MARY IMOGENE BASSETT HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MARY IMOGENE BASSETT HOSPITAL (EIN 13-5596796)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201243199349304509
- Schema version
- 2011v1.3
- 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 K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T15:45:58-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 Broadway 4th Floor | AddressLine1 |
| City | Albany | City |
| State | NY | State |
| ZIP Code | 122072974 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 135596796 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Mary Imogene Bassett Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % NICHOLAS J NICOLETTA | InCareOfName |
| Name Control | MARY | NameControl |
| Phone | 6075473635 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE ATWELL ROAD | AddressLine1 |
| City | Cooperstown | City |
| State | NY | State |
| ZIP Code | 13326 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Nicholas J Nicoletta | Name |
| Title | Corporate VP/CFO | Title |
| Date Signed | 2012-11-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5184274600 | Phone |
| Date Prepared | 2012-11-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bassett Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Nicholas J Nicoletta | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Atwell Road | AddressLine1 |
| City | Cooperstown | City |
| State | NY | State |
| ZIP Code | 13326 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 437486268 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.bassett.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1921 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | See Schedule O. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3835 | TotalNbrEmployees |
| Total Nbr Volunteers | 145 | TotalNbrVolunteers |
| Total Gross UBI | 31127 | TotalGrossUBI |
| Contributions Grants Prior Year | 6857245 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7712078 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 393100520 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 399868572 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2543350 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4865736 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1590743 | OtherRevenuePriorYear |
| Other Revenue Current Year | 40575 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 404091858 | TotalRevenuePriorYear |
| Total Revenue Current Year | 412486961 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 228854646 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 237833788 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 999428 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 174044275 | OtherExpensePriorYear |
| Other Expenses Current Year | 177222598 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 402898921 | TotalExpensesPriorYear |
| Total Expenses Current Year | 415056386 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1192937 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2569425 | RevenuesLessExpensesCY |
| Total Assets BOY | 323618053 | TotalAssetsBOY |
| Total Assets EOY | 343191925 | TotalAssetsEOY |
| Total Liabilities BOY | 95941047 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 122504389 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 227677006 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 220687536 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MIBH 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 331221622 | Expense |
| Revenue | 399868572 | Revenue |
| Description | INPATIENT AND OUTPATIENT SERVICES PROVIDED TO OUR PATIENTS RESULTED IN: 12,775 HOSPITALIZATIONS (INCLUSIVE OF OPEN HEART SURGERIES) 50,055 PATIENT DAYS 694,986 CLINIC VISITS 24,684 RENAL TREATMENTS 9,572 SURGICAL CASES | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5699087 | Expense |
| Description | Community involvement has been linked to Bassett's mission, vision, and values since we first opened in 1922. 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 for the people of our region. Our community services program provides free services to persons who cannot afford to pay, who do not qualify for Medicaid, and who fall within the established income guidelines. In 2011, we provided $5,699,087 in free care. Bassett's community health education programs include lectures, presentations, health fairs, and other group programs apart from 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. Not only did we provide $5.4M in charity care, bad debt expense was $14.5M, Medicaid payments below cost to provide services were $33.3M. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 336920709 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 254 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3835 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NICHOLAS J NICOLETTA | NamePerson |
| Telephone Number | 6075473635 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE ATWELL ROAD | AddressLine1 |
| City | COOPERSTOWN | City |
| State | NY | State |
| ZIP Code | 13326 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Thomas Q Morris MD | |||||||
| Chairman | 1.0 | X | X | 0 | 0 | 0 | |
| Kevin S Moore | |||||||
| Vice Chairman | 3.0 | X | X | 0 | 0 | 0 | |
| William T Burdick | |||||||
| Secretary | 8.0 | X | X | 0 | 0 | 0 | |
| Jane Forbes Clark | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Edward W Stack | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Vanness D Robinson | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Barbara Dicocco | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Ralph H Meyer | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Donald O Pollock MD | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Donald O Quest MD | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Peter J Hamilton | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Douglas B Willies | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Terry Fulmer PHD RN | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| J Michael Moffat | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Katherine D Nickerson | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Timothy A Pedley MD | |||||||
| Vice Chairman | 1.0 | X | X | 0 | 0 | 0 | |
| Clifton R WhartonJRPHD | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| John D Bullis | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Michael Getman | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Charles B Kieler | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Michael S Gold MD | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| William F Streck MD | |||||||
| President & CEO | 40.0 | X | 656951 | 0 | 17949 | ||
| Bertine Colombo Mckenna PHD | |||||||
| Executive VP & COO | 40.0 | X | 369024 | 0 | 12712 | ||
| Nicholas J Nicoletta | |||||||
| Corporate VP & CFO | 40.0 | X | 368286 | 0 | 15739 | ||
| Richard C Vanison | |||||||
| Treasurer | 4.0 | X | 0 | 0 | 0 | ||
| Glenn A Perrone | |||||||
| Assistant Secretary | 2.0 | X | 0 | 0 | 0 | ||
| Steven J Heneghan MD | |||||||
| Attending Physician | 40.0 | 579331 | 0 | 17506 | X | ||
| Joseph Schmer MD | |||||||
| Attending Physician | 40.0 | 528631 | 0 | 11876 | X | ||
| James C Peters MD | |||||||
| Attending Physician | 40.0 | 508989 | 0 | 24832 | X | ||
| Jonathan Richman Md | |||||||
| Attending Physician | 40.0 | 527196 | 0 | 18275 | X | ||
| ROBERT LANCEY MD | |||||||
| ATTENDING PHYSICIAN | 40.0 | 520879 | 0 | 21396 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4059287 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 140285 | TotalOtherCompensation |
| Number Individuals GT100 K | 395 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | true | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MCCARTHY | |||||
| 1341 North Rock Hill Road | ST LOUIS | MO | 63124 | CONSTRUCTION | 5978297 |
| NURSEFINDERS | |||||
| PO BOX 910738 | DALLAS | TX | 75391 | AGENCY SERVICES | 3014979 |
| MEDQUIST TRANSCRIPTION | |||||
| 1000 BISHOPS GATE BLVD S | MT LAUREL | NJ | 08054 | TRANSCRIPTION | 2513882 |
| STAFF CARE INC | |||||
| 5001 STATESMAN DRIVE | IRVING | TX | 75063 | AGENCY SERVICES | 1740863 |
| VITALIZE CONSULTING | |||||
| 248 MAIN STREET STE 101 | BALTIMORE | MD | 21279 | CONSULTING | 1562330 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 19 | NumberOfContractorsGT100K |
| Related Organizations | 1269834 | RelatedOrganizations |
| Government Grants | 5492550 | GovernmentGrants |
| All Other Contributions | 949694 | AllOtherContributions |
| Total Contributions | 7712078 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| DIRECT PATIENT SERVICES | 900099 | 376743704 | 376743704 |
| OTHER PROGRAM SERVICE REVENUE | 900099 | 23124868 | 23124868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 399868572 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 924390 | TotalRevenueColumn |
| Exclusion | $924,390 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 28882695 | Securities |
| Other | 57958 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 24925485 | Securities |
| Other | 73822 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3957210 | Securities |
| Other | -15864 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3941346 | TotalRevenueColumn |
| Exclusion | $3,941,346 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| PARTNERSHIP INCOME | 621500 | 226575 | 31127 | $195,448 |
| INVESTMENT IN JOINT VENTURES | 621610 | -186000 | -$186,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 40575 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 412486961 | TotalRevenueColumn |
| Related Or Exempt Function Income | 399868572 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 31127 | UnrelatedBusinessRevenue |
| Exclusion | $4,875,184 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1440661 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1440661 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 207487525 | Total |
| Program Services | 157964427 | ProgramServices |
| Management And General | 49026337 | ManagementAndGeneral |
| Fundraising | 496761 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4811485 | Total |
| Program Services | 3663601 | ProgramServices |
| Management And General | 1138344 | ManagementAndGeneral |
| Fundraising | 9540 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11415100 | Total |
| Program Services | 8631917 | ProgramServices |
| Management And General | 2756038 | ManagementAndGeneral |
| Fundraising | 27145 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12679017 | Total |
| Program Services | 9584576 | ProgramServices |
| Management And General | 3060208 | ManagementAndGeneral |
| Fundraising | 34233 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53278 | Total |
| Management And General | 53278 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33231501 | Total |
| Program Services | 27396460 | ProgramServices |
| Management And General | 5608483 | ManagementAndGeneral |
| Fundraising | 226558 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2123226 | Total |
| Program Services | 1577118 | ProgramServices |
| Management And General | 503549 | ManagementAndGeneral |
| Fundraising | 42559 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13254620 | Total |
| Program Services | 10030529 | ProgramServices |
| Management And General | 3202594 | ManagementAndGeneral |
| Fundraising | 21497 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1673956 | Total |
| Program Services | 1265819 | ProgramServices |
| Management And General | 404156 | ManagementAndGeneral |
| Fundraising | 3981 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19401620 | Total |
| Program Services | 14705044 | ProgramServices |
| Management And General | 4695094 | ManagementAndGeneral |
| Fundraising | 1482 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3373543 | Total |
| Program Services | 2551020 | ProgramServices |
| Management And General | 814501 | ManagementAndGeneral |
| Fundraising | 8022 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PATIENT CARE SUPPLIES | 32481040 | 32481040 | ||
| DRUGS AND REAGENTS | 30249399 | 30249399 | ||
| BAD DEBT | 14513947 | 14513947 | ||
| RENTAL EQUIPMENT & SPACE | 8872818 | 6724549 | 2147045 | 1224 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17993650 | Total |
| Program Services | 15581263 | ProgramServices |
| Management And General | 2285961 | ManagementAndGeneral |
| Fundraising | 126426 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 415056386 | Total |
| Program Services | 336920709 | ProgramServices |
| Management And General | 77136249 | ManagementAndGeneral |
| Fundraising | 999428 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14917654 | BOY |
| EOY | 7155225 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10834542 | BOY |
| EOY | 9860464 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44601331 | BOY |
| EOY | 51797404 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3083021 | BOY |
| EOY | 3305577 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3053540 | BOY |
| EOY | 2457985 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 358055061 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 216610596 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141174956 | BOY |
| EOY | 141444465 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68045275 | BOY |
| EOY | 85442703 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30936393 | BOY |
| EOY | 33634077 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6971341 | BOY |
| EOY | 8094025 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 323618053 | BOY |
| EOY | 343191925 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38862456 | BOY |
| EOY | 38850570 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33385000 | BOY |
| EOY | 56570000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23693591 | BOY |
| EOY | 27083819 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95941047 | BOY |
| EOY | 122504389 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169040821 | BOY |
| EOY | 163124202 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44847111 | BOY |
| EOY | 43733963 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13789074 | BOY |
| EOY | 13829371 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 227677006 | BOY |
| EOY | 220687536 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 323618053 | BOY |
| EOY | 343191925 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2569425 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -4420045 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $53,278 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 53278 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B - Description of Lobbying Activity | Identifier |
| Explanation | AMERICAN HOSPITAL ASSOCIATION ALLOCATES 24.6% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2011 = $39,909 IROQUOIS HEALTHCARE ALLIANCE DUES ALLOCATES 45% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2011 : $31,469 HANYS ALLOCATES 30.3% OF DUES TOWARDS GENERAL LOBBYING ACTIVITIES. TOTAL DUES PAID IN 2011 : $96,697 THE CLARK ESTATES CONDUCTS LOBBYING ACTIVITIES ON BEHALF OF THE MARY IMOGENE BASSETT HOSPITAL. LOBBYING ACTIVITIES ARE LIMITED TO OFFICER DISCUSSIONS WITH CONSULTANTS AND LEGISLATORS TO OBTAIN FUNDING FOR CHARITABLE MISSIONS. NO FUNDS WERE EXPENDED. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13789074 | BeginningOfYearBalance |
| Contributions | 40297 | Contributions |
| End Of Year Balance | 13829371 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 16734461 | BeginningOfYearBalance |
| Contributions | 54613 | Contributions |
| Investment Earnings Or Losses | 199921 | InvestmentEarningsOrLosses |
| Other Expenditures | 3000000 | OtherExpenditures |
| Administrative Expenses | 199921 | AdministrativeExpenses |
| End Of Year Balance | 13789074 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13825685 | BeginningOfYearBalance |
| Contributions | 2908776 | Contributions |
| Investment Earnings Or Losses | 189138 | InvestmentEarningsOrLosses |
| Administrative Expenses | 189138 | AdministrativeExpenses |
| End Of Year Balance | 16734461 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13511047 | BeginningOfYearBalance |
| Contributions | 314638 | Contributions |
| Investment Earnings Or Losses | 445038 | InvestmentEarningsOrLosses |
| Administrative Expenses | 445038 | AdministrativeExpenses |
| End Of Year Balance | 13825685 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 233974 | OtherCostOrOtherBasis |
| Book Value | 233974 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 184709902 | OtherCostOrOtherBasis |
| Depreciation | 94226662 | Depreciation |
| Book Value | 90483240 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 159276890 | OtherCostOrOtherBasis |
| Depreciation | 122383934 | Depreciation |
| Book Value | 36892956 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13834295 | OtherCostOrOtherBasis |
| Book Value | 13834295 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 141444465 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| LIMITED PARTNERSHIPS | 32662519 | C |
| LIMITED PARTNERSHIPS | 971558 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 33634077 | TotalOfBookValueSecurities |
| Total Revenue | 412486961 | TotalRevenue |
| Total Expenses | 415056386 | TotalExpenses |
| Excess Or Deficit For Year | -2569425 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -3296601 | NetUnrealizedGLOnInvestments |
| Other | -$1,123,444 | OtherAmount |
| Total Adjustments | -4420045 | TotalAdjustments |
| Excess Or Deficit Per FS | -6989470 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 387853882 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -3296601 | NetUnrealizedGainsInvestments |
| Other Revenues | -21336478 | OtherRevenues |
| Revenue Not Rptd F990 | -24633079 | RevenueNotRptdF990 |
| Revenue Subtotal | 412486961 | RevenueSubtotal |
| Total Revenue Per Form990 | 412486961 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 394843352 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 394843352 | ExpensesSubtotal |
| Other Expenses Not Included | 20213034 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 20213034 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 415056386 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Part V, Line 4 | Permanently restricted endowment funds are held in perpetuity with restrictions on income for health services, medical research, medical education, and indigent care. | |
| Part XI, Line 8 | POST RETIREMENT BENEIFT RELATED CHANGES -698,689 PROJECT ABANDONMENT (PATIENT KEEPER) -424,755 --------- TOTAL -1,123,444 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES |
| Part XII, Line 2d | BAD DEBT -14,513,947 CHARITY CARE -5,699,087 POST RETIREMENT BENEIFT RELATED CHANGES -698,689 PROJECT ABANDONMENT (PATIENT KEEPER) -424,755 --------- TOTAL -21,336,478 | OTHER REVENUE INCLUDED IN F/S BUT NOT INCLUDED ON FORM 990 |
| Part XIII, Line 4b | BAD DEBT 14,513,947 CHARITY CARE 5,699,087 ---------- Total 20,213,034 | Other Expenses Included on Form 990 but not included in F/S |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3563479 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 269165 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3294314 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00790 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48341819 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33350141 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14991678 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03610 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 51905298 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33619306 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18285992 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04400 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50666 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 50666 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15207172 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4351640 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10855532 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02620 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8154970 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 317280 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7837690 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01890 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 494136 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 494136 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23906944 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4668920 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19238024 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04640 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 75812242 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38288226 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 37524016 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $6,468,132 | BadDebtExpenseAmount |
| Amount Attributable To | 996503 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 96155735 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 85668387 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 10487348 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | At home care inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Home healthcare agency | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.00000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mary Imogene Bassett Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | one atwell road | AddressLine1 |
| City | cooperstown | City |
| State | NY | State |
| ZIP Code | 13326 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
| Other | Outpatient primary & Specialty Clinics | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mary Imogene Bassett Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 300. | FPGFreePercent |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | false | ExplainsBasis |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Other Actions | X | PermitOtherActions |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Other Actions | X | OtherActions |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 50 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (50 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| AC CLARK GYMNASIUM | ||||
| SUSQUEHANA AVENUE | COOPERSTOWN | NY | 13326 | OUTPATIENT PHYSICAL THERAPY SERVICES |
| BASSETT HEALTHCARE HAMILTON SURGICAL SER | ||||
| 10 EATON STREET | HAMILTON | NY | 13346 | OUTPATIENT SPECIALTY CARE |
| BASSETT HEALTHCARE HERKIMER CARDIAC REHA | ||||
| 690 WEST GERMAN STREET | HERKIMER | NY | 13350 | OUTPATIENT REHAB SERVICES |
| BASSETT HEALTHCARE CLINTON | ||||
| 34 CHENANGO AVENUE | CLINTON | NY | 13323 | OUTPATIENT PRIMARY CARE 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 PRIMARY CARE |
| BASSETT HEALTHCARE DELHI | ||||
| 460 ANDES ROAD | DELHI | NY | 13753 | OUTPATIENT DENTAL AND PRIMARY |
| BASSETT HEALTHCARE EDMESTON | ||||
| ROUTE 80 PO BOX 15 | EDMESTON | NY | 13335 | OUTPATIENT PRIMARY CARE |
| BASSETT HEALTHCARE HAMILTON | ||||
| 160 BROAD STREET | HAMILTON | NY | 13346 | OUTPATIENT DENTAL AND PRIMARY CARE |
| BASSETT HEALTHCARE HERKIMER | ||||
| 321 EAST ALBANY STREET | HERKIMER | NY | 13350 | OUTPATIENT PRIMARY, SPECIALTY, SPECIALTY, AND 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 ASSO | ||||
| 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 SER | ||||
| ONE ASSOCIATE DRIVE | ONEONTA | NY | 13820 | OUTPATIENT PRIMARY, SPECIALTY, SPECIALTY, AND URGENT CARE |
| BASSETT HEALTHCARE PHYSICAL THERAPY | ||||
| 21 RAILROAD AVENUE | COOPERSTOWN | NY | 13326 | OUTPATIENT SPECIALTY 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 SHERBOURNE | ||||
| 20 CHAPEL STREET | SHERBOURNE | NY | 13460 | OUTPATIENT PRIMARY CARE |
| BASSETT HEALTHCARE SIDNEY | ||||
| 39 PEARL STREET WEST | 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 HEALTH 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 FOX CARE | ||||
| 1 FOX CARE DRIVE | ONEONTA | NY | 13820 | OUTPATIENT SPECIALTY SERVICES |
| BASSETT HEALTHCARE AT LITTLE FALLS | ||||
| 170 BURWELL STREET | LITTLE FALLS | NY | 13365 | OUTPATIENT PRIMARY 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 AND specialty care |
| SBHC COOPERSTOWN ELEMENTARY | ||||
| 21 WALNUT STREET | COOPERSTOWN | NY | 13326 | OUTPATIENT PRIMARY CARE |
| SBHC COOPERSTOWN MIDDLE & HIGH SCHOOL | ||||
| 39 LINDEN AVENUE | COOPERSTOWN | NY | 13326 | OUTPATIENT PRIMARY CARE |
| SBHC DELHI ELEMENTARY | ||||
| 2 SHELDON DRIVE | DELHI | NY | 13753 | OUTPATIENT PRIMARY CARE |
| SBHC DELHI MIDDLE & HIGH SCHOOL | ||||
| 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 & HIGH SCHOOL | ||||
| 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 EQUIPMENT PROGRA | ||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | OUTPATIENT SPECIALTY 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 MIDDLE & HIGH S | ||||
| 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 SCHOOL | ||||
| PO BOX 113 | SOUTH KORTRIGHT | NY | 13842 | OUTPATIENT PRIMARY CARE |
| SBHC STAMFORD CENTRAL SCHOOL | ||||
| ONE RIVER STREET | STAMFORD | NY | 12167 | OUTPATIENT PRIMARY CARE |
| SBHC WORCESTER CENTRAL SCHOOL | ||||
| 195 MAIN STREET | WORCESTER | NY | 12197 | OUTPATIENT PRIMARY CARE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part I, Line 3c | Charity Care Eligibility Criteria (FPG is Not Used) | The CSP (community services program) application specifies family income limits and other requirements for services to be eligible for Bassett Medical Center's CSP/free care program. |
| Part I, Line 6a | Related Organization Community Benefit Report | THE MARY IMOGENE BASSETT HOSPITAL, D/B/A 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. |
| Part I, Line 7 | Explanation of Costing Methodology | 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. |
| Part I, Line 7, Column F | Explanation of Bad Debt Expense | THE PERCENT OF TOTAL EXPENSE IS CALCULATED BY DIVIDING COLUMN (E), NET COMMUNITY BENEFIT EXPENSE, BY TOTAL EXPENSE. THE BAD DEBT EXPENSE OF $14,513,947 WAS SUBTRACTED FROM THE TOTAL EXPENSE VALUE USED TO CALCULATE THE PERCENTAGES IN PART 1, LINE 7, COLUMN F. |
| Part III, Line 4 | Bad Debt Expense | WORKSHEET 2 COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 2 AND 3. Provision for Uncollectible Patient Accounts Receivable text within Financial Statements Footnotes: "The Hospital grants credit without collateral to patients, most of who are local residents and are insured under third party agreements. Services rendered to individuals when payment is expected and ultimately not received are written off to the allowance for estimated uncollectible accounts. Additions to the allowance for estimated uncollectible accounts are made by means of the provisions for uncollectible accounts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for uncollectible accounts is based upon management's assessment of historical expected collections, business and economic conditions, trends in federal and state healthcare coverage, and other collection indicators." Provision for Charity and Uncompensated Care text within Financial Statements Footnotes: "The Hospital's general policy statement on charity care requires that medical care be rendered to all persons in need of such care regardless of their ability to pay. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services furnished under its charity care policy. The hospital's charity care policy has not changed during fiscal years 2010 or 2011." DURING 2011 AND 2010, THE TOTAL CHARGES FORGONE FOR Bad Debt WERE APPROXIMATELY $14,513,947 AND $15,329,504 RESPECTIVELY. |
| Part III, Line 9b | Provisions on Collection Practices for Qualified Patients | For patients or guarantors who do not qualify for financial assistance, Bassett must undertake to ensure an adequate understanding on the part of the patients and those responsible for their care of their financial obligations to Bassett. Bassett will in compliance with all existing laws and regulations take the steps necessary to recover self-pay accounts receivable as well as preserve the patient-provider relationship and keep the necessity of referring accounts to third party bad debt collection agencies or law firms to a minimum. It is expected that any third party collection agency or law firm retained by Bassett will refrain from any conduct that violates the Fair Debt Collection Practices Act, the Fair Credit Reporting Act, as well as any applicable state law or regulations. The arrest or body attachment of a judgment debtor on contempt proceedings, or foreclosure of a judgment debtor's principal residence will never be considered appropriate pursuit of an open balance in the name of Bassett Medical Center. Liens or garnishments upon the personal assets of a judgment debtor will be pursued only after individual case review by counsel to ensure that such action is not only consistent with Bassett's interests, but also the only feasible recovery mechanism from a judgment debtor capable of responding to his or her obligations, but otherwise unwilling to do so. |
| Part V, line 10 | Discounted Care | Bassett Medical Center does not provide discounted care. |
| Part V, Line 15e | Other Collection Actions Against a Patient | Bassett engages with a third party to perform collection actions. |
| Part V, Line 16e | Other Collection Actions by Facility or Third Party Engaged | Other actions taken include claims on estates, claims on bankruptcies, and wage garnishments. |
| Part V, Line 19d | Other Billing Determination of Individuals Without Insurance | Bassett RECOGNIZES THAT SERVICES WILL BE PROVIDED EQUALLY TO ALL PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SUCH SERVICES. CHARGE SCHEDULES ARE, THEREFORE, UNIFORM. BILLINGS TO PATIENTS ARE BASED ON THESE CHARGE SCHEDULES. All charges to individuals that qualify for charity care are written off completely. |
| Part V, Line 21 | Charge Patients Amount Equal Gross Charge for Services | THE HOSPITAL'S CHARGE DESCRIPTION MASTER, WHICH INCLUDES A SEPARATE GROSS CHARGE FOR ALL SERVICES, IS WHAT IS USED TO BILL ALL PATIENTS WHEN A SERVICE IS RENDERED. All charges to individuals that qualify for charity care are written off completely. |
| Part VI, Line 2 | Needs Assessment | In addition to public and agency input, a variety of data from the NYS Department of Health, Otsego County Behavioral Risk Factor Surveillance System, Otsego Co. Department of Health Community Assessment and other sources were used to assess priorities, including: A) Percentage of Otsego Co. adults who visited a dentist in the past years. B) Prevalence of tooth decay in third-grade children. C) Percentage of adults reporting binge drinking D) Heavy drinking E) Percentage of overweight adults in Otsego Co. Based on the outcomes of the focus groups and strategic planning sessions prevention agenda priorities throughout the county were identified. Access to quality healthcare and Mental Health and Substance Abuse were identified as the top priorities. Physical Activity and Nutrition was ranked third. Subsequent strategic planning sessions related to the two top priorities were held to identify service barriers and gaps as well as brainstorm for collaborative efforts to address these priorities. Strategies for the selected priorities: 1) Access to dental health care a) Bassett will support Otsego Co. Dept. of Health efforts to re-establish the Otsego Co. Oral Health Coalition as a mechanism for bringing community partners together on advocacy efforts aimed at attracting more dentists to our rural area, and for tracking progress in improving access to dental services b) Bassett will work to expand comprehensive preventive dental health services to all School-Based Health Centers in the county and to provide sealant services to non-SBHC schools. Bassett will work with the Otsego Co. Dept. of Health and RHENDOMS to make more schools aware of RHENDOMS services to increase participation. c) Bassett will work with the Otsego Co. Dept. of Health and A.O. Fox Hospital to educate primary care and SBHC providers about dental practices available for referral. The Otsego Co. Dept. of Health will educate dental providers about Medicaid reimbursements. d) Bassett will work with the health department and other community partners to educate the public about dental health in fairs and other community events. 2. Mental Health and Substance Abuse a) In a new initiative Bassett will work with A.O. Fox Hospital and Leatherstocking Education on Alcoholism/Addictions Foundations, Inc. (LEAF) to provide continuing medical education training on substance abuse screening and referral to primary care providers and surgeons in the county. b) Bassett will work with the health department and LEAF to complete and distribute an updated list of mental health and substance abuse resources to primary care providers. c) Bassett will collaborate with LEAF and the health department on public health campaign about the risk factors associated with binge drinking and prescription drug abuse. 3. Physical Activity and Nutrition a) Bassett will continue to collaborate with the health department and other community partners on efforts to provide early education about the importance of physical activity and nutrition throughout life, including during pregnancy and to prevent chronic disease. b) Bassett will work with the health department, schools and other community partners to improve continuity of care between families, schools and primary care providers for the treatment of childhood obesity. Overall goals will be to increase the percentage of Otsego County adults who have seen a dentist in the past year, work toward a 2013 prevention agenda objective of 83%, reducing the rate of alcohol abuse in Otsego County and reducing the rate of obesity in Otsego County. |
| Part VI, Line 3 | Patient Education of Eligibility for Assistance | A MAJOR COMPONENT OF THE BASSETT MEDICAL CENTER 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. |
| Part VI, Line 4 | Community Information | THE SERVICE AREA OF BASSETT ENCOMPASSES A EIGHT 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 EIGHT COUNTY REGIONS, THE MEDIAN HOUSEHOLD INCOME RANGES BETWEEN $37,000 AND $40,000. 12-14 % OF THE COMMUNITY RESIDENTS HAVE INCOMES BELOW THE FEDERAL POVERTY GUIDELINES. THE FOLLOWING AREAS HAVE BEEN FEDERALLY DESIGNATED AS BEING MEDICALLY UNDERSERVED: A) IN HERKIMER COUNTY THE CITY OF HERKIMER. B) IN DELAWARE COUNTY THE TOWNS OF MIDDLETOWN, MARGARETVILLE, ANDES AND DEPOSIT. |
| Part VI, Line 5 | Community Building Activities | BASSETT SERVES AS THE FOUNDATION FOR THE THURSTON CORPORATION (DBA BASSETT HEALTHCARE NETWORK) AND IS A 180-BED ACUTE CARE INPATIENT TEACHING FACILITY LOCATED IN COOPERSTOWN, NEW YORK. PROVIDING A WIDE RANGE OF SPECIALTY CARE, BASSETT MAINTAINS A STRONG ACADEMIC PROGRAM THROUGH ITS AFFILIATION WITH COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS, AN AFFILIATION HIGHLIGHTED BY THE ESTABLISHMENT OF A COLUMBIA MEDICAL SCHOOL CAMPUS AT BASSETT IN 2009. BASSETT HAS A NETWORK OF 29 COMMUNITY BASED OUTPATIENT HEALTH CENTERS, 18 SCHOOL-BASED HEALTH CENTERS, TWO AMBULATORY SURGERY CENTERS AND IS A LEVEL II TRAUMA CENTER AS DESIGNATED BY NEW YORK STATE. IN ADDITION, THE RESEARCH PROGRAMS AT BASSETT INCLUDE THE NEW YORK CENTER FOR AGRICULTURAL MEDICINE AND HEALTH. COMMUNITY BASED PARTNERSHIPS AS PART OF THE NORTHEAST CENTER FOR AGRICULTURAL HEALTH ARE ADDRESSING IMPORTANT HEALTH AND SAFETY ISSUES IN DIVERSE AGRICULTURAL POPULATIONS AT SEVERAL SITES ACROSS NEW YORK STATE. HEALTH WORKS OCCUPATIONAL HEALTH SERVICES PROGRAM CONTINUES TO MEET THE HEALTH, SAFETY AND WELLNESS NEEDS OF THE BUSINESS COMMUNITY. PROVIDING NEEDED OCCUPATIONAL HEALTH SERVICES BENEFITS AND IMPROVING EMPLOYEE HEALTH THROUGHOUT THE BASSETT HEALTHCARE NETWORK EIGHT-COUNTY REGION. BASSETT IS WORKING TO RE-ESTABLISH THE OTSEGO COUNTY ORAL HEALTH COALITION AS A MECHANISM FOR BRINGING COMMUNITY PARTNERS TOGETHER AROUND A SHARED VISION IN AN EFFORT TO ATTRACT MORE DENTISTS TO OUR RURAL AREA. THE SIZE AND DEPTH OF BASSETT WITH ITS MORE THAN TWO DOZEN COMMUNITY HEALTH CENTERS AND 18 SCHOOL BASED HEALTH CENTERS MAKES IT IDEAL FOR A NEW INITIATIVE TO TRAIN PRIMARY CARE PRACTITIONERS AND SURGEONS IN SUBSTANCE ABUSE SCREENING AND REFERRAL. THE GOAL IS TO ALSO TRAIN PRACTITIONERS OUTSIDE BASSETT HOSPITAL, BUT BASSETT PROVIDES THE IDEAL PLATFORM FROM WHICH TO PILOT THIS INITIATIVE. BASSETT IS ALSO ADDRESSING THE RATE OF OBESITY WITHIN ITS REGION REACHING OUT TO SCHOOLS TO PROVIDE RESOURCES, GUIDANCE AND TECHNICAL ASSISTANCE IN THE AREAS OF TOBACCO USE, NUTRITION AND PHYSICAL ACTIVITY. BASSETT CONTINUES TO COMBINE HEALTH CARE WITH COMMUNITY SERVICE. OUR PROGRAM "CONNECTING COMMUNITIES FOR HEALTH & WELLNESS" IS ABOUT COLLABORATIVE EFFORTS TO PROVIDE TREATMENT AND/OR TO PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY HEALTH IMPROVEMENT INITIATIVES HAVE TARGETED THE NEW YORK STATE DEPARTMENT OF HEALTH NEW PUBLIC HEALTH PREVENTION AGENDA. IN ADDITION TO HOSPITAL PUBLIC HEALTH PROGRAMS RELATED TO THE THREE PRIORITY PREVENTION AGENDA ITEMS, PROGRAMS ADDRESSING CHRONIC DISEASE MANAGEMENT AND PREVENTION AND UNINTENTIONAL INJURY WERE CONSIDERED. BASSETT PUBLIC HEALTH PROGRAMS THAT ADDRESS THESE AREAS INCLUDE: A) SCHOOL-BASED HEALTH CENTER DENTAL SEALANT PROGRAM. A REGISTERED DENTAL HYGIENIST PROVIDES PREVENTIVE CARE, INCLUDING EDUCATION, CLEANINGS, FLUORIDE TREATMENT, SEALANT AND REFERRALS IN THIS GRANT FUNDED PROGRAM. B) RHENDOMS (RURAL HEALTH EDUCATION NETWORK OF DELAWARE, OTSEGO, MONTGOMERY AND SCHOHARIE COUNTIES) - DENTAL HEALTH EDUCATION IS OFFERED TO ELEMENTARY SCHOOL STUDENTS, AND PARENTS OF NEWBORNS ARE EDUCATED ABOUT BABY-BOTTLE TOOTH DECAY. C) BASSETT PSYCHIATRIC CRISIS CENTER - THE COOPERSTOWN CENTER OPENED IN FEBRUARY 2008, FILLING A VOID CREATED BY THE TERMINATION OF PSYCHIATRIC SERVICES AT A.O. FOX HOSPITAL IN ONEONTA MONTHS EARLIER. IN ITS FIRST YEAR, BASSETT'S PSYCHIATRIC CRISIS CENTER HELPED MORE THAN 1,200 PATIENTS. OF THOSE, 52 WERE CHILDREN 12 OR YOUNGER AND 154 WERE ADOLESCENTS. D) PARENT HANDBOOK - THIS FAMILY RESOURCE WAS CREATED BY THE OTSEGO CO. COMMITTEE ON CHILD ABUSE AND NEGLECT AND UNDERWRITTEN BY BASSETT HEALTHCARE AND A.O. FOX HOSPITAL. IT'S GOAL IS TO GIVE PARENTS AND PROFESSIONALS A PLACE TO TURN FOR HELP IN DEALING WITH THE STRESSES OF FAMILY LIFE. E) KICKSTART - A PROGRAM DESIGNED TO HELP COMBAT CHILDHOOD OBESITY THROUGH COLLABORATIVE PARTNERSHIPS WITH BASSETT HEALTH CENTERS AND LOCAL RECREATIONAL AND FITNESS GROUPS. F) BASSETT CANCER INSTITUTE MEDICAL SCREENING COACH - A NEW, CUSTOM-BUILT MEDICAL COACH EQUIPPED WITH DIGITAL TECHNOLOGY FOR MAMMOGRAPHY AND OTHER CANCER SCREENINGS FOR MEN AND WOMEN. THE COACH WAS PLACED IN SERVICE IN 2008 WITH THE GOAL OF REDUCING THE NUMBER OF CANCER DEATHS BY INCREASING ACCESS TO SCREENING SERVICES IN RURAL AREAS. G) CANCER SERVICES PROGRAM OF DELAWARE, OTSEGO AND SCHOHARIE COUNTIES A NEW YORK STATE DEPARTMENT OF HEALTH PARTNERSHIP ADMINISTERED THROUGH BASSETT OFFERING FREE BREAST, CERVICAL AND COLORECTAL SCREENINGS TO PEOPLE WHO QUALIFY. H) HEALTHY START BREAKFAST - A PARTNERSHIP BETWEEN COMMUNITY SERVICE ORGANIZATIONS AND BASSETT FOR DIABETES DETECTION, EDUCATION AND PREVENTION. I) SAFE KIDS COALITION OF OTSEGO COUNTY - AN ORGANIZATION WHOSE MISSION IS TO PREVENT UNINTENTIONAL INJURIES TO CHILDREN THROUGH EDUCATION. PROGRAMS AND SERVICES INCLUDE SAFETY SEAT EVENTS, EDUCATIONAL RESOURCES ON BICYCLE, IN-LINE SKATE AND SKATEBOARD SAFETY, HOME SAFETY, FIRE AND BURN PREVENTION, ROAD SAFETY AND PEDESTRIAN SAFETY. THE REGIONAL PRIMARY AND SPECIALTY CARE CLINICS AND THE SCHOOL-BASED HEALTH CENTERS WERE ESTABLISHED IN RESPONSE TO COMMUNITY NEED. BASSETT IS CONTINUALLY ENGAGING IN QUALITY IMPROVEMENT INITIATIVES TO ENSURE THAT QUALITY HEALTH CARE AND PROGRAMS ARE BROUGHT TO CENTRAL NEW YORK. A CORE PART OF BASSETT IS RESEARCH AND EDUCATION. BASSETT'S VALUE TO THE COMMUNITIES IT SERVES IS COMPOUNDED BY PROVIDING PHYSICIANS THE ABILITY TO PRACTICE QUALITY MEDICINE IN A COLLEGIAL ENVIRONMENT IN A RURAL SETTING. THERE IS A TREMENDOUS COLLABORATION BETWEEN PHYSICIANS WITHIN BASSETT TO ENSURE A BETTER OUTCOME FOR THE PATIENT. BASSETT CONTINUALLY INVESTS IN PROGRAMS, EQUIPMENT AND PEOPLE TO ENSURE QUALITY SERVICE TO THE COMMUNITIES IN WHICH WE SERVE. |
| Part VI, Line 6 | Affilated Health Care System Roles and Promotion | BASSETT IS PART OF THE BASSETT HEALTHCARE NETWORK THAT PROVIDES HEALTH SERVICES IN MORE THAN 20 COMMUNITIES SPANNING 5,600 SQUARE MILES AND EIGHT COUNTIES. THE NETWORK FOCUSES ITS COMMUNITY SERVICES PROGRAMS IN THE COUNTIES WHERE THE SIX AFFILIATED HOSPITALS AND GREATEST PATIENT POPULATIONS ARE LOCATED. OTSEGO COUNTY - POPULATION 61,917; DELAWARE COUNTY - POPULATION 47,559; HERKIMER COUNTY - POPULATION 62,200; SCHOHARIE COUNTY - POPULATION 31,910 (ACCORDING TO THE 2008 U.S. CENSUS ESTIMATES). A) BASSETT - AN ACUTE CARE INPATIENT TEACHING FACILITY, AN OUTPATIENT PRIMARY AND SPECIALTY CARE CENTER, A REGIONAL NETWORK OF 26 COMMUNITY BASED OUTPATIENT HEALTH CENTERS, 18 SCHOOL BASED HEALTH CENTERS, TWO AMBULATORY SURGERY CENTERS AND A FULLY SALARIED MEDICAL STAFF IN COOPERSTOWN, OTSEGO COUNTY B) O'CONNOR HOSPITAL - A CRITICAL ACCESS HOSPITAL IN DELHI, DELAWARE COUNTY C. COBLESKILL REGIONAL HOSPITAL - AN ACUTE CARE FACILITY IN COBLESKILL, SCHOHARIE COUNTY D) LITTLE FALLS HOSPITAL - A CRITICAL ACCESS HOSPITAL IN LITTLE FALLS, HERKIMER COUNTY E) TRI-TOWN REGIONAL HOSPITAL - A 24/7 EMERGENCY CARE FACILITY IN SIDNEY, DELAWARE COUNTY F) A.O. FOX MEMORIAL HOSPITAL - AN ACUTE CARE FACILITY IN ONEONTA, OTSEGO COUNTY G) VALLEY HEALTH SERVICES - RESIDENTIAL HEALTH CARE AND REHABILITATION FACILITY H) AT HOME CARE - CERTIFIED HOME CARE AGENCY I) FIRST COMMUNITY CARE OF BASSETT - MEDICAL SUPPLY COMPANY ALL THE ABOVE (A-I) MAKE UP THE BASSETT HEALTHCARE NETWORK AND PROVIDE HEALTH SERVICES TO THIS EIGHT COUNTY REGION IN CENTRAL NEW YORK. |
| Part VI, Line 7 | States Where Community Benefit Report Filed | NY |
| Additional Information | Part II - All Bassett community building activities could be classified under item 1 and highlighted in Part I. | |
| Part III, line 8 | Explanation of Shortfall as community benefit | Amounts were derived as follows: charges times cost to charge ratio versus reimbursement on the Medicare PS&R report. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| William F Streck MD | |||||||||||||
| 651668 | 0 | 0 | 0 | 5283 | 0 | 11339 | 0 | 6610 | 0 | 674900 | 0 | 0 | 0 |
| Bertine Colombo Mckenna PHD | |||||||||||||
| 369024 | 0 | 0 | 0 | 0 | 0 | 8709 | 0 | 4003 | 0 | 381736 | 0 | 0 | 0 |
| Nicholas J Nicoletta | |||||||||||||
| 368286 | 0 | 0 | 0 | 0 | 0 | 11339 | 0 | 4400 | 0 | 384025 | 0 | 0 | 0 |
| Steven J Heneghan MD | |||||||||||||
| 579331 | 0 | 0 | 0 | 0 | 0 | 11339 | 0 | 6167 | 0 | 596837 | 0 | 0 | 0 |
| Joseph Schmer MD | |||||||||||||
| 450350 | 0 | 75916 | 0 | 2365 | 0 | 8709 | 0 | 3167 | 0 | 540507 | 0 | 0 | 0 |
| James C Peters MD | |||||||||||||
| 484616 | 0 | 24373 | 0 | 0 | 0 | 10114 | 0 | 14718 | 0 | 533821 | 0 | 0 | 0 |
| Jonathan Richman Md | |||||||||||||
| 527196 | 0 | 0 | 0 | 0 | 0 | 11339 | 0 | 6936 | 0 | 545471 | 0 | 0 | 0 |
| ROBERT LANCEY MD | |||||||||||||
| 520879 | 0 | 0 | 0 | 0 | 0 | 8709 | 0 | 12687 | 0 | 542275 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7 | NON-FIXED PAYMENTS ARE MADE BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE OFFICERS. PHYSICIAN CHIEFS MAY RECEIVE NON-FIXED PAYMENTS BASED ON PERFORMANCE AND COMPARATIVE MARKET DATA | |
| Part VII, Line 5 | NAME : WILLIAM F STRECK, MD NAME OF UNRELATED ORGANIZATION : COLUMBIA UNIVERSITY TYPE OF COMPENSATION : SALARY AMOUNT OF COMPENSATION : $228,798 | Compensation from Unrelated ORganizations |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|
| Otsego Cty Capital Resour | ||||||
| 263661593 | 2011-11-03 | 25000000 | Building & Structures | false | false | false |
| Otsego Cty Capital Resour | ||||||
| 263661593 | 2011-11-03 | 19200000 | Refund of prior issuance | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Year Of Subst CompletionYearOfSubstCompletion |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 25000000 | 0 | 0 | 702000 | 500000 | 0 | 0 | 23798000 | 0 | 0 | false | false | false | true | |
| 19125000 | 0 | 19200000 | 0 | 0 | 0 | 75000 | 0 | 0 | 0 | 0 | 0 | true | false | true | true | 2009 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| false | false | false | false | 0 | true |
| false | false | false | false | 0 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| 0 | ||||||
| false | true | false | false | 0 | false | false |
| 0 | ||||||
| false | true | false | false | 0 | false | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule K IRS990ScheduleK
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| The Clark Estates | |||
| Part V | 418421 | Investment mgmt fees | false |
| Jane Hamilton | |||
| Part V | 65514 | wages | false |
Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part IV, Line 1 | More than 35% of The Clark Estates is owned by trustee Jane Forbes Clark |
| Part IV, Line 2 | Jane Hamilton is family member of trustee Peter Hamilton |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Part I, Summary, Line 1 | MIBH is a 180 bed acute care facility that serves Cooperstown and an 8 county region through its regional health center network. MIBH offers 24 hour emergency/trauma care, cancer and heart care, dialysis, and most medical and surgical specialties, and conducts research and education programs. | |
| Part VI, Section A, Question 2 | Trustees Kevin S Moore, William T Burdick, Jane Forbes clark, Richard C Vanison, and glenn a perrone have a business relationship. | |
| Part VI, Section B, Line 11b | Bassett distributes the draft 990 to the audit committee of the board of trustees prior to filing. any questions are raised and answered. the audit committee then presents its review findings to the full board of trustees. Copies are distributed to all Bassett's other trustees at their request. once approved, the 990 can be electronically filed. | Form 990 Review Process |
| Part VI, Section B, Question 12c | 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 (CEO,COO,CFO), Vice presidents, and all Directors serving as directors team members. Upon the commencement of an individual serving in the roles defined above, 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 for 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. | Explanation of Monitoring and Enforcement of Conflicts |
| Part VI, Section B, Question 15a | Bassett has a formal process that is used to determine the base compensation of the CEO on an annual basis. This process includes a compensation committee of the board of Trustees, an independent compensation consultant, compensation survey or study, and approval by the Board of trustees or the compensation committee. Bassett pays non-fixed earnings based on the success in meeting performance criteria that are prospectively agreed upon as goals for the CEO. | Compensation Review & Approval Process for CEO, Exec. Dir., or Top Mgtment |
| Part VI, Section B, Question 15b | The same formal process noted in Question 15(a) above, is used to determine the base compensation of the other officers. Non fixed earnings of other officers are based on the success in meeting performance criteria and comparative market data. | Compensation Review & Approval Process for Officers & Key Employees |
| Part VI, Section C, Question 19 | Bassett makes it's 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 Bassett or by sending a self-addressed stamped envelope and payment for copying of the requested material to Bassett Administrative Offices. The cost of copying shall be equal to the costs imposed by the IRS for copying of public documents. | Other Organization Documents Publicly Available |
| Part VII - Compensation Explanation | Thomas Q Morris, MD Hours worked for related organizations: Thurston Corporation - 1.25 Bassett Regional Corporation - 2.00 Total hours worked for related organizations = 3.25 Kevin S Moore Hours worked for related organizations: Thurston Corporation - 1.50 Templeton Foundation - .50 Bassett Regional Corporation - .50 Total hours worked for related organizations = 2.50 Timothy A Pedly, MD Hours worked for related organizations: Thurston Corporation - 1.00 William F Streck, MD Hours worked for related organizations: Thurston Corporation - 1.00 Templeton Foundation - .20 Bassett Regional Corporation - 1.00 Total hours worked for related organizations = 2.20 Bertine Colombo McKenna, PhD Hours worked for related organizations: Thurston Corporation - 1.00 Bassett Regional Corporation - .50 Total hours worked for related organizations = 1.50 Nicholas J Nicoletta Hours worked for related organizations: Thurston Corporation - 2.00 Templeton Foundation - 1.00 Bassett Regional Corporation - 2.00 O'Connor Hospital - 2.00 Tri Town Regional - 2.00 Bassett Hospital of Schoharie County - 2.00 AO Fox Memorial Hospital - .50 Little Falls Hospital - 2.00 Total hours worked for related organizations = 13.50 William T Burdick Hours worked for related organizations: Thurston Corporation - 1.50 Templeton Foundation - .50 Bassett Regional Corporation - 1.00 Total hours worked for related organizations = 3.00 Richard C Vanison Hours worked for related organizations: Thurston Corporation - 1.50 Friends of Bassett, Inc. - 1.00 Total hours worked for related organizations = 2.50 Glenn A Perrone Hours worked for related organizations: Templeton Foundation - .50 Bassett Regional Corporation - 1.00 Bassett Hospital of Schoharie County - 1.00 Total hours worked for related organizations = 2.50 John D Bullis Hours worked for related organizations: Bassett Regional Corporation - .50 Little Falls Hospital - 2.00 Total hours worked for related organizations = 2.50 Barbara DiCocco Hours worked for related corporation: Bassett Regional Corporation - .50 Bassett Hospital of Schoharie County - 1.00 Total hours worked at related organizations = 1.50 Michael Getman Hours worked at related organization: AO Fox Memorial Hospital - .50 Michael S Gold, MD Hours worked for related organizations: Friends of Bassett, Inc. - .20 Peter J Hamilton Hours worked for related organizations: Templeton Foundation - .50 Bassett Regional Corporation - .50 O'Connor Hospital - 1.00 Friends of Bassett, Inc - .50 Total hours worked for related organizations = 2.50 Charles B Kieler Hours worked for related organizations: Friends of Bassett, Inc - 3.00 Ralph H Meyer Hours worked for related organizations: Thurston Corporation - 1.00 Katherine D Nickerson Hours worked for related organizations: Thurston Corporation - 1.00 Edward W Stack Hours worked for related organizations: Thurston Corporation - 1.00 Templeton Foundation - .50 Bassett Regional Corporation - .50 Friends of Bassett, Inc - .20 Total hours worked for related organizations = 2.20 Douglas B Willies Hours worked for related organizations: Templeton Foundation - .50 James C Peters, MD Hours worked for related organizations: O'Connor Hospital - 1.00 | |
| Part XI, Line 5 | NET UNREALIZED GAINS OR LOSSES ON INVESTMENTS -3,296,601 POST RETIREMENT BENEIFT RELATED CHANGES. -698,689 PROJECT ABANDONMENT (PATIENT KEEPER) -424,755 ----------- TOTAL -4,420,045 | Other Changes in Net Assets or Fund Balances |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Thurston Corporation | ||||||||||
| one atwell road | cooperstown | NY | 13326 | 133218680 | supportingorg | NY | 501(c)3 | 11c | NA | false |
| Friends of Bassett | ||||||||||
| one atwell road | cooperstown | NY | 13326 | 237041610 | solicits cont | NY | 501(c)3 | 7 | THURSTON | false |
| Templeton Foundation | ||||||||||
| one atwell road | cooperstown | NY | 13326 | 133317084 | Health care | NY | 501(c)3 | 9 | THURSTON | false |
| Bassett Regional corporation | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133522783 | Plan & Policy | NY | 501(c)3 | 11b | THURSTON | false |
| Bassett Hospital of Schoharie Co | ||||||||||
| 178 grandview drive | cobleskill | NY | 12043 | 141772971 | health care | NY | 501(c)3 | 3 | BRC | false |
| O Connor Hospital | ||||||||||
| 460 andes road | delhi | NY | 13753 | 161540394 | health care | NY | 501(c)3 | 3 | BRC | false |
| Tri Town Regional Healthcare | ||||||||||
| 43 pearl street | sidney | NY | 13838 | 260169584 | health care | NY | 501(c)3 | 3 | BRC | false |
| Little falls hospital | ||||||||||
| 140 Burwell Street | little falls | NY | 13365 | 150533578 | health care | NY | 501(c)3 | 3 | BRC | false |
| Valley Health Services | ||||||||||
| 690 W GERMAN street | herkimer | NY | 13350 | 222511614 | health care | NY | 501(c)3 | 3 | BRC | false |
| Aurelia Osborn Fox Memorial Hospsociety | ||||||||||
| 1 Norton avenue | Oneonta | NY | 13820 | 150539039 | Health care | NY | 501(c)3 | 3 | Thurston | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |