, COLUMN (F) IS CALCULATED BY DIVIDING COLUMN (E), NET COMMUNITY BENEFIT EXPENSE, BY TOTAL EXPENSE. THE BAD DEBT EXPENSE OF $1,642,440 WAS SUBTRACTED FROM THE TOTAL EXPENSE VALUE USED TO CALCULATE THE PERCENTAGES IN PART 1, LINE 7, COLUMN F. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY BUILDING ACTIVITIESALL COMMUNITY BUILDING ACTIVITIES COULD BE CLASSIFIED UNDER PART I, LINE 7 AND ARE HIGHLIGHTED IN ITEM NUMBER 1 ABOVE. THE HOSPITAL HAS REPRESENTATION ON THE BOARD OF DIRECTORS FOR THE MOHAWK VALLEY POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) WHICH SERVES SCHOHARIE, FULTON, MONTGOMERY, HERKIMER, AND OTSEGO COUNTIES. THE MOHAWK VALLEY PHIP PROVIDES A FORUM IN WHICH STAKEHOLDERS INCLUDING COUNTY HEALTH DEPARTMENTS, HOSPITALS, INSURERS, AGENCIES AND A WIDE RANGE OF OTHER INTERESTED PARTIES CAN REVIEW THE REGION'S HEALTH STATUS AND DEFINE KEY PRIORITY AREAS. DECISIONS ARE BASED UPON INFORMATION RELATING TO THESE COUNTIES DERIVED FROM EXTENSIVE DATA GATHERING AND ANALYSES BY BASSETT HEALTHCARE NETWORK'S RESEARCH INSTITUTE. THE MOHAWK VALLEY PHIP PROMOTES THE TRIPLE AIM THROUGH REGIONAL EFFORTS THAT REFLECT LOCAL NEEDS, ASSETS AND CAPABILITIES. THE GOAL IS TO IMPROVE POPULATION HEALTH THROUGH STAKEHOLDER COLLABORATION, DATA-DRIVEN PRIORITIZATION, AND REGIONAL OR LOCAL STRATEGIES FOR ADDRESSING HEALTH DISPARITIES THAT ARE CONSISTENT WITH THE GOALS OF THE STATEWIDE PREVENTION AGENDA AND THE STATE HEALTH IMPROVEMENT PLAN. THE MOHAWK VALLEY PHIP STIMULATES AND SUPPORTS STRATEGIC PLANNING FOR IDENTIFYING, SHARING, DISSEMINATING AND HELPING TO IMPLEMENT BEST PRACTICES AND LOCAL STRATEGIES THAT PROMOTE POPULATION HEALTH AND REDUCE HEALTH CARE DISPARITIES IN THE FIVE COUNTY REGION.ADDITIONALLY, THE HOSPITAL HAS A PARTICIPATING ROLE WITH THE LEATHERSTOCKING COLLABORATIVE HEALTH PARTNERS, A NEW YORK STATE INITIATIVE TO BETTER THE HEALTH CARE DELIVERY, WHICH WAS FORMED BY PROVIDERS FROM SCHOHARIE, OTSEGO, MADISON, HERKIMER AND DELAWARE COUNTIES. THE MISSION IS TO BUILD A HIGH-PERFORMING INTEGRATED DELIVERY SYSTEM AND TRANSFORM HEALTH CARE DELIVERY IN THE REGION TO ACHIEVE DELIVERY SYSTEM REFORM INCENTIVE (DSRIP) PROGRAM GOALS. OF SPECIFIC FOCUS IS THE TOBACCO CESSATION PROJECT (PROJECT ID: 4.B .I) THAT PROMOTES TOBACCO USE CESSATION, ESPECIALLY AMONG LOW SES POPULATIONS AND THOSE WITH POOR MENTAL HEALTH (FOCUS AREA 2: GOAL 2.2). THE OBJECTIVE IS TO DECREASE THE PREVALENCE OF CIGARETTE SMOKING BY ADULTS 18 AND OLDER, AND INCREASE USE OF TOBACCO CESSATION SERVICES INCLUDING NYS SMOKERS' QUITLINE AND NICOTINE REPLACEMENT PRODUCTS. THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES ALSO FOCUSED ON REPRESENTATION TO COMMUNITY COALITIONS RELATED TO IDENTIFIED COMMUNITY HEALTH PRIORITIES; ON COSTS OF COALITION MEETINGS; AND ON PARTICIPATION WITH A SMALL BUSINESS/ECONOMIC DEVELOPMENT ORGANIZATION CALLED COBLESKILL PARTNERSHIP INC. (CPI), WHICH ADDRESSES THE HOSPITAL NEIGHBORHOOD IN DOWNTOWN COBLESKILL AND PARTICIPATION IN A NOT-FOR-PROFIT COUNTY-WIDE BUSINESS / ECONOMIC DEVELOPMENT ORGANIZATION CALLED SCHOHARIE ECONOMIC ENTERPRISE CORPORATION (SEEC), WHICH ADDRESSES THE BROADER HOSPITAL SERVICE AREA OF SCHOHARIE COUNTY. |
| PART III, LINE 2: | DUE TO THE ADOPTION OF ASU NO. 2014-09 - REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENT. RATHER IT IS TREATED AS A NON-VOLUNTARY PRICE CONCESSION. |
| PART III, LINE 4: | CHARITY CAREFOOTNOTE (3) FROM THE CONSOLIDATED FINANCIALSTHE COST OF CHARITY CARE PROVIDED IS DETERMINED BASED ON THE APPLICATION OF A COST TO GROSS CHARGE RATIO TO THE TOTAL CHARITY CARE CHARGES FOREGONE. INCLUDED IN NET PATIENT SERVICE REVENUE ARE AMOUNTS PAID INTO AND RECEIVED FROM STATEWIDE UNCOMPENSATED CARE POOLS. THESE UNCOMPENSATED CARE POOLS ARE DESIGNED TO HELP OFFSET THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID SERVICES.BAD DEBT EXPENSEDUE TO THE ADOPTION OF ASU NO. 2014-09 - REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENT. RATHER IT IS TREATED AS A PRICE CONCESSION. |
| PART III, LINE 8: | BASSETT HOSPITAL OF SCHOHARIE COUNTY USED MEDICARE-APPROVED COSTS FROM THE 2017 MEDICARE COST REPORT, WHICH EMPLOY A COST-TO-CHARGE RATIO METHODOLOGY. |
| PART III, LINE 9B: | COLLECTION PRACTICES EXPLANATIONFOR PATIENTS, OR GUARANTORS, WHO DO NOT QUALIFY FOR COMPLETE CHARITY CARE ASSISTANCE, THE HOSPITAL MUST UNDERTAKE TO ENSURE UNDERSTANDING OF OBLIGATIONS AND SATISFACTION OF OBLIGATIONS. THE HOSPITAL EMPLOYS A THIRD-PARTY SELF-PAY BILLING AGENCY, IN COMPLIANCE WITH EXISTING LAWS AND REGULATIONS, TO RECOVER SELF-PAY ACCOUNTS RECEIVABLE, PRESERVE THE PATIENT-PROVIDER RELATIONSHIP TO THE MAXIMUM EXTENT POSSIBLE, AND KEEP THE NECESSITY OF REFERRING ACCOUNTS TO THIRD PARTY BAD DEBT COLLECTION OR LAW FIRMS TO A MINIMUM. THIS AGENCY IS MEDICAL SELF-PAY ACCOUNTS RECEIVABLE SERVICES, LLC (MEDSPAR). AS A STRICTURE OF THE HOSPITAL'S UNIFIED CHARITY CARE, SELF-PAY BILLING & COLLECTION POLICY, BASSETT HOSPITAL OF SCHOHARIE COUNTY MUST ENSURE THAT BAD DEBT COLLECTION POLICIES OF ANY THIRD-PARTY AGENCY RETAINED FOR OUTSIDE DEBT COLLECTION REFLECT THE MISSION AND VALUES OF THE HOSPITAL, AS WELL AS REFRAIN FROM ANY CONDUCT THAT VIOLATES THE FAIR DEBT COLLECTION PRACTICES ACT, THE FAIR CREDIT REPORTING ACT, AS WELL AS ANY APPLICABLE STATE LAW OR REGULATIONS.UNDER THE MEDSPAR CREDIT AND COLLECTION POLICY (DOC. NO. 1), RESPONSIBLE PARTIES PLEADING INDIGENCE OR INABILITY TO ESTABLISH AN INSTALLMENT PLAN MUST COMPLETE AN APPLICATION FOR THE HOSPITAL'S CHARITY CARE OR COMMUNITY SERVICES PROGRAM. THE PATIENT WILL BE FORWARDED THE APPLICATION AND INFORMED THAT THEIR ACCOUNTS WILL BE TEMPORARILY SUSPENDED FROM FURTHER BILLING FOR 30 DAYS. THE RESPONSIBLE PARTY MAY MAKE INTEREST FREE MONTHLY INSTALLMENT PAYMENTS NOT TO EXCEED 10 PERCENT OF GROSS MONTHLY INCOME (WHICH MUST BE VERIFIED BY A COPY OF A CURRENT PAYSTUB OR EQUIVALENT PROOF OF INCOME), ACCORDING TO A SET SCHEDULE BASED ON ACCOUNT BALANCE AND MAXIMUM NUMBER OF MONTHS IN WHICH INSTALLMENTS MUST BE MADE. |
| PART VI, LINE 2: | IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), A VARIETY OF DATA ARE USED REGULARLY TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY SERVED BY BASSETT HOSPITAL OF SCHOHARIE COUNTY, INCLUDING DATA FROM PATIENT SATISFACTION SURVEYS, THE NYS DEPARTMENT OF HEALTH, THE SCHOHARIE COUNTY BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY, THE SCHOHARIE COUNTY COMMUNITY HEALTH ASSESSMENT , AND THE NYS PREVENTION AGENDA, WHICH IDENTIFIED PRIORITY HEALTH INDICATORS TO BE USED BY NYS HOSPITALS, PROVIDERS, AND COUNTY HEALTH DEPARTMENTS IN ASSESSING AND SETTING LOCAL/REGIONAL PRIORITIES. THE PREVENTION AGENDA ALSO IDENTIFIES A COMMON SET OF HEALTHCARE PRIORITIES FROM WHICH HOSPITALS AND COUNTY HEALTH DEPARTMENTS IN NEW YORK STATE ARE EXPECTED TO CHOOSE WHEN DEVELOPING IMPLEMENTATION STRATEGIES FOR ADDRESSING COMMUNITY HEALTHCARE NEEDS. COMMUNITY PARTNERS INVOLVED IN ASSESSING COMMUNITY HEALTH NEEDS IN SCHOHARIE COUNTY INCLUDED: SCHOHARIE COUNTY HEALTH DEPARTMENT; BASSETT PRIMARY CARE GROUP; COMMUNITY-BASED ORGANIZATIONS; AND COUNTY SOCIAL SERVICE, MENTAL HEALTH, YOUTH AND AGING AGENCIES. BASSETT HOSPITAL OF SCHOHARIE COUNTY CONTRACTS WITH PRESS GANEY TO OBTAIN BENCHMARKING DATA ON PATIENT SATISFACTION IN ORDER TO ASSESS HOW THE HOSPITAL IS PERCEIVED TO BE MEETING PATIENT NEEDS. DATA FROM ONGOING MAIL SURVEYS CARRIED OUT AMONG A STATISTICALLY SIGNIFICANT RANDOM SAMPLE OF INPATIENTS AND OUTPATIENTS IS USED TO IMPROVE PATIENT CARE AND INFORM OFFICIAL QUALITY IMPROVEMENT ACTIVITIES. DATA COLLECTED FROM THIS INSTRUMENT INCLUDE A COMPREHENSIVE OVERVIEW OF KEY, EVIDENCE-BASED QUALITY INDICATORS -- FROM TIMELINESS OF CARE TO COMMUNICATIONS, PATIENT SAFETY, DISCHARGE INSTRUCTION, MEDICATION ISSUES, AND MORE. THE HOSPITAL RECEIVES REPORTS QUARTERLY. THE HOSPITAL ALSO UTILIZES INFORMATION FROM THE STANDARDIZED, PUBLICLY REPORTED HCAHPS (HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS) SURVEY OF PATIENTS' PERSPECTIVES OF HOSPITAL CARE. THE HCAHPS REPORTING AND SURVEY ARE REQUIRED BY THE CENTER FOR MEDICARE SERVICES (CMS) TO ALLOW STANDARD, OBJECTIVE, VALID COMPARISONS TO BE MADE ACROSS HOSPITALS NATIONALLY, REGIONALLY, AND LOCALLY REPORTS ARE RECEIVED QUARTERLY AND SINCE 2008 HAVE BEEN PUBLISHED NATIONALLY ON THE CMS AND NYS DEPARTMENT OF HEALTH WEBSITES. THE SURVEY METHODOLOGY AND RESULTS ARE IN THE PUBLIC DOMAIN. (WWW.HCAHPSONLINE.ORG).ADDITIONALLY, THE HOSPITAL'S NEEDS ASSESSMENT ACTIVITIES ARE INFORMED BY INITIATIVES AND STUDIES CARRIED OUT BY THE BASSETT HEALTHCARE NETWORK RESEARCH INSTITUTE, INCLUDING THE UPSTATE HEALTH AND WELLNESS STUDY 2009. THIS PROJECT ASSESSED HEALTH INDICATORS, IDENTIFIED RURAL-URBAN HEALTH DISPARITIES, AND PROVIDED BASELINE DATA TO ASSIST COMMUNITY HEALTHCARE PLANNING IN THE RURAL REGION SERVED BY BASSETT, INCLUDING SCHOHARIE COUNTY. IT IS A COLLABORATIVE EFFORT BETWEEN THE RESEARCH INSTITUTE, COUNTY HEALTH DEPARTMENTS, AND REGIONAL COMMUNITY SERVICES ORGANIZATIONS. |
| PART VI, LINE 3: | BASSETT HOSPITAL OF SCHOHARIE COUNTY (BHSC) IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT RENDERS MEDICAL CARE TO ALL PERSONS IN NEED OF SUCH CARE, REGARDLESS OF THEIR ABILITY TO PAY. AS REQUIRED BY NYS DEPARTMENT OF HEALTH, THE HOSPITAL PROMINENTLY POSTS NOTICES THROUGHOUT THE FACILITY STATING CLEARLY THAT EMERGENCY CARE IS TO BE PROVIDED REGARDLESS OF ABILITY TO PAY. THE LIST OF PATIENT RIGHTS IS ALSO POSTED THROUGHOUT THE HOSPITAL. INFORMATION ABOUT FEDERAL AND STATE GOVERNMENT HEALTH COVERAGE PLANS AND HOW TO ACCESS THEM IS ALSO POSTED AND IS READILY AVAILABLE AT KEY POINTS OF PATIENT CONTACT, INCLUDING , BUT NOT LIMITED TO, REGISTRATION STATIONS.BASSETT HOSPITAL OF SCHOHARIE COUNTY OFFERS A COMMUNITY SERVICE PLAN TO PATIENTS WHO NEED FINANCIAL ASSISTANCE. A MAJOR COMPONENT OF THE PROGRAM IS TO ACTIVELY IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY CARE. THE PROCESS BEGINS WITH AN ORGANIZATIONAL POLICY AND PROCEDURE THAT DEFINES THE PROGRAM AND SERVES AS AN EDUCATION TOOL FOR ALL BHSC EMPLOYEES. THE POLICY IS UPDATED ANNUALLY, DISTRIBUTED TO KEY PERSONNEL, AND IS POSTED IN THE ONLINE POLICY AND PROCEDURE MANUAL THAT IS ACCESSIBLE TO ALL EMPLOYEES.AS PART OF THE INTAKE PROCESS, PATIENTS RECEIVE A BHSC-SPECIFIC FINANCIAL AID BROCHURE DESCRIBING FINANCIAL ASSISTANCE OPTIONS. THE BROCHURE DESCRIBES FEDERAL AND STATE GOVERNMENT PROGRAMS, AS WELL AS THE HOSPITAL'S COMMUNITY SERVICE PLAN, AND IS WRITTEN IN PLAIN LANGUAGE THAT ADDRESSES LOW LITERACY LEVELS IN THE COUNTY (1 IN 5 COUNTY RESIDENTS READ AT THE 3RD GRADE LEVEL OR LOWER ACCORDING TO LITERACY VOLUNTEERS OF SCHOHARIE COUNTY). IT IS ALSO AVAILABLE AT KEY POINTS OF SERVICE, INCLUDING NURSE'S STATIONS, WAITING ROOMS, THE ER, AND OTHER HIGH-TRAFFIC PUBLIC AREAS.IN ADDITION TO POSTINGS CONTAINING CONTACT INFORMATION AND THE DISTRIBUTION OF THE BHSC-SPECIFIC FINANCIAL AID BROCHURE, PATIENT EDUCATION IS SUPPORTED BY A FOUR-PAGE, PLAIN-LANGUAGE BROCHURE THAT IS INCLUDED WITH THE COMMUNITY SERVICE PLAN APPLICATION ITSELF. COMMUNITYSERVICE PLAN BROCHURE/APPLICATIONS ARE READILY AVAILABLE AT ALL FACILITIES IN THE BASSETT HEALTHCARE NETWORK AND ALL CLINICS. CLINICAL AND SUPPORT STAFF ARE MADE AWARE OF THE PROGRAM AND ARE ABLE TO DIRECT PATIENTS TO SPECIALISTS WHO CAN ASSIST IN THE APPLICATION PROCESS. ALL PATIENTS WHO ARE REGISTERED AS "SELF PAY" ARE PROVIDED A COMMUNITY SERVICES PLAN BROCHURE/APPLICATION IN PERSON.A LISTING OF ALL SELF-PAY ACCOUNTS IS PRODUCED AND REVIEWED DAILY TO ENSURE THAT A COMMUNITY SERVICES PLAN BROCHURE/APPLICATION HAS BEEN PROVIDED. THE SELF-PAY BILLING OFFICE IDENTIFIES PATIENTS WHO MAY REQUIRE ADDITIONAL HELP UNDERSTANDING THE PROGRAM DURING THE BILLING AND COLLECTIONS PROCESS. CONTACT INFORMATION FOR THE COMMUNITY SERVICE PLAN IS INCLUDED IN PATIENT BILLS. SELF-PAY ACCOUNTS FOR PATIENTS WHO HAVE BEEN APPROVED FOR COMMUNITY SERVICES WITHIN THE PRIOR 120 DAYS ARE AUTOMATICALLY INCLUDED WITH PRIOR APPROVAL.IN SCHOHARIE COUNTY, FACILITATED ENROLLMENT IN GOVERNMENT HEALTH INSURANCE PROGRAMS IS HANDLED BY SEVERAL COMMUNITY AGENCIES/ORGANIZATIONS (SCHOHARIE COUNTY COMMUNITY ACTION PROGRAM (SCCAP), FIDELISCARE, AS WELL AS BASSETT MEDICAL CENTER. BHSC MAKES REFERRALS TO THEM BY MEANS OF A FORM THAT CAN BE SIGNED BY THE PATIENT AND FAXED. PATIENT REGISTRARS AND CUSTOMER SERVICE PROVIDERS FROM THE BUSINESS OFFICE ARE TRAINED TO UNDERSTAND THESE PROGRAMS AND THE PROCESS FOR HELPING PATIENTS ACCESS THEM. THEY PROVIDE ONE-ON-ONE ASSISTANCE WITH ACCESS, INFORMATION, AND APPOINTMENT SCHEDULING FOR FACILITATED ENROLLMENT. ADDITIONALLY, THE HOSPITAL'S BUSINESS SERVICES MANAGER PROVIDES ONE-ON-ONE COUNSELING TO PATIENTS WHO NEED HELP PAYING THEIR BILLS, INCLUDING REFERRAL TO FACILITATED ENROLLMENT FOR MEDICAID AND OTHER GOVERNMENT PROGRAMS. |
| PART VI, LINE 4: | COMMUNITY INFORMATIONBASSETT HOSPITAL OF SCHOHARIE COUNTY'S PRIMARY SERVICE AREA ENCOMPASSES ALL OF SCHOHARIE COUNTY, WITH A POPULATION OF 29,714 (U.S. CENSUS BUREAU, DECENNIAL CENSUS 2020), LOCATED IN COBLESKILL, NY, BASSETT HOSPITAL OF SCHOHARIE COUNTY IS THE ONLY HOSPITAL IN SCHOHARIE COUNTY. SCHOHARIE COUNTY IS LOCATED AT THE FAR WESTERN EDGE OF NEW YORK STATE'S CAPITAL DISTRICT. A PRIMARILY RURAL AREA, SCHOHARIE COUNTY COVERS A LAND AREA OF APPROXIMATELY 622 SQUARE MILES, WITH A POPULATION DENSITY OF JUST 52.7 PERSONS PER SQUARE MILE (U.S. CENSUS 2020). ACCORDING TO THE US CENSUS DATA (2020), SCHOHARIE COUNTY HAS A WIDE DISTRIBUTION OF AGE RANGES WITH A MEDIAN AGE OF 46.3. NINETY-TWO PERCENT OF THE POPULATION IS WHITE, WITH ASIANS MAKING UP .96 PERCENT OF THE POPULATION AND BLACKS 1.3 PERCENT (U.S. CENSUS 2020). AMERICAN INDIAN AND NATIVE PACIFIC PERSONS TOGETHER REPRESENT .22 PERCENT OF THE POPULATION, AND 1.95 PERCENT OF TWO OR MORE RACES (U.S. CENSUS 2020).SPECIAL POPULATIONS IN SCHOHARIE COUNTY DO EXIST. FOR INSTANCE, THERE IS AN AMISH SETTLEMENT IN COBLESKILL, NY. ACCORDING TO THE ELIZABETHTOWN COLLEGE, YOUNG CENTER FOR ANABAPTIST AND PIETIST STUDIES, THE AMISH POPULATION IN SCHOHARIE COUNTY (2020) TOTALED 80 INDIVIDUALS, WHICH CONSISTS OF 0.27% OF THE COUNTY POPULATION (ELIZABETHTOWN COLLEGE, 2020).EDUCATIONAL LEVELS, UNEMPLOYMENT, AND POVERTY ARE IDENTIFIED BARRIERS TO THE HEALTH OF WITH AN UNEMPLOYMENT RATE OF 3 PERCENT ( US DEPARTMENT OF LABOR BUREAU OF LABOR STATISTICS}, THE MEDIAN HOUSEHOLD INCOME IN SCHOHARIE COUNTY IS $58,926 (2015 2019 ACS)), WHICH IS $12,191 LESS THAN THE NEW YORK STATE MEDIAN. THE PERCENTAGE OF RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES IS 11.6 PERCENT (ACS 2020).ACCESS TO HEALTH INSURANCE HAS A SIGNIFICANT INFLUENCE ON THE ACCESS TO THE HEALTHCARE DOMAIN OF SDOH. LACKING HEALTH INSURANCE CAN PREVENT INDIVIDUALS FROM SEEKING CARE, PARTICIPATING IN PREVENTATIVE MEDICINE, AND ACCESSING PRIMARY CARE PROVIDERS. THE 2016 2020 ACS REPORTS THE RATE OF UNINSURED INDIVIDUALS IN SCHOHARIE COUNTY IS 4.17% WHICH IS LOWER THAN NEW YORK STATE (5.38%) AND THE UNITED STATES (8.73%). REGARDING PATIENT DEMOGRAPHICS, THOSE MOST LIKELY TO BE UNDERINSURED IN SCHOHARIE COUNTY ARE THOSE THAT ARE BETWEEN THE AGE OF 1864."THE ADJUSTED COHORT GRADUATION RATE (ACGR) IS A GRADUATION METRIC THAT FOLLOWS A "COHORT" OF FIRST-TIME 9TH GRADERS IN A PARTICULAR SCHOOL YEAR, AND ADJUST THIS NUMBER BY ADDING ANY STUDENTS WHO TRANSFER INTO THE COHORT AFTER 9TH GRADE AND SUBTRACTING ANY STUDENTS WHO TRANSFER OUT, EMIGRATE TO ANOTHER COUNTRY, OR PASS AWAY. THE ACGR IS THE PERCENTAGE OF THE STUDENTS IN THIS COHORT WHO GRADUATE WITHIN FOUR YEARS" (NCES, 2017). IN THE SCHOHARIE COUNTY REPORT AREA, THE ADJUSTED COHORT GRADUATION RATE WAS 86.1% DURING THE MOST RECENTLY REPORTED SCHOOL YEAR; THE AVERAGE ACGR IS GREATER THAN NEW YORK STATE'S (86.8%). |
| PART VI, LINE 5: | A MAJORITY OF THE BASSETT HOSPITAL OF SCHOHARIE COUNTY BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY VOLUNTEERS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF.THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS WHO ARE EMPLOYED BY BASSETT MEDICAL CENTER.AS A NOT-FOR-PROFIT HOSPITAL, BASSETT HOSPITAL OF SCHOHARIE COUNTY REINVESTS SURPLUS FUNDS TOWARD EQUIPMENT/TECHNOLOGY IMPROVEMENTS IN PATIENT CARE AND PATIENT SAFETY, AS WELL AS INFRASTRUCTURE UPGRADES MANDATED BY JOINT COMMISSION AND GOVERNMENT/REGULATORY REQUIREMENTS AND DEEMED NECESSARY TO KEEP THE HOSPITAL ACCREDITED AND ABLE TO CONTINUE SERVING THE HEALTH NEEDS.THE HOSPITAL OPERATES AN EMERGENCY ROOM WHICH IS OPEN TO ALL, REGARDLESS OF ABILITY TO PAY.COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ARE KEY STRATEGIES IN THE HOSPITAL'S PLAN OF RESPONSE TO THE COMMUNITY'S HEALTH PRIORITIES AND NEEDS. THE HOSPITAL'S INITIATIVES ARE LARGELY GUIDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH PUBLIC HEALTH PREVENTION AGENDA. THEY ARE CHOSEN AND COORDINATED IN CLOSE COLLABORATION WITH THE SCHOHARIE COUNTY DEPARTMENT OF HEALTH AND BASSETT HEALTHCARE NETWORK, IN PARTICULAR REFLECTING THE COUNTY'S HEALTH ASSESSMENT AND THE BASSETT HEALTH AND WELLNESS SURVEY. STRATEGIES FOCUS ON ACCESS, EDUCATION AND AWARENESS.HOSPITAL PROGRAMS AND EFFORTS THAT ADDRESS PREVENTION AGENDA-RELATED COMMUNITY HEALTH IMPROVEMENT AND EDUCATION PRIORITIES INCLUDE FOLLOWING:PREVENT CHRONIC DISEASES- EXPLORE OPPORTUNITIES AND FUNDING TO EXTEND SIDEWALKS TO PROVIDE SAFE ACCESS BY WALKING, BIKING AND WHEELING TO THE HOSPITAL- EXPLORE FUNDING FOR AN OUTDOOR TRAIL ON HOSPITAL GROUNDS- UTILIZES EARNED MEDIA TO PROMOTE ANY UPGRADES TO THE PHYSICAL ENVIRONMENT CONVENE PLANNING GROUP QUARTERLY FOR PROGRESS AND ACTION PLANNINGPROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS- EXPLORE PROVIDING EMERGENCY DEPARTMENT OVERDOSE DATA TO THE COUNTY FOR SURVEILLANCE- ATTEND COLLABORATION MEETINGS- CONTACT SCCASA TO PERFORM IN "ROOM" CONNECTION WITH THE PATIENT- FORWARD PATIENT INFORMATION TO SCCASA IF IMMEDIATE CONNECTION IS NOT DESIRED OR POSSIBLE- TRACK PATIENT REFERRALS- PROMOTE HEALTHY WOMEN, INFANTS AND CHILDRENNEW REFERRAL WORKFLOW FOR BASSETT HEALTHCARE NETWORK OB, PEDIATRIC, AND PRIMARY CARE CLINICS; IF GIVEN PERMISSION BY THE PATIENT, IDENTIFIED BHN FACILITIES WILL SEND THE NAME, DELIVERY DATE, AND PHONE NUMBER OF PREGNANT MOTHERS TO SCHOHARIE PUBLIC HEALTH (SPH). SPH WILL CONTACT THE PATIENT TO OFFER A NUMBER OF AVAILABLE RESOURCES TO THE MOTHER FOR THEIR EXPECTED CHILD (EX: CAR SEATS, HEALTH EDUCATION, ETC.). |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEMBASSETT HOSPITAL OF SCHOHARIE COUNTY IS PART OF BASSETT HEALTHCARE NETWORK, WHICH PROVIDES SERVICES IN MORE THAN 20 COMMUNITIES SPANNING 5,600 SQUARE MILES AND EIGHT COUNTIES BASSETT HEALTHCARE NETWORK HAS FOUR AREA COMMUNITY HOSPITALS, INCLUDING BASSETT MEDICAL CENTER AND A.O. FOX HOSPITAL IN OTSEGO COUNTY, O'CONNOR HOSPITAL IN DELAWARE COUNTY, COBLESKILL REGIONAL HOSPITAL IN SCHOHARIE COUNTY, AND LITTLE FALLS HOSPITAL IN HERKIMER COUNTY. ANOTHER HOSPITAL, A.O. FOX HOSPITAL - TRI-TOWN CAMPUS IN DELAWARE COUNTY, PROVIDES A 24/7 EMERGENCY CARE FACILITY IN SIDNEY. THE NETWORK ALSO SUPPORTS OVER 30 COMMUNITY-BASED OUTPATIENT HEALTH CENTERS, 16 SCHOOL-BASED HEALTH CENTERS; TWO AMBULATORY SURGERY CENTERS; VALLEY HEALTH SERVICES, A RESIDENTIAL HEALTH CARE, AND REHABILITATION FACILITY; AT HOME CARE, A CERTIFIED HOME CARE AGENCY; AND FIRST COMMUNITY CARE OF BASSETT, A MEDICAL SUPPLY COMPANY.A. BASSETT - AN ACUTE CARE INPATIENT TEACHING FACILITY, AN OUTPATIENT PRIMARY AND SPECIALTY CARE CENTER, A REGIONAL NETWORK OF 29 COMMUNITY-BASED OUTPATIENT HEALTH CENTERS, 20 SCHOOL-BASED HEALTH CENTERS, 2 AMBULATORY SURGERY CENTERS, AND A FULLY SALARIED MEDICAL STAFF IN COOPERSTOWN, OTSEGO COUNTY B. O'CONNOR HOSPITAL - CRITICAL ACCESS HOSPITAL IN DELHI, DELAWARE COUNTYC. BASSETT HOSPITAL OF SCHOHARIE COUNTY (DBA COBLESKILL REGIONAL HOSPITAL) - ACUTE CARE FACILITY IN COBLESKILL, SCHOHARIE COUNTYD. LITTLE FALLS HOSPITAL - CRITICAL ACCESS HOSPITAL IN LITTLE FALLS, HERKIMER COUNTYE. A.O. FOX HOSPITAL -- ACUTE CARE FACILITY IN ONEONTA, OTSEGO COUNTYF. VALLEY HEALTH SERVICES - RESIDENTIAL HEALTH CARE AND REHABILITATION FACILITYG. AT HOME CARE - CERTIFIED HOME CARE AGENCYH. AT HOME CARE PARTNERS - CERTIFIED HOME CARE AGENCYI. VALLEY RESIDENTIAL SERVICES -J. FIRST COMMUNITY CARE OF BASSETT - MEDICAL SUPPLY COMPANY ALL OF THE ABOVE (A-1) MAKE UP BASSETT HEALTHCARE NETWORK AND PROVIDE HEALTH SERVICESK. TO THIS EIGHT-COUNTY REGION IN CENTRAL NEW YORK. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TOMMY IBRAHIM MD | ||||||||||||||
| PRESIDENT | $0 | $708,826 | $0 | $300 | $0 | $0 | $0 | $19,992 | $0 | $13,244 | $0 | $742,362 | $0 | $0 |
| DEBORAH FUNK VALOIS MD | ||||||||||||||
| TRUSTEE | $0 | $438,600 | $0 | $0 | $0 | $0 | $0 | $34,393 | $0 | $3,462 | $0 | $476,455 | $0 | $0 |
| CHRISTINE PIRRI | ||||||||||||||
| FORMER VP NON-CLINICAL OPS | $0 | $323,984 | $0 | $42,300 | $0 | $0 | $0 | $0 | $0 | $2,420 | $0 | $368,704 | $0 | $0 |
| JOSEPH R SELLERS MD | ||||||||||||||
| TRUSTEE | $0 | $266,438 | $0 | $0 | $0 | $0 | $0 | $22,658 | $0 | $2,881 | $0 | $291,977 | $0 | $0 |
| SUSAN OAKES-FERRUCCI | ||||||||||||||
| CHIEF HOSPITAL EXECUTIVE / HCE | $257,286 | $0 | $0 | $0 | $0 | $0 | $8,078 | $0 | $11,978 | $0 | $277,342 | $0 | $0 | $0 |
| GHAZALA NATHU | ||||||||||||||
| CLINICAL DIRECTOR LABORATORY | $227,844 | $0 | $0 | $0 | $0 | $0 | $6,893 | $0 | $1,919 | $0 | $236,656 | $0 | $0 | $0 |
| MARCIA WHITBECK | ||||||||||||||
| PHAMACIST II | $189,058 | $0 | $0 | $0 | $0 | $0 | $5,745 | $0 | $2,436 | $0 | $197,239 | $0 | $0 | $0 |
| CHRISTOPHER MANLEY | ||||||||||||||
| SUPERVISING PHARMACIST | $161,620 | $0 | $6,263 | $0 | $0 | $0 | $5,284 | $0 | $8,254 | $0 | $181,421 | $0 | $0 | $0 |
| ERIC STEIN | ||||||||||||||
| FORMER PRESIDENT | $0 | $162,020 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $162,020 | $0 | $0 |
| KIMBERLY ZIELINSKI | ||||||||||||||
| RN IV - ACUTE SERVICES | $149,684 | $0 | $1,500 | $0 | $0 | $0 | $4,591 | $0 | $1,835 | $0 | $157,610 | $0 | $0 | $0 |
| CINDY PALMER | ||||||||||||||
| RN | $150,047 | $0 | $0 | $0 | $0 | $0 | $4,575 | $0 | $2,436 | $0 | $157,058 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION | FormAndLineReferenceDesc |
| Explanation | THE CHIEF EXECUTIVE OFFICER'S SALARY IS PAID BY A RELATED ORGANIZATION UNDER A MANAGEMENT SERVICES AGREEMENT. THE BASSETT HOSPITAL OF SCHOHARIE COUNTY REVIEWS THE FORMAL PROCESS THAT IS USED TO DETERMINE THE BASE COMPENSATION OF THE CEO. THE CEO WORK PLAN AND ACCOMPLISHMENTS FOR THE YEAR ARE REVIEWED. SALARY CHANGES ARE BASED ON MARKET, WORK PLAN, AND ACCOMPLISHMENTS. THE CEO'S SALARY IS SUBMITTED AS PART OF THE MANAGEMENT SERVICES AGREEMENT WHICH IS APPROVED BY THE BOARD. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | BASSETT HEALTHCARE NETWORK IS THE PARENT AND SOLE MEMBER TO EACH OF THE FOLLOWING RELATED PARTIES. FRIENDS OF BASSETT, AO FOX MEMORIAL HOSPITAL, BASSETT HOSPITAL OF SCHOHARIE COUNTY, LITTLE FALLS HOSPITAL, O'CONNOR HOSPITAL, TEMPLETON FOUNDATION, VALLEY HEALTH SERVICES, AND MARY IMOGENE BASSETT HOSPITAL. AS PARENT AND SOLE MEMBER, BASSETT HEALTHCARE NETWORK HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE GOVERNING BOARDS OF ITS SUBSIDIARIES AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARDS, INCLUDING, BUT NOT LIMITED TO, APPROVAL OF OPERATING AND CAPITAL BUDGETS, CERTAIN CAPITAL EXPENDITURES, INDEBTEDNESS NOT CONTAINED IN THE APPROVED BUDGETS, SUBSTANTIVE CHANGES IN CLINICAL PROGRAMS, MERGERS, CONSOLIDATIONS, LIQUIDATIONS AND DISSOLUTIONS INVOLVING ITS SUBSIDIARIES AND CERTIFICATE OF NEED APPLICATIONS. |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE DISCLOSURE FOR PART VI, SECTION A, LINE 6 |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE DISCLOSURE FOR PART VI, SECTION A, LINE 6 |
| FORM 990, PART VI, SECTION B, LINE 11B | ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE 990S ARE PROVIDED TO THE BOARD BEFORE FILING. IF THERE ARE ANY QUESTIONS OR CONCERNS, THEY CAN RAISE IT WITH THE BOARD, CEO AND/OR CFO. |
| FORM 990, PART VI, SECTION B, LINE 12C | ENFORCEMENT OF CONFLICTS POLICY MEMBERS OF THE BOARD COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. A SUMMARY OF RESULTS IS REPORTED EACH YEAR AT THE ANNUAL MEETING OF THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION PROCESS FOR TOP OFFICIAL THE PRESIDENT'S SALARY IS PAID BY A RELATED ORGANIZATION UNDER A MANAGEMENT SERVICES AGREEMENT. THE PRESIDENT'S WORKPLAN AND ACCOMPLISHMENTS FOR THE YEAR ARE OVERSEEN BY THE NETWORK LEADERSHIP AND REVIEWABLE BY THE BOARD. THE PRESIDENT'S SALARY IS SUBMITTED AS PART OF THE MANAGEMENT SERVICES AGREEMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS DISCLOSURE EXPLANATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY REQUEST OF THE ADMINISTRATIVE OFFICE. |
| FORM 990, PART XII, LINE 2C | THE CONSOLIDATED AUDIT REPORT IS REVIEWED AT A NETWORK LEVEL, BY THE BASSETT HEALTHCARE NETWORK AUDIT COMMITTEE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BASSETT HEALTHCARE NETWORK | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133218680 | SUPPORT | NY | 501C3 | 12C | NONE | 0 |
| FRIENDS OF BASSETT | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 237041610 | FUNDRAISE | NY | 501C3 | 7 | BHN | 0 |
| AO FOX MEMORIAL HOSPITAL | ||||||||||
| ONE NORTON AVENUE | ONEONTA | NY | 13820 | 150539039 | HEALTHCARE | NY | 501C3 | 3 | BHN | 0 |
| LITTLE FALLS HOSPITAL | ||||||||||
| 140 BURWELL STREET | LITTLE FALLS | NY | 13365 | 150533578 | HEALTHCARE | NY | 501C3 | 3 | BHN | 0 |
| MARY IMOGENE BASSETT HOSPITAL | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 135596796 | HEALTHCARE | NY | 501C3 | 3 | BHN | 0 |
| O'CONNOR HOSPTIAL | ||||||||||
| 460 ANDES ROAD | DELHI | NY | 13753 | 161540394 | HEALTHCARE | NY | 501C3 | 3 | BHN | 0 |
| TEMPLETON FOUNDATION | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133317084 | LANDLORD | NY | 501C3 | 10 | BHN | 0 |
| VALLEY HEALTH SERVICES | ||||||||||
| 690 WEST GERMAN STREET | HERKIMER | NY | 13350 | 222511614 | ELDER CARE | NY | 501C3 | 12A | BHN | 0 |
| VALLEY RESIDENTIAL SERVICES | ||||||||||
| 690 WEST GERMAN STREET | HERKIMER | NY | 13350 | 463703838 | ELDER CARE | NY | 501C3 | 10 | BHN | 0 |
| AT HOME CARE PARTNERS INC | ||||||||||
| 25 ELM STREET | ONEONTA | NY | 13820 | 562398098 | HEALTHCARE | NY | 501C3 | 10 | AHC INC | 0 |
| AT HOME CARE INC | ||||||||||
| 25 ELM STREET | ONEONTA | NY | 13820 | 161287069 | HEALTHCARE | NY | 501C3 | 10 | BHN | 0 |
| BASSETT PPS LLC | ||||||||||
| 618 STATE HIGHWAY 7 | ONEONTA | NY | 13820 | 811749905 | HEALTHCARE | NY | 501C3 | 12A | BHN | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| STANFORD PROFESSIONAL ASSOCIATES | |||||||||
| 1 NORTON AVENUE | ONEONTA | NY | 13820 | 161322304 | RENTAL | NY | N/A | 0 | 0 |
| FIRST COMMUNITY CARE OF BASSETT | |||||||||
| 60 NORTHPOINTE PARKWAY | AMHERST | NY | 14228 | 161504464 | HEALTHCARE | NY | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CATSKILL CARE ENTERPRISES | |||||||||
| 1 NORTON AVENUE | ONEONTA | NY | 13820 | 161236590 | RETAIL PHARMACY | NY | N/A | C | 0 |
| LEATHERSTOCKING PHYSICIANS PC | |||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 364864562 | HEALTHCARE | NY | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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