LITTLE FALLS HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
LITTLE FALLS HOSPITAL (EIN 15-0533578)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-13
IRS object ID
202503179349306795
Schema version
2024v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-13T14:53:15+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1515 Broadway 4th FloorAddressLine1Txt
CityAlbanyCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12207ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN150533578EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Little Falls HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLITTBusinessNameControlTxt
Phone3158231000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 BURWELL STREETAddressLine1Txt
CityLITTLE FALLSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13365ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTACI THOMPSONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Signature2025-11-13SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGENEVA FURLANOPreparerPersonNm
PTINP01877392PTIN
Phone5184274600PhoneNum
Preparation2025-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1STACI THOMPSONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 BURWELL STREETAddressLine1Txt
CityLITTLE FALLSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13365ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$60,055,904GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BASSETT.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1893FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionIMPROVING THE HEALTH OF OUR PATIENTS AND THE WELL-BEING OF OUR COMMUNITITES.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee267TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,333,436PYContributionsGrantsAmt
CY Contributions Grants$1,938,753CYContributionsGrantsAmt
PY Program Service Revenue$48,191,518PYProgramServiceRevenueAmt
CY Program Service Revenue$56,500,794CYProgramServiceRevenueAmt
PY Investment Income$276,516PYInvestmentIncomeAmt
CY Investment Income$1,014,383CYInvestmentIncomeAmt
PY Other Revenue$550,150PYOtherRevenueAmt
CY Other Revenue$596,822CYOtherRevenueAmt
PY Total Revenue$50,351,620PYTotalRevenueAmt
CY Total Revenue$60,050,752CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,117,691PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,427,882CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$62,754CYTotalFundraisingExpenseAmt
PY Other Expenses$29,832,281PYOtherExpensesAmt
CY Other Expenses$31,739,876CYOtherExpensesAmt
PY Total Expenses$47,949,972PYTotalExpensesAmt
CY Total Expenses$52,167,758CYTotalExpensesAmt
PY Revenues Less Expenses$2,401,648PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,882,994CYRevenuesLessExpensesAmt
Total Assets BOY$47,291,684TotalAssetsBOYAmt
Total Assets EOY$55,525,999TotalAssetsEOYAmt
Total Liabilities BOY$6,765,983TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,970,007TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$40,525,701NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$49,555,992NetAssetsOrFundBalancesEOYAmt
MissionIMPROVING THE HEALTH OF OUR PATIENTS AND THE WELL-BEING OF OUR COMMUNITITES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$33,245,383ExpenseAmt
Revenue$46,853,627RevenueAmt
DescLITTLE FALLS HOSPITAL OPERATES AN EMERGENCY DEPARTMENT WITH TWENTY FOUR HOURS OF PHYSICIAN COVERAGE, SEVEN DAYS PER WEEK. THE EMERGENCY DEPARTMENT PROVIDED ACCESS TO CARE FOR APPROXIMATELY 17,000 PATIENTS IN 2024. LITTLE FALLS HOSPITAL EXPANDED THE EMERGENCY DEPARTMENT PARTICIPATED IN A NYS MEDICAID ACCELERATED EXCHANGE (MAX) PROGRAM TO REDUCE AVOIDABLE VISITS TO AN EMERGENCY DEPARTMENT. IN ADDITION A PARTNERSHIP WITH SALVATION ARMY AND THEIR COMMUNITY "PATHWAY TO HOPE" PROGRAM WAS FORMALIZED TO ASSIST IN PATIENT CARE MANAGMENT ACTIVITIES. THESE SERVCIES EMBEDDED IN OUR EMERGENCY ROOM PROVIDES ASSITANCE FOR PATIENTS TO MAKE MEDICAL APPOINTMENTS, OBTAIN INSURANCE COVERAGE, OR APPLY FOR COMMUNITY ASSISTANCE PROGRAMS. TOTAL AMBULATORY OUTPATIENT SERVICE VISITS WERE APPROXIMATELY 26,000 IN 2024. OUR AMBULATORY SERVICES INCLUDE REHAB / WELLNESS PROGRAM, AMBULATORY SURGERY / GI SERVICES, WOMENS IMAGING SERVICE, DIAGNOSTIC IMAGING SERVICES, RURAL HEALTH CLINIC PRIMARY CARE SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$8,968,421ExpenseAmt
Revenue$9,858,154RevenueAmt
DescINPATIENT SERVICES 74% OCCUPANCY FOR AN AVERAGE DAILY INPATIENT DAILY CENSUS OF 17 PATIENTS. AS A CRITICAL ACCESS HOSPITAL (CAH) PROVIDER, OUR INPATIENT DAILY SERVICES INCLUDE; OBSERVATION CARE, EXTENDED SWINGBED REHAB SERVICES, AND ACUTE CARE SERVICES. THIS DIVERSITY OF PATIENT CARE ALLOWS FOR OUR RESIDENTS TO REMAIN LOCAL FOR MEDICALLY APPROPRIATE SERVICES. IN 2024, ACUTE CARE LENGTH OF STAY WAS 3.9 DAYS COMPARED WITH 4.33 IN 2023.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$42,213,804TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document34IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee267EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRAIG FAERBERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3158235281PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 BURWELL STREETAddressLine1Txt
CityLITTLE FALLSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13326ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Anthony DeLuca
First Vice Chairman2.00Yes (X)Yes (X)$0$0$0
Christine Reynolds
Third Vice Chair2.00Yes (X)Yes (X)$0$0$0
David Casullo
Chairman2.00Yes (X)Yes (X)$0$0$0
Gerard Snyder
Secretary2.00Yes (X)Yes (X)$0$0$0
Justin Hummel
Second Vice Chariman2.00Yes (X)Yes (X)$0$0$0
Laura Powers
Fourth Vice Chair2.00Yes (X)Yes (X)$0$0$0
Timothy Daly
Treasurer2.00Yes (X)Yes (X)$0$0$0
Joseph Sellers MD
Board Member (Thru 3/24)2.042.0Yes (X)$0$43,536$746
Kathleen Sellers MD
Board Member (Thru 3/24)2.00Yes (X)$0$0$0
Phyllis Spinner
Board Member2.00Yes (X)$0$0$0
Carlton Rule MD
VP Medical Director2.040.0Yes (X)$0$394,999$33,330
Craig Faerber
Interim Network CFO2.056.0Yes (X)$0$524,460$0
David Almeleh
President of Medical Staff2.040.0Yes (X)$0$288,729$17,209
Eula Ramroop
VP of Operations (Thru 10/24)40.00Yes (X)$200,133$0$13,349
Jim Vielkind
VP of Finance2.042.0Yes (X)$0$239,992$16,175
Staci Thompson
Network President CEO (As of 4/24)2.052.0Yes (X)$0$866,810$12,117
Susan Oakes-Ferrucci
President2.042.0Yes (X)$0$294,938$18,014
Diane Dicob
RN II - Acute Care40.00$201,270$0$5,867Yes (X)
Heidi Camardello
Director Nursing Operations LFH40.02.0$171,121$0$7,406Yes (X)
Jodi Pollitt
Admin Suprv Nursing (As of 10/24)40.00$170,468$0$5,969Yes (X)
Loreen Shepardson
Supervising Pharmacist40.00$164,802$0$8,885Yes (X)
Sabrina Rouse
RN II - Acute Care40.00$174,694$0$12,748Yes (X)
Tommy Ibrahim MD
Former President0.00.0$0$411,723$12,888Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,082,488TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,065,187TotReportableCompRltdOrgAmt
Total Other Compensation$164,703TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K55IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCCARTHY
12851 MANCHESTER RDST LOUISMO63131CONSTRUCTION MANAGEMENT$997,357
MORRISON MANAGEMENT SPECIALISTS
5801 PEACHTREE DUNWOODIE RDATLANTAGA30342NUTRITIONAL SERVICES$564,697
MAYO MEDICAL LABORATORIES
3050 SUPERIOR DR NWROCHESTERMN55905LAB SERVICES$285,701
E4H-ENVIRONMENTS FOR HEALTH
185 TALCOTT RDWILLISTONVT05495ARCHITECTURE AND INTERIOR DESIGN$244,552
POSTLER & JAECKLE
615 SOUTH AVEROCHESTERNY14620MECHANICAL CONTRACTING$194,592
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$81,590RelatedOrganizationsAmt
Government Grants$1,843,292GovernmentGrantsAmt
All Other Contributions$13,871AllOtherContributionsAmt
Total Contributions$1,938,753TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL OUTPATIENT623000$46,202,395$46,202,395
HOSPITAL INPATIENT621910$9,858,154$9,858,154
340B Revenue900099$306,588$306,588
HOSPITAL CAFETERIA900099$133,657$133,657

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$56,500,794TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,019,535TotalRevenueColumnAmt
Exclusion$1,019,535ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$385,835RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$385,835RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$385,835TotalRevenueColumnAmt
Exclusion$385,835ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,152OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$5,152OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,152TotalRevenueColumnAmt
Exclusion-$5,152ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Total Revenue Column$210,987TotalRevenueColumnAmt
Related Or Exempt Func Income$210,987RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$210,987OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,050,752TotalRevenueColumnAmt
Related Or Exempt Func Income$56,711,781RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,400,218ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$213,482TotalAmt
Program Services$213,482ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,267,755TotalAmt
Program Services$15,742,210ProgramServicesAmt
Management And General$1,470,106ManagementAndGeneralAmt
Fundraising$55,439FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$208,456TotalAmt
Program Services$188,788ProgramServicesAmt
Management And General$19,668ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,548,911TotalAmt
Program Services$1,413,638ProgramServicesAmt
Management And General$132,028ManagementAndGeneralAmt
Fundraising$3,245FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,189,278TotalAmt
Program Services$1,083,822ProgramServicesAmt
Management And General$105,456ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,425,698TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,425,698ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$338TotalAmt
Program Services$0ProgramServicesAmt
Management And General$338ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,885TotalAmt
Program Services$0ProgramServicesAmt
Management And General$25,885ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$10,836TotalAmt
Program Services$0ProgramServicesAmt
Management And General$10,836ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,143,316TotalAmt
Program Services$12,859,029ProgramServicesAmt
Management And General$4,280,217ManagementAndGeneralAmt
Fundraising$4,070FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$282TotalAmt
Management And General$282ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$335,762TotalAmt
Program Services$104,866ProgramServicesAmt
Management And General$230,896ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,522,639TotalAmt
Program Services$1,458,908ProgramServicesAmt
Management And General$63,731ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$26,226TotalAmt
Program Services$25,326ProgramServicesAmt
Management And General$900ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,415TotalAmt
Management And General$7,415ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,902,898TotalAmt
Program Services$1,902,898ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$466,302TotalAmt
Program Services$348,558ProgramServicesAmt
Management And General$117,744ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DRUGS AND REAGENTS$2,480,338$2,480,338
BAD DEBT$2,274,264$2,274,264
PATIENT CARE SUPPLIES$1,501,025$1,501,025
CHARITY CARE$415,559$415,559

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$201,093TotalAmt
Program Services$201,093ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$52,167,758TotalAmt
Program Services$42,213,804ProgramServicesAmt
Management And General$9,891,200ManagementAndGeneralAmt
Fundraising$62,754FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,217,562BOYAmt
EOY$2,931,827EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$153,486BOYAmt
EOY$61,778EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,207,401BOYAmt
EOY$525,956EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,359,741BOYAmt
EOY$5,665,394EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$614,214BOYAmt
EOY$612,700EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$172,082BOYAmt
EOY$162,577EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,440,628LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,107,212LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,766,528BOYAmt
EOY$11,333,416EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,586,712BOYAmt
EOY$8,127,280EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,213,958BOYAmt
EOY$26,105,071EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$47,291,684BOYAmt
EOY$55,525,999EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,171,149BOYAmt
EOY$2,513,596EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,923,073BOYAmt
EOY$2,293,291EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,671,761BOYAmt
EOY$1,163,120EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,765,983BOYAmt
EOY$5,970,007EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,563,987BOYAmt
EOY$41,745,156EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,961,714BOYAmt
EOY$7,810,836EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,525,701BOYAmt
EOY$49,555,992EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,291,684BOYAmt
EOY$55,525,999EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,882,994ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$211,972NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$935,325OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$10,836OtherActivitiesAmt
Total Lobbying Expenditures$10,836TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationSchedule C, Part II-B, Line 1 - AMOUNTS FOR GENERAL LOBBYING ACTIVITIES ARE $10,836 COMPRISED FROM THE HEALTHCARE ASSOCIATION MEMBERSHIPS AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION 39% OF DUES PAID OF $16,947; IROQUOIS HEALTHCARE ALLIANCE 50% OF DUES PAID OF $8,454.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,009,279BeginningYearBalanceAmt
Contributions$366,035ContributionsAmt
Investment Earnings Or Losses$3,919,323InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,500GrantsOrScholarshipsAmt
Administrative Expenses$165,857AdministrativeExpensesAmt
End Year Balance$8,127,280EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,741,724BeginningYearBalanceAmt
Contributions$70,834ContributionsAmt
Investment Earnings Or Losses-$111,214InvestmentEarningsOrLossesAmt
Grants Or Scholarships$418,033GrantsOrScholarshipsAmt
Other Expenditures$1,274,032OtherExpendituresAmt
End Year Balance$4,009,279EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,935,027BeginningYearBalanceAmt
Contributions$5,366ContributionsAmt
Investment Earnings Or Losses-$194,169InvestmentEarningsOrLossesAmt
Grants Or Scholarships$4,500GrantsOrScholarshipsAmt
End Year Balance$5,741,724EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,709,293BeginningYearBalanceAmt
Contributions$16,952ContributionsAmt
Investment Earnings Or Losses$204,782InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$4,000GrantsOrScholarshipsAmt
End Year Balance$5,935,027EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,742,017BeginningYearBalanceAmt
Contributions$75,000ContributionsAmt
Investment Earnings Or Losses-$117,041InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$84,317GrantsOrScholarshipsAmt
Other Expenditures$75,000OtherExpendituresAmt
End Year Balance$5,709,293EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$399,942OtherCostOrOtherBasisAmt
Book Value$399,942BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,200,064OtherCostOrOtherBasisAmt
Depreciation$25,065,473DepreciationAmt
Book Value$7,134,591BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$428,013OtherCostOrOtherBasisAmt
Depreciation$380,561DepreciationAmt
Book Value$47,452BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,858,515OtherCostOrOtherBasisAmt
Depreciation$11,661,178DepreciationAmt
Book Value$2,197,337BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,554,094OtherCostOrOtherBasisAmt
Book Value$1,554,094BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,333,416TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$25,329,611
OPERATING LEASE - RIGHT OF USE$672,127
ACCRUED PENSION ASSET
OTHER ASSETS$103,333
FieldValueIRS element (for citing)
Total Book Value Other Assets$26,105,071TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Federal Income Taxes
LEASE LIABILITY - OPERATING$667,965
LEASE LIABILITY - FINANCING$495,155
FieldValueIRS element (for citing)
Total Liability$1,163,120TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 1c Prior Period AdjustmentAn adjustment to the beginning of year balance of $3,203,382 in included in addition to the $715,941 of investment earnings reported.
Schedule D, Part V, Line 4 Intended uses of endowment fundsENDOWMENT FUNDS DISTRIBUTE INCOME FOR PURPOSES OF CAPITAL INVESTMENT. TEMPORARY ENDOWMENTS ARE USED BASED ON THE INTENT OF THE DONATION, WHICH IS TYPICALLY FOR CAPITAL INVESTMENTS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFIN 48 FOOTNOTE LITTLE FALLS HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BASSETT HEALTHCARE NETWORK (THE NETWORK). THE TEXT OF THE FIN 48 FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS IS AS FOLLOWS: THE NETWORK'S VARIOUS SUBSIDIARIES GENERALLY CONSIST OF NOT-FOR-PROFIT CORPORATIONS ORGANIZED IN ACCORDANCE WITH SECTION 501(C)(3) OF THE IRC AND THEREFORE ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. THE NETWORK RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES OR UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED. FOR TAXABLE SUBSIDIARIES OR INVESTMENTS, INCLUDING CCE, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES OF TEMPORARY DIFFERENCES BY APPLYING ENACTED STATUTORY TAX RATES APPLICABLE TO FUTURE YEARS FOR THE DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENTS AND TAX BASIS OF EXISTING ASSETS AND LIABILITIES. SUCH DEFERRED TAX ASSETS AND LIABILITIES WERE NOT MATERIAL AS OF DECEMBER 31, 2024 AND 2023.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$269,238TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,473DirectOffsettingRevenueAmt
Net Community Benefit Expns$235,765NetCommunityBenefitExpnsAmt
Total Expense0.00452TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$269,238TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,473DirectOffsettingRevenueAmt
Net Community Benefit Expns$235,765NetCommunityBenefitExpnsAmt
Total Expense0.00452TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$359,646TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$127,968DirectOffsettingRevenueAmt
Net Community Benefit Expns$231,678NetCommunityBenefitExpnsAmt
Total Expense0.00444TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$359,646TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$127,968DirectOffsettingRevenueAmt
Net Community Benefit Expns$231,678NetCommunityBenefitExpnsAmt
Total Expense0.00444TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$628,884TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$161,441DirectOffsettingRevenueAmt
Net Community Benefit Expns$467,443NetCommunityBenefitExpnsAmt
Total Expense0.00896TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Reimbursed By Medicare$9,148,498ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,877,088CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$271,410MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LITTLE FALLS HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 BURWELL STREETAddressLine1Txt
CityLITTLE FALLSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13365ZIPCd
FieldValueIRS element (for citing)
Website AddressBASSETT.ORGWebsiteAddressTxt
State License2129700HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherINCLUDES 25 INPATIENT BEDSOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LITTLE FALLS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.BASSETT.ORG/LOCATIONS/LITTLE-FALLS-HOSPITALOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.BASSETT.ORG/LOCATIONS/LITTLE-FALLS-HOSPITALStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - LITTLE FALLS HOSPITAL:. THE BASSETT HEALTHCARE NETWORK (BHN) COLLABORATED WITH HERKIMER COUNTY PUBLIC HEALTH (HCPH) AND LITTLE FALLS HOSPITAL TO DEVELOP THE COMMUNITY HEALTH NEEDS ASSESSMENT/ COMMUNITY HEALTH ASSESSMENT IN ADDITION TO THE COMMUNITY SERVICE PLAN/COMMUNITY HEALTH IMPROVEMENT PLAN. THIS DOCUMENT IS A COLLECTION OF DATA FROM VARIOUS SOURCES, INCLUDING FEDERAL AND STATE DATABASES AND SURVEYS COLLECTED FROM COMMUNITY MEMBERS AND COMMUNITY SERVICE ORGANIZATIONS. THE SURVEYS, COMMUNITY ENGAGEMENT AND STAKEHOLDER ENGAGEMENT, WERE OFFERED ELECTRONICALLY DURING THE DATES OF JUNE 29, 2022 TO AUGUST 6, 2022. INFORMATION COLLECTED REFLECTS THE CURRENT COUNTY STATUS AND PROBLEMS RELATED TO SIGNIFICANT HEALTH NEEDS OR SOCIAL DETERMINANTS OF HEALTH (SDOH). IN ADDITION TO THE SURVEYS, AN IN-PERSON FOCUS GROUP WAS CONDUCTED IN THE OLD FORGE LIBRARY ON JULY 19, 2022, WHERE THE SURVEY WAS A FOCUS OF DISCUSSION. BHN AND HCPH ALSO PRESENTED TO THE TOWN BOARD OF REPRESENTATIVES IN PERSON ON SEPTEMBER 23, 2022, OFFERING AN OVERVIEW OF DATA AND LISTENING TO FEEDBACK ON ADDITIONAL CONCERNS FROM THE LOCAL GOVERNMENT'S PERSPECTIVE. AFTER THE COLLECTION OF DATA WAS COMPLETE, THE COLLABORATION OF PARTNERS HELD A STAKEHOLDER FOCUS GROUP TO DISCUSS POTENTIAL INTERVENTIONS AND DECIDE WHAT AREAS SHOULD BE ADDRESSED IN THIS NYS PREVENTION AGENDA CYCLE 2022-2024. THE STAKEHOLDER FOCUS GROUP WAS HELD THROUGH ZOOM ON SEPTEMBER 12, 2022. BASED ON THE KEY INFORMATION COLLECTED, PRIORITIES WERE DEFINED, AND INTERVENTIONS DEVELOPED.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - LITTLE FALLS HOSPITAL:. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS DEVELOPED AS PART OF A MULTI-HOSPITAL PLANNING PROCESS IN COORDINATION WITH BASSETT HEALTHCARE RESEARCH, BASSETT HEALTHCARE NETWORK, AND BASSETT MEDICAL CENTER AND LITTLE FALLS HOSPITAL. LEAD COMMUNITY AGENCY WAS HERKIMER COUNTY PUBLIC HEALTH.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - LITTLE FALLS HOSPITAL:. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED COMMUNITY ORGANIZATIONS SUCH AS: HERKIMER COUNTY PUBLIC HEALTH, HERKIMER COUNTY INTEGRATED COUNTY PLANNING, BASSETT MEDICAL CENTER AND LEATHERSTOCKING COLLABORATIVE HEALTH PARTNERS.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - LITTLE FALLS HOSPITAL:. THE LITTLE FALLS HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WORKING WITH COMMUNITY STAKEHOLDERS HAS DETERMINED THE PRIORITY AREA OF PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. THE FOCUS AREAS ARE TO PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. GOAL 1 IS TO STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN. THE TARGET DEMOGRAPHIC IS MIDDLE SCHOOL-AGED FEMALES. THE INTERVENTION IS TO HOLD A SUMMER DAY CAMP TARGETING FEMALES IN 6TH, 7TH, AND 8TH GRADE TO GIVE EXPOSURE TO EMERGENCY SERVICES CAREERS. BASSETT HEALTHCARE NETWORK, LITTLE FALLS HOSPITAL, AND HERKIMER COUNTY PUBLIC HEALTH WILL PARTNER WITH LOCAL ORGANIZATIONS IN THE AREAS OF POLICE, FIRE, EMS, 911 DISPATCH, LIFE FLIGHT, SEARCH AND RESCUE, AND EMERGENCY ROOMS TO PROVIDE HANDS-ON EXPERIENCE IN THESE FIELDS. PARTICIPANTS WILL WALK AWAY WITH: - INCREASED HEALTH LITERACY - EXPOSURE TO VOLUNTEER OPPORTUNITIES - EXPOSURE TO EMERGENCY SERVICE CAREERS - TRAINING IN CPR, FIRST AID, AND AED USE GOAL 2 IS TO PREVENT AND ADDRESS ADVERSE CHILDHOOD EXPERIENCES WITH A TARGET POPULATION OF PEDIATRICS. THE INTERVENTION IS TO CREATE A COMMUNITY PEDIATRIC MENTAL HEALTH CLINIC IN THE ILION CHILDREN CENTER TO INCREASE ACCESS TO MENTAL HEALTH SERVICES AND REDUCE THE IMPACT OF ACE'S (ADVERSE CHILDHOOD EXPERIENCES). GOAL 3 IS TO REDUCE RACIAL, ETHNIC, ECONOMIC AND GEOGRAPHIC DISPARITIES IN MATERNAL AND CHILD HEALTH OUTCOMES AND PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD HEALTH POPULATIONS. THE INTERVENTION IS TO USE REFERRAL WORKFLOW, IF GIVEN PERMISSION BY THE PATIENT, THE NAME, DUE DATE AND PHONE NUMBER OF PREGNANT WOMEN WILL BE SENT TO THE HERKIMER COUNTY PUBLIC HEALTH PRIOR TO DELIVERY. HCPH WILL CONTACT THOSE PATIENTS TO OFFER THE VARIOUS PROGRAMS THEY HAVE TO SUPPORT NEW MOTHERS AND INFANTS. GOAL 4 IF TO PROMOTE HEALTHY HOME AND SCHOOL ENVIRONMENTS. THE INTERVENTION IS TO HOLD SKILL-BUILDING CLASSES IN HOME MAINTENANCE AND UPKEEP; THE CAPSTONE OF THE CLASS IS TO PERFORM MAINTENANCE AND UPKEEP ON THE HOME OF AN ELDERLY INDIVIDUAL. THE ORGANIZATION ADDRESSED SIGNIFICANT, PRIORITIZED HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY, AND PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY. FOR NEEDS NOT ADDRESSED AS A COLLABORATIVE, WE ADDRESS SOME AS AN INDIVIDUAL ORGANIZATION AND ALSO CONTINUE TO REPRIORITIZE HIGHEST DEMAND.
Schedule H, Part V, Section B, Line 20 Facility , 1Facility , 1 - LITTLE FALLS HOSPITAL:. LITTLE FALLS HOSPITAL PROVIDED MAILING INFORMATION TO UNINSURED PATIENTS FOR ENROLLING IN AN AFFORDABLE CARE ACT INSURANCE PRODUCT SPONSORED BY THE NYS HEALTH MARKETPLACE. LITTLE FALLS HOSPITAL ALSO ASSISTED PATIENTS WITH THE COMPLETION OF APPLICATIONS FOR ENROLLMENT INTO NYS MARKETPLACE PLANS.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
DOLGEVILLE HEALTH CENTER
36 SLAWSON STREETDOLGEVILLENY13329CLINIC
NEWPORT HEALTH CENTER
BRIDGE STREETNEWPORTNY13416CLINIC
LITTLE FALLS HEALTH CENTER
170 BURWELL STREETLITTLE FALLSNY13365CLINIC
RICHFIELD SPRINGS HEALTH CENTER
8550 STATE HIGHWAY 28RICHFIELD SPRINGSNY13439CLINIC
WEST WINFIELD HEALTH CENTER
544 E MAIN STREETWEST WINFIELDNY13491CLINIC
ST JOHNSVILLE HEALTH CENTER
8 PARK PLACEST JOHNSVILLENY13452CLINIC

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7b LINE 7B UNREIMBURSED MEDICAIDDURING 2024, THE HOSPITAL'S UNREIMBURSED MEDICAID WAS WHOLLY OFFSET BY DIRECTED PAYMENT TEMPLATE (DPT) FUNDS RECEIVED THROUGH NEW YORK STATE'S HOSPITAL VITAL ACCESS PROVIDER ASSURANCE PROGRAM.
Schedule H, Part I, Line 7fLITTLE FALLS HOSPITAL EXCLUDED $2,274,264 OF BAD DEBT EXPENSE TO CALCULATE COST OF PATIENT CARE. BAD DEBT IS REPORTED AS A FUNCTIONAL PROGRAM EXPENSE.
Schedule H, Part I, Line 6aLITTLE FALLS HOSPITAL HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE PERIOD OF 2022 - 2024 IS COORDINATED WITH BASSETT HEALTHCARE NETWORK AND HERKIMER COUNTY PUBLIC HEALTH. THE REPORT IS AVAILABLE TO THE PUBLIC AT HTTPS://WWW.BASSETT.ORG/LOCATIONS/LITTLE-FALLS-HOSPITAL.
Schedule H, Part I, Line 3c OTHER CRITERA FOR FREE OR DISCOUNTED CAREUnderinsured is defined by NYS for FPL purposes as anyone who has insurance and is between 0-400% FPL. Underinsured individuals are required to show they have spent 10% of their annual income on eligible medical expenses. Uninsured patients automatically qualify if they are between 0-400% FPL. Patients are eligible for financial assistance through the hospital's program for emergency services for residents of New York State, and for all other services, if they reside within the hospital's primary service area.
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationBASSETT HEALTHCARE NETWORK
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceCOST FOR CHARITY CARE PATIENTS WAS CALCULATED USING RATIO OF COST TO CHARGES. COST ASSOCIATED WITH MEDICAID AND MEDICAID HMO PROGRAMS REPRESENTS AGGREGATE ALLOWABLE COST AND TOTAL GROSS CHARGES USED TO CALCULATE A FACILITY LEVEL COST TO CHARGE RATIO. THIS FACILITY LEVEL COST TO CHARGE RATIO WAS APPLIED TO TOTAL MEDICAID AND MEDICAID HMO CHARGES TO ARRIVE AT TOTAL MEDICAID COST. FOR SUBSIDIZED HEALTH SERVICES, THE LOSS DOES NOT INCLUDE GOVERNEMENT PAYERS LOSS INFORMATION IS REPORTED IN AGGREGATE AMOUNTS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBAD 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 STATEMENTS. RATHER IT IS TREATED AS A NON-VOLUNTARY PRICE CONCESSION. THE BAD DEBT EXPENSE FOR 2024 WAS $2,274,264.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteCHARITY CARE FOOTNOTE (3) FROM THE CONSOLIDATED FINANCIALS THE COST OF CHARITY CARE PROVIDED IS DETERMINED BASED ON THE APPLICATION OF A COST TO GROSS CHARGE RATIO TO THE TOTAL CHARITY CARE CHARGES FOREGONE. INCLUDED IN NET PATIENT SERVICE REVENUE ARE AMOUNTS PAID INTO AND RECEIVED FROM STATEWIDE UNCOMPENSATED CARE POOLS. THESE UNCOMPENSATED CARE POOLS ARE DESIGNED TO HELP OFFSET THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID SERVICES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceOUR COLLECTION AND CHARITY CARE POLICY SPECIFIES THAT ACCOUNTS WITH ACTIVE CHARITY CARE APPLICATIONS WILL NOT GO TO COLLECTION AGENCIES WHILE APPLICATIONS ARE IN REVIEW. WHILE A REQUEST FOR CHARITY CARE ASSISTANCE IS IN PROCESS, THESE ACCOUNTS ARE PLACED ON HOLD IN OUR BILLING SYSTEM. WE COMMUNICATE INFORMATION ON REQUIREMENTS FOR ASSISTANCE AND WILL COUNSEL PATIENTS ON PROVIDING THE INCOME INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE USING 300% OF THE FEDERAL POVERTY INCOME GUIDELINES. (NOTE: OUR CHARITY CARE PROGRAM IS FOR THE UNINSURED PATIENT.)
Schedule H, Part V, Section B, Line 16a FAP website- LITTLE FALLS HOSPITAL: Line 16a URL: WWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website- LITTLE FALLS HOSPITAL: Line 16b URL: WWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- LITTLE FALLS HOSPITAL: Line 16c URL: WWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessmentIN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), A VARIETY OF DATA ARE USED REGULARLY TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY SERVED BY LITTLE FALLS HOSPITAL, INCLUDING DATA FROM PATIENT SATISFACTION SURVEYS, THE NYS DEPARTMENT OF HEALTH, AND THE NYS PREVENTION AGENDA, WHICH IDENTIFIED PRIORITY HEALTH INDICATORS TO BE USED BY NYS HOSPITALS, PROVIDERS, AND COUNTY HEALTH DEPARTMENTS IN ASSESSING AND SETTING LOCAL/REGIONAL PRIORITIES. THE PREVENTION AGENDA ALSO IDENTIFIES A COMMON SET OF HEALTHCARE PRIORITIES FROM WHICH HOSPITALS AND COUNTY HEALTH DEPARTMENTS IN NEW YORK STATE ARE EXPECTED TO CHOOSE WHEN DEVELOPING IMPLEMENTATION STRATEGIES FOR ADDRESSING COMMUNITY HEALTHCARE NEEDS. LITTLE FALLS HOSPITAL CONTRACTS WITH PRESS GANEY TO OBTAIN BENCHMARKING DATA ON PATIENT SATISFACTION IN ORDER TO ASSESS HOW THE HOSPITAL IS PERCEIVED TO BE MEETING PATIENT NEEDS. DATA FROM ONGOING MAIL SURVEYS CARRIED OUT AMONG A STATISTICALLY SIGNIFICANT RANDOM SAMPLE OF INPATIENTS AND OUTPATIENTS IS USED TO IMPROVE PATIENT CARE AND INFORM OFFICIAL QUALITY IMPROVEMENT ACTIVITIES. DATA COLLECTED FROM THIS INSTRUMENT INCLUDE A COMPREHENSIVE OVERVIEW OF KEY, EVIDENCE-BASED QUALITY INDICATORS -- FROM TIMELINESS OF CARE TO COMMUNICATIONS, PATIENT SAFETY, DISCHARGE INSTRUCTION, MEDICATION ISSUES, AND MORE. THE HOSPITAL RECEIVES REPORTS QUARTERLY. THE HOSPITAL ALSO UTILIZES INFORMATION FROM THE STANDARDIZED, PUBLICLY REPORTED HCAHPS (HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS) SURVEY OF PATIENTS' PERSPECTIVES OF HOSPITAL CARE. THE HCAHPSREPORTING AND SURVEY ARE REQUIRED BY THE CENTER FOR MEDICARE SERVICES (CMS) TO ALLOW STANDARD, OBJECTIVE, VALID COMPARISONS TO BE MADE ACROSSHOSPITALS NATIONALLY, REGIONALLY, AND LOCALLY REPORTS ARE RECEIVED QUARTERLY AND HAVE BEEN PUBLISHED NATIONALLY ON THE CMS AND NYS DEPARTMENT OF HEALTH WEBSITES. THE SURVEY METHODOLOGY AND RESULTS ARE IN THE PUBLIC DOMAIN. (WWW.HCAHPSONLINE.ORG). ADDITIONALLY, THE HOSPITAL'S NEEDS ASSESSMENT ACTIVITIES ARE INFORMED BY INITIATIVES AND STUDIES CARRIED OUT BY THE BASSETT HEALTHCARE NETWORK RESEARCH INSTITUTE. IT IS A COLLABORATIVE EFFORT BETWEEN THE RESEARCH INSTITUTE, COUNTY HEALTH DEPARTMENTS, AND REGIONAL COMMUNITY SERVICES ORGANIZATIONS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceLITTLE FALLS HOSPITAL PROVIDES ACCESS AND EDUCATION ON THE COMMUNITY SERVICE PROGRAM WITH CONTACT INFORMATION FOR PATIENTS TO CALL AND MAKE APPOINTMENTS FOR COMPLETING APPLICATIONS FOR FINANCIAL ASSISTANCE. AT ALL PATIENT ACCESS LOCATIONS, APPLICATIONS FOR CHARITY CARE ASSISTANCE ARE AVAILABLE. THE WWW.BASSETT.ORG WEBSITE INCLUDES A LINK ON INFORMATION FOR COMPLETING AN APPLICATION AND OTHER RESOURCES CALLED "FINANCIAL ASSISTANCE RESOURCE GUIDE". OUR FINANCIAL ASSISTANCE COORDINATOR PROVIDES INSURANCE COVERAGE NAVIGATION SERVICES TO ASSIST RESIDENTS WITH ENROLLMENT IN GOVERNMENT SPONSORED HEALTH CARE COVERAGE PROGRAMS. A COMMUNITY NAVIGATOR IS ALSO PRESENT IN THE EMERGENCY DEPARTMENT TO ASSIST WITH APPLICATIONS FOR GOVERNMENT SPONSORED HEALTH CARE COVERAGE PROGRAMS OR TO COMPLETEAPPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM. OUR APPLICATION ALSO SPECIFIES ON-SITE PROVIDERS WHO DO NOT PARTICIPATE IN LITTLE FALLS HOSPITAL FINANCIAL ASSISTANCE PROGRAM.
Schedule H, Part VI, Line 4 Community informationLITTLE FALLS HOSPITAL IS LOCATED IN THE CITY OF LITTLE FALLS IN HERKIMER COUNTY, NEW YORK. HERKIMER COUNTY IS THE LONGEST COUNTY IN NEW YORK STATE. HAMILTON, FULTON, AND MONTGOMERY COUNTIES ARE TO THE EAST, LEWIS AND ONEIDA COUNTIES ARE TO THE WEST, OTSEGO COUNTY TO THE SOUTH, AND ST. LAWRENCE COUNTY TO THE NORTH. HERKIMER COUNTY BEGINS NEAR THE MOHAWK RIVER AND STRETCHES INTO THE ADIRONDACKS. IT IS PREDOMINATELY RURAL AND HAS THE SIXTH-LONGEST LAND AREA IN SQUARE MILES AT 1,411.47. THE POPULATION PER SQUARE MILE IS (45.7) COMPARED WITH NEW YORK STATE (411.2) AND THE UNITED STATES (87.4). THE COUNTY CONSISTS OF 30 MUNICIPALITIES: THE VILLAGES OF COLD BROOK, DOLGEVILLE, FRANKFORT, HERKIMER, ILION, MIDDLEVILLE, MOHAWK, NEWPORT, POLAND, AND THE WEST WINFIELD; THE TOWNS OF COLUMBIA, DANUBE, FAIRFIELD, FRANKFORT, GERMAN FLATTS, HERKIMER, LITCHFIELD, LITTLE FALLS, MANHEIM, NEWPORT, NORWAY, OHIO, RUSSIA, SALISBURY, SCHUYLER, STARK, WARREN, WEBB, WINFIELD; AND THE CITY OF LITTLE FALLS. A TOTAL OF 60,139 PEOPLE LIVE IN THE 1,411.52 SQUARE MILE REPORT AREA DEFINED FOR THIS ASSESSMENT ACCORDING TO THE U.S. CENSUS BUREAU, DECENNIAL CENSUS (2020). THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 45.7 PERSONS PER SQUARE MILE, IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 87.4 PERSONS PER SQUARE MILE. POPULATION DENSITY DOES HAVE AN EFFECT ON HEALTH AS IT CAN IMPACT ACCESS TO NECESSARY AREAS TO SUPPORT HEALTHY LIVING (HEALTHY FOOD, EMPLOYMENT, AND HEALTHCARE FACILITIES). ADDITIONALLY, INDIVIDUALS IN RURAL AREAS OF LOW POPULATION DENSITY MAY EXPERIENCE SOCIAL ISOLATION AND HAVE A LIMITED FEELING OF SOCIAL COHESION, WHICH ARE BOTH INDICATORS OF HEALTH AND MENTAL HEALTH.
Schedule H, Part VI, Line 5 Promotion of community healthPROMOTION OF COMMUNITY HEALTH A MAJORITY OF THE LITTLE FALLS HOSPITAL BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY VOLUNTEERS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS WHO ARE EMPLOYED BY BASSETT MEDICAL CENTER. THE HOSPITAL OPERATES AN EMERGENCY ROOM WHICH IS OPEN TO ALL, REGARDLESS OF ABILITY TO PAY. AS A NOT-FOR-PROFIT HOSPITAL, LITTLE FALLS HOSPITAL REINVESTS SURPLUS FUNDS TOWARD EQUIPMENT/TECHNOLOGY IMPROVEMENTS IN PATIENT CARE AND PATIENT SAFETY, AS WELL AS INFRASTRUCTURE UPGRADES MANDATED BY JOINT COMMISSION AND GOVERNMENT/REGULATORY REQUIREMENTS AND DEEMED NECESSARY TO KEEP THE HOSPITAL ACCREDITED AND ABLE TO CONTINUE SERVING THE HEALTH NEEDS. LITTLE FALLS HOSPITAL IMPLEMENTS COORDINATED HEALTH CARE RESOURCES WITH BASSETT HEALTHCARE NETWORK. THIS COLLABORATION INCLUDED PLANNING AND IMPLEMENTING INITIATIVES UNDER A NEW YORK STATE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROJECT. DSRIP ACTIVITIES ARE COORDINATED WITH COMMUNITY BASED ORGANIZATIONS TO DEVELOP CARE IMPROVEMENT PROGRAMS IN A COORDINATED MANNER. THE HERKIMER COUNTY HUB WAS ORGANIZED SO COMMUNITY AGENCIES COULD DEVELOP INITIATIVES FOR IMPROVING COMMUNICATIONS FOR REFERRALS TO PROGRAMS FOR HIGH NEED PATIENTS. WITH THESE COMMUNITY AGENCIES ENGAGED A HIGHER DEGREE OF PATIENT INTERACTION IS POSSIBLE TO ACHIEVE POSITIVE IMPACTS ON IMPROVING THEIR HEALTH CARE. LITTLE FALLS HOSPITAL PARTNERED WITH SALVATION ARMY FOR THEIR ASSISTANCE IN PROVIDING PATIENT NAVIGATION SERVICES. THESE NAVIGATION SERVICES PROVIDE PATIENTS AND FAMILY SUPPORT FOR MEDICAL AND SOCIAL ASSISTANCE TO IMPROVE A HEALTHIER LIFESTYLE.
Schedule H, Part VI, Line 6 Affiliated health care systemLITTLE FALLS HOSPITAL IS A SUBSIDIARY OF 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 FIVE 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.)THE MARY IMOGENE BASSETT HOSPITAL, AN ACUTE CARE INPATIENT TEACHING FACILITY IN COOPERSTOWN, NEW YORK. B.) O'CONNOR HOSPITAL, IS A CRITICAL ACCESS HOSPITAL IN DELHI, NEW YORK LOCATED IN DELAWARE COUNTY. C.) COBLESKILL REGIONAL HOSPITAL, IS A CRITICAL ACCESS HOSPITAL IN COBLESKILL, NEW YORK LOCATED IN SCHOHARIE COUNTY. D.) LITTLE FALLS HOSPITAL, IS A CRITICAL ACCESS HOSPITAL IN LITTLE FALLS, NEW YORK LOCATED IN HERKIMER COUNTY. LITTLE FALLS HOSPITAL INLCUDES FIVE RURAL HEALTH CLINICS AND ONE OUTPATIENT PRIMARY CARE CENTER. E.) AURELIA OSBORN FOX HOSPITAL A SOLE COMMUNITY PROVIDER IN ONEONTA NEW YORK LOCATED IN OTSEGO COUNTY. F.) VALLEY HEALTH SERVICES A RESIDENTIAL HEALTH CARE AND REHABILITATION FACILITY LOCATED IN HERKIMER, NEW YORK OTHER COMPONENTS OF THE NETWORK, INCLUDES AT HOME CARE, A CERTIFIED HOME CARE AGENCY AND FIRST COMMUNITY CARE OF BASSETT, AND A MEDICAL SUPPLY COMPANY, ALL OF WHICH MAKE UP THE BASSETT HEALTHCARE NETWORK AND PROVIDE HEALTH SERVICES TO THIS NINE COUNTY REGION IN CENTRAL NEW YORK. LITTLE FALLS HOSPITAL COLLABORATES WITH BASSETT HEALTHCARE NETWORK AND BASSETT MEDICAL CENTER TO COORDIANTE THE EFFICIENT DELIVERY OF HEALTHCARE IN OUR SERVICE AREA. THIS RELATIONSHIP HAS DEVELOPED OVER A PERIOD OF FIFTEEN YEARS AND CONTINUES TO PROVIDE RESIDENTS ACCESS TO A HIGH QUALITY HEALTHCARE SYSTEM. OUR INTEGRATED ELECTRONIC HEALTH RECORD HAS ENABLED OUR PATIENTS TO RECEIVE IMPROVED COORDINDATED CARE AND ACCESS TO THEIR HEALTH INFORMATION NOT ROUTINELY SEEN IN RURAL HEALTH NETWORKS. OUR COLLABORTIVE PLANNING ON PROJECTS SUCH AS THE NYS DELIVERY SYSTEM REFORM INCENTIVE PAYMENT SYSTEM (DSRIP) AND RELATED MOHAWK VALLEY POPULATION HEALTH IMPROVEMENT PROGRAM ARE EXAMPLES OF OUR COLLABORATION TO IMPROVE THE HEALTHCARE SYSTEMS IN OUR SERVICE AREA. LITTLE FALLS HOSPITAL AS A LEADER WITH BASSETT HEALTHCARE NETWORK IN COORDINATION OF PATIENT ADVOCATE GROUPS IS MAKING A DIFFERENCE FOR IMPROVING HEALTHCARE. THESE INITIATIVES WITHIN THE DSRIP PROGRAM CONTINUE TO IMPROVE IN PATIENT INTERACTIONS TO SUPPORT ACCESS TO CARE, AND PREVENTATIVE CARE PLANS. THIS IS A NEW AREA OF EMPHASIS WITH CARE INNOVATION MODELS WHICH CREATE LEARNING PARTERSHIPS WITH PATIENTS AND PROVIDERS.
Schedule H, Part VI, Line 7 State filing of community benefit reportNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Tommy Ibrahim MD
Former President$0$0$0$0$0$411,723$0$12,888$0$0$0$424,611$0$0
Staci Thompson
Network President CEO (As of 4/24)$0$826,810$0$40,000$0$0$0$0$0$12,117$0$878,927$0$0
Susan Oakes-Ferrucci
President$0$294,938$0$0$0$0$0$9,048$0$8,966$0$312,952$0$0
David Almeleh
President of Medical Staff$0$288,729$0$0$0$0$0$14,904$0$2,305$0$305,938$0$0
Carlton Rule MD
VP Medical Director$0$394,999$0$0$0$0$0$27,756$0$5,574$0$428,329$0$0
Craig Faerber
Interim Network CFO$0$524,460$0$0$0$0$0$0$0$0$0$524,460$0$0
Jim Vielkind
VP of Finance$0$239,992$0$0$0$0$0$14,729$0$1,446$0$256,167$0$0
Eula Ramroop
VP of Operations (Thru 10/24)$167,677$0$7,500$0$24,956$0$8,319$0$5,030$0$213,482$0$0$0
Diane Dicob
RN II - Acute Care$201,270$0$0$0$0$0$4,052$0$1,815$0$207,137$0$0$0
Sabrina Rouse
RN II - Acute Care$173,194$0$1,500$0$0$0$3,576$0$9,172$0$187,442$0$0$0
Heidi Camardello
Director Nursing Operations LFH$171,121$0$0$0$0$0$3,463$0$3,943$0$178,527$0$0$0
Jodi Pollitt
Admin Suprv Nursing (As of 10/24)$134,005$0$1,500$0$34,963$0$3,447$0$2,522$0$176,437$0$0$0
Loreen Shepardson
Supervising Pharmacist$164,802$0$0$0$0$0$3,392$0$5,493$0$173,687$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control paymentTOMMY IBRAHIM, MD RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $166,325 AND PTO PAYOUT IN THE AMOUNT OF $245,398. EULA RAMROOP RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $8,160 AND PTO PAYOUT IN THE AMOUNT OF $16,796. THESE AMOUNTS ARE INCLUDED IN THE TOTAL REPORTED IN COLUMN B(III).
Schedule J, Part I, Line 3 THE COMPENSATION PROCESS FOR TOP OFFICIALTHE CHIEF EXECUTIVE OFFICER'S SALARY IS PAID BY A RELATED ORGANIZATION UNDER A MANAGEMENT SERVICES AGREEMENT. THE LITTLE FALLS HOSPITAL BOARD OF TRUSTEES REVIEWS THE FORMAL PROCESS THAT IS USED TO DETERMINE THE BASE COMPENSATION OF THE CEO. THE CEO'S WORK PLAN AND ACCOMPLISHMENTS FOR THE YEAR ARE REVIEWED. SALARY CHANGES ARE BASED ON MARKET, WORKPLAN, AND ACCOMPLISHMENTS. THE CEO'S SALARY IS SUBMITTED AS PART OF THE MANAGEMENT SERVICES AGREEMENT WHICH IS APPROVED BY THE BOARD.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsLaura Powers - Business relationship, Justin Hummel - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersBASSETT HEALTHCARE NETWORK IS THE PARENT AND SOLE MEMBER TO EACH OF THE FOLLOWING RELATED PARTIES. FRIENDS OF BASSETT, AO FOX MEMORIAL HOSPITAL, BASSETT HOSPITAL OF SCHOHARIE COUNTY, LITTLE FALLS HOSPITAL, O'CONNOR HOSPITAL, TEMPLETON FOUNDATION, VALLEY HEALTH SERVICES, VALLEY RESIDENTIAL SERVICES, AND MARY IMOGENE BASSETT HOSPITAL. AS PARENT AND SOLE MEMBER, BASSETT HEALTHCARE NETWORK HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE GOVERNING BOARDS OF ITS SUBSIDIARIES AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARDS, INCLUDING, BUT NOT LIMITED TO, APPROVAL OF OPERATING AND CAPITAL BUDGETS, CERTAIN CAPITAL EXPENDITURES, INDEBTEDNESS NOT CONTAINED IN THE APPROVED BUDGETS, SUBSTANTIVE CHANGES IN CLINICAL PROGRAMS, MERGERS, CONSOLIDATIONS, LIQUIDATIONS AND DISSOLUTIONS INVOLVING ITS SUBSIDIARIES AND CERTIFICATE OF NEED APPLICATIONS.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySEE DISCLOSURE FOR PART VI, SECTION A, LINE 6
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersSEE DISCLOSURE FOR PART VI, SECTION A, LINE 6
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE 990S ARE PROVIDED TO THE BOARD BEFORE FILING. IF THERE ARE ANY QUESTIONS OR CONCERNS, THEY CAN RAISE IT WITH THE BOARD, CEO AND/OR CFO.
Form 990, Part VI, Line 12c Conflict of interest policyCONFLICT OF INTEREST STATEMENTS ARE MADE ANNUALLY. NEW BOARD MEMBERS ARE REQUIRED TO DISCLOSE ON THEIR RESUME ALL AFFILIATED ORGANIZATIONS.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesCOMPENSATION PROCESS FOR TOP OFFICIAL THE PRESIDENT'S SALARY IS PAID BY A RELATED ORGANIZATION UNDER A MANAGEMENT SERVICES AGREEMENT. THE PRESIDENT'S WORKPLAN AND ACCOMPLISHMENTS FOR THE YEAR ARE OVERSEEN BY THE NETWORK LEADERSHIP AND REVIEWABLE BY THE BOARD. THE PRESIDENT'S SALARY IS SUBMITTED AS PART OF THE MANAGEMENT SERVICES AGREEMENT.
Form 990, Part VI, Line 19 Required documents available to the publicLITTLE FALLS HOSPITAL MAKES AVAILABLE THE IRS FROM 990 UPON REQUEST ALONG WITH INFORMATION INCLUDED WITHIN THE 990 SUCH AS FINANCIAL REPORTS, CONFLICT OF INTEREST POLICY, AND CODE OF CONDUCT. THE HOSPITAL ALSO PROVIDES THE ANNUAL OPERATING PLAN AND CORPORATE VALUES IN PUBLIC AREAS OF THE FACILITY.
Form 990, Part IX, Line 11g Other FeesNetwork Shared Services - Total Expense: 11625914, Program Service Expense: 11621844, Management and General Expenses: , Fundraising Expenses: 4070; Contracted Outside Services - Total Expense: 4280217, Program Service Expense: , Management and General Expenses: 4280217, Fundraising Expenses: ; Service Contracts - Total Expense: 1039757, Program Service Expense: 1039757, Management and General Expenses: , Fundraising Expenses: ; Laundry Services - Total Expense: 197428, Program Service Expense: 197428, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesPENSION BENEFIT OBLIGATION CHANGES - 935325; Total - 935325;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Bassett Healthcare Network
One Atwell RoadCooperstownNY13326133218680SupportNY501(c)(3)Type III-FINONEfalse
Friends of Bassett
One Atwell RoadCooperstownNY13326237041610FundraiserNY501(c)(3)7BHNfalse
O'CONNOR HOSPITAL
460 ANDES ROADDELHINY13753161540394HealthcareNY501(c)(3)3BHNfalse
Mary Imogene Bassett Hospital
One Atwell RoadCooperstownNY13326135596796HealthcareNY501(c)(3)3BHNfalse
Templeton Foundation
One Atwell RoadCooperstownNY13326133317084LandlordNY501(c)(3)10BHNfalse
Valley Health Services
690 West German StreetHerkimerNY13350222511614Elder CareNY501(c)(3)3BHNfalse
Bassett PPS LLC
6181 State Highway 7OneontaNY13820811749905HealthcareNY501(c)(3)Type IBHNfalse
Valley Residential Services
690 West German StreetHerkimerNY13350463703838Elder CareNY501(c)(3)10BHNfalse
At Home Care Partners
25 Elm StreetOneontaNY13820562397098HealthcareNY501(c)(3)10AHC INCfalse
At Home Care Inc
25 Elm StreetOneontaNY13820161287069HealthcareNY501(c)(3)10BHNfalse
BASSETT HOSPITAL SCHOHARIE COUNTY
178 GRANDVIEW DRIVECOBLESKILLNY12043141772971HEALTHCARENY501(c)(3)3BHNfalse
AO Fox Memorial Hospital
One Norton AvenueOneontaNY13820150539039HealthcareNY501(c)(3)3BHNfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
STAMFORD PROFESSIONAL ASSOCIATES
1 NORTON AVEONEONTANY13820161322304RENTALNYNAN/Afalsefalse
FIRST COMMUNITY CARE OF BASSETT
60 NORTHPOINTE PARKWAYAMHERSTNY14228161504464HEALTHCARENYNAN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Catskill Care Enterprises
1 NORTON AVEONEONTANY13820161236590RETAIL PHARMACY & FITNESS CENTERNYAO FoxC Corporationfalse
LEATHERSTOCKING PHYSICIANS PC
ONE ATWELL ROADCOOPERSTOWNNY13326364864562HEALTHCARE SERVICESNYNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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