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MARY IMOGENE BASSETT HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MARY IMOGENE BASSETT HOSPITAL (EIN 13-5596796)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202033189349307968
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-13T13:11:29-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1515 Broadway 4th FloorAddressLine1Txt
CityAlbanyCityNm
State AbbreviationNYStateAbbreviationCd
ZIP122072974ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN135596796EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Mary Imogene Bassett HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Paul SwinkoInCareOfNm
Business Name ControlMARYBusinessNameControlTxt
Phone6075473635PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Atwell RoadAddressLine1Txt
CityCooperstownCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13326ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL SWINKOPersonNm
Person TitleCFOPersonTitleTxt
Phone6075473635PhoneNum
Signature2020-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTODD TERESCOPreparerPersonNm
PTINP00247720PTIN
Phone5184274600PhoneNum
Preparation2020-11-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.207.253.96IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id14012520203185000005FederalOriginalSubmissionId
Federal Original Submission Id2020-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEC4CAE4DABBF2D41825E3CF88D329D8D98EEF318AtSubmissionCreationDeviceId
At Submission Filing Device IdEC4CAE4DABBF2D41825E3CF88D329D8D98EEF318AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Bassett Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerPaul SwinkoPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Atwell RoadAddressLine1Txt
CityCooperstownCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13326ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$649,250,578GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bassett.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1921FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSee Schedule OActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee4433TotalEmployeeCnt
Total Volunteers180TotalVolunteersCnt
Total Gross UBI-$66,431TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$66,681NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$22,797,539PYContributionsGrantsAmt
CY Contributions Grants$30,753,988CYContributionsGrantsAmt
PY Program Service Revenue$531,578,476PYProgramServiceRevenueAmt
CY Program Service Revenue$567,368,925CYProgramServiceRevenueAmt
PY Investment Income$2,595,344PYInvestmentIncomeAmt
CY Investment Income$2,266,810CYInvestmentIncomeAmt
PY Other Revenue$7,144,371PYOtherRevenueAmt
CY Other Revenue$3,747,281CYOtherRevenueAmt
PY Total Revenue$564,115,730PYTotalRevenueAmt
CY Total Revenue$604,137,004CYTotalRevenueAmt
PY Grants And Similar Paid$42,722PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$325,349,964PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$343,649,298CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$788,803CYTotalFundraisingExpenseAmt
PY Other Expenses$238,124,263PYOtherExpensesAmt
CY Other Expenses$260,257,826CYOtherExpensesAmt
PY Total Expenses$563,516,949PYTotalExpensesAmt
CY Total Expenses$603,912,124CYTotalExpensesAmt
PY Revenues Less Expenses$598,781PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$224,880CYRevenuesLessExpensesAmt
Total Assets BOY$406,104,478TotalAssetsBOYAmt
Total Assets EOY$410,525,281TotalAssetsEOYAmt
Total Liabilities BOY$148,742,801TotalLiabilitiesBOYAmt
Total Liabilities EOY$144,988,115TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$257,361,677NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$265,537,166NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMary Imogene Bassett Hospital is a rural academic medical center committed to providing excellence in health care services, educating physicians and other health care professionals, and pursuing health research.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$483,411,673ExpenseAmt
Grant$5,000GrantAmt
Revenue$567,368,925RevenueAmt
DescInpatient and Outpatient services provided to our patients resulted in: 13,864 Hospitalizations (inclusive of open heart surgeries) 55,041 Patient Days 711,058 Clinic Visits 25,603 Renal Treatments 8,805 Surgical CasesDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,202,470ExpenseAmt
DescSee Schedule O.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$487,614,143TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document310IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4433EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPaul SwinkoPersonNm
Phone6075473635PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Atwell RoadAddressLine1Txt
CityCooperstownCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13326ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Mun Hong
Attending Physician40.00.0Yes (X)$861,531$0$10,352
Dhananjai Menzies
Attending Physician40.00.0Yes (X)$741,425$0$30,180
William Streck
BHN President & CEO40.00.0Yes (X)$754,609$0$2,210
WT Huntsman
Attending Physician40.00.0Yes (X)$668,648$0$30,440
Nicholas Hellenthal
Attending Physician40.00.0Yes (X)$658,366$0$27,536
Steven Heneghan
Chief Clinic Officer40.01.0$622,076$0$33,136Yes (X)
Vance Brown
President & CEO (until 4/2018)40.00.0$625,000$0$0Yes (X)
William W LeCates
President and Trustee40.00.0$590,800$0$32,976Yes (X)
Paul Swinko
CFO40.00.0$500,410$0$0Yes (X)
Andrew Manzer
Former Exec VP & COO40.00.0$370,020$0$27,180Yes (X)
Ronette M Wiley
Exec VP & COO40.00.0$330,335$0$27,785Yes (X)
John Bullis
Trustee1.00.5$0$0$0Yes (X)
Janes Forbes Clark
Trustee1.01.0$0$0$0Yes (X)
Terry Fulmer
Board Chairman and Trustee1.00.0$0$0$0Yes (X)
Peter Hamilton
Trustee1.03.5$0$0$0Yes (X)
J Michael Moffat
Trustee1.00.0$0$0$0Yes (X)
Katherine Nickerson
Trustee1.01.0$0$0$0Yes (X)
Donald Quest
Trustee1.01.0$0$0$0Yes (X)
Edward Stack
Trustee1.02.0$0$0$0Yes (X)
Douglas Willies
Trustee1.01.5$0$0$0Yes (X)
Maureen Killackey
Vice Chairman and Trustee1.00.0$0$0$0Yes (X)
Walter A Franck
Vice Chairman and Trustee1.00.0$0$0$0Yes (X)
Donald R Bordley
Trustee1.00.0$0$0$0Yes (X)
Robert S Hanft
Trustee1.00.0$0$0$0Yes (X)
James K Patrick
Trustee1.00.0$0$0$0Yes (X)
Richard A Polin
Trustee1.00.0$0$0$0Yes (X)
Jason Tabor
Trustee (left 7/19)1.01.0$0$0$0Yes (X)
Bruce C Vladeck
Trustee1.00.0$0$0$0Yes (X)
William T Burdick
Trustee (thru 2/19)1.00.0$0$0$0Yes (X)
Richard Vanison
Treasurer4.01.5$0$0$0Yes (X)
Glen Perrone
Secretary1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,723,220TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$221,795TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K627IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Stat Staff
18 Division St Suite 311Saratoga SpringsNY12866Agency$12,424,391
Weatherby Locums Inc
PO Box 972633DALLASTX753972633Healthcare Services$1,840,709
McCarthy
1341 North Rock Hill RoadSt LouisMO63124Engineer$3,766,648
Medical Provider Service
PO Box 231PETERSBURGNY12138Healthcare Services$1,362,725
Abbott Laboratories
100 Abbott Park RoadABBOT PARKIL60064Testing services$2,500,400
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K231CntrctRcvdGreaterThan100KCnt
Related Organizations$1,176,946RelatedOrganizationsAmt
Government Grants$8,461,929GovernmentGrantsAmt
All Other Contributions$21,115,113AllOtherContributionsAmt
Total Contributions$30,753,988TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Direct Patient Services900099$521,526,985$521,526,985
Other Patient Service Revenue900099$45,841,940$45,841,940
FieldValueIRS element (for citing)
Total Program Service Revenue$567,368,925TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,127,465TotalRevenueColumnAmt
Exclusion$1,127,465ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$46,109,973SecuritiesAmt
Other$142,946OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$45,065,587SecuritiesAmt
Other$47,987OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,044,386SecuritiesAmt
Other$94,959OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,139,345TotalRevenueColumnAmt
Exclusion$1,139,345ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPartnership IncomeDesc
Business900099BusinessCd
Total Revenue Column$3,747,281TotalRevenueColumnAmt
Unrelated Business Revenue-$66,431UnrelatedBusinessRevenueAmt
Exclusion$3,813,712ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,747,281OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$604,137,004TotalRevenueColumnAmt
Related Or Exempt Func Income$567,368,925RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$66,431UnrelatedBusinessRevenueAmt
Exclusion$6,080,522ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$5,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,916,127TotalAmt
Management And General$3,916,127ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$815,290TotalAmt
Management And General$815,290ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$295,693,502TotalAmt
Program Services$227,863,829ProgramServicesAmt
Management And General$67,449,978ManagementAndGeneralAmt
Fundraising$379,695FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,119,958TotalAmt
Program Services$10,105,974ProgramServicesAmt
Management And General$2,997,690ManagementAndGeneralAmt
Fundraising$16,294FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,633,535TotalAmt
Program Services$9,730,613ProgramServicesAmt
Management And General$2,886,349ManagementAndGeneralAmt
Fundraising$16,573FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,470,886TotalAmt
Program Services$13,452,749ProgramServicesAmt
Management And General$3,990,430ManagementAndGeneralAmt
Fundraising$27,707FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$132,889TotalAmt
Program Services$37,705ProgramServicesAmt
Management And General$95,184ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$53,455,276TotalAmt
Program Services$41,160,373ProgramServicesAmt
Management And General$12,209,220ManagementAndGeneralAmt
Fundraising$85,683FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,668,842TotalAmt
Program Services$1,281,295ProgramServicesAmt
Management And General$380,065ManagementAndGeneralAmt
Fundraising$7,482FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,986,206TotalAmt
Program Services$12,326,555ProgramServicesAmt
Management And General$3,656,372ManagementAndGeneralAmt
Fundraising$3,279FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,080,452TotalAmt
Program Services$2,373,210ProgramServicesAmt
Management And General$703,955ManagementAndGeneralAmt
Fundraising$3,287FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,512,345TotalAmt
Program Services$22,760,369ProgramServicesAmt
Management And General$6,751,308ManagementAndGeneralAmt
Fundraising$668FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,775,149TotalAmt
Program Services$2,907,856ProgramServicesAmt
Management And General$862,544ManagementAndGeneralAmt
Fundraising$4,749FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Drugs and reagents$53,454,609$53,454,609
Patient Supplies$42,579,668$42,579,668
Bad Debt$13,444,633$13,444,633
Charity Care$4,202,470$4,202,470

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$38,965,287TotalAmt
Program Services$29,927,235ProgramServicesAmt
Management And General$8,794,666ManagementAndGeneralAmt
Fundraising$243,386FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$603,912,124TotalAmt
Program Services$487,614,143ProgramServicesAmt
Management And General$115,509,178ManagementAndGeneralAmt
Fundraising$788,803FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,785,992BOYAmt
EOY$2,112,863EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,708,997BOYAmt
EOY$25,165,088EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$51,709,738BOYAmt
EOY$56,191,710EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,556,059BOYAmt
EOY$6,673,672EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,785,137BOYAmt
EOY$4,691,852EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$545,216,861LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$366,317,559LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$189,571,726BOYAmt
EOY$178,899,302EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$53,637,491BOYAmt
EOY$44,344,697EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$76,866,954BOYAmt
EOY$88,773,541EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,482,384BOYAmt
EOY$3,672,556EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$406,104,478BOYAmt
EOY$410,525,281EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$67,778,786BOYAmt
EOY$73,336,394EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$62,532,072BOYAmt
EOY$67,592,076EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,641,302BOYAmt
EOY$4,059,645EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,790,641BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$148,742,801BOYAmt
EOY$144,988,115EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$182,474,979BOYAmt
EOY$182,861,393EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$74,886,698BOYAmt
EOY$82,675,773EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$257,361,677BOYAmt
EOY$265,537,166EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$406,104,478BOYAmt
EOY$410,525,281EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$224,880ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,915,314NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,035,295OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$132,889OtherActivitiesAmt
Total Lobbying Expenditures$132,889TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationAmerican Hospital Association allocates 23.32% of dues towards general lobbying activities. Total dues paid for the year were $46,869. HANYS allocates 17.97% of dues towards general lobbying activities. Total dues paid for the year were $104,906. Iroquois Healthcare Alliance allocates 39.7% of dues towards general lobbying activities. Total dues paid for the year were $48,130. The organization paid $84,000 to Jackson Lewis, a lobbying firm. The Clark Estates conducts lobbying activities on behalf of the Mary Imogene Bassett Hospital. Lobbying activities are limited to officer discussions with consultants and legislators to obtain funding for charitable missions. No funds were expended.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,623,624BeginningYearBalanceAmt
Contributions$35,253ContributionsAmt
End Year Balance$14,658,877EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,455,785BeginningYearBalanceAmt
Contributions$167,839ContributionsAmt
End Year Balance$14,623,624EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,404,447BeginningYearBalanceAmt
Contributions$51,338ContributionsAmt
End Year Balance$14,455,785EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,398,341BeginningYearBalanceAmt
Contributions$6,106ContributionsAmt
End Year Balance$14,404,447EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,363,039BeginningYearBalanceAmt
Contributions$35,302ContributionsAmt
End Year Balance$14,398,341EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,089,856OtherCostOrOtherBasisAmt
Book Value$1,089,856BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$241,514,341OtherCostOrOtherBasisAmt
Depreciation$168,399,897DepreciationAmt
Book Value$73,114,444BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$281,075,460OtherCostOrOtherBasisAmt
Depreciation$197,917,662DepreciationAmt
Book Value$83,157,798BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,537,204OtherCostOrOtherBasisAmt
Book Value$21,537,204BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$178,899,302TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LP - CORPORATE BONDS & NOTES$3,693,260C
LP - LARGE CAP EQUITIES$5,902,016C
LP - DIVERSIFIED EQUITIES$63,677,203C
LP - OTHER LIMITED PARTNERSHIP$15,501,062C
FieldValueIRS element (for citing)
Total Book Value Securities$88,773,541TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$594,440,510TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,915,314NetUnrealizedGainsInvstAmt
Other Revenue-$12,611,808OtherRevenueAmt
Revenue Not Reported-$9,696,494RevenueNotReportedAmt
Revenue Subtotal$604,137,004RevenueSubtotalAmt
Total Revenue Per Form990$604,137,004TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$586,265,021TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$586,265,021ExpensesSubtotalAmt
Other Expenses Not Included$17,647,103OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$17,647,103ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$603,912,124TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED USES FOR ENDOWMENT FUNDS Permanently restricted endowment funds are held in perpetuity with restrictions on income for health services, medical research, medical education, and indigent care.
SCHEDULE D, PART XFIN 48 FOOTNOTE The Hospital is a not-for-profit corporation as described in Section 501 (c)(3) of the IRC and is exempt from federal income taxes pursuant to Section 501(a) of the IRC. The Hospital 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.
SCHEDULE D, PART XI, LINE 2DPOST-RETIREMENT BENEFIT CHANGE $ (1,275,678) CHANGE IN INTEREST AT FRIENDS OF BASSETT $ (361,885) BAD DEBT $(13,444,633) CHARITY CARE $ (4,202,470) CHANGE IN VALUE OF INTEREST RATE SWAPS $ (2,117,783) CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE $ 8,790,641 ---------------- TOTAL $(12,611,808)
SCHEDULE D, PART XII, LINE 4BBAD DEBT $ 13,444,633 CHARITY CARE $ 4,202,470 ---------------- TOTAL $ 17,647,103

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,970,854TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$349,726DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,621,128NetCommunityBenefitExpnsAmt
Total Expense0.00620TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,879,751TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,127,817DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,751,935NetCommunityBenefitExpnsAmt
Total Expense0.01660TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,850,605TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,477,543DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,373,063NetCommunityBenefitExpnsAmt
Total Expense0.02280TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,087TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,087NetCommunityBenefitExpnsAmt

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,424,261TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,958,299DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,465,962NetCommunityBenefitExpnsAmt
Total Expense0.04000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,481,531TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,412,059DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,069,472NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$148,166TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$148,166NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,072,045TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,370,358DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,701,687NetCommunityBenefitExpnsAmt
Total Expense0.04380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$129,922,650TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$90,847,901DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,074,750NetCommunityBenefitExpnsAmt
Total Expense0.06660TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Reimbursed By Medicare$131,870,027ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$128,594,743CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$3,275,284MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1At Home Care IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesHome Health AgencyPrimaryActivitiesTxt
Org Profit Or Ownership0.5OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mary Imogene Bassett HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Atwell RoadAddressLine1Txt
CityCooperstownCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13326ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.bassett.orgWebsiteAddressTxt
State License3824000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherOutpatient primary & specialtyOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Mary Imogene Bassett HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Section CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, LINE 5, FACILITY 1, MARY IMOGENE BASSETT HOSPITALTHIS COMMUNITY HEALTH NEEDS ASSESSMENT HAS TAKEN INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD RANGE OF SECTORS AND INTERESTS OF THE COMMUNITY INCLUDING ORGANIZATIONS THAT REPRESENT THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS SERVED BY BASSETT MEDICAL CENTER. ALL ORGANIZATIONS PROVIDING INPUT INTO THIS ASSESSMENT, INCLUDING THE NAME AND TITLE OF THOSE INDIVIDUALS REPRESENTATIVE OF THE ORGANIZATION, IS PROVIDED BELOW. THIS INCLUDED INPUT FROM INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, SPECIFICALLY, HEIDI BOND, DIRECTOR OF THE OTSEGO COUNTY HEALTH DEPARTMENT. A) HEIDI BOND, DIRECTOR AT OTSEGO COUNTY HEALTH DEPARTMENT B) PATRICIA KNUTH, EXECUTIVE DIRECTOR AT THE ARC OTSEGO C) AMEEN ASWAD, EXECUTIVE DIRECTOR OF JAIL MINISTRY OF OTSEGO COUNTY D) TREENA HALSTEAD, BUILDING HEALTHY FAMILIES PROGRAM MANAGER AT OPPORTUNITIES FOR OTSEGO E) MARGARET AVRITT, ONEONTA COMMUNITY HEALTH CENTER F) TOM HOHENSEE, CREATING HEALTHY SCHOOLS AND COMMUNITIES SCHOOL COORDINATOR BASSETT RESEARCH INSTITUTE AT BASSETT MEDICAL CENTER G) SARAH BUTTICE, DIRECTOR OF EDUCATION/EMPLOYEE WELLNESS AT A.O. FOX HOSPITAL H) CALI RIESE, PUBLIC EDUCATION & COMMUNITY OUTREACH SPECIALIST CANCER SERVICES PROGRAM OF THE CENTRAL REGION AT BASSETT HEALTHCARE NETWORK I) TAMIE MACDONALD, DIRECTOR AT OTSEGO COUNTY OFFICE FOR THE AGING J) CHERILYN LACY, COORDINATOR OF THE PUBLIC HEALTH PROGRAM AT HARTWICK COLLEGE K) VERA SOSNOWSKI, BOARD MEMBER AT THE TOWN OF MILFORD L) CHRISTY HOUCK, CATHOLIC CHARITIES DELAWARE, OTSEGO & SCHOHARIE M) LYNAE WYCKOFF, LIVING WELL PROGRAM MANAGER BASSETT RESEARCH INSTITUTE AT BASSETT MEDICAL CENTER N) DAN MASKIN, EXECUTIVE DIRECTOR AT OPPORTUNITIES FOR OTSEGO O) LUCINDA LEVENE, ENGAGEMENT MANAGER AT LEATHERSTOCKING COLLABORATIVE HEALTH PARTNERS P) DEBRA MARCUS, EXECUTIVE DIRECTOR AT FAMILY PLANNING OF SOUTH CENTRAL NEW YORK Q) SUSAN MATT, DIRECTOR AT OTSEGO COUNTY COMMUNITY SERVICES R) DAVE RICHARDS, SUPERINTENDENT OF SCHOOLS AT UNATEGO CENTRAL SCHOOL DISTRICT S) ARLANA YOUNG, BOARD OF DIRECTORS MEMBER AT ONEONTA COMMUNITY HEALTH CENTER T) STEPHEN CLARK, ADMINISTRATIVE DIRECTOR BASSETT RESEARCH INSTITUTE AT BASSETT MEDICAL CENTER U) MATHEW JOHNSON, HEALTH EDUCATOR AT OTSEGO COUNTY HEALTH DEPARTMENT V) LAURA BRYANT, RABIES COORDINATOR AT OTSEGO COUNTY HEALTH DEPARTMENT W) KIM SCHLOSSER, ASSISTANT DIRECTOR AT OTSEGO COUNTY HEALTH DEPARTMENT X) MARION MANLIUS, BOARD MEMBER AT THE TOWN OF MILFORD Y) MAUREEN BLANCHARD, CREATING HEALTHY SCHOOLS AND COMMUNITIES COMMUNITY COORDINATOR RESEARCH FOUNDATION AT SUNY COBLESKILL Z) MARION MOSSMAN, PROJECT DIRECTOR AT OTSEGO COUNTY SYSTEM OF CARE AA) JULIE SORENSEN, DIRECTOR AT THE NEW YORK CENTER OF AGRICULTURAL MEDICINE AND HEALTH/ NORTHEAST CENTER FOR OCCUPATIONAL HEALTH AND SAFETY BB) ANNE GADOMSKI, ATTENDING PEDIATRIC PHYSICIAN AND DIRECTOR OF THE BASSETT RESEARCH INSTITUTE AT BASSETT MEDICAL CENTER CC) LYNN GLUECKERT, EXECUTIVE DIRECTOR AT CATHOLIC CHARITIES DELAWARE, OTSEGO & SCHOHARIE DD) TERESA SEARS, CLERK AT THE TOWN OF OTEGO EE) GARY FURMAN, SUPERINTENDENT OF SCHOOLS AT EDMESTON CENTRAL SCHOOL DISTRICT FF) JULIE DOSTAL, EXECUTIVE DIRECTOR AT LEATHERSTOCKING EDUCATION ON ALCOHOLISM/ADDICTIONS FOUNDATION FOLLOWING A REVIEW OF DATA FROM BASSETT MEDICAL CENTERS, A.O. FOX MEMORIAL HOSPITALS AND OTSEGO COUNTY HEALTH DEPARTMENTS 2019 JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND INPUT FROM KEY INFORMANTS, BASSETT MEDICAL CENTER, A.O. FOX MEMORIAL HOSPITAL AND OTSEGO COUNTY HEALTH DEPARTMENT WILL COLLABORATE ON THE NEW YORK STATE PREVENTION AGENDA PRIORITIES OF PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA OF 'PREVENT MENTAL AND SUBSTANCE USE DISORDERS' WITH THE GOALS TO PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATH, AND PREVENT CHRONIC DISEASES FOCUS AREA OF 'TOBACCO PREVENTION' WITH THE GOAL TO PREVENT INITIATION OF TOBACCO USE. BASSETT MEDICAL CENTER, A.O. FOX MEMORIAL HOSPITAL, AND OTSEGO COUNTY HEALTH DEPARTMENT ENGAGED STAKEHOLDERS TO WORK WITH THEM ON THEIR 2013 AND 2016 PRIORITIES AND STAKEHOLDERS WERE ENGAGED FOR THE 2019 PRIORITIES. THESE STAKEHOLDERS, ALONG WITH INDIVIDUALS AND ORGANIZATIONS FOCUSED ON THE HEALTH OF THE COMMUNITY, HAD AN OPPORTUNITY TO INDICATE THEIR PRIORITIES DURING A COMMUNITY DATA PRESENTATION AND THOSE INDIVIDUALS UNABLE TO ATTEND HAD THE OPPORTUNITY TO COMPLETE A SURVEY INDICATING THEIR PRIORITIES. IN ORDER TO ADDRESS THE COMBINED FOCUS AREA OF 'PREVENT MENTAL AND SUBSTANCE USE DISORDERS' BASSETT MEDICAL CENTER, A.O. FOX MEMORIAL HOSPITAL, AND OTSEGO COUNTY HEALTH DEPARTMENT WILL INCREASE THE AVAILABILITY OF/ACCESS AND LINKAGES TO MEDICATION-ASSISTED TREATMENT (MAT) INCLUDING BUPRENORPHINE; PROMOTE AND ENCOURAGE PRESCRIBER EDUCATION AND FAMILIARITY WITH OPIOID PRESCRIBING GUIDELINES, AND LIMITS AS IMPOSED BY NEW YORK STATE STATUTES AND REGULATION; AND BUILD SUPPORT SYSTEMS TO CARE FOR OPIOID USERS WHO ARE AT RISK OF AN OVERDOSE. FOR 'TOBACCO PREVENTION' BASSETT MEDICAL CENTER, A.O. FOX MEMORIAL HOSPITAL, AND OTSEGO COUNTY HEALTH DEPARTMENT WILL USE MEDIA AND HEALTH COMMUNICATIONS TO HIGHLIGHT THE DANGERS OF TOBACCO/VAPING IN THE PEDIATRIC CLINICS, SCHOOL BASED HEALTH CENTERS AND COMMUNITY. BASSETT MEDICAL CENTER, A.O. FOX MEMORIAL HOSPITAL, AND OTSEGO COUNTY HEALTH DEPARTMENT WILL UTILIZE THE RECOMMENDED PROCESS MEASURES LISTED IN THE NEW YORK STATE PREVENTION AGENDA ACTION PLAN TO TRACK PROGRESS OF ALL PRIORITIES AND FOCUS AREAS. YEARLY PROGRESS TOWARDS THOSE MEASURES WILL BE DISSEMINATED TO THE NEW YORK STATE DEPARTMENT OF HEALTH AND WILL BE INCLUDED ON THE BASSETT HEALTHCARE NETWORKS AND OTSEGO COUNTY HEALTH DEPARTMENTS WEBSITES.
SCHEDULE H, PART V, LINE 6A, FACILITY 1, MARY IMOGENE BASSETT HOSPITALO'Connor Hospital, AO Fox Memorial Hospital, Cobleskill Regional Hospital, Little Falls Hospital, Tri Town Regional Healthcare SCHEDULE H, PART VI, LINE 6B OTSEGO COUNTY HEALTH DEPARTMENT
SCHEDULE H, PART V, LINE 7a and 10a, FACILITY 1, MARY IMOGENE BASSETT HOSPThe Hospital's Community Health Needs Assessment and Implementation Strategy are made avaialble on the Hospital's website: www.bassett.org/locations/bassett-medical-centerer
SCHEDULE H, PART VI, LINE 11, FACILITY 1, MARY IMOGENE BASSETT HOSPITALThe 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 identification 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 of needs.
SCHEDULE H, PART V, LINE 16A, 16B, 16C, FACILITY 1, MARY IMOGENE BASSETTThe Hospital's Financial Assistance Policy, application, and plain language summary are made avaialble on the Hospital's website: www.bassett.org/patients-visitors/billing-insurance/financial-assistance/f inancial-assistance-plain-language
FieldValueIRS element (for citing)
Facility56FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (56 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Bassett Healthcare Physical Therapy
124 County Road 52CooperstownNY13326Outpatient physical therapy services
Bassett Healthcare Hamilton Surgical
10 Eaton StreetHamiltonNY13346Outpatient specialty care
Bassett Healthcare Herkimer Cardiac
690 West German StreetHerkimerNY13350Outpatient rehab services
Bassett Healthcare Clinton
34 Chenango AvenueClintonNY13323Outpatient primary care
Bassett Healthcare Canajoharie
56 Montgomery StreetCanajoharieNY13317Outpatient primary care
Bassett Healthcare Cobleskill
121 Legion DriveCobleskillNY12043Outpatient primary care
Bassett Healthcare Delanson
1 Cooley HeightsDelansonNY12053Outpatient primary care
Bassett Healthcare Delhi
460 Andes RoadDelhiNY13753Outpatient primary care and dental
Bassett Healthcare Edmeston
Route 80 PO Box 15EdmestonNY13335Outpatient primary care
Bassett Healthcare Hamilton
160 Broad StreetHamiltonNY13346Outpatient primary care and dental
Bassett Healthcare Herkimer
321 East Albany StreetHerkimerNY13350Outpatient prime, specialty, urgent care
Bassett Healthcare Middleburgh
109 Baker AvenueMiddleburghNY12122Outpatient primary care
Bassett Healthcare Morris
93 Main StreetMorrisNY13808Outpatient specialty care
Bassett Healthcare Oneonta Surgical
449 Main StreetOneontaNY13820Outpatient specialty care
Bassett Healthcare Norwich
55 Calvary DriveNorwichNY13815Outpatient primary care
Bassett Healthcare Oneonta
125 Main StreetOneontaNY13820Outpatient primary care
Bassett Healthcare Oneonta Specialty
One Associate DriveOneontaNY13820Outpatient prime, specialty, urgent care
Bassett Healthcare Richfield Springs
8550 State Highway 28Richfield SpringsNY13439Outpatient primary care
Bassett Healthcare Schoharie
111 Barton Hill RoadSchoharieNY12157Outpatient primary care
Bassett Healthcare Sharon Springs
Route 20 PO Box 275Sharon SpringsNY13459Outpatient primary care
Bassett Healthcare Sherburne
20 Chapel StreetSherburneNY13460Outpatient primary care
Bassett Healthcare Sidney
39 Pearl StreetSidneyNY13838Outpatient primary care
Bassett Healthcare St Johnsville
8 Park PlaceSt JohnsvilleNY13452Outpatient primary care
Bassett Healthcare Stamford
28650 State Highway 23StamfordNY12167Outpatient primary care
Bassett Healthcare Walton
130 North StreetWaltonNY13856Outpatient primary care
Bassett Healthcare West Winfield
544 East Main StreetWest WinfieldNY13491Outpatient primary care
Bassett Healthcare at FoxCare
1 Foxcare DriveOneontaNY13820Outpatient primary care
Bassett Healthcare at Little Falls
170 Burwell StreetLittle FallsNY13365Outpatient primary care and specialty care
Bassett Healthcare Unadilla
16 Clifton StreetUnadillaNY13849Outpatient primary care
Bassett Regional Cancer Center
7 Associate DriveOneontaNY13820Outpatient specialty care
Hartwick Seminary Specialty Services
4580 Route 28MilfordNY13807Outpatient primary and specialty care
Bassett Healthcare Andes
245 Lower Main StAndesNY13731Outpatient primary care
Bassett Healthcare Greene
29 N Chenango St Ste AGreeneNY13778Outpatient primary care
Bassett Family Medicine Oneonta
739 NYS Rte 28 Ste 9OneontaNY13820Outpatient primary care
SBHC - Cooperstown Elementary
21 Walnut StreetCooperstownNY13326Outpatient primary care
SBHC - Cooperstown Middle and High
39 Linden AvenueCooperstownNY13326Outpatient primary care
SBHC - Delhi Elementary
2 Sheldon DriveDelhiNY13753Outpatient primary care
SBHC - Delhi Middle and High
2 Sheldon DriveDelhiNY13753Outpatient primary care
SBHC - Edmeston Central School
11 North StreetEdmestonNY13335Outpatient primary care
SBHC - Laurens Central School
55 Main StreetLaurensNY13796Outpatient primary care
SBHC - Middleburgh Elementary
245-I Main StreetMiddleburghNY12122Outpatient primary care
SBHC - Middleburgh Middle and High
291 Main StreetMiddleburghNY12122Outpatient primary care
SBHC - Milford Central School
42 West Main StreetMilfordNY13807Outpatient primary care
SBHC - Morris Central School
65 Main StreetMorrisNY13808Outpatient primary care
SBHC - Oral Health Mobile Program
One Atwell RoadCooperstownNY13326Outpatient primary care
SBHC - Schenevus Central School
159 Main StreetSchenevusNY12155Outpatient primary care
SBHC - SherburneEarlville Elementary
13 School StreetSherburneNY13460Outpatient primary care
SBHC - SherburneEarlville Mdle & High
13 School StreetSherburneNY13460Outpatient primary care
SBHC - Sidney Central School
95 West Main StreetSidneyNY13838Outpatient primary care
SBHC - South Kortright Central
PO Box 113South KortrightNY13842Outpatient primary care
SBHC - Stamford Central School
One River StreetStamfordNY12167Outpatient primary care
SBHC - Unadilla Valley Central
PO Box F 4238 State Highway 8New BerlinNY13411Outpatient primary care
SBHC - Worcester Central School
195 Main StreetWorcesterNY12197Outpatient primary care
SBHC - Richfield Springs Central
93 Main StreetRichfield SpringsNY13439Outpatient primary care
SBHC - Springbrook
105 Campus DriveOneontaNY13820Outpatient primary care
Bassett Healthcare Oneida
2031 Dreamcatcher Plaza Rte 5OneidaNY13421Outpatient primary care

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3COTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE The CSP (Community Services Program) application specifies family income limits and other requirements for services to be eligible for Bassett Medical Center's CSP/free care program.
SCHEDULE H, PART I, LINE 6ARELATED ORGANIZATION INFORMATION The Mary Imogene Bassett Hospital's, (dba Bassett Medical Center (Bassett)), Comprehensive three year Community Service Plan was summarized in an annual community report. Printed copies were available to the public in patient waiting rooms and at information kiosks. The report is also posted on the Bassett website, www.bassett.org
SCHEDULE H, PART I, LINE 7, COLUMN (F)EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE The percent of total expense is calculated by dividing column (e), net community benefit expense, by total expense. The bad debt expense of $13,444,633 was subtracted from the total expense value used to calculate the percentages in Part 1, Line 7, Column f.
SCHEDULE H, PART I, LINE 7COSTING METHODOLOGY EXPLANATION Sections (a) charity care at cost, (b) unreimbursed Medicaid, (f) health professions education, the costing methodology used is a cost-to-charge ratio calculation utilized on filed state and federal cost reports as the source. Indirect costs were applied to sections (e) community health improvement, portions of (f) health professions education, (h) research, and (i) cash and in-kind contributions to community groups are comprised of the direct salary costs for hospital staff whose time was compensated by the hospital for time spent participating in activities that qualify as community benefits plus the current fiscal year fringe benefit rate. Indirect costs were only applied to select salaries and services under community health improvement and research and not broadly across all community benefit activity entries.
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES All Bassett Community Building Activities could be classified under item 1 and highlighted in number 1 above.
SCHEDULE H, PART III, LINES 2 AND 3BAD DEBT EXPENSE 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. THE BAD DEBT EXPENSE FOR 2019 WAS $13,444,633.
SCHEDULE H, PART III, LINE 4Charity Care FOOTNOTE 2(h) from the Audited Financial Statements The Hospitals general policy statement on charity care requires that medical care be rendered to all persons in need of such care regardless of their ability to pay. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, and therefore historical evidence demonstrates no payments are made by such patients, the Hospital does not report these services as revenue. The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services furnished under its charity care policy.
SCHEDULE H, PART III, LINE 8MEDICARE EXPLANATION Amounts were derived as follows: charge times cost to charge ratio versus reimbursement on the medicare PS&R report.
SCHEDULE H, PART III, LINE 9BCOLLECTION PRACTICES EXPLANATION It is Mary Imogene Bassett Hospitals policy to delay final collection efforts while an application is in process under the hospitals financial assistance policy. Collection efforts are not initiated until the final determination of eligibility under the financial assistance policy.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT In addition to public and agency input, a variety of data from the NYS Department of Health, Otsego County Behavioral Risk Factor Surveillance System, Otsego Co. Department of Health Community Assessment and other sources were used to assess priorities, including: a) Percentage of Otsego Co. adults who visited a dentist in the past years b) Prevalence of tooth decay in third-grade children c) Percentage of adults reporting binge drinking d) Heavy drinking e) Percentage of overweight adults in Otsego Co. Based on the outcomes of the focus groups and strategic planning sessions prevention agenda priorities throughout the county were identified. Access to quality healthcare and mental health & substance abuse were identified as the top priorities. Physical activity and nutrition was ranked third. Subsequent strategic planning sessions related to the two top priorities were held to identify service barriers and gaps as well as brainstorm for collaborative efforts to address these priorities. Strategies for the selected priorities: 1) Access to dental health care a. Bassett will support Otsego Co. Dept. of Health efforts to re-establish the Otsego Co. Oral Health Coalition as a mechanism for bringing community partners together on advocacy efforts aimed at attracting more dentists to our rural area, and for tracking progress in improving access to dental services b. Bassett will work to expand comprehensive preventive dental health services to all School-Based Health Centers in the county and to provide sealant services to non-SBHC schools. Bassett will work with the Otsego Co. Dept. of Health and Rural Health Education Network of Delaware, Otsego, Montgomery (RHENDOMS) to make more schools aware of RHENDOMS services to increase participation c. Bassett will work with the Otsego Co. Dept. of Health and A.O. Fox Hospital to educate primary care and SBHC providers about dental practices available for referral. The Otsego Co. Dept. of Health will educate dental providers about Medicaid reimbursements d. Bassett will work with the health department and other community partners to educate the public about dental health in fairs and other community events. 2) Mental Health and Substance Abuse a. In a new initiative, Bassett will work with A.O. Fox Hospital and Leatherstocking Education on Alcoholism/Addictions Foundations, Inc. (LEAF) to provide continuing medical education training on substance abuse screening and referral to primary care providers and surgeons in the county b. Bassett will work with the health department and LEAF to complete and distribute an updated list of mental health and substance abuse resources to primary care providers c. Bassett will collaborate with LEAF and the health department on public health campaign about the risk factors associated with binge drinking and prescription drug abuse 3) Physical Activity and Nutrition a. Bassett will continue to collaborate with the health department and other community partners on efforts to provide early education about the importance of physical activity and nutrition throughout life, including during pregnancy and to prevent chronic disease b. Bassett will work with the health department, schools, and other community partners to improve continuity of care between families, schools, and primary care providers for the treatment of childhood obesity Overall goals will be to increase the percentage of Otsego County adults who have seen a dentist in the past year, work toward a 2013 prevention agenda objective of 83%, reducing the rate of alcohol abuse in Otsego County and reducing the rate of obesity in Otsego County.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE A major component of Bassett's Community Services program is to actively identify patients who may be eligible for charity care. The process begins with an organizational policy and procedure that defines the program and serves as an education tool for all Bassett employees. The policy is updated annually, distributed to key personnel and posted in the online policy and procedure manual that is accessible to all employees. The program is supported by a four page plain language brochure that includes an application. Brochures are prominently displayed and available at all facilities and all clinic locations. Clinical and support staff are made aware of the program and able to direct patients to specialists who can assist in the application process. All patients who are registered as self-pay are provided a brochure either in person or by mail. Patients who are in the hospital receive information as part of a personal visit geared to help the patient navigate financial assistance including, but not limited to, the Community Services Program. Government program opportunities are also referenced and a directory of local social services agencies is provided based on the patient's county of residence. Referral to an onsite Otsego County Medicaid Examiner is available at the Cooperstown campus. A listing of all self-pay accounts is produced and reviewed daily to insure that a Community Services brochure has been provided. The self-pay billing office identifies patients during the billing and collections process that may require additional help understanding the program. Self-pay accounts for patients who have been approved for Community Services within the prior 120 days are automatically included with the prior approval.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION The service area of Bassett encompasses a seven county region in upstate New York. While the economy of Cooperstown is based on tourism and health care, the rest of the region is largely agricultural. There are a few larger employers in the region such as local school districts, community, state and private universities, the majority of employers are small businesses. In the seven county regions, the median household income ranges between $43,000 and $48,000. 13-18 % of the community residents have incomes below the federal poverty guidelines. The following areas have been federally designated as being medically underserved: A) Herkimer County B) Fulton County, town of Oppenheim C) Montgomery County, city of Amsterdam D) Otsego County, North Otsego service area, town of Plainfield, town of Decatur E) Delaware County, towns of Deposit, Colchester, Middletown
SCHEDULE, H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH Bassett's sole member is Bassett Healthcare Network and is a 180 bed acute care inpatient teaching facility located in rural Cooperstown, New York. Bassett has a fully salaried medical staff and advanced practitioner staff providing a wide variety of services, including a wide range of specialty care. Bassett maintains a strong academic program through its affiliation with Columbia University College of Physicians and Surgeons, an affiliation highlighted by the establishment of a Columbia medical school campus at Bassett in 2009. Bassett has a network of 34 community based outpatient health centers, 20 school-based health centers; two ambulatory surgery centers and is a Level II Trauma Center as designated by New York State. In addition, the research programs at Bassett include the New York Center for Agricultural Medicine and Health Community based partnerships as part of the Northeast Center for Agricultural Health are addressing important health and safety issues in diverse agricultural populations at several sites across New York state. Health Works Occupational Health Services program continues to meet the health, safety and wellness needs of the business community. Providing needed occupational health services benefits and improving employee health throughout the Bassett Healthcare Network seven county region. Bassett is working to re-establish the Otsego County Oral Health Coalition as a mechanism for bringing community partners together around a shared vision in an effort to attract more dentists to our rural area. The size and depth of Bassett with its more than two dozen community health centers and 20 school based health centers makes it ideal for a new initiative to train primary care practitioners and surgeons in substance abuse screening and referral. The goal is to also train practitioners outside Bassett hospital, but Bassett provides the ideal platform from which to pilot this initiative. Bassett is also addressing the rate of obesity within its region reaching out to schools to provide resources, guidance and technical assistance in the areas of tobacco use, nutrition and physical activity. Bassett continues to combine health care with community service. Our program "Connecting Communities for Health & Wellness" is about collaborative efforts to provide treatment and/or to promote health and healing as a response to identified community needs. Community health improvement initiatives have targeted the New York State Department of Health new Public Health Prevention Agenda. In addition to hospital public health programs related to the three priority prevention agenda items, programs addressing chronic disease management and prevention and unintentional injury were considered. Bassett public health programs that address these areas include: A. School-Based Health center Dental sealant program - A registered dental hygienist provides preventive care, including education, cleanings, fluoride treatment, sealant and referrals in this grant funded program B. RHENDOMS (Rural Health Education Network of Delaware, Otsego, Montgomery and Schoharie Counties) - Dental health education is offered to elementary school students, and parents of newborns are educated about baby-bottle tooth decay C. Parent HANY book - This family resource was created by the Otsego Co. Committee on Child Abuse and Neglect and underwritten by Bassett and A.O. Fox Hospital. Its goal is to give parents and professionals a place to turn for help in dealing with the stresses of family life D. KickStart - a program designed to help combat childhood obesity through collaborative partnerships with Bassett health centers and local recreational and fitness groups E. Bassett Cancer Institute Medical Screening Coach - a new, custom-built medical coach equipped with digital technology for mammography and other cancer screenings for men and women.The coach was placed in service in 2008 with the goal of reducing the number of cancer deaths by increasing access to screening services in rural areas F. Cancer Services Program of Delaware, Otsego and Schoharie Counties a New York State Department of Health partnership administered through Bassett offering free breast, cervical and colorectal screenings to people who qualify G. Healthy Start Breakfast - a partnership between community service organizations and Bassett for diabetes detection, education, and prevention H. Safe Kids Coalition of Otsego County - An organization whose mission is to prevent unintentional injuries to children through education. Programs and services include safety seat events, educational resources on bicycling, in-line skate and skateboard safety, home safety, fire and burn prevention, road safety and pedestrian safety The regional primary and specialty care clinics and the school-based health centers were established in response to community need. Bassett is continually engaging in quality improvement initiatives to ensure that quality health care and programs are brought to central New York. A core part of Bassett is research and education. Bassett's value to the communities it serves is compounded by providing physicians the ability to practice quality medicine in a collegial environment in a rural setting. There is a tremendous collaboration between physicians within Bassett to ensure a better outcome for the patient. Bassett continually invests in programs, equipment and people to ensure quality service to the communities in which we serve.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM Bassett is part of the 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 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, Schoharie County - population 31,420 (according to the 2017 U.S. Census estimates). 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 health centers, two ambulatory surgery centers and a fully salaried medical staff in Cooperstown, Otsego County b) O'Connor Hospital - critical access hospital in Delhi, Delaware County c) Cobleskill Regional Hospital - acute care facility in Cobleskill, Schoharie County d) Little Falls Hospital - critical access hospital in Little Falls, Herkimer County e) Tri-Town Regional Hospital - 24/7 emergency care facility in Sidney, Delaware County f) A.O. Fox Memorial Hospital - acute care facility in Oneonta, Otsego County g) Valley Health Services - residential health care and rehabilitation facility h) At Home Care - certified home care agency i) First Community Care of Bassett - medical supply company All the above (a-i) make up the Bassett Healthcare Network and provide health services to this seven county region in central New York
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT New York

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Paul Swinko
CFO$450,410$0$50,000$0$0$0$0$0$0$0$500,410$0$0$0
William Streck
BHN President & CEO$750,000$0$0$0$4,609$0$0$0$2,210$0$756,819$0$0$0
William W LeCates
President and Trustee$590,800$0$0$0$0$0$22,684$0$10,292$0$623,776$0$0$0
Steven Heneghan
Chief Clinic Officer$622,076$0$0$0$0$0$25,484$0$7,652$0$655,212$0$0$0
Ronette M Wiley
Exec VP & COO$330,335$0$0$0$0$0$22,322$0$5,463$0$358,120$0$0$0
Vance Brown
President & CEO (until 4/2018)$0$0$0$0$625,000$0$0$0$0$0$625,000$0$0$0
WT Huntsman
Attending Physician$618,163$0$50,485$0$0$0$25,484$0$4,956$0$699,088$0$0$0
Mun Hong
Attending Physician$761,282$0$100,249$0$0$0$0$0$10,352$0$871,883$0$0$0
Dhananjai Menzies
Attending Physician$731,125$0$10,300$0$0$0$22,684$0$7,496$0$771,605$0$0$0
Nicholas Hellenthal
Attending Physician$638,116$0$20,250$0$0$0$19,884$0$7,652$0$685,902$0$0$0
Andrew Manzer
Former Exec VP & COO$370,020$0$0$0$0$0$17,084$0$10,096$0$397,200$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4ASEVERANCE PAYMENTS Vance Brown, President & CEO (until 4/2018) received a severance payment of $625,000 from the organization during the tax year. This payment is included in the total reported on Schedule J, Part II, Column B(iii).
SCHEDULE J, PART I, LINE 7NON-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 and other employees.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
2015A Series Oneida County-LDC Bond
A2636615932015-09-01$17,000,000Renovations - See Part VIfalsefalsefalse
2018A Series Otsego County Capital Resource Corp
B2636615932018-11-09$60,550,000Refinance & Refund - See Part VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,540,000$0$17,000,000$0$0$0$327,500$0$0$16,672,500$0$02017falsefalseYes (true)Yes (true)
B$7,921,461$0$60,550,000$0$0$0$1,145,578$0$31,525,000$12,585,000$15,294,422$02019Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsInd
Afalsefalsefalsefalse0falsefalsefalsefalse
BfalsefalseYes (true)false0falsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
0
AfalseYes (true)Yes (true)falsefalse0falsefalse
M&T Trust Company
BfalseYes (true)Yes (true)Yes (true)false0falsefalse10.falsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1, Column F2015A Series Oneida County - CDC Bonds Renovation of off-campus data center 2018A Series Otsego County - CRC Bonds Fund capital expenditure projects Refinance line of credit for Series 2011A and 2011B Bonds Refund Series 2015A Bond. See below for dates of issuance. 2011A Series Otsego County-CR Bond - Date Issued 11/3/2011 2011B Series Otsego County-CR Bond - Date Issued 11/3/2011 2015A Series Otsego County-CR Bond - Date Issued 8/27/2015
Part II, Line 3, Column B2018A Series Otsego County - CRC Bonds $5,388,539 in proceeds from the issuance was drawn down during 2019. Therefore, the ending balance of the bond as reflected on the 2019 financial statements of the Hospital is $52,628,539, which is net of bond retirement and deferred financing costs.
Part III, Line 1, Part IV, Line 7, and Part VThe Mary Imogene Bassett Hospital had written procedures in place but they do not meet the requirements under the regulations to answer yes to these questions. Management is working to update these written policies to comply with the regulations. Management regularly reviews the Hospitals tax-exempt bond obligations to ensure there are no violations of federal tax requirements.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
The Clark Estates
Part V$116,036Investment mgmt feesfalse
Jane Hamilton
Part V$132,808Wagesfalse
Lee Edmonds
Part V$470,046Wagesfalse
Hannah Kinzelmann
Part V$72,171Wagesfalse
Patrick Franck
Part V$140,265Wagesfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V ADDITIONAL INFORMATIONFormAndLineReferenceDesc
ExplanationPart IX, Line 1 More than 35% of The Clark Estates is owned by trustee Jane Forbes Clark Part IV, Line 2 Jane Hamilton is family member of trustee Peter Hamilton Part IV, Line 3 Lee Edmonds, MD is a family member of President & CEO William LeCates. Part IV, Line 4 Hannah Kinzelmann is a family member of Executive VP & COO Ronette Wiley. Part IV, Line 5 Patrick Franck is a family member of trustee Walter Franck.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1ORGANIZATION'S MISSION Mary Imogene Bassett Hospital is a rural academic medical center committed to providing excellence in health care services, educating physicians and other health care professionals, and pursuing health research. FORM 990, PART III, LINE 4B Community involvement has been linked to Bassetts mission and values since it first opened in 1921. Whether it is strengthening our community relationships for health and wellness, communicating ideas for improving our services to our region, or providing a forum for Bassett to learn and listen, we are working with our community to improve the quality of life of the people of our region. Our community services program provides free services to persons who cannot afford to pay, who do not qualify for Medicaid, and who fall within the established income guidelines. In 2019 we provided $4,202,470 in free care. Bassetts community health education programs include lectures, presentations, health fairs, and other group programs in addition to the clinical and diagnostic services offered. Clinical services offered includes screenings, health tests and health risk appraisals including blood pressure, lipid profile, cholesterol screenings, cardiology risk factor screenings, and all cancer screenings. Our community building activities include philanthropic support for health initiatives and community health and welfare projects including promoting healthy lifestyles, disease prevention, and community awareness initiatives. Our doors are open 24 hours a day, 7 days a week, 365 days a year. We are proud to provide care to our communities. FORM 990, PART VI, LINE 2 RELATED PARTY INFORMATION AMONG OFFICERS William T Burdick & Jane Forbes Clark - BUSINESS William T Burdick & Richard C Vanison - BUSINESS Jane Forbes Clark & Richard C Vanison - BUSINESS FORM 990, PART VI, LINES 6, 7A, AND 7B 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, OConnor 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, LINE 11BORGANIZATIONS PROCESS TO REVIEW THE FORM 990 The Mary Imogene Bassett Hospital distributes the draft 990 to the Audit Committee of the Board of Trustees prior to filing. Any questions are raised and answered. The Audit Committee recommends, to the executive and finance committee, to file. A complete copy of the organization's final form 990, including all required schedules, as ultimately filed with the IRS is made available upon request to each member of the Board before its filed with the IRS.
FORM 990, PART VI, LINE 12CENFORCEMENT OF CONFLICTS POLICY The organization's conflict of interest policy applies to the board of trustees, including any committees of the board, individual members of the board, officers of the hospital (President, COO, CFO), Vice Presidents, and all directors serving as directors team members. Upon the commencement of an individual serving in the roles previously defined, and thereafter annually by January 1, a conflict of interest questionnaire which is prescribed by the Audit Committee of the Board of Trustees must be completed. All completed questionnaires are reviewed by the Compliance Officer of the organization. Any potential conflict of interest will be discussed with the individual and/or with legal counsel. The Compliance Officer will take action to eliminate the potential conflict of interest, if deemed appropriate. After investigation, if it is deemed that the individual has failed to comply with such policies and directives, appropriate corrective action will be taken. The Audit Committee of the Board of Trustees may determine whether the corrective action is satisfactory and, if not, shall require further action. FORM 990, PART VI, LINE 15A COMPENSATION PROCESS FOR TOP OFFICIAL The Mary Imogene Bassett Hospital has a formal process that is used to determine the base compensation of the President on an annual basis. This process includes a compensation committee of the board of trustees, compensation survey or study, and approval by the board of trustees or the compensation committee. MIBH pays non-fixed earnings based on the success in meeting performance criteria that are prospectively agreed upon as goals for the CEO.
FORM 990, PART VI, LINE 15BCOMPENSATION PROCESS FOR TOP OFFICIAL The same formal process noted above (Part VI, Section B, line 15a), is used to determine the base compensation of the other officers. Non-fixed earnings of other officers are based on the success in meeting performance criteria and comparative market data. For key employees, compensation is delegated by the board to the discretion of the officers.
FORM 990, PART VI, LINE 19GOVERNING DOCUMENTS DISCLOSURE EXPLANATION The Mary Imogene Bassett Hospital makes its governing documents, conflicts of interest policy, and financial statements available to the public upon written request. Parties desiring to obtain copies of such must present themselves at the administrative offices of the hospital or by sending a self-addressed stamped envelope along with payment for copying of the requested material to the administrative office of the hospital. The cost of copying shall be equal to the costs imposed by the IRS for copying of public documents.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS POST-RETIREMENT BENEFIT CHANGE $ (1,275,678) CHANGE IN INTEREST AT FRIENDS OF BASSETT $ (361,885) CHANGE IN VALUE OF INTEREST RATE SWAPS $ (2,117,783) CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE $ 8,790,641 ---------------- TOTAL $ 5,035,295 CHANGE IN ACCOUNTING PRINCIPLE In June 2018, The Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) 2019-08, Clarifying the Scope and Audit Guidance for Contributions Received and Contributions Made (ASU-2018-08), which provides guidance in order to address diversity in practice in classifying grants (including governmental grants) and contracts received by not-for-profits. The standard also clarifies the guidance on how entities determine when a contribution is conditional. The Hospital adopted ASU 2018-08 effective January 1, 2019 using the modified retroactive approach, which resulting in $8,790,641 that was previously recorded as advanced funds for DSRIP program being classified to net assets with donor restrictions.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Bassett Accountable Care Partners LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Atwell RoadAddressLine1Txt
CityCooperstownCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13326ZIPCd
FieldValueIRS element (for citing)
EIN471390327EIN
Primary ActivitiesHlthcare QualPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MIBHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Bassett Healthcare Network
One Atwell RoadCooperstownNY13326133218680SupportNY501c312cNONEfalse
Friends of Bassett
One Atwell RoadCooperstownNY13326237041610FundraiserNY501c37BHNfalse
AO Fox Memorial Hospital
One Norton AvenueOneontaNY13820150539039HealthcareNY501c33BHNfalse
Bassett Hospital Schoharie County
178 Grandview DriveCobleskillNY12043141772971HealthcareNY501c33BHNfalse
Little Falls Hospital
140 Burwell StreetLittle FallsNY13365150533578HealthcareNY501c33BHNfalse
O'Connor Hospital
460 Andes RoadDelhiNY13753161540394HealthcareNY501c33BHNfalse
Templeton Foundation
One Atwell RoadCooperstownNY13326133317084LandlordNY501c310BHNfalse
Tri Town Regional Healthcare
43 Pearl StreetSidneyNY13838260169584HealthcareNY501c33BHNfalse
Valley Health Services
690 West German StreetHerkimerNY13350222511614Elder CareNY501c33BHNfalse
Bassett PPS LLC
618 State Highway 7OneontaNY13820811749905HealthcareNY501c312AMIBHYes (true)
At Home Care Partners Inc
25 Elm StreetOneontaNY13820562397098HealthcareNY501c310AHC IncYes (true)
At Home Care Inc
25 Elm StreetOneontaNY13820161287069HealthcareNY501c310BHNfalse
Valley Residential Services
690 West German StreetHerkimerNY13350463703838Elder CareNY501c310BHNfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Leatherstocking Physicians PCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Atwell RoadAddressLine1Txt
CityCooperstownCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13326ZIPCd
FieldValueIRS element (for citing)
EIN364864562EIN
Primary ActivitiesHealthcare SvcsPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorpEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd