2023-11-14T16:18:09-06:00 2022-12-31 135565207 KPMG LLP 515 BROADWAY 4TH FLOOR ALBANY NY 122072974 990 2022-01-01 150533578 LITTLE FALLS HOSPITAL LITT 3158231000 140 BURWELL STREET LITTLE FALLS NY 13365 TOMMY IBRAHIM PRESIDENT 3158231000 2023-11-14 1 TOMMY IBRAHIM XXX-XX-XXXX 0 GENEVA FURLANO P01877392 5184274600 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TOMMY IBRAHIM 140 BURWELL STREET LITTLE FALLS NY 13365 49343803 0 X WWW.BASSETT.ORG X 1893 NY IMPROVING THE HEALTH OF OUR PATIENTS AND THE WELL-BEING OF OUR COMMUNITITES. 11 9 276 18 0 0 1304794 1645101 39866823 46692779 654328 1005923 0 0 41825945 49343803 0 0 0 0 15264808 16012466 0 0 38367 22479232 25490606 37744040 41503072 4081905 7840731 49578750 43048894 19467046 6548740 30111704 36500154 X IMPROVING THE HEALTH OF OUR PATIENTS AND THE WELL-BEING OF OUR COMMUNITITES. 0 0 6821741 8540356 INPATIENT SERVICES56% OCCUPANCY FOR AN AVERAGE DAILY INPATIENT DAILY CENSUS OF 14 PATIENTS. AS A CRITICAL ACCESS HOSPITAL (CAH) PROVIDER, OUR INPATIENT DAILY SERVICES INCLUDE; OBSERVATION CARE, EXTENDED SWINGBED REHAB SERVICES, AND ACUTE CARE SERVICES. THIS DIVERSITY OF PATIENT CARE ALLOWS FOR OUR RESIDENTS TO REMAIN LOCAL FOR MEDICALLY APPROPRIATE SERVICES. IN 2022, ACUTE CARE LENGTH OF STAY WAS 5.2 DAYS COMPARED WITH 4.2 IN 2021. 9723390 12642097 LITTLE FALLS HOSPITAL OPERATES AN EMERGENCY DEPARTMENT WITH TWENTY FOUR HOURS OF PHYSICIAN COVERAGE, SEVEN DAYS PER WEEK. THE EMERGENCY DEPARTMENT PROVIDED ACCESS TO CARE FOR APPROXIMATELY 15,356 PATIENTS IN 2022. LITTLE FALLS HOSPITAL EXPANDED THE EMERGENCY DEPARTMENT PARTICIPATED IN A NYS MEDICAID ACCELERATED EXCHANGE (MAX) PROGRAM TO REDUCE AVOIDABLE VISITS TO AN EMERGENCY DEPARTMENT. IN ADDITION A PARTNERSHIP WITH SALVATION ARMY AND THEIR COMMUNITY "PATHWAY TO HOPE" PROGRAM WAS FORMALIZED TO ASSIST IN PATIENT CARE MANAGMENT ACTIVITIES. THESE SERVCIES EMBEDDED IN OUR EMERGENCY ROOM PROVIDES ASSITANCE FOR PATIENTS TO MAKE MEDICAL APPOINTMENTS, OBTAIN INSURANCE COVERAGE, OR APPLY FOR COMMUNITY ASSISTANCE PROGRAMS. 16567086 25510326 TOTAL AMBULATORY OUTPATIENT SERVICE VISITS WERE APPROXIMATELY 25,566 IN 2022. OUR AMBULATORY SERVICES INCLUDE REHAB / WELLNESS PROGRAM, AMBULATORY SURGERY / GI SERVICES, WOMENS IMAGING SERVICE, DIAGNOSTIC IMAGING SERVICES, RURAL HEALTH CLINIC RIMARY CARE SERVICES. 33112217 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 43 0 1 276 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X GUY DISTEFANO 3158235281 31 BEAVER STREET COOPERSTOWN NY 13326 TIMOTHY WHITAKER MEDICAL DIRECTOR 40.00 X 0 719297 29019 DAVID CASULLO TRUSTEE 2.00 X 0 0 0 TIMOTHY DALY CHAIRMAN 2.00 X X 0 0 0 ANTHONY DELUCA FIRST VICE CHAIRMAN 2.00 X X 0 0 0 AMY GRACE MD PRESIDENT OF MEDICAL STAFF 2.00 40.00 X 0 316005 29124 JUSTIN HUMMEL SECOND VICE CHAIRMAN 2.00 X X 0 0 0 LAURA POWERS TRUSTEE 2.00 0.00 X 0 0 0 CHRISTINE REYNOLDS THIRD VICE CHAIRMAN 2.00 X X 0 0 0 KATHLEEN SELLERS MD TRUSTEE 2.00 X 0 0 0 GERARD SNYDER SECRETARY 2.00 X X 0 0 0 PHYLLIS SPINNER TRUSTEE 2.00 X 0 0 0 JAMES G VIELKIND VICE PRESIDENT FINANCE 20.00 20.00 X 0 265054 13433 ERIC STEIN PRESIDENT 10.00 30.00 X 0 327021 34191 DIANE DICOB NURSE 40.00 0.00 X 186889 0 5042 HEIDI CAMARDELLO CHIEF NURSING OFFICER 40.00 X 181763 0 6889 LOREEN SHEPARDSON DIRECTOR OF PHARMACY 40.00 X 169296 0 5768 JODI POLLITT NIGHT SUPERVISOR 40.00 X 163705 0 6078 JAMIE CARMARDELLO PHARMACIST 40.00 X 158199 0 3164 WILLIAM LECATES FORMER PRESIDENT 0.00 40.00 X 0 363030 27266 859852 1990407 159974 36 1 1 0 WESTWAYS STAFFING SERVICES INC 500 CITY PARKWAY WEST SUITE 130 ORANGE CA 92868 AGENCY STAFF 1922388 MORRISON MANAGEMENT SPECIALISTS 5201 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 NUTRITIONAL SVCS 309337 MAYO COLLABORATIVE SERVICES 200 FIRST STREET SOUTHWEST ROCHESTER MN 55905 REFERENCE LAB 306043 DAVIN HEALTHCARE WORKFORCE SOLUTIONS 18 DIVISION STREET SARATOGA SPRINGS NY 12866 AGENCY STAFF 248657 CROTHALL SERVICES GROUP 1500 LIBERTY RIDGE DRIVE WAYNE PA 19087 ENVIRONMENTAL SVCS 148455 7 76900 1568201 1645101 HOSPITAL - OUTPATIENT 623000 36069479 36069479 HOSPITAL - INPATIENT 621910 9093307 9093307 OTHER OPERATING REVENUE 900099 1413590 1413590 HOSPITAL CAFETERIA 900099 116403 116403 46692779 64707 64707 930510 10706 0 0 930510 10706 941216 941216 49343803 46692779 0 1005923 13572531 12351003 1202664 18864 553631 553631 870411 782372 87121 918 1015893 879058 135298 1537 29419 27558 1861 9932 9932 14650 12696 1954 3476922 3085615 391307 856822 742535 114287 873575 873575 21603 18722 2881 6965 6036 929 12910 11189 1703 18 2218262 1922392 295870 265049 232113 32936 PURCHASED SERVICES 15496462 9405687 6075606 15169 BAD DEBT 1888897 1888897 CHARITY CARE 182285 182285 NYS ASSESSMENT 136853 136853 41503072 33112217 8352488 38367 21159958 11886504 54710 55551 621025 103333 3779714 5212862 0 0 0 0 0 0 575329 603834 197139 119943 46772579 34217818 14878369 12554761 7881825 6893264 0 0 0 0 0 0 430681 5618842 49578750 43048894 3115030 2642003 0 0 0 0 0 0 0 0 0 0 234930 237583 1216555 741307 14900531 2927847 19467046 6548740 X 23728529 30068180 6383175 6431974 30111704 36500154 49578750 43048894 X 7840731 -824246 -628035 X X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9932 9932 0 PART II-B, LINE 1: AMOUNTS FOR GENERAL LOBBYING ACTIVITIES ARE $9,932 COMPRISED FROM THE HEALTHCARE ASSOCIATION MEMBERSHIPS AS FOLLOWS: HEALTHCARE ASSOCIATION OF NEW YORK STATE 12.06% OF DUES PAID OF $0. AMERICAN HOSPITAL ASSOCIATION 27.29% OF DUES PAID OF $16,907. IROQUOIS HEALTHCARE ALLIANCE 52% OF DUES PAID OF $10,228. 5935027 5366 -194169 4500 5741724 5709293 16952 204782 -4000 5935027 5742017 75000 -117041 -84317 75000 5709293 5913759 482000 87791 3771 737762 5742017 4914943 487332 512484 1000 5913759 0.19780 0.80220 0 1 1 399942 399942 32370562 23058469 9312093 13722408 11159349 2563059 279667 279667 12554761 DUE FROM RELATED PARTIES 4204094 OPERATING LEASE - RIGHT OF USE 1414748 5618842 ACCRIED PENSION LIABILITY 765080 DUE FROM RELATED PARTIES 2162767 2927847 X PART V, LINE 4: ENDOWMENT FUNDS DISTRIBUTE INCOME FOR PURPOSES OF CAPITAL INVESTMENT. TEMPORARY ENDOWMENTS ARE USED BASED ON THE INTENT OF THE DONATION, WHICH IS TYPICALLY FOR CAPITAL INVESTMENTS. PART X, LINE 2: FIN 48 FOOTNOTE LITTLE FALLS HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BASSETT HEALTHCARE NETWORK (THE NETWORK). THE TEXT OF THE FIN 48 FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS IS AS FOLLOWS: THE NETWORK'S VARIOUS SUBSIDIARIES GENERALLY CONSIST OF NOT-FOR-PROFIT CORPORATIONS ORGANIZED IN ACCORDANCE WITH SECTION 501(C)(3) OF THE IRC AND THEREFORE ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. THE NETWORK RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES OR UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED. FOR TAXABLE SUBSIDIARIES OR INVESTMENTS, INCLUDING CCE, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES OF TEMPORARY DIFFERENCES BY APPLYING ENACTED STATUTORY TAX RATES APPLICABLE TO FUTURE YEARS FOR THE DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENTS AND TAX BASIS OF EXISTING ASSETS AND LIABILITIES. SUCH DEFERRED TAX ASSETS AND LIABILITIES WERE NOT MATERIAL AS OF DECEMBER 31, 2022 AND 2021. 1 1 1 X 300.000000000000 0 1 1 0 1 1 269139 32296 236843 0.00580 9409612 5304215 4105397 0.10070 9678751 5336511 4342240 0.10650 3100 3100 0.00010 3100 3100 0.00010 9681851 5336511 4345340 0.10660 1 8237339 7780341 456998 X 1 1 1 1 LITTLE FALLS HOSPITAL 140 BURWELL STREET LITTLE FALLS NY 13365 BASSETT.ORG 2129700H X X X INCLUDES 25 INPATIENT BEDS LITTLE FALLS HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE SECTION C X SEE SECTION C X 1 22 1 SEE SECTION C 0 1 X 300.000000000000 1 1 X X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X 1 X 0 X X X X X 1 X 0 0 LITTLE FALLS HOSPITAL PART V, SECTION B, LINE 5: THE BASSETT HEALTHCARE NETWORK (BHN) COLLABORATED WITH HERKIMER COUNTY PUBLIC HEALTH (HCPH) AND LITTLE FALLS HOSPITAL TO DEVELOP THE COMMUNITY HEALTH NEEDS ASSESSMENT/ COMMUNITY HEALTH ASSESSMENT IN ADDITION TO THE COMMUNITY SERVICE PLAN/COMMUNITY HEALTH IMPROVEMENT PLAN. THIS DOCUMENT IS A COLLECTION OF DATA FROM VARIOUS SOURCES, INCLUDING FEDERAL AND STATE DATABASES AND SURVEYS COLLECTED FROM COMMUNITY MEMBERS AND COMMUNITY SERVICE ORGANIZATIONS. THE SURVEYS, COMMUNITY ENGAGEMENT AND STAKEHOLDER ENGAGEMENT, WERE OFFERED ELECTRONICALLY DURING THE DATES OF JUNE 29, 2022 TO AUGUST 6, 2022. INFORMATION COLLECTED REFLECTS THE CURRENT COUNTY STATUS AND PROBLEMS RELATED TO SIGNIFICANT HEALTH NEEDS OR SOCIAL DETERMINANTS OF HEALTH (SDOH). IN ADDITION TO THE SURVEYS, AN IN-PERSON FOCUS GROUP WAS CONDUCTED IN THE OLD FORGE LIBRARY ON JULY 19, 2022, WHERE THE SURVEY WAS A FOCUS OF DISCUSSION. BHN AND HCPH ALSO PRESENTED TO THE TOWN BOARD OF REPRESENTATIVES IN PERSON ON SEPTEMBER 23, 2022, OFFERING AN OVERVIEW OF DATA AND LISTENING TO FEEDBACK ON ADDITIONAL CONCERNS FROM THE LOCAL GOVERNMENT'S PERSPECTIVE. AFTER THE COLLECTION OF DATA WAS COMPLETE, THE COLLABORATION OF PARTNERS HELD A STAKEHOLDER FOCUS GROUP TO DISCUSS POTENTIAL INTERVENTIONS AND DECIDE WHAT AREAS SHOULD BE ADDRESSED IN THIS NYS PREVENTION AGENDA CYCLE 2022-2024. THE STAKEHOLDER FOCUS GROUP WAS HELD THROUGH ZOOM ON SEPTEMBER 12, 2022. BASED ON THE KEY INFORMATION COLLECTED, PRIORITIES WERE DEFINED, AND INTERVENTIONS DEVELOPED. LITTLE FALLS HOSPITAL PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS DEVELOPED AS PART OF A MULTI-HOSPITAL PLANNING PROCESS IN COORDINATION WITH BASSETT HEALTHCARE RESEARCH, BASSETT HEALTHCARE NETWORK, AND BASSETT MEDICAL CENTER AND LITTLE FALLS HOSPITAL. LEAD COMMUNITY AGENCY WAS HERKIMER COUNTY PUBLIC HEALTH. LITTLE FALLS HOSPITAL PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INLCUDED COMMUNITY ORGANIZATIONS SUCH AS: HERKIMER COUNTY PUBLIC HEALTH, HERKIMER COUNTY INTEGRATED COUNTY PLANNING, BASSETT MEDICAL CENTER AND LEATHERSTOCKING COLLABORATIVE HEALTH PARTNERS. LITTLE FALLS HOSPITAL PART V, SECTION B, LINE 11: THE LITTLE FALLS HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WORKING WITH COMMUNITY STAKEHOLDERS HAS DETERMINED THE PRIORITY AREA OF PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. THE FOCUS AREAS ARE TO PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS.GOAL 1 IS TO STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN. THE TARGET DEMOGRAPHIC IS MIDDLE SCHOOL-AGED FEMALES. THE INTERVENTION IS TO HOLD A SUMMER DAY CAMP TARGETING FEMALES IN 6TH, 7TH, AND 8TH GRADE TO GIVE EXPOSURE TO EMERGENCY SERVICES CAREERS. BASSETT HEALTHCARE NETWORK, LITTLE FALLS HOSPITAL, AND HERKIMER COUNTY PUBLIC HEALTH WILL PARTNER WITH LOCAL ORGANIZATIONS IN THE AREAS OF POLICE, FIRE, EMS, 911 DISPATCH, LIFE FLIGHT, SEARCH AND RESCUE, AND EMERGENCY ROOMS TO PROVIDE HANDS-ON EXPERIENCE IN THESE FIELDS. PARTICIPANTS WILL WALK AWAY WITH: - INCREASED HEALTH LITERACY - EXPOSURE TO VOLUNTEER OPPORTUNITIES - EXPOSURE TO EMERGENCY SERVICE CAREERS - TRAINING IN CPR, FIRST AID, AND AED USE GOAL 2 IS TO PREVENT AND ADDRESS ADVERSE CHILDHOOD EXPERIENCES WITH A TARGET POPULATION OF PEDIATRICS. THE INTERVENTION IS TO CREATE A COMMUNITY PEDIATRIC MENTAL HEALTH CLINIC IN THE ILION CHILDREN CENTER TO INCREASE ACCESS TO MENTAL HEALTH SERVICES AND REDUCE THE IMPACT OF ACE'S (ADVERSE CHILDHOOD EXPERIENCES).GOAL 3 IS TO REDUCE RACIAL, ETHNIC, ECONOMIC AND GEOGRAPHIC DISPARITIES IN MATERNAL AND CHILD HEALTH OUTCOMES AND PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD HEALTH POPULATIONS. THE INTERVENTION IS TO USE REFERRAL WORKFLOW, IF GIVEN PERMISSION BY THE PATIENT, THE NAME, DUE DATE AND PHONE NUMBER OF PREGNANT WOMEN WILL BE SENT TO THE HERKIMER COUNTY PUBLIC HEALTH PRIOR TO DELIVERY. HCPH WILL CONTACT THOSE PATIENTS TO OFFER THE VARIOUS PROGRAMS THEY HAVE TO SUPPORT NEW MOTHERS AND INFANTS.GOAL 4 IF TO PROMOTE HEALTHY HOME AND SCHOOL ENVIRONMENTS. THE INTERVENTION IS TO HOLD SKILL-BUILDING CLASSES IN HOME MAINTENANCE AND UPKEEP; THE CAPSTONE OF THE CLASS IS TO PERFORM MAINTENANCE AND UPKEEP ON THE HOME OF AN ELDERLY INDIVIDUAL.THE ORGANIZATION ADDRESSED SIGNIFICANT, PRIORITIZED HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY, AND PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY. FOR NEEDS NOT ADDRESSED AS A COLLABORATIVE, WE ADDRESS SOME AS AN INDIVIDUAL ORGANIZATION AND ALSOCONTINUE TO REPRIORITIZE HIGHEST DEMAND. LITTLE FALLS HOSPITAL PART V, SECTION B, LINE 20E: LITTLE FALLS HOSPITAL PROVIDED MAILING INFORMATION TO UNINSURED PATIENTS FOR ENROLLING IN AN AFFORDABLE CARE ACT INSURANCE PRODUCT SPONSORED BY THE NYS HEALTH MARKETPLACE. LITTLE FALLS HOSPITAL ALSO ASSISTED PATIENTS WITH THE COMPLETION OF APPLICATIONS FOR ENROLLMENT INTO NYS MARKETPLACE PLANS. PART V, LINE 7A AND 10A LITTLE FALLS HOSPITAL:THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE MADE AVAILABLE ON THE HOSPITAL'S WEBSITE:HTTPS://WWW.BASSETT.ORG/LOCATIONS/LITTLE-FALLS-HOSPITAL PART V, LINE 16A, 16B, AND 16C LITTLE FALLS HOSPITAL:THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE MADE AVAILABLE ON THE HOSPITAL'S WEBSITE:HTTPS://WWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE LITTLE FALLS HOSPITAL PART VBILLING AND COLLECTIONSBEGINNING IN 2021, BASSETT HEALTHCARE NETWORK, THE PARENT ORGANIZATION OF LITTLE FALLS HOSPITAL, ENTERED INTO A SERVICE AGREEMENT WITH OPTUM INSIGHT. THIS AGREEMENT RESULTED IN VARIOUS INFORMATION TECHNOLOGY, REVENUE CYCLE, AND BUSINESS ANALYTIC SERVICES ONCE PERFORMED BY BASSETT HEALTHCARE NETWORK BEING TRANSITIONED TO OPTUM INSIGHT, ALONG WITH THE FORMER BASSETT EMPLOYEES WHO PROVIDED THEM. THE TRANSITION INCLUDED PORTIONS OF THE BILLING AND COLLECTION ACTIVITIES FOR THE HOSPITALS IN THE NETWORK. HOWEVER, DESPITE THE CHANGE IN SERVICE PROVIDER, THE BILLING AND COLLECTION POLICIES OF THE HOSPITAL DID NOT CHANGE AS A RESULT OF THE TRANSITION. 6 1 - DOLGEVILLE HEALTH CENTER 36 SLAWSON STREET DOLGEVILLE NY 13329 CLINIC 2 - NEWPORT HEALTH CENTER BRIDGE STREET NEWPORT NY 13416 CLINIC 3 - LITTLE FALLS HEALTH CENTER 170 BURWELL STREET LITTLE FALLS NY 13365 CLINIC 4 - RICHFIELD SPRINGS HEALTH CENTER 8550 STATE HIGHWAY 28 RICHFIELD SPRINGS NY 13439 CLINIC 5 - WEST WINFIELD HEALTH CENTER 544 E MAIN STREET WEST WINFIELD NY 13491 CLINIC 6 - ST JOHNSVILLE HEALTH CENTER 8 PARK PLACE ST JOHNSVILLE NY 13452 CLINIC PART I, LINE 3C: LITTLE FALLS HOSPITAL PROVIDES SERVICES TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. THE COMMUNITY SERVICE PROGRAM (CSP) IS AVAILABLE FOR PATIENTS WITHOUT INSURANCE COVERAGE FOR INCOMES UP TO 300% OF THE FEDERAL POVERTY INCOME GUIDELINES. OUR CSP COORDINATOR IS AN AUTHORIZED ENROLLMENT FACILITATOR FOR MEDICAID AND NEW YORK STATE INSURANCE EXCHANGE INSURANCE COVERAGES. PART I, LINE 6A: LITTLE FALLS HOSPITAL HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE PERIOD OF 2022 - 2024 IS COORDINATED WITH BASSETT HEALTHCARE NETWORK AND HERKIMER COUNTY PUBLIC HEALTH. THE REPORT IS AVAILABLE TO THE PUBLIC AT HTTPS://WWW.BASSETT.ORG/LOCATIONS/LITTLE-FALLS-HOSPITAL. PART I, LINE 7: COST FOR CHARITY CARE PATIENTS WAS CALCULATED USING RATIO OF COST TO CHARGES. COST ASSOCIATED WITH MEDICAID AND MEDICAID HMO PROGRAMS REPRESENTS AGGREGATE ALLOWABLE COST AND TOTAL GROSS CHARGES USED TO CALCULATE A FACILITY LEVEL COST TO CHARGE RATIO. THIS FACILITY LEVEL COST TO CHARGE RATIO WAS APPLIED TO TOTAL MEDICAID AND MEDICAID HMO CHARGES TO ARRIVE AT TOTAL MEDICAID COST. FOR SUBSIDIZED HEALTH SERVICES, THE LOSS DOES NOT INCLUDE GOVERNEMENT PAYERS LOSS INFORMATION IS REPORTED IN AGGREGATE AMOUNTS.LINE 7B MEDICAID SHORTFALLTHE MEDICAID SHORTFALL IS INCLUDED IN THIS LINE IN THE AMOUNT OF $4,105,397. PART I, LINE 7, COLUMN F LITTLE FALLS HOSPITAL EXCLUDED $1,888,897 OF BAD DEBT EXPENSE TO CALCULATE COST OF PATIENT CARE. BAD DEBT IS REPORTED AS A FUNCTIONAL PROGRAM EXPENSE. PART III, LINE 2: BAD DEBT EXPENSEDUE TO THE ADOPTION OF ASU NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS A NON-VOLUNTARY PRICE CONCESSION. THE BAD DEBT EXPENSE FOR 2022 WAS $1,888,897. PART III, LINE 4: CHARITY CAREFOOTNOTE (3) FROM THE CONSOLIDATED FINANCIALSTHE COST OF CHARITY CARE PROVIDED IS DETERMINED BASED ON THE APPLICATION OF A COST TO GROSS CHARGE RATIO TO THE TOTAL CHARITY CARE CHARGES FOREGONE. INCLUDED IN NET PATIENT SERVICE REVENUE ARE AMOUNTS PAID INTO AND RECEIVED FROM STATEWIDE UNCOMPENSATED CARE POOLS. THESE UNCOMPENSATED CARE POOLS ARE DESIGNED TO HELP OFFSET THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID SERVICES. PART III, LINE 9B: OUR COLLECTION AND CHARITY CARE POLICY SPECIFIES THAT ACCOUNTS WITH ACTIVE CHARITY CARE APPLICATIONS WILL NOT GO TO COLLECTION AGENCIES WHILE APPLICATIONS ARE IN REVIEW. WHILE A REQUEST FOR CHARITY CARE ASSISTANCE IS IN PROCESS, THESE ACCOUNTS ARE PLACED ON HOLD IN OUR BILLING SYSTEM. WE COMMUNICATE INFORMATION ON REQUIREMENTS FOR ASSISTANCE AND WILL COUNSEL PATIENTS ON PROVIDING THE INCOME INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE USING 300% OF THE FEDERAL POVERTY INCOME GUIDELINES. (NOTE: OUR CHARITY CARE PROGRAM IS FOR THE UNINSURED PATIENT.) PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), A VARIETY OF DATA ARE USED REGULARLY TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY SERVED BY LITTLE FALLS HOSPITAL, INCLUDING DATA FROM PATIENT SATISFACTION SURVEYS, THE NYS DEPARTMENT OF HEALTH, AND THE NYS PREVENTION AGENDA, WHICH IDENTIFIED PRIORITY HEALTH INDICATORS TO BE USED BY NYS HOSPITALS, PROVIDERS, AND COUNTY HEALTH DEPARTMENTS IN ASSESSING AND SETTING LOCAL/REGIONAL PRIORITIES. THE PREVENTION AGENDA ALSO IDENTIFIES A COMMON SET OF HEALTHCARE PRIORITIES FROM WHICH HOSPITALS AND COUNTY HEALTH DEPARTMENTS IN NEW YORK STATE ARE EXPECTED TO CHOOSE WHEN DEVELOPING IMPLEMENTATION STRATEGIES FOR ADDRESSING COMMUNITY HEALTHCARE NEEDS. LITTLE FALLS HOSPITAL CONTRACTS WITH PRESS GANEY TO OBTAIN BENCHMARKING DATA ON PATIENT SATISFACTION IN ORDER TO ASSESS HOW THE HOSPITAL IS PERCEIVED TO BE MEETING PATIENT NEEDS. DATA FROM ONGOING MAIL SURVEYS CARRIED OUT AMONG A STATISTICALLY SIGNIFICANT RANDOM SAMPLE OF INPATIENTS AND OUTPATIENTS IS USED TO IMPROVE PATIENT CARE AND INFORM OFFICIAL QUALITY IMPROVEMENT ACTIVITIES. DATA COLLECTED FROM THIS INSTRUMENT INCLUDE A COMPREHENSIVE OVERVIEW OF KEY, EVIDENCE-BASED QUALITY INDICATORS -- FROM TIMELINESS OF CARE TO COMMUNICATIONS, PATIENT SAFETY, DISCHARGE INSTRUCTION, MEDICATION ISSUES, AND MORE. THE HOSPITAL RECEIVES REPORTS QUARTERLY. THE HOSPITAL ALSO UTILIZES INFORMATION FROM THE STANDARDIZED, PUBLICLY REPORTED HCAHPS (HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS) SURVEY OF PATIENTS' PERSPECTIVES OF HOSPITAL CARE. THE HCAHPS REPORTING AND SURVEY ARE REQUIRED BY THE CENTER FOR MEDICARE SERVICES (CMS) TO ALLOW STANDARD, OBJECTIVE, VALID COMPARISONS TO BE MADE ACROSS HOSPITALS NATIONALLY, REGIONALLY, AND LOCALLY REPORTS ARE RECEIVED QUARTERLY AND HAVE BEEN PUBLISHED NATIONALLY ON THE CMS AND NYS DEPARTMENT OF HEALTH WEBSITES. THE SURVEY METHODOLOGY AND RESULTS ARE IN THE PUBLIC DOMAIN. (WWW.HCAHPSONLINE.ORG).ADDITIONALLY, THE HOSPITAL'S NEEDS ASSESSMENT ACTIVITIES ARE INFORMED BY INITIATIVES AND STUDIES CARRIED OUT BY THE BASSETT HEALTHCARE NETWORK RESEARCH INSTITUTE. IT IS A COLLABORATIVE EFFORT BETWEEN THE RESEARCH INSTITUTE, COUNTY HEALTH DEPARTMENTS, AND REGIONAL COMMUNITY SERVICES ORGANIZATIONS. PART VI, LINE 3: LITTLE FALLS HOSPITAL PROVIDES ACCESS AND EDUCATION ON THE COMMUNITY SERVICE PROGRAM WITH CONTACT INFORMATION FOR PATIENTS TO CALL AND MAKE APPOINTMENTS FOR COMPLETING APPLICATIONS FOR FINANCIAL ASSISTANCE. AT ALL PATIENT ACCESS LOCATIONS, APPLICATIONS FOR CHARITY CARE ASSISTANCE ARE AVAILABLE. THE WWW.BASSETT.ORG WEBSITE INCLUDES A LINK ON INFORMATION FOR COMPLETING AN APPLICATION AND OTHER RESOURCES CALLED "FINANCIAL ASSISTANCE RESOURCE GUIDE". OUR FINANCIAL ASSISTANCE COORDINATOR PROVIDES INSURANCE COVERAGE NAVIGATION SERVICES TO ASSIST RESIDENTS WITH ENROLLMENT IN GOVERNMENT SPONSORED HEALTH CARE COVERAGE PROGRAMS. A COMMUNITY NAVIGATOR IS ALSO PRESENT IN THE EMERGENCY DEPARTMENT TO ASSIST WITH APPLICATIONS FOR GOVERNMENT SPONSORED HEALTH CARE COVERAGE PROGRAMS OR TO COMPLETE APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM. OUR APPLICATION ALSO SPECIFIES ON-SITE PROVIDERS WHO DO NOT PARTICIPATE IN LITTLE FALLS HOSPITAL FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 4: LITTLE FALLS HOSPITAL IS LOCATED IN THE CITY OF LITTLE FALLS IN HERKIMER COUNTY, NEW YORK. HERKIMER COUNTY IS THE LONGEST COUNTY IN NEW YORK STATE. HAMILTON, FULTON, AND MONTGOMERY COUNTIES ARE TO THE EAST, LEWIS AND ONEIDA COUNTIES ARE TO THE WEST, OTSEGO COUNTY TO THE SOUTH, AND ST. LAWRENCE COUNTY TO THE NORTH. HERKIMER COUNTY BEGINS NEAR THE MOHAWK RIVER AND STRETCHES INTO THE ADIRONDACKS. IT IS PREDOMINATELY RURAL AND HAS THE SIXTH-LONGEST LAND AREA IN SQUARE MILES AT 1,411.47. THE POPULATION PER SQUARE MILE IS (45.7) COMPARED WITH NEW YORK STATE (411.2) AND THE UNITED STATES (87.4). THE COUNTY CONSISTS OF 30 MUNICIPALITIES: THE VILLAGES OF COLD BROOK, DOLGEVILLE, FRANKFORT, HERKIMER, ILION, MIDDLEVILLE, MOHAWK, NEWPORT, POLAND, AND THE WEST WINFIELD; THE TOWNS OF COLUMBIA, DANUBE, FAIRFIELD, FRANKFORT, GERMAN FLATTS, HERKIMER, LITCHFIELD, LITTLE FALLS, MANHEIM, NEWPORT, NORWAY, OHIO, RUSSIA, SALISBURY, SCHUYLER, STARK, WARREN, WEBB, WINFIELD; AND THE CITY OF LITTLE FALLS.A TOTAL OF 60,139 PEOPLE LIVE IN THE 1,411.52 SQUARE MILE REPORT AREA DEFINED FOR THIS ASSESSMENT ACCORDING TO THE U.S. CENSUS BUREAU, DECENNIAL CENSUS (2020). THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 45.7 PERSONS PER SQUARE MILE, IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 87.4 PERSONS PER SQUARE MILE. POPULATION DENSITY DOES HAVE AN EFFECT ON HEALTH AS IT CAN IMPACT ACCESS TO NECESSARY AREAS TO SUPPORT HEALTHY LIVING (HEALTHY FOOD, EMPLOYMENT, AND HEALTHCARE FACILITIES). ADDITIONALLY, INDIVIDUALS IN RURAL AREAS OF LOW POPULATION DENSITY MAY EXPERIENCE SOCIAL ISOLATION AND HAVE A LIMITED FEELING OF SOCIAL COHESION, WHICH ARE BOTH INDICATORS OF HEALTH AND MENTAL HEALTH. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHA MAJORITY OF THE LITTLE FALLS HOSPITAL BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY VOLUNTEERS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS WHO ARE EMPLOYED BY BASSETT MEDICAL CENTER.THE HOSPITAL OPERATES AN EMERGENCY ROOM WHICH IS OPEN TO ALL, REGARDLESS OF ABILITY TO PAY.AS A NOT-FOR-PROFIT HOSPITAL, LITTLE FALLS HOSPITAL REINVESTS SURPLUS FUNDS TOWARD EQUIPMENT/TECHNOLOGY IMPROVEMENTS IN PATIENT CARE AND PATIENT SAFETY, AS WELL AS INFRASTRUCTURE UPGRADES MANDATED BY JOINT COMMISSION AND GOVERNMENT/REGULATORY REQUIREMENTS AND DEEMED NECESSARY TO KEEP THE HOSPITAL ACCREDITED AND ABLE TO CONTINUE SERVING THE HEALTH NEEDS.LITTLE FALLS HOSPITAL IMPLEMENTS COORDINATED HEALTH CARE RESOURCES WITH BASSETT HEALTHCARE NETWORK. THIS COLLABORATION INCLUDED PLANNING AND IMPLEMENTING INITIATIVES UNDER A NEW YORK STATE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROJECT. DSRIP ACTIVITIES ARE COORDINATED WITH COMMUNITY BASED ORGANIZATIONS TO DEVELOP CARE IMPROVEMENT PROGRAMS IN A COORDINATED MANNER. THE HERKIMER COUNTY HUB WAS ORGANIZED SO COMMUNITY AGENCIES COULD DEVELOP INITIATIVES FOR IMPROVING COMMUNICATIONS FOR REFERRALS TO PROGRAMS FOR HIGH NEED PATIENTS. WITH THESE COMMUNITY AGENCIES ENGAGED A HIGHER DEGREE OF PATIENT INTERACTION IS POSSIBLE TO ACHIEVE POSITIVE IMPACTS ON IMPROVING THEIR HEALTH CARE. LITTLE FALLS HOSPITAL PARTNERED WITH SALVATION ARMY FOR THEIR ASSISTANCE IN PROVIDING PATIENT NAVIGATION SERVICES. THESE NAVIGATION SERVICES PROVIDE PATIENTS AND FAMILY SUPPORT FOR MEDICAL AND SOCIAL ASSISTANCE TO IMPROVE A HEALTHIER LIFE STYLE. PART VI, LINE 6: LITTLE FALLS HOSPITAL IS A SUBSIDIARY OF BASSETT HEALTHCARE NETWORK THAT PROVIDES HEALTH SERVICES IN MORE THAN 20 COMMUNITIES SPANNING 5,600 SQUARE MILES AND SEVEN COUNTIES. THE NETWORK FOCUSES ITS COMMUNITY SERVICES PROGRAMS IN THE COUNTIES WHERE FIVE AFFILIATED HOSPITALS AND GREATEST PATIENT POPULATIONS ARE LOCATED. OTSEGO COUNTY - POPULATION 60,094; DELAWARE COUNTY - POPULATION 45,001; HERKIMER COUNTY - POPULATION 62,240; SCHOHARIE COUNTY - POPULATION 31,420 (ACCORDING TO THE 2017 U.S. CENSUS ESTIMATES).A.)THE MARY IMOGENE BASSETT HOSPITAL, AN ACUTE CARE INPATIENT TEACHING FACILITY IN COOPERSTOWN, NEW YORK. B.) O'CONNOR HOSPITAL, IS A CRITICAL ACCESS HOSPITAL IN DELHI, NEW YORK LOCATED IN DELAWARE COUNTY.C.) COBLESKILL REGIONAL HOSPITAL, IS A CRITICAL ACCESS HOSPITAL IN COBLESKILL, NEW YORK LOCATED IN SCHOHARIE COUNTY.D.) LITTLE FALLS HOSPITAL, IS A CRITICAL ACCESS HOSPITAL IN LITTLE FALLS, NEW YORK LOCATED IN HERKIMER COUNTY. LITTLE FALLS HOSPITAL INLCUDES FIVE RURAL HEALTH CLINICS AND ONE OUTPATIENT PRIMARY CARE CENTER.E.) AURELIA OSBORN FOX HOSPITAL A SOLE COMMUNITY PROVIDER IN ONEONTA NEW YORK LOCATED IN OTSEGO COUNTY.F.) VALLEY HEALTH SERVICES A RESIDENTIAL HEALTH CARE AND REHABILITATION FACILITY LOCATED IN HERKIMER, NEW YORKOTHER COMPONENTS OF THE NETWORK, INCLUDES AT HOME CARE, A CERTIFIED HOME CARE AGENCY AND FIRST COMMUNITY CARE OF BASSETT, AND A MEDICAL SUPPLY COMPANY, ALL OF WHICH MAKE UP THE BASSETT HEALTHCARE NETWORK AND PROVIDE HEALTH SERVICES TO THIS NINE COUNTY REGION IN CENTRAL NEW YORK.LITTLE FALLS HOSPITAL COLLABORATES WITH BASSETT HEALTHCARE NETWORK AND BASSETT MEDICAL CENTER TO COORDIANTE THE EFFICIENT DELIVERY OF HEALTHCARE IN OUR SERVICE AREA. THIS RELATIONSHIP HAS DEVELOPED OVER A PERIOD OF FIFTEEN YEARS AND CONTINUES TO PROVIDE RESIDENTS ACCESS TO A HIGH QUALITY HEALTHCARE SYSTEM. OUR INTEGRATED ELECTRONIC HEALTH RECORD HAS ENABLED OUR PATIENTS TO RECEIVE IMPROVED COORDINDATED CARE AND ACCESS TO THEIR HEALTH INFORMATION NOT ROUTINELY SEEN IN RURAL HEALTH NETWORKS. OUR COLLABORTIVE PLANNING ON PROJECTS SUCH AS THE NYS DELIVERY SYSTEM REFORM INCENTIVE PAYMENT SYSTEM (DSRIP) AND RELATED MOHAWK VALLEY POPULATION HEALTH IMPROVEMENT PROGRAM ARE EXAMPLES OF OUR COLLABORATION TO IMPROVE THE HEALTHCARE SYSTEMS IN OUR SERVICE AREA.LITTLE FALLS HOSPITAL AS A LEADER WITH BASSETT HEALTHCARE NETWORK IN COORDINATION OF PATIENT ADVOCATE GROUPS IS MAKING A DIFFERENCE FOR IMPROVING HEALTHCARE. THESE INITIATIVES WITHIN THE DSRIP PROGRAM CONTINUE TO IMPROVE IN PATIENT INTERACTIONS TO SUPPORT ACCESS TO CARE, AND PREVENTATIVE CARE PLANS. THIS IS A NEW AREA OF EMPHASIS WITH CARE INNOVATION MODELS WHICH CREATE LEARNING PARTERSHIPS WITH PATIENTS AND PROVIDERS. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORTNEW YORK X X X X 0 0 0 0 0 0 0 0 0 TIMOTHY WHITAKER MEDICAL DIRECTOR 0 719297 0 0 0 0 0 21570 0 7449 0 748316 0 0 WILLIAM LECATES FORMER PRESIDENT 0 263344 0 99686 0 0 0 23488 0 3778 0 390296 0 0 ERIC STEIN PRESIDENT 0 284968 0 42053 0 0 0 27670 0 6521 0 361212 0 0 AMY GRACE MD PRESIDENT OF MEDICAL STAFF 0 316005 0 0 0 0 0 20432 0 8692 0 345129 0 0 JAMES G VIELKIND VICE PRESIDENT FINANCE 0 265054 0 0 0 0 0 12473 0 960 0 278487 0 0 DIANE DICOB NURSE 186889 0 0 0 0 0 3738 0 1304 0 191931 0 0 0 HEIDI CAMARDELLO CHIEF NURSING OFFICER 181763 0 0 0 0 0 3635 0 3254 0 188652 0 0 0 LOREEN SHEPARDSON DIRECTOR OF PHARMACY 169296 0 0 0 0 0 3386 0 2382 0 175064 0 0 0 JODI POLLITT NIGHT SUPERVISOR 163705 0 0 0 0 0 3274 0 2804 0 169783 0 0 0 JAMIE CARMARDELLO PHARMACIST 158199 0 0 0 0 0 3164 0 0 0 161363 0 0 0 PART I, LINE 3 THE COMPENSATION PROCESS FOR TOP OFFICIAL THE CHIEF EXECUTIVE OFFICER'S SALARY IS PAID BY A RELATED ORGANIZATION UNDER A MANAGEMENT SERVICES AGREEMENT. THE LITTLE FALLS HOSPITAL BOARD OF TRUSTEES REVIEWS THE FORMAL PROCESS THAT IS USED TO DETERMINE THE BASE COMPENSATION OF THE CEO. THE CEO'S WORK PLAN AND ACCOMPLISHMENTS FOR THE YEAR ARE REVIEWED. SALARY CHANGES ARE BASED ON MARKET, WORKPLAN, AND ACCOMPLISHMENTS. THE CEO'S SALARY IS SUBMITTED AS PART OF THE MANAGEMENT SERVICES AGREEMENT WHICH IS APPROVED BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 BASSETT HEALTHCARE NETWORK IS THE PARENT AND SOLE MEMBER TO EACH OF THE FOLLOWING RELATED PARTIES. FRIENDS OF BASSETT, AO FOX MEMORIAL HOSPITAL, BASSETT HOSPITAL OF SCHOHARIE COUNTY, LITTLE FALLS HOSPITAL, O'CONNOR HOSPITAL, TEMPLETON FOUNDATION, VALLEY HEALTH SERVICES, VALLEY RESIDENTIAL SERVICES, AND MARY IMOGENE BASSETT HOSPITAL. AS PARENT AND SOLE MEMBER, BASSETT HEALTHCARE NETWORK HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE GOVERNING BOARDS OF ITS SUBSIDIARIES AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARDS, INCLUDING, BUT NOT LIMITED TO, APPROVAL OF OPERATING AND CAPITAL BUDGETS, CERTAIN CAPITAL EXPENDITURES, INDEBTEDNESS NOT CONTAINED IN THE APPROVED BUDGETS, SUBSTANTIVE CHANGES IN CLINICAL PROGRAMS, MERGERS, CONSOLIDATIONS, LIQUIDATIONS AND DISSOLUTIONS INVOLVING ITS SUBSIDIARIES AND CERTIFICATE OF NEED APPLICATIONS. FORM 990, PART VI, SECTION A, LINE 7A SEE DISCLOSURE FOR PART VI, SECTION A, LINE 6 FORM 990, PART VI, SECTION A, LINE 7B SEE DISCLOSURE FOR PART VI, SECTION A, LINE 6 FORM 990, PART VI, SECTION B, LINE 11B LITTLE FALLS HOSPITAL PRESENTS THE DRAFT 990 TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. ANY QUESTIONS ARE RAISED AND ONCE APPROVED, THE 990 CAN BE FILED. A COMPLETE COPY OF THE ORGANIZATION'S FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, IS PROVIDED TO EACH MEMBER OF THE BOARD BEFORE ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE MADE ANNUALLY. NEW BOARD MEMBERS ARE REQUIRED TO DISCLOSE ON THEIR RESUME ALL AFFILIATED ORGANIZATIONS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL THE PRESIDENT'S SALARY IS PAID BY A RELATED ORGANIZATION UNDER A MANAGEMENT SERVICES AGREEMENT. THE PRESIDENT'S WORKPLAN AND ACCOMPLISHMENTS FOR THE YEAR ARE OVERSEEN BY THE NETWORK LEADERSHIP AND REVIEWABLE BY THE BOARD. THE PRESIDENT'S SALARY IS SUBMITTED AS PART OF THE MANAGEMENT SERVICES AGREEMENT. FORM 990, PART VI, SECTION C, LINE 19 LITTLE FALLS HOSPITAL MAKES AVAILABLE THE IRS FROM 990 UPON REQUEST ALONG WITH INFORMATION INCLUDED WITHIN THE 990 SUCH AS FINANCIAL REPORTS, CONFLICT OF INTEREST POLICY, AND CODE OF CONDUCT. THE HOSPITAL ALSO PROVIDES THE ANNUAL OPERATING PLAN AND CORPORATE VALUES IN PUBLIC AREAS OF THE FACILITY. FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION -628,035. FORM 990, PART XII, LINE 2C THE CONSOLIDATED AUDIT REPORT IS REVIEWED AT A NETWORK LEVEL, BY THE BASSETT HEALTHCARE NETWORK AUDIT COMMITTEE. BASSETT HEALTHCARE NETWORK ONE ATWELL ROAD COOPERSTOWN NY 13326 133218680 SUPPORT NY 501C3 12C NONE 0 FRIENDS OF BASSETT ONE ATWELL ROAD COOPERSTOWN NY 13326 237041610 FUNDRAISER NY 501C3 7 BHN 0 O'CONNOR HOSPITAL 460 ANDES ROAD DELHI NY 13753 161540394 HEALTHCARE NY 501C3 3 BHN 0 MARY IMOGENE BASSETT HOSPITAL ONE ATWELL ROAD COOPERSTOWN NY 13326 135596796 HEALTHCARE NY 501C3 3 BHN 0 TEMPLETON FOUNDATION ONE ATWELL ROAD COOPERSTOWN NY 13326 133317084 LANDLORD NY 501C3 10 BHN 0 VALLEY HEALTH SERVICES 690 WEST GERMAN STREET HERKIMER NY 13350 222511614 ELDER CARE NY 501C3 3 BHN 0 BASSETT PPS LLC 6181 STATE HIGHWAY 7 ONEONTA NY 13820 811749905 HEALTHCARE NY 501C3 12A MIBH 0 VALLEY RESIDENTIAL SERVICES 690 WEST GERMAN STREET HERKIMER NY 13350 463703838 ELDER CARE NY 501C3 10 BHN 0 AT HOME CARE PARTNERS 25 ELM STREET ONEONTA NY 13820 562397098 HEALTHCARE NY 501C3 10 AHC INC 0 AT HOME CARE INC 25 ELM STREET ONEONTA NY 13820 161287069 HEALTHCARE NY 501C3 10 BHN 0 BASSETT HOSPITAL SCHOHARIE COUNTY 178 GRANDVIEW DRIVE COBLESKILL NY 12043 141772971 HEALTHCARE NY 501C3 3 BHN 0 AO FOX FOUNDATION 1 NORTON AVE ONEONTA NY 13820 222871993 FUNDRAISER NY 501C3 9 AO FOX MEMORIAL HOSPITAL 0 AO FOX MEMORIAL HOSPITAL ONE NORTON AVENUE ONEONTA NY 13820 150539039 HEALTHCARE NY 501C3 3 BHN 0 STAMFORD PROFESSIONAL ASSOCIATES 1 NORTON AVE ONEONTA NY 13820 161322304 RENTAL NY N/A 0 0 FIRST COMMUNITY CARE OF BASSETT 60 NORTHPOINTE PARKWAY AMHERST NY 14228 161504464 HEALTHCARE NY N/A 0 0 CATSKILL CARE ENTERPRISES 1 NORTON AVE ONEONTA NY 13820 161236590 RETAIL PHARMACY & FITNESS CENTER NY N/A C 0 LEATHERSTOCKING PHYSICIANS PC ONE ATWELL ROAD COOPERSTOWN NY 13326 364864562 HEALTHCARE SERVICES NY N/A C 0 0 0 1 0 0 0 0 0 0 1 0 1 1 0 1 0 1 0 0