OCONNOR HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- OCONNOR HOSPITAL (EIN 16-1540394)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201223199349304057
- Schema version
- 2011v1.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T13:03:13-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 Broadway 4th Floor | AddressLine1 |
| City | Albany | City |
| State | NY | State |
| ZIP Code | 122072974 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161540394 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | O'Connor Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DAN AYRES CEO | InCareOfName |
| Name Control | OCON | NameControl |
| Phone | 6077460326 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 460 Andes Road | AddressLine1 |
| City | Delhi | City |
| State | NY | State |
| ZIP Code | 13753 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Nicholas Nicoletta | Name |
| Title | Treasurer | Title |
| Date Signed | 2012-11-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5184274600 | Phone |
| Date Prepared | 2012-11-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Dan Ayres CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 460 ANDES ROAD | AddressLine1 |
| City | DELHI | City |
| State | NY | State |
| ZIP Code | 13753 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 20399221 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.oconnorhosp.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | O'connor is a 23 bed critical access hospital which serves the community in need of medical services without regard to their ability to pay for such services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 184 | TotalNbrEmployees |
| Total Nbr Volunteers | 4 | TotalNbrVolunteers |
| Total Gross UBI | 1053940 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -135580 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 444580 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 859546 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 18941937 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 19339803 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 91895 | InvestmentIncomePriorYear |
| Investment Income Current Year | 96964 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 96273 | OtherRevenuePriorYear |
| Other Revenue Current Year | 98526 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 19574685 | TotalRevenuePriorYear |
| Total Revenue Current Year | 20394839 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7785200 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8422774 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 10821673 | OtherExpensePriorYear |
| Other Expenses Current Year | 11187084 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 18606873 | TotalExpensesPriorYear |
| Total Expenses Current Year | 19609858 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 967812 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 784981 | RevenuesLessExpensesCY |
| Total Assets BOY | 19431979 | TotalAssetsBOY |
| Total Assets EOY | 20017361 | TotalAssetsEOY |
| Total Liabilities BOY | 3263104 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3063505 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 16168875 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 16953856 | NetAssetsOrFundBalancesEOY |
| Mission Description | O'CONNOR IS A 23 BED CRITICAL ACCESS HOSPITAL WHICH SERVES THE COMMUNITY IN NEED OF MEDICAL SERVICES WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SUCH SERVICES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 14550070 | Expense |
| Revenue | 19339803 | Revenue |
| Description | INPATIENT AND OUTPATIENT SERVICES PROVIDED TO OUR PATIENTS RESULTED IN: HOSPITALIZATIONS : 434 PATIENT DAYS : 2,730 CLINIC VISITS : 18,119 SURGICAL CASES : 127 | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 87244 | Expense |
| Description | Community involvement has been linked to O'Connor's mission and values since it first opened. 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 can not afford to pay, who do not qualify for Medicaid, and who fall within the established income guidelines. In 2011, we provided $87,244 in free care. 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 $87,244 in charity care, $668,385 in patient accounts were recorded as bad debt in 2011. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 14637314 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 22 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 184 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAN AYRES CEO | NamePerson |
| Telephone Number | 6075473635 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 460 ANDES ROAD | AddressLine1 |
| City | DELHI | City |
| State | NY | State |
| ZIP Code | 13753 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| PETER J HAMILTON | |||||||
| CHAIRMAN | 1.0 | X | X | 0 | 0 | 0 | |
| JOEL M SMITH | |||||||
| VICE CHAIRMAN | 1.5 | X | X | 0 | 0 | 0 | |
| JEFFREY J WOEPPEL | |||||||
| SECRETARY | 1.5 | X | X | 0 | 208073 | 13168 | |
| NICHOLAS J NICOLETTA | |||||||
| TREASURER | 2.0 | X | X | 0 | 368286 | 15739 | |
| JAMES C PETERS MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 508989 | 24832 | ||
| CONNIE D PELLEGRINO | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| CAROL SPINELLI | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| MARTIN DONNELLY | |||||||
| TRUSTEE | 5.0 | X | 0 | 0 | 0 | ||
| CHARLOTTE HILL | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| CAROLYN JENKINSON | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| BRUCE MCKEEGAN | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| DENNIS N MARSH | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| MICHAEL STEIN | |||||||
| TRUSTEE | 1.0 | X | 0 | 177206 | 12715 | ||
| SUE E ANDREWS | |||||||
| ASSISTANT TREASURER | 9.0 | X | 0 | 181538 | 10328 | ||
| PAMELA VOGT | |||||||
| ASSISTANT SECRETARY | 36.0 | X | 36685 | 0 | 2410 | ||
| DAN AYRES | |||||||
| CEO | 24.0 | X | 0 | 188717 | 14212 | ||
| MICHAEL VIAFORE | |||||||
| RADIOLOGY | 40.0 | 102739 | 0 | 6202 | X | ||
| ERIN E KINGSBURY | |||||||
| PHARMACIST | 40.0 | 138261 | 0 | 8010 | X | ||
| ROBERT V ABARNO | |||||||
| PHARMACIST | 40.0 | 113148 | 0 | 4546 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 390833 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1632809 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 112162 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ALLIANCE IMAGING | |||||
| 1900 S STATE COLLEGE BLVD | ANAHEIM | CA | 92806 | PET/CT SERVICES | 210133 |
| LECHASE CONSTRUCTION | |||||
| 300 TROLLEY BLVD | ROCHESTER | NY | 14606 | CONSTRUCTION | 336236 |
| DELAWARE BULLDOZING CORP | |||||
| 5700 CO HWY 18 BLOOMVILLE | BLOOMVILLE | NY | 13739 | CONSTRUCTION | 145927 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 665856 | RelatedOrganizations |
| Government Grants | 193690 | GovernmentGrants |
| Total Contributions | 859546 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| DIRECT PATIENT SERVICES | 900099 | 16988659 | 15934719 | 1053940 |
| OTHER PROGRAM SERVICE REVENUE | 900099 | 2351144 | 2351144 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 19339803 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 85777 | TotalRevenueColumn |
| Exclusion | $85,777 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 98526 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 98526 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 98526 | TotalRevenueColumn |
| Exclusion | $98,526 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 15569 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4382 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 11187 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11187 | TotalRevenueColumn |
| Exclusion | $11,187 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20394839 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18285863 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1053940 | UnrelatedBusinessRevenue |
| Exclusion | $195,490 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39095 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 39095 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6254079 | Total |
| Program Services | 4423189 | ProgramServices |
| Management And General | 1830890 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239306 | Total |
| Program Services | 170785 | ProgramServices |
| Management And General | 68521 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1428839 | Total |
| Program Services | 1010475 | ProgramServices |
| Management And General | 418364 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 461455 | Total |
| Program Services | 326341 | ProgramServices |
| Management And General | 135114 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1517153 | Total |
| Program Services | 816937 | ProgramServices |
| Management And General | 700216 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5799 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 5799 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2235907 | Total |
| Program Services | 1190488 | ProgramServices |
| Management And General | 1045419 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54011 | Total |
| Program Services | 38197 | ProgramServices |
| Management And General | 15814 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87075 | Total |
| Program Services | 61579 | ProgramServices |
| Management And General | 25496 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 291795 | Total |
| Program Services | 206357 | ProgramServices |
| Management And General | 85438 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101736 | Total |
| Program Services | 71948 | ProgramServices |
| Management And General | 29788 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 980056 | Total |
| Program Services | 693096 | ProgramServices |
| Management And General | 286960 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68602 | Total |
| Program Services | 48515 | ProgramServices |
| Management And General | 20087 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| DRUGS AND REAGENTS | 3603916 | 3603916 |
| BAD DEBT | 668385 | 668385 |
| PATIENT CARE SUPPLIES | 530474 | 530474 |
| CHARITY CARE | 87244 | 87244 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 954931 | Total |
| Program Services | 689388 | ProgramServices |
| Management And General | 265543 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19609858 | Total |
| Program Services | 14637314 | ProgramServices |
| Management And General | 4972544 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7306 | BOY |
| EOY | 5956 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7281361 | BOY |
| EOY | 7067276 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 246997 | BOY |
| EOY | 81376 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1811600 | BOY |
| EOY | 2011657 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 766160 | BOY |
| EOY | 648028 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74444 | BOY |
| EOY | 55111 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17770455 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8215126 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9193684 | BOY |
| EOY | 9555329 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50427 | BOY |
| EOY | 592628 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19431979 | BOY |
| EOY | 20017361 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 836955 | BOY |
| EOY | 653720 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2037922 | BOY |
| EOY | 1940814 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 388227 | BOY |
| EOY | 468971 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3263104 | BOY |
| EOY | 3063505 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16088939 | BOY |
| EOY | 16319776 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79936 | BOY |
| EOY | 634080 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16168875 | BOY |
| EOY | 16953856 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19431979 | BOY |
| EOY | 20017361 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 784981 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $5,799 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 5799 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule C, Part II-B, line 1i | Identifier |
| Explanation | AHA MEMBERSHIP DUES ALLOCATE 24.6% TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2011 = $10,617 HANY'S MEMBERSHIP DUES ALLOCATE 30.3% TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2011 = $4,653 IROQUOIS HEALTHCARE ALLIANCE MEMBERSHIP DUES ALLOCATE 45% TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2011 = $3,948 | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 49400 | OtherCostOrOtherBasis |
| Book Value | 49400 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10227302 | OtherCostOrOtherBasis |
| Depreciation | 3338860 | Depreciation |
| Book Value | 6888442 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6924667 | OtherCostOrOtherBasis |
| Depreciation | 4771716 | Depreciation |
| Book Value | 2152951 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 569086 | OtherCostOrOtherBasis |
| Depreciation | 104550 | Depreciation |
| Book Value | 464536 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9555329 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | EST PAYABLE TO THIRD PARTY PAY | Description |
| Amount | $468,971 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 468971 | TotalOfAmounts |
| Total Revenue | 20394839 | TotalRevenue |
| Total Expenses | 19609858 | TotalExpenses |
| Excess Or Deficit For Year | 784981 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 784981 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 19639210 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -755629 | OtherRevenues |
| Revenue Not Rptd F990 | -755629 | RevenueNotRptdF990 |
| Revenue Subtotal | 20394839 | RevenueSubtotal |
| Total Revenue Per Form990 | 20394839 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 18854229 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 18854229 | ExpensesSubtotal |
| Other Expenses Not Included | 755629 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 755629 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 19609858 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XII, Line 2d | Other Revenue Included in F/S but not included on Form 990 | Bad Debt -668,385 Charity Care -87,244 -------- Total -755,629 |
| Part XIII, Line 4b | Other Expenses Included on Form 990 but not included in F/S | Bad Debt 668,385 Charity Care 87,244 -------- Total 755,629 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 126925 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 43974 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 82951 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1709707 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 986405 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 723302 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03690 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1836632 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1030379 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 806253 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04110 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 410077 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 44508 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 365569 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01860 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 3565383 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2972944 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 592439 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03020 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 204148 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 204148 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01040 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 62826 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 62826 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 4242434 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3017452 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1224982 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06240 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 6079066 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4047831 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2031235 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10350 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $419,076 | BadDebtExpenseAmount |
| Amount Attributable To | 46968 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 6272139 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 6210039 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 62100 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | O' CONNOR HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 460 ANDES ROAD | AddressLine1 |
| City | DELHI | City |
| State | NY | State |
| ZIP Code | 13753 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
| Other | OUTPATIENT PRIMARY & SPECIALITY SERVICES | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | O' CONNOR HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 300. | FPGFreePercent |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | false | ExplainsBasis |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Schedule H, Part I, Line 6a | Related Organization Community Benefit Report | O'Connor Hospital's Comprehensive Community Service Plan is summarized in an annual report and posted on the O'Connor website, www.oconnorhosp.org. Printed copies are available to the public in patient waiting rooms or upon request. |
| Schedule H, Part I, Line 7 | Explanation of Costing Methodology | Worksheet 2 was used to develop a cost-to-charge ratio. It was used for patient care services. For non patient care services, charges were reduced to cost for those services to non patients where a mark up is readily identifiable. |
| Schedule H, Part I, Line 7, Column F | Explanation of Bad Debt Expense | The percent of total expense in Part 1, Line 7, column (f) is calculated by dividing column (e), net community benefit expense, by total expense. The bad debt expense of $668,385 was subtracted from the total expense value used to calculate the percentages in Part 1, Line 7, Column f. |
| Schedule H, Part III, Line 4 | Bad Debt Expense | The ratio of approved applications for financial assistance to total applications was applied to arrive at charges presumed eligible for financial assistance. The cost-to-charge ratio was then applied to charges to arrive at cost. Financial statements, footnote (i), Charity Care and Provision for Uncollectible Accounts: The Hospital has adopted a formal charity care policy whereby patients in need of medical services, who meet certain criteria under the policy, are treated without regard to their ability to pay for such services. 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. The Hospital's charity care policy has not changed during fiscal years 2011 or 2010. Financial statements, footnote (g), Provision for Uncollectible Patient Accounts Receivable : 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 account. 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 net collections, business and economic conditions, trends in federal and state governmental healthcare coverage, and other collection indicators. |
| Schedule H, Part III, Line 8 | Explanation Of Shortfall As Community Benefit | O'Connor is a critical access hospital, so cost is calculated on the settlement sheets of the cost report. It was compared to Medicare reimbursement, which is also calculated on the cost report. |
| Schedule H, Part III, Line 9B | Provisions On Collection Practices For Qualified Patients | For patients or guarantors who do not qualify for financial assistance, O'Connor Hospital must undertake to ensure an adequate understanding on the part of the patients and those responsible for their care of their financial obligations to O'Connor Hospital. O'Connor Hospital will in compliance with all existing laws and regulations take the steps necessary to recover self-pay accounts receivable as well as 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 O'Connor Hospital will refrain from any conduct that violates the Fair Debt Collection Practices Act, the Fair Credit Reporting Act, as well as any applicable state law or regulations. The arrest or body attachment of a judgment debtor on contempt proceedings, or foreclosure of a judgment debtor's principal residence will never be considered appropriate pursuit of an open balance in the name of O'Connor Hospital Medical Center. Liens or garnishments upon the personal assets of a judgment debtor will be pursued only after individual case review by counsel to ensure that such action is not only consistent with O'Connor Hospital's interests, but also the only feasible recovery mechanism from a judgment debtor capable of responding to his or her obligations, but otherwise unwilling to do so. |
| Schedule H, Part V, Line 19d | Other Billing Determination of Individuals Without Insurance | O'Connor Hospital 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. |
| Schedule H, Part V, Line 21 | Charge Patients Amount Equal Gross Charge for Services | The Hospital's Charge Description Master, which includes a separate gross charge for all services, is what is used to bill all patients when a service is rendered. All charges to individuals that qualify for charity care are written off. |
| Schedule H, Part VI | Needs Assessment | In addition to public and agency input, a variety of data from the NYS Department of Health, Delaware Co. Behavioral Risk Factor Surveillance System. Delaware County Public Health Nursing Services Community Health Assessment and other sources were used to assess priorities, including the rising percentage of adults with diabetes and rising obesity rate. Based on the priority items, the following strategies were identified: 1. Access to Quality Healthcare and Preventive Care Services - A) Recruitment of primary care providers for community based health centers by Bassett Medical Center in areas of the county where access to primary care is an issue, B) O'Connor Hospital, Tri-Town Regional Hospital (TRH) and Bassett Medical Center will continue to identify grant opportunities to assist in attracting physicians to Delaware Co., C) O'Connor Hospital and TRH will continue to evaluate the need for specialty services and expand or develop specialty clinics as needed to increase access, D) O'Connor Hospital and Tri-Town Wellness Network will continue to offer and expand worksite wellness and occupational health services, E) O'Connor Hospital will increase access through the provision of physician coverage at Countryside Care center nursing home, F) O'Connor Hospital and TRH will work with Bassett's Cancer Services Program and community partners to increase access to preventive cancer screening services throughout the county, G) Bassett Medical Center and O'Connor Hospital will work to increase access to dental health care by recruiting a dentist/oral surgeon for the Bassett Medical Center's Delhi Dental Clinic, H) O'Connor Hospital and TRH will continue to provide and expand smoking cessation classes to area residents as well as to offer support to individuals who have recently become non-tobacco users. 2. Physical Activity and Nutrition - A) O'Connor Hospital, TRH and the Tri-Town Wellness Network will promote adoption of healthy lifestyle behaviors through group sessions to improve understanding of nutrition, diabetes medications and issues important to diabetics and those at risk of becoming diabetic, B) O'Connor Hospital and TRH will collaborate with the Delaware Co. Public Health Nursing Services to encourage area residents to increase their personal physical activity via information about available programs in the region and encouragement to participate in these programs, C) O'Connor Hospital will continue to collaborate with the Delaware Co. Rural Health Alliance to develop and implement community wellness and preventive programs. 3. Overall Goals - A) Increase access to preventive health care by recruiting primary care providers, expanding workplace and community-based wellness programs, and providing cancer screening services in underserved areas of the county, B) Improve community worksite access to smoking cessation programs through additional class offerings and follow-up sessions, C) Establish formal diabetes support and educational sessions on prevention and wellness topics of particular interest to diabetics and those who care for and about them, D) Promote physical activity by raising awareness of existing opportunities in the area and by offering additional activities and rewards programs for participation. O'Connor Hospital will continue to offer free educational programming, health screenings and events to increase knowledge about chronic diseases, women's health, aging, occupational health and other topics/prevention priorities. These include lectures, presentations, support groups and participation in community wellness events. |
| Schedule H, Part VI | Patient Education of Eligibility for Assistance | A major component of the O'Connor Hospital 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 O'Connor 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. Patient referral to the Delaware County Medicaid Examiner is facilitated by the Finance Director at the O'Connor Hospital. A listing of all self-pay accounts is produced and reviewed daily to insure that a Community Services brochure has been provided. The self-pay billing office identifies patients during the billing and collections process that may require additional help understanding the program. Self-pay accounts for patients who have been approved for Community Services within the prior 120 days are automatically included with the prior approval. |
| Schedule H, Part VI | Community Information | Delaware County, New York, has a population of 47,559 (according to a 2011 US Census estimate) and is approximately the size of the state of Rhode Island. The county has four hospitals covering an area of 1,446.37 square miles with 33.2 people per square mile. O'Connor's service area includes the Delhi community, as well as, surrounding communities stretching from Grand Gorge, through Stamford, South Kortright, Bovina, Andes, Bloomville, Hamden and Franklin to Treadwell, and covering many hamlets in between. This large service area represents the eastern branch and areas of the northeastern part of Delaware County. |
| Schedule H, Part VI | Explanation Of How Organization Furthers Its Exempt Purpose | O'Connor Hospital is a critical access hospital in Delhi, New York providing a full range of acute and preventative health care services, including acute inpatient care, restorative/rehabilitative (swing bed) care, an emergency services department where physicians have the ability to interface with board-certified neurologists in Cooperstown through telemedicine connections, same-day surgery, a state-of-the-art medical imaging suite, laboratory services, an outpatient pharmacy, physical and occupational therapy, dietary consultations, an Eye Wear Center, a dental clinic and a wide range of specialty services. O'Connor has served the Delhi Community since 1922 and has been affiliated with The Mary Imogene Bassett Hospital (dba Bassett Medical Center) since 1988. O'Connor is a member of Bassett Regional Corporation whose sole member is Thurston Corporation (dba Bassett Healthcare Network). It is governed by a 15 member Board of Trustees consisting of community volunteers. O'Connor Hospital programs address chronic disease management and prevention, women's health, aging, tobacco and unintentional injury. They include: 1) Cancer Services Program of Delaware, Otsego and Schoharie Counties 2) Bassett Cancer Institute medical screening coach equipped with digital technology for mammography and other cancer screenings for men and women. 3) O'Connor Dental Clinic operating since 2005 through a partnership with Bassett Medical Center 4) Occupational Health - through a partnership with HealthWorks, a part of Bassett's New York Center for Agricultural Medicine & Health, O'Connor provides post-hire screenings to area employers and offers health screenings for firefighters and EMS personnel 5) O'Connor Hospital provides space for diabetes, Alzheimer's, mental health and Parkinson's support groups on a monthly basis. 6) O'Connor Hospital webinars are offered twice a month on healthy eating and other topics 7) O'Connor offers a six-week facilitated group smoking cessation program 8) O'Connor offers spring and fall flu shot clinics 9) O'Connor provides free community assessments, screenings and educational events including health fairs, blood pressure screenings, free eye screenings for children ages 1 - 5, balance assessment, fitness assessment tests for strength, and free lunch and learn workshops throughout the year. 10) A program for expectant parents is offered in the O'Connor Specialty Clinic 11) Rehabilitation Services department at O'Connor provides a fall prevention program and a wheelchair clinic. O'Connor Hospital is continually engaging in quality improvement activities to ensure high quality health care and programs are available in Delaware County. O'Connor has a community board who are actively engaged in the hospital both supporting the growth and the investment in programs that bring health and wellness benefits to the community. O'Connor continually invests in programs, equipment and people to ensure high quality service is available in the community they serve. |
| Schedule H, Part VI | Affilated Health Care System Roles and Promotion | O'Connor Hospital is part of the Bassett Healthcare Network that provides health services in more than 20 communities spanning 5,600 square miles and eight 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 61,917; Delaware County - population 47,559; Herkimer County - population 64,160; Schoharie County - population 32,578 (according to the 2011 U.S. Census estimates). A) O'Connor Hospital, a critical access hospital in Delhi, Delaware County B)The Mary Imogene Bassett Hospital - an acute care inpatient teaching facility, an outpatient primary and specialty care center, a regional network of 26 community based outpatient health centers, 18 school based health centers, two ambulatory surgery centers, and a fully salaried medical staff in Cooperstown, Otsego County. C) Cobleskill Regional Hospital, an acute care facility in Cobleskill, Schoharie County D) Little Falls Hospital, a critical access hospital in Little Falls, Herkimer County E) Tri-Town Regional Hospital, a 24/7 emergency care facility in Sidney, Delaware County F) A.O. Fox Memorial Hospital, an acute care facility in Oneonta, Otsego County G) Valley Health Services, a residential health care and rehabilitation facility H) At Home Care, a certified home care agency I) First Community Care of Bassett, a medical supply company All of the above (A - I) make up the Bassett Healthcare Network and provide health services to this eight county region in central New York. |
| Schedule H, Part VI | States Where Community Benefit Report Filed | NY |
| Additional Information | Part I, Line 3c - The CSP (Community Services Program) application specifies family income limits and other requirements for services to be eligible for O'Connor Hospital's CSP/Free care program. Part II - All O'Connor Community Building Activities are included in Part I and described above. Part V, line 10 - O'Connor Hospital does not provide discounted care. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY J WOEPPEL | |||||||||||||
| 0 | 208000 | 0 | 0 | 0 | 73 | 0 | 8864 | 0 | 4304 | 0 | 221241 | 0 | 0 |
| NICHOLAS J NICOLETTA | |||||||||||||
| 0 | 368286 | 0 | 0 | 0 | 0 | 0 | 11339 | 0 | 4400 | 0 | 384025 | 0 | 0 |
| JAMES C PETERS MD | |||||||||||||
| 0 | 484616 | 0 | 24373 | 0 | 0 | 0 | 10114 | 0 | 14718 | 0 | 533821 | 0 | 0 |
| SUE E ANDREWS | |||||||||||||
| 0 | 181538 | 0 | 0 | 0 | 0 | 0 | 7489 | 0 | 2839 | 0 | 191866 | 0 | 0 |
| MICHAEL STEIN | |||||||||||||
| 0 | 177206 | 0 | 0 | 0 | 0 | 0 | 6635 | 0 | 6080 | 0 | 189921 | 0 | 0 |
| DAN AYRES | |||||||||||||
| 0 | 188717 | 0 | 0 | 0 | 0 | 0 | 8709 | 0 | 5503 | 0 | 202929 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Line 11b | The Treasurer of the board presents the draft 990 to the Executive and Finance Committee of the Board prior to any filing. Any member of the Board who wishes to attend this presentation may attend. Any questions raised are answered and once approved, the 990 can be electronically filed. | |
| Form 990, Part VI, Line 12c | The organization's Conflict of Interest policy applies to the Board of Directors, Board Members, and key persons such as the Chief Executive Officer. Each Board Member, Officer, or key person of the hospital shall complete a conflict of interest questionnaire annually. All completed questionnaires are reviewed and all disclosures of potential conflicts will be brought to the Chief Executive Officer. The CEO or his/her designee will take action to eliminate the potential conflict of interest. All disclosures of potential conflicts of interest in completed questionnaires shall be compiled and reported by the Assistant Treasurer to the Executive and Finance Committee of the Board to determine if the reported disclosure and resolution is satisfactory. If the actions taken are not considered satisfactory, the Executive & Finance Committee shall determine further action as it deems appropriate. | Explanation of Monitoring and Enforcement of Conflicts |
| Form 990, Part VI, Line 15a | O'Connor has a formal process that it uses to determine the base compensation of the Chief Executive Officer. The CEO's compensation is reviewed in the Executive session of the Board. Workplan and accomplishments for the year are reviewed. Salary changes based on market, workplan and accomplishments are proposed, reviewed and approved in the Executive session. | Compensation Review & Approval Process for CEO, Exec. Dir., or Top Mgtment |
| Form 990, Part VI, Section C, Question 19 | O'Connor Hospital makes it's governing documents, conflict 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 O'Connor or by sending a self-addressed stamped envelope and payment for copying of the requested material to O'Connor administrative offices. The cost of copying shall be equal to the costs imposed by the IRS for copying of public documents. | |
| Form 990, Part VII | Peter Hamilton Hours worked for related organizations: Templeton Foundation - .50 Bassett Regional Corporation - .50 Bassett Medical Center - 1.00 Friends of Bassett, Inc. - .50 Total hours worked for related organizations = 2.50 Jeffrey J Woeppel Hours worked for related organizations: Bassett Regional Corporation - 1.50 Bassett Medical Center - 40.00 Tri Town Regional - 2.00 Bassett Hospital of Schoharie County - 2.00 Valley Health Services - 1.00 Little Falls Hospital - 2.00 Total hours worked for related organizations = 48.50 Nicholas J Nicoletta Hours worked for related organizations: Thurston Corporation - 2.00 Templeton Foundation - 1.00 Bassett Regional Corporation - 2.00 Bassett Medical Center - 40.00 Tri Town Regional - 2.00 Bassett Hospital of Schoharie County - 2.00 AO Fox Memorial Hospital - .50 Little Falls Hospital - 2.00 Total hours worked at related organizations = 51.50 Dan Ayres Hours worked for related organizations: Tri Town Regional - 16.00 Sue E Andrews Hours worked for related organizations: Templeton Foundation - 1.00 Bassett Medical Center - 40.00 Tri Town Regional - 6.00 Friends of Bassett, Inc. - 4.00 Total hours worked for related organizations = 51.00 Dennis N. Marsh Hours worked for related organizations: Friends of Bassett, Inc. - .30 James Peters, MD Hours worked for related organizations: Bassett Medical Center - 40.00 Michael Stein Hours worked for related organizations: Friends of Bassett, Inc. - 40.00 | Compensation Explanation |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| THURSTON CORPORATION | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133218680 | SUPPORTING OR | NY | 501(c)3 | 11C | NONE | false |
| FRIENDS OF BASSETT | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 237041610 | FUNDRAISING | NY | 501(c)3 | 7 | THURSTON COR | false |
| MARY IMOGENE BASSETT HOSPITAL | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 135596796 | HEALTH CARE | NY | 501(c)3 | 3 | THURSTON COR | false |
| BASSETT REGIONAL CORPORATION | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133522783 | SUPPORTING OR | NY | 501(c)3 | 11B | THURSTON COR | false |
| BASSETT HOSPITAL OF SCHOHARIE COUNTY | ||||||||||
| 178 GRANDVIEW DRIVE | COBLESKILL | NY | 12043 | 141772971 | HEALTH CARE | NY | 501(c)3 | 3 | BASSETT REGI | false |
| TEMPLETON FOUNDATION | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133317084 | REAL ESTATE | NY | 501(c)3 | 9 | THURSTON COR | false |
| TRI TOWN REGIONAL HEALTHCARE | ||||||||||
| 43 PEARL STREET | SIDNEY | NY | 13838 | 260169584 | HEALTH CARE | NY | 501(c)3 | 3 | BASSETT REGI | false |
| LITTLE FALLS HOSPITAL | ||||||||||
| 140 BURWELL STREET | LITTLE FALLS | NY | 13365 | 150533578 | HEALTH CARE | NY | 501(c)3 | 3 | BASSETT REGI | false |
| VALLEY HEALTH SERVICES | ||||||||||
| 690 W GERMAN STREET | HERKIMER | NY | 13350 | 222511614 | HEALTH CARE | NY | 501(c)3 | 3 | BASSETT REGI | false |
| AO FOX MEMORIAL HOSPITAL | ||||||||||
| 1 NORTON AVENUE | ONEONTA | NY | 13820 | 150539039 | HEALTH CARE | NY | 501(c)3 | 3 | THURSTON COR | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
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