2020-09-22T13:27:13-05:00 2019-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2019-01-01 161287069 AT HOME CARE INCORPORATED ATHO 6074327924 25 ELM STREET ONEONTA NY 13820 JEREMY PAIN EXECUTIVE DIRECTOR 6074327924 2020-09-14 1 KYLE LYSKAWA P01685281 3154227109 71.115.194.128 2020-09-14 07:50:52 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 37293ED88DE8E6930E74CD95887C8CF68DBA91DC 2019 2021-01-29 14:40:06Z JEREMY PAIN 25 ELM STREET ONEONTA NY 13820 7410429 0 X WWW.BASSETT.ORG/AT-HOME-CARE X 1986 NY SEE SCHEDULE O 7 7 131 9 0 0 0 0 7074489 6945863 4635 1546 432456 463020 7511580 7410429 0 0 0 0 6601706 5918840 0 0 0 2005994 1753574 8607700 7672414 -1096120 -261985 2870956 2623694 1303287 1318010 1567669 1305684 THE ORGANIZATION PROVIDES HIGH QUALITY, EFFICIENTLY DELIVERED AND COST EFFECTIVE PROFESSIONAL AND PARAPROFESSSIONAL REHABILITATIVE HEALTH CARE SERVICES TO PATIENTS IN A HOME ENVIRONMENT. 0 0 6478073 7408883 THE CORPORATION IS A CERTIFIED, COMMUNITY-BASED, HOME HEALTH CARE AGENCY PROVIDING A FULL RANGE OF SKILLED NURSING, HOME HEALTH AIDE, THERAPY AND OTHER SPECIALIZED SERVICES TO PATIENTS WHO CAN BE CARED FOR AT HOME. 6478073 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 14 0 1 131 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JEREMY PAIN 6074327924 25 ELM STREET ONEONTA NY 13820 MS LISA BETRUS CHAIR 1.00 1.00 X X 0 230556 17649 MR GARY SMITH TREASURER 1.00 1.00 X X 0 155454 29499 MS LAURIE NEANDER PRESIDENT 38.00 2.00 X X 166526 0 8500 MR JEREMY PAIN COO 40.00 X 116263 0 2000 MS DONNA SCHULTES SECRETARY 1.00 1.00 X X 0 147613 10119 MR LEONARD LINDENMUTH DIRECTOR 1.00 X 0 226385 6768 MS DONNA ANDERSON DIRECTOR 1.00 X 0 235697 14071 MR SCOTT COHEN DIRECTOR 1.00 1.00 X 0 317408 28571 MR ANDREW MANZER DIRECTOR 1.00 1.00 X 0 370020 27180 282789 1683133 144357 2 0 1 0 INFORMATION SYSTEMS DIVISION 98 CHESTNUT ST ONEONTA NY 13820 COMPUTER SERVICES/IT 167727 MEDTRONIC CARE MGT SVS 7980 CENTURY BLVD CHANHASSEN MN 55317 PATIENT MANAGEMENT SERVICES 144251 NETSMART TECHNOLOGIES INC 4950 COLLEGE BLVD LEAWOOD KS 66211 SOFTWARE CONTRACT 123962 SIMIONE HEALTHCARE CONSULTANTS LLC 4130 WHITNEY AVENUE HAMDEN CT 06518 CONTRACT EMPLOYMENT 111780 MCKESSON CORPORATION PO BOX 98347 CHICAGO IL 60693 SOFTWARE CONTRACT 105459 5 NET PATIENT SERVICE 621610 6945863 6945863 6945863 1546 1546 MANAGEMENT FEE REVENUE 900099 450273 450273 MISCELLANEOUS INCOME 900099 12747 12747 463020 7410429 7408883 0 1546 175026 175026 4706458 4490227 216231 754947 703554 51393 282409 260254 22155 14319 14319 31939 31939 276318 276318 3235 2735 500 595969 281437 314532 104080 87994 16086 324937 318958 5979 4967 4199 768 252 252 78598 66450 12148 41731 35281 6450 TELEHEALTH EQUIPMENT 150532 150532 PROVISION FOR BAD DEBTS 48377 48377 MISCELLANEOUS 45113 45113 STAFF RECRUITMENT 26244 22188 4056 6963 5887 1076 7672414 6478073 1194341 0 34300 109222 754682 120111 1329387 1644754 35955 50098 2103193 1711108 443082 392085 273550 307424 2870956 2623694 372088 357042 365297 446862 565902 514106 1303287 1318010 X 1567669 1305684 1567669 1305684 2870956 2623694 -261985 0 X X 0 1 X 1 0 X 9496862 9065230 8250603 7074489 6945863 40833047 9496862 9065230 8250603 7074489 6945863 40833047 0 0 0 40833047 4776 5667 4827 4635 1546 21451 4776 5667 4827 4635 1546 21451 540918 519103 480760 437091 464566 2442438 10042556 9590000 8736190 7516215 7411975 43296936 0.94310 0.95400 0.00050 0.00060 X 548198 240844 307354 1507286 1448103 59183 47709 22161 25548 392085 DEPOSIT 7741 DUE FROM AFFILIATES 299683 307424 DUE TO THIRD-PARTY PAYERS 51096 LONG TERM LOAN PAYABLE TO MEMBER ORGANIZATION 463010 514106 X X 0 0 0 0 0 0 0 0 0 MS LISA BETRUS CHAIR 0 226386 0 4170 0 0 0 11467 0 6182 0 248205 0 0 MR GARY SMITH TREASURER 0 155454 0 0 0 0 0 11846 0 17653 0 184953 0 0 MS LAURIE NEANDER PRESIDENT 166526 0 0 0 0 0 1500 0 7000 0 175026 0 0 0 MS DONNA SCHULTES SECRETARY 0 147613 0 0 0 0 0 4470 0 5649 0 157732 0 0 MR LEONARD LINDENMUTH DIRECTOR 0 226385 0 0 0 0 0 6768 0 0 0 233153 0 0 MS DONNA ANDERSON DIRECTOR 0 235697 0 0 0 0 0 14071 0 0 0 249768 0 0 MR SCOTT COHEN DIRECTOR 0 317408 0 0 0 0 0 20075 0 8496 0 345979 0 0 MR ANDREW MANZER DIRECTOR 0 370020 0 0 0 0 0 17084 0 10096 0 397200 0 0 MARY IMOGENE BASSET HOSPITAL OFFICERS OF THE AHC BOARD OF DIRECTORS ARE ALSO OFFICERS OF THE HOSPITAL. AT HOME CARE HAS A LONG TERM PAYABLE DUE TO THE MARY IMOGENE BASSETT HOSPITAL (THE HOSPITAL). UNDER THE TERMS OF THIS AGREEMENT, THE HOSPITAL HAS AUTHORIZED AHC TO USE CERTAIN SOFTWARE THAT WAS PAID PARTIALLY BY THE HOSPITAL. THE AMOUNT OF THE LOAN IS $463,010 AND DOES NOT BEAR INTEREST. IN THE EVENT THAT AHC INTENDS TO DISSOLVE, AHC SHALL REPAY THE NOTE TO THE HOSPITAL PRIOR TO THE DISSOLUTION AND AS A PREFERRED CREDITOR. 0 SEE SCHEDULE O THE ORGANIZATION PROVIDES HIGH QUALITY, EFFICIENTLY DELIVERED AND COST EFFECTIVE PROFESSIONAL AND PARAPROFESSSIONAL REHABILITATIVE HEALTH CARE SERVICES TO PATIENTS IN A HOME ENVIRONMENT. FORM 990, PART VI, SECTION A, LINE 2 EMPLOYEES OF A.O. FOX MEMORIAL HOSPITAL AND THE MARY IMOGENE BASSETT HOSPITAL, MAKE UP 100% OF THE BOARD OF DIRECTORS. THESE 2 ENTITIES ARE RELATED PARTIES. FORM 990, PART VI, SECTION A, LINE 6 A.O. FOX MEMORIAL HOSPITAL AND THE MARY IMOGENE BASSETT HOSPITAL ARE BOTH MEMBERS OF THE ORGANZATION AND AS SUCH ARE ENTITLED TO THE RIGHT TO PARTICIPATE IN GOVERNANCE WHICH INCLUDES THE ABILITY TO ELECT MEMBERS OF THE GOVERNING BODY, AMONG OTHER THINGS. FORM 990, PART VI, SECTION A, LINE 7A A.O. FOX MEMORIAL HOSPITAL AND THE MARY IMOGENE BASSETT HOSPITAL, CONSIDERED MEMBERS OF THE ORGANIZATION, ELECT 100% OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE TREASURER PRESENTS THE DRAFT 990 TO THE DIRECTORS OF THE BOARD 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, WAS PROVIDED/OR WAS MADE AVAILABLE 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 OBTAINED ANNUALLY FROM ALL PERSONS OF INTEREST. PERSONS OF INTEREST ARE CONSIDERED TO BE DIRECTORS, OFFICERS OR MEMBERS OF COMMITTEES OF THE GOVERNING BOARD WITH DIRECT OR INDIRECT FINANCIAL INTEREST. ONCE A POTENTIAL CONFLICT IS DISCLOSED, THE REMAINING BOARD WILL DECIDE IF A CONFLICT EXISITS. MEMBERS WITH A CONFLICT WILL LEAVE A MEETING DURING A VOTE ON A TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS EVALUATES THE PRESIDENT'S PERFORMANCE AND SALARY ANNUALLY. ADDITIONALLY, EACH FALL, THE PRESIDENT COMPLETES A COMPETITIVE WAGE ANALYSIS USING INDUSTRY SURVEYS PUBLISHED BY THE NATIONAL ASSOCIATION OF HOME CARE. THE PERSONNEL COMMITTEE AND FULL BOARD APPROVE THESE WAGES AS A COMPONENT OF THE ANNUAL BUDGET PROCESS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST MADE AT THE ADMINISTRATIVE OFFICE LOCATED ON 25 ELM STREET, ONEONTA, NY. PART XII, LINE 2C EXPLANATION THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. AT HOME CARE PARTNERS INC 25 ELM STREET ONEONTA NY 13820 562397098 PROVIDING HOME HEALTH CARE TO INDIVIDUALS IN THEIR PLACE OF RESIDENCE NY 501(C)(3) LINE 11 AT HOME CARE INCORPORATED 1 BASSETT HEALTHCARE NETWORK ONE ATWELL ROAD COOPERSTOWN NY 13326 133218680 SUPPORT NY 501(C)(3) LINE 12C, III-FI NONE 0 FRIENDS OF BASSETT ONE ATWELL ROAD COOPERSTOWN NY 13328 237041610 FUNDRAISER NY 501(C)(3) LINE 7 BASSET HEALTHCARE NETWORK 0 AO FOX MEMORIAL HOSPITAL ONE NORTON AVENUE ONEONTA NY 13820 150539039 HEALTHCARE NY 501(C)(3) LINE 3 BASSET HEALTHCARE NETWORK 0 BASSETT HOSPITAL SCHOHARIE COUNTY 178 GRANDVIEW DRIVE COBLESKILL NY 12043 141772971 HEALTHCARE NY 501(C)(3) LINE 3 BASSET HEALTHCARE NETWORK 0 LITTLE FALLS HOSPITAL 140 BURWELL STREET LITTLE FALLS NY 13365 150533578 HEALTHCARE NY 501(C)(3) LINE 3 BASSET HEALTHCARE NETWORK 0 0'CONNOR HOSPITAL 460 ANDES ROAD DELHI NY 13753 161540394 HEALTHCARE NY 501(C)(3) LINE 3 BASSET HEALTHCARE NETWORK 0 TEMPLETON FOUNDATION ONE ATWELL ROAD COOPERSTOWN NY 13327 133317084 LANDLORD NY 501(C)(3) LINE 10 BASSET HEALTHCARE NETWORK 0 TRI TOWN REGIONAL HEALTHCARE 43 PEARL STREET SIDNEY NY 13838 260169584 HEALTHCARE NY 501(C)(3) LINE 3 BASSET HEALTHCARE NETWORK 0 VALLEY HEALTH SERVICES 690 WEST GERMAN STREET HERKIMER NY 13350 222511614 ELDER CARE NY 501(C)(3) LINE 3 BASSETT REGIONAL CORPORATION (BRC) 0 BASSETT PPS LLC 618 STATE HIGHWAY 7 ONEONTA NY 13820 811749905 HEALTHCARE NY 501(C)(3) LINE 12A, I MARY IMOGENE BASSETT HOSPITAL 0 MARY IMOGENE BASSETT HOSPITAL ONE ATWELL ROAD COOPERSTOWN NY 13326 135596796 HEALTHCARE NY 501(C)(3) LINE 3 BASSET HEALTHCARE NETWORK 0 LEATHERSTOCKING PHYSICIANS PC ONE ATWELL ROAD COOPERSTOWN NY 13326 364864562 HEALTHCARE SERVICES NY C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 AT HOME CARE PARTNERS INC Q 284274 EXPENSES INCURRED AT HOME CARE PARTNERS INC Q 165999 MANAGEMENT FEE CALCULATION