2025-11-13T14:55:31+00:00 2024-12-31 135565207 KPMG LLP 515 Broadway 4th Floor Albany NY 12207 990 2024-01-01 135596796 The Mary Imogene Bassett Hospital MARY 6075473635 ONE ATWELL ROAD COOPERSTOWN NY 13326 STACI THOMPSON CEO 2025-11-13 true GENEVA FURLANO P01877392 5184274600 2025-11-13 2024 2025-03-06 01:10:19Z BASSETT MEDICAL CENTER STACI THOMPSON ONE ATWELL ROAD COOPERSTOWN NY 13326 790743108 false X WWW.BASSETT.ORG X 1921 NY 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. 17 15 4000 100 0 118029 37788107 50296580 655654533 734282570 1028539 6163958 0 0 694471179 790743108 0 1303551 0 0 397595926 450609662 0 0 866975 335511763 383324101 733107689 835237314 -38636510 -44494206 411187008 430388130 240412610 300855604 170774398 129532526 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. false false 789869746 1303551 734282570 INPATIENT AND OUTPATIENT SERVICES PROVIDED TO OUR PATIENTS RESULTED IN OVER 11,000 HOSPITALIZATIONS, 50,000 PATIENT DAYS, 15,000 EMERGENCY VISITS, 634,000 OUTPATIENT VISITS AND 8,000 SURGICAL CASES 4796112 COMMUNITY INVOLVEMENT HAS BEEN LINKED TO BASSETT'S 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. BASSETT'S 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. 794665858 true true false true false false false false false true true true false false true true false true false false false false false false false false true true true false true true false false false false false false false false true true false false false false true true true false false false true 395 0 true 4000 true true true false false false false false false false false false false false X 17 15 false false false false true true true true true false false false true true true true true true true true true false NY X CRAIG FAERBER 6075473635 ONE ATWELL ROAD COOPERSTOWN NY 13326 Staci Thompson Network President CEO 2.0 52.0 X X 0 866810 12117 Andrew Marietta Board Secretary 2.0 0 X 0 0 0 Bruce C Vladeck PhD Board Member 2.0 0 X 0 0 0 Donald Bordley MD Board Member 2.0 0 X 0 0 0 Donald O Quest MD Board Member 2.0 0 X 0 0 0 Douglas B Willies Board Member 2.0 0 X 0 0 0 J Michael Moffat Board Member 2.0 0 X 0 0 0 James Patrick Board Member 2.0 0 X 0 0 0 Jane Forbes Clark Chair 2.0 0 X 0 0 0 John D Bullis Board Member 2.0 0 X 0 0 0 Katherine G Nickerson MD Board Member 2.0 0 X 0 0 0 Kevin Moore Board Member 2.0 0 X 0 0 0 Maureen Killackey MD Vice Chair 2.0 0 X 0 0 0 Peter J Hamilton Board Member 2.0 0 X 0 0 0 Robert Hanft Treasurer 2.0 0 X 0 0 0 Terry Fulmer PhD RN Board Member 2.0 0 X 0 0 0 Walter Franck MD Vice Chair 2.0 0 X 0 0 0 Craig Faerber Interim Network CFO 40.0 18.0 X 524460 0 0 Henry Weil MD BMC President 2.0 42.0 X 0 809687 42289 Dhananjai Menzies Snr Attending Physician 40.0 0 X 1348890 0 36862 Ethan Talbot Snr Attending Physician 40.0 0 X 873564 0 33720 Mun Hong Associate Chief 40.0 0 X 1005697 0 30500 Timothy P Korytko Division Chief 40.0 0 X 861711 0 35307 WT Huntsman Division Chief Plastic Reconstructive 40.0 0 X 929324 0 36400 Tommy Ibrahim MD Former President 0.0 0.0 X 0 411723 12888 5543646 2088220 240083 1069 true true false OPTUM INSIGHT 11000 OPTUM CIRCLE EDEN PRAIRIE MN 55344 REVENUE CYCLE AND IT 66772256 DAVIN HEALTHCARE WORKFORCE SOLUTIONS INC 18 DIVISION STREET SUITE 311 SARATOGA NY 12826 AGENCY STAFFING 10869296 AYA HEALTHCARE 5930 CORNERSTONE COURT W 300 SAN DIEGO CA 92121 RECRUITING SERVICES 10485161 MCCARTHY 1341 NORTH ROCK HILL ROAD ST LOUIS MO 63124 ENGINEERING 10176231 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 LOCUM TENENS PROVIDER 4611949 147 1028437 33294886 15973257 50296580 Direct Patient Service Revenue 900099 689977166 689977166 Other Patient Service Revenue 900099 44305404 44305404 0 0 0 0 734282570 5724322 5724322 0 0 439636 0 0 439636 439636 439636 0 0 0 0 0 0 790743108 734282570 0 6163958 1303551 1303551 0 0 0 0 0 0 524460 524460 0 0 111138 111138 0 382901772 345746338 36442752 712682 24283465 23107957 1175508 0 18566183 17667436 857073 41674 24222644 23050080 1172564 0 83220695 83220695 0 0 2230241 2230241 0 0 669800 669800 0 0 56584 0 56584 0 0 0 0 0 0 0 62456539 62343920 0 112619 2400031 2400031 0 0 2490562 2490562 0 0 0 0 0 0 0 0 0 0 21817780 21817780 0 0 1324563 1324563 0 0 0 0 0 0 1388031 1388031 0 0 7064651 7064651 0 0 0 0 0 0 30091322 30091322 0 0 3970942 3970942 0 0 DRUGS AND REAGENTS 99404537 99404537 PATIENT CARE SUPPLIES 51671535 51671535 BAD DEBT EXPENSE 8270176 8270176 CHARITY CARE 4796112 4796112 0 0 0 0 835237314 794665858 39704481 866975 0 0 0 0 12920834 16394862 0 0 37563269 51301550 61121431 72901457 0 0 9924426 10250716 6128960 5439849 545215575 412335556 143189077 132880019 62119441 62340340 52740616 58799315 0 25478954 20080022 411187008 430388130 50849371 72949333 61575000 58610000 0 45403230 23269081 82585009 146027190 240412610 300855604 X 92235936 44940329 78538462 84592197 170774398 129532526 411187008 430388130 X -44494206 3166624 85710 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 56584 56584 false Schedule C, Part II-B, Line 1 HEALTHCARE ASSOCIATION OF NEW YORK STATE ALLOCATES 10.08% OF DUES TOWARDS GENERL LOBBYING ACTIVITIES. TOTAL DUES PAID FOR THE YEAR WERE $150,460. AMERICAN HOSPITAL ASSOCIATION ALLOCATES 39% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID FOR THE YEAR WERE $50,469. IROQUOIS HEALTHCARE ALLICANCE ALLOCATES 50% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL PAID FOR THE YEAR WERE $43,470. THE CLARK ESTATES CONDUCTS LOBBYING ACTIVITIES ON BEHALD 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. 40799855 15645334 4187182 1833056 58799315 15859000 29627908 4687053 40799855 14690187 1168813 15859000 14671115 19072 14690187 14658877 12238 14671115 1.0 true false 1089856 1089856 257756292 181456839 76299453 11292562 8469087 2823475 257663572 222409630 35253942 17413293 17413293 132880019 Closely-held equity interests Financial derivatives US Government Bonds and Securities 58799315 C 58799315 Federal Income Taxes Operating Lease Liability 18081658 Revolving Lines of Credit 25000000 Due to Related Parties 86777375 Estimated Third Party Payables 16168157 146027190 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds INTENDED 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. PRIOR PERIOD ADJUSTMENTS WERE MADE TO ACCOUNT FOR THE ENDOWMENT ASSETS FROM THE STEPHEN CLARK RESEARCH FUND AND A TRANSFER OF FUNDS TO FRIENDS OF BASSETT, INC. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE MARY IMOGENE BASSETT HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BASSETT HEALTHCARE NETWORK (THE NETWORK). THE TEXT OF THE FIN 48 FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS IS AS FOLLOWS: THE NETWORK'S VARIOUS SUBSIDIARIES GENERALLY CONSIST OF NOT-FOR-PROFIT CORPORATIONS ORGANIZED IN ACCORDANCE WITH SECTION 501(C)(3) OF THE IRC AND THEREFORE ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A)OF THE IRC. THE NETWORK RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES OR UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED. FOR TAXABLE SUBSIDIARIES OR INVESTMENTS, INCLUDING CCE, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES OF TEMPORARY DIFFERENCES BY APPLYING ENACTED STATUTORY TAX RATES APPLICABLE TO FUTURE YEARS FOR THE DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENTS AND TAX BASIS OF EXISTING ASSETS AND LIABILITIES. SUCH DEFERRED TAX ASSETS AND LIABILITIES WERE NOT MATERIAL AS OF DECEMBER 31, 2024 AND 2023. true true true X true X 3972579 189444 3783135 0.00453 123927496 110562511 13364985 0.01600 0 0.0 0 0 127900075 110751955 17148120 0.02053 2445911 1498746 947165 0.00113 42931055 7593776 35337279 0.04231 138728535 90600715 48127820 0.05762 18148784 13840045 4308739 0.00516 34892 0 34892 0.00004 0 0 202289177 113533282 88755895 0.10626 0 0 330189252 224285237 105904015 0.12680 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 114446641 144089418 -29642777 X true true AT HOME CARE INC HOME HEALTH AGENCY 0.5 0 0 1 1 MARY IMOGENE BASSETT HOSPITAL ONE ATWELL ROAD COOPERSTOWN NY 13326 WWW.BASSETT.ORG 3824000H X X X X X OUTPATIENT PRIMARY & SPECIALTY MARY IMOGENE BASSETT HOSPITAL 1 false false true X X X X X X X X X 22 true true true true X WWW.BASSETT.ORG X true 22 true www.bassett.org false true X 200.0 400.0 X X X true true X X X X true X https://www.bassett.org/patients-visitors/billing-insurance/financial-assistance X https://www.bassett.org/patients-visitors/billing-insurance/financial-assistance X https://www.bassett.org/patients-visitors/billing-insurance/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - MARY IMOGENE BASSETT HOSPITAL:. THE BASSETT HEALTHCARE NETWORK POPULATION HEALTH DEPARTMENT (BHNPHD), ON BEHALF OF BASSETT HEALTHCARE NETWORK'S A.O. FOX HOSPITAL, MARY IMOGENE BASSETT MEDICAL CENTER, AND OTSEGO COUNTY PUBLIC HEALTH HAS COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) / COMMUNITY HEALTH ASSESSMENT (CHA). THE COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES THE HOSPITAL, LOCAL COUNTY HEALTH DEPARTMENT, AND KEY INFORMANTS WITH DATA AND RESPONSES SO THAT THEY MAY IDENTIFY, PRIORITIZE, AND ADDRESS HEALTH CARE CHALLENGES FACING THEIR COMMUNITIES. THE BHNPHD COLLABORATED WITH OTSEGO COUNTY PUBLIC HEALTH TO COMPILE A LIST OF KEY INFORMANTS IN THE SERVICE REGION. THOSE KEY INFORMANTS REPRESENT A BROAD RANGE OF SECTORS, COMMUNITY INTERESTS, AND ORGANIZATIONS REPRESENTING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. INFORMANTS WERE INVITED TO ATTEND A DATA PRESENTATION AND GIVE FEEDBACK ON THEIR PRIORITY FOCUS AREAS BASED ON THE 2019-2024 NEW YORK STATE PREVENTION AGENDA ACTION PLANS. THOSE KEY INFORMANTS WHO COULD NOT ATTEND IN PERSON WERE PROVIDED THE INFORMATION ELECTRONICALLY AND ASKED TO FILL OUT A SHORT SURVEY. IN ADDITION TO THE KEY INFORMANT RESPONSES, THE ASSESSMENT INCLUDES QUANTITATIVE DATA COLLECTED BY FEDERAL, STATE, AND SPECIALIZED ORGANIZATIONS. THE BASSETT HEALTHCARE NETWORK POPULATION HEALTH AND VALUE-BASED INITIATIVES DEPARTMENT PARTNERED WITH OTSEGO COUNTY PUBLIC HEALTH, A.O. FOX HOSPITAL, AND MARY IMOGENE BASSETT MEDICAL CENTER TO DEVELOP A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT. THE PROCESS INCLUDED DATA COLLECTION FROM FEDERAL AND STATE DATABASES IN ADDITION TO SURVEYING THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEYS, COMMUNITY ENGAGEMENT AND STAKEHOLDER ENGAGEMENT WERE OFFERED ELECTRONICALLY DURING THE DATES OF JUNE 29, 2022, TO AUGUST 6, 2022. THE LIST OF THOSE WHO RECEIVED THE SURVEY WAS COMPOSED OF FEEDBACK FROM THE BASSETT HEALTHCARE NETWORK, A.O. FOX HOSPITAL, MARY IMOGENE BASSETT MEDICAL CENTER, THE OTSEGO COUNTY PUBLIC HEALTH OFFICE, AND A NUMBER OF PERTINENT PARTNERS. THE INFORMATION COLLECTED REFLECTS THE CURRENT COUNTY STATUS AND PROBLEMS RELATED TO SIGNIFICANT HEALTH NEEDS OR SOCIAL DETERMINANTS OF HEALTH (SDOH). AFTER THE COLLECTION OF DATA WAS COMPLETE, THE COLLABORATION OF PARTNERS HELD A STAKEHOLDER FOCUS GROUP TO DISCUSS POTENTIAL INTERVENTIONS AND DECIDE WHAT AREAS SHOULD BE ADDRESSED IN THIS NYS PREVENTION AGENDA CYCLE 2022-2024. THE STAKEHOLDER FOCUS GROUP WAS HELD IN PERSON ON SEPTEMBER 14, 2022, AT THE MEADOWS OFFICE COMPLEX IN COOPERSTOWN, NY. BASED ON THE KEY INFORMATION COLLECTED, PRIORITIES WERE DEFINED, AND INTERVENTIONS DEVELOPED. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - MARY IMOGENE BASSETT HOSPITAL:. AO FOX MEMORIAL HOSPITAL Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - MARY IMOGENE BASSETT HOSPITAL:. OTSEGO COUNTY HEALTH DEPARTMENT Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - MARY IMOGENE BASSETT HOSPITAL:. THE ORGANIZATION ADDRESSED SIGNIFICANT, PRIORITIZED HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS 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. THE FOLLOWING PRIORITIES AND INTERVENTIONS WERE IDENTIFIED DURING 2022 AS PART OF THE CHNA DEVELOPMENT PROCESS. PRIORITY: PROMOTE A HEALTHY AND SAFE ENVIRONMENT PROVIDE SKILL-BUILDING CLASSES IN HOME MAINTENANCE AND UPKEEP; THE CAPSTONE OF THE CLASS IS TO PERFORM MAINTENANCE AND UPKEEP ON THE HOME OF AN ELDERLY INDIVIDUAL. PRIORITY: PREVENT CHRONIC DISEASE HEALTHY EATING AND FOOD SECURITY PROVIDE ACCESS TO FOUR TYPES OF HEALTHY FOOD CROPS IN THE WINTER AND SUMMER SEASONS INTERVENTIONS INCLUDE: - GREENHOUSE (HOOP HOUSE) INSTALLED AND MAINTAINED TO PROVIDE HEALTHY FOODS FURTHER INTO THE WINTER SEASON. - RECIPE CARDS DESCRIBING HOW TO PREPARE THE CROPS WILL BE DISTRIBUTED TO THE PUBLIC. PRIORITY: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS - PROVIDE A SUMMER DAY CAMP TARGETING FEMALES IN 6TH, 7TH, AND 8TH GRADE TO GIVE EXPOSURE TO EMERGENCY SERVICES CAREERS. BASSETT HEALTHCARE NETWORK, A.O FOX HOSPITAL, BASSETT MEDICAL CENTER, AND OTSEGO COUNTY DEPARTMENT OF HEALTH WILL PARTNER WITH LOCAL ORGANIZATIONS IN THE AREAS OF POLICE, FIRE, EMS, 911 DISPATCH, LIFEFLIGHT, SEARCH AND RESCUE, AND EMERGENCY ROOMS TO PROVIDE HANDS-ON EXPERIENCE IN THESE FIELDS. PARTICIPANTS WILL WALK AWAY WITH: - INCREASED HEALTH LITERACY - EXPOSURE TO VOLUNTEER OPPORTUNITIES - EXPOSURE TO EMERGENCY SERVICE CAREERS - TRAINING IN CPR, FIRST AID, AND AED USE - PREVENT MENTAL AND SUBSTANCE USE DISORDERS PATIENTS ARRIVING IN BASSETT MEDICAL CENTER, AO FOX HOSPITAL, OR A COUNTY PRIMARY CARE CLINIC IN THE BASSETT HEALTHCARE NETWORK WHO HAS AN ADDICTION ARE TO BE REFERRED TO FORDO WITH IMMEDIATE CONNECTION IN THE FACILITY, OR INFORMATION IS TO BE SENT TO FORDO FOR FOLLOW-UP. 57 BASSETT HEALTHCARE PHYSICAL THERAPY 124 COUNTY ROAD 52 COOPERSTOWN NY 13326 OUTPATIENT PHYSICAL THERAPY SERVICES BASSETT HEALTHCARE HAMILTON SURGICAL 10 EATON STREET HAMILTON NY 13346 OUTPATIENT SPECIALTY CARE BASSETT HEALTHCARE HERKIMER CARDIAC 690 WEST GERMAN STREET HERKIMER NY 13350 OUTPATIENT REHAB SERVICES BASSETT HEALTHCARE CLINTON 34 CHENANGO AVENUE CLINTON NY 13323 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE CANAJOHARIE 56 MONTGOMERY STREET CANAJOHARIE NY 13317 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE COBLESKILL 121 LEGION DRIVE COBLESKILL NY 12043 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE DELANSON 1 COOLEY HEIGHTS DELANSON NY 12053 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE DELHI 460 ANDES ROAD DELHI NY 13753 OUTPATIENT PRIMARY CARE AND DENTAL BASSETT HEALTHCARE EDMESTON ROUTE 80 PO BOX 15 EDMESTON NY 13335 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE HAMILTON 160 BROAD STREET HAMILTON NY 13346 OUTPATIENT PRIMARY CARE AND DENTAL BASSETT HEALTHCARE HERKIMER 321 EAST ALBANY STREET HERKIMER NY 13350 OUTPATIENT PRIME, SPECIALTY, URGENT CARE BASSETT HEALTHCARE MIDDLEBURGH 109 BAKER AVENUE MIDDLEBURGH NY 12122 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE MORRIS 93 MAIN STREET MORRIS NY 13808 OUTPATIENT SPECIALTY CARE BASSETT HEALTHCARE ONEONTA SURGICAL 449 MAIN STREET ONEONTA NY 13820 OUTPATIENT SPECIALTY CARE BASSETT HEALTHCARE NORWICH 55 CALVARY DRIVE NORWICH NY 13815 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE ONEONTA 125 MAIN STREET ONEONTA NY 13820 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE ONEONTA SPECIALTY ONE ASSOCIATE DRIVE ONEONTA NY 13820 OUTPATIENT PRIME, SPECIALTY, URGENT CARE BASSETT HEALTHCARE RICHFIELD SPRINGS 8550 STATE HIGHWAY 28 RICHFIELD SPRINGS NY 13439 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE SCHOHARIE 111 BARTON HILL ROAD SCHOHARIE NY 12157 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE SHARON SPRINGS ROUTE 20 PO BOX 275 SHARON SPRINGS NY 13459 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE SHERBURNE 20 CHAPEL STREET SHERBURNE NY 13460 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE SIDNEY 39 PEARL STREET SIDNEY NY 13838 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE ST JOHNSVILLE 8 PARK PLACE ST JOHNSVILLE NY 13452 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE STAMFORD 28650 STATE HIGHWAY 23 STAMFORD NY 12167 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE WALTON 130 NORTH STREET WALTON NY 13856 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE WEST WINFIELD 544 EAST MAIN STREET WEST WINFIELD NY 13491 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE AT FOXCARE 1 FOXCARE DRIVE ONEONTA NY 13820 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE AT LITTLE FALLS 170 BURWELL STREET LITTLE FALLS NY 13365 OUTPATIENT PRIMARY CARE AND SPECIALTY CARE BASSETT HEALTHCARE UNADILLA 16 CLIFTON STREET UNADILLA NY 13849 OUTPATIENT PRIMARY CARE BASSETT REGIONAL CANCER CENTER 7 ASSOCIATE DRIVE ONEONTA NY 13820 OUTPATIENT SPECIALTY CARE HARTWICK SEMINARY SPECIALTY SERVICES 4580 ROUTE 28 MILFORD NY 13807 OUTPATIENT PRIMARY CARE AND SPECIALTY CARE BASSETT HEALTHCARE ANDES 245 LOWER MAIN ST ANDES NY 13731 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE GREENE 29 N CHENANGO ST STE A GREENE NY 13778 OUTPATIENT PRIMARY CARE BASSETT FAMILY MEDICINE ONEONTA 739 NYS RTE 28 STE 9 ONEONTA NY 13820 OUTPATIENT PRIMARY CARE SBHC - COOPERSTOWN ELEMENTARY 21 WALNUT STREET COOPERSTOWN NY 13326 OUTPATIENT PRIMARY CARE SBHC - COOPERSTOWN MIDDLE AND HIGH 39 LINDEN AVENUE COOPERSTOWN NY 13326 OUTPATIENT PRIMARY CARE SBHC - DELHI ELEMENTARY 2 SHELDON DRIVE DELHI NY 13753 OUTPATIENT PRIMARY CARE SBHC - DELHI MIDDLE AND HIGH 2 SHELDON DRIVE DELHI NY 13753 OUTPATIENT PRIMARY CARE SBHC - EDMESTON CENTRAL SCHOOL 11 NORTH STREET EDMESTON NY 13335 OUTPATIENT PRIMARY CARE SBHC - LAURENS CENTRAL SCHOOL 55 MAIN STREET LAURENS NY 13796 OUTPATIENT PRIMARY CARE SBHC - MIDDLEBURGH ELEMENTARY 245-I MAIN STREET MIDDLEBURGH NY 12122 OUTPATIENT PRIMARY CARE SBHC - MIDDLEBURGH MIDDLE AND HIGH 291 MAIN STREET MIDDLEBURGH NY 12122 OUTPATIENT PRIMARY CARE SBHC - MILFORD CENTRAL SCHOOL 42 WEST MAIN STREET MILFORD NY 13807 OUTPATIENT PRIMARY CARE SBHC - MORRIS CENTRAL SCHOOL 65 MAIN STREET MORRIS NY 13808 OUTPATIENT PRIMARY CARE SBHC - ORAL HEALTH MOBILE PROGRAM ONE ATWELL ROAD COOPERSTOWN NY 13326 OUTPATIENT PRIMARY CARE SBHC - SCHENEVUS CENTRAL SCHOOL 159 MAIN STREET SCHENEVUS NY 12155 OUTPATIENT PRIMARY CARE SBHC - SHERBURNEEARLVILLE ELEMENTARY 13 SCHOOL STREET SHERBURNE NY 13460 OUTPATIENT PRIMARY CARE SBHC - SHERBURNEEARLVILLE MDLE & HIG 13 SCHOOL STREET SHERBURNE NY 13460 OUTPATIENT PRIMARY CARE SBHC - SIDNEY CENTRAL SCHOOL 95 WEST MAIN STREET SIDNEY NY 13838 OUTPATIENT PRIMARY CARE SBHC - SOUTH KORTRIGHT CENTRAL PO BOX 113 SOUTH KORTRIGHT NY 13842 OUTPATIENT PRIMARY CARE SBHC - STAMFORD CENTRAL SCHOOL ONE RIVER STREET STAMFORD NY 12167 OUTPATIENT PRIMARY CARE SBHC - UNADILLA VALLEY CENTRAL PO BOX F 4238 STATE HIGHWAY 8 NEW BERLIN NY 13411 OUTPATIENT PRIMARY CARE SBHC - WORCESTER CENTRAL SCHOOL 195 MAIN STREET WORCESTER NY 12197 OUTPATIENT PRIMARY CARE SBHC - RICHFIELD SPRINGS CENTRAL 93 MAIN STREET RICHFIELD SPRINGS NY 13439 OUTPATIENT PRIMARY CARE SBHC - SPRINGBROOK 105 CAMPUS DRIVE ONEONTA NY 13820 OUTPATIENT PRIMARY CARE BASSETT HEALTHCARE ONEIDA 2031 DREAMCATCHER PLAZA RTE 5 ONEIDA NY 13421 OUTPATIENT PRIMARY CARE CHERRY VALLEY SCHOOL BASED HEALTH CEN 597 COUNTY HIGHWAY 54 CHERRY VALLEY NY 13320 SCHOOL BASED HEALTHCARE Schedule H, Part I, Line 6a RELATED 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 7b LINE 7B MEDICAID SHORTFALL THE MEDICAID SHORTFALL IS INCLUDED IN THIS LINE IN THE AMOUNT OF $21,510,567. DURING 2024, THE HOSPITAL'S UNREIMBURSED MEDICAID WAS PARTIALLY OFFSET BY DIRECTED PAYMENT TEMPLATE (DPT) FUNDS RECEIVED THROUGH NEW YORK STATE'S HOSPITAL VITAL ACCESS PROVIDER ASSURANCE PROGRAM. THOSE FUNDS ARE INCLUDED IN THE DIRECT OFFSETTING REVENUE TOTAL REPORTED ON PART I LINE 7B COLUMN. Schedule H, Part I, Line 7f 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 $8,270,176 WAS SUBTRACTED FROM THE TOTAL EXPENSE VALUE USED TO CALCULATE THE PERCENTAGES IN PART 1, LINE 7, COLUMN F. Schedule H, Part I, Line 3c OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE Underinsured is defined by NYS for FPL purposes as anyone who has insurance and is between 0-400% FPL. Underinsured individuals are required to show they have spent 10% of their annual income on eligible medical expenses. Uninsured patients automatically qualify if they are between 0-400% FPL. Patients are eligible for financial assistance through the hospital's program for emergency services for residents of New York State, and for all other services, if they reside within the hospital's primary service area. Schedule H, Part I, Line 6a Community benefit report prepared by related organization BASSETT HEALTHCARE NETWORK Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COSTING 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 III, Line 2 Bad debt expense - methodology used to estimate amount BAD 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 NON-VOLUNTARY PRICE CONCESSION. THE BAD DEBT EXPENSE FOR 2024 WAS $8,270,176 Schedule H, Part III, Line 3 Bad Debt Expense Methodology CHARITY CARE FOOTNOTE (3) FROM THE CONSOLIDATED FINANCIALS THE COST OF CHARITY CARE PROVIDED IS DETERMINED BASED ON THE APPLICATION OF A COST TO GROSS CHARGE RATIO TO THE TOTAL CHARITY CARE CHARGES FOREGONE. INCLUDED IN NET PATIENT SERVICE REVENUE ARE AMOUNTS PAID INTO AND RECEIVED FROM STATEWIDE UNCOMPENSATED CARE POOLS. THESE UNCOMPENSATED CARE POOLS ARE DESIGNED TO HELP OFFSET THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID SERVICES. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE EXPLANATION AMOUNTS WERE DERIVED AS FOLLOWS: CHARGE TIMES COST TO CHARGE RATIO VERSUS REIMBURSEMENT ON THE MEDICARE PS&R REPORT. THE SHORTFALL IS TREATED AS A COMMUNITY BENEFIT BECAUSE THE SERVICES SUPPORT SIGNIFICANT NEED FROM THE COMMUNITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance COLLECTION PRACTICES EXPLANATION PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE CONTACTED BY THE FINANCIAL COUNSELING TEAM THAT SENDS A LETTER OF APPROVAL AND TIME-FRAME FOR WHICH THE PATIENT IS APPROVED. Schedule H, Part V, Section B, Line 16a FAP website - MARY IMOGENE BASSETT HOSPITAL: Line 16a URL: https://www.bassett.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - MARY IMOGENE BASSETT HOSPITAL: Line 16b URL: https://www.bassett.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - MARY IMOGENE BASSETT HOSPITAL: Line 16c URL: https://www.bassett.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), A VARIETY OF DATA ARE USED REGULARLY TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY SERVED BY MARY IMOGENE BASSETT HOSPITAL, INCLUDING DATA FROM PATIENT SATISFACTION SURVEYS, THE NYS DEPARTMENT OF HEALTH, THE OTSEGO COUNTY DEPARTMENT OF HEALTH AND THE NYS PREVENTION AGENDA, WHICH IDENTIFIED PRIORITY HEALTH INDICATORS TO BE USED BY NYS HOSPITALS, PROVIDERS, AND COUNTY HEALTH DEPARTMENTS IN ASSESSING AND SETTING LOCAL/REGIONAL PRIORITIES. THE PREVENTION AGENDA ALSO IDENTIFIES A COMMON SET OF HEALTHCARE PRIORITIES FROM WHICH HOSPITALS AND COUNTY HEALTH DEPARTMENTS IN NEW YORK STATE ARE EXPECTED TO CHOOSE WHEN DEVELOPING IMPLEMENTATION STRATEGIES FOR ADDRESSING COMMUNITY HEALTHCARE NEEDS. COMMUNITY PARTNERS INVOLVED IN ASSESSING COMMUNITY HEALTH NEEDS IN SCHOHARIE COUNTY INCLUDED: BASSETT PRIMARY CARE GROUP; COMMUNITY-BASED ORGANIZATIONS; AND COUNTY SOCIAL SERVICE, MENTAL HEALTH, YOUTH AND AGING AGENCIES. BASSETT HOSPITAL OF SCHOHARIE COUNTY CONTRACTS WITH PRESS GANEY TO OBTAIN BENCHMARKING DATA ON PATIENT SATISFACTION IN ORDER TO ASSESS HOW THE HOSPITAL IS PERCEIVED TO BE MEETING PATIENT NEEDS. DATA FROM ONGOING MAIL SURVEYS CARRIED OUT AMONG A STATISTICALLY SIGNIFICANT RANDOM SAMPLE OF INPATIENTS AND OUTPATIENTS IS USED TO IMPROVE PATIENT CARE AND INFORM OFFICIAL QUALITY IMPROVEMENT ACTIVITIES. DATA COLLECTED FROM THIS INSTRUMENT INCLUDE A COMPREHENSIVE OVERVIEW OF KEY, EVIDENCE-BASED QUALITY INDICATORS -- FROM TIMELINESS OF CARE TO COMMUNICATIONS, PATIENT SAFETY, DISCHARGE INSTRUCTION, MEDICATION ISSUES, AND MORE. THE HOSPITAL RECEIVES REPORTS QUARTERLY. THE HOSPITAL ALSO UTILIZES INFORMATION FROM THE STANDARDIZED, PUBLICLY REPORTED HCAHPS (HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS) SURVEY OF PATIENTS' PERSPECTIVES OF HOSPITAL CARE. THE HCAHPS REPORTING AND SURVEY ARE REQUIRED BY THE CENTER FOR MEDICARE SERVICES (CMS) TO ALLOW STANDARD, OBJECTIVE, VALID COMPARISONS TO BE MADE ACROSS HOSPITALS NATIONALLY, REGIONALLY, AND LOCALLY REPORTS ARE RECEIVED QUARTERLY AND SINCE 2008 HAVE BEEN PUBLISHED NATIONALLY ON THE CMS AND NYS DEPARTMENT OF HEALTH WEBSITES. THE SURVEY METHODOLOGY AND RESULTS ARE IN THE PUBLIC DOMAIN. (WWW.HCAHPSONLINE.ORG). Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENT 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 4 Community information COMMUNITY 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 IS $56,171 (2015 2019 ACS). 17.41 % 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 5 Promotion of community health PROMOTION OF COMMUNITY HEALTH A MAJORITY OF THE BASSETT MEDICAL CENTER BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY VOLUNTEERS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS WHO ARE EMPLOYED BY BASSETT MEDICAL CENTER. THE HOSPITAL OPERATES AN EMERGENCY ROOM WHICH IS OPEN TO ALL, REGARDLESS OF ABILITY TO PAY. AS A NOT-FOR-PROFIT HOSPITAL, BASSETT MEDICAL CENTER REINVESTS SURPLUS FUNDS TOWARD EQUIPMENT/TECHNOLOGY IMPROVEMENTS IN PATIENT CARE AND PATIENT SAFETY, AS WELL AS INFRASTRUCTURE UPGRADES MANDATED BY JOINT COMMISSION AND GOVERNMENT/REGULATORY REQUIREMENTS AND DEEMED NECESSARY TO KEEP THE HOSPITAL ACCREDITED AND ABLE TO CONTINUE SERVING THE HEALTH NEEDS. BASSETT MEDICAL CENTER HAS A PRIORITY ACTION PLAN TO PROMOTE COMMUNITY HEALTH FOR 2022 - 2024. THE TOP PRIORITIES ARE: 1. BUILT AND INDOOR ENVIRONMENTS: PROMOTE HEALTH HOME AND SCHOOL ENVIRONMENTS. 2. HEALTHY EATING AND FOOD SECURITY: PROVIDE ACCESS TO FOUR TYPES OF HEALTHY FOOD CROPS IN THE WINTER AND SUMMER MONTHS. 3. PROMOTE WELL BEING: INCREASE HEALTH LITERACY AND HE LIKELIHOOD OF PURSUING LOCAL PARTICIPATION IN EMERGENCY SERVICES. DEMOGRAPHICS IS MIDDLE SCHOOL-AGED CHILDREN. 4. PREVENT MENTAL AND SUBSTANCE USE DISORDERS: GOAL TO REDUCE THE RATE OF DRUG OVERDOSE DEATHS BY AT LEAST 20%. Schedule H, Part VI, Line 6 Affiliated health care system AFFILIATED 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, 22 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 - CRITCAL ACCESS HOSPITAL IN COBLESKILL, SCHOHARIE COUNTY D) LITTLE FALLS HOSPITAL - CRITICAL ACCESS HOSPITAL IN LITTLE FALLS, HERKIMER COUNTY E) A.O. FOX MEMORIAL HOSPITAL - ACUTE CARE FACILITY IN ONEONTA, OTSEGO COUNTY F) VALLEY HEALTH SERVICES - RESIDENTIAL HEALTH CARE AND REHABILITATION FACILITY G) AT HOME CARE - CERTIFIED HOME CARE AGENCY H) FIRST COMMUNITY CARE OF BASSETT - MEDICAL SUPPLY COMPANY ALL THE ABOVE (A-H) MAKE UP THE BASSETT HEALTHCARE NETWORK AND PROVIDE HEALTH SERVICES TO THIS SEVEN COUNTY REGION IN CENTRAL NEW YORK. Schedule H, Part VI, Line 7 State filing of community benefit report NY true FRIENDS OF BASSETT ONE ATWELL ROAD COOPERSTOWN NY 13326 237041610 501(C)(3) 1303551 SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds THE MARY IMOGENE BASSETT HOSPITAL PROVIDED GRANTS TO THE LISTED 501(C)(3) ORGANIZATION IN ITS GEOGRAPHIC AREA AND IS AN ENTITY IN BASSETT HEALTHCARE NETWORK. THE MARY IMOGENE BASSETT HOSPITAL WORKS CLOSELY WITH THIS ORGANIZATION TO ENSURE THAT THE FUNDS ARE USED AS INTENDED. FUNDRAISING STAFF AT THE ENTITY PROVIDES UPDATES ON USE OF FUNDS AT LEAST MONTHLY AND SHARE FINANCIAL ACCOUNT STATEMENTS TO DOCUMENT PHILANTHROPIC DOLLARS MOVED INTO ACCOUNTS AND THE SUBSEQUENT EXPENDITURE OF THOSE FUNDS. THESE EXPENSES ARE REVIEWED TO ENSURE THEY ARE IN ALIGNMENT WITH THE INTENDED USE OF THE FUNDS. X X X X true false false false false false false true false Staci Thompson Network President CEO 0 826810 0 40000 0 0 0 0 0 12117 0 878927 0 0 Tommy Ibrahim MD Former President 0 0 0 0 0 411723 0 12888 0 0 0 424611 0 0 Henry Weil MD BMC President 0 735627 0 74060 0 0 0 31206 0 11083 0 851976 0 0 Craig Faerber Interim Network CFO 524460 0 0 0 0 0 0 0 0 0 524460 0 0 0 Mun Hong Associate Chief 990258 0 15439 0 0 0 24306 0 6194 0 1036197 0 0 0 Dhananjai Menzies Snr Attending Physician 1280895 0 67995 0 0 0 31206 0 5656 0 1385752 0 0 0 WT Huntsman Division Chief Plastic Reconstructive 831537 0 97787 0 0 0 31206 0 5194 0 965724 0 0 0 Ethan Talbot Snr Attending Physician 581919 0 291645 0 0 0 24306 0 9414 0 907284 0 0 0 Timothy P Korytko Division Chief 741400 0 120311 0 0 0 27756 0 7551 0 897018 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment TOMMY IBRAHIM, MD RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $166,325 AND PTO PAYOUT IN THE AMOUNT OF $245,398. THESE AMOUNTS ARE INCLUDED IN THE TOTAL REPORTED IN COLUMN B(III). Schedule J, Part I, Line 7 Non-fixed payments NON-FIXED PAYMENTS PROVIDED NON-FIXED PAYMENTS ARE MADE BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE OFFICERS AND OTHER EMPLOYEES. A 2015A Series Oneida Country-LDC 263661593 NONEAVAIL 2015-09-01 17000000 RENOVATION OF OFF-CAMPUS DATA CENTER false false false B 2018a Series Otsego Country - CRC Bonds 263661593 NONEAVAIL 2018-11-09 60550000 REFINANCE LINE OF CREDIT FOR SERIES 2011A AND 2011B BONDS REFUND SERIES 2015A BOND. false false false A 15415000 17000000 327500 16672500 2017 false false true true B 3580000 60550000 1145578 31525000 12585000 15294422 2019 true false true true A false false false false false false 0 0 0.0 false false 0 false false B false false true true false false 0 0 0.0 false false 0 false false A false false true false true false 0 false false false 0 false false false B false false true false true true M & T TRUST COMPANY 10.0 false false false 0 false false false A false B false Schedule K, Part III, Line 1 SCHEDULE K, PART IV, LINE 7, AND PART V THEY DO NOT MEET THE REQUIREMENTS UNDER THE REGULATIONS TO ANSWER YES TO THESE QUESTIONS. MANAGEMENT REGULARLY REVIEWS THE HOSPITAL'S TAX-EXEMPT BOND OBLIGATIONS TO ENSURE THERE ARE NO VIOLATIONS OF FEDERAL TAX REQUIREMENTS. Schedule K, Part I 2018A SERIES OTSEGO COUNTY - CRC BONDS 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 JANE HAMILTON PART V 111138 WAGES false Schedule L, Part IV Part IV, Line 2 JANE HAMILTON IS A FAMILY MEMBER OF TRUSTEE PETER HAMILTON. Form 990, Part VI, Line 15b BASSETT HEALTHCARE NETWORK HAS A FORMAL PROCESS THAT IS USED TO DETERMINE THE BASE COMPENSATION OF OTHER OFFICERS 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. BHN PAYS NON-FIXED EARNINGS BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE OTHER OFFICERS. Form 990, Part VI, Line 6 Classes of members or stockholders BASSETT HEALTHCARE NETWORK IS THE PARENT AND SOLE MEMBER TO EACH OF THE FOLLOWING RELATED PARTIES. FRIENDS OF BASSETT, AO FOX MEMORIAL HOSPITAL, BASSETT HOSPITAL OF SCHOHARIE COUNTY, LITTLE FALLS HOSPITAL, O'CONNOR HOSPITAL, TEMPLETON FOUNDATION, VALLEY HEALTH SERVICES, VALLEY RESIDENTIAL SERVICES, AND MARY IMOGENE BASSETT HOSPITAL. AS PARENT AND SOLE MEMBER, BASSETT HEALTHCARE NETWORK HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE GOVERNING BOARDS OF ITS SUBSIDIARIES AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARDS, INCLUDING, BUT NOT LIMITED TO, APPROVAL OF OPERATING AND CAPITAL BUDGETS, CERTAIN CAPITAL EXPENDITURES, INDEBTEDNESS NOT CONTAINED IN THE APPROVED BUDGETS, SUBSTANTIVE CHANGES IN CLINICAL PROGRAMS, MERGERS, CONSOLIDATIONS, LIQUIDATIONS AND DISSOLUTIONS INVOLVING ITS SUBSIDIARIES AND CERTIFICATE OF NEED APPLICATIONS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body SEE DISCLOSURE FOR PART VI, SECTION A, LINE 6 Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders SEE DISCLOSURE FOR PART VI, SECTION A, LINE 6 Form 990, Part VI, Line 11b Review of form 990 by governing body ORGANIZATION'S PROCESS TO REVIEW THE FORM 990 THE 990S ARE PROVIDED TO THE BOARD BEFORE FILING. IF THERE ARE ANY QUESTIONS OR CONCERNS, THEY CAN RAISE IT WITH THE BOARD, CEO AND/OR CFO. Form 990, Part VI, Line 12c Conflict of interest policy ENFORCEMENT 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 15b Process to establish compensation of other employees 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 19 Required documents available to the public GOVERNING 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 9 Other changes in net assets or fund balances CHANGE IN VALUE OF INTEREST RATE SWAPS - 85710; Total - 85710; BASSETT ACCOUNTABLE CARE PARTNERS LLC ONE ATWELL ROAD COOPERSTOWN NY 13326 471390327 HEALTHCARE QUALITY NY 0 0 MIBH BASSETT HEALTHCARE NETWORK ONE ATWELL ROAD COOPERSTOWN NY 13326 133218680 SUPPORT NY 501(c)(3) Type III-FI NONE false FRIENDS OF BASSETT ONE ATWELL ROAD COOPERSTOWN NY 13326 237041610 FUNDRAISER NY 501(c)(3) 7 BHN false AO FOX MEMORIAL HOSPITAL ONE NORTON AVENUE ONEONTA NY 13820 150539039 HEALTHCARE NY 501(c)(3) 3 BHN false BASSETT HOSPITAL SCHOHARIE COUNTY 178 GRANDVIEW DRIVE COBLESKILL NY 12043 141772971 HEALTHCARE NY 501(c)(3) 3 BHN false LITTLE FALLS HOSPITAL 140 BURWELL STREET LITTLE FALLS NY 13365 150533578 HEALTHCARE NY 501(c)(3) 3 BHN false O'CONNOR HOSPITAL 460 ANDES ROAD DELHI NY 13753 161540394 HEALTHCARE NY 501(c)(3) 3 BHN false TEMPLETON FOUNDATION ONE ATWELL ROAD COOPERSTOWN NY 13326 133317084 LANDLORD NY 501(c)(3) 10 BHN false VALLEY HEALTH SERVICES 690 WEST GERMAN STREET HERKIMER NY 13350 222511614 ELDER CARE NY 501(c)(3) 3 BHN false BASSETT PPS LLC 618 STATE HIGHWAY 7 STATE HIGHWAY NY 13820 811749905 HEALTHCARE NY 501(c)(3) Type I BHN true AT HOME CARE PARTNERS INC 25 ELM STREET ONEONTA NY 13820 562397098 HEALTHCARE NY 501(c)(3) 10 AHC INC AT HOME CARE INC 25 ELM STREET ONEONTA NY 13820 161287069 HEALTHCARE NY 501(c)(3) 10 BHN false VALLEY RESIDENTIAL SERVICES 690 WEST GERMAN STREET HERKIMER NY 13350 463703838 ELDER CARE NY 501(c)(3) 10 BHN false First Community Care of Bassett 60 Northpoint Parkway Amherst NY 14228 161504464 Healthcare NY BHN N/A false false Stamford Professional Associates 1 Norton Avenue Oneonta NY 13820 161322304 Rental NY NA N/A false false Leatherstocking Physicians PC One Atwell Road Cooperstown NY 13326 364864562 Healthcare Services NY NA C Corporation false Catskill Care Enterprises 1 Norton Avenue Oneonta NY 13820 161236590 Retail Pharmacy NY AO FOX C Corporation false false false true false false false false false true true true true true false false true true false false