2015-11-16T10:38:09-06:00 2014-12-31 135565207 KPMG LLP 515 BROADWAY 4TH FL ALBANY NY 12207 990 2014-01-01 135596796 MARY IMOGENE BASSETT HOSPITAL MARY 6075473635 ONE ATWELL ROAD COOPERSTOWN NY 13326 SUE E ANDREWS VICE PRESIDENT FINANCE & CFO 6075473635 2015-11-11 true MARY-EVELYN ANTONETTI P00431862 5184274600 2015-11-16 2014 2016-02-25 16:41:14Z BASSETT MEDICAL CENTER SUE E ANDREWS ONE ATWELL ROAD COOPERSTOWN NY 13326 495188933 false X WWW.BASSETT.ORG X 1921 NY 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. 21 19 4192 180 103473 9063 7552591 9582444 434777316 457667852 6321582 4079368 2542241 14880065 451193730 486209729 40169 33708 0 254984578 275640823 0 958960 188964243 192410027 443988990 468084558 7204740 18125171 381751472 388641152 118508278 127954872 263243194 260686280 X 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. false false 370440261 33708 457667852 INPATIENT AND OUTPATIENT SERVICES PROVIDED TO OUR PATIENTS RESULTED IN: 12,585 HOSPITALIZATIONS (INCLUSIVE OF OPEN HEART SURGERIES) 52,191 PATIENT DAYS 718,327 CLINIC VISITS 25,357 RENAL TREATMENTS 9,623 SURGICAL CASES 4338634 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 2014, WE PROVIDED 4,338,634 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. 374778895 true true false true false false false false false true true true false false false true true false false false false false false false false false true true true false true true false false false false false false false false true true false false false false false true false false false true 231 0 true 4192 true true true false false false false false false false false false X 21 19 true false false false false false false true true false false false true true true true true true true true false NY X SUE E ANDREWS 6075473635 ONE ATWELL ROAD COOPERSTOWN NY 13326 WILLIAM STRECK MD JAN - JUN PRESIDENT & 40.00 2.20 X X 2049112 0 24912 VANCE M BROWN MD JUN - DEC PRESIDENT, C 40.00 2.20 X X 430475 0 1343 THOMAS Q MORRIS MD CHAIRMAN 1.00 3.25 X X 0 0 0 KEVIN S MOORE VICE CHAIRMA 3.00 2.50 X X 0 0 0 TIMOTHY A PEDLEY MD VICE CHAIRMA 1.00 1.00 X X 0 0 0 WILLIAM T BURDICK SECRETARY 8.00 3.00 X X 0 0 0 JOHN D BULLIS TRUSTEE 1.00 2.50 X 0 0 0 JANE FORBES CLARK TRUSTEE 1.00 X 0 0 0 BARBARA DICOCCO TRUSTEE 1.00 1.50 X 0 0 0 TERRY FULMER PHD TRUSTEE 1.00 X 0 0 0 MICHAEL S GOLD MD TRUSTEE 1.00 0.20 X 0 0 0 PETER J HAMILTON TRUSTEE 1.00 2.50 X 0 0 0 NANCY KLENIEWSKI TRUSTEE 1.00 X 0 0 0 RALPH H MEYER TRUSTEE 1.00 1.00 X 0 0 0 J MICHAEL MOFFAT TRUSTEE 1.00 X 0 0 0 KATHERINE D NICKERSON TRUSTEE 1.00 1.00 X 0 0 0 DONALD O QUEST MD TRUSTEE 1.00 X 0 0 0 VANNESS D ROBINSON TRUSTEE 1.00 X 0 0 0 RENEE SCIALDO SHEVAT TRUSTEE 1.00 X 0 0 0 EDWARD W STACK TRUSTEE 1.00 2.20 X 0 0 0 DOUGLAS B WILLIES TRUSTEE 1.00 0.50 X 0 0 0 STEVEN HENEGHAN MD CCO 40.00 X 613446 0 30790 NICHOLAS J NICOLETTA CORPORATE VP 40.00 13.50 X 476485 0 29490 BERTINE MCKENNA PHD EXECUTIVE VP 40.00 1.50 X 463302 0 27042 SUE E ANDREWS VP FINANCE & 40.00 20.00 X 212075 0 21557 RICHARD C VANISON TREASURER 4.00 2.50 X 0 0 0 GLENN A PERRONE ASSISTANT SE 2.00 2.50 X 0 0 0 KIRAN R NAKKALA MD ATTENDING PH 40.00 X 679642 0 13987 DHANANJAI MENZIES MD ATTENDING PH 40.00 X 616227 0 23410 WT HUNTSMAN MD ATTENDING PH 40.00 X 545125 0 27690 JAMES C PETERS MD ATTENDING PH 40.00 1.00 X 520098 0 29522 JOHN A LEON MD ATTENDING PH 40.00 X 483860 0 30370 7089847 260113 11 false true true STAT STAFF 258 USHERS ROAD SUITE 10 CLIFTON PARK NY 12065 AGENCY 2686862 WELLIVER MCGUIRE INC 250 N GENESEE ST MONTOUR FALLS NY 14865 CONSTRUCTION 1579383 SODEXO OPERATIONS 9801 WASHINGTON BLVD GAITHERSBURG MD 20760 FOOD SERVICES 1539473 MAYO MEDICAL LABORATORIES 144117762 200 FIRST STREET SW ROCHESTER MN 55903 LAB SERVICES 1441178 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 75397 AGENCY 1370747 20 2657183 6429888 495373 9582444 DIRECT PATIENT SERVICES 900099 413732282 413732282 OTHER PROGRAM SERVICE REVENUE 900099 43935570 43935570 457667852 1113556 1113556 9912492 2032524 6961403 2017801 2951089 14723 2965812 87014 2878798 PARTNERSHIP INCOME 14896725 14896725 PARTNERSHIP INCOME 621500 16459 16459 INVESTMENT IN JOINT VENTURE 621610 -33119 -33119 14880065 486209729 457667852 103473 18855960 33708 33708 4380028 4380028 87787 87787 233922854 178098268 55376861 447725 12202982 9293548 2889683 19751 10218520 7780189 2419128 19203 14828652 11287905 3509797 30950 45986 45986 37449602 28354772 8813829 281001 2055908 1557061 484144 14703 15006164 11443176 3558076 4912 1395935 1062839 330473 2623 18160621 13851752 4306985 1884 4224895 3216756 1000200 7939 DRUGS AND REAGENTS 34651449 34651449 PATIENT CARE SUPPLIES 33639331 33639331 BAD DEBT 13417776 13417776 CHARITY CARE 4338634 4338634 28023726 22751731 5143726 128269 468084558 374778895 92346703 958960 17119485 13034358 15038626 13170733 45505475 46500672 3691605 3505567 2691819 3037657 431197284 268762097 154577061 162435187 83073005 80810427 51538571 58055351 8515825 8091200 381751472 388641152 42674294 50143147 52525000 49160000 19774825 28651725 3534159 118508278 127954872 X 183528504 184415074 65833180 61908167 13881510 14363039 263243194 260686280 381751472 388641152 18125171 -19802820 -879265 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 45986 45986 false SCHEDULE C, PART II-B, LINE 1 AMERICAN HOSPITAL ASSOCIATION ALLOCATES 22.80% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2014 WERE 42,351 HANYS ALLOCATES 24.60% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2014 WERE 85,498 IROQUOIS HEALTHCARE ALLIANCE ALLOCATES 38.80% OF DUES TOWARDS GENERAL LOBBYING ACTIVITES. TOTAL DUES PAID IN 2014 WERE 39,427 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. 13881510 481529 14363039 13849731 31779 13881510 13829371 20360 13849731 13789074 40297 13829371 16734461 54613 199921 3000000 199921 13789074 1.00000 true false 1089856 1089856 209543795 114288438 95255357 198462362 154473659 43988703 22101271 22101271 162435187 LIMITED PARTNERSHIP 53237252 C LIMITED PARTNERSHIP 4818099 C 58055351 LINE OF CREDIT X 447771234 -19802820 -18635675 -38438495 486209729 486209729 450328148 450328148 17756410 17756410 468084558 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 FOOTNOTE 2(N) FROM AUDITED FINANCIAL STATEMENTS 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 -1,528,952 CHANGE IN INTEREST AT FRIENDS OF BASSETT 649,687 BAD DEBT -13,417,776 CHARITY CARE -4,338,634 SCHEDULE D, PAGE 4, PART XII, LINE 4B BAD DEBT 13,417,776 CHARITY CARE 4,338,634 true true true X 3.000000000000 false true true false true true 3486714 315017 3171697 0.00700 55238894 41668515 13570379 0.03010 58725608 41983532 16742076 0.03710 50854 50854 0.00010 17021300 5191610 11829690 0.02620 8724205 464499 8259706 0.01830 705129 705129 0.00150 26501488 5656109 20845379 0.04610 85227096 47639641 37587455 0.08320 true 13417775 677614 103082102 105486410 -2404308 X true true AT HOME CARE INC HOME HEALTHCARE AGENCY 0.50000 1 1 MARY IMOGENE BASSETT HOSPITAL ONE ATWELL ROAD COOPERSTOWN NY 13326 WWW.BASSETT.ORG 3824000H X X X X X OUTPATIENT PRIMARY & SPECIALTY MARY IMOGENE BASSETT HOSPITAL 1 false false true X X X X X X X X 13 true true false true X WWW.BASSETT.ORG X true 13 false true false true X 300.000000000000 false true X X X X true X X X X X X X true X true X X X X true X false false 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) GILES RUSSELL, CONSUMER AND COMMUNITY MEMBER C) BETTY HORRIGAN, DIRECTOR AT FIRST COMMUNITY CARE D) FRANCES WRIGHT, DIRECTOR AT OTSEGO COUNTY OFFICE FOR AGING E) JUDY SWEET, COMMUNITY LIAISON WITH AT HOME CARE, INC. F) MEG DONAHUE FROM OTSEGO COUNTY PUBLIC HEALTH G) TANYA SHALER, DIRECTOR AT OPPORTUNITIES FOR OTSEGO H) C.J. HERBERT, SUPERINTENDENT AT COOPERSTOWN SCHOOL DISTRICT I) CHRIS KJOLHEDE MD, DIRECTOR AT BASSETT SCHOOL-BASED HEALTH J) WILLIAM LECATES MD, MEDICAL DIRECTOR AT BASSETT MEDICAL CENTER K) MARYANNE KEHOE FROM HARTWICK COLLEGE L) JOHN MAY MD, DIRECTOR AT BASSETT RESEARCH INSTITUTE M) DAVID STROGATZ PHD, DIRECTOR AT BASSETT CENTER FOR RURAL COMMUNITY HEALTH N) WILLIAM STAMP, VP MARKETING AND STRATEGIC PLANNING, CORPORATE COMMUNICATINS AT BASSETT MEDICAL CENTER O) KAREN HUXTABLE-HOOKER, DIRECTOR PUBLIC & MEDIA RELATIONS AT BASSETT MEDICAL CENTER P) PAUL G. FITZPATRICK, PRESIDENT AT RURAL HEALTH DEVELOPMENT IN ADDITION TO COMMUNITY COMMENTS AND INPUT GATHERED IN RESPONSE TO POSTING OF THE COMMUNITY HEALTH NEEDS ASSESSMENT OF BOTH THE HOSPITAL'S AND BASSETT HEALTHCARE NETWORK'S WEBSITES, THE PRIMARY PROACTIVE MEANS FOR RECEIVING COMMUNITY INPUT WAS THROUGH A COMMUNITY-WIDE STAKEHOLDER MEETING HOSTED BY BASSETT MEDICAL CENTER ON DECEMBER 7, 2012. THE PURPOSE OF THE STAKEHOLDER MEETING WAS THREEFOLD: 1) TO ELICIT GENERAL COMMENTS ON THE DRAFT CHNA; 2) TO SEEK COMMUNITY INPUT ON THE PRIORITY HEALTH NEEDS IDENTIFIED BY THE CHNA; AND 3) TO SEEK COMMUNITY INPUT ON POTENTIAL IMPLEMENTATION STRATEGIES. A SUMMARY OF THE STAKEHOLDER SESSION IS PROVIDED IN APPENDIX 2. SIXTEEN INDIVIDUALS REPRESENTING 10 AREA HEALTH PROVIDERS AND COMMUNITY SERVICES ORGANIZATIONS ATTENDED THE SESSION. IN ADDITION TO THE PROCESS AND COMMUNITY PARTICIPATION SPECIFICALLY USED IN DEVELOPING THIS COMMUNITY HEALTH NEEDS ASSESSMENT, SIGNIFICANT PROCESSES AND COMMUNITY PARTICIPATION WERE INVOLVED IN COMPILING THE BASSETT MEDICAL CENTER COMMUNITY SERVICE PLAN AND IN DEVELOPMENT OF THE SEVEN COUNTIES' COMMUNITY HEALTH ASSESSMENTS FOR 2010-2013 WITHIN BASSETTS SERVICE AREA. EACH OF THESE EFFORTS INCLUDED THEIR OWN PROCESS AND METHODS FOR IDENTIFYING COMMUNITY HEALTH NEEDS. EACH ALSO PROVIDED NUMEROUS OPPORTUNITIES FOR COMMUNITY INPUT AND PARTICIPATION IN REVIEWING AND INFLUENCING THE SELECTION OF PRIORITY HEALTH NEEDS. THE COMMUNITY SERVICES PLAN FOR BASSETT MEDICAL CENTER WAS DEVELOPED AS PART OF A MULTIHOSPITAL PLANNING PROCESS AMONG THE SIX HOSPITALS IN THE BASSETT HEALTHCARE NETWORK. THE PROCESS WAS GUIDED BY A STEERING COMMITTEE THAT INCLUDED REPRESENTATION FROM EACH OF THE FOUR COUNTIES IN WHICH BASSETT AFFILIATED HOSPITALS ARE LOCATED. THE STEERING COMMITTEE INCLUDED REPRESENTATION FROM ALL MAJOR HEALTH PROVIDERS, PUBLIC HEALTH SERVICES, COLLEGES AND OTHERS IN EACH COUNTY. IN ADDITION, THE CSP FOR BASSETT MEDICAL CENTER INCLUDED PARTICIPATION OF THE OTSEGO COUNTY CONNECTING COMMUNITIES ADVISORY GROUP. THIS ADVISORY GROUP INCLUDED REPRESENTATIVES OF: BASSETT MEDICAL CENTER, OTSEGO COUNTY DEPARTMENT OF HEALTH, ONEONTA PRIMARY CARE GROUP, ONEONTA SPECIALTY SERVICES, COMMUNITY BASED ORGANIZATIONS, COUNTY HUMAN SERVICES, YOUTH AND AGING AGENCIES, SUNY ONEONTA AND HARTWICK COLLEGE. PARTICIPATION IN THE DEVELOPMENT OF THE CSP WAS ALSO SOLICITED THROUGH LETTERS AND EMAILS TO SCHOOLS, HUMAN SERVICE AGENCIES AND ORGANIZATIONS, COUNTY GOVERNMENT AND ELECTED OFFICIALS. A MAJOR STEP IN THE DEVELOPMENT OF THE PLAN WAS CONDUCTING A COMMUNITY HEALTH ASSESSMENT FOCUS GROUP. THE FOCUS GROUP SESSION WAS ATTENDED BY A WIDE RANGE OF COMMUNITY BASED HEALTH CARE PROVIDERS AND SERVICES ORGANIZATIONS, INCLUDING: OTSEGO COUNTY DEPARTMENT OF HEALTH, OTSEGO COUNTY DEPARTMENT OF SOCIAL SERVICES, OTSEGO COUNTY EMERGENCY SERVICES, OPPPORTUNITIES FOR OTSEGO, INC., PLANNED PARENTHOOD, BASSETT RESEARCH INSTITUTE, SAFE KIDS OF OTSEGO COUNTY, TOWN OF PITTSFIELD, AT HOME CARE, INC., SPRINGBROOK, CITY OF ONEONTA, BASSETT HEALTHCARE NETWORK, HEAD START, CATSKILL AREA, HOSPICE & PALLIATIVE CARE, OTSEGO COUNTY BOARD OF SUPERVISORS, NY CONNECTS OF OTSEGO COUNTY, UNITED WAY, SCHENEVUS CENTRAL SCHOOL, THE ARC OTSEGO, RURAL THREE FOR TOBACCO FREE COMMUNITIES, CORNELL COOPERATIVE EXTENSION, CHERRY VALLEY SPRINGFIELD CENTRAL SCHOOL, A.O. FOX HOSPITAL AND TOWN OF RICHFIELD SPRINGS. THE FOCUS GROUP SESSION INVOLVED PROVIDING PARTICIPANTS WITH AN OVERVIEW OF THE NYS PREVENTION AGENDA AND OF OTSEGO COUNTY HEALTH AND RELATED DATA. PARTICIPANTS WERE THEN ASKED FOR INPUT ON THE HEALTH STATUS AND HEALTH NEEDS OF OTSEGO COUNTY RESIDENTS. FOLLOWING THIS DISCUSSION, PARTICIPANTS BROKE INTO GROUPS TO DISCUSS AND RANK THE NYS PREVENTION AGENDA PRIORITIES. EACH GROUP PRESENTED ITS RANKING TO THE FULL GROUP. THESE RESULTS WERE THEN COMPLIED INTO A FINAL FOCUS GROUP SESSION RANKING. AS A RESULT, IMPROVING ACCESS TO QUALITY HEALTHCARE AND IMPROVING MENTAL HEALTH & SUBSTANCE ABUSE SERVICES WERE IDENTIFIED AS TOP PRIORITIES AND INCREASING PHYSICAL ACTIVITY & GOOD NUTRITION HABITS WAS RANKED THIRD. USING THESE RESULTS, TWO STRATEGIC PLANNING SESSIONS WERE CONDUCTED AMONG INTERESTED AREA PROVIDERS TO IDENTIFY AND DISCUSS STRATEGIES FOR EACH OF THE SELECTED PRIORITY AREAS. REPRESENTATIVES OF COMMUNITY ORGANIZATIONS PROVIDING DENTAL HEALTH, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES WERE INVITED. PARTICIPANTS INCLUDED: OTSEGO COUNTY DEPARTMENT OF HEALTH, BASSETT HEALTHCARE NETWORK, BASSETT RESEARCH INSTITUTE, A.O. FOX HOSPITAL, FOX DENTAL CLINIC, AMERICAN MOBILE DENTAL CORPORATION, BASSETT SCHOOL BASED HEALTH CENTERS AND LEATHERSTOCKING EDUCATION ON ALCOHOLISM/ADDICTIONS FOUNDATIONS INC. THE PROCESS OF DEVELOPING THE CHENANGO COUNTY COMMUNITY HEALTH ASSESSMENT FOR 2010-2013 INVOLVED BROAD COMMUNITY PARTICIPATION. THE CHENANGO COUNTY PUBLIC HEALTH DEPARTMENT MAINTAINS ON-GOING COLLABORATIONS AND DIALOGUES WITH AREA HOSPITALS, HEALTH CARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS AND SCHOOLS WHICH SERVE CHENANGO COUNTY. THE CHENANGO COUNTY PUBLIC HEALTH DEPARTMENT ALSO INTERACTS WITH COMMUNITY RESIDENTS AND CONSUMERS TO GATHER INFORMATION AND FEEDBACK. THE PROCESS OF DEVELOPING THE COMMUNITY HEALTH ASSESSMENT INVOLVED FACE-TO-FACE MEETINGS BETWEEN THE CHENANGO COUNTY PUBLIC HEALTH DEPARTMENT, CHENANGO MEMORIAL HOSPITAL AND MEMBERS OF THE CHENANGO HEALTH NETWORK BOARD OF DIRECTORS. PRIORITIES WERE DETERMINED THROUGH COLLABORATIVE DISCUSSIONS OF THE HEALTH CARE STATUS AND NEEDS OF CHENANGO COUNTY RESIDENTS. SELECTED PRIORITIES WERE SUPPORTED BY COMPELLING DATA, AS WELL AS THE KNOWLEDGE OF THE ABILITY OF ALL AREA ENTITIES TO MEET THOSE NEEDS. SPECIFICALLY, PRIORITIES WERE IDENTIFIED BASED ON THE COMPLETION OF A SERIES OF STEPS, INCLUDING: 1) A REVIEW OF CURRENT NEW YORK STATE AND CHENANGO COUNTY HEALTH INDICATORS; 2) EVALUATION OF CLINICAL EXPERIENCES OF COUNTY PUBLIC HEALTH STAFF; 3) KNOWLEDGE GAINED FROM REGULAR DIALOGUES AND PARTICIPATION WITH CHENANGO HEALTH NETWORK BOARD OF DIRECTORS AND STAFF; 4) PROVISION OF STAFF SUPPORT FOR THE ACTION PLANS OF SEVERAL AREA HEALTH PLANNING COMMITTEES WHICH FOCUSED ON IMPROVING LIVING SITUATIONS OF COUNTY RESIDENTS; 5) REVIEW OF OTHER CURRENT LOCAL NEEDS ASSESSMENTS INCLUDING THE COMMUNITY SERVICE PLAN OF CHENANGO MEMORIAL HOSPITAL; AND 6) INFORMATION AND DATA ACQUIRED FROM ASSESSMENTS AND FOCUS GROUPS HELD THROUGHOUT CHENANGO COUNTY AS A PART OF THE TWO YEAR LOCAL HEALTH PLANNING ACTIVITIES FACILITATED BY THE CHENANGO HEALTH NETWORK. THE DELAWARE COUNTY COMMUNITY HEALTH ASSESSMENT 2010-2013 WAS PREPARED BY THE DELAWARE COUNTY PUBLIC HEALTH SERVICE (DCPH). DCPH CONDUCTED A COUNTYWIDE INFORMATION GATHERING INITIATIVE WITH THE GOAL OF UNDERSTANDING PUBLIC HEALTH PRIORITIES. THROUGH COLLABORATIVE EFFORTS AMONG DELAWARE COUNTY PUBLIC HEALTH NURSING SERVICES (DCPH), HOSPITALS, HEALTH CARE PROVIDERS, OTHER COMMUNITY-BASED ORGANIZATIONS, AND CONSUMERS, DATA WAS GATHERED REGARDING CURRENT NEEDS OF THE DELAWARE COUNTY COMMUNITY. THE OUTREACH EFFORT ESTABLISHED A FRAMEWORK FOR IDENTIFYING THE NYSS PREVENTION AGENDA PRIORITIES IN THE CONTEXT OF LOCAL NEED. AN EXTENSIVE EFFORT WAS MADE TO MAXIMIZE COMMUNITY AND PROVIDER PARTICIPATION IN THE DEVELOPMENT OF THE DELAWARE COUNTY COMMUNITY HEALTH ASSESSMENT FOR 2010-2013 (DCCHA). IT INCLUDED A MULTI-LEVEL PLANNING PROCESS UNDERTAKEN TO ENGAGE A WIDE RANGE OF COMMUNITY PARTICIPATION. LOCAL OUTREACH INCLUDED A CALL-FOR-PARTICIPATION PUBLICITY CAMPAIGN, TELEPHONE QUESTIONNAIRES, SURVEYS AND THE FORMATION OF DISCUSSION PANELS. A CONSUME 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 ALL OF THE COMMUNITY HEALTH ASSESSMENT NEEDS ARE LONG TERM GOALS AND ARE ACTIVELY BEING WORKED ON. FACILITY 1, MARY IMOGENE BASSETT HOSPITAL - PART V, LINE 22D BASSETT RECOGNIZES THAT SERVICES WILL BE PROVIDED EQUALLY TO ALL PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SUCH SERVICES. CHARGE SCHEDULES ARE, THEREFORE, UNIFORM. BILLINGS TO PATIENTS ARE BASED ON THESE CHARGE SCHEDULES. ALL CHARGES TO INDIVIDUALS THAT QUALIFY FOR CHARITY CARE ARE WRITTEN OFF COMPLETELY. 51 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 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 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 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 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 4238 STATE HIGHWAY 8 NEW BERLIN NY 13411 OUTPATIENT PRIMARY CARE SBHC - WORCESTER CENTRAL SCHOOL 195 MAIN STREET WORCESTER NY 12197 OUTPATIENT PRIMARY CARE 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 13,417,776 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 TOPATIENTS, 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 FORESTIMATED UNCOLLECTIBLE ACCOUNTS. ADDITIONS TO THE ALLOWANCE FOR ESTIMATEDUNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR UNCOLLECTIBLEACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THEALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISIONFOR 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 2014 AND 2013, THE TOTAL CHARGES FORGONE FOR BAD DEBT WERE APPROXIMATELY 13,417,776 AND 17,167,068 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 CARER POLICY. THE HOSPITAL'S CHARITY CARE POLICY HAS NOT CHANGED DURING FISCAL YEARS 2013 OR 2014." 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. THE HOSPITAL BELIEVES THE AMOUNT SHOULD BE CONSIDERED A COMMUNITY BENEFIT EXPENSE SINCE THE GOVERNMENT SUBSIDY IS NOT SUFFICIENT TO COVER THE COST OF CARING FOR ELDERLY PATIENTS. THE PROVISION OF MEDICAL CARE TO THE ELDERLY IS A COMMUNITY NEED. 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. LIENS OR GARNISHMENTS UPON THE PERSONAL ASSETS OF A JUDGEMENT DEBTOR WILL BE PURSUED ONLY AFTER INDIVIDUAL CASE REVIEW BY COUNSEL TO ENSURE THAT SUCH ACTION IS NOT ONLY CONSISTENT WITH BASSETT'S INTERESTS, BUT ALSO THE ONLY FEASIBLE RECOVERY MECHANISM FROM A JUDGEMENT DEBTOR CAPABLE OF RESPONDING TO HIS OR HER OBLIGATIONS, BUT OTHERWISE UNWILLING TO DO SO. 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 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 37,000 AND 40,000. 12-14 % 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 THURSTON CORPORATION (DBA 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 29 COMMUNITY BASED OUTPATIENT HEALTH CENTERS, 19 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 19 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 61,709, DELAWARE COUNTY - POPULATION 47,276, HERKIMER COUNTY - POPULATION 64,508, SCHOHARIE COUNTY - POPULATION 32,099 (ACCORDING TO THE 2012 U.S. CENSUS ESTIMATES). A)BASSETT - AN ACUTE CARE INPATIENT TEACHING FACILITY, AN OUTPATIENT PRIMARY AND SPECIALTY CARE CENTER, A REGIONAL NETWORK OF 26 COMMUNITY BASED OUTPATIENT HEALTH CENTERS, 19 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 false AMERICAN CANCER SOCIETY 250 WILLIAMS ST NW ATLANTA GA 30303 131788491 3 7500 CASH SUPPORT 1 1 X X X X false true false false false false false true false WILLIAM STRECK MD JAN - JUN PRESIDENT & CEO 995346 52689 1001077 22490 2422 2074024 VANCE M BROWN MD JUN - DEC PRESIDENT, CEO 379167 50000 1308 1343 431818 STEVEN HENEGHAN MD CCO 608550 4896 23920 6870 644236 NICHOLAS J NICOLETTA CORPORATE VP & CFO 471310 5175 23920 5570 505975 BERTINE MCKENNA PHD EXECUTIVE VP & CFO 463000 302 21320 5722 490344 SUE E ANDREWS VP FINANCE & CFO 212075 17452 4105 233632 KIRAN R NAKKALA MD ATTENDING PHYSICIAN 671283 2810 5549 13987 693629 DHANANJAI MENZIES MD ATTENDING PHYSICIAN 616077 150 18720 4690 639637 WT HUNTSMAN MD ATTENDING PHYSICIAN 532565 12560 23920 3770 572815 JAMES C PETERS MD ATTENDING PHYSICIAN 508500 10000 1598 23920 5602 549620 JOHN A LEON MD ATTENDING PHYSICIAN 483650 210 23920 6450 514230 SCHEDULE J, PAGE 1, PART I, LINE 4 W.T. HUNTSMAN, MD 0 103,005 0 JAMES C PETERS, MD 0 21,553 0 JOHN A LEON, MD 0 104,238 0 SCHEDULE J, PAGE 1, PART I, LINE 7 NON FIXED PAYMENTS ARE MADE BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE OFFICERS SCHEDULE J, PART III PART VII, LINE 5 COMPENSATION FROM UNRELATED ORGANIZATIONS NAME : WILLIAM F STRECK, MD NAME OF UNRELATED ORGANIZATION : COLUMBIA UNIVERSITY TYPE OF COMPENSATION : SALARY AMOUNT OF COMPENSATION : 152,886 A OTSEGO COUNTY CAPITAL RESOURCES 263661593 2011-11-03 25000000 PART VI false false false B OTSEGO COUNTY CAPITAL RESOURCES 263661593 2011-11-03 19200000 PART VI false false false A 1330000 25000000 702000 500000 23798000 2011 false false false true B 2580000 19200000 75000 19125000 2009 true false true true A false false false false false false true B false false false false false false true A false false false false true false false false false B false true false false true false false false false SCHEDULE K - ADDITIONAL INFORMATION OTSEGO COUNTY CAPITAL RESOURCES PART I, LINE A, COLUMN F: BUILDING AND RESOURCES OTSEGO COUNTY CAPITAL RESOURCES PART I, LINE B, COLUMN F: REFUND OF PRIOR ISSUANCE THE CLARK ESTATES PART V 643198 INVESTMENT MGMT FEES false JANE HAMILTON PART V 87787 WAGES false SCHEDULE L, PART V 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 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 KEVIN S MOORE GLENN A PERRONE TRUSTEE ASST. SEC. 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 WILLIAM T BURDICK GLENN A PERRONE TRUSTEE ASST. SEC. 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 JANE FORBES CLARK GLENN A PERRONE TRUSTEE ASST. SEC. BUSINESS RICHARD C VANISON KEVIN S MOORE TREASURER TRUSTEE BUSINESS RICHARD C VANISON WILLIAM T BURDICK TREASURER TRUSTEE BUSINESS RICHARD C VANISON JANE FORBES CLARK TREASURER TRUSTEE BUSINESS RICHARD C VANISON GLENN A PERRONE TREASURER ASST. SEC. BUSINESS GLENN A PERRONE KEVIN S MOORE ASST. SEC. TRUSTEE BUSINESS GLENN A PERRONE WILLIAM T BURDICK ASST. SEC. TRUSTEE BUSINESS GLENN A PERRONE JANE FORBES CLARK ASST. SEC. TRUSTEE BUSINESS GLENN A PERRONE RICHARD C VANISON ASST. SEC. TREASURER 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 -1,528,952 CHANGE IN INTEREST AT FRIENDS OF BASSETT 649,687 BAD DEBT -13,417,776 CHARITY CARE -4,338,634 BAD DEBT 13,417,776 CHARITY CARE 4,338,634 THURSTON CORPORATION ONE ATWELL ROAD COOPERSTOWN NY 13326 133218680 SUPPORT NY 501C3 11C NONE false BASSETT REGIONAL CORPORATION (BRC) ONE ATWELL ROAD COOPERSTOWN NY 13326 133522783 SUPPORT NY 501C3 11B THURSTON false TEMPLETON FOUNDATION ONE ATWELL ROAD COOPERSTOWN NY 13326 133317084 LANDLORD NY 501C3 9 THURSTON false FRIENDS OF BASSETT ONE ATWELL ROAD COOPERSTOWN NY 13326 237041610 FUNDRAISE NY 501C3 7 THURSTON false AO FOX MEMORIAL HOSPITAL ONE NORTON AVENUE ONEONTA NY 13820 150539039 HEALTHCARE NY 501C3 3 THURSTON 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 false false true false false false false false true true true true true false false true true false false