MARY IMOGENE BASSETT HOSPITAL: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MARY IMOGENE BASSETT HOSPITAL (EIN 13-5596796)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202303189349315650
- Schema version
- 2022v5.0
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T16:16:00-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | 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 | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 135596796 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MARY IMOGENE BASSETT HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARY | BusinessNameControlTxt |
| 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TOMMY IBRAHIM | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 6075473635 | PhoneNum |
| Signature | 2023-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TOMMY | PersonFirstNm |
| Person Last | IBRAHIM | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| 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 |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BASSETT MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TOMMY IBRAHIM | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $658,692,416 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BASSETT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1921 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | MARY IMOGENE BASSETT HOSPITAL IS A RURAL ACADEMIC MEDICAL CENTER COMMITTED TO PROVIDING EXCELLENCE IN HEALTH CARE SERVICES, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS, AND PURSUING HEALTH RESEARCH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 3859 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $97,533 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $103,495 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $50,230,787 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,931,405 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $602,425,387 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $618,917,200 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,080,374 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,057,611 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $653,736,548 | PYTotalRevenueAmt |
| CY Total Revenue | $641,906,216 | 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 | $375,628,664 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $373,642,443 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $363,571 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $273,447,638 | PYOtherExpensesAmt |
| CY Other Expenses | $332,765,431 | CYOtherExpensesAmt |
| PY Total Expenses | $649,076,302 | PYTotalExpensesAmt |
| CY Total Expenses | $706,407,874 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,660,246 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$64,501,658 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $473,816,345 | TotalAssetsBOYAmt |
| Total Assets EOY | $369,559,635 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $189,143,916 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $167,164,699 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $284,672,429 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $202,394,936 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MARY IMOGENE BASSETT HOSPITAL IS A RURAL ACADEMIC MEDICAL CENTER COMMITTED TO PROVIDING EXCELLENCE IN HEALTH CARE SERVICES, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS, AND PURSUING HEALTH RESEARCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $667,297,921 | ExpenseAmt |
| Revenue | $618,917,200 | RevenueAmt |
| Desc | INPATIENT AND OUTPATIENT SERVICES PROVIDED TO OUR PATIENTS RESULTED IN:10,158 HOSPITALIZATIONS (INCLUSIVE OF OPEN-HEART SURGERIES)52,525 PATIENT DAYS591,931 CLINIC VISITS14,709 EMERGENCY VISITS7,268 SURGICAL CASES | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,764,475 | ExpenseAmt |
| Desc | COMMUNITY INVOLVEMENT HAS BEEN LINKED TO BASSETT'S MISSION AND VALUES SINCE IT FIRST OPENED IN 1921. WHETHER IT IS STRENGTHENING OUR COMMUNITY RELATIONSHIPS FOR HEALTH AND WELLNESS, COMMUNICATING IDEAS FOR IMPROVING OUR SERVICES TO OUR REGION, OR PROVIDING A FORUM FOR BASSETT TO LEARN AND LISTEN, WE ARE WORKING WITH OUR COMMUNITY TO IMPROVE THE QUALITY OF LIFE OF THE PEOPLE OF OUR REGION. OUR COMMUNITY SERVICES PROGRAM PROVIDES FREE SERVICES TO PERSONS WHO CANNOT AFFORD TO PAY, WHO DO NOT QUALIFY FOR MEDICAID, AND WHO FALL WITHIN THE ESTABLISHED INCOME GUIDELINES. IN 2022 WE PROVIDED $2,764,475 IN FREE CARE. BASSETT'S COMMUNITY HEALTH EDUCATION PROGRAMS INCLUDE LECTURES, PRESENTATIONS, HEALTH FAIRS, AND OTHER GROUP PROGRAMS IN ADDITION TO THE CLINICAL AND DIAGNOSTIC SERVICES OFFERED. CLINICAL SERVICES OFFERED INCLUDES SCREENINGS, HEALTH TESTS AND HEALTH RISK APPRAISALS INCLUDING BLOOD PRESSURE, LIPID PROFILE, CHOLESTEROL SCREENINGS, CARDIOLOGY RISK FACTOR SCREENINGS, AND ALL CANCER SCREENINGS. OUR COMMUNITY BUILDING ACTIVITIES INCLUDE PHILANTHROPIC SUPPORT FOR HEALTH INITIATIVES AND COMMUNITY HEALTH AND WELFARE PROJECTS INCLUDING PROMOTING HEALTHY LIFESTYLES, DISEASE PREVENTION, AND COMMUNITY AWARENESS INITIATIVES. OUR DOORS ARE OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR. WE ARE PROUD TO PROVIDE CARE TO OUR COMMUNITIES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $670,062,396 | 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 | Yes (1) | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 316 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3859 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| 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 | JEFF MORGAN | 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 (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JANE FORBES CLARK | |||||||||
| BOARD CHAIRMAN & TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WALTER A FRANCK | |||||||||
| VICE CHAIRMAN & TRUSTEE | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | |||
| MAUREEN KILLACKEY | |||||||||
| VICE CHAIRMAN & TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT S HANFT | |||||||||
| TREASURER & TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW MARIETTA | |||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DONALD R BORDLEY | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN BULLIS | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TERRY FULMER | |||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PETER HAMILTON | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| J MICHAEL MOFFAT | |||||||||
| TRUSTEE | 1.00 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN MOORE | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHERINE NICKERSON | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES K PATRICK | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DONALD QUEST | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE VLADECK | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS WILLIES | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TOMMY IBRAHIM | |||||||||
| PRESIDENT & CEO | 40.00 | 1.00 | $0 | $970,597 | $29,962 | Yes (X) | |||
| PAUL SWINKO | |||||||||
| CFO | 40.00 | 0.00 | $0 | $641,526 | $21,599 | Yes (X) | |||
| NICHOLAS HELLENTHAL | |||||||||
| ATTENDING PHYSICIAN | 40.00 | 0.00 | $747,856 | $0 | $33,312 | Yes (X) | |||
| MUN HONG | |||||||||
| ATTENDING PHYSICIAN | 40.00 | 0.00 | $803,172 | $0 | $27,587 | Yes (X) | |||
| DHANAJAI MENZIES | |||||||||
| ATTENDING PHYSICIAN | 40.00 | 1.50 | $892,593 | $0 | $36,206 | Yes (X) | |||
| ALFRED TINGER | |||||||||
| ATTENDING PHYSICIAN | 40.00 | 0.00 | $775,198 | $0 | $27,212 | Yes (X) | |||
| TIMOTHY WHITAKER | |||||||||
| ATTENDING PHYSICIAN | 40.00 | 0.00 | $719,297 | $0 | $29,019 | Yes (X) | |||
| WILLAM LECATES | |||||||||
| EX-OFFICIO | 40.00 | 0.00 | $363,030 | $0 | $27,266 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,301,146 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,612,123 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $232,163 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 971 | 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 |
|---|---|---|---|---|---|
| OPTUM INSIGHT | |||||
| 11000 OPTUM CIRCLE | EDEN PRARIE | MN | 55344 | REVENUE CYCLE & IT | $42,234,734 |
| MEDLINE INDUSTRIES | |||||
| THREE LAKES DRIVE | NORTHFIELD | IL | 60093 | MEDICAL SUPPLIES | $11,323,559 |
| DAVIN HEALTHCARE WORKFORCE SOLUTIONS | |||||
| 18 DIVISION STREET SUITE 311 | SARATOGA SPRINGS | NY | 12866 | AGENCY STAFF | $9,724,755 |
| AYA HEALTHCARE | |||||
| 5930 CORNERSTONE COURT W300 | SAN DIEGO | CA | 92121 | AGENCY STAFF | $7,097,876 |
| MCCARTHY | |||||
| 1341 NORTH ROCK HILL ROAD | ST LOUIS | MO | 63124 | ENGINEER | $5,093,816 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 157 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,127,789 | RelatedOrganizationsAmt |
| Government Grants | $12,603,616 | GovernmentGrantsAmt |
| All Other Contributions | $3,200,000 | AllOtherContributionsAmt |
| Total Contributions | $17,931,405 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DIRECT PATIENT SERVICES | 900099 | $533,545,247 | $533,545,247 |
| OTHER PATIENT SERVICE REVENUE | 900099 | $85,371,953 | $85,371,953 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $618,917,200 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $248,967 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $97,533 | UnrelatedBusinessRevenueAmt |
| Exclusion | $151,434 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,288,551 | SecuritiesAmt |
| Other | $4,306,293 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,230,940 | SecuritiesAmt |
| Other | $4,555,260 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,057,611 | SecuritiesAmt |
| Other | -$248,967 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,808,644 | TotalRevenueColumnAmt |
| Exclusion | $4,808,644 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $641,906,216 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $618,917,200 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $97,533 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,960,078 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $494,203 | TotalAmt |
| Management And General | $494,203 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,460,521 | TotalAmt |
| Program Services | $302,798,430 | ProgramServicesAmt |
| Management And General | $22,341,795 | ManagementAndGeneralAmt |
| Fundraising | $320,296 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,921,695 | TotalAmt |
| Program Services | $12,082,449 | ProgramServicesAmt |
| Management And General | $839,246 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,096,079 | TotalAmt |
| Program Services | $14,037,425 | ProgramServicesAmt |
| Management And General | $1,058,654 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,669,945 | TotalAmt |
| Program Services | $18,268,935 | ProgramServicesAmt |
| Management And General | $1,377,779 | ManagementAndGeneralAmt |
| Fundraising | $23,231 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,119,181 | TotalAmt |
| Management And General | $3,119,181 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,697 | TotalAmt |
| Management And General | $39,697 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,642,507 | TotalAmt |
| Program Services | $129,391,543 | ProgramServicesAmt |
| Management And General | $4,240,651 | ManagementAndGeneralAmt |
| Fundraising | $10,313 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,279,155 | TotalAmt |
| Program Services | $1,216,955 | ProgramServicesAmt |
| Management And General | $57,623 | ManagementAndGeneralAmt |
| Fundraising | $4,577 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,540,042 | TotalAmt |
| Program Services | $14,837,484 | ProgramServicesAmt |
| Management And General | $702,558 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,547,163 | TotalAmt |
| Program Services | $3,296,378 | ProgramServicesAmt |
| Management And General | $248,510 | ManagementAndGeneralAmt |
| Fundraising | $2,275 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,106,319 | TotalAmt |
| Program Services | $24,925,521 | ProgramServicesAmt |
| Management And General | $1,180,229 | ManagementAndGeneralAmt |
| Fundraising | $569 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,022,067 | TotalAmt |
| Program Services | $3,737,976 | ProgramServicesAmt |
| Management And General | $281,781 | ManagementAndGeneralAmt |
| Fundraising | $2,310 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| DRUGS AND REAGENTS | $81,287,731 | $81,287,731 |
| PATIENT SUPPLIES | $51,577,903 | $51,577,903 |
| BAD DEBT | $9,839,191 | $9,839,191 |
| CHARITY CARE | $2,764,475 | $2,764,475 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,407,874 | TotalAmt |
| Program Services | $670,062,396 | ProgramServicesAmt |
| Management And General | $35,981,907 | ManagementAndGeneralAmt |
| Fundraising | $363,571 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,618,231 | BOYAmt |
| EOY | $2,933,486 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,597,623 | BOYAmt |
| EOY | $2,827,030 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,003,819 | BOYAmt |
| EOY | -$26,792,588 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,114,013 | BOYAmt |
| EOY | $48,828,726 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,539,318 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,533,135 | BOYAmt |
| EOY | $9,262,059 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,619,974 | BOYAmt |
| EOY | $7,565,808 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $510,752,131 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $357,261,438 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,635,702 | BOYAmt |
| EOY | $153,490,693 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,278,335 | BOYAmt |
| EOY | $58,164,504 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,994,547 | BOYAmt |
| EOY | $50,904,166 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,881,648 | BOYAmt |
| EOY | $62,375,751 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,816,345 | BOYAmt |
| EOY | $369,559,635 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,103,453 | BOYAmt |
| EOY | $45,434,468 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,098,223 | BOYAmt |
| EOY | $64,440,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,010,000 | BOYAmt |
| EOY | $35,757,128 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,932,240 | BOYAmt |
| EOY | $21,533,103 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,143,916 | BOYAmt |
| EOY | $167,164,699 | 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 | $207,076,916 | BOYAmt |
| EOY | $125,810,755 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,595,513 | BOYAmt |
| EOY | $76,584,181 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $284,672,429 | BOYAmt |
| EOY | $202,394,936 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,816,345 | BOYAmt |
| EOY | $369,559,635 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$64,501,658 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$21,611,929 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,836,094 | OtherChangesInNetAssetsAmt |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
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 | $39,697 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $39,697 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | AMERICAN HOSPITAL ASSOCIATION ALLOCATES 27.29% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID FOR THE YEAR WERE $48,999. IROQUOIS HEALTHCARE ALLICANCE ALLOCATES 52% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL PAID FOR THE YEAR WERE $ 50,626. THE CLARK ESTATES CONDUCTS LOBBYING ACTIVITIES ON BEHALD OF THE MARY IMOGENE BASSETT HOSPITAL. LOBBYING ACTIVITIES ARE LIMITED TO OFFICER DISCUSSIONS WITH CONSULTANTS AND LEGISLATORS TO OBTAIN FUNDING FOR CHARITABLE MISSIONS. NO FUNDS WERE EXPENDED. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,690,187 | BeginningYearBalanceAmt |
| Contributions | $1,168,813 | ContributionsAmt |
| End Year Balance | $15,859,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,671,115 | BeginningYearBalanceAmt |
| Contributions | $19,072 | ContributionsAmt |
| End Year Balance | $14,690,187 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,658,877 | BeginningYearBalanceAmt |
| Contributions | $12,238 | ContributionsAmt |
| End Year Balance | $14,671,115 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,623,624 | BeginningYearBalanceAmt |
| Contributions | $35,253 | ContributionsAmt |
| End Year Balance | $14,658,877 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,455,785 | BeginningYearBalanceAmt |
| Contributions | $167,839 | ContributionsAmt |
| End Year Balance | $14,623,624 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,089,856 | OtherCostOrOtherBasisAmt |
| Book Value | $1,089,856 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $257,149,826 | OtherCostOrOtherBasisAmt |
| Depreciation | $167,506,051 | DepreciationAmt |
| Book Value | $89,643,775 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $219,299,223 | OtherCostOrOtherBasisAmt |
| Depreciation | $189,755,387 | DepreciationAmt |
| Book Value | $29,543,836 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,213,226 | OtherCostOrOtherBasisAmt |
| Book Value | $33,213,226 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $153,490,693 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | US GOV'T BONDS AND SECURITIES | Desc |
| Book Value | $50,904,166 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $50,904,166 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTIES | $39,635,254 |
| RIGHT TO USE ASSETS | $21,577,566 |
| OTHER ASSETS | $1,162,931 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $62,375,751 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITY | Desc |
| Amt | $21,533,103 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $21,533,103 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE MARY IMOGENE BASSETT HOSPITAL 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, 2022 AND 2021. |
| SCHEDULE D, PART V, LINE 4 | INTENDED USES FOR ENDOWMENT FUNDS PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE HELD IN PERPETUITY WITH RESTRICTIONS ON INCOME FOR HEALTH SERVICES, MEDICAL RESEARCH, MEDICAL EDUCATION, AND INDIGENT CARE. |
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 | $3,363,369 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $187,286 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,176,082 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $106,443,976 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $80,294,290 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,149,686 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03750 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $109,807,345 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $80,481,576 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,325,768 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04210 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,402 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $47,402 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,151,343 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,424,538 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,726,806 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02110 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,479,639 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,241,496 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,238,143 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,210,334 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,071,810 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,138,524 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,398 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,398 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,929,116 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,737,844 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,191,273 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04620 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $177,736,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $116,219,420 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $61,517,041 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08830 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $116,217,378 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $154,008,582 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$37,791,204 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 AT HOME CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HOME HEALTH AGENCY | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | MARY IMOGENE BASSETT HOSPITAL | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BASSETT.ORG | WebsiteAddressTxt |
| State License | 3824000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | OUTPATIENT PRIMARY & SPECIALTY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY IMOGENE BASSETT HOSPITAL | 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 | Yes (1) | 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MARY IMOGENE BASSETT HOSPITAL | PART V, SECTION B, LINE 5: THE BASSETT HEALTHCARE NETWORK POPULATION HEALTH DEPARTMENT (BHNPHD), ON BEHALF OF BASSETT HEALTHCARE NETWORK'S A.O. FOX HOSPITAL, MARY IMOGENE BASSETT MEDICAL CENTER, AND OTSEGO COUNTY PUBLIC HEALTH HAS COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) / COMMUNITY HEALTH ASSESSMENT (CHA). THE COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES THE HOSPITAL, LOCAL COUNTY HEALTH DEPARTMENT, AND KEY INFORMANTS WITH DATA AND RESPONSES SO THAT THEY MAY IDENTIFY, PRIORITIZE, AND ADDRESS HEALTH CARE CHALLENGES FACING THEIR COMMUNITIES. THE BHNPHD COLLABORATED WITH OTSEGO COUNTY PUBLIC HEALTH TO COMPILE A LIST OF KEY INFORMANTS IN THE SERVICE REGION. THOSE KEY INFORMANTS REPRESENT A BROAD RANGE OF SECTORS, COMMUNITY INTERESTS, AND ORGANIZATIONS REPRESENTING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. INFORMANTS WERE INVITED TO ATTEND A DATA PRESENTATION AND GIVE FEEDBACK ON THEIR PRIORITY FOCUS AREAS BASED ON THE 2019-2024 NEW YORK STATE PREVENTION AGENDA ACTION PLANS. THOSE KEY INFORMANTS WHO COULD NOT ATTEND IN PERSON WERE PROVIDED THE INFORMATION ELECTRONICALLY AND ASKED TO FILL OUT A SHORT SURVEY. IN ADDITION TO THE KEY INFORMANT RESPONSES, THE ASSESSMENT INCLUDES QUANTITATIVE DATA COLLECTED BY FEDERAL, STATE, AND SPECIALIZED ORGANIZATIONS.THE BASSETT HEALTHCARE NETWORK POPULATION HEALTH AND VALUE-BASED INITIATIVES DEPARTMENT PARTNERED WITH OTSEGO COUNTY PUBLIC HEALTH, A.O. FOX HOSPITAL, AND MARY IMOGENE BASSETT MEDICAL CENTER TO DEVELOP A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT. THE PROCESS INCLUDED DATA COLLECTION FROM FEDERAL AND STATE DATABASES IN ADDITION TO SURVEYING THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEYS, COMMUNITY ENGAGEMENT AND STAKEHOLDER ENGAGEMENT WERE OFFERED ELECTRONICALLY DURING THE DATES OF JUNE 29, 2022, TO AUGUST 6, 2022. THE LIST OF THOSE WHO RECEIVED THE SURVEY WAS COMPOSED OF FEEDBACK FROM THE BASSETT HEALTHCARE NETWORK, A.O. FOX HOSPITAL, MARY IMOGENE BASSETT MEDICAL CENTER, THE OTSEGO COUNTY PUBLIC HEALTH OFFICE, AND A NUMBER OF PERTINENT PARTNERS. THE 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 IN PERSON ON SEPTEMBER 14, 2022, AT THE MEADOWS OFFICE COMPLEX IN COOPERSTOWN, NY. BASED ON THE KEY INFORMATION COLLECTED, PRIORITIES WERE DEFINED, AND INTERVENTIONS DEVELOPED. |
| MARY IMOGENE BASSETT HOSPITAL | PART V, SECTION B, LINE 6A: AO FOX MEMORIAL HOSPITAL |
| MARY IMOGENE BASSETT HOSPITAL | PART V, SECTION B, LINE 6B: OTSEGO COUNTY HEALTH DEPARTMENT |
| MARY IMOGENE BASSETT HOSPITAL | 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 IDENTIFICATION 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. THE FOLLOWING PRIORITIES AND INTERVENTIONS WERE IDENTIFIED DURING 2022 AS PART OF THE CHNA DEVELOPMENT PROCESS.PRIORITY: PROMOTE A HEALTHY AND SAFE ENVIRONMENT PROVIDE SKILL-BUILDING CLASSES IN HOME MAINTENANCE AND UPKEEP; THE CAPSTONE OF THE CLASS IS TO PERFORM MAINTENANCE AND UPKEEP ON THE HOME OF AN ELDERLY INDIVIDUAL. PRIORITY: PREVENT CHRONIC DISEASE HEALTHY EATING AND FOOD SECURITY PROVIDE ACCESS TO FOUR TYPES OF HEALTHY FOOD CROPS IN THE WINTER AND SUMMER SEASONS INTERVENTIONS INCLUDE: - GREENHOUSE (HOOP HOUSE) INSTALLED AND MAINTAINED TO PROVIDE HEALTHY FOODS FURTHER INTO THE WINTER SEASON. - RECIPE CARDS DESCRIBING HOW TO PREPARE THE CROPS WILL BE DISTRIBUTED TO THE PUBLIC. PRIORITY: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS - PROVIDE A SUMMER DAY CAMP TARGETING FEMALES IN 6TH, 7TH, AND 8TH GRADE TO GIVE EXPOSURE TO EMERGENCY SERVICES CAREERS. BASSETT HEALTHCARE NETWORK, A.O FOX HOSPITAL, BASSETT MEDICAL CENTER, AND OTSEGO COUNTY DEPARTMENT OF HEALTH WILL PARTNER WITH LOCAL ORGANIZATIONS IN THE AREAS OF POLICE, FIRE, EMS, 911 DISPATCH, LIFEFLIGHT, SEARCH AND RESCUE, AND EMERGENCY ROOMS TO PROVIDE HANDS-ON EXPERIENCE IN THESE FIELDS. PARTICIPANTS WILL WALK AWAY WITH: - INCREASED HEALTH LITERACY - EXPOSURE TO VOLUNTEER OPPORTUNITIES - EXPOSURE TO EMERGENCY SERVICE CAREERS - TRAINING IN CPR, FIRST AID, AND AED USE PREVENT MENTAL AND SUBSTANCE USE DISORDERS PATIENTS ARRIVING IN BASSETT MEDICAL CENTER, AO FOX HOSPITAL, OR A COUNTY PRIMARY CARE CLINIC IN THE BASSETT HEALTHCARE NETWORK WHO HAS AN ADDICTION ARE TO BE REFERRED TO FORDO WITH IMMEDIATE CONNECTION IN THE FACILITY, OR INFORMATION IS TO BE SENT TO FORDO FOR FOLLOW-UP. |
| MARY IMOGENE BASSETT HOSPITAL: | SCHEDULE H, PART V, LINE 7A AND 10ATHE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE MADE AVAILABLE ON THE HOSPITAL'S WEBSITE:WWW.BASSETT.ORG/LOCATIONS/BASSETT-MEDICAL-CENTER |
| MARY IMOGENE BASSETT HOSPITAL: | SCHEDULE H, PART V, LINE 16A, 16B, 16CTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE MADE AVAILABLE ON THE HOSPITAL'S WEBSITE:WWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-PLAIN-LANGUAGE |
| THE MARY IMOGENE BASSETT HOSPITAL | PART VBILLING AND COLLECTIONSBEGINNING IN 2021, BASSETT HEALTHCARE NETWORK, THE PARENT ORGANIZATION OF THE MARY IMOGENE BASSETT HOSPITAL, 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 56 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (56 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - BASSETT HEALTHCARE PHYSICAL THERAPY | ||||
| 124 COUNTY ROAD 52 | COOPERSTOWN | NY | 13326 | OUTPATIENT PHYSICAL THERAPY SERVICES |
| 2 - BASSETT HEALTHCARE HAMILTON SURGICAL | ||||
| 10 EATON STREET | HAMILTON | NY | 13346 | OUTPATIENT SPECIALTY CARE |
| 3 - BASSETT HEALTHCARE HERKIMER CARDIAC | ||||
| 690 WEST GERMAN STREET | HERKIMER | NY | 13350 | OUTPATIENT REHAB SERVICES |
| 4 - BASSETT HEALTHCARE CLINTON | ||||
| 34 CHENANGO AVENUE | CLINTON | NY | 13323 | OUTPATIENT PRIMARY CARE |
| 5 - BASSETT HEALTHCARE CANAJOHARIE | ||||
| 56 MONTGOMERY STREET | CANAJOHARIE | NY | 13317 | OUTPATIENT PRIMARY CARE |
| 6 - BASSETT HEALTHCARE COBLESKILL | ||||
| 121 LEGION DRIVE | COBLESKILL | NY | 12043 | OUTPATIENT PRIMARY CARE |
| 7 - BASSETT HEALTHCARE DELANSON | ||||
| 1 COOLEY HEIGHTS | DELANSON | NY | 12053 | OUTPATIENT PRIMARY CARE |
| 8 - BASSETT HEALTHCARE DELHI | ||||
| 460 ANDES ROAD | DELHI | NY | 13753 | OUTPATIENT PRIMARY CARE AND DENTAL |
| 9 - BASSETT HEALTHCARE EDMESTON | ||||
| ROUTE 80 PO BOX 15 | EDMESTON | NY | 13335 | OUTPATIENT PRIMARY CARE |
| 10 - BASSETT HEALTHCARE HAMILTON | ||||
| 160 BROAD STREET | HAMILTON | NY | 13346 | OUTPATIENT PRIMARY CARE AND DENTAL |
| 11 - BASSETT HEALTHCARE HERKIMER | ||||
| 321 EAST ALBANY STREET | HERKIMER | NY | 13350 | OUTPATIENT PRIME, SPECIALTY, URGENT CARE |
| 12 - BASSETT HEALTHCARE MIDDLEBURGH | ||||
| 109 BAKER AVENUE | MIDDLEBURGH | NY | 12122 | OUTPATIENT PRIMARY CARE |
| 13 - BASSETT HEALTHCARE MORRIS | ||||
| 93 MAIN STREET | MORRIS | NY | 13808 | OUTPATIENT SPECIALTY CARE |
| 14 - BASSETT HEALTHCARE ONEONTA SURGICAL | ||||
| 449 MAIN STREET | ONEONTA | NY | 13820 | OUTPATIENT SPECIALTY CARE |
| 15 - BASSETT HEALTHCARE NORWICH | ||||
| 55 CALVARY DRIVE | NORWICH | NY | 13815 | OUTPATIENT PRIMARY CARE |
| 16 - BASSETT HEALTHCARE ONEONTA | ||||
| 125 MAIN STREET | ONEONTA | NY | 13820 | OUTPATIENT PRIMARY CARE |
| 17 - BASSETT HEALTHCARE ONEONTA SPECIALTY | ||||
| ONE ASSOCIATE DRIVE | ONEONTA | NY | 13820 | OUTPATIENT PRIME, SPECIALTY, URGENT CARE |
| 18 - BASSETT HEALTHCARE RICHFIELD SPRINGS | ||||
| 8550 STATE HIGHWAY 28 | RICHFIELD SPRINGS | NY | 13439 | OUTPATIENT PRIMARY CARE |
| 19 - BASSETT HEALTHCARE SCHOHARIE | ||||
| 111 BARTON HILL ROAD | SCHOHARIE | NY | 12157 | OUTPATIENT PRIMARY CARE |
| 20 - BASSETT HEALTHCARE SHARON SPRINGS | ||||
| ROUTE 20 PO BOX 275 | SHARON SPRINGS | NY | 13459 | OUTPATIENT PRIMARY CARE |
| 21 - BASSETT HEALTHCARE SHERBURNE | ||||
| 20 CHAPEL STREET | SHERBURNE | NY | 13460 | OUTPATIENT PRIMARY CARE |
| 22 - BASSETT HEALTHCARE SIDNEY | ||||
| 39 PEARL STREET | SIDNEY | NY | 13838 | OUTPATIENT PRIMARY CARE |
| 23 - BASSETT HEALTHCARE ST JOHNSVILLE | ||||
| 8 PARK PLACE | ST JOHNSVILLE | NY | 13452 | OUTPATIENT PRIMARY CARE |
| 24 - BASSETT HEALTHCARE STAMFORD | ||||
| 28650 STATE HIGHWAY 23 | STAMFORD | NY | 12167 | OUTPATIENT PRIMARY CARE |
| 25 - BASSETT HEALTHCARE WALTON | ||||
| 130 NORTH STREET | WALTON | NY | 13856 | OUTPATIENT PRIMARY CARE |
| 26 - BASSETT HEALTHCARE WEST WINFIELD | ||||
| 544 EAST MAIN STREET | WEST WINFIELD | NY | 13491 | OUTPATIENT PRIMARY CARE |
| 27 - BASSETT HEALTHCARE AT FOXCARE | ||||
| 1 FOXCARE DRIVE | ONEONTA | NY | 13820 | OUTPATIENT PRIMARY CARE |
| 28 - BASSETT HEALTHCARE AT LITTLE FALLS | ||||
| 170 BURWELL STREET | LITTLE FALLS | NY | 13365 | OUTPATIENT PRIMARY CARE AND SPECIALTY CARE |
| 29 - BASSETT HEALTHCARE UNADILLA | ||||
| 16 CLIFTON STREET | UNADILLA | NY | 13849 | OUTPATIENT PRIMARY CARE |
| 30 - BASSETT REGIONAL CANCER CENTER | ||||
| 7 ASSOCIATE DRIVE | ONEONTA | NY | 13820 | OUTPATIENT SPECIALTY CARE |
| 31 - HARTWICK SEMINARY SPECIALTY SERVICES | ||||
| 4580 ROUTE 28 | MILFORD | NY | 13807 | OUTPATIENT PRIMARY AND SPECIALTY CARE |
| 32 - BASSETT HEALTHCARE ANDES | ||||
| 245 LOWER MAIN ST | ANDES | NY | 13731 | OUTPATIENT PRIMARY CARE |
| 33 - BASSETT HEALTHCARE GREENE | ||||
| 29 N CHENANGO ST STE A | GREENE | NY | 13778 | OUTPATIENT PRIMARY CARE |
| 34 - BASSETT FAMILY MEDICINE ONEONTA | ||||
| 739 NYS RTE 28 STE 9 | ONEONTA | NY | 13820 | OUTPATIENT PRIMARY CARE |
| 35 - SBHC - COOPERSTOWN ELEMENTARY | ||||
| 21 WALNUT STREET | COOPERSTOWN | NY | 13326 | OUTPATIENT PRIMARY CARE |
| 36 - SBHC - COOPERSTOWN MIDDLE AND HIGH | ||||
| 39 LINDEN AVENUE | COOPERSTOWN | NY | 13326 | OUTPATIENT PRIMARY CARE |
| 37 - SBHC - DELHI ELEMENTARY | ||||
| 2 SHELDON DRIVE | DELHI | NY | 13753 | OUTPATIENT PRIMARY CARE |
| 38 - SBHC - DELHI MIDDLE AND HIGH | ||||
| 2 SHELDON DRIVE | DELHI | NY | 13753 | OUTPATIENT PRIMARY CARE |
| 39 - SBHC - EDMESTON CENTRAL SCHOOL | ||||
| 11 NORTH STREET | EDMESTON | NY | 13335 | OUTPATIENT PRIMARY CARE |
| 40 - SBHC - LAURENS CENTRAL SCHOOL | ||||
| 55 MAIN STREET | LAURENS | NY | 13796 | OUTPATIENT PRIMARY CARE |
| 41 - SBHC - MIDDLEBURGH ELEMENTARY | ||||
| 245-I MAIN STREET | MIDDLEBURGH | NY | 12122 | OUTPATIENT PRIMARY CARE |
| 42 - SBHC - MIDDLEBURGH MIDDLE AND HIGH | ||||
| 291 MAIN STREET | MIDDLEBURGH | NY | 12122 | OUTPATIENT PRIMARY CARE |
| 43 - SBHC - MILFORD CENTRAL SCHOOL | ||||
| 42 WEST MAIN STREET | MILFORD | NY | 13807 | OUTPATIENT PRIMARY CARE |
| 44 - SBHC - MORRIS CENTRAL SCHOOL | ||||
| 65 MAIN STREET | MORRIS | NY | 13808 | OUTPATIENT PRIMARY CARE |
| 45 - SBHC - ORAL HEALTH MOBILE PROGRAM | ||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | OUTPATIENT PRIMARY CARE |
| 46 - SBHC - SCHENEVUS CENTRAL SCHOOL | ||||
| 159 MAIN STREET | SCHENEVUS | NY | 12155 | OUTPATIENT PRIMARY CARE |
| 47 - SBHC - SHERBURNEEARLVILLE ELEMENTARY | ||||
| 13 SCHOOL STREET | SHERBURNE | NY | 13460 | OUTPATIENT PRIMARY CARE |
| 48 - SBHC - SHERBURNEEARLVILLE MDLE & HIGH | ||||
| 13 SCHOOL STREET | SHERBURNE | NY | 13460 | OUTPATIENT PRIMARY CARE |
| 49 - SBHC - SIDNEY CENTRAL SCHOOL | ||||
| 95 WEST MAIN STREET | SIDNEY | NY | 13838 | OUTPATIENT PRIMARY CARE |
| 50 - SBHC - SOUTH KORTRIGHT CENTRAL | ||||
| PO BOX 113 | SOUTH KORTRIGHT | NY | 13842 | OUTPATIENT PRIMARY CARE |
| 51 - SBHC - STAMFORD CENTRAL SCHOOL | ||||
| ONE RIVER STREET | STAMFORD | NY | 12167 | OUTPATIENT PRIMARY CARE |
| 52 - SBHC - UNADILLA VALLEY CENTRAL | ||||
| PO BOX F 4238 STATE HIGHWAY 8 | NEW BERLIN | NY | 13411 | OUTPATIENT PRIMARY CARE |
| 53 - SBHC - WORCESTER CENTRAL SCHOOL | ||||
| 195 MAIN STREET | WORCESTER | NY | 12197 | OUTPATIENT PRIMARY CARE |
| 54 - SBHC - RICHFIELD SPRINGS CENTRAL | ||||
| 93 MAIN STREET | RICHFIELD SPRINGS | NY | 13439 | OUTPATIENT PRIMARY CARE |
| 55 - SBHC - SPRINGBROOK | ||||
| 105 CAMPUS DRIVE | ONEONTA | NY | 13820 | OUTPATIENT PRIMARY CARE |
| 56 - BASSETT HEALTHCARE ONEIDA | ||||
| 2031 DREAMCATCHER PLAZA RTE 5 | ONEIDA | NY | 13421 | OUTPATIENT PRIMARY CARE |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE THE CSP (COMMUNITY SERVICES PROGRAM) APPLICATION SPECIFIES FAMILY INCOME LIMITS AND OTHER REQUIREMENTS FOR SERVICES TO BE ELIGIBLE FOR BASSETT MEDICAL CENTER'S CSP/FREE CARE PROGRAM. |
| PART I, LINE 6A: | RELATED ORGANIZATION INFORMATION THE MARY IMOGENE BASSETT HOSPITAL'S, (DBA BASSETT MEDICAL CENTER (BASSETT)), COMPREHENSIVE THREE-YEAR COMMUNITY SERVICE PLAN WAS SUMMARIZED IN AN ANNUAL COMMUNITY REPORT. PRINTED COPIES WERE AVAILABLE TO THE PUBLIC IN PATIENT WAITING ROOMS AND AT INFORMATION KIOSKS. THE REPORT IS ALSO POSTED ON THE BASSETT WEBSITE, WWW.BASSETT.ORG |
| PART I, LINE 7: | COSTING METHODOLOGY EXPLANATIONSECTIONS (A) CHARITY CARE AT COST, (B) UNREIMBURSED MEDICAID, (F) HEALTH PROFESSIONS EDUCATION, THE COSTING METHODOLOGY USED IS A COST-TO-CHARGE RATIO CALCULATION UTILIZED ON FILED STATE AND FEDERAL COST REPORTS AS THE SOURCE. INDIRECT COSTS WERE APPLIED TO SECTIONS (E) COMMUNITY HEALTH IMPROVEMENT, PORTIONS OF (F) HEALTH PROFESSIONS EDUCATION, (H) RESEARCH, AND (I) CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS ARE COMPRISED OF 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 FRINGE BENEFIT RATE. INDIRECT COSTS WERE ONLY APPLIED TO SELECT SALARIES AND SERVICES UNDER COMMUNITY HEALTH IMPROVEMENT AND RESEARCH AND NOT BROADLY ACROSS ALL COMMUNITY BENEFIT ACTIVITY ENTRIES.LINE 7B MEDICAID SHORTFALLTHE MEDICAID SHORTFALL IS INCLUDED IN THIS LINE IN THE AMOUNT OF $26,149,686. |
| SCHEDULE H, PART I, LINE 7 COLUMN (F) | EXCLUSIONS FROM PERCENT OF TOTAL EXPENSETHE PERCENT OF TOTAL EXPENSE IS CALCULATED BY DIVIDING COLUMN (E), NET COMMUNITY BENEFIT EXPENSE, BY TOTAL EXPENSE. THE BAD DEBT EXPENSE OF $9,839,191 WAS SUBTRACTED FROM THE TOTAL EXPENSE VALUE USED TO CALCULATE THE PERCENTAGES IN PART 1, LINE 7, COLUMN F. |
| PART III, LINE 2: | 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 NON-VOLUNTARY PRICE CONCESSION.THE BAD DEBT EXPENSE FOR 2022 WAS $9,839,191. |
| PART III, LINE 3: | 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. |
| PART III, LINE 8: | MEDICARE EXPLANATIONAMOUNTS WERE DERIVED AS FOLLOWS: CHARGE TIMES COST TO CHARGE RATIO VERSUS REIMBURSEMENT ON THE MEDICARE PS&R REPORT. THE SHORTFALL IS TREATED AS A COMMUNITY BENEFIT BECAUSE THE SERVICES SUPPORT SIGNIFICANT NEED FROM THE COMMUNITY. |
| PART III, LINE 9B: | COLLECTION PRACTICES EXPLANATIONPATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE CONTACTED BY THE FINANCIAL COUNSELING TEAM THAT SENDS A LETTER OF APPROVAL AND TIME-FRAME FOR WHICH THE PATIENT IS APPROVED. |
| 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 MARY IMOGENE BASSETT HOSPITAL, INCLUDING DATA FROM PATIENT SATISFACTION SURVEYS, THE NYS DEPARTMENT OF HEALTH, THE OTSEGO COUNTY DEPARTMENT OF HEALTH 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: 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). |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEA MAJOR COMPONENT OF BASSETT'S COMMUNITY SERVICES 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 BASSETT EMPLOYEES. THE POLICY IS UPDATED ANNUALLY, DISTRIBUTED TO KEY PERSONNEL AND POSTED IN THE ONLINE POLICY AND PROCEDURE MANUAL THAT IS ACCESSIBLE TO ALL EMPLOYEES. THE PROGRAM IS SUPPORTED BY A FOUR PAGE PLAIN LANGUAGE BROCHURE THAT INCLUDES AN APPLICATION. BROCHURES ARE PROMINENTLY DISPLAYED AND AVAILABLE AT ALL FACILITIES AND ALL CLINIC LOCATIONS. CLINICAL AND SUPPORT STAFF ARE MADE AWARE OF THE PROGRAM AND ABLE TO DIRECT PATIENTS TO SPECIALISTS WHO CAN ASSIST IN THE APPLICATION PROCESS.ALL PATIENTS WHO ARE REGISTERED AS SELF-PAY ARE PROVIDED A BROCHURE EITHER IN PERSON OR BY MAIL. PATIENTS WHO ARE IN THE HOSPITAL RECEIVE INFORMATION AS PART OF A PERSONAL VISIT GEARED TO HELP THE PATIENT NAVIGATE FINANCIAL ASSISTANCE INCLUDING, BUT NOT LIMITED TO, THE COMMUNITY SERVICES PROGRAM. GOVERNMENT PROGRAM OPPORTUNITIES ARE ALSO REFERENCED AND A DIRECTORY OF LOCAL SOCIAL SERVICES AGENCIES IS PROVIDED BASED ON THE PATIENT'S COUNTY OF RESIDENCE. REFERRAL TO AN ONSITE OTSEGO COUNTY MEDICAID EXAMINER IS AVAILABLE AT THE COOPERSTOWN CAMPUS.A LISTING OF ALL SELF-PAY ACCOUNTS IS PRODUCED AND REVIEWED DAILY TO INSURE THAT A COMMUNITY SERVICES BROCHURE HAS BEEN PROVIDED. THE SELF-PAY BILLING OFFICE IDENTIFIES PATIENTS DURING THE BILLING AND COLLECTIONS PROCESS THAT MAY REQUIRE ADDITIONAL HELP UNDERSTANDING THE PROGRAM.SELF-PAY ACCOUNTS FOR PATIENTS WHO HAVE BEEN APPROVED FOR COMMUNITY SERVICES WITHIN THE PRIOR 120 DAYS ARE AUTOMATICALLY INCLUDED WITH THE PRIOR APPROVAL. |
| PART VI, LINE 4: | COMMUNITY INFORMATIONTHE SERVICE AREA OF BASSETT ENCOMPASSES A SEVEN COUNTY REGION IN UPSTATE NEW YORK. WHILE THE ECONOMY OF COOPERSTOWN IS BASED ON TOURISM AND HEALTH CARE, THE REST OF THE REGION IS LARGELY AGRICULTURAL. THERE ARE A FEW LARGER EMPLOYERS IN THE REGION SUCH AS LOCAL SCHOOL DISTRICTS, COMMUNITY, STATE AND PRIVATE UNIVERSITIES, THE MAJORITY OF EMPLOYERS ARE SMALL BUSINESSES. IN THE SEVEN COUNTY REGIONS, THE MEDIAN HOUSEHOLD INCOMEIS $56,171 (2015 2019 ACS). 17.41 % OF THE COMMUNITY RESIDENTS HAVE INCOMES BELOW THE FEDERAL POVERTY GUIDELINES. THE FOLLOWING AREAS HAVE BEEN FEDERALLY DESIGNATED AS BEING MEDICALLY UNDERSERVED:A) HERKIMER COUNTYB) FULTON COUNTY, TOWN OF OPPENHEIMC) MONTGOMERY COUNTY, CITY OF AMSTERDAMD) OTSEGO COUNTY, NORTH OTSEGO SERVICE AREA, TOWN OF PLAINFIELD, TOWN OF DECATURE) DELAWARE COUNTY, TOWNS OF DEPOSIT, COLCHESTER, MIDDLETOWN |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTHA MAJORITY OF THE BASSETT MEDICAL CENTER 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.THE HOSPITAL OPERATES AN EMERGENCY ROOM WHICH IS OPEN TO ALL, REGARDLESS OF ABILITY TO PAY.AS A NOT-FOR-PROFIT HOSPITAL, BASSETT MEDICAL CENTER 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.BASSETT MEDICAL CENTER HAS A PRIORITY ACTION PLAN TO PROMOTE COMMUNITY HEALTH FOR 2022 - 2024. THE TOP PRIORITIES ARE:1. BUILT AND INDOOR ENVIRONMENTS: PROMOTE HEALTH HOME AND SCHOOL ENVIRONMENTS.2. HEALTHY EATING AND FOOD SECURITY: PROVIDE ACCESS TO FOUR TYPES OF HEALTHY FOOD CROPS IN THE WINTER AND SUMMER MONTHS.3. PROMOTE WELL BEING: INCREASE HEALTH LITERACY AND HE LIKELIHOOD OF PURSUING LOCAL PARTICIPATION IN EMERGENCY SERVICES. DEMOGRAPHICS IS MIDDLE SCHOOL-AGED CHILDREN.4. PREVENT MENTAL AND SUBSTANCE USE DISORDERS: GOAL TO REDUCE THE RATE OF DRUG OVERDOSE DEATHS BY AT LEAST 20%. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEMBASSETT IS PART OF THE BASSETT HEALTHCARE NETWORK THAT PROVIDES HEALTH SERVICES IN MORE THAN 20 COMMUNITIES SPANNING 5,600 SQUARE MILES AND SEVEN COUNTIES. THE NETWORK FOCUSES ITS COMMUNITY SERVICES PROGRAMS IN THE COUNTIES WHERE THE SIX AFFILIATED HOSPITALS AND GREATEST PATIENT POPULATIONS ARE LOCATED. OTSEGO COUNTY - POPULATION 60,094, DELAWARE COUNTY - POPULATION 45,001, HERKIMER COUNTY - POPULATION 62,240, SCHOHARIE COUNTY - POPULATION 31,420 (ACCORDING TO THE 2017 U.S. CENSUS ESTIMATES).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, 21 SCHOOL BASED HEALTH CENTERS, TWO AMBULATORY SURGERY CENTERS AND A FULLY SALARIED MEDICAL STAFF IN COOPERSTOWN, OTSEGO COUNTYB) O'CONNOR HOSPITAL - CRITICAL ACCESS HOSPITAL IN DELHI, DELAWARE COUNTYC) COBLESKILL REGIONAL HOSPITAL - ACUTE CARE FACILITY IN COBLESKILL, SCHOHARIE COUNTYD) LITTLE FALLS HOSPITAL - CRITICAL ACCESS HOSPITAL IN LITTLE FALLS, HERKIMER COUNTYE) A.O. FOX MEMORIAL HOSPITAL - ACUTE CARE FACILITY IN ONEONTA, OTSEGO COUNTYF) VALLEY HEALTH SERVICES - RESIDENTIAL HEALTH CARE AND REHABILITATION FACILITYG) AT HOME CARE - CERTIFIED HOME CARE AGENCYH) FIRST COMMUNITY CARE OF BASSETT - MEDICAL SUPPLY COMPANYALL THE ABOVE (A-H) MAKE UP THE BASSETT HEALTHCARE NETWORK AND PROVIDE HEALTH SERVICES TO THIS SEVEN 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 Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 | ||||||||||||||
| PRESIDENT & CEO | $0 | $788,007 | $0 | $182,590 | $0 | $0 | $0 | $18,520 | $0 | $11,442 | $0 | $1,000,559 | $0 | $0 |
| DHANAJAI MENZIES | ||||||||||||||
| ATTENDING PHYSICIAN | $825,387 | $0 | $67,206 | $0 | $0 | $0 | $27,670 | $0 | $8,536 | $0 | $928,799 | $0 | $0 | $0 |
| MUN HONG | ||||||||||||||
| ATTENDING PHYSICIAN | $800,022 | $0 | $3,150 | $0 | $0 | $0 | $18,520 | $0 | $9,067 | $0 | $830,759 | $0 | $0 | $0 |
| ALFRED TINGER | ||||||||||||||
| ATTENDING PHYSICIAN | $774,848 | $0 | $350 | $0 | $0 | $0 | $18,520 | $0 | $8,692 | $0 | $802,410 | $0 | $0 | $0 |
| NICHOLAS HELLENTHAL | ||||||||||||||
| ATTENDING PHYSICIAN | $740,706 | $0 | $7,150 | $0 | $0 | $0 | $24,620 | $0 | $8,692 | $0 | $781,168 | $0 | $0 | $0 |
| TIMOTHY WHITAKER | ||||||||||||||
| ATTENDING PHYSICIAN | $701,437 | $0 | $17,860 | $0 | $0 | $0 | $21,570 | $0 | $7,449 | $0 | $748,316 | $0 | $0 | $0 |
| PAUL SWINKO | ||||||||||||||
| CFO | $0 | $510,238 | $0 | $131,288 | $0 | $0 | $0 | $18,520 | $0 | $3,079 | $0 | $663,125 | $0 | $0 |
| WILLAM LECATES | ||||||||||||||
| EX-OFFICIO | $263,344 | $0 | $99,686 | $0 | $0 | $0 | $23,488 | $0 | $3,778 | $0 | $390,296 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | NON-FIXED PAYMENTS PROVIDED NON-FIXED PAYMENTS ARE MADE BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE OFFICERS AND OTHER EMPLOYEES. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| 2015A SERIES ONEIDA COUNTY-LDC BOND | ||||||||
| A | 263661593 | NONEAVAIL | 2015-09-01 | $17,000,000 | RENOVATIONS - SEE PART VI | 0 | 0 | 0 |
| 2018A SERIES OTSEGO COUNTY CAPITAL RESOURCE CORP | ||||||||
| B | 263661593 | NONEAVAIL | 2018-11-09 | $60,550,000 | REFINANCE & REFUND - SEE PART VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $10,875,000 | $17,000,000 | $327,500 | $16,672,500 | 2017 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $2,235,000 | $60,550,000 | $1,145,578 | $12,585,000 | 2019 | Yes (1) | 0 | Yes (1) | Yes (1) | $31,525,000 | $15,294,422 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd |
|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | |||||||||||
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | |||
| M & T TRUST COMPANY | |||||||||||
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 10.000000000000 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1, COLUMN F | 2015A SERIES ONEIDA COUNTY - LDC BONDS RENOVATION OF OFF-CAMPUS DATA CENTER 2018A SERIES OTSEGO COUNTY - CRC BONDS FUND CAPITAL EXPENDITURE PROJECTS REFINANCE LINE OF CREDIT FOR SERIES 2011A AND 2011B BONDS REFUND SERIES 2015A BOND. SEE BELOW FOR DATES OF ISSUANCE. 2011A SERIES OTSEGO COUNTY-CR BOND - DATE ISSUED 11/3/2011 2011B SERIES OTSEGO COUNTY-CR BOND - DATE ISSUED 11/3/2011 2015A SERIES OTSEGO COUNTY-CR BOND - DATE ISSUED 8/27/2015 |
| PART III, LINE 1, PART IV, LINE 7, AND PART V | THEY DO NOT MEET THE REQUIREMENTS UNDER THE REGULATIONS TO ANSWER YES TO THESE QUESTIONS. MANAGEMENT REGULARLY REVIEWS THE HOSPITAL'S TAX-EXEMPT BOND OBLIGATIONS TO ENSURE THERE ARE NO VIOLATIONS OF FEDERAL TAX REQUIREMENTS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| THE CLARK ESTATES | |||
| PART V | $80,782 | INVESTMENT MGMT FEES | 0 |
| JANE HAMILTON | |||
| PART V | $111,242 | WAGES | 0 |
| LEE EDMONDS | |||
| PART V | $382,961 | WAGES | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V - ADDITIONAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | PART IX, LINE 1MORE THAN 35% OF THE CLARK ESTATES IS OWNED BY TRUSTEE JANE FORBES CLARKPART IV, LINE 2JANE HAMILTON IS FAMILY MEMBER OF TRUSTEE PETER HAMILTONPART IV, LINE 3LEE EDMONDS, MD IS A FAMILY MEMBER OF PRESIDENT & CEO WILLIAM LECATES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 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 THE FORM 990 THE MARY IMOGENE BASSETT HOSPITAL DISTRIBUTES THE DRAFT 990 TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES PRIOR TO FILING. ANY QUESTIONS ARE RAISED AND ANSWERED. THE AUDIT COMMITTEE RECOMMENDS, TO THE EXECUTIVE AND FINANCE COMMITTEE, TO FILE. A COMPLETE COPY OF THE ORGANIZATION'S FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES AS ULTIMATELY FILED WITH THE IRS, IS MADE AVAILABLE UPON REQUEST TO EACH MEMBER OF THE BOARD BEFORE IT'S FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ENFORCEMENT OF CONFLICTS POLICY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO THE BOARD OF TRUSTEES, INCLUDING ANY COMMITTEES OF THE BOARD, INDIVIDUAL MEMBERS OF THE BOARD, OFFICERS OF THE HOSPITAL (PRESIDENT, COO, CFO), VICE PRESIDENTS, AND ALL DIRECTORS SERVING AS DIRECTORS TEAM MEMBERS. UPON THE COMMENCEMENT OF AN INDIVIDUAL SERVING IN THE ROLES PREVIOUSLY DEFINED, AND THEREAFTER ANNUALLY BY JANUARY 1, A CONFLICT OF INTEREST QUESTIONNAIRE WHICH IS PRESCRIBED BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES MUST BE COMPLETED. ALL COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE COMPLIANCE OFFICER OF THE ORGANIZATION. ANY POTENTIAL CONFLICT OF INTEREST WILL BE DISCUSSED WITH THE INDIVIDUAL AND/OR WITH LEGAL COUNSEL. THE COMPLIANCE OFFICER WILL TAKE ACTION TO ELIMINATE THE POTENTIAL CONFLICT OF INTEREST, IF DEEMED APPROPRIATE. AFTER INVESTIGATION, IF IT IS DEEMED THAT THE INDIVIDUAL HAS FAILED TO COMPLY WITH SUCH POLICIES AND DIRECTIVES, APPROPRIATE CORRECTIVE ACTION WILL BE TAKEN. THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES MAY DETERMINE WHETHER THE CORRECTIVE ACTION IS SATISFACTORY AND, IF NOT, SHALL REQUIRE FURTHER ACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION PROCESS FOR TOP OFFICIAL THE MARY IMOGENE BASSETT HOSPITAL HAS A FORMAL PROCESS THAT IS USED TO DETERMINE THE BASE COMPENSATION OF THE PRESIDENT ON AN ANNUAL BASIS. THIS PROCESS INCLUDES A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OF TRUSTEES OR THE COMPENSATION COMMITTEE. MIBH PAYS NON-FIXED EARNINGS BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS DISCLOSURE EXPLANATION THE MARY IMOGENE BASSETT HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. PARTIES DESIRING TO OBTAIN COPIES OF SUCH MUST PRESENT THEMSELVES AT THE ADMINISTRATIVE OFFICES OF THE HOSPITAL OR BY SENDING A SELF-ADDRESSED STAMPED ENVELOPE ALONG WITH PAYMENT FOR COPYING OF THE REQUESTED MATERIAL TO THE ADMINISTRATIVE OFFICE OF THE HOSPITAL. THE COST OF COPYING SHALL BE EQUAL TO THE COSTS IMPOSED BY THE IRS FOR COPYING OF PUBLIC DOCUMENTS. |
| FORM 990, PART IX, LINE 11G | CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 93,943,986. MANAGEMENT AND GENERAL EXPENSES 3,144,335. FUNDRAISING EXPENSES 10,313. TOTAL EXPENSES 97,098,634. AGENCY: PROGRAM SERVICE EXPENSES 35,447,557. MANAGEMENT AND GENERAL EXPENSES 1,096,316. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,543,873. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF INTEREST RATE SWAPS 4,914,609. POST-RETIREMENT BENEFIT CHANGE 3,077,088. TRANSFER OF ASSETS TO FRIENDS OF BASSETT -4,155,603. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BASSETT ACCOUNTABLE CARE PARTNERS LLC | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471390327 | EIN |
| Primary Activities | HEALTHCARE QUALITY | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIBH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 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 | FUNDRAISER | NY | 501C3 | 7 | BHN | 0 |
| AO FOX MEMORIAL HOSPITAL | ||||||||||
| ONE NORTON AVENUE | ONEONTA | NY | 13820 | 150539039 | HEALTHCARE | NY | 501C3 | 3 | BHN | 0 |
| BASSETT HOSPITAL SCHOHARIE COUNTY | ||||||||||
| 178 GRANDVIEW DRIVE | COBLESKILL | NY | 12043 | 141772971 | HEALTHCARE | NY | 501C3 | 3 | BHN | 0 |
| LITTLE FALLS HOSPITAL | ||||||||||
| 140 BURWELL STREET | LITTLE FALLS | NY | 13365 | 150533578 | HEALTHCARE | NY | 501C3 | 3 | BHN | 0 |
| O'CONNOR HOSPITAL | ||||||||||
| 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 |
| TRI TOWN REGIONAL HEALTHCARE | ||||||||||
| 43 PEARL STREET | SIDNEY | NY | 13838 | 260169584 | HEALTHCARE | NY | 501C3 | 3 | BHN | 0 |
| VALLEY HEALTH SERVICES | ||||||||||
| 690 WEST GERMAN STREET | HERKIMER | NY | 13350 | 222511614 | ELDER CARE | NY | 501C3 | 3 | BRC | 0 |
| BASSETT PPS LLC | ||||||||||
| 618 STATE HIGHWAY 7 | ONEONTA | NY | 13820 | 811749905 | HEALTHCARE | NY | 501C3 | 12A | MIBH | Yes (1) |
| AT HOME CARE PARTNERS INC | ||||||||||
| 25 ELM STREET | ONEONTA | NY | 13820 | 562397098 | HEALTHCARE | NY | 501C3 | 10 | AHC INC | Yes (1) |
| AT HOME CARE INC | ||||||||||
| 25 ELM STREET | ONEONTA | NY | 13820 | 161287069 | HEALTHCARE | NY | 501C3 | 10 | BHN | 0 |
| VALLEY RESIDENTIAL SERVICES | ||||||||||
| 690 WEST GERMAN STREET | HERKIMER | NY | 13350 | 463703838 | ELDER CARE | NY | 501C3 | 10 | BHN | 0 |
| AO FOX FOUNDATION | ||||||||||
| 1 NORTON AVE | ONEONTA | NY | 13820 | 222871993 | FUNDRAISER | NY | 501C3 | LINE 9 | AO FOX | 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 |
|---|---|---|---|---|---|---|---|---|---|
| FIRST COMMUNITY CARE OF BASSETT | |||||||||
| 60 NORTHPOINT PARKWAY | AMHERST | NY | 14228 | 161504464 | HEALTHCARE | NY | N/A | 0 | 0 |
| STAMFORD PROFESSIONAL ASSOCIATES | |||||||||
| 1 NORTON AVENUE | ONEONTA | NY | 13820 | 161322304 | RENTAL | 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 |
|---|---|---|---|---|---|---|---|---|---|
| LEATHERSTOCKING PHYSICIANS PC | |||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 364864562 | HEALTHCARE SVCS | NY | N/A | C | 0 |
| CATSKILL CARE ENTERPRISES | |||||||||
| 1 NORTON AVENUE | ONEONTA | NY | 13820 | 161236590 | RETAIL PHARMACY | 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 | Yes (1) | 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 | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | 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 | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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