MARY IMOGENE BASSETT HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MARY IMOGENE BASSETT HOSPITAL (EIN 13-5596796)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201813199349309741
- Schema version
- 2017v2.3
- 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 | 2018-11-15T13:35:36-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | 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 | % Sue E Andrews | 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 | SUE E ANDREWS | PersonNm |
| Person Title | VICE PRESIDENT, FINANCE & CFO | PersonTitleTxt |
| Phone | 6075473635 | PhoneNum |
| Signature | 2018-11-13 | 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 | 2018-11-12 | 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 | 14012520183195000021 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 297A0B6B5CFE2242045CEDF0E257C8659BD83048 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7B5190DACD7950FB62E11B317DAE60956DD6A6E7 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 | Sue Andrews | 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 | $556,322,333 | 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 | 17 | VotingMembersIndependentCnt |
| Total Employee | 4467 | TotalEmployeeCnt |
| Total Volunteers | 204 | TotalVolunteersCnt |
| Total Gross UBI | -$2,768 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$3,018 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $19,218,177 | PYContributionsGrantsAmt |
| CY Contributions Grants | $20,648,419 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $515,521,356 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $517,460,230 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,582,606 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,390,341 | CYInvestmentIncomeAmt |
| PY Other Revenue | $199,553 | PYOtherRevenueAmt |
| CY Other Revenue | $2,695,075 | CYOtherRevenueAmt |
| PY Total Revenue | $537,521,692 | PYTotalRevenueAmt |
| CY Total Revenue | $547,194,065 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $35,414 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $45,486 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $303,568,537 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $313,094,486 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $757,234 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $224,082,623 | PYOtherExpensesAmt |
| CY Other Expenses | $229,947,953 | CYOtherExpensesAmt |
| PY Total Expenses | $527,686,574 | PYTotalExpensesAmt |
| CY Total Expenses | $543,087,925 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,835,118 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,106,140 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $408,471,961 | TotalAssetsBOYAmt |
| Total Assets EOY | $425,576,557 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $137,490,426 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $152,362,564 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $270,981,535 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $273,213,993 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Mary Imogene Bassett Hospital is a rural academic 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 | $444,437,805 | ExpenseAmt |
| Grant | $45,486 | GrantAmt |
| Revenue | $517,460,230 | RevenueAmt |
| Desc | Inpatient and outpatient services provided to our patients resulted in: 13,691 Hospitalizations(inclusive of open heart surgeries) 53,325 Patient days 745,805 Clinic visits 27,358 Renal treatments 9,756 Surgical cases | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,699,798 | ExpenseAmt |
| Desc | See Schedule O. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $448,137,603 | 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 | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 319 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 4467 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | 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 | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | 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 | Sue E Andrews | 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 (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Timothy Pedley | ||||||||
| Board Chairman | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Kevin Moore | ||||||||
| Vice Chairman | 3.0 | 2.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Vance Brown | ||||||||
| President & CEO | 40.0 | 2.0 | Yes (X) | Yes (X) | $902,752 | $0 | $21,686 | |
| William Burdick | ||||||||
| Secretary | 8.0 | 2.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| John Bullis | ||||||||
| Trustee | 1.0 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Janes Forbes Clark | ||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Barbara DiCocco | ||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $0 | $0 | ||
| Terry Fulmer | ||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Michael Gold | ||||||||
| Trustee | 1.0 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Peter Hamilton | ||||||||
| Trustee | 1.0 | 3.5 | Yes (X) | $0 | $0 | $0 | ||
| Nancy Kleniewski | ||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Ralph Meyer | ||||||||
| Trustee | 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 | 1.0 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| Katherine Nickerson | ||||||||
| Trustee | 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 | ||
| Andrew Manzer | ||||||||
| Executive VP & COO | 40.0 | 10.0 | Yes (X) | $387,411 | $0 | $9,521 | ||
| Michael Tengeres | ||||||||
| Exec Vice President | 40.0 | 7.5 | Yes (X) | $479,062 | $0 | $10,976 | ||
| Sue Andrews | ||||||||
| Finance VP & CFO | 40.0 | 20.0 | Yes (X) | $288,461 | $0 | $23,664 | ||
| Steven Heneghan | ||||||||
| Chief Clinic Officer | 40.0 | 1.0 | Yes (X) | $660,422 | $0 | $32,239 | ||
| Richard Vanison | ||||||||
| Treasurer | 4.0 | 1.5 | Yes (X) | $0 | $0 | $0 | ||
| Mark Hornyak | ||||||||
| Attending Physician | 40.0 | 0.0 | $649,234 | $0 | $23,639 | Yes (X) | ||
| WT Huntsman | ||||||||
| Attending Physician | 40.0 | 0.0 | $628,378 | $0 | $30,663 | Yes (X) | ||
| Dhananjai Menzies | ||||||||
| Attending Physician | 40.0 | 0.0 | $800,714 | $0 | $28,883 | Yes (X) | ||
| Nicholas Hellenthal | ||||||||
| Attending Physician | 40.0 | 0.0 | $610,881 | $0 | $25,419 | Yes (X) | ||
| Larry Shannon II | ||||||||
| Attending Physician | 40.0 | 0.0 | $626,679 | $0 | $23,639 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,033,994 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $230,329 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 382 | 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 | $7,361,638 |
| Sodexo Operations | |||||
| 9801 Washington Blvd | Gaithersburg | MD | 20760 | Food Services/Housek | $2,505,009 |
| McCarthy | |||||
| 1341 North Rock Hill Road | St Louis | MO | 63124 | Engineer | $2,290,768 |
| Mayo Medical Laboratories | |||||
| 200 First Street SW | Rochester | MN | 55903 | Lab Services | $1,713,498 |
| AMN Healthcare Inc | |||||
| 12400 High Bluff Drive | San Diego | CA | 92130 | Agency | $1,519,445 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,374,148 | RelatedOrganizationsAmt |
| Government Grants | $7,412,729 | GovernmentGrantsAmt |
| All Other Contributions | $11,861,542 | AllOtherContributionsAmt |
| Total Contributions | $20,648,419 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Direct Patient Services | 900099 | $472,659,834 | $472,659,834 |
| Other Program Service Revenue | 900099 | $44,800,396 | $44,800,396 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $517,460,230 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $994,431 | TotalRevenueColumnAmt |
| Exclusion | $994,431 | 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 | $14,457,232 | SecuritiesAmt |
| Other | $66,946 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,122,744 | SecuritiesAmt |
| Other | $5,524 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,334,488 | SecuritiesAmt |
| Other | $61,422 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,395,910 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $34,091 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,361,819 | 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 (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Partnership Income | $2,869,874 | -$36,859 | $2,906,733 |
| Other nonoperating expense | -$174,799 | -$174,799 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,695,075 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $547,194,065 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $517,460,230 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$2,768 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,088,184 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,486 | TotalAmt |
| Program Services | $45,486 | 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 | $3,197,195 | TotalAmt |
| Management And General | $3,197,195 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,828 | TotalAmt |
| Management And General | $169,828 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,572,843 | TotalAmt |
| Program Services | $208,561,926 | ProgramServicesAmt |
| Management And General | $61,469,295 | ManagementAndGeneralAmt |
| Fundraising | $541,622 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,701,024 | TotalAmt |
| Program Services | $9,022,212 | ProgramServicesAmt |
| Management And General | $2,659,109 | ManagementAndGeneralAmt |
| Fundraising | $19,703 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,524,789 | TotalAmt |
| Program Services | $8,112,870 | ProgramServicesAmt |
| Management And General | $2,391,100 | ManagementAndGeneralAmt |
| Fundraising | $20,819 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,928,807 | TotalAmt |
| Program Services | $13,045,671 | ProgramServicesAmt |
| Management And General | $3,844,941 | ManagementAndGeneralAmt |
| Fundraising | $38,195 | 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 | $24,902 | TotalAmt |
| Program Services | $19,233 | ProgramServicesAmt |
| Management And General | $5,669 | 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 | $44,001,204 | TotalAmt |
| Program Services | $33,898,279 | ProgramServicesAmt |
| Management And General | $9,990,813 | ManagementAndGeneralAmt |
| Fundraising | $112,112 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,744,140 | TotalAmt |
| Program Services | $1,340,524 | ProgramServicesAmt |
| Management And General | $395,092 | ManagementAndGeneralAmt |
| Fundraising | $8,524 | 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 | $15,717,775 | TotalAmt |
| Program Services | $12,136,209 | ProgramServicesAmt |
| Management And General | $3,576,896 | ManagementAndGeneralAmt |
| Fundraising | $4,670 | 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 | $1,526,999 | TotalAmt |
| Program Services | $1,177,064 | ProgramServicesAmt |
| Management And General | $346,915 | ManagementAndGeneralAmt |
| Fundraising | $3,020 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,081,096 | TotalAmt |
| Program Services | $17,826,350 | ProgramServicesAmt |
| Management And General | $5,253,946 | ManagementAndGeneralAmt |
| Fundraising | $800 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,927,545 | TotalAmt |
| Program Services | $3,027,487 | ProgramServicesAmt |
| Management And General | $892,289 | ManagementAndGeneralAmt |
| Fundraising | $7,769 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Drugs and reagents | $44,018,252 | $44,018,252 |
| Patients Supplies | $42,575,377 | $42,575,377 |
| Bad Debt | $13,760,199 | $13,760,199 |
| Charity Care | $3,699,798 | $3,699,798 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,870,666 | TotalAmt |
| Program Services | $35,870,666 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,087,925 | TotalAmt |
| Program Services | $448,137,603 | ProgramServicesAmt |
| Management And General | $94,193,088 | ManagementAndGeneralAmt |
| Fundraising | $757,234 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,597,437 | BOYAmt |
| EOY | $2,989,845 | 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 | $9,732,252 | BOYAmt |
| EOY | $17,472,030 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,656,325 | BOYAmt |
| EOY | $55,858,898 | 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 | $5,197,049 | BOYAmt |
| EOY | $5,743,800 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,891,361 | BOYAmt |
| EOY | $3,276,218 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $520,825,772 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $321,929,616 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,442,415 | BOYAmt |
| EOY | $198,896,156 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,449,682 | BOYAmt |
| EOY | $55,848,998 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,567,604 | BOYAmt |
| EOY | $81,751,665 | 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 | $3,937,836 | BOYAmt |
| EOY | $3,738,947 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $408,471,961 | BOYAmt |
| EOY | $425,576,557 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,539,770 | BOYAmt |
| EOY | $65,305,850 | 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 | $55,934,459 | BOYAmt |
| EOY | $63,785,544 | 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 | $23,983,885 | BOYAmt |
| EOY | $17,761,305 | 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 | $1,032,312 | BOYAmt |
| EOY | $5,509,865 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,490,426 | BOYAmt |
| EOY | $152,362,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,848,750 | BOYAmt |
| EOY | $197,888,017 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,728,338 | BOYAmt |
| EOY | $60,870,191 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,404,447 | BOYAmt |
| EOY | $14,455,785 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,981,535 | BOYAmt |
| EOY | $273,213,993 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $408,471,961 | BOYAmt |
| EOY | $425,576,557 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,106,140 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,696,983 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,570,665 | 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
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 | $24,902 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $24,902 | 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 22.98% of dues towards general lobbying activities. Total dues paid for the year were $44,612. HANYS allocates 21.90% of dues towards general lobbying activities. Total dues paid for the year were $0. Iroquois Healthcare Alliance allocates 34.90% of dues towards general lobbying activities. Total dues paid for the year were $41,976. 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 | $14,404,447 | BeginningYearBalanceAmt |
| Contributions | $51,338 | ContributionsAmt |
| End Year Balance | $14,455,785 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,881,510 | BeginningYearBalanceAmt |
| Contributions | $481,529 | ContributionsAmt |
| End Year Balance | $14,363,039 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,849,731 | BeginningYearBalanceAmt |
| Contributions | $31,779 | ContributionsAmt |
| End Year Balance | $13,881,510 | 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 | $237,563,151 | OtherCostOrOtherBasisAmt |
| Depreciation | $137,137,413 | DepreciationAmt |
| Book Value | $100,425,738 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $258,024,820 | OtherCostOrOtherBasisAmt |
| Depreciation | $184,792,203 | DepreciationAmt |
| Book Value | $73,232,617 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,147,945 | OtherCostOrOtherBasisAmt |
| Book Value | $24,147,945 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $198,896,156 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| LP - CORPORATE BONDS & NOTES | $2,685,246 | C |
| LP - LARGE CAP EQUITIES | $7,802,460 | C |
| LP - DIVERSIFIED EQUITIES | $59,872,788 | C |
| LP - OTHER LIMITED PARTNERSHIP | $11,391,171 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $81,751,665 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADVANCED FUNDS FOR DSRIP | Desc |
| Amt | $5,509,865 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,509,865 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $527,860,386 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,696,983 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$21,030,662 | OtherRevenueAmt |
| Revenue Not Reported | -$19,333,679 | RevenueNotReportedAmt |
| Revenue Subtotal | $547,194,065 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $547,194,065 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $525,627,928 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $525,627,928 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $17,459,997 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $17,459,997 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $543,087,925 | 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 Internal Revenue Code (the Code) and is exempt from federal income taxes pursuant to Section 501(a) of the Code. The Hospital recognizes income tax positions when it is more-likely-than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material tax liabilities or uncertain tax positions that need to be recorded. |
| SCHEDULE D, PART XI, LINE 2D | POST-RETIREMENT BENEFIT CHANGE $ (3,594,756) CHANGE IN INTEREST AT FRIENDS OF BASSETT $ 24,091 BAD DEBT $(13,760,199) CHARITY CARE $ (3,699,798) ---------------- TOTAL $(21,030,662) |
| SCHEDULE D, PART XII, LINE 4B | BAD DEBT $ 13,760,199 CHARITY CARE $ 3,699,798 ---------------- TOTAL $ 17,459,997 |
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 | $3,608,946 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $359,578 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,249,368 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,940,904 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,905,388 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,035,516 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02670 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,549,850 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,264,966 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,284,884 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03280 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,448 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $48,448 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,564,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,894,138 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,670,796 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02790 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,463,192 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,570,843 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,892,349 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $265,584 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $265,584 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,342,158 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,464,981 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,877,177 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $109,892,008 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $75,729,947 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,162,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06490 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,760,199 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $667,208 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $121,275,034 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $120,539,437 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $735,597 | 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 | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.bassett.org | 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 | www.bassett.org | 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 | false | 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 | www.bassett.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.bassett.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.bassett.org | 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 Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| 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 (3 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) Patrick McNulty, Chief of Cardiology at Bassett Medical Center m) Patricia Kennedy, CEO at Springbrook n) Karen Huxtable-Hooker, Director Public & Media Relations at Bassett Medical Center o) Gerald Groff MD, Fox Trustee & Chief of Medical Insurance Following a review of data from A.O. Fox Memorial Hospital's, Bassett Medical Center's, and Otsego County Health Department's 2016 Community Health Needs Assessment (CHNA) and the key informant survey, A.O. Fox Memorial Hospital, Bassett Medical Center, 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 A.O. Fox Memorial Hospital and Bassett Medical Center. 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." A.O. Fox Memorial Hospital, Bassett Medical Center, 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 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", A.O. Fox Memorial Hospital, Bassett Medical Center, 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" Otsego County Health Department, A.O. Fox Memorial Hospital and Bassett Medical Center 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 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 54 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (54 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 specialty care |
| Bassett Healthcare at Little Falls | ||||
| 170 Burwell Street | Little Falls | NY | 13365 | Outpatient primary 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 Service | ||||
| 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 specialty 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 |
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 $13,760,199 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 DEBTS EXPENSE METHODOLOGY Worksheet 2, cost to charge ratio, was used to determine the amount reported in Part III, lines 2 and 3. |
| SCHEDULE H, PART III, LINE 4 | BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS Provision for Uncollectible Patient Accounts Receivable Financial statements note 2(i): The Hospital grants credit without collateral to patients, most of who are local residents and are insured under third party agreements. Services rendered to individuals when payment is expected and ultimately not received are written off to the allowance for estimated uncollectible accounts. Additions to the allowance for estimated uncollectible accounts are made by means of the provision for uncollectible accounts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for uncollectible accounts is based upon management's assessment of historical expected collections, business and economic conditions, trends in federal and state healthcare coverage, and other collection indicators. During 2017 and 2016 the total charges forgone for bad debt were approximately $13,760,199 and $12,781,378 respectively. Provision for Charity and Uncompensated Care from the financial statement footnotes (j): The Hospital's 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, they are not reported 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 Hospital's charity care policy was revised effective January 1, 2016 to be in compliance with Internal Revenue Code (IRC) Section 501(r). |
| 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. |
| 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 For patients or guarantors who do not qualify for financial assistance, Bassett must undertake to ensure an adequate understanding on the part of the patients and those responsible for their care of their financial obligations to Bassett. Bassett will, in compliance with all existing laws and regulations, take the necessary steps to recover self-pay accounts receivable as well preserve the patient-provider relationship and keep the necessity of referring accounts to third party bad debt collection agencies or law firms to a minimum. It is expected that any third party collection agency or law firm retained by Bassett will refrain from any conduct that violates the Fair Debt Collection Practices Act, as well as any applicable state law or regulations. The arrest or body attachment of a judgement debtor on contempt proceedings, or foreclosure of a judgement debtor's principal residence will never be considered appropriate pursuit of an open balance in the name of Bassett Medical Center. |
| 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. Bassett Psychiatric Crisis Center - The Cooperstown center opened in February 2008, filling a void created by the termination of psychiatric services at A.O. Fox Hospital in Oneonta months earlier. In its first year, Bassett's psychiatric crisis center helped more than 1,200 patients. Of those, 52 were children 12 or younger and 154 were adolescents D. 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 E. KickStart - a program designed to help combat childhood obesity through collaborative partnerships with Bassett health centers and local recreational and fitness groups F. 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 G. 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 H. Healthy Start Breakfast - a partnership between community service organizations and Bassett for diabetes detection, education, and prevention I. 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 Cancer Society | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Williams St NW | AddressLine1Txt |
| City | Atalanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 131788491 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Valuation Method Used | Cash | ValuationMethodUsedDesc |
| Purpose Of Grant | Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
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 | false | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Vance Brown | ||||||||||||||
| President & CEO | $735,417 | $0 | $165,165 | $0 | $2,170 | $0 | $16,512 | $0 | $5,174 | $0 | $924,438 | $0 | $0 | $0 |
| Andrew Manzer | ||||||||||||||
| Executive VP & COO | $364,276 | $0 | $23,135 | $0 | $0 | $0 | $0 | $0 | $9,521 | $0 | $396,932 | $0 | $0 | $0 |
| Michael Tengeres | ||||||||||||||
| Exec Vice President | $412,662 | $0 | $66,400 | $0 | $0 | $0 | $8,912 | $0 | $2,064 | $0 | $490,038 | $0 | $0 | $0 |
| Sue Andrews | ||||||||||||||
| Finance VP & CFO | $268,936 | $0 | $19,525 | $0 | $0 | $0 | $17,600 | $0 | $6,064 | $0 | $312,125 | $0 | $0 | $0 |
| Steven Heneghan | ||||||||||||||
| Chief Clinic Officer | $606,742 | $0 | $53,680 | $0 | $0 | $0 | $24,612 | $0 | $7,627 | $0 | $692,661 | $0 | $0 | $0 |
| Mark Hornyak | ||||||||||||||
| Attending Physician | $648,711 | $0 | $523 | $0 | $0 | $0 | $16,512 | $0 | $7,127 | $0 | $672,873 | $0 | $0 | $0 |
| WT Huntsman | ||||||||||||||
| Attending Physician | $606,341 | $0 | $22,037 | $0 | $0 | $0 | $24,612 | $0 | $6,051 | $0 | $659,041 | $0 | $0 | $0 |
| Dhananjai Menzies | ||||||||||||||
| Attending Physician | $710,272 | $0 | $90,442 | $0 | $0 | $0 | $21,912 | $0 | $6,971 | $0 | $829,597 | $0 | $0 | $0 |
| Nicholas Hellenthal | ||||||||||||||
| Attending Physician | $590,881 | $0 | $20,000 | $0 | $0 | $0 | $19,212 | $0 | $6,207 | $0 | $636,300 | $0 | $0 | $0 |
| Larry Shannon II | ||||||||||||||
| Attending Physician | $626,156 | $0 | $523 | $0 | $0 | $0 | $16,512 | $0 | $7,127 | $0 | $650,318 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | NON-FIXED PAYMENTS PROVIDED Non-fixed payments are made based on the success in meeting performance criteria that are prospectively agreed upon as goals for the officers and other employees. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| 2011A Series Otsego County-CR Bond | |||||||
| A | 263661593 | 2011-11-03 | $25,000,000 | Construction | false | false | false |
| 2011B Series Otsego County-CR Bond | |||||||
| B | 263661593 | 2011-11-03 | $19,200,000 | Refund 2007 Issue | false | false | false |
| 2015A Series Otsego County-CRC Bond | |||||||
| C | 263661593 | 2015-08-27 | $23,600,000 | IT Proj& end 1998A&B | false | false | false |
| 2015A Series Oneida County-LDC Bond | |||||||
| D | 263661593 | 2015-09-01 | $17,000,000 | Renovations | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 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 | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $5,605,000 | $0 | $25,000,000 | $0 | $702,000 | $0 | $500,000 | $0 | $0 | $23,798,000 | $0 | $0 | 2011 | false | false | false | Yes (true) |
| B | $5,770,000 | $0 | $19,200,000 | $0 | $0 | $0 | $75,000 | $0 | $0 | $0 | $19,125,000 | $0 | 2009 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $5,178,563 | $0 | $23,600,000 | $0 | $0 | $0 | $472,000 | $0 | $0 | $14,020,338 | $9,107,662 | $0 | Yes (true) | false | false | Yes (true) | |
| D | $630,000 | $0 | $17,000,000 | $0 | $0 | $0 | $327,500 | $0 | $0 | $16,672,500 | $0 | $0 | false | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | false |
| B | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | false |
| C | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | false |
| D | false | false | false | false | 0 | false | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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 |
|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||
| A | false | Yes (true) | Yes (true) | false | false | 0 | false | false |
| 0 | ||||||||
| B | false | Yes (true) | Yes (true) | false | false | 0 | false | false |
| 0 | ||||||||
| C | false | Yes (true) | Yes (true) | false | false | 0 | false | false |
| 0 | ||||||||
| D | false | Yes (true) | Yes (true) | false | false | 0 | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
| C | false |
| D | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | 2011A Series Otsego County-CR Bond | FormAndLineReferenceDesc |
| Explanation | Part V The Mary Imogene Bassett Hospital does not have written procedures in place but management regularly reviews the obligations under tax-exempt bonds to ensure there is no violation of federal tax requirements. Our governing body is in the process of adopting written procedures. 2011A Series Otsego County-CR Bond Part I, LINE 1, Column F: building and resources 2011B Series Otsego County-CR Bond 2015A Series Otsego Country-CRC Bonds Part I, Line c, column F: Information systems project and defease 1998 Series A & B 2015A Series Oneida County-CDC Bonds Part I, Line D, Column F: renovation of off-campus data center | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| THE CLARK ESTATES | |||
| PART V | $115,217 | INVESTMENT MGMT FEES | false |
| JANE HAMILTON | |||
| PART V | $99,002 | WAGES | false |
| LAUREN BROWN | |||
| PART V | $70,826 | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | ORGANIZATION'S MISSION Mary Imogene Bassett Hospital is a rural academic 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 2017 we provided $3,699,798 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 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, 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 then presents its review findings to the full board of trustees. Once approved, the 990 can be electronically filed. 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, an independent compensation consultant, 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 $ (3,594,756) CHANGE IN INTEREST AT FRIENDS OF BASSETT $ 24,091 ---------------- TOTAL $ (3,570,665) |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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 | BHN | false |
| Bassett PPS LLC | ||||||||||
| 618 State Highway 7 | Oneonta | NY | 13820 | 811749905 | Healthcare | NY | 501c3 | 12a | MIBH | Yes (true) |
| 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 |