AURELIA OSBORN FOX MEMORIAL HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- AURELIA OSBORN FOX MEMORIAL HOSPITAL (EIN 15-0539039)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201623209349306922
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T12:00:34-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150539039 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AURELIA OSBORN FOX MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AURE | BusinessNameControlTxt |
| Phone | 6074315900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 NORTON AVE | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK J WRIGHT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6074315900 | PhoneNum |
| Signature | 2016-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH J SCHLEGEL | PreparerPersonNm |
| PTIN | P00301329 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AO FOX MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK J WRIGHT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 NORTON AVE | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $77,401,367 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.AOFOXHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1900 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | HEALTH CARE DELIVERY: INCLUDES: UNCOMPENSATED CARE, PAYMENTS INTO BAD DEBT AND CHARITY CARE POOLS, NYS HEALTH FACILITIES ASSESSMENT, COMMUNITY EDUCATION, MATERNAL CARE PROGRAM, COST OF PROVIDING SERVICES TO GOVERNMENT PAYORS. HEALTH/WELLNESS AND EDUCATIONAL SERVICES TO THE GENERAL PUBLIC. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1017 | TotalEmployeeCnt |
| Total Volunteers | 107 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,143,888 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,080,776 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $69,790,497 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $68,965,208 | CYProgramServiceRevenueAmt |
| PY Investment Income | $383,479 | PYInvestmentIncomeAmt |
| CY Investment Income | $61,159 | CYInvestmentIncomeAmt |
| PY Other Revenue | $722,490 | PYOtherRevenueAmt |
| CY Other Revenue | $864,256 | CYOtherRevenueAmt |
| PY Total Revenue | $75,040,354 | PYTotalRevenueAmt |
| CY Total Revenue | $75,971,399 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,649,152 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,604,105 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $39,831,312 | PYOtherExpensesAmt |
| CY Other Expenses | $37,900,562 | CYOtherExpensesAmt |
| PY Total Expenses | $82,480,464 | PYTotalExpensesAmt |
| CY Total Expenses | $81,504,667 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,440,110 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,533,268 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $64,024,694 | TotalAssetsBOYAmt |
| Total Assets EOY | $60,032,892 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $34,090,142 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,625,146 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,934,552 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,407,746 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HEALTH CARE DELIVERY: INCLUDES: UNCOMPENSATED CARE, PAYMENTS INTO BAD DEBT AND CHARITY POOLS, NYS HEALTH FACILITIES ASSESMENT, COMMUNITY EDUCATION, MATERNAL CARE PROGRAM, COST OF PROVIDING SERVICES TO GOVERNMENT PAYORS. HEALTH/WELLNESS AND EDUCATIONAL SERVICES TO THE GENERAL PUBLIC. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $61,954,502 | ExpenseAmt |
| Revenue | $58,874,309 | RevenueAmt |
| Desc | HEALTH CARE DELIVERY: INCLUDES: UNCOMPENSATED CARE, PAYMENTS INTO BAD DEBT AND CHARITY POOLS, NYS HEALTH FACILITIES ASSESSMENT, COMMUNITY EDUCATION, MATERNAL CARE PROGRAM, COST OF PROVIDING SERVICES TO GOVERNMENT PAYORS. HEALTH/WELLNESS AND EDUCATIONAL SERVICES TO THE GENERAL PUBLIC. IN 2015 THE HOSPITAL HAD 12129 PATIENT DAYS 14225 EMERGENCY ROOM VISITS AND 172787 OUTPATIENT VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,935,373 | ExpenseAmt |
| Revenue | $9,472,871 | RevenueAmt |
| Desc | NURSING HOME CARE - NURSING HOME FACILITY- SKILLED NURSING, HEALTH AND RESPITE CARE. IN 2015 THE NURSING HOME HAD 46501 PATIENT DAYS | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $71,889,875 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 82 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1017 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK WRIGHT AURELIA OSBORN FOX MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6074315900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 NORTON AVE | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| TODD BITTERMAN | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| BRIAN D BURNS | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| MAUREEN HULBERT | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| NANCY KLENIEWSKI | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM MIRABITO | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| SARAH PATTERSON | |||||||||
| CHAIRMAN | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SETH HAIGHT | |||||||||
| TREASURER | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JEANNE HAVENER | |||||||||
| SECRETARY | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| KEVIN KURKOWSKI LEFT 06012015 | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| V DANIEL ROBINSON | |||||||||
| VICE CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| GENNARO FALCO | |||||||||
| MD | 40.00 | Yes (X) | $163,677 | $0 | $15,205 | ||||
| LORRAINE ZIMNIEWICZ | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH FORGIANO | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| GERALD GROFF | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $386,206 | $21,785 | 40.00 | |||
| MICHAEL TENGERES | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $316,107 | $1,538 | 45.00 | |||
| MARY ELLEN HOFFMAN | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN REMILLARD LEFT 12312015 | |||||||||
| PRESIDENT | 40.00 | $0 | $349,000 | $11,858 | Yes (X) | ||||
| MARK WRIGHT | |||||||||
| CFO | 40.00 | $169,492 | $0 | $28,389 | Yes (X) | ||||
| BENJAMIN FRIEDELL | |||||||||
| VP MEDICAL AFFAIRS | 40.00 | $255,166 | $0 | $25,726 | Yes (X) | ||||
| PATRICK GERMAIN | |||||||||
| MD | 40.00 | $420,383 | $0 | $28,236 | Yes (X) | ||||
| SARBJIT VILKHU | |||||||||
| MD | 40.00 | $320,172 | $0 | $24,776 | Yes (X) | ||||
| MARIO VILLARINI | |||||||||
| MD | 40.00 | $324,284 | $0 | $28,165 | Yes (X) | ||||
| BLAINE JONES | |||||||||
| MD | 40.00 | $326,356 | $0 | $33,285 | Yes (X) | ||||
| GODWIN NJOKU | |||||||||
| MD | 40.00 | $337,485 | $0 | $27,453 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,317,015 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,051,313 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $246,416 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PEGASUS MEDICINE GROUP | |||||
| 1007 E MAIN STREET SUITE 300 | BOZEMAN | MT | 59715 | CONTRACTED MEDICAL SERVICES | $1,273,694 |
| FUST CHARLES CHAMBERS | |||||
| 5784 WIDEWATERS PARKWAY | SYRACUSE | NY | 13214 | AUDITING, TAX AND CONSULTING SERVICES | $145,501 |
| FUSION MEDICAL STAFFING LLC | |||||
| 11506 NICHOLAS STREET | OMAHA | NE | 68154 | MEDICAL LOCUM SERVICES | $130,749 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $33,652 | RelatedOrganizationsAmt |
| Government Grants | $5,491,738 | GovernmentGrantsAmt |
| All Other Contributions | $555,386 | AllOtherContributionsAmt |
| Total Contributions | $6,080,776 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPITAL | 621990 | $58,683,917 | $58,683,917 |
| NURSING HOME | 623990 | $9,472,871 | $9,472,871 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $808,420 | TotalRevenueColumnAmt |
| Exclusion | $808,420 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $68,965,208 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $78,282 | TotalRevenueColumnAmt |
| Exclusion | $78,282 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $704,714 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $261,857 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $442,857 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $442,857 | TotalRevenueColumnAmt |
| Exclusion | $442,857 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $809,585 | SecuritiesAmt |
| Other | $512 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $827,220 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$17,635 | SecuritiesAmt |
| Other | $512 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$17,123 | TotalRevenueColumnAmt |
| Exclusion | -$17,123 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $531,283 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $340,891 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $190,392 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $190,392 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| EXPENSE REIMBURSEMENT | 621910 | $214,225 | $214,225 |
| CONVENIENCE SERVICES | 621910 | $16,782 | $16,782 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $231,007 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,971,399 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $68,347,180 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,543,443 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $966,856 | TotalAmt |
| Program Services | $412,349 | ProgramServicesAmt |
| Management And General | $554,507 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,219,830 | TotalAmt |
| Program Services | $27,327,966 | ProgramServicesAmt |
| Management And General | $4,891,864 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,824,869 | TotalAmt |
| Program Services | $1,547,803 | ProgramServicesAmt |
| Management And General | $277,066 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,229,258 | TotalAmt |
| Program Services | $5,283,484 | ProgramServicesAmt |
| Management And General | $945,774 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,363,292 | TotalAmt |
| Program Services | $2,004,479 | ProgramServicesAmt |
| Management And General | $358,813 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,858 | TotalAmt |
| Management And General | $360,858 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,067 | TotalAmt |
| Program Services | $209,067 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,019 | TotalAmt |
| Program Services | $217,019 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,069 | TotalAmt |
| Management And General | $16,069 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,285,928 | TotalAmt |
| Program Services | $13,285,928 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,743 | TotalAmt |
| Program Services | $47,280 | ProgramServicesAmt |
| Management And General | $8,463 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,714,030 | TotalAmt |
| Program Services | $3,150,137 | ProgramServicesAmt |
| Management And General | $563,893 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,556,658 | TotalAmt |
| Program Services | $1,320,314 | ProgramServicesAmt |
| Management And General | $236,344 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,373 | TotalAmt |
| Program Services | $152,139 | ProgramServicesAmt |
| Management And General | $27,234 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $794,960 | TotalAmt |
| Program Services | $674,263 | ProgramServicesAmt |
| Management And General | $120,697 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,252,427 | TotalAmt |
| Program Services | $4,126,285 | ProgramServicesAmt |
| Management And General | $1,126,142 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $967,662 | TotalAmt |
| Program Services | $967,662 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $8,252,032 | $8,252,032 | |
| BAD DEBT | $2,631,831 | $2,631,831 | |
| MISC EXPENSE | $279,837 | $279,837 | |
| DUES & SUBSCRIPTIONS | $127,068 | $127,068 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,504,667 | TotalAmt |
| Program Services | $71,889,875 | ProgramServicesAmt |
| Management And General | $9,614,792 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,349,759 | BOYAmt |
| EOY | $1,361,438 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,469,298 | BOYAmt |
| EOY | $2,679,944 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,530,631 | BOYAmt |
| EOY | $8,437,822 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,278,260 | BOYAmt |
| EOY | $1,207,301 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $624,122 | BOYAmt |
| EOY | $885,493 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $146,470,164 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $113,348,965 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,867,485 | BOYAmt |
| EOY | $33,121,199 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,772,972 | BOYAmt |
| EOY | $2,134,147 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,132,167 | BOYAmt |
| EOY | $10,205,548 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,024,694 | BOYAmt |
| EOY | $60,032,892 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,479,545 | BOYAmt |
| EOY | $14,151,453 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,606,330 | BOYAmt |
| EOY | $14,884,017 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,004,267 | BOYAmt |
| EOY | $6,589,676 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,090,142 | BOYAmt |
| EOY | $35,625,146 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,244,564 | BOYAmt |
| EOY | $19,818,336 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,072,361 | BOYAmt |
| EOY | $969,863 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,617,627 | BOYAmt |
| EOY | $3,619,547 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,934,552 | BOYAmt |
| EOY | $24,407,746 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,024,694 | BOYAmt |
| EOY | $60,032,892 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,533,268 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$170,508 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $176,970 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $16,069 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,069 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PERCENTAGE OF MEMBERSHIP DUES PAID TO HEALTHCARE ASSOCIATION OF NEW YORK STATE (28.03), IROQUOIS HEALTHCARE ALLIANCE (36.30) AND AMERICAN HOSPITAL ASSOCIATION (22.12) ARE USED SPECIFICALLY FOR LOBBYING PURPOSES | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,228,943 | BeginningYearBalanceAmt |
| Contributions | $1,070,638 | ContributionsAmt |
| Investment Earnings Or Losses | $24,349 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,620,387 | OtherExpendituresAmt |
| End Year Balance | $4,654,824 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,582,609 | BeginningYearBalanceAmt |
| Contributions | $1,106,618 | ContributionsAmt |
| Investment Earnings Or Losses | $325,088 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,785,372 | OtherExpendituresAmt |
| End Year Balance | $5,228,943 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,422,949 | BeginningYearBalanceAmt |
| Contributions | $12,698,274 | ContributionsAmt |
| Investment Earnings Or Losses | $203,520 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $13,742,134 | OtherExpendituresAmt |
| End Year Balance | $10,582,609 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,767,313 | BeginningYearBalanceAmt |
| Contributions | $2,686,662 | ContributionsAmt |
| Investment Earnings Or Losses | $837,450 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,868,476 | OtherExpendituresAmt |
| End Year Balance | $11,422,949 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,139,059 | BeginningYearBalanceAmt |
| Contributions | $2,001,098 | ContributionsAmt |
| Investment Earnings Or Losses | -$182,685 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,190,159 | OtherExpendituresAmt |
| End Year Balance | $10,767,313 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.01410 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.77760 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.20830 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,285,231 | OtherCostOrOtherBasisAmt |
| Book Value | $4,285,231 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,479,445 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,004,495 | DepreciationAmt |
| Book Value | $19,474,950 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $89,189,034 | OtherCostOrOtherBasisAmt |
| Depreciation | $80,344,470 | DepreciationAmt |
| Book Value | $8,844,564 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $516,454 | OtherCostOrOtherBasisAmt |
| Book Value | $516,454 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $33,121,199 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $3,559,906 |
| BENEFICIAL INTEREST IN NET ASSETS OF A.O. FOX FOUNDATION | $2,948,976 |
| BENEFICIAL INTEREST IN NET ASSETS OF AT HOME CARE INC. | $1,588,227 |
| OTHER ASSETS | $109,285 |
| DEFFERRED FINANCING COSTS, NET OF ACC. DEPRECIATION | $382,316 |
| SETTLEMENT AMOUNTS DUE FORM 3RD PARTY PAYORS , NET | $1,091,838 |
| GRANTS AND OTHER RECEIVABLES | $525,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,205,548 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| LONG TERM (HUM) | $404,246 |
| LPN PENSION PAYABLE | $1,304,313 |
| WORKERS COMP AMD MLMIC (HUM) LIABILITY | $184,817 |
| INSURANCE LIABILITY CLAIMS | $525,000 |
| COMPESATED ABSENCES | $464,525 |
| MLMIC LT CASE - SOHL 10 YEARS | $210,000 |
| DEFERRED REVENUE | $213,037 |
| DUE TO AFFLIATES | $3,283,738 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,589,676 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL AND FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX EXEMPT ORGANIZATIONS PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31,2015 AND 2014, THE HOSPITAL AND FOUNDATION DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2012 THROUGH 2015 |
| PART V QUESTION 4 | PERMANENT ENDOWMENTS: THE INTENDED USE OF THE INCOME FROM THESE FUNDS IS TO SUPPORT OPERATIONS, FUND THE ANNUAL PHYSICIANS LECTURES AND DINNERS. BOARD DESIGNATED OR QUASI ENDOWMENTS: THE INTENDED USE OF INCOME FROM THESE FUNDS IS TO SUPPORT OPERATIONS OR FOR THE FUTURE CAPITAL NEEDS. TERM ENDOWMENTS: THE INTENDED USE OF THESE FUNDS IS DETERMINED BY THE VARIOUS DONORS, AND TO PROVIDE FOR THE NEEDS OF NURSING HOME PATIENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $594,385 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $127,167 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $467,218 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,959,482 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,047,146 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,912,336 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07500 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $219,497 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $147,815 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $71,682 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,773,364 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,322,128 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,451,236 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08180 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,957 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $39,957 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,957 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $39,957 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,813,321 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,322,128 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,491,193 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08230 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,631,830 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $16,906,698 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,382,393 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,475,695 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 AT HOME CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | REGIONAL HOME HEALTH AGENCY | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.00000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AURELIA OSBORN FOX MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 NORTON AVE | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AURELIA OSBORN FOX MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BASSETT.ORG/AO-FOX-HOSPITAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.BASSETT.ORG/GEDOWNLOAD!/FOX%20-%202014%20CSP%20SUMMARY%20TABLE%2 | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.BASSETT.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.BASSETT.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.BASSETT.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| AURELIA OSBORN FOX MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: THIS COMMUNITY HEALTH NEEDS ASSESSMENT HAS TAKEN INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY A.O. FOX MEMORIAL HOSPITAL. 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 THERESA OELLRICH FROM THE OTSEGO COUNTY HEALTH DEPARTMENT. JOHN REMILLARD, PRESIDENT AURELIA OSBORN FOX MEMORIAL HOSPITAL FELECIA EMILIO, DIRECTOR MANDATORY EDUCATION & DIABETES EDUCATOR ROBERT LANCEY MD, NETWORK MEDICAL DIRECTOR BASSETT MEDICAL CENTER WILLIAM STAMP, EXECUTIVE DIRECTORMARKETING BASSETT MEDICAL CENTER PAUL G. FITZPATRICK PRESIDENT RURAL HEALTH DEVELOPMENT SARAH PATTERSON, VICE-CHAIR AURELIA OSBORN HOSPITAL BOARD BECKY DRAKE RD, CHAIRPERSON GET FIT OTSEGO SUSAN KURKOWSKI, YMCA AND ONEONTA SCHOOL BOARD MEMBER FRANK RUSSO, DIRECTOR YMCA BARBARA SPERLING, ONEONTA COMMUNITY HEALTH CENTER THERESA OELLRICH, DIRECTOR OTSEGO CO. HEALTH DEPARTMENT JULIE DOSTAL, EXECUTIVE DIRECTOR LEAF COUNCILIN ADDITION TO COMMUNITY COMMENTS AND INPUT GATHERED IN RESPONSE TO POSTING OF THE COMMUNITY HEALTH NEEDS ASSESSMENT OF BOTH THE HOSPITAL'S AND BASSETT HEALTHCARE NETWORK'S WEBSITES, THE PRIMARY PROACTIVE MEANS FOR RECEIVING COMMUNITY INPUT WAS THROUGH A COMMUNITY-WIDE STAKEHOLDER MEETING HOSTED BY A.O. FOX MEMORIAL HOSPITAL ON OCTOBER 31, 2012. THE PURPOSE OF THE STAKEHOLDER MEETING WAS THREEFOLD: 1) TO ELICIT GENERAL COMMENTS ON THE DRAFT CHNA; 2) TO SEEK COMMUNITY INPUT ON THE PRIORITY HEALTH NEEDS IDENTIFIED BY THE CHNA; AND 3) TO SEEK COMMUNITY INPUT ON POTENTIAL IMPLEMENTATION STRATEGIES. A SUMMARY OF THE STAKEHOLDER SESSION IS PROVIDED IN APPENDIX 2. THIRTEEN INDIVIDUALS REPRESENTING 9 AREA HEALTH PROVIDERS AND COMMUNITY SERVICES ORGANIZATIONS ATTENDED THE SESSION.IN ADDITION TO THE PROCESS AND COMMUNITY PARTICIPATION SPECIFICALLY USED IN DEVELOPING THIS COMMUNITY HEALTH NEEDS ASSESSMENT, SIGNIFICANT PROCESSES AND COMMUNITY PARTICIPATION WERE INVOLVED IN COMPILING THE 2010-2012 A.O. FOX MEMORIAL HOSPITAL COMMUNITY SERVICES PLAN AND THE 2010-2013 OTSEGO AND DELAWARE COUNTIES' HEALTH ASSESSMENTS. EACH OF THESE EFFORTS INCLUDED THEIR OWN PROCESS AND METHODS FOR IDENTIFYING COMMUNITY HEALTH NEEDS. EACH ALSO PROVIDED NUMEROUS OPPORTUNITIES FOR COMMUNITY INPUT AND PARTICIPATION IN REVIEWING AND INFLUENCING THE SELECTION OF PRIORITY HEALTH NEEDS.THE 2010- 2012 COMMUNITY SERVICE PLAN FOR A.O. FOX HOSPITAL AND THE 2010-2013 COMMUNITY HEALTH ASSESSMENT FOR OTSEGO COUNTY WERE DEVELOPED IN TANDEM. THE DEVELOPMENT PROCESS INVOLVED A RANGE OF COMMUNITY PARTNERS INCLUDING COUNTY DEPARTMENTS (HEALTH, SOCIAL SERVICES, AND EMERGENCY SERVICES), AS WELL AS COUNTY, TOWN AND CITY REPRESENTATIVES; OPPORTUNITIES FOR OTSEGO; NEW YORK CONNECTS OF OTSEGO COUNTY; PLANNED PARENTHOOD; SAFE KIDS; TWO CENTRAL SCHOOLS; CORNELL COOPERATIVE EXTENSION; RURAL THREE FOR TOBACCO FREE; CATSKILL AREA HOSPICE; SPRINGBROOK; THE ARC OTSEGO; UNITED WAY; AT HOME CARE, INC.; BASSETT MEDICAL CENTER; AND AO FOX HOSPITAL. A DETAILED DESCRIPTION OF THE PROCESS AND LEVEL OF COMMUNITY PARTICIPATION IN THEDEVELOPMENT OF THE COMMUNITY SERVICES PLAN IS PROVIDED IN APPENDIX 3.THE 2010-2013 DELAWARE COUNTY COMMUNITY HEALTH ASSESSMENT WAS PREPARED BY THE DELAWARE COUNTY PUBLIC HEALTH SERVICE (DCPH). DCPH CONDUCTED A COUNTYWIDE INFORMATION GATHERING INITIATIVE WITH THE GOAL OF UNDERSTANDING PUBLIC HEALTH PRIORITIES. THIS INVOLVED COLLABORATIVE EFFORTS AMONG DELAWARE COUNTY PUBLIC HEALTH NURSING SERVICES (DCPH), HOSPITALS, HEALTHCARE PROVIDERS, OTHER COMMUNITY-BASED ORGANIZATIONS, AND CONSUMERS. A DETAILED DESCRIPTION OF THE PROCESS AND LEVEL OF COMMUNITY PARTICIPATION IN THE DEVELOPMENT OF THE COUNTY COMMUNITY HEALTH ASSESSMENT IS PROVIDED IN APPENDIX 3. |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6A: MARY IMOGENE BASSETT HOSPITALO'CONNER HOSPITALCOBLESKILL REGIONAL HOSPITALLITTLE FALLS HOSPITALTRI TOWN REGIONAL HEALTHCARE |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: A.O. FOX HAS BEEN CONTINUOUSLY WORKING TO BETTER MANAGE CHRONIC DISEASE AND INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE MANAGEMENT/SELF-MANAGEMENT EDUCATION THROUGH OFFERING DIABETIC MANAGEMENT PROGRAM TO ALL PATIENTS WITH A HEMAGLOBIN A1C >9. A.O. FOX HAS BEEN TRACKING REFERRALS TO THE PROGRAM AND PROVIDING MONTHLY FEEDBACK AND EDUCATION ABOUT THE PROGRAM TO PRIMARY CARE PROVIDERS TO INCREASE REFERRALS TO THE PROGRAM. A.O. FOX CONTINUES TO HOLD NQCA RECOGNITION FOR SEVERAL PRIMARY CARE SITES FOR THE DIABETIC RECOGNITION PROGRAM. A.O. FOX HAS ALSO IMPLEMENTED PHYTEL POPULATION HEALTH TECHNOLOGY TO HELP IMPROVE SCREENING RATES FOR SEVERAL CONDITIONS INCLUDING BREAST CANCER, COLORECTAL CANCER, AND CERVICAL CANCER AMONG ALL PATIENTS OF THE ORGANIZATION. A.O. FOX IS A MEMBER OF THE DSRIP PCMH PROGRAM AND CURRENTLY WORKING TO TRANSFORM ALL PRIMARY CARE PRACTICES TO PCMH 2014 LEVEL 3 STANDARDS BY DEC 2017. IN AN EFFORT TO DECREASE CHILDHOOD OBESITY, A.O. FOX CONTINUES TO PARTICIPATE IN THE 5-2-1-0 EVERYDAY PROGRAM WITH GET FIT OTSEGO. A.O. FOX HAS ALSO INITIATED THE BREAST FEEDING FRIENDLY PRACTICE INITIATIVE WITH THE NYSDOH TO INCREASE BREASTFEEDING AND DECREASE CHILDHOOD OBESITY AND PROMOTE HEALTHY WOMEN AND CHILDREN. THE ORGANIZATION HAS BEGUN WORK ON TRAINING STAFF, TRANSFORMING THE PEDIATRIC AND WOMEN'S HEALTH PRACTICES, AND DEVELOPING COLLABORATIVE EFFORTS AND PROGRAMS SUCH AS A BREASTFEEDING CAFE.PART V, LINE 11:RESULTS OF 2015 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLANIN 2015, A.O. FOX HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND CORRESPONDING COMMUNITY SERVICE PLAN (CSP) IDENTIFIED THREE COMMUNITY HEALTH IMPROVEMENT GOALS: PREVENTING CHRONIC DISEASE, PROMOTING MATERNAL AND INFANT HEALTH AS WELL AS PROMOTING CHILD HEALTH. FOX HOSPITAL WAS SUCCESSFUL IN IMPLEMENTING THE FOLLOWING INTERVENTIONS:1. ACTION PLAN 1: PREVENTING CHRONIC DISEASE A. THE HOSPITAL HAS COMPLETED PRIORITY 1.4.2; INCREASE THE PERCENTAGE OF EMPLOYERS WITH SUPPORT FOR BREASTFEEDING AT THE WORKSITE BY 10%. THANKS TO THE WORK OF THE BREAST FEEDING TASK FORCE AT FOX, A PRIVATE SPACE FOR BREASTFEEDING EMPLOYEES AND PATIENTS IS NOW AVAILABLE AT THE FOXCARE CENTER AND IN THE WOMEN'S HEALTH PRACTICE. B. IN FEBRUARY OF 2015, THE HOSPITAL IMPLEMENTED PHYTEL POPULATION HEALTH TECHNOLOGY TO HELP IMPROVE SCREENING RATES FOR SEVERAL CONDITIONS INCLUDING BREAST CANCER, COLORECTAL AND CERVICAL CANCER AMONG ALL PATIENTS OF THE ORGANIZATION. SINCE 2015, OUR DATA SHOWS: 841 PATIENTS HAVE BEEN SCREENED FOR CERVICAL CANCER, 1,642 PATIENTS HAVE BEEN SCREENED FOR BREAST CANCER AND 296 PATIENTS HAVE BEEN SCREENED FOR COLORECTAL CANCER. 2. ACTION PLAN 2: PROMOTE HEALTH IN WOMEN, INFANTS AND CHILDREN: MATERNAL AND INFANT HEALTHA. THE HOSPITAL HAS COMPLETED NECESSARY REQUIREMENTS OF FOCUS AREA ONE; INCREASE THE PROPORTION OF NYS BABIES WHO ARE BREASTFED. OUT OF 331 PATIENTS SEEN AT FOX; 0-6 MONTHS OF AGE, 295 PATIENTS HAVE BEEN DOCUMENTED AS BREASTFED. THIS IS AN INCREASE OF 28% OF BREASTFED PATIENTS IN 2015. B. OUTPATIENT PRACTICES AT THE HOSPITAL NOW ADHERE TO THE TEN STEPS TO SUCCESSFUL BREASTFEEDING AND SUMMITED THE APPLICATION FOR DESIGNATION IN SEPTEMBER OF 2016. FOX ANTICIPATES RECEIVING THE BREASTFEEDING FRIENDLY PRACTICE DESIGNATION BY EARLY 2017. 3. ACTION PLAN 3: PROMOTE HEALTH WOMEN, INFANTS AND CHILDREN: CHILD HEALTHA. GOAL FOUR; INCREASE THE PERCENTAGE OF NYS POPULATION RECEIVING FLUORIDATED WATER BY 10%. TO HELP ACHIEVE THIS GOAL, THE HOSPITAL JOINED THE OTSEGO COUNTY ORAL HEALTH COALITION TO LOOK FOR OPPORTUNITIES TO PARTNER ON THE PASSIVE AND EFFECTIVE INTERVENTIONS AIMED AT REDUCING DENTAL CARIES IN CHILDREN. THANKS TO THE WORK OF THIS COMMITTEE THE COMMON COUNCIL VOTED TO CONTINUE ONEONTA'S CURRENT POLICY OF MUNICIPAL WATER FLUORIDATION. 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT ACTION PLANBASSETT RESEARCH INSTITUTE'S MOHAWK VALLEY POPULATION HEALTH IMPROVEMENT PROGRAM (MVPHIP), A GRANT FUNDED PROGRAM FROM NEW YORK STATE DEPARTMENT OF HEALTH, CONDUCTED AN ASSESSMENT ON BEHALF OF THE MARY IMOGENE BASSETT HOSPITAL (DBA: BASSETT MEDICAL CENTER), A.O. FOX MEMORIAL HOSPITAL AND OTSEGO COUNTY HEALTH DEPARTMENT. UTILIZING THE NEW YORK STATE'S PREVENTION AGENDA 2013-2018; THE HOSPITALS, LOCAL COUNTY HEALTH DEPARTMENT AND STAKEHOLDERS HAVE SELECTED INTERVENTIONS THAT ADDRESS HEALTH CARE CHALLENGES IN THE LOCAL COMMUNITY. A.O. FOX HOSPITAL WILL TRANSITION TO WORK ON THE FOLLOWING INITIATIVES IN 2017:1. FOCUS AREA 2: REDUCE ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSURE. A. THE HOSPITAL WILL OFFER A FREE SMOKING CESSATION COURSE TO ALL EMPLOYEES IN 2017, WITH A GOAL OF REDUCING THE AMOUNT OF ADULT SMOKERS BY 25.6%. BY PARTNERING WITH, "THE BUTT STOPS HERE," THE HOSPITAL WILL PROVIDE SEVEN, ONE-HOUR EDUCATIONAL COURSES, AS WELL AS PATCHES AND GUM TO ASSIST IN SMOKING CESSATION.B. IN JUNE OF 2017, THE PROGRAM WILL BE OFFERED TO THE COMMUNITY AND WILL BE MANAGED BY A SMOKING CESSATION COORDINATOR AT THE HOSPITAL. C. THE HOSPITAL WILL USE HEALTH COMMUNICATIONS TO INCREASE THE IMPACT AND UTILIZATION OF THE NYS SMOKER'S QUITLINE, PARTICULARLY AMONG DISPARATE POPULATIONS.2. FOCUS AREA 3: INCREASE ACCESS TO HIGH-QUALITY CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT IN CLINICAL AND COMMUNITY SETTINGS A. THE HOSPITAL WILL FOCUS ON REDUCING THE ASTHMA EMERGENCY DEPARTMENT VISIT RATE BY DECEMBER 2018. ASTHMA EDUCATION AND MANAGEMENT WILL BE OFFERED TO CHILDREN AND ADULT PATIENTS. PARTICIPANTS WILL BE INFORMED ABOUT ASTHMA TRIGGERS, MEDICATIONS, PEAK FLOW METER MONITORING AND WARNING SIGNS ASSOCIATED WITH ASTHMA.B. THE EXCHANGE OF ASTHMA INFORMATION WILL BE DOCUMENTED IN EPIC IN THE EMERGENCY DEPARTMENT AND PRIMARY CARE PRACTICES, TO HELP PROMOTE THE INCLUSION OF DECISION SUPPORT TOOLS AND REMINDERS.C. THE HOSPITAL WILL EXPLORE WAYS TO PARTNER WITH BASSETT HEALTHCARE NETWORK'S-SCHOOL BASED HEALTH PROGRAMS IN ONEONTA, TO BRING ASTHMA EDUCATION TO HEALTHCARE PROVIDERS IN LOCAL SCHOOL DISTRICTS. |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL | PART V, SECTION B, LINE 22D: IF PATIENTS MEET FINANCIAL ASSISTANCE CRITERIA, THEIR EMERGENCY AND MEDICALLY NECESSARY CARE ARE EITHER DISCOUNTED OR FREE OF CHARGE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - AURELIA OSBORN FOX MEMORIAL HOSPITAL | ||||
| 1 NORTON AVE | ONEONTA | NY | 13820 | NURSING HOME |
| 2 - NORTHERN CATSKILL UROLOGY | ||||
| 438 MAIN ST | ONEONTA | NY | 13820 | UROLOGY CLINIC |
| 3 - CHILD AND ADOLESCENT HEALTHCARE | ||||
| 1 FOXCARE DRIVE SUITE 213 | ONEONTA | NY | 13820 | PEDIATRIC CLINIC |
| 4 - ONEONTA FAMILY PRACTICE | ||||
| 1 FOXCARE DRIVE SUITE 308 | ONEONTA | NY | 13820 | FAMILY MEDICINE CLINIC |
| 5 - FOXCARE WOMENS WELLNESS | ||||
| 1 FOXCARE DRIVE SUITE 303 | ONEONTA | NY | 13820 | OB/GYN CLINIC |
| 6 - SUSQUEHANNA FAMILY PRACTICE | ||||
| 1 FOXCARE DRIVE SUITE 103 | ONEONTA | NY | 13820 | FAMILY MEDICINE CLINIC |
| 7 - FOXCARE DENTAL | ||||
| 1 FOXCARE DRIVE SUITE 304 | ONEONTA | NY | 13820 | DENTAL CLINIC |
| 8 - SIDNEY PRIMARY CARE CLINIC | ||||
| 59 RIVER ST | SIDNEY | NY | 13838 | FAMILY MEDICINE CLINIC |
| 9 - FOXNOW | ||||
| 1 FOXCARE DRIVE SUITE 402 | ONEONTA | NY | 13820 | WALK-IN CLINIC |
| 10 - FOX INTERNAL MEDICINE | ||||
| 1 FOXCARE DRIVE SUITE 302 | ONEONTA | NY | 13820 | INTERNAL MEDICINE CLINIC |
| 11 - STAMFORD FAMILY PRACTICE | ||||
| 32-34 MAIN STREET | STAMFORD | NY | 12167 | FAMILY MEDICINE CLINIC |
| 12 - SOUTHEASTERN HEALTH CENTER | ||||
| 4 DECATUR ST | WORCESTER | NY | 12197 | FAMILY MEDICINE CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | PART 1 LINE 7 THE COST METHODOLOGY USED FOR TABLE 7 IS THE RATIO OF COST TO CHARGES FROM 12/31/2015 MEDICARE FORM 2552. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,631,831. |
| PART 1 LINE 6A | WE COMPILE AND SUBMIT AN ANNUAL COMMUNITY SERVICE PLAN TO THE NEW YORK STATE DEPARTMENT OF HEALTH. |
| PART III, LINE 4: | PART III, LINE 4 PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS 11% AND 13% OF THE RELATED PATIENT ACCOUNTS RECEIVABLE, NET OF CONTRACTUAL ALLOWANCES AT DECEMBER 31, 2015 AND 2014, RESPECTIVELY. |
| PART III, LINE 8: | WHEN MEDICARE PATIENTS PRESENT WE ARE AWARE THAT THERE IS A PREDETERMINED REIMBURSEMENT THAT IS BELOW OUR HOSPITAL'S COST. THE PORTION THAT WE ARE NOT REIMBURSED THEREFORE WOULD BE CONSIDERED A COMMUNITY BENEFIT. |
| PART III, LINE 9B: | IF A PATIENT IS 100% CHARITY CARE, THEY ARE REMOVED FROM THE COLLECTION PROCESS. IF LESS THAN 100% CHARITY CARE THEY FOLLOW THE NORMAL COLLECTION PROCEDURES. |
| PART VI, LINE 2: | WE ASSESS THE COMMUNITIES HEALTHCARE NEEDS BASED UPON INPUT FROM THE COMMUNITY BOARD MEMBERS, MEDICAL STAFF AND BY HOSTING COMMUNITY FORUMS. IN ADDITION WE REVIEW TRENDS IN UTILIZATION OF OUR SERVICES PROVIDED. |
| PART VI, LINE 3: | WE INFORM PATIENTS THROUGH SIGNAGE, PAMPHLETS AND PROVIDE INFORMATIONAL PACKETS TO PATIENTS THAT INDICATE THEY HAVE NO INSURANCE COVERAGE. |
| PART VI, LINE 4: | WE SERVE RESIDENTS OF OTSEGO AND DELAWARE COUNTIES LOCATED IN RURAL UPSTATE NY. |
| PART VI, LINE 5: | WE HELP PROMOTE THE HEALTH OF THE COMMUNITY THROUGH MAINTAINING AN ACTIVE OPEN MEDICAL STAFF, SUPPORTING THE ANCILLARY NEEDS OF THE LOCAL FREE CLINIC AND HOSTING A CHILD BIRTH FAIR. WE ALSO PROVIDE MEETING SPACE FOR LOCAL COMMUNITY ORGANIZATIONS AT NO CHARGE. OUR BOARD IS COMPRISED OF LOCAL COMMUNITY MEMBERS WHO ADVOCATE FOR THE HEALTH INTEREST OF THE COMMUNITY. |
| PART VI, LINE 6: | AURELIA OSBORN FOX MEMORIAL HOSPITAL IS PART OF THE BASSETT HEALTHCARE NETWORK THAT PROVIDES HEALTHSERVICES IN MORE THAN 20 COMMUNITIES SPANNING 5,600 SQUARE MILES AND SEVENCOUNTIES. THE NETWORK FOCUSES ITS COMMUNITY SERVICES PROGRAMS IN THECOUNTIES WHERE THE SIX AFFILIATED HOSPITALS AND GREATEST PATIENTPOPULATIONS ARE LOCATED. OTSEGO COUNTY - POPULATION 61,709, DELAWARECOUNTY - POPULATION 47,276, HERKIMER COUNTY - POPULATION 64,508, SCHOHARIECOUNTY - POPULATION 32,099 (ACCORDING TO THE 2012 U.S. CENSUS ESTIMATES).A)BASSETT - AN ACUTE CARE INPATIENT TEACHING FACILITY, AN OUTPATIENTPRIMARY AND SPECIALTY CARE CENTER, A REGIONAL NETWORK OF 26 COMMUNITY BASEDOUTPATIENT HEALTH CENTERS, 19 SCHOOL BASED HEALTH CENTERS, TWO AMBULATORYSURGERY CENTERS AND A FULLY SALARIED MEDICAL STAFF IN COOPERSTOWN, OTSEGOCOUNTYB)O'CONNOR HOSPITAL - CRITICAL ACCESS HOSPITAL IN DELHI, DELAWARE COUNTYC)COBLESKILL REGIONAL HOSPITAL - ACUTE CARE FACILITY IN COBLESKILL,SCHOHARIE COUNTYD)LITTLE FALLS HOSPITAL - CRITICAL ACCESS HOSPITAL IN LITTLE FALLS,HERKIMER COUNTYE)TRI-TOWN REGIONAL HOSPITAL - 24/7 EMERGENCY CARE FACILITY IN SIDNEY,DELAWARE COUNTYF)A.O. FOX MEMORIAL HOSPITAL - ACUTE CARE FACILITY IN ONEONTA, OTSEGOCOUNTYG)VALLEY HEALTH SERVICES - RESIDENTIAL HEALTH CARE AND REHABILITATIONFACILITYH)AT HOME CARE - CERTIFIED HOME CARE AGENCYI)FIRST COMMUNITY CARE OF BASSETT - MEDICAL SUPPLY COMPANYALL THE ABOVE (A-I) MAKE UP THE BASSETT HEALTHCARE NETWORK AND PROVIDEHEALTH SERVICES TO THIS SEVEN COUNTY REGION IN CENTRAL NEW YORK. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GENNARO FALCO | ||||||||||||||
| MD | $163,677 | $0 | $0 | $0 | $0 | $0 | $6,300 | $0 | $8,905 | $0 | $178,882 | $0 | $0 | $0 |
| GERALD GROFF | ||||||||||||||
| DIRECTOR | $0 | $386,206 | $0 | $0 | $0 | $0 | $0 | $18,550 | $0 | $3,235 | $0 | $407,991 | $0 | $0 |
| MICHAEL TENGERES | ||||||||||||||
| DIRECTOR | $0 | $293,607 | $0 | $22,500 | $0 | $0 | $0 | $0 | $0 | $1,538 | $0 | $317,645 | $0 | $0 |
| JOHN REMILLARD LEFT 12312015 | ||||||||||||||
| PRESIDENT | $0 | $347,647 | $0 | $0 | $0 | $1,353 | $0 | $10,600 | $0 | $1,258 | $0 | $360,858 | $0 | $0 |
| MARK WRIGHT | ||||||||||||||
| CFO | $169,492 | $0 | $0 | $0 | $0 | $0 | $11,811 | $0 | $16,578 | $0 | $197,881 | $0 | $0 | $0 |
| BENJAMIN FRIEDELL | ||||||||||||||
| VP MEDICAL AFFAIRS | $255,166 | $0 | $0 | $0 | $0 | $0 | $13,230 | $0 | $12,496 | $0 | $280,892 | $0 | $0 | $0 |
| PATRICK GERMAIN | ||||||||||||||
| MD | $420,383 | $0 | $0 | $0 | $0 | $0 | $11,712 | $0 | $16,524 | $0 | $448,619 | $0 | $0 | $0 |
| SARBJIT VILKHU | ||||||||||||||
| MD | $320,172 | $0 | $0 | $0 | $0 | $0 | $11,828 | $0 | $12,948 | $0 | $344,948 | $0 | $0 | $0 |
| MARIO VILLARINI | ||||||||||||||
| MD | $324,284 | $0 | $0 | $0 | $0 | $0 | $11,784 | $0 | $16,381 | $0 | $352,449 | $0 | $0 | $0 |
| BLAINE JONES | ||||||||||||||
| MD | $326,356 | $0 | $0 | $0 | $0 | $0 | $17,029 | $0 | $16,256 | $0 | $359,641 | $0 | $0 | $0 |
| GODWIN NJOKU | ||||||||||||||
| MD | $337,485 | $0 | $0 | $0 | $0 | $0 | $11,864 | $0 | $15,589 | $0 | $364,938 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THURSTON CORPORATION IS THE SOLE MEMBER OF A.O. FOX MEMORIAL HOSPITAL |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL A.O. FOX MEMORIAL HOSPITAL BOARD MEMBERS ARE ELECTED BY THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE HOSPITALS SOLE MEMBER HAS POWER TO APPROVE BOARD NOMINATIONS AND BYLAW CHANGES. |
| FORM 990, PART VI, SECTION B, LINE 11 | AURELIA OSBORN FOX MEMORIAL HOSPITAL PRESENTS THE DRAFT 990 TO THE FINANCE/EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. ANY QUESTIONS ARE RAISED AND ONCE APPROVED, THE 990 CAN BE FILED. A COMPLETE COPY OF THE ORGANIZATION'S FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, IS AVAILABLE TO EACH MEMBER OF THE BOARD BEFORE ITS FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY HOSPITAL ADMINISTRATION AND IF NECESSARY ARE REFERRED TO THE BOARD EXECUTIVE COMMITTEE TO BE HANDLED APPROPRIATELY. |
| FORM 990, PART VI, SECTION B, LINE 15 | PART VI SECTION B 15A THE BOARD EXECUTIVE COMMITTEE DETERMINES COMPENSATION FOR THE CEO BASED ON THE, "SURVEY OF THE INDUSTRIES C0MPENSATION DATA" SUPPLIED BY HANYS PART VI SECTION B 15B THE CEO TAKES RECOMMENDATIONS TO THE BOARD EXECUTIVE COMMITTEE BASED ON HANYS COMPENSATION SURVEY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTATION, CONFLICTS OF INTEREST POLICIES, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. SOME INFORMATION IS ALSO AVAILABLE THROUGH THE DEPARTMENT OF HEALTH. THE DOH REQUIRES THE INFORMATION FOR PUBLIC AVAILABILITY. |
| FORM 990, PART IX, LINE 11G | TELEPHONE: PROGRAM SERVICE EXPENSES 253,589. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 253,589. POSTAGE: PROGRAM SERVICE EXPENSES 129,581. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,581. EQUIPMENT RENTAL MAINTENANCE: PROGRAM SERVICE EXPENSES 293,569. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 293,569. PRINTING: PROGRAM SERVICE EXPENSES 111,044. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,044. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,086,704. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,086,704. PHYSICIAN RECRUITMENT: PROGRAM SERVICE EXPENSES 236,340. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 236,340. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 203,101. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 203,101. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,972,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,972,000. |
| FORM 990, PART XI, LINE 9: | CHANGE ON BENEFICIAL INTEREST IN NET ASSETS OF A.O. FOX FOUNDATION -98,917. CHANGE IN BENEFICIAL INTEREST IN AT HOME CARE 1,493. PENSION RELATED CHANGES 274,394. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THURSTON CORPORATION | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133218680 | SUPPORTING ORGANIZATION | NY | 501(C)3 | 11C | NONE | 0 |
| BASSETT REGIONAL CORPORATION | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133522783 | PLANNING AND POLICY SERVICES | NY | 501(C)3 | 11B | THURSTON CORPORATION | 0 |
| FRIENDS OF BASSETT | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 237041610 | FUNDRAISING | NY | 501(C)3 | 7 | THURSTON CORPORATION | 0 |
| MARY IMOGENE BASSETT HOSPITAL | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 135596796 | HOSPITAL | NY | 501(C)3 | 3 | THURSTON CORPORATION | 0 |
| BASSETT HOSPITAL OF SCHOHARIE CO | ||||||||||
| 178 GRANDVIEW DRIVE | COBLESKILL | NY | 12043 | 141772971 | HOSPITAL | NY | 501(C)3 | 3 | BASSETT REGIONAL CORP | 0 |
| LITTLE FALLS HOSPITAL | ||||||||||
| 140 BURWELL STREET | LITTLE FALLS | NY | 13365 | 150533578 | HOSPITAL | NY | 501(C)3 | 3 | BASSETT REGIONAL CORP | 0 |
| O'CONNOR HOSPITAL | ||||||||||
| 460 ANDES ROAD | DELHI | NY | 13753 | 161540394 | HOSPITAL | NY | 501(C)3 | 3 | BASSETT REGIONAL CORP | 0 |
| TEMPLETON FOUNDATION | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133317084 | OUTPATIENT SERVICES | NY | 501(C)3 | 9 | THURSTON CORPORATION | 0 |
| TRI TOWN REGIONAL HEALTHCARE | ||||||||||
| 43 PEARL STREET | SIDNEY | NY | 13838 | 260169584 | HOSPITAL | NY | 501(C)3 | 3 | BASSETT REGIONAL CORP | 0 |
| VALLEY HEALTH SERVICES | ||||||||||
| 690 W GERMAN STREET | HERKIMER | NY | 13350 | 222511614 | NOT-FOR-PROFIT SKILLED NURSING FACILITY | NY | 501(C)3 | 3 | BASSETT REGIONAL CORP | 0 |
| AO FOX FOUNDATION | ||||||||||
| 1 NORTON AVENUE | ONEONTA | NY | 13820 | 222871993 | SOLICITS CONTRIBUTIONS FOR AURELIA OSBORN FOX MEMORIAL HOSPITAL | NY | 501(C)3 | 9 | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY | 0 |
| AT HOME CARE | ||||||||||
| 297 MAIN STREET | ONEONTA | NY | 13820 | 161287069 | HOME HEALTH CARE | NY | 501(C)3 | 9 | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATSKILL CARE ENTERPRISES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 NORTON AVE | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161236590 | EIN |
| Primary Activities | RETAIL PHARMACY AND FITNESS CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | -$288,111 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,116,799 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| CATSKILL CARE ENTERPRISES | |
| J | $393,592 |
| CATSKILL CARE ENTERPRISES | |
| P | $934,032 |
| CATSKILL CARE ENTERPRISES | |
| Q | $182,621 |
| CATSKILL CARE ENTERPRISES | |
| D | $510,239 |