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        <BusinessNameLine1>The Mary Imogene Bassett Hospital</BusinessNameLine1>
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      <MissionDescription>MIBH IS A RURAL ACADEMIC MEDICAL CENTER COMMITTED TO PROVIDING EXCELLENCE IN HEALTH CARE SERVICES, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS, AND PURSUING HEALTH RESEARCH.</MissionDescription>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
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      <GrantsToDomesticOrgs>
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      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
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      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>1440661</ManagementAndGeneral>
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      <CompDisqualPersons>
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      <FeesForServicesLegal>
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      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
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        <ManagementAndGeneral>53278</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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      <TotalDirectLobbying />
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      <GrassrootsNontaxableAmount />
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      <TotLobbyExpendMnsLobbyingNontx />
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      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
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      <TotalLobbyingExpendituresIIB>53278</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
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        <Identifier>Part II-B - Description of Lobbying Activity</Identifier>
        <Explanation>AMERICAN HOSPITAL ASSOCIATION ALLOCATES 24.6% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2011 = $39,909 IROQUOIS HEALTHCARE ALLIANCE DUES ALLOCATES 45% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2011 : $31,469 HANYS ALLOCATES 30.3% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2011 : $96,697 THE CLARK ESTATES CONDUCTS LOBBYING ACTIVITIES ON BEHALF OF THE MARY IMOGENE BASSETT HOSPITAL. LOBBYING ACTIVITIES ARE LIMITED TO OFFICER DISCUSSIONS WITH CONSULTANTS AND LEGISLATORS TO OBTAIN FUNDING FOR CHARITABLE MISSIONS. NO FUNDS WERE EXPENDED.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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      <HeldWorksOfArtAmts />
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        <AdministrativeExpenses>199921</AdministrativeExpenses>
        <EndOfYearBalance>13789074</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
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        <Contributions>2908776</Contributions>
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        <AdministrativeExpenses>189138</AdministrativeExpenses>
        <EndOfYearBalance>16734461</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
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        <Contributions>314638</Contributions>
        <InvestmentEarningsOrLosses>445038</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>445038</AdministrativeExpenses>
        <EndOfYearBalance>13825685</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>233974</OtherCostOrOtherBasis>
        <BookValue>233974</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>184709902</OtherCostOrOtherBasis>
        <Depreciation>94226662</Depreciation>
        <BookValue>90483240</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>159276890</OtherCostOrOtherBasis>
        <Depreciation>122383934</Depreciation>
        <BookValue>36892956</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>13834295</OtherCostOrOtherBasis>
        <BookValue>13834295</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>141444465</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <OtherSecurities>
        <Description>LIMITED PARTNERSHIPS</Description>
        <BookValue>32662519</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>LIMITED PARTNERSHIPS</Description>
        <BookValue>971558</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>33634077</TotalOfBookValueSecurities>
      <TotalRevenue>412486961</TotalRevenue>
      <TotalExpenses>415056386</TotalExpenses>
      <ExcessOrDeficitForYear>-2569425</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-3296601</NetUnrealizedGLOnInvestments>
      <OtherAmount>-1123444</OtherAmount>
      <TotalAdjustments>-4420045</TotalAdjustments>
      <ExcessOrDeficitPerFS>-6989470</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>387853882</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-3296601</NetUnrealizedGainsInvestments>
      <OtherRevenues>-21336478</OtherRevenues>
      <RevenueNotRptdF990>-24633079</RevenueNotRptdF990>
      <RevenueSubtotal>412486961</RevenueSubtotal>
      <TotalRevenuePerForm990>412486961</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>394843352</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>394843352</ExpensesSubtotal>
      <OtherExpensesNotIncluded>20213034</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>20213034</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>415056386</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <Explanation>Permanently restricted endowment funds are held in perpetuity with restrictions on income for health services, medical research, medical education, and indigent care.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>OTHER CHANGES IN NET ASSETS OR FUND BALANCES</ReturnReference>
        <Explanation>POST RETIREMENT BENEIFT RELATED CHANGES -698,689 PROJECT ABANDONMENT (PATIENT KEEPER) -424,755 --------- TOTAL -1,123,444</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>OTHER REVENUE INCLUDED IN F/S BUT NOT INCLUDED ON FORM 990</ReturnReference>
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      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 4b</Identifier>
        <ReturnReference>Other Expenses Included on Form 990 but not included in F/S</ReturnReference>
        <Explanation>BAD DEBT 14,513,947 CHARITY CARE 5,699,087 ---------- Total 20,213,034</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>300.</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>3563479</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>269165</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3294314</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00790</PercentOfTotalExpense>
      </CharityCareAtCost>
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        <NetCommunityBenefitExpense>14991678</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03610</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
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        <DirectOffsettingRevenue>33619306</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>18285992</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04400</PercentOfTotalExpense>
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        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
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      <HealthProfessionsEducation>
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      </HealthProfessionsEducation>
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        <DirectOffsettingRevenue>317280</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7837690</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01890</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
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        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
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      <TotalOtherBenefits>
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      <TotalCommunityBenefits>
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      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>6468132</BadDebtExpenseAmount>
      <AmountAttributableTo>996503</AmountAttributableTo>
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      <CostingMethodologyUsed>
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      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
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      <Form990ScheduleHPartVSectionA>
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          <State>NY</State>
          <ZIPCode>13326</ZIPCode>
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        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
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      <Form990ScheduleHPartVSectionB>
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        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>300.</FPGFreePercent>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
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        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitOtherActions>X</PermitOtherActions>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <LienOnResidence>X</LienOnResidence>
        <OtherActions>X</OtherActions>
        <NotifyUponAdmission>X</NotifyUponAdmission>
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        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>true</GrossCharges>
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        <OtherFacilities>
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        <OtherFacilities>
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          <Address>
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          </Address>
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        </OtherFacilities>
        <OtherFacilities>
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          </Name>
          <Address>
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            <City>DELHI</City>
            <State>NY</State>
            <ZIPCode>13753</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT DENTAL AND PRIMARY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE EDMESTON</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>ROUTE 80 PO BOX 15</AddressLine1>
            <City>EDMESTON</City>
            <State>NY</State>
            <ZIPCode>13335</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
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          </Name>
          <Address>
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            <City>HAMILTON</City>
            <State>NY</State>
            <ZIPCode>13346</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT DENTAL AND PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE HERKIMER</BusinessNameLine1>
          </Name>
          <Address>
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            <City>HERKIMER</City>
            <State>NY</State>
            <ZIPCode>13350</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY, SPECIALTY, SPECIALTY, AND URGENT CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE MIDDLEBURGH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>109 BAKER AVENUE</AddressLine1>
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            <State>NY</State>
            <ZIPCode>12122</ZIPCode>
          </Address>
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        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE MORRIS</BusinessNameLine1>
          </Name>
          <Address>
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            <City>MORRIS</City>
            <State>NY</State>
            <ZIPCode>13808</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SPECIALTY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE ONEONTA SURGICAL ASSO</BusinessNameLine1>
          </Name>
          <Address>
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            <City>ONEONTA</City>
            <State>NY</State>
            <ZIPCode>13820</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SPECIALTY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE NORWICH</BusinessNameLine1>
          </Name>
          <Address>
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            <City>NORWICH</City>
            <State>NY</State>
            <ZIPCode>13815</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE ONEONTA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>125 MAIN STREET</AddressLine1>
            <City>ONEONTA</City>
            <State>NY</State>
            <ZIPCode>13820</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE ONEONTA SPECIALTY SER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>ONE ASSOCIATE DRIVE</AddressLine1>
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            <State>NY</State>
            <ZIPCode>13820</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY, SPECIALTY, SPECIALTY, AND URGENT CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE PHYSICAL THERAPY</BusinessNameLine1>
          </Name>
          <Address>
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            <City>COOPERSTOWN</City>
            <State>NY</State>
            <ZIPCode>13326</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SPECIALTY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE RICHFIELD SPRINGS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>8550 STATE HIGHWAY 28</AddressLine1>
            <City>RICHFIELD SPRINGS</City>
            <State>NY</State>
            <ZIPCode>13439</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE SCHOHARIE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>111 BARTON HILL ROAD</AddressLine1>
            <City>SCHOHARIE</City>
            <State>NY</State>
            <ZIPCode>12157</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE SHARON SPRINGS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>ROUTE 20 PO BOX 275</AddressLine1>
            <City>SHARON SPRINGS</City>
            <State>NY</State>
            <ZIPCode>13459</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE SHERBOURNE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20 CHAPEL STREET</AddressLine1>
            <City>SHERBOURNE</City>
            <State>NY</State>
            <ZIPCode>13460</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE SIDNEY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>39 PEARL STREET WEST</AddressLine1>
            <City>SIDNEY</City>
            <State>NY</State>
            <ZIPCode>13838</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE ST JOHNSVILLE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>8 PARK PLACE</AddressLine1>
            <City>ST JOHNSVILLE</City>
            <State>NY</State>
            <ZIPCode>13452</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE STAMFORD</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>28650 STATE HIGHWAY 23</AddressLine1>
            <City>STAMFORD</City>
            <State>NY</State>
            <ZIPCode>12167</ZIPCode>
          </Address>
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        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTH WALTON</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>130 NORTH STREET</AddressLine1>
            <City>WALTON</City>
            <State>NY</State>
            <ZIPCode>13856</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE WEST WINFIELD</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>544 EAST MAIN STREET</AddressLine1>
            <City>WEST WINFIELD</City>
            <State>NY</State>
            <ZIPCode>13491</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE AT FOX CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1 FOX CARE DRIVE</AddressLine1>
            <City>ONEONTA</City>
            <State>NY</State>
            <ZIPCode>13820</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SPECIALTY SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE AT LITTLE FALLS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>170 BURWELL STREET</AddressLine1>
            <City>LITTLE FALLS</City>
            <State>NY</State>
            <ZIPCode>13365</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT HEALTHCARE UNADILLA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>16 CLIFTON STREET</AddressLine1>
            <City>UNADILLA</City>
            <State>NY</State>
            <ZIPCode>13849</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BASSETT REGIONAL CANCER CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7 ASSOCIATE DRIVE</AddressLine1>
            <City>ONEONTA</City>
            <State>NY</State>
            <ZIPCode>13820</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SPECIALTY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HARTWICK SEMINARY SPECIALTY SERVICES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4580 ROUTE 28</AddressLine1>
            <City>MILFORD</City>
            <State>NY</State>
            <ZIPCode>13807</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY AND specialty care</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC COOPERSTOWN ELEMENTARY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>21 WALNUT STREET</AddressLine1>
            <City>COOPERSTOWN</City>
            <State>NY</State>
            <ZIPCode>13326</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC COOPERSTOWN MIDDLE &amp; HIGH SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>39 LINDEN AVENUE</AddressLine1>
            <City>COOPERSTOWN</City>
            <State>NY</State>
            <ZIPCode>13326</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC DELHI ELEMENTARY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2 SHELDON DRIVE</AddressLine1>
            <City>DELHI</City>
            <State>NY</State>
            <ZIPCode>13753</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC DELHI MIDDLE &amp; HIGH SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2 SHELDON DRIVE</AddressLine1>
            <City>DELHI</City>
            <State>NY</State>
            <ZIPCode>13753</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC EDMESTON CENTRAL SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>11 NORTH STREET</AddressLine1>
            <City>EDMESTON</City>
            <State>NY</State>
            <ZIPCode>13335</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC LAURENS CENTRAL SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>55 MAIN STREET</AddressLine1>
            <City>LAURENS</City>
            <State>NY</State>
            <ZIPCode>13796</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC MIDDLEBURGH ELEMENTARY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>245-I MAIN STREET</AddressLine1>
            <City>MIDDLEBURGH</City>
            <State>NY</State>
            <ZIPCode>12122</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC MIDDLEBURGH MIDDLE &amp; HIGH SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>291 MAIN STREET</AddressLine1>
            <City>MIDDLEBURGH</City>
            <State>NY</State>
            <ZIPCode>12122</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC MILFORD CENTRAL SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>42 WEST MAIN STREET</AddressLine1>
            <City>MILFORD</City>
            <State>NY</State>
            <ZIPCode>13807</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC MORRIS CENTRAL SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>65 MAIN STREET</AddressLine1>
            <City>MORRIS</City>
            <State>NY</State>
            <ZIPCode>13808</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC ORAL HEALTH MOBILE EQUIPMENT PROGRA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>ONE ATWELL ROAD</AddressLine1>
            <City>COOPERSTOWN</City>
            <State>NY</State>
            <ZIPCode>13326</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SPECIALTY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC SCHENEVUS CENTRAL SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>159 MAIN STREET</AddressLine1>
            <City>SCHENEVUS</City>
            <State>NY</State>
            <ZIPCode>12155</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC SHERBURNEEARLVILLE ELEMENTARY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>13 SCHOOL STREET</AddressLine1>
            <City>SHERBURNE</City>
            <State>NY</State>
            <ZIPCode>13460</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC SHERBURNEEARLVILLE MIDDLE &amp; HIGH S</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>13 SCHOOL STREET</AddressLine1>
            <City>SHERBURNE</City>
            <State>NY</State>
            <ZIPCode>13460</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC SIDNEY CENTRAL SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>95 WEST MAIN STREET</AddressLine1>
            <City>SIDNEY</City>
            <State>NY</State>
            <ZIPCode>13838</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC SOUTH KORTRIGHT CENTRAL SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>PO BOX 113</AddressLine1>
            <City>SOUTH KORTRIGHT</City>
            <State>NY</State>
            <ZIPCode>13842</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC STAMFORD CENTRAL SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>ONE RIVER STREET</AddressLine1>
            <City>STAMFORD</City>
            <State>NY</State>
            <ZIPCode>12167</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SBHC WORCESTER CENTRAL SCHOOL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>195 MAIN STREET</AddressLine1>
            <City>WORCESTER</City>
            <State>NY</State>
            <ZIPCode>12197</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT PRIMARY CARE</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Part I, Line 3c</Identifier>
        <ReturnReference>Charity Care Eligibility Criteria (FPG is Not Used)</ReturnReference>
        <Explanation>The CSP (community services program) application specifies family income limits and other requirements for services to be eligible for Bassett Medical Center's CSP/free care program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I, Line 6a</Identifier>
        <ReturnReference>Related Organization Community Benefit Report</ReturnReference>
        <Explanation>THE MARY IMOGENE BASSETT HOSPITAL, D/B/A 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I, Line 7</Identifier>
        <ReturnReference>Explanation of Costing Methodology</ReturnReference>
        <Explanation>SECTIONS (A) CHARITY CARE AT COST, (B) UNREIMBURSED MEDICAID, (F) HEALTH PROFESSIONS EDUCATION, THE COSTING METHODOLOGY USED IS A COST-TO-CHARGE RATIO CALCULATION UTILIZED ON FILED STATE AND FEDERAL COST REPORTS AS THE SOURCE. INDIRECT COSTS WERE APPLIED TO SECTIONS (E) COMMUNITY HEALTH IMPROVEMENT, PORTIONS OF (F) HEALTH PROFESSIONS EDUCATION, (H) RESEARCH, AND (I) CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS ARE COMPRISED OF THE DIRECT SALARY COSTS FOR HOSPITAL STAFF WHOSE TIME WAS COMPENSATED BY THE HOSPITAL FOR TIME SPENT PARTICIPATING IN ACTIVITIES THAT QUALIFY AS COMMUNITY BENEFITS PLUS THE CURRENT FISCAL YEAR FRINGE BENEFIT RATE. INDIRECT COSTS WERE ONLY APPLIED TO SELECT SALARIES AND SERVICES UNDER COMMUNITY HEALTH IMPROVEMENT AND RESEARCH AND NOT BROADLY ACROSS ALL COMMUNITY BENEFIT ACTIVITY ENTRIES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I, Line 7, Column F</Identifier>
        <ReturnReference>Explanation of Bad Debt Expense</ReturnReference>
        <Explanation>THE PERCENT OF TOTAL EXPENSE IS CALCULATED BY DIVIDING COLUMN (E), NET COMMUNITY BENEFIT EXPENSE, BY TOTAL EXPENSE. THE BAD DEBT EXPENSE OF $14,513,947 WAS SUBTRACTED FROM THE TOTAL EXPENSE VALUE USED TO CALCULATE THE PERCENTAGES IN PART 1, LINE 7, COLUMN F.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III, Line 4</Identifier>
        <ReturnReference>Bad Debt Expense</ReturnReference>
        <Explanation>WORKSHEET 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 text within Financial Statements Footnotes: "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 provisions 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 text within Financial Statements Footnotes: "The Hospital's general policy statement on charity care requires that medical care be rendered to all persons in need of such care regardless of their ability to pay. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services furnished under its charity care policy. The hospital's charity care policy has not changed during fiscal years 2010 or 2011." DURING 2011 AND 2010, THE TOTAL CHARGES FORGONE FOR Bad Debt WERE APPROXIMATELY $14,513,947 AND $15,329,504 RESPECTIVELY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III, Line 9b</Identifier>
        <ReturnReference>Provisions on Collection Practices for Qualified Patients</ReturnReference>
        <Explanation>For patients or guarantors who do not qualify for financial assistance, Bassett must undertake to ensure an adequate understanding on the part of the patients and those responsible for their care of their financial obligations to Bassett. Bassett will in compliance with all existing laws and regulations take the 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 Bassett 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 Bassett 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 Bassett'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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V, line 10</Identifier>
        <ReturnReference>Discounted Care</ReturnReference>
        <Explanation>Bassett Medical Center does not provide discounted care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V, Line 15e</Identifier>
        <ReturnReference>Other Collection Actions Against a Patient</ReturnReference>
        <Explanation>Bassett engages with a third party to perform collection actions.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V, Line 16e</Identifier>
        <ReturnReference>Other Collection Actions by Facility or Third Party Engaged</ReturnReference>
        <Explanation>Other actions taken include claims on estates, claims on bankruptcies, and wage garnishments.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V, Line 19d</Identifier>
        <ReturnReference>Other Billing Determination of Individuals Without Insurance</ReturnReference>
        <Explanation>Bassett RECOGNIZES THAT SERVICES WILL BE PROVIDED EQUALLY TO ALL PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SUCH SERVICES. CHARGE SCHEDULES ARE, THEREFORE, UNIFORM. BILLINGS TO PATIENTS ARE BASED ON THESE CHARGE SCHEDULES. All charges to individuals that qualify for charity care are written off completely.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V, Line 21</Identifier>
        <ReturnReference>Charge Patients Amount Equal Gross Charge for Services</ReturnReference>
        <Explanation>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 completely.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI, Line 2</Identifier>
        <ReturnReference>Needs Assessment</ReturnReference>
        <Explanation>In addition to public and agency input, a variety of data from the NYS Department of Health, Otsego County Behavioral Risk Factor Surveillance System, Otsego Co. Department of Health Community Assessment and other sources were used to assess priorities, including: A) Percentage of Otsego Co. adults who visited a dentist in the past years. B) Prevalence of tooth decay in third-grade children. C) Percentage of adults reporting binge drinking D) Heavy drinking E) Percentage of overweight adults in Otsego Co. Based on the outcomes of the focus groups and strategic planning sessions prevention agenda priorities throughout the county were identified. Access to quality healthcare and Mental Health and 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 initiative Bassett will work with A.O. Fox Hospital and Leatherstocking Education on Alcoholism/Addictions Foundations, Inc. (LEAF) to provide continuing medical education training on substance abuse screening and referral to primary care providers and surgeons in the county. b) Bassett will work with the health department and LEAF to complete and distribute an updated list of mental health and substance abuse resources to primary care providers. c) Bassett will collaborate with LEAF and the health department on public health campaign about the risk factors associated with binge drinking and prescription drug abuse. 3. Physical Activity and Nutrition a) Bassett will continue to collaborate with the health department and other community partners on efforts to provide early education about the importance of physical activity and nutrition throughout life, including during pregnancy and to prevent chronic disease. b) Bassett will work with the health department, schools and other community partners to improve continuity of care between families, schools and primary care providers for the treatment of childhood obesity. Overall goals will be to increase the percentage of Otsego County adults who have seen a dentist in the past year, work toward a 2013 prevention agenda objective of 83%, reducing the rate of alcohol abuse in Otsego County and reducing the rate of obesity in Otsego County.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI, Line 3</Identifier>
        <ReturnReference>Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>A MAJOR COMPONENT OF THE BASSETT MEDICAL CENTER 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI, Line 4</Identifier>
        <ReturnReference>Community Information</ReturnReference>
        <Explanation>THE SERVICE AREA OF BASSETT ENCOMPASSES A EIGHT 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 EIGHT 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) IN HERKIMER COUNTY THE CITY OF HERKIMER. B) IN DELAWARE COUNTY THE TOWNS OF MIDDLETOWN, MARGARETVILLE, ANDES AND DEPOSIT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI, Line 5</Identifier>
        <ReturnReference>Community Building Activities</ReturnReference>
        <Explanation>BASSETT SERVES AS THE FOUNDATION FOR THE THURSTON CORPORATION (DBA BASSETT HEALTHCARE NETWORK) AND IS A 180-BED ACUTE CARE INPATIENT TEACHING FACILITY LOCATED IN COOPERSTOWN, NEW YORK. PROVIDING 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, 18 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 EIGHT-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 18 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 &amp; 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 HANDBOOK - THIS FAMILY RESOURCE WAS CREATED BY THE OTSEGO CO. COMMITTEE ON CHILD ABUSE AND NEGLECT AND UNDERWRITTEN BY BASSETT HEALTHCARE 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 BICYCLE, 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI, Line 6</Identifier>
        <ReturnReference>Affilated Health Care System Roles and Promotion</ReturnReference>
        <Explanation>BASSETT 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 62,200; SCHOHARIE COUNTY - POPULATION 31,910 (ACCORDING TO THE 2008 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, 18 SCHOOL BASED HEALTH CENTERS, TWO AMBULATORY SURGERY CENTERS AND A FULLY SALARIED MEDICAL STAFF IN COOPERSTOWN, OTSEGO COUNTY B) O'CONNOR HOSPITAL - A CRITICAL ACCESS HOSPITAL IN DELHI, DELAWARE 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 - 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 EIGHT COUNTY REGION IN CENTRAL NEW YORK.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part VI, Line 7</Identifier>
        <ReturnReference>States Where Community Benefit Report Filed</ReturnReference>
        <Explanation>NY</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Additional Information</Identifier>
        <Explanation>Part II - All Bassett community building activities could be classified under item 1 and highlighted in Part I.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III, line 8</Identifier>
        <ReturnReference>Explanation of Shortfall as community benefit</ReturnReference>
        <Explanation>Amounts were derived as follows: charges times cost to charge ratio versus reimbursement on the Medicare PS&amp;R report.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>William F Streck MD</NamePerson>
        <BaseCompensationFilingOrg>651668</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5283</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11339</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6610</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>674900</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Bertine Colombo Mckenna PHD</NamePerson>
        <BaseCompensationFilingOrg>369024</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8709</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4003</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>381736</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Nicholas J Nicoletta</NamePerson>
        <BaseCompensationFilingOrg>368286</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11339</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4400</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>384025</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Steven J Heneghan MD</NamePerson>
        <BaseCompensationFilingOrg>579331</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11339</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6167</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>596837</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Joseph Schmer MD</NamePerson>
        <BaseCompensationFilingOrg>450350</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>75916</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2365</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8709</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>3167</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>540507</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James C Peters MD</NamePerson>
        <BaseCompensationFilingOrg>484616</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>24373</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10114</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14718</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>533821</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jonathan Richman Md</NamePerson>
        <BaseCompensationFilingOrg>527196</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11339</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6936</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>545471</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT LANCEY MD</NamePerson>
        <BaseCompensationFilingOrg>520879</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8709</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12687</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>542275</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>PART I, LINE 7</Identifier>
        <Explanation>NON-FIXED PAYMENTS ARE MADE BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE OFFICERS. PHYSICIAN CHIEFS MAY RECEIVE NON-FIXED PAYMENTS BASED ON PERFORMANCE AND COMPARATIVE MARKET DATA</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Part VII, Line 5</Identifier>
        <ReturnReference>Compensation from Unrelated ORganizations</ReturnReference>
        <Explanation>NAME : WILLIAM F STRECK, MD NAME OF UNRELATED ORGANIZATION : COLUMBIA UNIVERSITY TYPE OF COMPENSATION : SALARY AMOUNT OF COMPENSATION : $228,798</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Otsego Cty Capital Resour</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>263661593</IssuerEIN>
        <DateIssued>2011-11-03</DateIssued>
        <IssuePrice>25000000</IssuePrice>
        <DescriptionOfPurpose>Building &amp; Structures</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Otsego Cty Capital Resour</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>263661593</IssuerEIN>
        <DateIssued>2011-11-03</DateIssued>
        <IssuePrice>19200000</IssuePrice>
        <DescriptionOfPurpose>Refund of prior issuance</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>25000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>702000</RefundingEscrow>
        <IssuanceCostsFromProceeds>500000</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>23798000</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>19125000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>19200000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>75000</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleKN1" />
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>The Clark Estates</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Part V</Relationship>
        <AmountOfTransaction>418421</AmountOfTransaction>
        <DescriptionOfTransaction>Investment mgmt fees</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Jane Hamilton</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Part V</Relationship>
        <AmountOfTransaction>65514</AmountOfTransaction>
        <DescriptionOfTransaction>wages</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV, Line 1</Identifier>
        <Explanation>More than 35% of The Clark Estates is owned by trustee Jane Forbes Clark</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV, Line 2</Identifier>
        <Explanation>Jane Hamilton is family member of trustee Peter Hamilton</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Part I, Summary, Line 1</Identifier>
        <Explanation>MIBH is a 180 bed acute care facility that serves Cooperstown and an 8 county region through its regional health center network. MIBH offers 24 hour emergency/trauma care, cancer and heart care, dialysis, and most medical and surgical specialties, and conducts research and education programs.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VI, Section A, Question 2</Identifier>
        <Explanation>Trustees Kevin S Moore, William T Burdick, Jane Forbes clark, Richard C Vanison, and glenn a perrone have a business relationship.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VI, Section B, Line 11b</Identifier>
        <ReturnReference>Form 990 Review Process</ReturnReference>
        <Explanation>Bassett 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. Copies are distributed to all Bassett's other trustees at their request. once approved, the 990 can be electronically filed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VI, Section B, Question 12c</Identifier>
        <ReturnReference>Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The organization's Conflict of interest Policy applies to the board of Trustees, including any committees of the Board, individual members of the Board, officers of the hospital (CEO,COO,CFO), Vice presidents, and all Directors serving as directors team members. Upon the commencement of an individual serving in the roles defined above, 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 for 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VI, Section B, Question 15a</Identifier>
        <ReturnReference>Compensation Review &amp; Approval Process for CEO, Exec. Dir., or Top Mgtment</ReturnReference>
        <Explanation>Bassett has a formal process that is used to determine the base compensation of the CEO on an annual basis. This process includes a compensation committee of the board of Trustees, an independent compensation consultant, compensation survey or study, and approval by the Board of trustees or the compensation committee. Bassett pays non-fixed earnings based on the success in meeting performance criteria that are prospectively agreed upon as goals for the CEO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VI, Section B, Question 15b</Identifier>
        <ReturnReference>Compensation Review &amp; Approval Process for Officers &amp; Key Employees</ReturnReference>
        <Explanation>The same formal process noted in Question 15(a) above, is used to determine the base compensation of the other officers. Non fixed earnings of other officers are based on the success in meeting performance criteria and comparative market data.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VI, Section C, Question 19</Identifier>
        <ReturnReference>Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Bassett 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 Bassett or by sending a self-addressed stamped envelope and payment for copying of the requested material to Bassett Administrative Offices. The cost of copying shall be equal to the costs imposed by the IRS for copying of public documents.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VII - Compensation Explanation</Identifier>
        <Explanation>Thomas Q Morris, MD Hours worked for related organizations: Thurston Corporation - 1.25 Bassett Regional Corporation - 2.00 Total hours worked for related organizations = 3.25 Kevin S Moore Hours worked for related organizations: Thurston Corporation - 1.50 Templeton Foundation - .50 Bassett Regional Corporation - .50 Total hours worked for related organizations = 2.50 Timothy A Pedly, MD Hours worked for related organizations: Thurston Corporation - 1.00 William F Streck, MD Hours worked for related organizations: Thurston Corporation - 1.00 Templeton Foundation - .20 Bassett Regional Corporation - 1.00 Total hours worked for related organizations = 2.20 Bertine Colombo McKenna, PhD Hours worked for related organizations: Thurston Corporation - 1.00 Bassett Regional Corporation - .50 Total hours worked for related organizations = 1.50 Nicholas J Nicoletta Hours worked for related organizations: Thurston Corporation - 2.00 Templeton Foundation - 1.00 Bassett Regional Corporation - 2.00 O'Connor Hospital - 2.00 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 for related organizations = 13.50 William T Burdick Hours worked for related organizations: Thurston Corporation - 1.50 Templeton Foundation - .50 Bassett Regional Corporation - 1.00 Total hours worked for related organizations = 3.00 Richard C Vanison Hours worked for related organizations: Thurston Corporation - 1.50 Friends of Bassett, Inc. - 1.00 Total hours worked for related organizations = 2.50 Glenn A Perrone Hours worked for related organizations: Templeton Foundation - .50 Bassett Regional Corporation - 1.00 Bassett Hospital of Schoharie County - 1.00 Total hours worked for related organizations = 2.50 John D Bullis Hours worked for related organizations: Bassett Regional Corporation - .50 Little Falls Hospital - 2.00 Total hours worked for related organizations = 2.50 Barbara DiCocco Hours worked for related corporation: Bassett Regional Corporation - .50 Bassett Hospital of Schoharie County - 1.00 Total hours worked at related organizations = 1.50 Michael Getman Hours worked at related organization: AO Fox Memorial Hospital - .50 Michael S Gold, MD Hours worked for related organizations: Friends of Bassett, Inc. - .20 Peter J Hamilton Hours worked for related organizations: Templeton Foundation - .50 Bassett Regional Corporation - .50 O'Connor Hospital - 1.00 Friends of Bassett, Inc - .50 Total hours worked for related organizations = 2.50 Charles B Kieler Hours worked for related organizations: Friends of Bassett, Inc - 3.00 Ralph H Meyer Hours worked for related organizations: Thurston Corporation - 1.00 Katherine D Nickerson Hours worked for related organizations: Thurston Corporation - 1.00 Edward W Stack Hours worked for related organizations: Thurston Corporation - 1.00 Templeton Foundation - .50 Bassett Regional Corporation - .50 Friends of Bassett, Inc - .20 Total hours worked for related organizations = 2.20 Douglas B Willies Hours worked for related organizations: Templeton Foundation - .50 James C Peters, MD Hours worked for related organizations: O'Connor Hospital - 1.00</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part XI, Line 5</Identifier>
        <ReturnReference>Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>NET UNREALIZED GAINS OR LOSSES ON INVESTMENTS -3,296,601 POST RETIREMENT BENEIFT RELATED CHANGES. -698,689 PROJECT ABANDONMENT (PATIENT KEEPER) -424,755 ----------- TOTAL -4,420,045</Explanation>
      </GeneralExplanation>
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          <BusinessNameLine1>Thurston Corporation</BusinessNameLine1>
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          <AddressLine1>one atwell road</AddressLine1>
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