BASSETT HOSPITAL OF SCHOHARIE COUNTY: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: BASSETT HOSPITAL OF SCHOHARIE COUNTY (EIN 14-1772971)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202113199349325281
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T16:54:00-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	515 BROADWAY 4TH FLOOR	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	122072974	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141772971	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BASSETT HOSPITAL OF SCHOHARIE COUNTY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BASS	BusinessNameControlTxt
Phone	5182543456	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	178 GRANDVIEW DRIVE	AddressLine1Txt
City	COBLESKILL	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12043	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ERIC STEIN	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	5182543456	PhoneNum
Signature	2021-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ERIC	PersonFirstNm
Person Last	STEIN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GENEVA FURLANO	PreparerPersonNm
PTIN	P01877392	PTIN
Phone	5184274600	PhoneNum
Preparation	2021-11-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	COBLESKILL REGIONAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ERIC STEIN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	178 GRANDVIEW DRIVE	AddressLine1Txt
City	COBLESKILL	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12043	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$37,342,903	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	COBLESKILLHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	PROVISION OF HEALTH CARE SERVICES TO RESIDENTS OF SCHOHARIE COUNTY AND THE SURROUNDING REGION.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	276	TotalEmployeeCnt
Total Volunteers	42	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$163,462	PYContributionsGrantsAmt
CY Contributions Grants	$7,428,584	CYContributionsGrantsAmt
PY Program Service Revenue	$33,365,931	PYProgramServiceRevenueAmt
CY Program Service Revenue	$28,877,655	CYProgramServiceRevenueAmt
PY Investment Income	$36,911	PYInvestmentIncomeAmt
CY Investment Income	-$15,685	CYInvestmentIncomeAmt
PY Other Revenue	$941,402	PYOtherRevenueAmt
CY Other Revenue	$994,138	CYOtherRevenueAmt
PY Total Revenue	$34,507,706	PYTotalRevenueAmt
CY Total Revenue	$37,284,692	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$12,970,060	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$13,954,161	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$17,279,493	PYOtherExpensesAmt
CY Other Expenses	$17,290,225	CYOtherExpensesAmt
PY Total Expenses	$30,249,553	PYTotalExpensesAmt
CY Total Expenses	$31,244,386	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,258,153	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,040,306	CYRevenuesLessExpensesAmt
Total Assets BOY	$28,778,264	TotalAssetsBOYAmt
Total Assets EOY	$38,686,098	TotalAssetsEOYAmt
Total Liabilities BOY	$6,488,824	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$10,269,061	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$22,289,440	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$28,417,037	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PROVISION OF HEALTH CARE SERVICES TO RESIDENTS OF SCHOHARIE COUNTY AND THE SURROUNDING REGION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$24,696,644	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$28,877,655	RevenueAmt
Desc	PROVISION OF HOSPITAL CARE TO RESIDENTS OF SCHOHARIE COUNTY AND THE SURROUNDING REGION. INPATIENT AND OUTPATIENT SERVICES PROVIDED TO OUR PATIENTS RESULTTED IN:HOSPITALIZATIONS: 920PATIENT DAYS: 4,249CLINIC VISITS: 22,228ER VISITS: 8,670SURGICAL CASES: 374IN JANUARY 2020, THE SECRETARY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) DECLARED A NATIONAL PUBLIC HEALTH EMERGENCY DUE TO A NOVEL STRAIN OF CORONAVIRUS (COVID 19) AND IN MARCH 2020 THE WORLD HEALTH ORGANIZATION DECLARED THE SPREAD OF THE VIRUS TO BE A PANDEMIC. IN COORDINATION WITH STATE HEALTH AUTHORITIES, BASSETT HOSPITAL OF SCHOHARIE COUNTY INITIATED EMERGENCY MEASURES TO PREVENT AVOIDABLE TRANSMISSION OF THE ILLNESS, INCLUDING CANCELING NON URGENT ELECTIVE PROCEDURES AND CLINIC VISITS.	Desc
Total Program Service Expenses	$24,696,644	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	48	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	276	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERIC STEIN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5182543456	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	178 GRANDVIEW DRIVE	AddressLine1Txt
City	COBLESKILL	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12043	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DEBORAH FUNK-VALOIS
TRUSTEE	0.50	40.00	Yes (X)	$0	$411,905	$28,137
JOSEPH SELLERS
TRUSTEE	0.50	40.00	Yes (X)	$0	$415,195	$28,195
CARL MUMMENTHEY
TRUSTEE	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
STEVEN KROLL
TRUSTEE AND VICE CHAIR	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
ANTONIO COGLIANDRO
TRUSTEE AND TREASURER	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
PATRICIA O'CONNOR
TRUSTEE AND SECRETARY	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
DANIEL M AYRES
TRUSTEE	0.50	0.00	Yes (X)	$0	$0	$0
AMY E GILDEMEISTER
TRUSTEE	0.50	0.00	Yes (X)	$0	$0	$0
RYAN MCALLISTER
TRUSTEE	0.50	0.00	Yes (X)	$0	$0	$0
JENNIFER SAUNDERS
TRUSTEE	0.50	0.00	Yes (X)	$0	$0	$0
SUE ELLEN WAGNER
TRUSTEE	0.50	0.00	Yes (X)	$0	$0	$0
JOHN ZACHAREK
TRUSTEE	0.50	0.00	Yes (X)	$0	$0	$0
GARTH ROBERTS THRU 62020
TRUSTEE	0.50	0.00	Yes (X)	$0	$0	$0
ERIC STEIN
PRESIDENT & CEO	0.00	40.00		$0	$227,201	$26,664	Yes (X)
SUSAN OAKES FERRUCCI
VP, CLINICAL OPERATIONS & CNO	40.00	0.00		$192,899	$0	$15,789		Yes (X)
CHRISTINE PIRRI
VP, NON CLINICAL OPS	40.00	0.00		$168,068	$0	$6,250		Yes (X)
CHRISTOPHER MANLEY
STAFF PHARMACIST	40.00	0.00		$131,534	$0	$8,430		Yes (X)
MARCIA WHITBECK
PHARMACIST	40.00	0.00		$157,251	$0	$8,782		Yes (X)
REYNALDO SANARES
DIRECTOR IP NURSING	40.00	0.00		$121,769	$0	$7,717		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$771,521	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,054,301	TotReportableCompRltdOrgAmt
Total Other Compensation	$129,964	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	18	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
STAT STAFF PROFESSIONALS INC
18 DIVISION ST STE 311	SARATOGA SPRINGS	NY	12866	AGENCY	$436,641
MAYO MEDICAL LABORATORIES
200 FIRST ST SW PO BOX 4100	ROCHESTER	MN	55903	LAB SERVICES	$368,394
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVE	SAN DIEGO	CA	92130	AGENCY	$363,959
ALLIANCE HEALTHCARE SERVICES
1900 S STATE COLLEGE BLVD SUITE 60	SUNRISE	FL	33323	AGENCY	$276,544
EPOCH HEALTH SOLUTIONS
17 MARTIN AVENUE	SARATOGA SPRINGS	NY	12866	REVENUE CYCLE	$191,423

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Related Organizations	$120,734	RelatedOrganizationsAmt
Government Grants	$7,250,324	GovernmentGrantsAmt
All Other Contributions	$57,526	AllOtherContributionsAmt
Total Contributions	$7,428,584	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$28,877,655	TotalRevenueColumnAmt
Related Or Exempt Func Income	$28,877,655	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$28,877,655	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,911	TotalRevenueColumnAmt
Exclusion	$11,911	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$30,615	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$58,211	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$27,596	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$27,596	TotalRevenueColumnAmt
Exclusion	-$27,596	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
OTHER OPERATING REVENUE	900099	$912,242	$0	$912,242
CAFETERIA SALES	900099	$65,720	$0	$65,720
COFFEE SHOP/REVENUE	900099	$13,013	$0	$13,013

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,163	TotalRevenueColumnAmt
Exclusion	$3,163	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$994,138	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,284,692	TotalRevenueColumnAmt
Related Or Exempt Func Income	$28,877,655	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$978,453	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$435,889	TotalAmt
Program Services	$208,688	ProgramServicesAmt
Management And General	$227,201	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$10,629,735	TotalAmt
Program Services	$6,631,016	ProgramServicesAmt
Management And General	$3,998,719	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$298,612	TotalAmt
Program Services	$184,573	ProgramServicesAmt
Management And General	$114,039	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,613,249	TotalAmt
Program Services	$997,155	ProgramServicesAmt
Management And General	$616,094	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$976,676	TotalAmt
Program Services	$603,687	ProgramServicesAmt
Management And General	$372,989	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$44,705	TotalAmt
Management And General	$44,705	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$34,800	TotalAmt
Management And General	$34,800	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,889	TotalAmt
Management And General	$10,889	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,943,051	TotalAmt
Program Services	$7,943,051	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$77,951	TotalAmt
Program Services	$48,182	ProgramServicesAmt
Management And General	$29,769	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$441,710	TotalAmt
Program Services	$273,023	ProgramServicesAmt
Management And General	$168,687	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,038,809	TotalAmt
Program Services	$1,038,809	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$619,566	TotalAmt
Program Services	$382,956	ProgramServicesAmt
Management And General	$236,610	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$10,867	TotalAmt
Program Services	$10,867	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$99,420	TotalAmt
Program Services	$61,452	ProgramServicesAmt
Management And General	$37,968	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,537,467	TotalAmt
Program Services	$950,314	ProgramServicesAmt
Management And General	$587,153	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$178,370	TotalAmt
Program Services	$110,251	ProgramServicesAmt
Management And General	$68,119	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
OTHER DIRECT EXPENSES	$2,624,284	$2,624,284
BAD DEBT	$1,504,014	$1,504,014
PURCHASED SERVICES	$542,588	$542,588
UTILITIES	$496,642	$496,642

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$85,092	TotalAmt
Program Services	$85,092	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,244,386	TotalAmt
Program Services	$24,696,644	ProgramServicesAmt
Management And General	$6,547,742	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,565,924	BOYAmt
EOY	$23,448,910	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$126,076	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$665,152	BOYAmt
EOY	$415,101	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,936,231	BOYAmt
EOY	$2,213,932	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$397,145	BOYAmt
EOY	$287,056	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$184,984	BOYAmt
EOY	$372,763	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$28,714,288	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$19,775,988	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$9,713,161	BOYAmt
EOY	$8,938,300	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$189,591	BOYAmt
EOY	$3,010,036	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,778,264	BOYAmt
EOY	$38,686,098	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,326,281	BOYAmt
EOY	$2,014,048	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,037,366	BOYAmt
EOY	$2,114,627	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,092,419	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,758	BOYAmt
EOY	$6,140,386	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,488,824	BOYAmt
EOY	$10,269,061	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,923,327	BOYAmt
EOY	$28,036,057	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$366,113	BOYAmt
EOY	$380,980	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$22,289,440	BOYAmt
EOY	$28,417,037	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$28,778,264	BOYAmt
EOY	$38,686,098	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,040,306	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$87,291	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$10,889	OtherActivitiesAmt
Total Lobbying Expenditures	$10,889	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	SCHEDULE C, PART II-B, LINE 1 IROQUOIS HEALTHCARE ALLIANCE DUES ALLOCATE 59.00% TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2020 WERE $8,792. AMERICAN HOSPITAL ASSOCIATION DUES ALLOCATE 25.56% TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2020 WERE $17,790. THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) DUES ALLOCATE 20.44% TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2020 WERE $6,539.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$305,552	BeginningYearBalanceAmt
Investment Earnings Or Losses	$546	InvestmentEarningsOrLossesAmt
End Year Balance	$306,098	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$304,698	BeginningYearBalanceAmt
Investment Earnings Or Losses	$854	InvestmentEarningsOrLossesAmt
End Year Balance	$305,552	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$304,203	BeginningYearBalanceAmt
Investment Earnings Or Losses	$495	InvestmentEarningsOrLossesAmt
End Year Balance	$304,698	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$304,059	BeginningYearBalanceAmt
Investment Earnings Or Losses	$144	InvestmentEarningsOrLossesAmt
End Year Balance	$304,203	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$303,712	BeginningYearBalanceAmt
Investment Earnings Or Losses	$347	InvestmentEarningsOrLossesAmt
End Year Balance	$304,059	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,584	OtherCostOrOtherBasisAmt
Book Value	$33,584	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,084,726	OtherCostOrOtherBasisAmt
Depreciation	$10,454,127	DepreciationAmt
Book Value	$6,630,599	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,551,258	OtherCostOrOtherBasisAmt
Depreciation	$8,499,468	DepreciationAmt
Book Value	$2,051,790	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,044,720	OtherCostOrOtherBasisAmt
Depreciation	$822,393	DepreciationAmt
Book Value	$222,327	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$8,938,300	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
THIRD PARTY RECEIVABLE	$2,703,938
OTHER ASSETS	$306,098

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,010,036	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ASSET RETIREMENT OBLIGATIONS	Desc
Amt	$6,140,386	Amt

Field	Value	IRS element (for citing)
Total Liability	$6,140,386	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	INTENDED USES FOR ENDOWMENT FUNDS ENDOWMENT FUNDS OF $262,015 HELD WITH INTEREST EARNED ARE UNRESTRICTED FOR GENERAL HOSPITAL EXPENDITURES. ENDOWMENT FUNDS OF $43,537 WITH INTEREST EARNED ARE RESTRICTED TO NURSING SCHOLARSHIPS.
PART X, LINE 2:	SEE PAGE 5
SCHEDULE D, PART X, LINE 2	SCHEDULE D, PART X FIN 48 FOOTNOTE BASSETT HOSPITAL OF SCHOHARIE CTY 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, 2020.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$203,954	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$149,944	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,418,829	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,557,156	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,861,673	NetCommunityBenefitExpnsAmt
Total Expense	0.06280	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,622,783	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,611,166	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,011,617	NetCommunityBenefitExpnsAmt
Total Expense	0.06790	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,630,433	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,611,166	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,019,267	NetCommunityBenefitExpnsAmt
Total Expense	0.06820	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$10,679,967	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,844,590	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,835,377	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BASSETT HOSPITAL OF SCHOHARIE COUNTY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	178 GRANDVIEW DRIVE	AddressLine1Txt
City	COBLESKILL	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12043	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BASSETT.ORG/LOCATIONS/COBLESKILL-R	WebsiteAddressTxt
State License	4720700C	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BASSETT HOSPITAL OF SCHOHARIE CTY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BASSETT HOSPITAL OF SCHOHARIE CTY	PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS AUTHORED BY THE PUBLIC HEALTH DIRECTOR OF SCHOHARIE COUNTY AND THE BHSC DIRECTOR OF QUALITY SERVICES WITH ASSISTANCE FROM THE BASSETT RESEARCH INSTITUTE. A COMMUNITY STAKEHOLDER SURVEY WAS DISTRIBUTED IN THE FALL OF 2019 TO ELICIT OPINIONS ON THE TOP COMMUNITY HEALTH NEEDS IN SCHOHARIE COUNTY. THIS SURVEY WAS COMPLETED BY 108 PARTICIPANTS REPRESENTING AGING AND OLDER ADULT SERVICES, BUSINESS, EDUCATION, HEALTH CARE, HUMAN SERVICES, LAW ENFORCEMENT, SOCIAL SERVICES, HOUSING, AND PUBLIC HEALTH. THIS COMMUNITY HEALTH NEEDS ASSESSMENT HAS TAKEN INTO ACCOUNT INPUT FROM THIS DIVERSE GROUP WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY BASSETT HOSPITAL OF SCHOHARIE COUNTY (BHSC).THE STAKEHOLDERS WERE ALSO ASKED TO REVIEW AND COMMENT ON THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH IMPROVEMENT PLAN TO GAIN INSIGHT ON CONTINUING PUBLIC HEALTH EFFORTS.IN ADDITION TO THE PROCESS AND COMMUNITY PARTICIPATION SPECIFICALLY USED IN DEVELOPING THIS COMMUNITY HEALTH ASSESSMENT, SIGNIFICANT PROCESSES AND COMMUNITY PARTICIPATION WERE INVOLVED IN COMPILING THE BHSC COMMUNITY SERVICE PLAN AND THE SCHOHARIE COUNTY HEALTH ASSESSMENT. EACH OF THESE EFFORTS INCLUDED THEIR OWN PROCESS AND METHODS OF IDENTIFYING COMMUNITY HEALTH NEEDS. THE COMMUNITY STAKEHOLDER SURVEY ALSO COLLECTED COMMENTS FROM THE PARTICIPANTS WHICH PROVIDED MORE DETAILED INFORMATION ON THE PARTICIPANTS AREA OF EXPERTISE WHICH HELPED INFLUENCE THE SELECTION OF PRIORITY HEALTH NEEDS.THE 2019-2021 COMMUNITY SERVICES PLAN (CSP) FOR BHSC WAS DEVELOPED AS PART OF A MULTI-HOSPITAL PLANNING PROCESS AMONG SIX HOSPITALS IN THE BASSETT HEALTHCARE NETWORK. THE DEVELOPMENT OF THE SCHOHARIE COUNTY COMMUNITY HEALTH ASSESSMENT (CCHA) 2019-2021 WAS COMPLETED IN CONJUNCTION WITH THE DEVELOPMENT OF THE COMMUNITY SERVICES PLAN BY BHSC. A WORK GROUP WAS FORMED WITH SEVERAL MEMBERS FROM BOTH THE HEALTH DEPARTMENT AND THE HOSPITAL, AS WELL AS COMMUNITY MEMBERS FORM OTHER AGENCIES, TO REVIEW DEMOGRAPHIC AND HEALTH STATUS INFORMATION, ASSESS COMMUNITY SERVICES AND ULTIMATELY SELECT PRIORITY AREAS FOR IMPROVING THE HEALTH STATUS OF SCHOHARIE COUNTY RESIDENTS.
BASSETT HOSPITAL OF SCHOHARIE CTY	PART V, SECTION B, LINE 6B: SCHOHARIE COUNTY DEPARTMENT OF HEALTH
BASSETT HOSPITAL OF SCHOHARIE CTY	PART V, SECTION B, LINE 11: 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 ALSO CONTINUE TO REPRIORITIZE HIGHEST DEMAND.DUE TO THE COVID-19 PANDEMIC, THE HOSPITAL CANCELED ALL ELECTIVE PROCEDURES AND NON-URGENT AMBULATORY VISITS WHICH RESULTED IN A SIGNIFICANT REDUCTION IN PATIENT VOLUMES. IN ADDITION TO THE LOST REVENUE THAT ACCOMPANIED THE LOWER PATIENT VOLUMES THE HOSPITAL EXPERIENCED A SIGNIFICANT INCREASE IN OPERATING EXPENSES ASSOCIATED WITH THE PURCHASE OF PERSONAL PROTECTIVE EQUIPMENT, CERTAIN PHARMACEUTICALS, COVID 19 TESTING SUPPLIES, AND OTHER OVERHEAD AND PATIENT SPECIFIC COSTS. ADMISSIONS FELL 16% FROM 2019 TO 2020 WHILE ER VISITS DECREASED 21% FROM 2019 TO 2020.
BASSETT HOSPITAL OF SCHOHARIE COUNTY	PART V, SECTION B, LINES 7A & 10ATHE HOSPITAL'S CHNA AND IMPLEMENTATION STRATEGY ARE MADE AVAILABLE ON ITS WEBSITE:WWW.BASSETT.ORG/MEDICAL/LOCATIONS/HOSPITALS/COBLESKILL-REGIONAL-HOSPITAL
BASSETT HOSPITAL OF SCHOHARIE COUNTY	PART V, SECTION B, LINES 16A - 16CTHE HOSPITAL'S FAP, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON ITS WEBSITE:WWW.BASSETT.ORG/MEDICAL/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CAREBASSETT HOSPITAL OF SCHOHARIE COUNTY (BHSC) IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT RENDERS MEDICAL CARE TO ALL PERSONS IN NEED OF SUCH CARE, REGARDLESS OF THEIR ABILITY TO PAY. TO SUPPORT PATIENTS WHO MAY HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS, THE COMMUNITY SERVICE PROGRAM (CSP) IS AVAILABLE. UNDER THE HOSPITAL POLICY GOVERNING THE CSP, BASSETT HOSPITAL OF SCHOHARIE COUNTY PROVIDES A LEVEL OF UNCOMPENSATED CARE EACH YEAR TO PERSONS UNABLE TO PAY THE TOTAL COST OF THE HOSPITAL SERVICES RENDERED. CSP ELIGIBILITY IS LIMITED TO SERVICES FOR THOSE PERSONS WHO ARE DETERMINED INELIGIBLE FOR MEDICAID WITHIN 60 DAYS PRIOR TO THE APPLICATION AND WHOSE ANNUAL FAMILY GROSS INCOME, AS DETERMINED BY AN APPLICATION FOR MEDICAID WITHIN THE SIX MONTHS PRIOR TO AN APPLICATION, DOES NOT EXCEED 300% OF THE FEDERAL POVERTY INCOME GUIDELINES, WHICH ARE UPDATED ANNUALLY. AN APPLICATION FOR THE CSP FREE CARE REQUIRES VERIFICATION OF INCOME FOR THE SIX MONTHS IMMEDIATELY PRECEDING THE APPLICATION AND, IF FAMILY INCOME IS BELOW THE MEDICAID GUIDELINES, A MEDICAID APPLICATION IS ALSO REQUIRED.
PART I, LINE 6A:	RELATED ORGANIZATION INFORMATIONTHE BASSETT HOSPITAL OF SCHOHARIE COUNTY COMMUNITY BENEFITS REPORT IS CONTAINED IN A REPORT PREPARED BY BASSETT HEALTHCARE NETWORK.
PART I, LINE 7:	COSTING METHODOLOGY EXPLANATIONFOR SECTIONS (A) CHARITY CARE AT COST, (B) UNREIMBURSED MEDICAID, (F) HEALTH PROFESSIONS EDUCATION, THE COSTING METHODOLOGY APPLIED IS A COST-TO-CHARGE RATIO CALCULATION, AS USED ON FILED STATE AND FEDERAL COST REPORTS. INDIRECT COSTS WERE APPLIED TO (G) SUBSIDEZED HEALTH SERVICES AND (I) CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS, WHICH INCLUDE 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 FICA RATE.
SCHEDULE H, PART I, LINE 7, COLUMN (F)	EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEPART I, LINE 7, COLUMN (F) IS CALCULATED BY DIVIDING COLUMN (E), NET COMMUNITY BENEFIT EXPENSE, BY TOTAL EXPENSE. THE BAD DEBT EXPENSE OF $1,504,014 WAS SUBTRACTED FROM THE TOTAL EXPENSE VALUE USED TO CALCULATE THE PERCENTAGES IN PART 1, LINE 7, COLUMN F.
SCHEDULE H, PART I, LINE 7, COLUMN (D)	DIRECT OFFSETTING REVENUEDURING 2020, THE HOSPITAL RECEIVED PROVIDER RELIEF FUNDS THAT MAY BE USED AS REIMBURSEMENT FOR COMMUNITY BENEFIT EXPENSES THE HOSPITAL INCURRED AS A RESULT OF THE COVID-19 PANDEMIC. SUCH EXPENSES ARE CURRENTLY REPORTED IN PART I, LINE 7, COLUMN (C) BUT THE HOSPITAL HAS NOT INCLUDED THE PROVIDER RELIEF FUNDS AS DIRECT OFFSETTING REVENUE IN COLUMN (D) PENDING FURTHER GUIDANCE FROM THE IRS AS TO WHETHER PROVIDER RELIEF GRANTS ARE CONSIDERED RESTRICTED GRANTS FOR THE PURPOSES OF LINE 7.
PART II, COMMUNITY BUILDING ACTIVITIES:	ALL COMMUNITY BUILDING ACTIVITIES COULD BE CLASSIFIED UNDER PART I, LINE 7 AND ARE HIGHLIGHTED IN ITEM NUMBER 1 ABOVE. THE HOSPITAL HAS REPRESENTATION ON THE BOARD OF DIRECTORS FOR THE MOHAWK VALLEY POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) WHICH SERVES SCHOHARIE, FULTON, MONTGOMERY, HERKIMER, AND OTSEGO COUNTIES. THE MOHAWK VALLEY PHIP PROVIDES A FORUM IN WHICH STAKEHOLDERS INCLUDING COUNTY HEALTH DEPARTMENTS, HOSPITALS, INSURERS, AGENCIES AND A WIDE RANGE OF OTHER INTERESTED PARTIES CAN REVIEW THE REGION'S HEALTH STATUS AND DEFINE KEY PRIORITY AREAS. DECISIONS ARE BASED UPON INFORMATION RELATING TO THESE COUNTIES DERIVED FROM EXTENSIVE DATA GATHERING AND ANALYSES BY BASSETT HEALTHCARE NETWORK'S RESEARCH INSTITUTE. THE MOHAWK VALLEY PHIP PROMOTES THE TRIPLE AIM THROUGH REGIONAL EFFORTS THAT REFLECT LOCAL NEEDS, ASSETS AND CAPABILITIES. THE GOAL IS TO IMPROVE POPULATION HEALTH THROUGH STAKEHOLDER COLLABORATION, DATA-DRIVEN PRIORITIZATION, AND REGIONAL OR LOCAL STRATEGIES FOR ADDRESSING HEALTH DISPARITIES THAT ARE CONSISTENT WITH THE GOALS OF THE STATEWIDE PREVENTION AGENDA AND THE STATE HEALTH IMPROVEMENT PLAN. THE MOHAWK VALLEY PHIP STIMULATES AND SUPPORTS STRATEGIC PLANNING FOR IDENTIFYING, SHARING, DISSEMINATING AND HELPING TO IMPLEMENT BEST PRACTICES AND LOCAL STRATEGIES THAT PROMOTE POPULATION HEALTH AND REDUCE HEALTH CARE DISPARITIES IN THE FIVE COUNTY REGION.ADDITIONALLY, THE HOSPITAL HAS A PARTICIPATING ROLE WITH THE LEATHERSTOCKING COLLABORATIVE HEALTH PARTNERS, A NEW YORK STATE INITIATIVE TO BETTER THE HEALTH CARE DELIVERY, WHICH WAS FORMED BY PROVIDERS FROM SCHOHARIE, OTSEGO, MADISON, HERKIMER AND DELAWARE COUNTIES. THE MISSION IS TO BUILD A HIGH-PERFORMING INTEGRATED DELIVERY SYSTEM AND TRANSFORM HEALTH CARE DELIVERY IN THE REGION TO ACHIEVE DELIVERY SYSTEM REFORM INCENTIVE (DSRIP) PROGRAM GOALS. OF SPECIFIC FOCUS IS THE TOBACCO CESSATION PROJECT (PROJECT ID: 4.B .I) THAT PROMOTES TOBACCO USE CESSATION, ESPECIALLY AMONG LOW SES POPULATIONS AND THOSE WITH POOR MENTAL HEALTH (FOCUS AREA 2: GOAL 2.2). THE OBJECTIVE IS TO DECREASE THE PREVALENCE OF CIGARETTE SMOKING BY ADULTS 18 AND OLDER, AND INCREASE USE OF TOBACCO CESSATION SERVICES INCLUDING NYS SMOKERS' QUITLINE AND NICOTINE REPLACEMENT PRODUCTS. THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES ALSO FOCUSED ON REPRESENTATION TO COMMUNITY COALITIONS RELATED TO IDENTIFIED COMMUNITY HEALTH PRIORITIES; ON COSTS OF COALITION MEETINGS; AND ON PARTICIPATION WITH A SMALL BUSINESS/ECONOMIC DEVELOPMENT ORGANIZATION CALLED COBLESKILL PARTNERSHIP INC. (CPI), WHICH ADDRESSES THE HOSPITAL NEIGHBORHOOD IN DOWNTOWN COBLESKILL AND PARTICIPATION IN A NOT-FOR-PROFIT COUNTY-WIDE BUSINESS / ECONOMIC DEVELOPMENT ORGANIZATION CALLED SCHOHARIE ECONOMIC ENTERPRISE CORPORATION (SEEC), WHICH ADDRESSES THE BROADER HOSPITAL SERVICE AREA OF SCHOHARIE COUNTY.
PART III, LINE 2:	DUE 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 STATEMENT. RATHER IT IS TREATED AS A PRICE CONCESSION.
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.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 STATEMENT. RATHER IT IS TREATED AS A PRICE CONCESSION.
PART III, LINE 8:	BASSETT HOSPITAL OF SCHOHARIE COUNTY USED MEDICARE-APPROVED COSTS FROM THE 2017 MEDICARE COST REPORT, WHICH EMPLOY A COST-TO-CHARGE RATIO METHODOLOGY.
PART III, LINE 9B:	COLLECTION PRACTICES EXPLANATIONFOR PATIENTS, OR GUARANTORS, WHO DO NOT QUALIFY FOR COMPLETE CHARITY CARE ASSISTANCE, THE HOSPITAL MUST UNDERTAKE TO ENSURE UNDERSTANDING OF OBLIGATIONS AND SATISFACTION OF OBLIGATIONS. THE HOSPITAL EMPLOYS A THIRD-PARTY SELF-PAY BILLING AGENCY, IN COMPLIANCE WITH EXISTING LAWS AND REGULATIONS, TO RECOVER SELF-PAY ACCOUNTS RECEIVABLE, PRESERVE THE PATIENT-PROVIDER RELATIONSHIP TO THE MAXIMUM EXTENT POSSIBLE, AND KEEP THE NECESSITY OF REFERRING ACCOUNTS TO THIRD PARTY BAD DEBT COLLECTION OR LAW FIRMS TO A MINIMUM. THIS AGENCY IS MEDICAL SELF-PAY ACCOUNTS RECEIVABLE SERVICES, LLC (MEDSPAR). AS A STRICTURE OF THE HOSPITAL'S UNIFIED CHARITY CARE, SELF-PAY BILLING & COLLECTION POLICY, BASSETT HOSPITAL OF SCHOHARIE COUNTY MUST ENSURE THAT BAD DEBT COLLECTION POLICIES OF ANY THIRD-PARTY AGENCY RETAINED FOR OUTSIDE DEBT COLLECTION REFLECT THE MISSION AND VALUES OF THE HOSPITAL, AS WELL AS REFRAIN FROM ANY CONDUCT THAT VIOLATES THE FAIR DEBT COLLECTION PRACTICES ACT, THE FAIR CREDIT REPORTING ACT, AS WELL AS ANY APPLICABLE STATE LAW OR REGULATIONS.UNDER THE MEDSPAR CREDIT AND COLLECTION POLICY (DOC. NO. 1), RESPONSIBLE PARTIES PLEADING INDIGENCE OR INABILITY TO ESTABLISH AN INSTALLMENT PLAN MUST COMPLETE AN APPLICATION FOR THE HOSPITAL'S CHARITY CARE OR COMMUNITY SERVICES PROGRAM. THE PATIENT WILL BE FORWARDED THE APPLICATION AND INFORMED THAT THEIR ACCOUNTS WILL BE TEMPORARILY SUSPENDED FROM FURTHER BILLING FOR 30 DAYS. THE RESPONSIBLE PARTY MAY MAKE INTEREST FREE MONTHLY INSTALLMENT PAYMENTS NOT TO EXCEED 10 PERCENT OF GROSS MONTHLY INCOME (WHICH MUST BE VERIFIED BY A COPY OF A CURRENT PAYSTUB OR EQUIVALENT PROOF OF INCOME), ACCORDING TO A SET SCHEDULE BASED ON ACCOUNT BALANCE AND MAXIMUM NUMBER OF MONTHS IN WHICH INSTALLMENTS MUST BE MADE.
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 BASSETT HOSPITAL OF SCHOHARIE COUNTY, INCLUDING DATA FROM PATIENT SATISFACTION SURVEYS, THE NYS DEPARTMENT OF HEALTH, THE SCHOHARIE COUNTY BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY, THE SCHOHARIE COUNTY COMMUNITY HEALTH ASSESSMENT , 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. COMMUNITY PARTNERS INVOLVED IN ASSESSING COMMUNITY HEALTH NEEDS IN SCHOHARIE COUNTY INCLUDED: SCHOHARIE COUNTY HEALTH DEPARTMENT; BASSETT PRIMARY CARE GROUP; COMMUNITY-BASED ORGANIZATIONS; AND COUNTY SOCIAL SERVICE, MENTAL HEALTH, YOUTH AND AGING AGENCIES. BASSETT HOSPITAL OF SCHOHARIE COUNTY 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 SINCE 2008 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, INCLUDING THE UPSTATE HEALTH AND WELLNESS STUDY 2009. THIS PROJECT ASSESSED HEALTH INDICATORS, IDENTIFIED RURAL-URBAN HEALTH DISPARITIES, AND PROVIDED BASELINE DATA TO ASSIST COMMUNITY HEALTHCARE PLANNING IN THE RURAL REGION SERVED BY BASSETT, INCLUDING SCHOHARIE COUNTY. IT IS A COLLABORATIVE EFFORT BETWEEN THE RESEARCH INSTITUTE, COUNTY HEALTH DEPARTMENTS, AND REGIONAL COMMUNITY SERVICES ORGANIZATIONS.
PART VI, LINE 3:	BASSETT HOSPITAL OF SCHOHARIE COUNTY (BHSC) IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT RENDERS MEDICAL CARE TO ALL PERSONS IN NEED OF SUCH CARE, REGARDLESS OF THEIR ABILITY TO PAY. AS REQUIRED BY NYS DEPARTMENT OF HEALTH, THE HOSPITAL PROMINENTLY POSTS NOTICES THROUGHOUT THE FACILITY STATING CLEARLY THAT EMERGENCY CARE IS TO BE PROVIDED REGARDLESS OF ABILITY TO PAY. THE LIST OF PATIENT RIGHTS IS ALSO POSTED THROUGHOUT THE HOSPITAL. INFORMATION ABOUT FEDERAL AND STATE GOVERNMENT HEALTH COVERAGE PLANS AND HOW TO ACCESS THEM IS ALSO POSTED AND IS READILY AVAILABLE AT KEY POINTS OF PATIENT CONTACT, INCLUDING , BUT NOT LIMITED TO, REGISTRATION STATIONS.BASSETT HOSPITAL OF SCHOHARIE COUNTY OFFERS A COMMUNITY SERVICE PLAN TO PATIENTS WHO NEED FINANCIAL ASSISTANCE. A MAJOR COMPONENT OF THE 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 BHSC EMPLOYEES. THE POLICY IS UPDATED ANNUALLY, DISTRIBUTED TO KEY PERSONNEL, AND IS POSTED IN THE ONLINE POLICY AND PROCEDURE MANUAL THAT IS ACCESSIBLE TO ALL EMPLOYEES.AS PART OF THE INTAKE PROCESS, PATIENTS RECEIVE A BHSC-SPECIFIC FINANCIAL AID BROCHURE DESCRIBING FINANCIAL ASSISTANCE OPTIONS. THE BROCHURE DESCRIBES FEDERAL AND STATE GOVERNMENT PROGRAMS, AS WELL AS THE HOSPITAL'S COMMUNITY SERVICE PLAN, AND IS WRITTEN IN PLAIN LANGUAGE THAT ADDRESSES LOW LITERACY LEVELS IN THE COUNTY (1 IN 5 COUNTY RESIDENTS READ AT THE 3RD GRADE LEVEL OR LOWER ACCORDING TO LITERACY VOLUNTEERS OF SCHOHARIE COUNTY). IT IS ALSO AVAILABLE AT KEY POINTS OF SERVICE, INCLUDING NURSE'S STATIONS, WAITING ROOMS, THE ER, AND OTHER HIGH-TRAFFIC PUBLIC AREAS.IN ADDITION TO POSTINGS CONTAINING CONTACT INFORMATION AND THE DISTRIBUTION OF THE BHSC-SPECIFIC FINANCIAL AID BROCHURE, PATIENT EDUCATION IS SUPPORTED BY A FOUR-PAGE, PLAIN-LANGUAGE BROCHURE THAT IS INCLUDED WITH THE COMMUNITY SERVICE PLAN APPLICATION ITSELF. COMMUNITYSERVICE PLAN BROCHURE/APPLICATIONS ARE READILY AVAILABLE AT ALL FACILITIES IN THE BASSETT HEALTHCARE NETWORK AND ALL CLINICS. CLINICAL AND SUPPORT STAFF ARE MADE AWARE OF THE PROGRAM AND ARE ABLE TO DIRECT PATIENTS TO SPECIALISTS WHO CAN ASSIST IN THE APPLICATION PROCESS. ALL PATIENTS WHO ARE REGISTERED AS "SELF PAY" ARE PROVIDED A COMMUNITY SERVICES PLAN BROCHURE/APPLICATION IN PERSON.A LISTING OF ALL SELF-PAY ACCOUNTS IS PRODUCED AND REVIEWED DAILY TO ENSURE THAT A COMMUNITY SERVICES PLAN BROCHURE/APPLICATION HAS BEEN PROVIDED. THE SELF-PAY BILLING OFFICE IDENTIFIES PATIENTS WHO MAY REQUIRE ADDITIONAL HELP UNDERSTANDING THE PROGRAM DURING THE BILLING AND COLLECTIONS PROCESS. CONTACT INFORMATION FOR THE COMMUNITY SERVICE PLAN IS INCLUDED IN PATIENT BILLS. SELF-PAY ACCOUNTS FOR PATIENTS WHO HAVE BEEN APPROVED FOR COMMUNITY SERVICES WITHIN THE PRIOR 120 DAYS ARE AUTOMATICALLY INCLUDED WITH PRIOR APPROVAL.IN SCHOHARIE COUNTY, FACILITATED ENROLLMENT IN GOVERNMENT HEALTH INSURANCE PROGRAMS IS HANDLED BY SEVERAL COMMUNITY AGENCIES/ORGANIZATIONS (SCHOHARIE COUNTY COMMUNITY ACTION PROGRAM (SCCAP), FIDELISCARE, AS WELL AS BASSETT MEDICAL CENTER. BHSC MAKES REFERRALS TO THEM BY MEANS OF A FORM THAT CAN BE SIGNED BY THE PATIENT AND FAXED. PATIENT REGISTRARS AND CUSTOMER SERVICE PROVIDERS FROM THE BUSINESS OFFICE ARE TRAINED TO UNDERSTAND THESE PROGRAMS AND THE PROCESS FOR HELPING PATIENTS ACCESS THEM. THEY PROVIDE ONE-ON-ONE ASSISTANCE WITH ACCESS, INFORMATION, AND APPOINTMENT SCHEDULING FOR FACILITATED ENROLLMENT. ADDITIONALLY, THE HOSPITAL'S BUSINESS SERVICES MANAGER PROVIDES ONE-ON-ONE COUNSELING TO PATIENTS WHO NEED HELP PAYING THEIR BILLS, INCLUDING REFERRAL TO FACILITATED ENROLLMENT FOR MEDICAID AND OTHER GOVERNMENT PROGRAMS.
PART VI, LINE 4:	BASSETT HOSPITAL OF SCHOHARIE COUNTY'S PRIMARY SERVICE AREA ENCOMPASSES ALL OF SCHOHARIE COUNTY, WITH A POPULATION OF 31,420 (U.S. CENSUS 2017 ESTIMATE), AND A PORTION OF NEIGHBORING SCHENECTADY COUNTY, INCLUDING THE TOWNS OF DELANSON AND DUANESBURG. LOCATED IN COBLESKILL, NY, BASSETT HOSPITAL OF SCHOHARIE COUNTY IS THE ONLY HOSPITAL IN SCHOHARIE COUNTY. SCHOHARIE COUNTY IS LOCATED AT THE FAR WESTERN EDGE OF NEW YORK STATE'S CAPITAL DISTRICT. A PRIMARILY RURAL AREA, SCHOHARIE COUNTY COVERS A LAND AREA OF APPROXIMATELY 622 SQUARE MILES, WITH A POPULATION DENSITY OF JUST 52.7 PERSONS PER SQUARE MILE (U.S. CENSUS 2010). SCHOHARIE COUNTY HAS A STRONG AGRICULTURAL HERITAGE, AND FARMING REMAINS A DOMINANT SECTOR OF ITS ECONOMY, WITH AGRICULTURAL SALES TOTALING $30 MILLION PER YEAR (SCHOHARIE COUNTY CHAMBER OF COMMERCE).PEOPLE AGE 65 AND OVER MAKE UP 21.1 PERCENT OF THE POPULATION, WHILE THE NEW YORK STATE AVERAGE IS 15 PERCENT (U.S. CENSUS 2017). NINETY-SIX PERCENT OF THE POPULATION IS WHITE, WITH HISPANICS MAKING UP 3.2 PERCENT OF THE POPULATION AND BLACKS 1.7 PERCENT (U.S. CENSUS 2017). AMERICAN INDIAN AND ASIAN PERSONS TOGETHER REPRESENT 1.1 PERCENT OF THE POPULATION, AT 0.3 PERCENT AND 0.8 PERCENT, RESPECTIVELY, AND PERSONS OF TWO OR MORE RACES MAKE UP 1.3 PERCENT (U.S. CENSUS 2017).EDUCATIONAL LEVELS, UNEMPLOYMENT, AND POVERTY ARE IDENTIFIED BARRIERS TO THE HEALTH OF WITH AN UNEMPLOYMENT RATE OF 9 PERCENT (APRIL 2013, U.S. BUREAU OF LABOR STATISTICS}, THE MEDIAN HOUSEHOLD INCOME IN SCHOHARIE COUNTY IS $51,195 (US CENSUS 2016 ESTIMATE), WHICH IS $8,074 LESS THAN THE NEW YORK STATE MEDIAN. THE PERCENTAGE OF RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES IS 13.2 PERCENT (US CENSUS 2016 ESTIMATE).SIX PERCENT OF SCHOHARIE COUNTY RESIDENTS LACK HEALTH INSURANCE (SCHOHARIE COUNTY COMMUNITY HEALTH ASSESSMENT 2016 - 2018). OF THE HOSPITAL'S PATIENTS, 14% WERE MEDICAID PATIENTS IN 2013. SCHOHARIE COUNTY IS A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA IN THE DISCIPLINES OF PRIMARY CARE, MENTAL HEALTH, AND DENTAL (HRSA.GOV).THE PERCENTAGE OF THE POPULATION WITH A HIGH SCHOOL DEGREE IS SLIGHTLY HIGHER THAN THE NEW YORK STATE AVERAGE: 87.7PERCENT FOR SCHOHARIE COUNTY COMPARED TO 84.9 PERCENT FOR THE STATE. HOWEVER, THE PERCENTAGE OF THE POPULATION WITH A COLLEGE DEGREE OR HIGHER IS 12.9 PERCENT LOWER THAN THE NEW YORK STATE AVERAGE: 19.9 PERCENT FOR SCHOHARIE COUNTY COMPARED TORESIDENTS OF SCHOHARIE COUNTY. 32.8 PERCENT FOR THE STATE (U.S. CENSUS 2013 ESTIMATE). ONE IN FIVE RESIDENTS IS ABLE TO READ ONLY AT A LEVEL THAT MAKES IT IMPOSSIBLE TO READ AND UNDERSTAND HEALTHCARE INSTRUCTIONS AND THE INFORMATION NEEDED TO FIND EMPLOYMENT (LITERACY VOLUNTEERS OF SCHOHARIE COUNTY).
PART VI, LINE 5:	A MAJORITY OF THE BASSETT HOSPITAL OF SCHOHARIE COUNTY 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. IN 2020, THERE WERE A TOTAL OF 13 MEMBERS ON THE BASSETT HOSPITAL OF SCHOHARIE COUNTY BOARD OF TRUSTEES, OF WHOM 11 WERE COMMUNITY VOLUNTEER BOARD MEMBERS. ONE BOARD MEMBER WAS AN EXECUTIVE-LEVEL EMPLOYEE OF THE BASSETT HEALTHCARE NETWORK (BHN). AS A NOT-FOR-PROFIT HOSPITAL, BASSETT HOSPITAL OF SCHOHARIE COUNTY 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 CONTINUESERVING THE HEALTH NEEDS.COMMUNITY HEALTH IMPROVEMENT AND EDUCATION ARE KEY STRATEGIES IN THE HOSPITAL'S PLAN OF RESPONSE TO THE COMMUNITY'S HEALTH PRIORITIES AND NEEDS. THE HOSPITAL'S INITIATIVES ARE LARGELY GUIDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH PUBLIC HEALTH PREVENTION AGENDA. THEY ARECHOSEN AND COORDINATED IN CLOSE COLLABORATION WITH THE SCHOHARIE COUNTY DEPARTMENT OF HEALTH AND BASSETT HEALTHCARE NETWORK, IN PARTICULAR REFLECTING THE COUNTY'S HEALTH ASSESSMENT AND THE BASSETT HEALTH AND WELLNESS SURVEY. STRATEGIES FOCUS ON ACCESS, EDUCATION AND AWARENESS.HOSPITAL PROGRAMS AND EFFORTS THAT ADDRESS PREVENTION AGENDA-RELATED COMMUNITY HEALTH IMPROVEMENT AND EDUCATION PRIORITIES INCLUDE FOLLOWING:- DIABETES COMMUNITY EDUCATION AND EVIDENCE-BASED SUPPORT PROGRAM- LUNCH AND LEARN EDUCATIONAL PROGRAMS ON FIRE SAFETY, FOOD AND NUTRITION, SCHOHARIE FRESH (LOCALLY GROWN PRODUCE, DAIRY, MEATS, ETC.); FALL PREVENTION, NEW EMERGENCY DEP'T; AT HOME CARE; "DIABETES, ARE YOU AT RISK?; "5-2-1-0 CHILDHOOD OBESITY PREVENTION PROGRAM; SCHOHARIE COUNTY MENTAL HEALTH; WOMEN'S WELLNESS; AND SCHOHARIE COUNTY OFFICE FOR THE AGING"- STROKE SUPPORT GROUP- SPACE AND IN-KIND CONTRIBUTION OF PROFESSIONAL SERVICES FOR CANCER AND ALZHEIMER'S SUPPORT GROUPS; CONTRIBUTIONS TO NON-PROFIT COMMUNITY ORGANIZATIONS; IN-KIND SERVICES CONTRIBUTED BY STAFF TO NOT-FOR-PROFIT ORGANIZATIONS AND COMMUNITY GROUPS; STAFF TIME SPEND COORDINATING EVENTS NOT SPONSORED BY THE HOSPITAL, SUCH AS BLOOD DRIVES AND EMPLOYEE TIME SPENT ON COMMUNITY HEALTH RELATED BOARDS AND OTHER COMMUNITY INVOLVEMENT.- THE HOSPITAL HELPS TO PROTECT THE HEALTH ACCESS, SAFETY, AND INDEPENDENCE OF VULNERABLE POPULATIONS LIVING IN POVERTY THROUGH FINANCIALLY SUPPORTED PROVISION OF THE LIFELINE PERSONAL RESPONSE SYSTEM THE HOSPITAL ALSO PROVIDES COMMUNITY BENEFITS SERVICES NOT EASILY COUNTED OR PORTRAYED QUANTITATIVELY. IN 2015 A "HEALTHY DECISIONS" NEWSLETTER DEDICATED IN LARGE PART TO EDUCATIONAL MESSAGES INTENDED TO IMPROVE HEALTH KNOWLEDGE, ATTITUDES, SKILL/BEHAVIORS RELATED TO PREVENTION PRIORITIES; AND HUNDREDS OF HOURS OF STAFF VOLUNTEER TIME IN A WIDE-RANGE OF ACTIVITIES, INCLUDING BLOOD DRIVES, THAT PROMOTE THE HEALTH OF THE COMMUNITY.
PART VI, LINE 6:	BASSETT HOSPITAL OF SCHOHARIE COUNTY IS PART OF BASSETT HEALTHCARE NETWORK, WHICH PROVIDES 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 60,094; DELAWARE COUNTY - POPULATION 45,001; HERKIMER COUNTY POPULATION 62,240 (ACCORDING TO THE 2017 U.S. CENSUS ESTIMATES); AND SCHOHARIE COUNTY - POPULATION 31,420 (U.S. CENSUS 2017 ESTIMATE).A. BASSETT - AN ACUTE CARE INPATIENT TEACHING FACILITY, AN OUTPATIENT PRIMARY AND SPECIALTY CARE CENTER, A REGIONAL NETWORK OF 29 COMMUNITY-BASED OUTPATIENT HEALTH CENTERS, 20 SCHOOL-BASED HEALTHCENTERS, 2 AMBULATORY SURGERY CENTERS, AND A FULLY SALARIED MEDICAL STAFF IN COOPERSTOWN, OTSEGO COUNTY B. O'CONNOR HOSPITAL - CRITICAL ACCESS HOSPITAL IN DELHI, DELAWARE COUNTYC. BASSETT HOSPITAL OF SCHOHARIE COUNTY (DBA COBLESKILL REGIONAL HOSPITAL) - ACUTE CARE FACILITY IN COBLESKILL, SCHOHARIE COUNTYD. LITTLE FALLS HOSPITAL - CRITICAL ACCESS HOSPITAL IN LITTLE FALLS, HERKIMER COUNTYE. A.O. FOX HOSPITAL -- ACUTE CARE FACILITY IN ONEONTA, OTSEGO COUNTYF. VALLEY HEALTH SERVICES - RESIDENTIAL HEALTH CARE AND REHABILITATION FACILITYG. AT HOME CARE - CERTIFIED HOME CARE AGENCYH. AT HOME CARE PARTNERS - CERTIFIED HOME CARE AGENCYI. VALLEY RESIDENTIAL SERVICES -J. FIRST COMMUNITY CARE OF BASSETT - MEDICAL SUPPLY COMPANY ALL OF THE ABOVE (A-1) MAKE UP BASSETT HEALTHCARE NETWORK AND PROVIDE HEALTH SERVICES TO THIS EIGHT-COUNTY REGION IN CENTRAL NEW YORK.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSEPH SELLERS
TRUSTEE	$0	$395,195	$0	$20,000	$0	$0	$0	$25,842	$0	$2,353	$0	$443,390	$0	$0
DEBORAH FUNK-VALOIS
TRUSTEE	$0	$405,605	$0	$6,300	$0	$0	$0	$20,142	$0	$7,995	$0	$440,042	$0	$0
ERIC STEIN
PRESIDENT & CEO	$0	$217,097	$0	$10,104	$0	$0	$0	$18,042	$0	$8,622	$0	$253,865	$0	$0
SUSAN OAKES FERRUCCI
VP, CLINICAL OPERATIONS & CNO	$192,899	$0	$0	$0	$0	$0	$5,787	$0	$10,002	$0	$208,688	$0	$0	$0
CHRISTINE PIRRI
VP, NON CLINICAL OPS	$168,068	$0	$0	$0	$0	$0	$5,042	$0	$1,208	$0	$174,318	$0	$0	$0
MARCIA WHITBECK
PHARMACIST	$157,251	$0	$0	$0	$0	$0	$4,718	$0	$4,064	$0	$166,033	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION

THE CHIEF EXECUTIVE OFFICER'S SALARY IS PAID BY A RELATED ORGANIZATION UNDER A MANAGEMENT SERVICES AGREEMENT. THE BASSETT HOSPITAL OF SCHOHARIE COUNTY REVIEWS THE FORMAL PROCESS THAT IS USED TO DETERMINE THE BASE COMPENSATION OF THE CEO. THE CEO WORK PLAN AND ACCOMPLISHMENTS FOR THE YEAR ARE REVIEWED. SALARY CHANGES ARE BASED ON MARKET, WORK PLAN, AND ACCOMPLISHMENTS. THE CEO'S SALARY IS SUBMITTED AS PART OF THE MANAGEMENT SERVICES AGREEMENT WHICH IS APPROVED BY THE BOARD.

PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED

NON-FIXED PAYMENTS ARE MADE BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE OFFICERS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, TRI-TOWN REGIONAL HOSPITAL, 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	ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE 990 IS REVIEWED BY THE EXECUTIVE FINANCE COMMITTEE, WHICH HAS BEEN ASSIGNED THAT RESPONSIBILITY BY THE BOARD OF TRUSTEES. ALL TRUSTEES ARE MADE AWARE THAT THE 990 IS AVAILABLE FOR REVIEW IN THE ADMINISTRATIVE OFFICE UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 12C	ENFORCEMENT OF CONFLICTS POLICY MEMBERS OF THE BOARD COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. A SUMMARY OF RESULTS IS REPORTED EACH YEAR AT THE ANNUAL MEETING OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15A	COMPENSATION PROCESS FOR TOP OFFICIAL THE CHIEF EXECUTIVE OFFICER'S SALARY IS PAID BY A RELATED ORGANIZATION UNDER A MANAGEMENT SERVICES AGREEMENT. THE BASSETT HOSPITAL OF SCHOHARIE COUNTY REVIEWS THE FORMAL PROCESS THAT IS USED TO DETERMINE THE BASE COMPENSATION OF THE CEO. THE CEO WORK PLAN AND ACCOMPLISHMENTS FOR THE YEAR ARE REVIEWED. SALARY CHANGES ARE BASED ON MARKET, WORK PLAN, 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 C, LINE 19	GOVERNING DOCUMENTS DISCLOSURE EXPLANATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY REQUEST OF THE ADMINISTRATIVE OFFICE.
FORM 990, PART IX, LINE 11G	PHYSICIAN & CONTRACT FEES: PROGRAM SERVICE EXPENSES 1,365,179. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,365,179. CONSULTING: PROGRAM SERVICE EXPENSES 293,318. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 293,318. NETWORK SHARED SERVICES: PROGRAM SERVICE EXPENSES 6,284,554. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,284,554.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUE OF SPLIT INTEREST 113,814. OTHER CHANGES TO BEGINNING OF YEAR NET ASSETS -26,523.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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
AO FOX MEMORIAL HOSPITAL
ONE NORTON AVENUE	ONEONTA	NY	13820	150539039	HEALTHCARE	NY	501C3	3	BHN	0
O'CONNOR HOSPITAL
460 ANDES ROAD	DELHI	NY	13753	161540394	HEALTHCARE	NY	501C3	3	BHN	0
LITTLE FALLS HOSPITAL
140 BURWELL STREET	LITTLE FALLS	NY	13365	150533578	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
TRI TOWN REGIONAL HEALTHCARE
43 PEARL STREET	SIDNEY	NY	13838	260169584	HEALTHCARE	NY	501C3	3	BHN	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
AO FOX FOUNDATION
1 NORTON AVE	ONEONTA	NY	13820	222871993	FUNDRAISER	NY	501C3	9	AO FOX	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (1)	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd