MARY IMOGENE BASSETT HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MARY IMOGENE BASSETT HOSPITAL (EIN 13-5596796)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-08
IRS object ID
201123129349300947
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-08T12:23:21-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1515 Broadway 4th FloorAddressLine1
CityAlbanyCity
StateNYState
ZIP Code122072974ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN135596796EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Mary Imogene Bassett HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARYNameControl
Phone6075473635Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Atwell RoadAddressLine1
CityCooperstownCity
StateNYState
ZIP Code13326ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNicholas NicolettaName
TitleCorporate VP/CFOTitle
Date Signed2011-11-04DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone5184274600Phone
Date Prepared2011-11-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Bassett Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonAddress same as aboveNameOfPrincipalOfficerPerson
Gross Receipts437358870GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.bassett.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1921YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionSee Schedule O.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees3761TotalNbrEmployees
Total Nbr Volunteers163TotalNbrVolunteers
Total Gross UBI-47404TotalGrossUBI
Net Unrelated Business Txbl Income-47654NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year14770702ContributionsGrantsPriorYear
Contributions Grants Current Year6857245ContributionsGrantsCurrentYear
Program Service Revenue Prior Year359058510ProgramServiceRevenuePriorYear
Program Service Revenue CY393100520ProgramServiceRevenueCY
Investment Income Prior Year-7133492InvestmentIncomePriorYear
Investment Income Current Year2543350InvestmentIncomeCurrentYear
Other Revenue Prior Year-667338OtherRevenuePriorYear
Other Revenue Current Year1590743OtherRevenueCurrentYear
Total Revenue Prior Year366028382TotalRevenuePriorYear
Total Revenue Current Year404091858TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year209457039SalariesEtcPriorYear
Salaries Etc Current Year228854646SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year930401TotalFundrsngExpCurrentYear
Other Expense Prior Year154744050OtherExpensePriorYear
Other Expenses Current Year174044275OtherExpensesCurrentYear
Total Expenses Prior Year364201089TotalExpensesPriorYear
Total Expenses Current Year402898921TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1827293RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1192937RevenuesLessExpensesCY
Total Assets BOY309347815TotalAssetsBOY
Total Assets EOY323618053TotalAssetsEOY
Total Liabilities BOY86959195TotalLiabilitiesBOY
Total Liabilities EOY95941047TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY222388620NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY227677006NetAssetsOrFundBalancesEOY
Mission DescriptionMIBH 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
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense326451771Expense
Revenue393100520Revenue
DescriptionINPATIENT AND OUTPATIENT SERVICES PROVIDED TO OUR PATIENTS RESULTED IN: 12,775 HOSPITALIZATIONS (INCLUSIVE OF OPEN HEART SURGERIES) 50,055 PATIENT DAYS 694,986 CLINIC VISITS 24,684 RENAL TREATMENTS 9,572 SURGICAL CASESDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5416029Expense
DescriptionCommunity involvement has been linked to Bassett's mission, vision, and values since we first opened in 1922. Whether it is strengthening our community relationships for health and wellness, communicating ideas for improving our services to our region, or providing a forum for Bassett to learn and listen, we are working with our community to improve the quality of life for the people of our region. Our community services program provides free services to persons who cannot afford to pay, who do not qualify for Medicaid, and who fall within the established income guidelines. In 2010, we provided $5,416,029 in free care. Bassett's community health education programs include lectures, presentations, health fairs, and other group programs apart from the clinical and diagnostic services offered. Clinical services offered includes screenings, health tests and health risk appraisals including blood pressure, lipid profile, cholesterol screenings, cardiology risk factor screenings, and all cancer screenings. Our community building activities include philanthropic support for health initiatives and community health and welfare projects including promoting healthy lifestyles, disease prevention, and community awareness initiatives. Our doors are open 24 hours a day, 7 days a week, 365 days a year. We are proud to provide care to our communities. Not only did we provide $5.4M in charity care, bad debt expense was $15.3M, Medicaid payments below cost to provide services were $37.2M.Description
FieldValueIRS element (for citing)
Total Program Service Expense331867800TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096258NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3761NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNICHOLAS J NICOLETTANamePerson
Telephone Number6075473635TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Thomas Q Morris MD
Chairman-Trustees1.0XX000
Kevin S Moore
Vice Chairman-Trustees3.0XX000
William T Burdick
Secretary-Trustee8.0XX000
Jane Forbes Clark
Trustee1.0X000
Edward W Stack
Trustee1.0X000
Vanness D Robinson
Trustee1.0X000
Barbara Dicocco
Trustees1.0X000
Ralph H Meyer
Trustee1.0X000
Donald O Pollock MD
Trustee1.0X000
Donald O Quest MD
Trustee1.0X000
Peter J Hamilton
Trustee1.0X000
Douglas B Willies
Trustee1.0X000
Terry Fulmer PHD RN
Trustee1.0X000
J Michael Moffat
Trustee1.0X000
Katherine D Nickerson
Trustee1.0X000
Timothy A Pedley
Trustee1.0X000
Clifton R WhartonJRPHD
Trustee1.0X000
John D Bullis
Trustee1.0X000
Michael Getman
Trustee1.0X000
Charles B Kieler
Trustee1.0X000
William F Streck MD
President & CEO40.0X690293025969
Bertine Mckenna PHD
Executive VP & COO40.0X376614021353
Nicholas J Nicoletta
Corporate VP & CFO40.0X371809026961
Richard C Vanison
Treasurer4.0X000
Glenn A Perrone
Assistant Secretary2.0X000
Steven J Heneghan MD
Attending Physician40.0583735028728X
Joseph Schmer MD
Attending Physician40.0609607020600X
James C Peters MD
Attending Physician40.0548377034239X
Jonathan Richman Md
Attending Physician40.0567173030845X
Timothy J Campbell MD
Attending Physician40.0584507026862X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4332115TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation215557TotalOtherCompensation
Number Individuals GT100 K369NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MCCARTHY
1341 North Rock Hill RoadST LOUISMO63124CONSTRUCTION6741695
Mayo Medical Laboratories
200 First St SWROCHESTERMN55903Lab Services1225012
Angelica Textile Services
424 S Woods Mill RoadCHESTERFIELDMO63017Linen Services1306810
MedSpar
PO BOX 830BINGHAMTONNY13902Collection Service859643
Medquist Transcriptions
1000 Bishops Gate BlvdMT LAURELNJ08054Transcription Servic4432624
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Related Organizations2653929RelatedOrganizations
Government Grants3318184GovernmentGrants
All Other Contributions885132AllOtherContributions
Total Contributions6857245TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DIRECT PATIENT SERVICES900099369797493369797493
OTHER PROGRAM SERVICE REVENUE9000992330302723303027
FieldValueIRS element (for citing)
Total Program Service Revenue393100520TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column845054TotalRevenueColumn
Exclusion$845,054ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities34815015Securities
Other150293Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities33058361Securities
Other208651Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1756654Securities
Other-58358Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1698296TotalRevenueColumn
Exclusion$1,698,296ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PARTNERSHIP INCOME621500167845120094$1,658,357
INVESTMENT IN JOINT VENTURES621610-87708-67498-$20,210
FieldValueIRS element (for citing)
Total Other Revenue1590743TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column404091858TotalRevenueColumn
Related Or Exempt Function Income393100520RelatedOrExemptFunctionIncome
Unrelated Business Revenue-47404UnrelatedBusinessRevenue
Exclusion$4,181,497ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1512999Total
Management And General1512999ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total197751349Total
Program Services153479518ProgramServices
Management And General43810349ManagementAndGeneral
Fundraising461482Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9186068Total
Program Services7127320ProgramServices
Management And General2039048ManagementAndGeneral
Fundraising19700Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9044798Total
Program Services6968776ProgramServices
Management And General2055068ManagementAndGeneral
Fundraising20954Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11359432Total
Program Services8747426ProgramServices
Management And General2579586ManagementAndGeneral
Fundraising32420Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total48828Total
Management And General48828ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total33817803Total
Program Services28264749ProgramServices
Management And General5351687ManagementAndGeneral
Fundraising201367Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2107777Total
Program Services1595420ProgramServices
Management And General470484ManagementAndGeneral
Fundraising41873Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12439835Total
Program Services9590531ProgramServices
Management And General2828214ManagementAndGeneral
Fundraising21090Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1580294Total
Program Services1217575ProgramServices
Management And General359058ManagementAndGeneral
Fundraising3661Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18049343Total
Program Services13937707ProgramServices
Management And General4110181ManagementAndGeneral
Fundraising1455Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total3554883Total
Program Services2738943ProgramServices
Management And General807705ManagementAndGeneral
Fundraising8235Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DRUGS AND REAGENTS3056017830560178
PATIENT CARE SUPPLIES3040612430406124
BAD DEBTS1528662615286626
CHARITY CARE54160295416029
FOOD - RAW15527641552764

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total19223791Total
Program Services14978114ProgramServices
Management And General4127513ManagementAndGeneral
Fundraising118164Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total402898921Total
Program Services331867800ProgramServices
Management And General70100720ManagementAndGeneral
Fundraising930401Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12912273BOY
EOY14917654EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY11210335BOY
EOY10834542EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY41048639BOY
EOY44601331EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3277542BOY
EOY3083021EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2425765BOY
EOY3053540EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis338995302LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec197820346LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY132960903BOY
EOY141174956EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY75548036BOY
EOY68045275EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY23402118BOY
EOY30936393EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6562204BOY
EOY6971341EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY309347815BOY
EOY323618053EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35302923BOY
EOY38862456EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY34430000BOY
EOY33385000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY17226272BOY
EOY23693591EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY86959195BOY
EOY95941047EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY163177543BOY
EOY169040821EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY42476616BOY
EOY44847111EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16734461BOY
EOY13789074EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY222388620BOY
EOY227677006EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY309347815BOY
EOY323618053EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1192937ReconcilationRevenueExpenses
Reconcilation Other Changes4095449ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$48,828OtherActivitiesAmount
Total Lobbying Expenditures IIB48828TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
ExplanationHANYS membership dues allocate 30.2% towards general lobbying activities. Total dues paid in 2010 = $81,299 Iroquois Healthcare Alliance membership dues allocate 46.48% towards general lobbying activities. Total dues paid in 2010 = $31,469 AHA membership dues allocate 24.42% towards general lobbying activities. Total dues paid in 2010 = $39,514 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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance16734461BeginningOfYearBalance
Contributions54613Contributions
Investment Earnings Or Losses199921InvestmentEarningsOrLosses
Other Expenditures3000000OtherExpenditures
Administrative Expenses199921AdministrativeExpenses
End Of Year Balance13789074EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance13825685BeginningOfYearBalance
Contributions2908776Contributions
Investment Earnings Or Losses189138InvestmentEarningsOrLosses
Administrative Expenses189138AdministrativeExpenses
End Of Year Balance16734461EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13511047BeginningOfYearBalance
Contributions314638Contributions
Investment Earnings Or Losses445038InvestmentEarningsOrLosses
Administrative Expenses445038AdministrativeExpenses
End Of Year Balance13825685EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis233974OtherCostOrOtherBasis
Book Value233974BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis174463OtherCostOrOtherBasis
Depreciation87274504Depreciation
Book Value87189344BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis145094035OtherCostOrOtherBasis
Depreciation110545842Depreciation
Book Value34548193BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19203445OtherCostOrOtherBasis
Book Value19203445BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings141174956TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LIMITED PARTNERSHIPS957833C
LIMITED PARTNERSHIPS29978560C
FieldValueIRS element (for citing)
Total Of Book Value Securities30936393TotalOfBookValueSecurities
Total Revenue404091858TotalRevenue
Total Expenses402898921TotalExpenses
Excess Or Deficit For Year1192937ExcessOrDeficitForYear
Net Unrealized GL On Investments3625611NetUnrealizedGLOnInvestments
Other$469,838OtherAmount
Total Adjustments4095449TotalAdjustments
Excess Or Deficit Per FS5288386ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt408187307TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3625611NetUnrealizedGainsInvestments
Other Revenues469838OtherRevenues
Revenue Not Rptd F9904095449RevenueNotRptdF990
Revenue Subtotal404091858RevenueSubtotal
Total Revenue Per Form990404091858TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt402898921TotExpensesEtcAuditedFinclStmt
Expenses Subtotal402898921ExpensesSubtotal
Total Expenses Per Form990402898921TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
Part V, Line 4Permanently restricted endowment funds are held in perpetuity with restrictions on income for health services, medical research, medical education, and indigent care.
Part XI, Line 8Includes post retirement benefit related changes other than net periodic benefit cost $519,682 and investment loss on joint venture $199,609, and project abandonment ($249,453) = total $469,838
Part XII, Line 2dIncludes post retirement benefit related changes other than net periodic benefit cost $519,682 and investment loss on joint venture $199,609, and project abandonment ($249,453) = total $469,838

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.FreeOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3394312TotalCommunityBenefitExpense
Direct Offsetting Revenue387894DirectOffsettingRevenue
Net Community Benefit Expense3006418NetCommunityBenefitExpense
Percent Of Total Expense0.00780PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense47488068TotalCommunityBenefitExpense
Direct Offsetting Revenue39848789DirectOffsettingRevenue
Net Community Benefit Expense7639279NetCommunityBenefitExpense
Percent Of Total Expense0.01970PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense50882380TotalCommunityBenefitExpense
Direct Offsetting Revenue40236683DirectOffsettingRevenue
Net Community Benefit Expense10645697NetCommunityBenefitExpense
Percent Of Total Expense0.02750PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense37408TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense37408NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense16278188TotalCommunityBenefitExpense
Direct Offsetting Revenue3620311DirectOffsettingRevenue
Net Community Benefit Expense12657877NetCommunityBenefitExpense
Percent Of Total Expense0.03270PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense8971433TotalCommunityBenefitExpense
Direct Offsetting Revenue367117DirectOffsettingRevenue
Net Community Benefit Expense8604316NetCommunityBenefitExpense
Percent Of Total Expense0.02220PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense439393TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense439393NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense25726422TotalCommunityBenefitExpense
Direct Offsetting Revenue3987428DirectOffsettingRevenue
Net Community Benefit Expense21738994NetCommunityBenefitExpense
Percent Of Total Expense0.05610PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense76608802TotalCommunityBenefitExpense
Direct Offsetting Revenue44224111DirectOffsettingRevenue
Net Community Benefit Expense32384691NetCommunityBenefitExpense
Percent Of Total Expense0.08360PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$6,883,308BadDebtExpenseAmount
Amount Attributable To911741AmountAttributableTo
Amount Reimbursed By Medicare94304682AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare80551227CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall13753455MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
At home care inc
Home healthcare agency0.500000.000000.00000
UNI Imaging holdings
Diagnostic Imaging office0.400000.000000.00000
LLC
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mary Imogene Bassett HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1one atwell roadAddressLine1
CitycooperstownCity
StateNYState
ZIP Code13326ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours
OtherOutpatient primary & Specialty ClinicsOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Mary Imogene Bassett HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted10NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent300.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasisfalseExplainsBasis
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities43NumberOfOtherFacilities

Other Facilities OtherFacilities (43 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Basset Healthcare Canajoharie
56 Montgomery StreetCanajoharieNY13317Outpatient Primary Care
Bassett healthcare cobleskill
121 legion drivecobleskillNY12043outpatient primary care
Bassett healthcare delanson
one colley heightsdelansonNY12053outpatient primary care
Bassett healthcare Delhi
flint office buildingdelhiNY13753outpatient dental & primary care
Bassett healthcare edmeston-burlington
1 route 80edmestonNY13335outpatient primary care
Bassett healthcare gloversville
99 east state streetgloversvilleNY12078outpatient primary care
Bassett healthcare hamilton
160 broad streethamiltonNY13346outpatient dental & primary care
Bassett healthcare hamilton OBGYN
10 eaton street suite 201hamiltonNY13346outpatient specialty care
bassett healthcare hamilton spclty serv
10 eaton street suite 200 202hamiltonNY13346outpatient specialty care
bassett healthcare herkimer
321 easT albany streetherkimerNY13350outpatient primary, specialty & urgent care
Bassett healthcare little falls
140 burwell streetlittle fallsNY13365outpatient primary care
Bassett healthcare middleburg
109 baker avemiddleburghNY12122outpatient primary care
Bassett healthcare morris
93 main streetmorrisNY13808outpatient primary care
Bassett healthcare norwich
55 calvary drivenorwichNY13815outpatient primary care
Bassett healthcare oneonta
125 main streetoneontaNY13820outpatient primary care
Bassett healthcare oneonta spclty serv
one associate driveoneontaNY13820outpatient primary, specialty & urgent care
Bassett healthcare oneonta radiation trt
seven asSociate driveoneontaNY13820outpatient specialty care
Bassett healthcare physcial therapy
21 railroad avenuecooperstownNY13326outpatient specialty care
Bassett healthcare richfield springs
8550 state hwy rt 28richfield springsNY13439outpatient primary care
Bassett healthcare sidney
39 pearl street westsidneyNY13838outpatient primary care
Bassett healthcare schoharie
111 barton hill roadschoharieNY12157outpatient primary care
Bassett healthcare sharon springs
route 20sharon springsNY13459outpatient primary care
Bassett healthcare sherburne
20 chapel streetsherburneNY13460outpatient primary care
Bassett healthcare st johnsville
8 park place streetst johnsvilleNY13452outpatient primary care
Bassett healthcare stamford
28650 state hwy 23stamfordNY12167outpatient primary care
Bassett healthcare unadilla
16 clifton streetunadillaNY13849outpatient primary care
Bassett healthcare walton
130 north streetwaltonNY13856outpatient primary care
Bassett healthcare west winfield
544 east main streetwest winfieldNY13491outpatient primary care
SBHC Laurens central school
main streetlaurensNY13796outpatient primary care
SBHC morris central school
west maiN streetmorrisNY13808outpatient primary care
SBHC Edmeston Central School
11 north streetedmestonNY13335outpatient primary care
SBHC COOPERSTOWN CENTRAL SCHOOL
39 LINDEN AVENUECOOPERSTOWNNY13326outpatient primary care
SBHC WORCESTER CENTRAL SCHOOL
195 MAIN STREETWORCESTERNY12197outpatient primary care
SBHC MIDDLEBURGH CENTRAL SCHOOL
291 MAIN STREETMIDDLEBURGHNY12122outpatient primary care
SBHC SOUTH KORTRIGHT CENTRAL SCHOOL SHAK
58200 STATE HWY 10SOUTH KORTRIGHTNY13842outpatient primary care
SBHC SHERBURNE EARLVILLE CENTRAL SCHOOL
15 SCHOOL STREETSHERBURNENY13460outpatient primary care
SBHC DELHI ELEMENTARY MIDDLE HIGH SCHOOL
2 SHELDON DRIVEDELHINY13753outpatient primary care
Hartwick seminary specialty services
4580 state highway 28milfordNY13807outpatient primary care
SBHC Sidney
95 West Main StreetSidneyNY13838Outpatient Primary Care
SBHC Stamford
1 River StreetStamfordNY12167Outpatient Primary Care
SBHC Milford
42 West Main StreetMilfordNY13807Outpatient Primary Care
SBHC Schenevus
159 Main StreetSchenevusNY12155Outpatient Primary Care
Oneonta Surgical Associates
449 Main StreetOneontaNY13820Outpatient Specialty Care

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierExplanationExplanation
Schedule H, Part I, line 6aThe 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.
Schedule H, Part I, line 7Sections (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 subsidized health services, sections (e) community health improvement; portions of (f) health professions education, (h) research, and (i) cash and in-kind contributions to community groups are comprised of the direct salary costs for Hospital staff whose time was compensated by the Hospital for time spent participating in activities that qualify as community benefits plus the current fiscal year fringe benefit rate. Indirect costs were only applied to select salaries and services under community health improvement and research and not broadly across all community benefit activity entries Part I, Line 7, column (f) is calculated by dividing column (e), net community benefit expense, by total expense. The bad debt expense of $15,286,626 was subtracted from the total expense value used to calculate the percentages in Part 1, Line 7, Column f.
Schedule H, Part IIAll Bassett Community Building Activities could be classified under item 1 and highlighted in number 1 above.
Schedule H, Part III, line 4Worksheet 2 cost to charge ratio was used to determine the amount reported in Part III, lines 2 and 3. The Charity Care and Provision for Uncollectible Accounts 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. During 2010 and 2009, the total charges forgone for charity care were approximately $5,416,000 and $4,477,000 respectively. The Hospital grants credit without collateral to patients, most of who are local residents and are insured under third party agreements. Additions to the allowance for estimated uncollectible accounts are made by means of the provision for uncollectible accounts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for uncollectible accounts is based upon management's assessment of historical expected collections, business and economic conditions, trends in federal and state healthcare coverage, and other collection indicators. Services rendered to individuals when payment is expected and ultimately not received are written off to the allowance for estimated uncollectible accounts. Accounts receivable are presented net of allowances for estimated uncollectible accounts of approximately $8,601,000 and $7,510,000 at December 31, 2010 and 2009, respectively.
Schedule H, Part III, line 8Amounts were derived as follows: Charges times cost to charge ratio versus reimbursement on the Medicare PS&R report.
Schedule H, Part III, line 9bBassett renders medical care to all persons in need of such care, regardless of their ability to pay. We offer the following assistance programs to support patients who may have a difficulty paying their medical bills: Community Services Program, Tribute Fund, Orange L. VanHorne Fund and Eye Care Fund. Bassett will communicate the availability of its charity care assistance programs in a manner that is clear and understandable to its patients and implement such programs in a manner that is sensitive to the patients' dignity. Bassett's charity care programs are not intended to eliminate personal responsibility but rather to ensure that patients are encouraged to access public or private insurance options or otherwise contribute to their care based on the individual's ability to pay. All hospital personnel are expected to refer those patients or guarantors who express an inability to pay or a need for charity care services to the Patient Financial Services Advisors. All clinics can offer applications for charity care directly to patients. Bassett has a strong commitment to provide financial assistance to those in need to ensure they receive quality health care. To that end, we continuously review our Community Services Program to ensure it provides free care to patients who do not qualify for Medicaid or other insurance programs and who meet program guidelines. The program offers assistance well beyond the state required income guidelines and is easy to understand. The single page application is part of a two-page brochure that answers frequently asked questions and provides contact information for additional one-on-one guidance. All Bassett personnel are educated about the availability of the Community Services Program, and brochures are prominent and visible at all patient locations throughout Bassett. For patients or guarantors who do not qualify for complete charity care assistance, Bassett must nevertheless undertake to ensure an adequate understanding on the part of patients and those responsible for their care, of their financial obligations to Bassett, and timely satisfaction of those obligations. To meet this policy objective, Bassett, either directly or through Medical Self Pay Accounts Receivable Services, LLC ("MedSPAR), a third party self-pay billing agency, will take all necessary steps, in compliance with existing laws and regulations, to recover self-pay accounts receivable, preserve the patient-provider relationship to maximum extent possible and keep the necessity of referring accounts to third-party debt collection agencies or law firms to a minimum. Finally, Bassett will ensure that bad debt collection policies of any third-party collection agency or law firm retained for outside debt collection reflect the mission and values of the organization.
Schedule H, Part V, Section BLine 1j:Other: Outpatient Primary & Specialty Care Article 28 Hospital Based Clinics Line 3:Community partners involved with Bassett in assessing community health needs include: Otsego Co. Dept. of Health, County Human Service, Emergency Services and Aging agencies, SUNY Oneonta, Hartwick College, Opportunities for Otsego Inc., Planned Parenthood, Safe Kids of Otsego Co., officials from the county and towns within the service area, Town of Pittsfield, At Home Care, Inc., the City of Oneonta, Springbrook, Head Start, Catskill Area Hospice and Palliative Care, NY Connects of Otsego Co., Otsego County Board, United Way, Cherry Valley Central School, A.O.Fox Hosptial, The Arc Otsego, Rural Three for Tobacco Free Communities, school districts throughout the region, and the Town of Richfield Springs. Bassett also solicits feedback from community partners through its Connecting Communities Advisory Group. Representatives from all of these groups were invited to participate in the Community Health Assessment focus group and strategic planning sessions. Line 4: A. O. Fox Hospital Line 5c: Participation was solicited through letters, emails, human resource service agencies and organizations, county government and elected officials. Line 7: The hospital identified the top priorities set by community needs assessment group in order to impact those priority areas. In addition to those priority items, increasing immunizations, emergency preparedness education, unintentional injury, and tobacco use were discussed during the needs assessment. These were not considered top priorities. However, it was felt that these could be incorporated with the top priority initiatives. Line 15e: Bassett engages with a third party to perform collection actions. Line 16e: Other actions taken include claims on estates, claims on bankruptcies, and wage garnishments. Line 19d: Mary Imogene Bassett 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. Line 21: 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.
Schedule H, Part VI, line 2In 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: - Percentage of Otsego Co. adults who visited a dentist in the past years. - Prevalence of tooth decay in third-grade children. - Percentage of adults reporting binge drinking - Heavy drinking - 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 - 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 - 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. - 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. 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 - 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. - 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. - 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 - 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. - 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.
Schedule H, Part VI, line 3A 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.
Schedule H, Part VI, line 44. 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: In Herkimer County the city of Herkimer. In Delaware County the towns of Middletown, Margaretville, Andes and Deposit.
Schedule H, Part VI, line 5Bassett 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 & 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: - 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. - 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. - 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. - 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. - KickStart - a program designed to help combat childhood obesity through collaborative partnerships with Bassett health centers and local recreational and fitness groups. - 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. - 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. - Healthy Start Breakfast - a partnership between community service organizations and Bassett for diabetes detection, education and prevention. - 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.
Schedule H, Part VI, line 6Bassett 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 61,962; Delaware County - population 46,085; 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.
Schedule H, Part VI, line 7New York State

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
William F Streck MD
31388703727270367902267803291071626200
Bertine Mckenna PHD
34268003000003934017418039350397967000
Nicholas J Nicoletta
34180903000000022678042830398770000
Steven J Heneghan MD
55873502500000022678060500612463000
Joseph Schmer MD
450350015435004907017418031820630207000
James C Peters MD
485323063054000202280140110582616000
Jonathan Richman Md
50717306000000022678081670598018000
Timothy J Campbell MD
4695070115000000158510110110611369000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
Part I, Line 7Non-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.
Part VII, Line 5Name of Unrelated Organization = Columbia University Type of Compensation = Salary Amount of Compensation = $272,523 Person Receiving = William F. Streck, M.D.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Otsego County Industrial Dev AgencyBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN166198451IssuerEIN
CUSIP Number689091de3CUSIPNumber
Date Issued2007-11-30DateIssued
Issue Price20000000IssuePrice
Description Of PurposeInpatient Building RenovationsDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds20000000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds639767IssuanceCostsFromProceeds
Credit Enhancement363858CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures18996375CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
The Clark Estates
>35% owned by crnt truste395052Investment mgmt feesfalse
Jane Hamilton
Fmly mbr of crnt trustee62868wagesfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
Part I, Summary, Line 1MIBH is a 180 bed acute care facility that serves the community of Cooperstown, and an 8 county surrounding region, through it's regional health center network. MIBH offers 24 hours emergency and trauma care, comprehensive cancer and heart care, dialysis, and most medical and surgical specialties, and conducts research and education programs.
Part VI, Section A, Question 2Trustees Kevin S Moore, William T Burdlck, Jane Forbes clark, Richard C Vanison, and glenn a perrone have a business relationship.
Part VI, Section B, Line 11bBassett 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.
Part VI, Section B, Question 12cThe organization's Conflict of interest Policy applies to the board of Trustees, including any committees of the Board, individual members of the Board, officers of the hospital (CEO,COO,CFO), Vice presidents, and all Directors serving as directors team members. Upon the commencement of an individual serving in the roles 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.
Part VI, Section B, Question 15aBassett 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.
Part VI, Section B, Question 15bThe 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.
Part VI, Section B, Question 16bAlthough a written policy or procedure has not been adopted, it is the organization's practice to seek legal opinion in evaluation of participation in joint venture arrangements.
Part VI, Section C, Question 19Bassett 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.
Part X, line 5Other changes in net assets are comprised of $3,625,611 net unrealized gains on investments, $199,609 investment loss on joint venture, post retirement benefit related changes other than net periodic benefit costs $519,682, and abandonment of project ($249,453)for a total of $4,095,449.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Thurston Corporation
one atwell roadcooperstownNY13326133218680supportingorgNY501 (c ) 311cNA
Friends of Bassett
one atwell roadcooperstownNY13326237041610solicits contNY501 (c ) 37THURSTON
Templeton Foundation
one atwell roadcooperstownNY13326133317084Health careNY501 (c ) 39THURSTON
Bassett Regional corporation
ONE ATWELL ROADCOOPERSTOWNNY13326133522783Plan & PolicyNY501 (c ) 311bTHURSTON
Bassett Hospital of Schoharie Co
178 grandview drivecobleskillNY12043141772971health careNY501 (c ) 33BRC
O Connor Hospital
460 andes roaddelhiNY13753161540394health careNY501 (c ) 33BRC
Tri Town Regional Healthcare
43 pearl streetsidneyNY13838260169584health careNY501 (c ) 33BRC
Little falls hospital
140 Burwell Streetlittle fallsNY13365150533578health careNY501 (c ) 33BRC
Valley Health Services
690 W GERMAN streetherkimerNY13350222511614health careNY501(C)33BRC
Aurelia Osborn Fox Memorial Hospsociety
1 Norton avenueOneontaNY13820150539039Health careNY501(C)33Thurston
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.