MARY IMOGENE BASSETT HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MARY IMOGENE BASSETT HOSPITAL (EIN 13-5596796)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-10
IRS object ID
201423149349300307
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-10T07:16:46-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1515 BROADWAY 4TH FLAddressLine1
CityALBANYCity
StateNYState
ZIP Code12207ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN135596796EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY IMOGENE BASSETT HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMARYBusinessNameControlTxt
Phone6075473635PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE ATWELL ROADAddressLine1
CityCOOPERSTOWNCity
StateNYState
ZIP Code13326ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUE E ANDREWSPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone6075473635PhoneNum
Signature2014-11-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY-EVELYN ANTONETTIPreparerPersonNm
PTINP00431862PTIN
Phone5184274600PhoneNum
Preparation2014-11-10PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BASSETT MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerSUE E ANDREWSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE ATWELL ROADAddressLine1
CityCOOPERSTOWNCity
StateNYState
ZIP Code13326ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$460,091,343GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BASSETT.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1921FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionMARY 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 Body19VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee4099TotalEmployeeCnt
Total Volunteers160TotalVolunteersCnt
Total Gross UBI$63,309TotalGrossUBIAmt
PY Contributions Grants$15,144,838PYContributionsGrantsAmt
CY Contributions Grants$7,552,591CYContributionsGrantsAmt
PY Program Service Revenue$413,231,887PYProgramServiceRevenueAmt
CY Program Service Revenue$434,777,316CYProgramServiceRevenueAmt
PY Investment Income$1,833,345PYInvestmentIncomeAmt
CY Investment Income$6,321,582CYInvestmentIncomeAmt
PY Other Revenue-$523,561PYOtherRevenueAmt
CY Other Revenue$2,542,241CYOtherRevenueAmt
PY Total Revenue$429,686,509PYTotalRevenueAmt
CY Total Revenue$451,193,730CYTotalRevenueAmt
PY Grants And Similar Paid$50,825PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$40,169CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$243,007,003PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$254,984,578CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,088,052CYTotalFundraisingExpenseAmt
PY Other Expenses$184,364,624PYOtherExpensesAmt
CY Other Expenses$188,964,243CYOtherExpensesAmt
PY Total Expenses$427,422,452PYTotalExpensesAmt
CY Total Expenses$443,988,990CYTotalExpensesAmt
PY Revenues Less Expenses$2,264,057PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,204,740CYRevenuesLessExpensesAmt
Total Assets BOY$357,225,149TotalAssetsBOYAmt
Total Assets EOY$381,751,472TotalAssetsEOYAmt
Total Liabilities BOY$124,215,669TotalLiabilitiesBOYAmt
Total Liabilities EOY$118,508,278TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$233,009,480NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$263,243,194NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMARY 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$355,457,125ExpenseAmt
Grant$40,169GrantAmt
Revenue$434,777,316RevenueAmt
DescINPATIENT AND OUTPATIENT SERVICES PROVIDED TO OUR PATIENTS RESULTED IN: 12,708 HOSPITALIZATIONS (INCLUSIVE OF OPEN HEART SURGERIES) 50,711 PATIENT DAYS 699,970 CLINIC VISITS 24,144 RENAL TREATMENTS 9,410 SURGICAL CASESDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,365,900ExpenseAmt
DescSEE 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 2012, WE PROVIDED 5,433,926 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. NOT ONLY DID WE PROVIDE 5.4M IN CHARITY CARE, BAD DEBT EXPENSE WAS 15M, MEDICAID PAYMENTS BELOW COST TO PROVIDE SERVICES WERE 27.2M.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$359,823,025TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document249IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4099EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NICHOLAS J NICOLETTABusinessNameLine1
FieldValueIRS element (for citing)
Phone6075473635PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE ATWELL ROADAddressLine1
CityCOOPERSTOWNCity
StateNYState
ZIP Code13326ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS Q MORRIS MD
CHAIRMAN1.003.25Yes (X)Yes (X)$0$0$0
KEVIN S MOORE
VICE CHAIRMA3.002.50Yes (X)Yes (X)$0$0$0
TIMOTHY A PEDLEY MD
VICE CHAIRMA1.001.00Yes (X)Yes (X)$0$0$0
WILLIAM T BURDICK
SECRETARY8.003.00Yes (X)Yes (X)$0$0$0
JOHN D BULLIS
TRUSTEE1.002.50Yes (X)$0$0$0
JANE FORBES CLARK
TRUSTEE1.000.00Yes (X)$0$0$0
BARBARA DICOCCO
TRUSTEE1.001.50Yes (X)$0$0$0
TERRY FULMER PHD
TRUSTEE1.000.00Yes (X)$0$0$0
MICHAEL S GOLD MD
TRUSTEE1.000.20Yes (X)$0$0$0
PETER J HAMILTON
TRUSTEE1.002.50Yes (X)$0$0$0
NANCY KLENIEWSKI
TRUSTEE1.000.00Yes (X)$0$0$0
RALPH H MEYER
TRUSTEE1.001.00Yes (X)$0$0$0
J MICHAEL MOFFAT
TRUSTEE1.000.00Yes (X)$0$0$0
KATHERINE D NICKERSON
TRUSTEE1.001.00Yes (X)$0$0$0
DONALD O QUEST MD
TRUSTEE1.000.00Yes (X)$0$0$0
VANNESS D ROBINSON
TRUSTEE1.000.00Yes (X)$0$0$0
RENEE SCIALDO SHEVAT
TRUSTEE1.000.00Yes (X)$0$0$0
EDWARD W STACK
TRUSTEE1.002.20Yes (X)$0$0$0
DOUGLAS B WILLIES
TRUSTEE1.000.50Yes (X)$0$0$0
WILLIAM F STRECK MD
PRESIDENT, C40.002.20Yes (X)$784,755$0$28,796
STEVEN HENEGHAN MD
CCO40.00Yes (X)$621,493$0$30,443
BERTINE MCKENNA PHD
EXECUTIVE VP40.001.50Yes (X)$429,830$0$26,390
NICHOLAS J NICOLETTA
CORPORATE VP40.0013.50Yes (X)$427,411$0$29,283
RICHARD C VANISON
TREASURER4.002.50Yes (X)$0$0$0
GLENN A PERRONE
ASSISTANT SE2.002.50Yes (X)$0$0$0
JOHN A LEON MD
ATTENDING PH40.00$591,686$0$29,607Yes (X)
DHANANJAI MENZIES MD
ATTENDING PH40.00$585,750$0$21,539Yes (X)
LEOR ROUBEIN MD
ATTENDING PH40.00$574,356$0$4,958Yes (X)
WT HUNTSMAN MD
ATTENDING PH40.00$566,985$0$26,927Yes (X)
PASCALE RAYMOND MD
ATTENDING PH40.00$564,970$0$18,402Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,147,236TotalReportableCompFromOrgAmt
Total Other Compensation$216,345TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Address Line2ContractorAddress/USAddress/AddressLine2CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
STAT STAFF
258 USHERS ROADSUITE 10CLIFTON PARKNY12065AGENCY$3,402,036
SODEXO OPERATIONS
9801 WASHINGTON BLVDGAITHERSBURGMD20760FOOD SERVICES$1,644,907
ANGELICA TEXTILE SERVICES
424 S WOODS MILL ROADCHESTERFIELDMO63017LINEN SERVICE$1,521,809
MAYO MEDICAL LABORATORIES
200 FIRST STREET SWROCHESTERMN55903LAB SERVICES$1,357,839
MORRIS SWITZER ENVIRONMENTAL
185 TALCOTT RDWILLISTONVT05495ARCHITECTS$957,930
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Related Organizations$1,323,732RelatedOrganizationsAmt
Government Grants$5,480,808GovernmentGrantsAmt
All Other Contributions$748,051AllOtherContributionsAmt
Total Contributions$7,552,591TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DIRECT PATIENT SERVICES900099$394,941,963$394,941,963
OTHER PROGRAM SERVICE REVENUE900099$39,835,353$39,835,353
FieldValueIRS element (for citing)
Total Program Service Revenue$434,777,316TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$340,890TotalRevenueColumnAmt
Exclusion$340,890ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$14,408,820SecuritiesAmt
Other$469,485OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,442,097SecuritiesAmt
Other$455,516OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,966,723SecuritiesAmt
Other$13,969OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,980,692TotalRevenueColumnAmt
Unrelated Business Revenue$49,361UnrelatedBusinessRevenueAmt
Exclusion$5,931,331ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtBusinessBusinessCdUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PARTNERSHIP INCOME$2,613,773$2,613,773
PARTNERSHIP INCOME$13,948621500$13,948
INVESTMENT IN JOINT VENTURE-$85,480-$85,480621610
FieldValueIRS element (for citing)
Other Revenue Total$2,542,241OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$451,193,730TotalRevenueColumnAmt
Related Or Exempt Func Income$434,777,316RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$63,309UnrelatedBusinessRevenueAmt
Exclusion$8,800,514ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$40,169TotalAmt
Program Services$40,169ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,370,458TotalAmt
Management And General$2,370,458ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$86,636TotalAmt
Management And General$86,636ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$221,089,862TotalAmt
Program Services$168,282,855ProgramServicesAmt
Management And General$52,324,912ManagementAndGeneralAmt
Fundraising$482,095FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,316,605TotalAmt
Program Services$6,323,621ProgramServicesAmt
Management And General$1,966,231ManagementAndGeneralAmt
Fundraising$26,753FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,399,758TotalAmt
Program Services$7,154,802ProgramServicesAmt
Management And General$2,224,673ManagementAndGeneralAmt
Fundraising$20,283FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,721,259TotalAmt
Program Services$10,442,800ProgramServicesAmt
Management And General$3,247,025ManagementAndGeneralAmt
Fundraising$31,434FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$52,139TotalAmt
Management And General$52,139ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$35,358,728TotalAmt
Program Services$26,704,167ProgramServicesAmt
Management And General$8,303,242ManagementAndGeneralAmt
Fundraising$351,319FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,050,476TotalAmt
Program Services$1,551,106ProgramServicesAmt
Management And General$482,292ManagementAndGeneralAmt
Fundraising$17,078FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,434,227TotalAmt
Program Services$11,007,631ProgramServicesAmt
Management And General$3,422,650ManagementAndGeneralAmt
Fundraising$3,946FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,400,706TotalAmt
Program Services$1,066,174ProgramServicesAmt
Management And General$331,510ManagementAndGeneralAmt
Fundraising$3,022FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,145,428TotalAmt
Program Services$14,602,977ProgramServicesAmt
Management And General$4,540,567ManagementAndGeneralAmt
Fundraising$1,884FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,581,549TotalAmt
Program Services$2,726,163ProgramServicesAmt
Management And General$847,658ManagementAndGeneralAmt
Fundraising$7,728FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DRUGS AND REAGENTS$33,016,486$33,016,486
PATIENT CARE SUPPLIES$31,811,417$31,811,417
BAD DEBT$17,167,068$17,167,068
CHARITY CARE$4,365,900$4,365,900

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$26,580,119TotalAmt
Program Services$23,559,689ProgramServicesAmt
Management And General$2,877,920ManagementAndGeneralAmt
Fundraising$142,510FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$443,988,990TotalAmt
Program Services$359,823,025ProgramServicesAmt
Management And General$83,077,913ManagementAndGeneralAmt
Fundraising$1,088,052FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,653,880BOYAmt
EOY$17,119,485EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,856,350BOYAmt
EOY$15,038,626EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$44,119,304BOYAmt
EOY$45,505,475EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,425,444BOYAmt
EOY$3,691,605EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,640,600BOYAmt
EOY$2,691,819EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$407,188,506LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$252,611,445LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$146,308,527BOYAmt
EOY$154,577,061EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$84,878,064BOYAmt
EOY$83,073,005EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$36,797,740BOYAmt
EOY$51,538,571EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,545,240BOYAmt
EOY$8,515,825EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$357,225,149BOYAmt
EOY$381,751,472EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,628,165BOYAmt
EOY$42,674,294EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,590,000BOYAmt
EOY$52,525,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$29,997,504BOYAmt
EOY$19,774,825EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$3,534,159EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$124,215,669BOYAmt
EOY$118,508,278EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$163,196,856BOYAmt
EOY$183,528,504EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$55,962,893BOYAmt
EOY$65,833,180EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,849,731BOYAmt
EOY$13,881,510EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$233,009,480BOYAmt
EOY$263,243,194EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$357,225,149BOYAmt
EOY$381,751,472EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$7,204,740ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$21,704,958NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,324,016OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$52,139OtherActivitiesAmt
Total Lobbying Expenditures$52,139TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationAMERICAN HOSPITAL ASSOCIATION ALLOCATES 23.65% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2013 WERE 52,566 HANYS ALLOCATES 28.00% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2013 WERE 85,437 IROQUOIS HEALTHCARE ALLIANCE ALLOCATES 42.80% OF DUES TOWARDS GENERAL LOBBYING ACTIVITES. TOTAL DUES PAID IN 2013 WERE 36,881 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,829,371BeginningYearBalanceAmt
Contributions$20,360ContributionsAmt
End Year Balance$13,849,731EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,789,074BeginningYearBalanceAmt
Contributions$40,297ContributionsAmt
End Year Balance$13,829,371EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,734,461BeginningYearBalanceAmt
Contributions$54,613ContributionsAmt
Investment Earnings Or Losses$199,921InvestmentEarningsOrLossesAmt
Other Expenditures$3,000,000OtherExpendituresAmt
Administrative Expenses$199,921AdministrativeExpensesAmt
End Year Balance$13,789,074EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,825,685BeginningYearBalanceAmt
Contributions$2,908,776ContributionsAmt
Investment Earnings Or Losses$189,138InvestmentEarningsOrLossesAmt
Administrative Expenses$189,138AdministrativeExpensesAmt
End Year Balance$16,734,461EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$207,928OtherCostOrOtherBasisAmt
Book Value$207,928BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$194,290,230OtherCostOrOtherBasisAmt
Depreciation$107,434,180DepreciationAmt
Book Value$86,856,050BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$185,555,383OtherCostOrOtherBasisAmt
Depreciation$145,177,265DepreciationAmt
Book Value$40,378,118BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,134,965OtherCostOrOtherBasisAmt
Book Value$27,134,965BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$154,577,061TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LIMITED PARTNERSHIP$46,756,674C
LIMITED PARTNERSHIP$4,781,897C
FieldValueIRS element (for citing)
Total Book Value Securities$51,538,571TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLINE OF CREDITDesc
Amt$3,534,159Amt
FieldValueIRS element (for citing)
Total Liability$3,534,159TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$452,689,736TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$21,704,958NetUnrealizedGainsInvstAmt
Other Revenue-$20,208,952OtherRevenueAmt
Revenue Not Reported$1,496,006RevenueNotReportedAmt
Revenue Subtotal$451,193,730RevenueSubtotalAmt
Total Revenue Per Form990$451,193,730TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$422,456,022TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$422,456,022ExpensesSubtotalAmt
Other Expenses Not Included$21,532,968OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$21,532,968ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$443,988,990TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4PERMANENTLY 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 XTHE 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 2DPOST RETIREMENT BENEFIT CHANGE 1,336,175 CHANGE IN INTEREST AT FRIENDS OF BASSETT -12,159 BAD DEBT -17,167,068 CHARITY CARE -4,365,900
SCHEDULE D, PAGE 4, PART XII, LINE 4BBAD DEBT 17,167,068 CHARITY CARE 4,365,900

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other3.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,278,739TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$297,839DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,980,900NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,751,633TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,916,124DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,835,509NetCommunityBenefitExpnsAmt
Total Expense0.02690TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,030,372TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,213,963DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,816,409NetCommunityBenefitExpnsAmt
Total Expense0.03360TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,685TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,685NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,228,463TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,817,719DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,410,744NetCommunityBenefitExpnsAmt
Total Expense0.02590TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,143,903TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$319,797DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,824,106NetCommunityBenefitExpnsAmt
Total Expense0.02900TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$729,920TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$729,920NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,153,971TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,137,516DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,016,455NetCommunityBenefitExpnsAmt
Total Expense0.05600TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,184,343TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,351,479DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,832,864NetCommunityBenefitExpnsAmt
Total Expense0.08960TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,860,039BadDebtExpenseAmt
Bad Debt Expense Attributable$921,818BadDebtExpenseAttributableAmt
Reimbursed By Medicare$95,124,685ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$91,552,868CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$3,571,817MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1AT HOME CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivitiesHOME HEALTHCARE AGENCYPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY IMOGENE BASSETT HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE ATWELL ROADAddressLine1
CityCOOPERSTOWNCity
StateNYState
ZIP Code13326ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.BASSETT.ORGWebsiteAddressTxt
State License3824000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherOUTPATIENT PRIMARY & SPECIALTYOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARY IMOGENE BASSETT HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.BASSETT.ORGOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CarefalseFPGUsedDetermEligDscntCareInd
Explained BasisfalseExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, MARY IMOGENE BASSETT HOSPITAL - PART V, LINE 3THIS 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; 4) KNOWLEDGE GAINED FROM REGULAR DIALOGUES AND PARTICIPATION WITH CHENANGO HEALTH NETWORK BOARD OF DIRECTORS AND STAFF; 5) PROVISION OF STAFF SUPPORT FOR THE ACTION PLANS OF SEVERAL AREA HEALTH PLANNING COMMITTEES WHICH FOCUSED ON IMPROVING LIVING SITUATIONS OF COUNTY RESIDENTS; 6) REVIEW OF OTHER CURRENT LOCAL NEEDS ASSESSMENTS INCLUDING THE COMMUNITY SERVICE PLAN OF CHENANGO MEMORIAL HOSPITAL; AND 7) 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 4O'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 7ALL 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 11BASSETT MEDICAL CENTER DOES NOT PROVIDE DISCOUNTED CARE.
FACILITY 1, MARY IMOGENE BASSETT HOSPITAL - PART V, LINE 20DBASSETT 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.
FieldValueIRS element (for citing)
Facility51FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (51 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxtAddress Line2USAddress/AddressLine2
AC CLARK GYMNASIUM
124 COUNTY ROAD 52COOPERSTOWNNY13326OUTPATIENT PHYSICAL THERAPY SERVICES
BASSETT HEALTHCARE HAMILTON SURGICA
10 EATON STREETHAMILTONNY13346OUTPATIENT SPECIALTY CARE
BASSETT HEALTHCARE HERKIMER CARDIAC
690 WEST GERMAN STREETHERKIMERNY13350OUTPATIENT REHAB SERVICES
BASSETT HEALTHCARE CLINTON
34 CHENANGO AVENUECLINTONNY13323OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE CANAJOHARIE
56 MONTGOMERY STREETCANAJOHARIENY13317OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE COBLESKILL
121 LEGION DRIVECOBLESKILLNY12043OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE DELANSON
1 COOLEY HEIGHTSDELANSONNY12053OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE DELHI
460 ANDES ROADDELHINY13753OUTPATIENT PRIMARY CARE AND DENTAL
BASSETT HEALTHCARE EDMESTON
ROUTE 80EDMESTONNY13335OUTPATIENT PRIMARY CAREPO BOX 15
BASSETT HEALTHCARE HAMILTON
160 BROAD STREETHAMILTONNY13346OUTPATIENT PRIMARY CARE AND DENTAL
BASSETT HEALTHCARE HERKIMER
321 EAST ALBANY STREETHERKIMERNY13350OUTPATIENT PRIME, SPECIALTY, URGENT CARE
BASSETT HEALTHCARE MIDDLEBURGH
109 BAKER AVENUEMIDDLEBURGHNY12122OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE MORRIS
93 MAIN STREETMORRISNY13808OUTPATIENT SPECIALTY CARE
BASSETT HEALTHCARE ONEONTA SURGICAL
449 MAIN STREETONEONTANY13820OUTPATIENT SPECIALTY CARE
BASSETT HEALTHCARE NORWICH
55 CALVARY DRIVENORWICHNY13815OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE ONEONTA
125 MAIN STREETONEONTANY13820OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE ONEONTA SPECIAL
ONE ASSOCIATE DRIVEONEONTANY13820OUTPATIENT PRIME, SPECIALTY, URGENT CARE
BASSETT HEALTHCARE PHYSICAL THERAPY
21 RAILTOAD AVENUECOOPERSTOWNNY13326OUTPATIENT SPECIALTY CARE
BASSETT HEALTHCARE RICHFIELD SPRING
8550 STATE HIGHWAY 28RICHFIELD SPRINGSNY13439OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE SCHOHARIE
111 BARTON HILL ROADSCHOHARIENY12157OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE SHARON SPRINGS
ROUTE 20SHARON SPRINGSNY13459OUTPATIENT PRIMARY CAREPO BOX 275
BASSETT HEALTHCARE SHERBURNE
20 CHAPEL STREETSHERBURNENY13460OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE SIDNEY
39 PEARL STREETSIDNEYNY13838OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE ST JOHNSVILLE
8 PARK PLACEST JOHNSVILLENY13452OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE STAMFORD
28650 STATE HIGHWAY 23STAMFORDNY12167OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE WALTON
130 NORTH STREETWALTONNY13856OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE WEST WINFIELD
544 EAST MAIN STREETWEST WINFIELDNY13491OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE AT FOXCARE
1 FOXCARE DRIVEONEONTANY13820OUTPATIENT SPECIALTY CARE
BASSETT HEALTHCARE AT LITTLE FALLS
170 BURWELL STREETLITTLE FALLSNY13365OUTPATIENT PRIMARY CARE
BASSETT HEALTHCARE UNADILLA
16 CLIFTON STREETUNADILLANY13849OUTPATIENT PRIMARY CARE
BASSETT REGIONAL CANCER CENTER
7 ASSOCIATE DRIVEONEONTANY13820OUTPATIENT SPECIALTY CARE
HARTWICK SEMINARY SPECIALTY SERVICE
4580 ROUTE 28MILFORDNY13807OUTPATIENT PRIMARY AND SPECIALTY CARE
SBHC - COOPERSTOWN ELEMENTARY
21 WALNUT STREETCOOPERSTOWNNY13326OUTPATIENT PRIMARY CARE
SBHC - COOPERSTOWN MIDDLE AND HIGH
39 LINDEN AVENUECOOPERSTOWNNY13326OUTPATIENT PRIMARY CARE
SBHC - DELHI ELEMENTARY
2 SHELDON DRIVEDELHINY13753OUTPATIENT PRIMARY CARE
SBHC - DELHI MIDDLE AND HIGH
2 SHELDON DRIVEDELHINY13753OUTPATIENT PRIMARY CARE
SBHC - EDMESTON CENTRAL SCHOOL
11 NORTH STREETEDMESTONNY13335OUTPATIENT PRIMARY CARE
SBHC - LAURENS CENTRAL SCHOOL
55 MAIN STREETLAURENSNY13796OUTPATIENT PRIMARY CARE
SBHC - MIDDLEBURGH ELEMENTARY
245-I MAIN STREETMIDDLEBURGHNY12122OUTPATIENT PRIMARY CARE
SBHC - MIDDLEBURGH MIDDLE AND HIGH
291 MAIN STREETMIDDLEBURGHNY12122OUTPATIENT PRIMARY CARE
SBHC - MILFORD CENTRAL SCHOOL
42 WEST MAIN STREETMILFORDNY13807OUTPATIENT PRIMARY CARE
SBHC - MORRIS CENTRAL SCHOOL
65 MAIN STREETMORRISNY13808OUTPATIENT PRIMARY CARE
SBHC - ORAL HEALTH MOBILE PROGRAM
ONE ATWELL ROADCOOPERSTOWNNY13326OUTPATIENT SPECIALTY CARE
SBHC - SCHENEVUS CENTRAL SCHOOL
159 MAIN STREETSCHENEVUSNY12155OUTPATIENT PRIMARY CARE
SBHC - SHERBURNEEARLVILLE ELEMEN
13 SCHOOL STREETSHERBURNENY13460OUTPATIENT PRIMARY CARE
SBHC - SHERBURNEEARLVILLE MID & HI
13 SCHOOL STREETSHERBURNENY13460OUTPATIENT PRIMARY CARE
SBHC - SIDNEY CENTRAL SCHOOL
95 WEST MAIN STREETSIDNEYNY13838OUTPATIENT PRIMARY CARE
SBHC - SOUTH KORTRIGHT CENTRAL
PO BOX 113SOUTH KORTRIGHTNY13842OUTPATIENT PRIMARY CARE
SBHC - STAMFORD CENTRAL SCHOOL
ONE RIVER STREETSTAMFORDNY12167OUTPATIENT PRIMARY CARE
SBHC - UNADILLA VALLEY CENTRAL
PO BOX FNEW BERLINNY13411OUTPATIENT PRIMARY CARE4238 STATE HIGHWAY 8
SBHC - WORCESTER CENTRAL SCHOOL
195 MAIN STREETWORCESTERNY12197OUTPATIENT PRIMARY CARE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARETHE 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 INFORMATIONTHE 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 EXPENSETHE PERCENT OF TOTAL EXPENSE IS CALCULATED BY DIVIDING COLUMN (E), NET COMMUNITY BENEFIT EXPENSE, BY TOTAL EXPENSE. THE BAD DEBT EXPENSE OF 17,167,068 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 EXPLANATIONSECTIONS (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 ACTIVITIESALL BASSETT COMMUNITY BUILDING ACTIVITIES COULD BE CLASSIFIED UNDER ITEM 1 AND HIGHLIGHTED IN NUMBER 1 ABOVE.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYWORKSHEET 2, COST TO CHARGE RATIO, WAS USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 2 AND 3. PROVISION FOR UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE FROM THE FINANCIAL STATEMENTS NOTES (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." 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 2012 OR 2013." DURING 2013 AND 2012, THE TOTAL CHARGES FORGONE FOR BAD DEBT WERE APPROXIMATELY 17,167,068 AND 14,985,208 RESPECTIVELY.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCETHE 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 EXPLANATIONAMOUNTS WERE DERIVED AS FOLLOWS: CHARGE TIMES COST TO CHARGE RATIO VERSUS REIMBURSEMENT ON THE MEDICARE PS&R REPORT
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONFOR 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 ASSESSMENTIN 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 ASSISTANCEA 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 INFORMATIONTHE 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 HEALTHBASSETT'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 HANYBOOK - 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 SYSTEMBASSETT 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 REPORTNEW YORK

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN CANCER SOCIETYBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 WILLIAMS ST NWAddressLine1
CityATLANTACity
StateGAState
ZIP Code30303ZIPCode
FieldValueIRS element (for citing)
Recipient EIN131788491RecipientEIN
IRC Section3IRCSectionDesc
Cash Grant$7,500CashGrantAmt
Valuation Method UsedCASHValuationMethodUsedDesc
Purpose Of GrantSUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
WILLIAM F STRECK MD
PRESIDENT, CEO$781,784$2,971$23,502$5,294$813,551
STEVEN HENEGHAN MD
CCO$583,550$7,943$23,502$6,941$651,936$30,000
BERTINE MCKENNA PHD
EXECUTIVE VP & CFO$399,830$20,952$5,438$456,220$30,000
NICHOLAS J NICOLETTA
CORPORATE VP & CFO$397,411$23,502$5,781$456,694$30,000
JOHN A LEON MD
ATTENDING PHYSICIAN$485,621$106,065$23,502$6,105$621,293
DHANANJAI MENZIES MD
ATTENDING PHYSICIAN$517,235$18,402$3,137$607,289$68,515
LEOR ROUBEIN MD
ATTENDING PHYSICIAN$561,856$4,958$579,314$12,500
WT HUNTSMAN MD
ATTENDING PHYSICIAN$507,158$47,297$23,502$3,425$593,912$12,530
PASCALE RAYMOND MD
ATTENDING PHYSICIAN$490,100$1,870$18,402$583,372$73,000

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 7NON FIXED PAYMENTS ARE MADE BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT PROSPECTIVELY AGREED UPON AS GOALS FOR THE OFFICERS. PHYSICIANS MAY RECEIVE NON FIXED PAYMENTS BASED ON PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON. JOHN LEON, MD AND W.T. HUNTSMAN, MD PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, PAYMENTS RECEIVED IN 2013
SCHEDULE J, PART IIIPART 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 : 305,784

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
OTSEGO COUNTY CAPITAL RESOURCES
A2636615932011-11-03$25,000,000PART VIfalsefalsefalse
OTSEGO COUNTY CAPITAL RESOURCES
B2636615932011-11-03$19,200,000PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYr
A$25,000,000$702,000$500,000$23,798,000falsefalsefalseYes (true)
B$19,200,000$75,000Yes (true)falseYes (true)Yes (true)$19,125,0002009

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalsefalsefalseYes (true)falsefalsefalsefalse
BfalsefalsefalsefalseYes (true)falsefalsefalsefalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K - ADDITIONAL INFORMATIONFormAndLineReferenceDesc
ExplanationOTSEGO 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 ISSUANCEExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
THE CLARK ESTATES
PART V$640,521INVESTMENT MGMT FEESfalse
JANE HAMILTON
PART V$86,636WAGESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationPART 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 HAMILTONExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4BFAIRS, 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. NOT ONLY DID WE PROVIDE 5.4M IN CHARITY CARE, BAD DEBT EXPENSE WAS 15M, MEDICAID PAYMENTS BELOW COST TO PROVIDE SERVICES WERE 27.2M.
FORM 990, PAGE 6, PART VI, LINE 2KEVIN 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 11BTHE 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 12CTHE 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 15ABASSETT 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 15BTHE 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 19THE 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 9POST RETIREMENT BENEFIT CHANGE 1,336,175 CHANGE IN INTEREST AT FRIENDS OF BASSETT -12,159 BAD DEBT -17,167,068 CHARITY CARE -4,365,900 BAD DEBT 17,167,068 CHARITY CARE 4,365,900

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
THURSTON CORPORATION
ONE ATWELL ROADCOOPERSTOWNNY13326133218680SUPPORTNY501C311CNONEfalse
BASSETT REGIONAL CORPORATION (BRC)
ONE ATWELL ROADCOOPERSTOWNNY13326133522783SUPPORTNY501C311BTHURSTONfalse
TEMPLETON FOUNDATION
ONE ATWELL ROADCOOPERSTOWNNY13326133317084LANDLORDNY501C39THURSTONfalse
FRIENDS OF BASSETT
ONE ATWELL ROADCOOPERSTOWNNY13326237041610FUNDRAISENY501C37THURSTONfalse
AO FOX MEMORIAL HOSPITAL
ONE NORTON AVENUEONEONTANY13820150539039HEALTHCARENY501C33THURSTONfalse
BASSETT HOSPITAL SCHOHARIE COUNTY
178 GRANDVIEW DRIVECOBLESKILLNY12043141772971HEALTHCARENY501C33BRCfalse
LITTLE FALLS HOSPITAL
140 BURWELL STREETLITTLE FALLSNY13365150533578HEALTHCARENY501C33BRCfalse
O'CONNOR HOSPITAL
460 ANDES ROADDELHINY13753161540394HEALTHCARENY501C33BRCfalse
TRI TOWN REGIONAL HEALTHCARE
43 PEARL STREETSIDNEYNY13838260169584HEALTHCARENY501C33BRCfalse
VALLEY HEALTH SERVICES
690 WEST GERMAN STREETHERKIMERNY13350222511614ELDER CARENY501C33BRCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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