MARY IMOGENE BASSETT HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MARY IMOGENE BASSETT HOSPITAL (EIN 13-5596796)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201723199349316552
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T17:10:58-05:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	515 BROADWAY 4TH FL	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12207	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	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)
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 ANDREWS	PersonNm
Person Title	FINANCE VP & CFO	PersonTitleTxt
Phone	6075473635	PhoneNum
Signature	2017-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARILYN FARLEY	PreparerPersonNm
PTIN	P01231880	PTIN
Phone	5184274600	PhoneNum
Preparation	2017-11-15	PreparationDt

Filing Security Information FilingSecurityInformation

Field	Value	IRS element (for citing)
At Submission Creation Device Id	7F0BFA888E0F8D15256B840BA2D19BBE2C5A7BBE	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7F0BFA888E0F8D15256B840BA2D19BBE2C5A7BBE	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	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	$548,956,255	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	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.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	4403	TotalEmployeeCnt
Total Volunteers	187	TotalVolunteersCnt
Total Gross UBI	$19,308	TotalGrossUBIAmt
PY Contributions Grants	$9,171,892	PYContributionsGrantsAmt
CY Contributions Grants	$19,218,177	CYContributionsGrantsAmt
PY Program Service Revenue	$480,225,497	PYProgramServiceRevenueAmt
CY Program Service Revenue	$515,521,356	CYProgramServiceRevenueAmt
PY Investment Income	$4,463,202	PYInvestmentIncomeAmt
CY Investment Income	$2,582,606	CYInvestmentIncomeAmt
PY Other Revenue	$7,523,892	PYOtherRevenueAmt
CY Other Revenue	$199,553	CYOtherRevenueAmt
PY Total Revenue	$501,384,483	PYTotalRevenueAmt
CY Total Revenue	$537,521,692	CYTotalRevenueAmt
PY Grants And Similar Paid	$50,026	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$35,414	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$289,149,514	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$303,568,537	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$923,927	CYTotalFundraisingExpenseAmt
PY Other Expenses	$210,593,281	PYOtherExpensesAmt
CY Other Expenses	$224,082,623	CYOtherExpensesAmt
PY Total Expenses	$499,792,821	PYTotalExpensesAmt
CY Total Expenses	$527,686,574	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,591,662	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,835,118	CYRevenuesLessExpensesAmt
Total Assets BOY	$394,932,216	TotalAssetsBOYAmt
Total Assets EOY	$408,471,961	TotalAssetsEOYAmt
Total Liabilities BOY	$143,671,366	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$137,490,426	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$251,260,850	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$270,981,535	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	$420,735,567	ExpenseAmt
Grant	$35,414	GrantAmt
Revenue	$515,449,872	RevenueAmt
Desc	INPATIENT AND OUTPATIENT SERVICES PROVIDED TO OUR PATIENTS RESULTED IN: 13,654 HOSPITALIZATIONS (INCLUSIVE OF OPEN HEART SURGERIES) 53,363 PATIENT DAYS 760,682 CLINIC VISITS 26,049 RENAL TREATMENTS 9,892 SURGICAL CASES	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$4,079,818	ExpenseAmt
Desc	SEE SCHEDULE O COMMUNITY INVOLVEMENT HAS BEEN LINKED TO BASSETT'S MISSION, VISION, AND VALUES SINCE WE 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 FOR 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 2016, WE PROVIDED 4,079,818 IN FREE CARE. BASSETT'S COMMUNITY HEALTH EDUCATION PROGRAMS INCLUDE LECTURES, PRESENTATIONS, HEALTH FAIRS, AND OTHER GROUP PROGRAMS APART FROM THE CLINICAL AND DIAGNOSTIC SERVICES OFFERED. CLINICAL SERVICES OFFERED INCLUDES SCREENINGS, HEALTH TESTS AND HEALTH RISK APPRAISALS INCLUDING BLOOD PRESSURE, LIPID PROFILE, CHOLESTEROL SCREENINGS, CARDIOLOGY RISK FACTOR SCREENINGS, AND ALL CANCER SCREENINGS. OUR COMMUNITY BUILDING ACTIVITIES INCLUDE PHILANTHROPIC SUPPORT FOR HEALTH INITIATIVES AND COMMUNITY HEALTH AND WELFARE PROJECTS INCLUDING PROMOTING HEALTHY LIFESTYLES, DISEASE PREVENTION, AND COMMUNITY AWARENESS INITIATIVES. OUR DOORS ARE OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR. WE ARE PROUD TO PROVIDE CARE TO OUR COMMUNITIES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$424,815,385	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	267	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4403	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

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUE E ANDREWS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6075473635	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE ATWELL ROAD	AddressLine1Txt
City	COOPERSTOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13326	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (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 MD
BOARD CHAIRM	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
KEVIN MOORE
VICE CHAIRMA	3.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
VANCE BROWN MD
PRESIDENT &	40.00	2.00	Yes (X)	Yes (X)	$901,290	$0	$19,822
ANDREW MANZER
EXECUTIVE VP	40.00	1.00		Yes (X)	$309,597	$0	$6,344
MICHAEL TENGERES
EXEC VICE PR	40.00	7.50		Yes (X)	$429,917	$0	$1,157
SUE ANDREWS
FINANCE VP &	40.00	20.00		Yes (X)	$285,702	$0	$36,248
STEVEN HENEGHAN
CHIEF CLINIC	40.00	1.00		Yes (X)	$636,160	$0	$35,508
WILLIAM BURDICK
SECRETARY	8.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
RICHARD VANISON
TREASURER	4.00	1.50		Yes (X)	$0	$0	$0
JOHN BULLIS
TRUSTEE	1.00	0.50	Yes (X)		$0	$0	$0
JANES FORBES CLARK
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
BARBARA DICOCCO
TRUSTEE	1.00	2.50	Yes (X)		$0	$0	$0
TERRY FULMER PHD
TRUSTEE	1.00		Yes (X)		$0	$0	$0
MICHAEL GOLD MD
TRUSTEE	1.00	0.50	Yes (X)		$0	$0	$0
PETER HAMILTON
TRUSTEE	1.00	3.50	Yes (X)		$0	$0	$0
NANCY KLENIEWSKI
TRUSTEE	1.00		Yes (X)		$0	$0	$0
RALPH MEYER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
J MICHAEL MOFFAT
TRUSTEE	1.00		Yes (X)		$0	$0	$0
MAUREEN MURRAY
TRUSTEE	1.00	0.50	Yes (X)		$0	$0	$0
KATHERINE NICKERSON
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
DONALD QUEST MD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
EDWARD STACK
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
DOUGLAS WILLIES
TRUSTEE	1.00	1.50	Yes (X)		$0	$0	$0
MARK HORNYAK MD
ATTENDING PH	40.00				$648,536	$0	$21,698	Yes (X)
WT HUNTSMAN MD
ATTENDING PH	40.00				$589,712	$0	$34,408	Yes (X)
DHANANJAI MENZIES MD
ATTENDING PH	40.00				$635,205	$0	$31,228	Yes (X)
PASCALE RAYMOND MD
ATTENDING PH	40.00				$597,872	$0	$30,028	Yes (X)
LARRY SHANNON II MD
ATTENDING PH	40.00				$653,186	$0	$5,238	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,687,177	TotalReportableCompFromOrgAmt
Total Other Compensation	$221,679	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	492	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
STAT STAFF
258 USHERS ROAD	SUITE 10	CLIFTON PARK	NY	12065	AGENCY	$6,202,555
MCCARTHY
1341 NORTH ROCK HILL ROAD		ST LOUIS	MO	63124	CONSTRUCTION	$3,343,633
SODEXO OPERATIONS
9801 WASHINGTON BLVD		GAITHERSBURG	MD	20760	FOOD SERVICES	$2,210,090
MAYO MEDICAL LABORATORIES
200 FIRST STREET SW		ROCHESTER	MN	55903	LAB SERVICES	$1,506,989
WEATHERBY LOCUMS
PO BOX 972633		DALLAS	TX	75397	AGENCY	$1,405,918

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	21	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,378,479	RelatedOrganizationsAmt
Government Grants	$9,994,393	GovernmentGrantsAmt
All Other Contributions	$7,845,305	AllOtherContributionsAmt
Total Contributions	$19,218,177	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DIRECT PATIENT SERVICES	900099	$464,616,168	$464,616,168
OTHER PROGRAM SERVICE REVENUE	900099	$50,905,188	$50,905,188

Field	Value	IRS element (for citing)
Total Program Service Revenue	$515,521,356	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$821,294	TotalRevenueColumnAmt
Exclusion	$821,294	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$9,755,250	SecuritiesAmt
Other	$3,440,625	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$8,115,621	SecuritiesAmt
Other	$3,318,942	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,639,629	SecuritiesAmt
Other	$121,683	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,761,312	TotalRevenueColumnAmt
Unrelated Business Revenue	$49,097	UnrelatedBusinessRevenueAmt
Exclusion	$1,712,215	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	BusinessBusinessCd	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PARTNERSHIP INCOME	$229,342	$229,342
PARTNERSHIP INCOME	-$29,789		900099	-$29,789

Field	Value	IRS element (for citing)
Other Revenue Total	$199,553	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$537,521,692	TotalRevenueColumnAmt
Related Or Exempt Func Income	$515,521,356	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$19,308	UnrelatedBusinessRevenueAmt
Exclusion	$2,762,851	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$35,414	TotalAmt
Program Services	$35,414	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,661,745	TotalAmt
Management And General	$2,661,745	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$153,876	TotalAmt
Management And General	$153,876	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$255,267,089	TotalAmt
Program Services	$193,750,924	ProgramServicesAmt
Management And General	$61,019,118	ManagementAndGeneralAmt
Fundraising	$497,047	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,143,643	TotalAmt
Program Services	$8,459,682	ProgramServicesAmt
Management And General	$2,664,258	ManagementAndGeneralAmt
Fundraising	$19,703	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,296,047	TotalAmt
Program Services	$13,887,213	ProgramServicesAmt
Management And General	$4,373,582	ManagementAndGeneralAmt
Fundraising	$35,252	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,046,137	TotalAmt
Program Services	$12,176,566	ProgramServicesAmt
Management And General	$3,834,837	ManagementAndGeneralAmt
Fundraising	$34,734	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$70,860	TotalAmt
Management And General	$70,860	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$46,518,389	TotalAmt
Program Services	$35,230,878	ProgramServicesAmt
Management And General	$11,095,468	ManagementAndGeneralAmt
Fundraising	$192,043	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,027,525	TotalAmt
Program Services	$1,534,559	ProgramServicesAmt
Management And General	$483,288	ManagementAndGeneralAmt
Fundraising	$9,678	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,709,198	TotalAmt
Program Services	$11,942,622	ProgramServicesAmt
Management And General	$3,761,160	ManagementAndGeneralAmt
Fundraising	$5,416	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,454,807	TotalAmt
Program Services	$1,104,239	ProgramServicesAmt
Management And General	$347,765	ManagementAndGeneralAmt
Fundraising	$2,803	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,180,052	TotalAmt
Program Services	$15,345,959	ProgramServicesAmt
Management And General	$4,832,993	ManagementAndGeneralAmt
Fundraising	$1,100	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,978,326	TotalAmt
Program Services	$3,019,661	ProgramServicesAmt
Management And General	$951,000	ManagementAndGeneralAmt
Fundraising	$7,665	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
DRUGS AND REAGENTS	$43,764,309	$43,764,309
PATIENT CARE SUPPLIES	$43,463,025	$43,463,025
BAD DEBT	$12,781,378	$12,781,378
CHARITY CARE	$4,079,818	$4,079,818

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,054,936	TotalAmt
Program Services	$24,239,138	ProgramServicesAmt
Management And General	$5,697,312	ManagementAndGeneralAmt
Fundraising	$118,486	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$527,686,574	TotalAmt
Program Services	$424,815,385	ProgramServicesAmt
Management And General	$101,947,262	ManagementAndGeneralAmt
Fundraising	$923,927	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,112,743	BOYAmt
EOY	$4,597,437	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,531,770	BOYAmt
EOY	$9,732,252	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$54,290,607	BOYAmt
EOY	$55,656,325	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,993,590	BOYAmt
EOY	$5,197,049	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,023,906	BOYAmt
EOY	$3,891,361	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$493,217,980	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$300,775,565	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$172,769,579	BOYAmt
EOY	$192,442,415	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$61,147,760	BOYAmt
EOY	$61,449,682	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$68,751,124	BOYAmt
EOY	$71,567,604	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,311,137	BOYAmt
EOY	$3,937,836	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$394,932,216	BOYAmt
EOY	$408,471,961	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$62,088,566	BOYAmt
EOY	$56,539,770	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$47,565,215	BOYAmt
EOY	$55,934,459	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$25,132,197	BOYAmt
EOY	$23,983,885	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,275,929	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,609,459	BOYAmt
EOY	$1,032,312	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$143,671,366	BOYAmt
EOY	$137,490,426	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$184,738,465	BOYAmt
EOY	$199,848,750	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$52,124,044	BOYAmt
EOY	$56,728,338	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,398,341	BOYAmt
EOY	$14,404,447	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$251,260,850	BOYAmt
EOY	$270,981,535	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$394,932,216	BOYAmt
EOY	$408,471,961	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$9,835,118	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,578,911	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,306,656	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
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	$70,860	OtherActivitiesAmt
Total Lobbying Expenditures	$70,860	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 21.78% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID FOR THE YEAR WERE 43,738 HANYS ALLOCATES 23.71% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID FOR THE YEAR WERE 93,478 IROQUOIS HEALTHCARE ALLIANCE ALLOCATES 36.50% OF DUES TOWARDS GENERAL LOBBYING ACTIVITES. TOTAL DUES PAID FOR THE YEAR WERE 41,563 JACKSON LEWIS ALLOCATES 100% OF THEIR INVOICES TOWARDS LOBBYING ACTIVITIES. TOTAL PAID TO JACKSON LEWIS FOR THE YEAR WAS 24,000. THE CLARK ESTATES CONDUCTS LOBBYING ACTIVITIES ON BEHALF OF THE MARY IMOGENE BASSETT HOSPITAL. LOBBYING ACTIVITES ARE LIMITED TO OFFICER DISCUSSIONS WITH CONSULTANTS AND LEGISLATORS TO OBTAIN FUNDING FOR CHARITABLE MISSIONS. NO FUNDS WERE EXPENDED.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,849,731	BeginningYearBalanceAmt
Contributions	$31,779	ContributionsAmt
End Year Balance	$13,881,510	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,829,371	BeginningYearBalanceAmt
Contributions	$20,360	ContributionsAmt
End Year Balance	$13,849,731	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	$226,932,270	OtherCostOrOtherBasisAmt
Depreciation	$129,228,130	DepreciationAmt
Book Value	$97,704,140	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$221,371,921	OtherCostOrOtherBasisAmt
Depreciation	$171,547,435	DepreciationAmt
Book Value	$49,824,486	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,823,933	OtherCostOrOtherBasisAmt
Book Value	$43,823,933	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$192,442,415	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
LIMITED PARTNERSHIP, DIVERSIFIED	$53,521,088	C
LIMITED PARTNERSHIP, OTHER	$8,756,478	C
LIMITED PARTNERSHIP, LARGE CAP	$6,015,655	C
LIMITED PARTNERSHIP, BOND/NOTES	$3,274,383	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$71,567,604	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ADVANCED FUNDS FOR DSRIP	Desc
Amt	$1,032,312	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,032,312	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$530,546,063	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$7,578,911	NetUnrealizedGainsInvstAmt
Other Revenue	-$14,554,540	OtherRevenueAmt
Revenue Not Reported	-$6,975,629	RevenueNotReportedAmt
Revenue Subtotal	$537,521,692	RevenueSubtotalAmt
Total Revenue Per Form990	$537,521,692	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$510,825,378	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$510,825,378	ExpensesSubtotalAmt
Other Expenses Not Included	$16,861,196	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$16,861,196	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$527,686,574	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4	PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE HELD IN PERPETUITY WITH RESTRICTIONS ON INCOME FOR HEALTH SERVICES, MEDICAL RESEARCH, MEDICAL EDUCATION, AND INDIGENT CARE.
SCHEDULE D, PAGE 3, PART X	THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. THE HOSPITAL RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES OR UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED.
SCHEDULE D, PAGE 4, PART XI, LINE 2D	POST RETIREMENT BENEFIT CHANGE 2,057,238 CHANGE IN INTEREST AT FRIENDS OF BASSETT 249,418 BAD DEBT -12,781,378 CHARITY CARE -4,079,818
SCHEDULE D, PAGE 4, PART XII, LINE 4B	BAD DEBT 12,781,378 CHARITY CARE 4,079,818

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	3.000000000000	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	$3,652,857	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$339,080	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,313,777	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,489,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,444,255	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,044,790	NetCommunityBenefitExpnsAmt
Total Expense	0.02160	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,141,902	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,783,335	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,358,567	NetCommunityBenefitExpnsAmt
Total Expense	0.02810	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,634	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,634	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,892,180	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,717,434	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,174,746	NetCommunityBenefitExpnsAmt
Total Expense	0.01800	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,096,840	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$360,319	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,736,521	NetCommunityBenefitExpnsAmt
Total Expense	0.01710	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$152,192	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$152,192	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,189,846	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,077,753	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,112,093	NetCommunityBenefitExpnsAmt
Total Expense	0.03550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,331,748	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,861,088	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,470,660	NetCommunityBenefitExpnsAmt
Total Expense	0.06360	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,781,379	BadDebtExpenseAmt
Bad Debt Expense Attributable	$465,997	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$115,936,099	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$106,871,180	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$9,064,919	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 HEALTHCARE AGENCY	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY IMOGENE BASSETT HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE ATWELL ROAD	AddressLine1Txt
City	COOPERSTOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13326	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BASSETT.ORG	WebsiteAddressTxt
State License	3824000H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	OUTPATIENT PRIMARY & SPECIALTY	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MARY IMOGENE BASSETT HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	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
Other	Yes (X)	OtherInd
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	300.000000000000	FPGFamilyIncmLmtFreeCarePct
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
FACILITY 1, MARY IMOGENE BASSETT HOSPITAL - PART V, LINE 5	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, EMOUTIONAL, 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 ABUSE- AND PREVENT 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.
FACILITY 1, MARY IMOGENE BASSETT HOSPITAL - PART V, LINE 6A	O'CONNOR HOSPITAL, AO FOX MEMORIAL HOSPITAL, COBLESKILL REGIONAL HOSPITAL, LITTEL FALLS HOSPITAL, TRI TOWN REGIONAL HEALTHCARE
FACILITY 1, MARY IMOGENE BASSETT HOSPITAL - PART V, LINE 11	THE ORGANIZATION ADDRESSED SIGNIFICANT, PRIORITIZED HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESSS 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	55	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (55 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
AC CLARK GYMNASIUM
124 COUNTY ROAD 52	COOPERSTOWN	NY	13326	OUTPATIENT PHYSICAL THERAPY SERVICES
BASSETT HEALTHCARE HAMILTON SURGICA
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	EDMESTON	NY	13335	OUTPATIENT PRIMARY CARE	PO BOX 15
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 SPECIAL
ONE ASSOCIATE DRIVE	ONEONTA	NY	13820	OUTPATIENT PRIME, SPECIALTY, URGENT CARE
BASSETT HEALTHCARE PHYSICAL THERAPY
21 RAILTOAD AVENUE	COOPERSTOWN	NY	13326	OUTPATIENT SPECIALTY CARE
BASSETT HEALTHCARE RICHFIELD SPRING
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	SHARON SPRINGS	NY	13459	OUTPATIENT PRIMARY CARE	PO BOX 275
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 ELEMEN
13 SCHOOL STREET	SHERBURNE	NY	13460	OUTPATIENT PRIMARY CARE
SBHC - SHERBURNEEARLVILLE MID & HI
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	NEW BERLIN	NY	13411	OUTPATIENT PRIMARY CARE	4238 STATE HIGHWAY 8
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 (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	THE CSP (COMMUNITY SERVICES PROGRAM) APPLICATION SPECIFIES FAMILY INCOME LIMITS AND OTHER REQUIREMENTS FOR SERVICES TO BE ELIGIBLE FOR BASSETT MEDICAL CENTER'S CSP/FREE CARE PROGRAM.
PART I, LINE 6A - RELATED ORGANIZATION INFORMATION	THE MARY IMOGENE BASSETT HOSPITAL'S, (DBA BASSETT MEDICAL CENTER (BASSETT)), COMPREHENSIVE THREE YEAR COMMUNITY SERVICE PLAN WAS SUMMARIZED IN AN ANNUAL COMMUNITY REPORT. PRINTED COPIES WERE AVAILABLE TO THE PUBLIC IN PATIENT WAITING ROOMS AND AT INFORMATION KIOSKS. THE REPORT IS ALSO POSTED ON THE BASSETT WEBSITE, WWW.BASSETT.ORG.
PART I, LINE 7, 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 12,781,378 WAS SUBTRACTED FROM THE TOTAL EXPENSE VALUE USED TO CALCULATE THE PERCENTAGES IN PART 1, LINE 7, COLUMN F.
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
PART II - COMMUNITY BUILDING ACTIVITIES	ALL BASSETT COMMUNITY BUILDING ACTIVITIES COULD BE CLASSIFIED UNDER ITEM 1 AND HIGHLIGHTED IN NUMBER 1 ABOVE.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	WORKSHEET 2, COST TO CHARGE RATIO, WAS USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 2 AND 3. PART III, LINE 4 - 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 2016 AND 2015, THE TOTAL CHARGES FORGONE FOR BAD DEBT WERE APPROXIMATELY 12,781,378 AND 11,814,190 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)."
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.
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.
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.
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 INITITATIVE, 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.
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.
PART VI, LINE 4 - COMMUNITY INFORMATION	THE SERVICE AREA OF BASSETT ENCOMPASSES AN 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
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 FACILITYLOCATED 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 29 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. IT'S 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.
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 60,097, DELAWARE COUNTY - POPULATION 45,523, HERKIMER COUNTY - POPULATION 62,613, SCHOHARIE COUNTY - POPULATION 31,317 (ACCORDING TO THE 2016 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.
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	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30303	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	131788491	RecipientEIN
IRC Section	3	IRCSectionDesc
Cash Grant	$10,500	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	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
VANCE BROWN MD
PRESIDENT & CEO	$723,750	$175,000	$2,540	$16,460	$3,362	$921,112
ANDREW MANZER
EXECUTIVE VP & COO	$298,597	$11,000			$6,344	$315,941
MICHAEL TENGERES
EXEC VICE PRESIDENT	$399,917	$30,000			$1,157	$431,074
SUE ANDREWS
FINANCE VP & CFO	$271,952	$13,750		$32,020	$4,228	$321,950
STEVEN HENEGHAN
CHIEF CLINIC OFFICER	$605,660	$30,500		$30,270	$5,238	$671,668
MARK HORNYAK MD
ATTENDING PHYSICIAN	$648,536			$16,460	$5,238	$670,234
WT HUNTSMAN MD
ATTENDING PHYSICIAN	$582,324	$7,388		$30,270	$4,138	$624,120
DHANANJAI MENZIES MD
ATTENDING PHYSICIAN	$624,881	$10,324		$24,970	$6,258	$666,433
PASCALE RAYMOND MD
ATTENDING PHYSICIAN	$596,434	$1,438		$24,970	$5,058	$627,900
LARRY SHANNON II MD
ATTENDING PHYSICIAN	$638,000	$15,186			$5,238	$658,424

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PAGE 1, PART I, LINE 7	FormAndLineReferenceDesc
Explanation	NON FIXED PAYMENTS ARE MADE BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE OFFICERS.	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 SERIES	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	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$4,140,000	$25,000,000	$702,000	$500,000	$23,798,000	2011	false	false	false	Yes (true)
B	$4,710,000	$19,200,000		$75,000		2009	Yes (true)	false	Yes (true)	Yes (true)	$19,125,000
C	$9,443,460	$23,600,000		$472,000	$14,020,338		Yes (true)	false	false	Yes (true)	$9,107,662
D	$6,803,465	$17,000,000		$327,500	$16,672,500		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	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false
B	false	false	Yes (true)	Yes (true)	false	false	false	false
C	false	false	Yes (true)	Yes (true)	false	false	false	false
D	false	false	false		false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	Yes (true)	false	Yes (true)	false	false	false	false
B	false	Yes (true)	Yes (true)	false	Yes (true)	false	false	false	false
C	false	Yes (true)	Yes (true)	false	Yes (true)	false	false	false	false
D	false	Yes (true)	Yes (true)	false	Yes (true)	false	false	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	SCHEDULE K - ADDITIONAL INFORMATION	FormAndLineReferenceDesc
Explanation	2011A SERIES OTSEGO COUNTY-CR BOND 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. SCHEDULE K - ADDITIONAL INFORMATION 2011A SERIES OTSEGO COUNTY-CR BOND PART I, LINE A, COLUMN F: BUILDING AND RESOURCES 2011B SERIES OTSEGO COUNTY-CR BOND 2015A SERIES OTSEGO COUNTY-CRC BONDS PART I, LINEC, COLUMN F: INFORMATION SYSTEMS PROJECT AND DEFEASE 1998 SERIES A & B 2015A SERIES ONEIDA COUNTY-LDC 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	$156,048	INVESTMENT MGMT FEES	false
JANE HAMILTON
PART V	$88,211	WAGES	false
LAUREN BROWN
PART V	$65,665	WAGES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	PART IV, 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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4B	FAIRS, AND OTHER GROUP PROGRAMS APART FROM 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, PAGE 6, PART VI, LINE 2	KEVIN S MOORE WILLIAM T BURDICK TRUSTEE TRUSTEE BUSINESS KEVIN S MOORE JANE FORBES CLARK TRUSTEE TRUSTEE BUSINESS KEVIN S MOORE RICHARD C VANISON TRUSTEE TREASURER BUSINESS WILLIAM T BURDICK KEVIN S MOORE TRUSTEE TRUSTEE BUSINESS WILLIAM T BURDICK JANE FORBES CLARK TRUSTEE TRUSTEE BUSINESS WILLIAM T BURDICK RICHARD C VANISON TRUSTEE TREASURER BUSINESS JANE FORBES CLARK KEVIN S MOORE TRUSTEE TRUSTEE BUSINESS JANE FORBES CLARK WILLIAM T BURDICK TRUSTEE TRUSTEE BUSINESS JANE FORBES CLARK RICHARD C VANISON TRUSTEE TREASURER BUSINESS RICHARD C VANISON KEVIN S MOORE TREASURER TRUSTEE BUSINESS RICHARD C VANISON WILLIAM T BURDICK TREASURER TRUSTEE BUSINESS
FORM 990, PAGE 6, PART VI, LINE 11B	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 AVAILABLE FOR EACH MEMBER OF THE BOARD BEFORE IT'S FILING WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12C	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, PAGE 6, PART VI, LINE 15A	BASSETT MEDICAL CENTER 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, AND INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OF TRUSTEES OR THE COMPENSATION COMMITTEE. BASSETT MEDICAL CENTER PAYS NON-FIXED EARNINGS BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE CEO.
FORM 990, PAGE 6, PART VI, LINE 15B	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 PERFORMACE CRITERIA AND COMPARATIVE MARKET DATA. FOR KEY EMPLOYEES, COMPENSATION IS DELEGATED BY THE BOARD TO THE DISCRETION OF THE OFFICERS.
FORM 990, PAGE 6, PART VI, LINE 19	THE MARY IMOGENE BASSETT HOSPITAL MAKES IT'S 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 STAMPLED 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	POST RETIREMENT BENEFIT CHANGE 2,057,238 CHANGE IN INTEREST AT FRIENDS OF BASSETT 249,418 BAD DEBT -12,781,378 CHARITY CARE -4,079,818 BAD DEBT 12,781,378 CHARITY CARE 4,079,818 TOTAL 2,306,656

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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	12B	BHN	false
TEMPLETON FOUNDATION
ONE ATWELL ROAD	COOPERSTOWN	NY	13326	133317084	LANDLORD	NY	501C3	10	BHN	false
FRIENDS OF BASSETT
ONE ATWELL ROAD	COOPERSTOWN	NY	13326	237041610	FUNDRAISE	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	BRC	false
LITTLE FALLS HOSPITAL
140 BURWELL STREET	LITTLE FALLS	NY	13365	150533578	HEALTHCARE	NY	501C3	3	BRC	false
O'CONNOR HOSPITAL
460 ANDES ROAD	DELHI	NY	13753	161540394	HEALTHCARE	NY	501C3	3	BRC	false
TRI TOWN REGIONAL HEALTHCARE
43 PEARL STREET	SIDNEY	NY	13838	260169584	HEALTHCARE	NY	501C3	3	BRC	false
VALLEY HEALTH SERVICES
690 WEST GERMAN STREET	HERKIMER	NY	13350	222511614	ELDER CARE	NY	501C3	3	BRC	false

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