2020-11-13T13:07:37-06:00 2019-12-31 KPMG LLP 515 Broadway 4th Floor Albany NY 122072974 990 2019-01-01 161540394 O'Connor Hospital % O'CONNOR HOSPITAL OCON 6077460326 460 Andes Road Delhi NY 13753 SCOTT J BONDEROFF CFO 6077460326 2020-11-12 true TODD P TERESCO P00247720 5184274600 2020-11-11 199.207.253.96 14012520203185000009 2020-11-13 P 5313285F0E1D25F59368B523AF2DDFEB3B5C8477 EC4CAE4DABBF2D41825E3CF88D329D8D98EEF318 2019 2021-01-29 14:40:06Z Scott Bonderoff 460 Andes Road Delhi NY 13753 23206826 false X bassett.org/locations/oconnor-hospital X 1997 NY O'Connor Hospital is a 23 bed critical access hospital which serves the community in need of medical services without regard to their ability to pay for such services. 11 10 207 12 2202611 -968903 494617 640162 21196479 21862423 183329 330430 328011 332158 22202436 23165173 0 0 0 0 10214583 10320295 0 0 93588 11273305 12744468 21487888 23064763 714548 100410 29230749 29607734 2655453 2618210 26575296 26989524 O'connor Hospital is a 23 bed critical access hospital which serves the community in need of medical services without regard to their ability to pay for such services false false 17038241 21862423 Inpatient and Outpatient services provided to our patients resulted in: Hospitalizations: 429 Patient Days: 2,118 Clinic Visits: 14,042 Procedures: 695 96903 Community involvement has been linked to O'Connor hospital's mission and values since it first opened. We are working with our community to improve the quality of life for the people of our region. Our community services programs provide free services to persons who cannot afford to pay, who do not qualify for medicaid, and who fall within the established income guidelines. In 2019, we provided $96,603 in free care. Our doors are open 24 hours a day, 7 days a week, 365 days a year. We are proud to provide this care to our communities. Not only did we provide $96,603 in charity care, $682,768 in patient accounts were recorded as bad debt in 2019. 17135144 true true false true false false false false false false true false false false false true true false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 33 0 true 207 true true true false false false false false false false false false false false X 11 10 false false false false true true true true true false false false true true true true true true false false NY X O'CONNOR HOSPITAL 6077460326 460 ANDES ROAD DELHI NY 13753 James Peters Trustee 1.0 40.0 X 0 637101 33597 Scott Bonderoff President 24.0 16.0 X 0 245982 15329 Erin E Kingsbury Pharmacist 40.0 0.0 X 158172 0 13595 Michael Viafore Radiology 40.0 0.0 X 131103 0 6443 Andrea Barcomb Pharmacist 40.0 0.0 X 128068 0 5876 Debra J Neale Chief Nursing Officer 40.0 0.0 X 124145 0 9606 Connie Finkle Nurse Manager 40.0 0.0 X 117710 0 7111 Sue E Andrews Treasurer 5.0 55.0 X X 0 84907 4894 Bruce McKeegan Vice Chairman 1.0 0.0 X X 0 0 0 Connie Pellegrino Secretary 1.0 0.0 X X 0 0 0 Peter Hamilton Chairman 1.0 3.5 X X 0 0 0 Charlotte Hill Trustee 1.0 0.0 X 0 0 0 Dennis N Marsh Trustee (until 5/19) 1.0 0.0 X 0 0 0 Donald Harris PHD Trustee 1.0 0.0 X 0 0 0 John Jack Lynch Trustee 1.0 0.0 X 0 0 0 Michelle DeFreece Trustee 1.0 0.0 X 0 0 0 Pamela Vogt Trustee 1.0 0.0 X 0 0 0 Polly DellaCrosse Trustee 1.0 0.0 X 0 0 0 659198 967990 96451 6 false true false Alliance Healcare Service 1900 S State College Blvd Suite 60 Anaheim CA 92806 PET / CT Services 243000 Mayo Medical Laboratories 200 First Street SW Rochester MN 55903 Lab Services 149645 Medefis PO Box 5068 New York NY 10087 Agency 309289 3 106068 392463 141631 640162 Direct patient services 621990 17764486 17764486 Other program service revenue 621990 1895326 1895326 Outpatient pharmacy 446110 2202611 2202611 21862423 325480 325480 0 0 332158 332158 0 332158 332158 46603 41653 4950 4950 4950 0 0 0 0 0 0 0 0 0 0 23165173 19659812 2202611 662588 0 0 0 0 0 0 7945140 5848650 2061372 35118 321155 234011 82477 4667 1503339 1105747 391770 5822 550661 405420 142890 2351 2928952 1095464 1798488 35000 0 0 6725 6725 0 0 920225 680414 239811 251641 184154 64904 2583 67791 49127 17315 1349 0 0 335543 248100 87443 65220 48179 16981 60 0 0 33526 24789 8737 0 1252725 926243 326453 29 74710 55241 19469 Drugs and reagents 3227520 3227520 Bad debt 682768 682768 Patient care supplies 540510 540510 Charity care 96603 96603 2260009 1682204 571196 6609 23064763 17135144 5836031 93588 19178 18023 3180319 3115713 422993 775237 2509659 2762407 0 0 0 0 0 0 620464 571167 93079 86597 26326677 17003782 10000655 9322895 12303322 12871824 0 0 81080 83871 0 0 0 0 29230749 29607734 1163031 1207384 0 0 0 0 0 0 0 0 0 0 1151959 903030 340463 507796 0 0 2655453 2618210 X 26159774 26619904 415522 369620 26575296 26989524 29230749 29607734 X 100410 316609 -2791 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6725 6725 false SCHEDULE C, PART II-B, LINE 1 American Hospital Association membership dues allocate 22.32% towards lobbying activities. Total dues paid in 2019 = $12,469. HANY's membership dues allocate 17.97% towards general lobbying activities. Total dues paid in 2019 = $4,584. Iroquois Healthcare Alliance membership dues allocate 39.7% towards general lobbying activities. Total dues paid in 2019 = $7,540. 989771 989771 14938250 8250826 6687424 10168995 8752956 1416039 229661 229661 9322895 0 0 X 22699620 316609 -782162 -465553 23165173 23165173 22285392 22285392 779371 779371 23064763 SCHEDULE D, PART X FIN 48 FOOTNOTE The Hospital is a not-for-profit corporation as described in Section 501 (c)(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes pursuant to Section 501(a) of the Code. The Hospital 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 as of December 31, 2019 and 2018. SCHEDULE D, PART XI, LINE 2D BAD DEBT $(682,768) CHARITY CARE $ (96,603) UNDISTRIBUTED INTEREST IN FRIENDS OF BASSETT $ (2,791) --------------- TOTAL $(782,162) SCHEDULE D, PART XII, LINE 4B BAD DEBT $ 682,768 CHARITY CARE $ 96,603 --------------- TOTAL $ 779,371 true true true X 300. false true true true false true true 1 38 104737 30805 73931 0.00330 2097559 1776574 320985 0.01440 251423 140401 111022 0.00500 1 38 2453719 1947780 505938 0.02270 1 76552 76552 0.00340 1 4448256 4075049 373208 0.01680 194694 194694 0.00930 8 26418 26335 0.00120 10 4745920 4075049 670789 0.03070 11 38 7199639 6022829 1176727 0.05340 true 7000164 6930855 69309 X true true 1 1 O'CONNOR HOSPITAL 460 ANDES ROAD DELHI NY 13753 bassett.org/locations/oconnor-hospital 1254700C X X X X OUTPATIENT PRIMARY & SPECIALITY O'CONNOR HOSPITAL 1 false false true X X X X X X X X X X 19 true true true true X SEE SECTION C true 19 true SEE SECTION C false true X 300. 0. false true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X true X false X X X X true X false false SCHEDULE H, PART V, LINE 3J, FACILITY 1, OCONNOR HOSPITAL Continuing prior CHNA work on preventing chronic diseases, promoting mental health, and preventing substance abuse. SCHEDULE H, PART V, LINE 5, FACILITY 1, OCONNOR HOSPITAL Representatives from Delaware County Public Health, OConnor Hospital, Delaware Valley Hospital, Margaretville Hospital, and the Southern Tier Population Health Improvement Program (PHIP) met in fall of 2018 to begin discussing the next full Delaware County Community Health Assessment, Community Health Improvement Plan, and the hospital Community Service Plans, and set up a monthly meeting schedule to continue until submission of the full document in December 2019. A review and update of data in the Community Health Assessment was completed in July 2019, using county, regional and New York state secondary data sources including BRFSS, Census data, and local data sources including the Delaware County Public Health Annual Report, the Delaware County Office for Agings Annual Assessment and Report the Delaware County Community Services Annual Assessment and Plan. As a method to collect primary data from the county at large, two surveys were developed: the first was sent electronically to Delaware County health and human services providers to gain their perspectives on the Prevention Agenda Priority Areas and the associated focus areas most in need of improvement. The second survey was sent electronically to community members to identify primary strengths and weaknesses of service provision, social determinants of health in need of addressing, and general quality of health and life in the county. Preliminary findings allowed the group to: 1) understand which data sources and information would be most useful, 2) determine community partners, organizations, and other existing assessments to include in the process, 3) explore best practice activities and interventions to include in the Community Service Plan. In May of 2019, the PHIP Population Health Coordinators worked with the Delaware County committee to hold a community roundtable event at the State University of New York (SUNY) Delhi, located in Delhi NY, Delaware County. All Health and Human Services providers that received the survey were invited, as well as the community residents who provided their names and contact information electronically via the survey. The event was also promoted via email and social media communications. Hospital and Public Health representatives shared the invitation with their Boards of Directors. The roundtable event was attended by 40 people, and included a presentation on the survey data by the PHIP Coordinators. In addition, Delaware Countys Director of Public Health and the Director of Operational Support from OConnor Hospital (located in Delhi and affiliated with the Bassett Healthcare system) presented on the NY State and Federal requirements for completion of the Community Health Assessment, Community Health Improvement Plan, and the hospitals Community Service Plans. The roundtable event included breakout groups for the chosen Prevention Agenda priority areas to give attendees further opportunity to provide input on the interventions and activities to place in the next 3-year cycle. OConnor Hospital involved its Senior Operations Team (OPS) and three members of the hospital Board of Trustees in the assessment and selection of its health priorities. On May 30th, three board members and two OPS members participated in the Delaware County Health Assessment Roundtable and discussion, described above. Following the roundtable, the three board members and the OPS team met to discuss the hospitals operational strategies and available resources for addressing health priorities in Delaware County. SCHEDULE H, PART V, LINE 6A AND 6B, FACILITY 1, OCONNOR HOSPITAL Hospital Facilities UHS Delaware Valley Hospital and Margaretville Memorial Hospital Other Organizations Delaware County Public Health SCHEDULE H, PART V, LINE 7a AND 10a, FACILITY 1, OCONNOR HOSPITAL The Hospital's Community Health Needs Assessment and Implementation Strategy are made avaialble on the Hospital's website: www.bassett.org/locations/oconnor-hospital SCHEDULE H, PART V, LINE 11, FACILITY 1, O'CONNOR HOSPITAL The organization addressed significant, prioritized health needs identified in its most recently conducted CHNA by adoption of a budget for provision of services that address the needs identified in the CHNA, prioritization of health needs in its community, and prioritization of services that the hospital facility will undertake to meet health needs in its community. For needs not addressed as a collaborative, we address some as an individual organization, and also continue to reprioritize highest demand of needs. SCHEDULE H, PART V, LINE 16A, 16B, & 16C, FACILITY 1, O'CONNOR HOSPITAL The Hospital's Financial Assistance Policy, application, and plain language summary are made avaialble on the Hospital's website: https://www.bassett.org/patients-visitors/billing-insurance/financial-assi stance SCHEDULE H, 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 O'Connor Hospital's CSP/free care program. SCHEDULE H, PART I, LINE 6A RELATED ORGANIZATION INFORMATION O'Connor Hospital's comprehensive Community Service Plan is summarized in an annual report and posted on the O'Connor Hospital website, www.bassett.org/locations/oconnor-hospital. Printed copies are available to the public upon request. SCHEDULE H, PART I, LINE 7, COLUMN (F) EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE The percent of total expense in Part 1, Line 7, column (f) is calculated by dividing column (e), net community benefit expense, by total expense. The bad debt expense of $682,768 was subtracted from the total expense value used to calculate the percentages in Part 1, Line 7, Column f. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY EXPLANATION Worksheet 2 was used to develop a cost-to-charge ratio. It was used for patient care services. For non- patient care services, charges were reduced to cost for those services to non-patients where a mark-up is readily identifiable. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES All O'Connor Community Building Activities are included in Part I and described above. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENT. RATHER IT IS TREATED AS A PRICE CONCESSION. SCHEDULE H, PART III, LINE 4 FOOTNOTE 1(j) from the Audited Financial Statements Charity Care: The Hospitals general policy statement on charity care requires that medical care be rendered to all persons in need of such care regardless of their ability to pay. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, and therefore historical evidence demonstrates no payments are made by such patients, the Hospital does not report these services as revenue. The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services furnished under its charity care policy. SCHEDULE H, PART III, LINE 8 MEDICARE EXPLANATION O'Connor is a critical access hospital, so cost is calculated on the settlement sheets of the cost report. It was compared to Medicare reimbursement, which is also calculated on the cost report. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES EXPLANATION For patients or guarantors who do not qualify for financial assistance, O'Connor Hospital must undertake to ensure an adequate understanding on the part of the patients and those responsible for their care of their financial obligations to OConnor Hospital. OConnor Hospital will, in compliance with all existing laws and regulations, take the necessary steps to recover self-pay accounts receivable as well preserve the patient-provider relationship and keep the necessity of referring accounts to third party bad debt collection agencies or law firms to a minimum. It is expected that any third party collection agency or law firm retained by O'connor Hospital will refrain from any conduct that violates the Fair Debt Collection Practices Act, as well as any applicable state law or regulations. The arrest or body attachment of a judgement debtor on contempt proceedings, or foreclosure of a judgement debtor's principal residence will never be considered appropriate pursuit of an open balance in the name of OConnor Hospital. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT Following the public participation and input period the health priorities were chosen based upon the application of the following six criteria: 1. The priority area was identified in the primary information sources. 2. The priority area was consistent with the current NYS Department of Health Prevention Agenda Areas; 3. The priority area was supported by data showing health status indicators or health needs were either below the averages for New York State, contiguous counties, or averages for upstate New York 4. The priority area was identified/ recommended during the public input process. 5. The availability of resources for the hospital to commit to the priority 6. Opportunity for development of collaborative interventions by OConnor Hospital, Delaware County Public Health Department and its other community work group partners was also considered. OConnor Hospital has selected two health priorities which are also addressed in the Community Health Needs Assessment (CHNA) Implementation Strategy 2013 and 2016 reports: a. Prevent Chronic Diseases b. Promote Well-Being and Prevent Mental and Substance Use Disorders Both of these Community Service Plan priorities are from the New York State Prevention Agenda 2019-2024. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE A major component of the O'Connor Hospital 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 O'Connor employees. The policy is updated annually, distributed to key personnel and 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. 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. Patient referral to the Delaware County Medicaid Examiner is facilitated by the Finance Director at the O'Connor Hospital. 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. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION According to the 2017 United States census estimate, Delaware County, New York, has a population of 45,001 and is approximately the size of the state of Rhode Island. The county has four hospitals covering an area of 1,442.44 square miles with 33.3 people per square mile. O'Connor's service area includes the Delhi community, as well as, surrounding communities stretching from Grand Gorge, through Stamford, South Kortright, Bovina, Andes, Bloomville, Hamden and Franklin to Treadwell, and covering many hamlets in between. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH O'Connor Hospital is a critical access hospital in Delhi, New York providing a full range of acute and preventative health care services, including acute inpatient care, restorative/rehabilitative (swing bed) care, an emergency services department (where practitioners have the ability to interface with board-certified neurologists in Cooperstown and neurosurgeons in Rochester through telemedicine connections), same-day surgery, a state-of-the-art medical imaging suite, laboratory services, an outpatient pharmacy, physical and occupational therapy, dietary consultations, an Eye Wear Center, a dental clinic and a wide range of specialty services. O'Connor has served the Delhi Community since 1922 and has been affiliated with The Mary Imogene Bassett Hospital (dba Bassett Medical Center) since 1988. O'Connor is an entity of the Bassett Healthcare Network. It is governed by a 11 member Board of Trustees consisting of community volunteers. O'Connor Hospital community service programs address chronic disease management, promote well-being and mental health, and prevent substance abuse disorders. They include: 1. O'Connor Hospital provides space for diabetes, mental health and Parkinson's support groups on a monthly basis. 2. O'Connor offers fall flu shot clinics. 3. Promoted places for physical activity, hiking, paddling and biking. 4. Tracked trail use on two local hiking trails. 5. Maintained getoutandwalk.org website. 6. Encouraged municipalities to sign Complete Street policies and age-friendly structural improvements. 7. Built and maintained OConnor Hospital .5 mile Fitness Trail complete with five fitness stations and open to the community. 8. Submitted DISRIP proposal to fund a prescribing mental health provider to work in local health center. 9. Submitted grant proposal to fund provider recruitment and retention efforts in the OConnor Hospital service area. 10. Conducted performance improvement project to refer E.D. patients to mental health and substance abuse services and community resources. 11. Completed performance improvement project to increase patient referrals to care navigator program. 12. Participated in pilot drug take back program. 13. Participated in local community coalitions and committees formed to address mental health issues in the county. 14. Participated in suicide prevention coalition. 15. Supported two nurses to complete Sexual Assault Nurse Examiner training courses. 16. Completed and participated in county and regional Emergency Preparedness programs and drills. 17. Conducted performance improvement project addressing standard precautions for MRSA/ VRE of inpatients. 18. Hosted first graders for an educational program of the emergency department. 19. Sponsored community wellness events such as road races, suicide awareness activities, and EMS teaching events. O'Connor has a community board who are actively engaged in the hospital both supporting the growth and the investment in programs that bring health and wellness benefits to the community. O'Connor continually invests in programs, equipment and people to ensure high quality service is available in the community they serve. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM O'Connor Hospital 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) O'Connor Hospital, a critical access hospital in Delhi, Delaware County b) The Mary Imogene Bassett Hospital - an acute care inpatient teaching facility, an outpatient primary and specialty care center, a regional network of 34 community based outpatient health centers, 20 school based health centers, two ambulatory surgery centers, and a fully salaried medical staff in Cooperstown, Otsego County c) Cobleskill Regional Hospital, a critical access hospital in Cobleskill, Schoharie County d) Little Falls Hospital, a critical access hospital in Little Falls, Herkimer County e) A.O. Fox Hospital Tri-Town Campus, a 24/7 emergency care facility in Sidney, Delaware County f) A.O. Fox Memorial Hospital, an acute care facility in Oneonta, Otsego County g) Valley Health Services, a residential health care and rehabilitation facility h) At Home Care, a certified home care agency i) First Community Care of Bassett, a medical supply company All of the above make up the Bassett Healthcare Network and provide health services to this seven county region in central New York. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT New York false false false false false false false false false James Peters Trustee 0 610583 0 25000 0 1518 0 25484 0 8113 0 670698 0 0 Scott Bonderoff President 0 230771 0 15211 0 0 0 14034 0 1295 0 261311 0 0 Erin E Kingsbury Pharmacist 158172 0 0 0 0 0 8923 0 4672 0 171767 0 0 0 SCHEDULE J, PART I, LINE 3 RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION The Mary Imogene Bassett Hospital (dba Bassett Medical Center) provides the compensation for the Presidents of O'Connor Hospital, A.O. Fox Memorial Hospital, Cobleskill Regional Hospital, and Little Falls Hospital. Bassett Medical Center uses the following methods to establish compensation for said individuals: A) compensation committee, B) independent compensation consultant, C) written employment contract, D) compensation survey or study and, E) approval by the board or compensation committee. FORM 990, PART VI, LINE 6, 7A, AND 7B 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, OConnor Hospital, Templeton Foundation, Valley Health Services, Tri-Town Regional Hospital, 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, LINE 11B ORGANIZATIONS PROCESS TO REVIEW FORM 990 The VP of Finance, O'Connor Hospital, presents the draft 990 to the Executive and Finance Committee of the Board prior to any filing. Any member of the Board who wishes to attend this presentation may attend. Any questions raised are answered and once approved, the 990 can be electronically filed. Copies of the Tax return were distributed to each member of the audit committee prior to filing. FORM 990, PART VI, LINE 12C ENFORCEMENT OF CONFLICTS POLICY The organization's conflict of interest policy applies to the Board of Directors, board members, and key persons such as the President. Each board member, officer, or key person of the hospital shall complete a conflict of interest questionnaire annually. All completed questionnaires are reviewed and all disclosures of potential conflicts will be brought to the President. The President or his/her designee will take action to eliminate the potential conflict of interest. All disclosures of potential conflicts of interest in the completed questionnaires shall be compiled and reported by the Assistant Treasurer to the Executive and Finance Committee of the board to determine if the reported disclosure and resolution is satisfactory. If the actions taken are not satisfactory, the Executive and Finance Committee shall determine further action as it deems appropriate. FORM 990, PART VI, LINE 15A COMPENSATION PROCESS FOR TOP OFFICIAL The President's salary is paid by a related organization under a management services agreement. O'Connor Hospital reviews the formal process that is used to determine the base compensation of the President. The President's workplan and accomplishments for the year are reviewed. The President's salary is submitted as part of the management services agreement, which is approved by the board. FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION O'Connor Hospital makes its governing documents, conflict 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 O'Connor Hospital or by sending a self-addressed stamped envelope and payment for copying of the requested material to O'Connor Hospital Administrative offices. The cost of copying shall be equal to the costs imposed by the IRS for copying public documents. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS UNDISTRIBUTED INTEREST IN FRIENDS OF BASSETT $( 2,791) Bassett Healthcare Network One Atwell Road Cooperstown NY 13326 133218680 Support NY 501c3 12c None false Friends of Bassett One Atwell Road Cooperstown NY 13326 237041610 Fundraiser NY 501c3 7 BHN false AO Fox Memorial Hospital One Norton Avenue Oneonta NY 13820 150539039 Healthcare NY 501c3 3 BHN false Bassett Hospital Schoharie County 178 Grandview Drive Cobleskill NY 12043 141772971 Healthcare NY 501c3 3 BHN false Little Falls Hospital 140 Burwell Street Little Falls NY 13365 150533578 Healthcare NY 501c3 3 BHN false Mary Imogene Bassett Hospital One Atwell Road Cooperstown NY 13326 135596796 Healthcare NY 501c3 3 BHN false Templeton Foundation One Atwell Road Cooperstown NY 13326 133317084 Landlord NY 501c3 10 BHN false Valley Health Services 690 West German Street Herkimer NY 13350 222511614 Elder Care NY 501c3 3 BHN false Bassett PPS LLC 6181 State Highway 7 Oneonta NY 13820 811749905 Healthcare NY 501c3 12A MIBH false Tri Town Regional Healthcare 43 Pearl Street Sidney NY 13838 260169584 Healthcare NY 501c3 3 BHN false Valley Residential Services 690 WEST GERMAN STREET HERKIMER NY 13350 463703838 ELDER CARE NY 501C3 3 BHN false At Home Care Partners 25 ELM STREET ONEONTA NY 13820 562397098 HEALTHCARE NY 501C3 10 AHC INC false AT HOME CARE INC 25 ELM STREET ONEONTA NY 13820 161287069 HEALTHCARE NY 501C3 3 BHN false false false true false false false false false false true false true true false false false true false false