MARY IMOGENE BASSETT HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MARY IMOGENE BASSETT HOSPITAL (EIN 13-5596796)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201903199349314325
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T15:45:37-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	135596796	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mary Imogene Bassett Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% Paul Swinko	InCareOfNm
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	WILLIAM LECATES	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	6075473635	PhoneNum
Signature	2019-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TODD TERESCO	PreparerPersonNm
PTIN	P00247720	PTIN
Phone	5184274600	PhoneNum
Preparation	2019-11-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	14012520193195000016	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	61534EC9BCA1C3D89F6EB9A5054E4B493C585575	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7B5190DACD7950FB62E11B317DAE60956DD6A6E7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	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	Paul Swinko	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	$596,273,357	GrossReceiptsAmt
Group Return For Affiliates	false	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	See Schedule O	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	4440	TotalEmployeeCnt
Total Volunteers	172	TotalVolunteersCnt
Total Gross UBI	-$25,222	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$542,317	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$20,648,419	PYContributionsGrantsAmt
CY Contributions Grants	$22,797,539	CYContributionsGrantsAmt
PY Program Service Revenue	$517,460,230	PYProgramServiceRevenueAmt
CY Program Service Revenue	$531,578,476	CYProgramServiceRevenueAmt
PY Investment Income	$6,390,341	PYInvestmentIncomeAmt
CY Investment Income	$2,595,344	CYInvestmentIncomeAmt
PY Other Revenue	$2,695,075	PYOtherRevenueAmt
CY Other Revenue	$7,144,371	CYOtherRevenueAmt
PY Total Revenue	$547,194,065	PYTotalRevenueAmt
CY Total Revenue	$564,115,730	CYTotalRevenueAmt
PY Grants And Similar Paid	$45,486	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$42,722	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$313,094,486	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$325,349,964	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$580,489	CYTotalFundraisingExpenseAmt
PY Other Expenses	$229,947,953	PYOtherExpensesAmt
CY Other Expenses	$238,124,263	CYOtherExpensesAmt
PY Total Expenses	$543,087,925	PYTotalExpensesAmt
CY Total Expenses	$563,516,949	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,106,140	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$598,781	CYRevenuesLessExpensesAmt
Total Assets BOY	$425,576,557	TotalAssetsBOYAmt
Total Assets EOY	$406,104,478	TotalAssetsEOYAmt
Total Liabilities BOY	$152,362,564	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$148,742,801	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$273,213,993	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$257,361,677	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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$462,491,508	ExpenseAmt
Grant	$42,722	GrantAmt
Revenue	$531,578,476	RevenueAmt
Desc	Inpatient and Outpatient services provided to our patients resulted in: 14,285 Hospitalizations (inclusive of open heart surgeries) 54,940 Patient Days 788,979 Clinic Visits 28,378 Renal Treatments 9,996 Surgical Cases	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,490,097	ExpenseAmt
Desc	See Schedule O.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$465,981,605	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	345	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4440	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Paul Swinko	PersonNm
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 (38 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
Terry Fulmer
Board Chairman and Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Timothy Pedley
Board Chairman (Until 8/2018)	1.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
Maureen Killackey
Vice Chairman and Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Walter A Franck
Vice Chairman and Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Kevin Moore
Vice Chairman (Until 8/2018)	3.0	2.5	Yes (X)	$0	$0	$0	Yes (X)
William W Lecates
President and Trustee	40.0	0.0	Yes (X)	$590,355	$0	$32,419	Yes (X)
Vance Brown
President & CEO (Until 4/2018)	40.0	2.0	Yes (X)	$772,378	$0	$15,442	Yes (X)
William Burdick
Secretary and Trustee	8.0	2.5	Yes (X)	$0	$0	$0	Yes (X)
John Bullis
Trustee	1.0	0.5	Yes (X)	$0	$0	$0
Jane Forbes Clark
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Barbara DiCocco
Trustee (Until 8/2018)	1.0	2.5	Yes (X)	$0	$0	$0
Michael Gold
Trustee (Until 8/2018)	1.0	0.5	Yes (X)	$0	$0	$0
Peter Hamilton
Trustee	1.0	3.5	Yes (X)	$0	$0	$0
Nancy Kleniewski
Trustee (Until 8/2018)	1.0	0.0	Yes (X)	$0	$0	$0
Ralph Meyer
Trustee (Until 8/2018)	1.0	1.0	Yes (X)	$0	$0	$0
J Michael Moffat
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Maureen Murray
Trustee (Until 8/2018)	1.0	0.5	Yes (X)	$0	$0	$0
Katherine Nickerson
Trustee (Until 8/2018)	1.0	1.0	Yes (X)	$0	$0	$0
Donald Quest
Trustee	1.0	1.0	Yes (X)	$0	$0	$0
Edward Stack
Trustee	1.0	2.0	Yes (X)	$0	$0	$0
Douglas Willies
Trustee	1.0	1.5	Yes (X)	$0	$0	$0
Donald R Bordley
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Robert S Hanft
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
James K Patrick
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Richard A Polin
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Jason J Tabor
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Bruce C Vladeck
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Andrew Manzer
Exec. VP & COO (Until 8/2018)	40.0	10.0		$385,364	$0	$26,713	Yes (X)
Michael Tengeres
Exec Vice Pres. (Until 4/2018)	40.0	7.5		$147,340	$0	$6,966	Yes (X)
Sue Andrews
Finance VP & CFO	40.0	20.0		$326,328	$0	$26,471	Yes (X)
Steven Heneghan
Chief Clinic Officer	40.0	1.0		$623,755	$0	$32,469	Yes (X)
Richard Vanison
Treasurer	4.0	1.5		$0	$0	$0	Yes (X)
Ronette M Wiley
Exec VP & COO	40.0	0.0		$331,455	$0	$27,610	Yes (X)
Mark Hornyak
Attending Physician	40.0	0.0		$643,585	$0	$24,219		Yes (X)
Mun Hong
Attending Physician	40.0	0.0		$711,688	$0	$8,049		Yes (X)
Dhananjai Menzies
Attending Physician	40.0	0.0		$708,339	$0	$29,563		Yes (X)
Nicholas Hellenthal
Attending Physician	40.0	0.0		$651,905	$0	$26,049		Yes (X)
Franklin Wetzel
Attending Physician	40.0	0.0		$647,372	$0	$5,342		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,539,864	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$261,312	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	553	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Stat Staff
18 Division St Suite 311	Saratoga Springs	NY	12866	Agency	$9,907,009
Sodexo Operations
9801 Washington Blvd	Gaithersburg	MD	20760	Food Services/Housek	$3,950,356
McCarthy
1341 North Rock Hill Road	St Louis	MO	63124	Engineer	$4,101,498
Mayo Medical Laboratories
200 First Street SW	Rochester	MN	55903	Lab Services	$1,541,326
CompHealth
PO Box 972651	Dallas	TX	75397	Agency	$1,629,005

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,275,801	RelatedOrganizationsAmt
Government Grants	$7,762,371	GovernmentGrantsAmt
All Other Contributions	$13,759,367	AllOtherContributionsAmt
Total Contributions	$22,797,539	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Direct Patient Services	900099	$486,996,488	$486,996,488
Other Program Service Revenue	900099	$44,581,988	$44,581,988

Field	Value	IRS element (for citing)
Total Program Service Revenue	$531,578,476	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,256,007	TotalRevenueColumnAmt
Exclusion	$1,256,007	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$33,302,899	SecuritiesAmt
Other	$194,065	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$31,961,235	SecuritiesAmt
Other	$196,392	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,341,664	SecuritiesAmt
Other	-$2,327	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,339,337	TotalRevenueColumnAmt
Exclusion	$1,339,337	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Partnership Income	Desc
Business	900099	BusinessCd
Total Revenue Column	$7,144,371	TotalRevenueColumnAmt
Unrelated Business Revenue	-$25,222	UnrelatedBusinessRevenueAmt
Exclusion	$7,169,593	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,144,371	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$564,115,730	TotalRevenueColumnAmt
Related Or Exempt Func Income	$531,578,476	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$25,222	UnrelatedBusinessRevenueAmt
Exclusion	$9,764,937	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$42,722	TotalAmt
Program Services	$42,722	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,873,112	TotalAmt
Management And General	$3,873,112	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$674,136	TotalAmt
Management And General	$674,136	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$279,097,999	TotalAmt
Program Services	$215,324,750	ProgramServicesAmt
Management And General	$63,393,554	ManagementAndGeneralAmt
Fundraising	$379,695	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,991,565	TotalAmt
Program Services	$9,274,798	ProgramServicesAmt
Management And General	$2,700,473	ManagementAndGeneralAmt
Fundraising	$16,294	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,353,331	TotalAmt
Program Services	$9,528,138	ProgramServicesAmt
Management And General	$2,808,620	ManagementAndGeneralAmt
Fundraising	$16,573	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,359,821	TotalAmt
Program Services	$13,367,092	ProgramServicesAmt
Management And General	$3,965,022	ManagementAndGeneralAmt
Fundraising	$27,707	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$63,136	TotalAmt
Program Services	$48,693	ProgramServicesAmt
Management And General	$14,443	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$46,613,138	TotalAmt
Program Services	$35,883,492	ProgramServicesAmt
Management And General	$10,643,962	ManagementAndGeneralAmt
Fundraising	$85,684	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,721,504	TotalAmt
Program Services	$1,321,910	ProgramServicesAmt
Management And General	$392,112	ManagementAndGeneralAmt
Fundraising	$7,482	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,821,917	TotalAmt
Program Services	$12,199,849	ProgramServicesAmt
Management And General	$3,618,788	ManagementAndGeneralAmt
Fundraising	$3,280	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,453,171	TotalAmt
Program Services	$2,453,171	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,511,659	TotalAmt
Program Services	$22,411,770	ProgramServicesAmt
Management And General	$4,060,863	ManagementAndGeneralAmt
Fundraising	$39,026	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,544,456	TotalAmt
Program Services	$2,729,938	ProgramServicesAmt
Management And General	$809,770	ManagementAndGeneralAmt
Fundraising	$4,748	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Drugs and reagents	$47,078,495	$47,078,495
Patients Supplies	$40,005,651	$40,005,651
Bad Debt	$11,215,804	$11,215,804
Charity Care	$3,490,097	$3,490,097

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,605,235	TotalAmt
Program Services	$39,605,235	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$563,516,949	TotalAmt
Program Services	$465,981,605	ProgramServicesAmt
Management And General	$96,954,855	ManagementAndGeneralAmt
Fundraising	$580,489	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,989,845	BOYAmt
EOY	$2,785,992	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,472,030	BOYAmt
EOY	$17,708,997	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$55,858,898	BOYAmt
EOY	$51,709,738	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	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,743,800	BOYAmt
EOY	$6,556,059	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,276,218	BOYAmt
EOY	$3,785,137	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$532,532,302	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$342,960,576	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$198,896,156	BOYAmt
EOY	$189,571,726	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$55,848,998	BOYAmt
EOY	$53,637,491	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$81,751,665	BOYAmt
EOY	$76,866,954	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	$3,738,947	BOYAmt
EOY	$3,482,384	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$425,576,557	BOYAmt
EOY	$406,104,478	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$65,305,850	BOYAmt
EOY	$67,778,786	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	$63,785,544	BOYAmt
EOY	$62,532,072	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	$17,761,305	BOYAmt
EOY	$9,641,302	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	$5,509,865	BOYAmt
EOY	$8,790,641	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$152,362,564	BOYAmt
EOY	$148,742,801	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$197,888,017	BOYAmt
EOY	$182,474,979	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$75,325,976	BOYAmt
EOY	$74,886,698	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$273,213,993	BOYAmt
EOY	$257,361,677	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$425,576,557	BOYAmt
EOY	$406,104,478	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$598,781	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$15,899,790	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$551,307	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$63,136	OtherActivitiesAmt
Total Lobbying Expenditures	$63,136	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	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 22.73% of dues towards general lobbying activities. Total dues paid for the year were $45,504. HANYS allocates 17.51% of dues towards general lobbying activities. Total dues paid for the year were $200,692. Iroquois Healthcare Alliance allocates 39.30% of dues towards general lobbying activities. Total dues paid for the year were $44,914. The Clark Estates conducts lobbying activities on behalf 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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,455,785	BeginningYearBalanceAmt
Contributions	$167,839	ContributionsAmt
End Year Balance	$14,623,624	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,404,447	BeginningYearBalanceAmt
Contributions	$51,338	ContributionsAmt
End Year Balance	$14,455,785	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,398,341	BeginningYearBalanceAmt
Contributions	$6,106	ContributionsAmt
End Year Balance	$14,404,447	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,363,039	BeginningYearBalanceAmt
Contributions	$35,302	ContributionsAmt
End Year Balance	$14,398,341	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,881,510	BeginningYearBalanceAmt
Contributions	$481,529	ContributionsAmt
End Year Balance	$14,363,039	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	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	$238,961,099	OtherCostOrOtherBasisAmt
Depreciation	$145,282,300	DepreciationAmt
Book Value	$93,678,799	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$273,579,619	OtherCostOrOtherBasisAmt
Depreciation	$197,678,276	DepreciationAmt
Book Value	$75,901,343	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,901,728	OtherCostOrOtherBasisAmt
Book Value	$18,901,728	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$189,571,726	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
LP - CORPORATE BONDS & NOTES	$3,787,865	C
LP - LARGE CAP EQUITIES	$3,893,646	C
LP - DIVERSIFIED EQUITIES	$57,137,148	C
LP - OTHER LIMITED PARTNERSHIP	$12,048,295	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$76,866,954	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ADVANCED FUNDS FOR DSRIP	Desc
Amt	$8,790,641	Amt

Field	Value	IRS element (for citing)
Total Liability	$8,790,641	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$532,958,732	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$15,899,790	NetUnrealizedGainsInvstAmt
Other Revenue	-$15,257,208	OtherRevenueAmt
Revenue Not Reported	-$31,156,998	RevenueNotReportedAmt
Revenue Subtotal	$564,115,730	RevenueSubtotalAmt
Total Revenue Per Form990	$564,115,730	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$548,811,048	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$548,811,048	ExpensesSubtotalAmt
Other Expenses Not Included	$14,705,901	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$14,705,901	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$563,516,949	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 D, PART X	FIN 48 FOOTNOTE The Hospital is a not-for-profit corporation as described in Section 501 (c)(3) of the IRC and is exempt from federal income taxes pursuant to Section 501(a) of the IRC. 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.
SCHEDULE D, PART XI, LINE 2D	POST-RETIREMENT BENEFIT CHANGE $ 1,753,433 CHANGE IN INTEREST AT FRIENDS OF BASSETT $ (293,043) BAD DEBT $(11,215,804) CHARITY CARE $ (3,490,097) CHANGE IN VALUE OF INTEREST RATE SWAPS $ (2,011,697) ---------------- TOTAL $(15,257,208)
SCHEDULE D, PART XII, LINE 4B	BAD DEBT $ 11,215,804 CHARITY CARE $ 3,490,097 ---------------- TOTAL $ 14,705,901

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,698,915	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$358,950	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,339,965	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,801,737	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,892,592	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,909,145	NetCommunityBenefitExpnsAmt
Total Expense	0.01810	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,500,652	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,251,542	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,249,110	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,433	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,433	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,970,309	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,068,687	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,901,622	NetCommunityBenefitExpnsAmt
Total Expense	0.04170	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,511,279	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,366,957	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,144,322	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$159,762	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$159,762	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,692,783	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,435,644	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,257,139	NetCommunityBenefitExpnsAmt
Total Expense	0.04600	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,193,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,687,186	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,506,249	NetCommunityBenefitExpnsAmt
Total Expense	0.07020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$125,878,819	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$121,865,736	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,013,083	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	At Home Care Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Home Health Agency	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5	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	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	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 (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	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 (true)	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, LINE 5, FACILITY 1, MARY IMOGENE BASSETT HOSPITAL	This Community Health Needs Assessment has taken into account input from persons who represent the broad interests of the community served by Bassett Medical Center. All organizations providing input into this assessment, including the name and title of those individuals representative of the organization, is provided below. This included input from individuals with expertise in public health, specifically Heidi Bond, Director of the Otsego County Health Department. a) Heidi Bond, Director at Otsego county Public Health b) Lorrie Arcuri, Workplace Wellness Consultant with Excellus BCBS c) Keith McCarty, Health & Ed Committee with Otsego Cty Representative d) Frances Wright, Director at Otsego County Office for Aging e) Laurie Neander, CEO with At Home Care, Inc. f) Jeanette Weldon, Director of Childcare with The Brookwood School g) Patricia Knuth, Executive Director at ARC Otsego h) Chris Kjolhede MD, Director at Bassett School-Based Health i) Andrew Marietta, Rep & businessman - Otsego Cty Representative j) Dana Plank, Nurse Educator with Hartwick College k) Matt Hazzard, Executive Director with Cooperstown Chamber of Commerce l) Patricia Kennedy, CEO at Springbrook m) Karen Huxtable-Hooker, Director Public & Media Relations at Bassett Medical Center n) Gerald Groff MD, Fox Trustee & Chief of Medical Insurance Following a review of data from Bassett Medical Center's, A.O. Fox Memorial Hospital's, and Otsego County Health Department's 2016 joint Community Health Needs Assessment (CHNA) and the key informant survey, Bassett Medical Center, A.O. Fox Memorial Hospital, and Otsego County Health Department will collaborate on the New York State Prevention Agenda priority of Prevent Chronic Diseases' focus area of "reduce illness, disability and death related to tobacco use and secondhand smoke exposure" will be the second priority and focus area and remains a priority area for Bassett Medical Center and A.O. Fox Memorial Hospital. This priority area replaces Otsego County Health Department's priority area of Promote Mental Health and Prevent Substance Abuse's "promote mental, emotional, and behavioral well-being in communities." Bassett Medical Center, A.O. Fox Memorial Hospital, and Otsego County Health Department engaged stakeholders to work with them on the 2013 priorities and stakeholders will be engaged for the 2016 priorities. These stakeholders, along with other individuals and organizations focused on the health of the community had an opportunity to participate in an online key informant survey for Bassett Medical Center's, A.O. Fox Memorial's and Otsego County Health Department's 2016 joint CHNA. As a result of the online key informant stakeholder survey, participants selected Promote Mental Health and Substance Abuse with a focus on "promoting MED and preventing substance abusePrevent Chronic Diseases with a focus on "obesity in adults and children, preventing diabetes and related risk factors and preventing heart disease" as their top priorities and focus areas. In order to address the combined focus area of "increase access to high quality chronic disease preventive care and management in both clinical and community settings", Bassett Medical Center, A.O. Fox Memorial Hospital, and Otsego County Health Department will promote evidence-based care to manage chronic diseases which addresses the community's concern about diabetes and heart disease. For the "reduce illness, disability and death related to tobacco use and secondhand smoke exposure" Bassett Medical Center, Otsego County Health Department, and A.O. Fox Memorial Hospital will promote tobacco use cessation, especially among low socio-economic status populations and those with poor mental health, which coincides with Leatherstocking Collaborative Health Partners (LCHP), Domain 4 Population health priority of "Tobacco Cessation". Bassett Medical Center, A.O. Fox Memorial Hospital, and Otsego County Health Department will utilize the recommended process measures listed in the Prevention Agenda action plan to track progress of all priorities and focus areas. Yearly progress towards those measures will be included on the Bassett Healthcare Network's and Otsego County Health Department's websites.
SCHEDULE H, PART V, LINE 6A, FACILITY 1, MARY IMOGENE BASSETT HOSPITAL	O'Connor Hospital, AO Fox Memorial Hospital, Cobleskill Regional Hospital, Little Falls Hospital, Tri Town Regional Healthcare SCHEDULE H, PART VI, LINE 6B OTSEGO COUNTY HEALTH DEPARTMENT
SCHEDULE H, PART V, LINE 7a and 10a, FACILITY 1, MARY IMOGENE BASSETT HOSP	The Hospital's Community Health Needs Assessment and Implementation Strategy are made avaialble on the Hospital's website: https://www.bassett.org/medical/locations/hospitals/bassett-medical-center
SCHEDULE H, PART V, LINE 11, FACILITY 1, MARY IMOGENE BASSETT 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 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. 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, MARY IMOGENE BASSETT	The Hospital's Financial Assistance Policy, application, and plain language summary are made avaialble on the Hospital's website: www.bassett.org/medical/patients-visitors/billing-insurance/financial-assi stance/plain-language-summary-pls

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
Bassett Healthcare Physical Therapy
124 County Road 52	Cooperstown	NY	13326	Outpatient physical therapy services
Bassett Healthcare Hamilton Surgical
10 Eaton Street	Hamilton	NY	13346	Outpatient specialty care
Bassett Healthcare Herkimer Cardiac
690 West German Street	Herkimer	NY	13350	Outpatient rehab services
Bassett Healthcare Clinton
34 Chenango Avenue	Clinton	NY	13323	Outpatient primary care
Bassett Healthcare Canajoharie
56 Montgomery Street	Canajoharie	NY	13317	Outpatient primary care
Bassett Healthcare Cobleskill
121 Legion Drive	Cobleskill	NY	12043	Outpatient primary care
Bassett Healthcare Delanson
1 Cooley Heights	Delanson	NY	12053	Outpatient primary care
Bassett Healthcare Delhi
460 Andes Road	Delhi	NY	13753	Outpatient primary care and dental
Bassett Healthcare Edmeston
Route 80 PO Box 15	Edmeston	NY	13335	Outpatient primary care
Bassett Healthcare Hamilton
160 Broad Street	Hamilton	NY	13346	Outpatient primary care and dental
Bassett Healthcare Herkimer
321 East Albany Street	Herkimer	NY	13350	Outpatient prime, specialty, urgent care
Bassett Healthcare Middleburgh
109 Baker Avenue	Middleburgh	NY	12122	Outpatient primary care
Bassett Healthcare Morris
93 Main Street	Morris	NY	13808	Outpatient specialty care
Bassett Healthcare Oneonta Surgical
449 Main Street	Oneonta	NY	13820	Outpatient specialty care
Bassett Healthcare Norwich
55 Calvary Drive	Norwich	NY	13815	Outpatient primary care
Bassett Healthcare Oneonta
125 Main Street	Oneonta	NY	13820	Outpatient primary care
Bassett Healthcare Oneonta Specialty
One Associate Drive	Oneonta	NY	13820	Outpatient prime, specialty, urgent care
Bassett Healthcare Richfield Springs
8550 State Highway 28	Richfield Springs	NY	13439	Outpatient primary care
Bassett Healthcare Schoharie
111 Barton Hill Road	Schoharie	NY	12157	Outpatient primary care
Bassett Healthcare Sharon Springs
Route 20 PO Box 275	Sharon Springs	NY	13459	Outpatient primary care
Bassett Healthcare Sherburne
20 Chapel Street	Sherburne	NY	13460	Outpatient primary care
Bassett Healthcare Sidney
39 Pearl Street	Sidney	NY	13838	Outpatient primary care
Bassett Healthcare St Johnsville
8 Park Place	St Johnsville	NY	13452	Outpatient primary care
Bassett Healthcare Stamford
28650 State Highway 23	Stamford	NY	12167	Outpatient primary care
Bassett Healthcare Walton
130 North Street	Walton	NY	13856	Outpatient primary care
Bassett Healthcare West Winfield
544 East Main Street	West Winfield	NY	13491	Outpatient primary care
Bassett Healthcare at FoxCare
1 Foxcare Drive	Oneonta	NY	13820	Outpatient primary care
Bassett Healthcare at Little Falls
170 Burwell Street	Little Falls	NY	13365	Outpatient primary care and specialty care
Bassett Healthcare Unadilla
16 Clifton Street	Unadilla	NY	13849	Outpatient primary care
Bassett Regional Cancer Center
7 Associate Drive	Oneonta	NY	13820	Outpatient specialty care
Hartwick Seminary Specialty Services
4580 Route 28	Milford	NY	13807	Outpatient primary and specialty care
Bassett Healthcare Andes
245 Lower Main St	Andes	NY	13731	Outpatient primary care
Bassett Healthcare Greene
29 N Chenango St Ste A	Greene	NY	13778	Outpatient primary care
Bassett Family Medicine Oneonta
739 NYS Rte 28 Ste 9	Oneonta	NY	13820	Outpatient primary care
SBHC - Cooperstown Elementary
21 Walnut Street	Cooperstown	NY	13326	Outpatient primary care
SBHC - Cooperstown Middle and High
39 Linden Avenue	Cooperstown	NY	13326	Outpatient primary care
SBHC - Delhi Elementary
2 Sheldon Drive	Delhi	NY	13753	Outpatient primary care
SBHC - Delhi Middle and High
2 Sheldon Drive	Delhi	NY	13753	Outpatient primary care
SBHC - Edmeston Central School
11 North Street	Edmeston	NY	13335	Outpatient primary care
SBHC - Laurens Central School
55 Main Street	Laurens	NY	13796	Outpatient primary care
SBHC - Middleburgh Elementary
245-I Main Street	Middleburgh	NY	12122	Outpatient primary care
SBHC - Middleburgh Middle and High
291 Main Street	Middleburgh	NY	12122	Outpatient primary care
SBHC - Milford Central School
42 West Main Street	Milford	NY	13807	Outpatient primary care
SBHC - Morris Central School
65 Main Street	Morris	NY	13808	Outpatient primary care
SBHC - Oral Health Mobile Program
One Atwell Road	Cooperstown	NY	13326	Outpatient primary care
SBHC - Schenevus Central School
159 Main Street	Schenevus	NY	12155	Outpatient primary care
SBHC - SherburneEarlville Elementary
13 School Street	Sherburne	NY	13460	Outpatient primary care
SBHC - SherburneEarlville Mdle & High
13 School Street	Sherburne	NY	13460	Outpatient primary care
SBHC - Sidney Central School
95 West Main Street	Sidney	NY	13838	Outpatient primary care
SBHC - South Kortright Central
PO Box 113	South Kortright	NY	13842	Outpatient primary care
SBHC - Stamford Central School
One River Street	Stamford	NY	12167	Outpatient primary care
SBHC - Unadilla Valley Central
PO Box F 4238 State Highway 8	New Berlin	NY	13411	Outpatient primary care
SBHC - Worcester Central School
195 Main Street	Worcester	NY	12197	Outpatient primary care
SBHC - Richfield Springs Central
93 Main Street	Richfield Springs	NY	13439	Outpatient primary care
SBHC - Springbrook
105 Campus Drive	Oneonta	NY	13820	Outpatient primary care
Bassett Healthcare Oneida
2031 Dreamcatcher Plaza Rte 5	Oneida	NY	13421	Outpatient primary care

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 Bassett Medical Center's CSP/free care program.
SCHEDULE H, 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
SCHEDULE H, PART I, LINE 7, COLUMN (F)	EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE The percent of total expense is calculated by dividing column (e), net community benefit expense, by total expense. The bad debt expense of $11,215,804 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 Sections (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.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES All Bassett Community Building Activities could be classified under item 1 and highlighted in number 1 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. PLEASE SEE THE FOLLOWING AUDITED FINANCIAL STATEMENT FOOTNOTE WHICH DESCRIBES THIS PRONOUNCEMENT. RECENT ACCOUNTING PRONOUNCEMENTS - FOOTNOTE 2(m)(ii) from the Audited Financial Statements (ii) Revenue from contracts with customers Adoption of ASC 606 Upon adoption, the majority of what is currently classified as provision for uncollectible accounts and presented as a reduction to net patient service revenue on the statements of operations and changes in net assets is treated as a price concession that reduces the transaction price, which is reported as net patient service revenue. During 2018 and 2017, the Hospital incurred $11,215,804 and $13,760,199 in provisions for uncollectible accounts, respectively.
SCHEDULE H, PART III, LINE 3	BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE The cost-to-charge ratio was used to reduce Bad Debt charges to cost. The ratio of approved applications to total applications for financial assistance was applied to the Bad Debt cost to estimate amount presumed eligible, had patients completed the application process. 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. The Hospitals charity care policy was revised effective January 1, 2016 to be compliant with Internal Revenue Code (IRC) Section 501(r).
SCHEDULE H, PART III, LINE 4	Charity Care FOOTNOTE 2(h) from the Audited Financial Statements 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. The Hospitals charity care policy was revised effective January 1, 2016 to be compliant with Internal Revenue Code (IRC) Section 501(r). Internal Revenue Code (IRC) Section 501(r).
SCHEDULE H, PART III, LINE 8	MEDICARE EXPLANATION Amounts were derived as follows: charge times cost to charge ratio versus reimbursement on the medicare PS&R report.
SCHEDULE H, PART III, LINE 9B	COLLECTION PRACTICES EXPLANATION It is Mary Imogene Bassett Hospitals policy to delay final collection efforts while an application is in process under the hospitals financial assistance policy. Collection efforts are not initiated until the final determination of eligibility under the financial assistance policy.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT In addition to public and agency input, a variety of data from the NYS Department of Health, Otsego County Behavioral Risk Factor Surveillance System, Otsego Co. Department of Health Community Assessment and other sources were used to assess priorities, including: a) Percentage of Otsego Co. adults who visited a dentist in the past years b) Prevalence of tooth decay in third-grade children c) Percentage of adults reporting binge drinking d) Heavy drinking e) Percentage of overweight adults in Otsego Co. Based on the outcomes of the focus groups and strategic planning sessions prevention agenda priorities throughout the county were identified. Access to quality healthcare and mental health & substance abuse were identified as the top priorities. Physical activity and nutrition was ranked third. Subsequent strategic planning sessions related to the two top priorities were held to identify service barriers and gaps as well as brainstorm for collaborative efforts to address these priorities. Strategies for the selected priorities: 1) Access to dental health care a. Bassett will support Otsego Co. Dept. of Health efforts to re-establish the Otsego Co. Oral Health Coalition as a mechanism for bringing community partners together on advocacy efforts aimed at attracting more dentists to our rural area, and for tracking progress in improving access to dental services b. Bassett will work to expand comprehensive preventive dental health services to all School-Based Health Centers in the county and to provide sealant services to non-SBHC schools. Bassett will work with the Otsego Co. Dept. of Health and Rural Health Education Network of Delaware, Otsego, Montgomery (RHENDOMS) to make more schools aware of RHENDOMS services to increase participation c. Bassett will work with the Otsego Co. Dept. of Health and A.O. Fox Hospital to educate primary care and SBHC providers about dental practices available for referral. The Otsego Co. Dept. of Health will educate dental providers about Medicaid reimbursements d. Bassett will work with the health department and other community partners to educate the public about dental health in fairs and other community events. 2) Mental Health and Substance Abuse a. In a new initiative, Bassett will work with A.O. Fox Hospital and Leatherstocking Education on Alcoholism/Addictions Foundations, Inc. (LEAF) to provide continuing medical education training on substance abuse screening and referral to primary care providers and surgeons in the county b. Bassett will work with the health department and LEAF to complete and distribute an updated list of mental health and substance abuse resources to primary care providers c. Bassett will collaborate with LEAF and the health department on public health campaign about the risk factors associated with binge drinking and prescription drug abuse 3) Physical Activity and Nutrition a. Bassett will continue to collaborate with the health department and other community partners on efforts to provide early education about the importance of physical activity and nutrition throughout life, including during pregnancy and to prevent chronic disease b. Bassett will work with the health department, schools, and other community partners to improve continuity of care between families, schools, and primary care providers for the treatment of childhood obesity Overall goals will be to increase the percentage of Otsego County adults who have seen a dentist in the past year, work toward a 2013 prevention agenda objective of 83%, reducing the rate of alcohol abuse in Otsego County and reducing the rate of obesity in Otsego County.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE A 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.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION The 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 income ranges between $43,000 and $48,000. 13-18 % of the community residents have incomes below the federal poverty guidelines. The following areas have been federally designated as being medically underserved: A) Herkimer County B) Fulton County, town of Oppenheim C) Montgomery County, city of Amsterdam D) Otsego County, North Otsego service area, town of Plainfield, town of Decatur E) Delaware County, towns of Deposit, Colchester, Middletown
SCHEDULE, H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH Bassett's sole member is Bassett Healthcare Network and is a 180 bed acute care inpatient teaching facility located in rural Cooperstown, New York. Bassett has a fully salaried medical staff and advanced practitioner staff providing a wide variety of services, including a wide range of specialty care. Bassett maintains a strong academic program through its affiliation with Columbia University College of Physicians and Surgeons, an affiliation highlighted by the establishment of a Columbia medical school campus at Bassett in 2009. Bassett has a network of 34 community based outpatient health centers, 20 school-based health centers; two ambulatory surgery centers and is a Level II Trauma Center as designated by New York State. In addition, the research programs at Bassett include the New York Center for Agricultural Medicine and Health Community based partnerships as part of the Northeast Center for Agricultural Health are addressing important health and safety issues in diverse agricultural populations at several sites across New York state. Health Works Occupational Health Services program continues to meet the health, safety and wellness needs of the business community. Providing needed occupational health services benefits and improving employee health throughout the Bassett Healthcare Network seven county region. Bassett is working to re-establish the Otsego County Oral Health Coalition as a mechanism for bringing community partners together around a shared vision in an effort to attract more dentists to our rural area. The size and depth of Bassett with its more than two dozen community health centers and 20 school based health centers makes it ideal for a new initiative to train primary care practitioners and surgeons in substance abuse screening and referral. The goal is to also train practitioners outside Bassett hospital, but Bassett provides the ideal platform from which to pilot this initiative. Bassett is also addressing the rate of obesity within its region reaching out to schools to provide resources, guidance and technical assistance in the areas of tobacco use, nutrition and physical activity. Bassett continues to combine health care with community service. Our program "Connecting Communities for Health & Wellness" is about collaborative efforts to provide treatment and/or to promote health and healing as a response to identified community needs. Community health improvement initiatives have targeted the New York State Department of Health new Public Health Prevention Agenda. In addition to hospital public health programs related to the three priority prevention agenda items, programs addressing chronic disease management and prevention and unintentional injury were considered. Bassett public health programs that address these areas include: A. School-Based Health center Dental sealant program - A registered dental hygienist provides preventive care, including education, cleanings, fluoride treatment, sealant and referrals in this grant funded program B. RHENDOMS (Rural Health Education Network of Delaware, Otsego, Montgomery and Schoharie Counties) - Dental health education is offered to elementary school students, and parents of newborns are educated about baby-bottle tooth decay C. Parent HANY book - This family resource was created by the Otsego Co. Committee on Child Abuse and Neglect and underwritten by Bassett and A.O. Fox Hospital. Its goal is to give parents and professionals a place to turn for help in dealing with the stresses of family life D. KickStart - a program designed to help combat childhood obesity through collaborative partnerships with Bassett health centers and local recreational and fitness groups E. Bassett Cancer Institute Medical Screening Coach - a new, custom-built medical coach equipped with digital technology for mammography and other cancer screenings for men and women.The coach was placed in service in 2008 with the goal of reducing the number of cancer deaths by increasing access to screening services in rural areas F. Cancer Services Program of Delaware, Otsego and Schoharie Counties a New York State Department of Health partnership administered through Bassett offering free breast, cervical and colorectal screenings to people who qualify G. Healthy Start Breakfast - a partnership between community service organizations and Bassett for diabetes detection, education, and prevention H. Safe Kids Coalition of Otsego County - An organization whose mission is to prevent unintentional injuries to children through education. Programs and services include safety seat events, educational resources on bicycling, in-line skate and skateboard safety, home safety, fire and burn prevention, road safety and pedestrian safety The regional primary and specialty care clinics and the school-based health centers were established in response to community need. Bassett is continually engaging in quality improvement initiatives to ensure that quality health care and programs are brought to central New York. A core part of Bassett is research and education. Bassett's value to the communities it serves is compounded by providing physicians the ability to practice quality medicine in a collegial environment in a rural setting. There is a tremendous collaboration between physicians within Bassett to ensure a better outcome for the patient. Bassett continually invests in programs, equipment and people to ensure quality service to the communities in which we serve.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM Bassett 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, 20 school based health centers, two ambulatory surgery centers and a fully salaried medical staff in Cooperstown, Otsego County b) O'Connor Hospital - critical access hospital in Delhi, Delaware County c) Cobleskill Regional Hospital - acute care facility in Cobleskill, Schoharie County d) Little Falls Hospital - critical access hospital in Little Falls, Herkimer County e) Tri-Town Regional Hospital - 24/7 emergency care facility in Sidney, Delaware County f) A.O. Fox Memorial Hospital - acute care facility in Oneonta, Otsego County g) Valley Health Services - residential health care and rehabilitation facility h) At Home Care - certified home care agency i) First Community Care of Bassett - medical supply company All the above (a-i) 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	American Heart Association	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 50075	AddressLine1Txt
City	Prescott	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	863045075	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	135613797	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$42,722	CashGrantAmt
Valuation Method Used	Cash	ValuationMethodUsedDesc
Purpose Of Grant	Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH I PART I LINE 2	FormAndLineReferenceDesc
Explanation	Mary Imogene Bassett Hospital limits grants and other support to prominent organizations that also have health care related activities. These grants are general purpose grants that may be used by the recipient organization to further their mission and do not require any monitoring after the grant is paid.	ExplanationTxt

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 (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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
William W Lecates
President and Trustee	$590,355	$0	$0	$0	$0	$0	$22,364	$0	$10,055	$0	$622,774	$0	$0	$0
Vance Brown
President & CEO (Until 4/2018)	$272,378	$0	$0	$0	$500,000	$0	$13,662	$0	$1,780	$0	$787,820	$0	$0	$0
Andrew Manzer
Exec. VP & COO (Until 8/2018)	$370,369	$0	$14,995	$0	$0	$0	$16,864	$0	$9,849	$0	$412,077	$0	$0	$0
Michael Tengeres
Exec Vice Pres. (Until 4/2018)	$147,340	$0	$0	$0	$0	$0	$6,246	$0	$720	$0	$154,306	$0	$0	$0
Sue Andrews
Finance VP & CFO	$326,328	$0	$0	$0	$0	$0	$21,402	$0	$5,069	$0	$352,799	$0	$0	$0
Steven Heneghan
Chief Clinic Officer	$623,755	$0	$0	$0	$0	$0	$25,114	$0	$7,355	$0	$656,224	$0	$0	$0
Ronette M Wiley
Exec VP & COO	$331,455	$0	$0	$0	$0	$0	$22,364	$0	$5,246	$0	$359,065	$0	$0	$0
Mark Hornyak
Attending Physician	$642,985	$0	$600	$0	$0	$0	$16,864	$0	$7,355	$0	$667,804	$0	$0	$0
Mun Hong
Attending Physician	$628,355	$0	$83,333	$0	$0	$0	$0	$0	$8,049	$0	$719,737	$0	$0	$0
Dhananjai Menzies
Attending Physician	$708,339	$0	$0	$0	$0	$0	$22,364	$0	$7,199	$0	$737,902	$0	$0	$0
Nicholas Hellenthal
Attending Physician	$621,405	$0	$30,500	$0	$0	$0	$19,614	$0	$6,435	$0	$677,954	$0	$0	$0
Franklin Wetzel
Attending Physician	$597,372	$0	$50,000	$0	$0	$0	$0	$0	$5,342	$0	$652,714	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENTS Vance Brown, President & CEO (until 4/2018) received a severance payment of $500,000 from the organization during the tax year. This payment is included in the total reported on Schedule J, Part II, Column B(iii).
SCHEDULE J, PART I, LINE 7	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.

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	000000000	2015-09-01	$17,000,000	Renovations - see Part VI	false	false	false
2018A Series Otsego County Capital Resource Corp
B	263661593	000000000	2018-11-09	$60,550,000	Refinance & Refund - see Part Vi	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$2,555,000	$0	$17,000,000	$0	$0	$0	$327,500	$0	$0	$16,672,500	$0	$0	2017	false	false	Yes (true)	Yes (true)
B	$0	$0	$60,550,000	$0	$0	$0	$1,145,578	$0	$31,525,000	$0	$15,294,422	$12,585,000		Yes (true)	false	false	Yes (true)

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	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd
A	false	false	false	false	0	false	false	false	false
B	false	false	Yes (true)	false	0	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	Yes (true)	Yes (true)	false	false	0	false	false
M&T Trust Company
B	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	false	10.	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1, Column F	2015A Series Oneida County - CDC 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 II, Line 3, Column B	2018A Series Otsego County - CRC Bonds $12,585,000 in proceeds from the issuance will be drawn down during 2019. Therefore, the ending balance of the bond as reflected on the 2018 financial statements of the Hospital is $47,905,000 even though total proceeds are $60,550,000.
Part III, Line 1, Part IV, Line 7, and Part V	The Mary Imogene Bassett Hospital had written procedures in place but they do not meet the requirements under the regulations to answer yes to these questions. Management is working to update these written policies to comply with the regulations. Management regularly reviews the Hospitals tax-exempt bond obligations to ensure there are no violations of federal tax requirements.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
The Clark Estates
Part V	$149,982	Investment mgmt fees	false
Jane Hamilton
Part V	$111,907	Wages	false
Lauren Brown
Part V	$26,406	Wages	false
Patrick Franck
Part V	$139,579	Wages	false
Lee Edmonds MD
Part V	$307,809	Wages	false
Margaret Buchanan
Part V	$28,623	Wages	false
Hannah Kinzelmann
Part V	$59,812	Wages	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V ADDITIONAL INFORMATION	FormAndLineReferenceDesc
Explanation	Part IX, Line 1 More than 35% of The Clark Estates is owned by trustee Jane Forbes Clark Part IV, Line 2 Jane Hamilton is family member of trustee Peter Hamilton Part IV, Line 3 Lauren Brown is a family member of President & CEO - Vance Brown, M.D. Part IV, Line 4 Patrick Franck is a family member of trustee Walter Franck. Part IV, Line 5 Lee Edmonds, MD is a family member of President & CEO William LeCates. Part IV, Line 6 Margaret Buchanan is a family member of trustee Maureen Murray. Part IV, Line 7 Hannah Kinzelmann is a family member of Executive VP & COO Ronette Wiley.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	ORGANIZATION'S 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. FORM 990, PART III, LINE 4B Community involvement has been linked to Bassetts 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 2018 we provided $3,490,097 in free care. Bassetts 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. FORM 990, PART VI, LINE 2 RELATED PARTY INFORMATION AMONG OFFICERS Kevin S Moore & William T Burdick - BUSINESS Kevin S Moore & Jane Forbes Clark - BUSINESS Kevin S Moore & Richard C Vanison - BUSINESS Kevin S Moore & Ed Stack - BUSINESS William T Burdick & Jane Forbes Clark - BUSINESS William T Burdick & Richard C Vanison - BUSINESS Jane Forbes Clark & Richard C Vanison - BUSINESS FORM 990, PART VI, LINES 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. 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 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 its filed with the IRS.
FORM 990, PART VI, 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 (CEO, 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, LINE 15A COMPENSATION PROCESS FOR TOP OFFICIAL The Mary Imogene Bassett Hospital has a formal process that is used to determine the base compensation of the CEO 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, LINE 15B	COMPENSATION PROCESS FOR TOP OFFICIAL The same formal process noted above (Part VI, Section B, line 15a), is used to determine the base compensation of the other officers. Non-fixed earnings of other officers are based on the success in meeting performance criteria and comparative market data. For key employees, compensation is delegated by the board to the discretion of the officers.
FORM 990, PART VI, 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 XI, LINE 9	OTHER CHANGES IN NET ASSETS POST-RETIREMENT BENEFIT CHANGE $ 1,753,433 CHANGE IN INTEREST AT FRIENDS OF BASSETT $ (293,043) CHANGE IN VALUE OF INTEREST RATE SWAPS $ (2,011,697) ---------------- TOTAL $ (551,307)
FORM 990, PART I, LINE 7B	FORM 990, PART I, LINE 7B UNRELATED BUSINESS TAXABLE INCOME THE HOSPITAL'S UNRELATED BUSINESS TAXABLE INCOME FOR TAX YEAR 2018 INCLUDED $684,907 IN EXPENSES INCURRED TO PROVIDE EMPLOYEE SHUTTLES. UNDER INTERNAL REVENUE CODE SECTION 512(A)(7), SUCH EXPENSES ARE INCLUDED IN UNRELATED BUSINESS TAXABLE INCOME AS AMOUNTS PAID FOR DISALLOWED FRINGES AND ARE THEREFORE RELFECTED IN PART I, LINE 7B. PART I, LINE 7A INCLUDES ONLY REVENUES REPORTED ON PART VIII, COLUMN (c) AS UNRELATED BUSINESS REVENUE.

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	HLTHCARE QUAL	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 (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Bassett Healthcare Network
One Atwell Road	Cooperstown	NY	13326	133218680	Support	NY	501c3	12c	NONE	false
Bassett Regional Corporation (BRC)
One Atwell Road	Cooperstown	NY	13326	133522783	Support	NY	501c3	N/A	BHN	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
O'Connor Hospital
460 Andes Road	Delhi	NY	13753	161540394	Healthcare	NY	501c3	3	BHN	false
Templeton Foundation
One Atwell Road	Cooperstown	NY	13326	133317084	Landlord	NY	501c3	10	BHN	false
Tri Town Regional Healthcare
43 Pearl Street	Sidney	NY	13838	260169584	Healthcare	NY	501c3	3	BHN	false
Valley Health Services
690 West German Street	Herkimer	NY	13350	222511614	Elder Care	NY	501c3	3	BRC	false
Bassett PPS LLC
618 State Highway 7	Oneonta	NY	13820	811749905	Healthcare	NY	501c3	12A	MIBH	Yes (true)
At Home Incorporated
25 Elm Street	Oneonta	NY	13820	161287069	HOMECARE	NY	501(C)(3)	10	MIBH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Leatherstocking Physicians PC	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	364864562	EIN
Primary Activities	HEALTHCARE SVCS	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd