2025-11-13T14:53:51+00:00 2024-12-31 135565207 KPMG LLP 515 Broadway 4th Floor Albany NY 12207 990 2024-01-01 161540394 O'Connor Hospital OCON 6077460326 460 ANDES ROAD DELHI NY 13753 STACI THOMPSON CEO 6077460326 2025-11-13 true GENEVA FURLANO P01877392 5184274600 2025-11-13 2024 2025-03-06 01:10:19Z STACI THOMPSON 460 ANDES ROAD DELHI NY 13753 28368760 false X WWW.OCONNORHOSP.ORG X 1997 NY IMPROVING THE HEALTH OF OUR PATIENTS AND WELL-BEING OF OUR COMMUNITIES. 13 10 178 11 5281 555419 2225754 21254586 25131579 0 606975 391126 404452 22201131 28368760 0 0 0 0 10086382 11768496 0 0 31310 10845833 11407028 20932215 23175524 1268916 5193236 41031766 113870514 3129802 70410550 37901964 43459964 IMPROVING THE HEALTH OF OUR PATIENTS AND WELL-BEING OF OUR COMMUNITIES. false false 19490337 25126298 INPATIENT AND OUTPATIENT SERVICES PROVIDED TO OUR PATIENTS RESULTED IN 458 HOSPITALIZATIONS, 3,431 PATIENT DAYS, 6,250 EMERGENCY ROOM VISITS, AND 10,094 CLINIC VISITS. 105964 0 Community involvement has been linked to O'Connor hospital's mission and values since it first opened. We are working with our community to improve the quality of life for the people of our region. Our community services programs provide free services to persons who cannot afford to pay, who do not qualify for Medicaid, and who fall within the established income guidelines. Our doors are open 24 hours a day, 7 days a week, 365 days a year. We are proud to provide this care to our communities. 19596301 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false false false true false false false false true 26 0 true 178 true true true false false false false false false false false false false false X 13 10 false false false false true true true true true false false false true true true true true true true false false false NY X CRAIG FAERBER 6077460326 31 BEAVER STREET COOPERSTOWN NY 13326 Bruce McKeegan Vice Chair 2.0 0 X X 0 0 0 Jackie Williams Executive Assistant III 40.0 0 X X 33777 0 6142 John J Lynch Treasurer 2.0 0 X X 0 0 0 Peter J Hamilton Chair 2.0 0 X X 0 0 0 Susan Oakes-Ferrucci Critical Access Hospital President 2.0 42.0 X X 0 294938 18014 Charlotte Hill Board Member 2.0 0 X 0 0 0 Donald Harris PHD Board Member 2.0 0 X 0 0 0 Erica Pellegrino Board Member 2.0 0 X 0 0 0 Frank Silagy MD Board Member 2.0 0 X 0 0 0 Joyce Barber Secretary 2.0 0 X 0 0 0 Pam Vogt Board Member 2.0 0 X 0 0 0 Peter Sosnow MD Board Member 2.0 40.0 X 0 69240 0 Polly DellaCrosse Board Member 2.0 0 X 0 0 0 Craig Faerber Interim Network CFO 2.0 56.0 X 0 524460 0 Jim Vielkind VP of Finance 2.0 42.0 X 0 239992 16175 Staci Thompson Network President CEO 2.0 52.0 X 0 866810 12117 Andrea Barcomb Pharmacist I 40.0 0 X 154072 0 10177 Barb Garcia Director Nursing Operations OCH 40.0 0 X 139465 0 12410 Dan Endress Director Nursing Ops OCH 40.0 0 X 153515 0 11241 Erin Kingsbury Supervising Pharmacist 40.0 0 X 163098 0 21492 Erin Wood RN IV - Acute Care 40.0 0 X 156105 0 6006 800032 1995440 113774 24 false true false MEDEFIS PO BOX 5068 NEW YORK NY 10087 AGENCY 374477 MORRISON MANAGEMENT SPECIALISTS 5801 PEACHTREE DUNWOODIE RD ATLANTA GA 30342 FOOD SERVICES 371736 ALLIANCE HEALTHCARE SERVICES PO BOX 19532 IRVINE CA 92623 MRI SERVICES 300300 MAYO MEDICAL LABORATORIES 3050 SUPERIOR DR NW ROCHESTER MN 55905 LAB TESTING SERVICES 208556 WILCOX SEALING AND PAVING LLC 7068 ST RT 20 WATERVILLE NY 13480 PAVING AND PLOWING 203350 8 622837 1129799 473118 2225754 DIRECT PATIENT SERVICES 621990 23923651 23923651 OUTPATIENT PHARMACY 456110 5281 5281 OTHER PROGRAM SERVICES 621990 1202647 1202647 0 0 0 0 25131579 606975 606975 404452 0 404452 0 404452 404452 20548 0 20548 0 0 0 0 0 0 28368760 25126298 5281 1011427 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9602902 7949081 1628087 25734 180105 149087 31018 0 1258221 1041529 215186 1506 727268 602017 125251 0 1285319 0 1285319 0 13695 0 13695 0 0 0 0 0 8434 0 8434 0 0 0 0 0 0 0 5771491 5767421 0 4070 28475 28475 0 212807 212807 0 0 0 0 0 0 0 0 0 532305 532305 0 0 0 0 0 0 0 0 0 21957 21957 0 0 -359 -359 0 0 0 0 0 1101594 1101594 0 0 410385 410385 0 0 DRUGS AND REAGENTS 628803 628803 PATIENT CARE SUPPLIES 581737 581737 BAD DEBT 515313 515313 CHARITY CARE 105964 105964 189108 189108 0 0 23175524 19596301 3547913 31310 0 0 0 0 19352772 19999679 565074 518437 2455599 2548917 0 0 319419 318576 94957 122518 24152412 17250427 7022473 6901985 288519 0 250000 664012 10682953 82796390 41031766 113870514 828763 1332041 0 147683 0 2153356 69078509 3129802 70410550 X 36228709 40793936 1673255 2666028 37901964 43459964 41031766 113870514 5193236 364764 0 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8434 8434 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Schedule C, Part II-B, Line 1 - American Hospital Association membership dues allocate 39% towards lobbying activities. Iroquois membership dues allocate 50% towards general lobby activities. The total dues paid to both organizations attributable to lobbying activities during 2024 were $8,434. 525798 138214 664012 275798 250000 525798 251917 23881 275798 0 251917 251917 0 0.0 1.0 0.0 false false 203138 203138 15385788 10601559 4784229 1142781 649853 492928 6921746 5999015 922731 498959 498959 6901985 DUE FROM RELATED PARTIES 82430226 OPERATING LEASE RIGHT-OF-USE 366164 82796390 Federal Income Taxes OPERATING LEASE RIGHT-OF-USE 358022 THIRD PARTY PAYABLES 2104407 OTHER ACCRUED EXPENSES 16586 DUE TO RELATED PARTIES 66599494 69078509 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds INTENDED USES FOR ENDOWMENT FUNDS PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE HELD IN PERPETUITY WITH RESTRICTIONS ON INCOME FOR O'CONNOR NURSING EDUCATION AND ADVANCEMENT. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote O'CONNOR HOSPITAL IS AN AFFILIATE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BASSETT HEALTHCARE NETWORK (THE NETWORK). THE TEXT OF THE FIN 48 FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS IS AS FOLLOWS: THE NETWORK'S VARIOUS SUBSIDIARIES GENERALLY CONSIST OF NOT-FOR-PROFIT CORPORATIONS ORGANIZED IN ACCORDANCE WITH SECTION 501(C)(3) OF THE IRC AND THEREFORE ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. THE NETWORK RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES OR UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED. FOR TAXABLE SUBSIDIARIES OR INVESTMENTS, INCLUDING CCE, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES OF TEMPORARY DIFFERENCES BY APPLYING ENACTED STATUTORY TAX RATES APPLICABLE TO FUTURE YEARS FOR THE DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENTS AND TAX BASIS OF EXISTING ASSETS AND LIABILITIES. SUCH DEFERRED TAX ASSETS AND LIABILITIES WERE NOT MATERIAL AS OF DECEMBER 31, 2024 AND 2023. true true true X true X 64382 31056 33326 0.00144 0 0.0 101094 56054 45040 0.00194 0 0 165476 87110 78366 0.00338 416674 12760 403914 0.01743 0 0.0 0 0.0 0 0.0 0 0.0 0 0 416674 12760 403914 0.01743 0 0 582150 99870 482280 0.02081 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 6596051 6323614 272437 X true true 1 1 O'CONNOR HOSPITAL 460 ANDES ROAD DELHI NY 13753 WWW.OCONNORHOSP.ORG 1254700C X X X X OUTPATIENT PRIMARY & SPECIALITY O'CONNOR HOSPITAL 1 false false true X X X X X X X X X X 22 true true true true X http://www.bassett.org/locations/oconnor-hospital true 22 true http://www.bassett.org/locations/oconnor-hospital false true X 200.0 400.0 X X X X true true X X X X true X https://www.bassett.org/patients-visitors/billing-insurance/financial-assistance X HTTPS://WWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X HTTPS://WWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - O'CONNOR HOSPITAL. Bassett Healthcare Network, O'Connor Hospital, in collaboration with Delaware County Public Health, Margaretville Memorial Hospital, and UHS Delaware Valley Hospital, developed a Community Service plan to address the health inequities defined in the Community Health Needs Assessment for Delaware County, NY, also a collaborative effort. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - O'CONNOR HOSPITAL. The Community Service Plan is a comprehensive 3-year plan to address the health equity disparities found in the CHNA through collaborative community health initiatives. New York State Prevention Agenda 2019-2024 Organizations creating the CSP are provided the NYS Prevention Agenda 2019-2024, which is a blueprint for New York State's health improvement plan for state and local action to improve the health and well-being of all New Yorkers and promote health equity across populations who experience disparities. The blueprint provides acceptable priority areas to focus on based on the evidence found. There are five main priority areas in the NYSDOH Prevention Agenda 2019-2024. - Prevent Chronic Disease - Promote a Healthy and Safe Environment - Promote Health for Women, Infants, and Children - Promote Well-Being and Prevent Mental and Substance Use Disorders - Prevent Communicable disease Data mining of primary and secondary data sources was conducted throughout the process and presented to the core group of stakeholders for discussion and review. Representatives from Delaware County Public Health, Delaware Valley Hospital, Margaretville Memorial Hospital, and O'Connor Hospital held several county, regional, and state-level meetings to gather additional input on the Community Health Needs Assessment (CHNA). The list of coalitions, work groups, and task forces is provided in the CHNA. A crucial part of assessing the health of our communities is not only collecting objective data but also subjective perceptions of the county's health status (CHNA) from the community member and stakeholders. The Delaware County Community Health Needs Assessment leveraged electronic surveys targeted at community members and stakeholders. A web link was distributed through email and social media, inviting participants to participate. On May 17, 2022, the Community Engagement Survey was posted online. The survey was closed on June 23, 2022, after receiving 442 responses. Respondent demographics: - Live in Delaware County (99.77%) - Primarily female (80.54%) - Primarily white (92.99%) and not Hispanic or Latino (90.93%) - Highest age group representation: 50-64 yrs of age (38.32%), 35-49 (26.08%), and over 65 (24.94%) There were a very large number of written comments that indicated the need for a community that comes together, the importance of mental health services, a need for community programs and recreational events, socioeconomic struggles, access to healthcare, and lack of transportation. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - O'CONNOR HOSPITAL. UHS DELAWARE VALLEY HOSPITAL AND MARGARETVILLE MEMORIAL HOSPITAL Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - O'CONNOR HOSPITAL. DELAWARE COUNTY PUBLIC HEALTH Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - O'CONNOR HOSPITAL. THE ORGANIZATION ADDRESSED SIGNIFICANT, PRIORITIZED HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY, AND PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY. FOR NEEDS NOT ADDRESSED AS A COLLABORATIVE, WE ADDRESS SOME AS AN INDIVIDUAL ORGANIZATION, AND ALSO CONTINUE TO REPRIORITIZE HIGHEST DEMAND OF NEEDS. 0 Schedule H, Part I, Line 7f EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE THE PERCENT OF TOTAL EXPENSE IN PART 1, LINE 7, COLUMN (F) IS CALCULATED BY DIVIDING COLUMN (E), NET COMMUNITY BENEFIT EXPENSE, BY TOTAL EXPENSE. THE BAD DEBT EXPENSE OF $515,313 WAS SUBTRACTED FROM THE TOTAL VALUE USED TO CALCULATE THE PERCENTAGES IN PART 1, LINE 7, COLUMN F. Schedule H, Part I, Line 3c OTHER CRITERIA FOR FREE OR DISCOUNTED CARE Underinsured is defined by NYS for FPL purposes as anyone who has insurance and is between 0-400% FPL. Underinsured individuals are required to show they have spent 10% of their annual income on eligible medical expenses. Uninsured patients automatically qualify if they are between 0-400% FPL. Patients are eligible for financial assistance through the hospital's program for emergency services for residents of New York State, and for all other services, if they reside within the hospital's primary service area. Schedule H, Part I, Line 7b DURING 2024, THE HOSPITAL'S UNREIMBURSED MEDICAID WAS WHOLLY OFFSET BY DIRECTED PAYMENT TEMPLATE (DPT) FUNDS RECEIVED THROUGH NEW YORK STATE'S HOSPITAL VITAL ACCESS PROVIDER ASSURANCE PROGRAM. Schedule H, Part I, Line 6a Community benefit report prepared by related organization BASSETT HEALTHCARE NETWORK Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COSTING METHODOLOGY EXPLANATION WORKSHEET 2 WAS USED TO DEVELOP A COST-TO-CHARGE RATIO. IT WAS USED FOR PATIENT CARE SERVICES. FOR NON- PATIENT CARE SERVICES, CHARGES WERE REDUCED TO COST FOR THOSE SERVICES TO NON-PATIENTS WHERE A MARK-UP IS READILY IDENTIFIABLE. Schedule H, Part II Community Building Activities COMMUNITY BUILDING ACTIVITIES ALL O'CONNOR COMMUNITY BUILDING ACTIVITIES ARE INCLUDED IN PART I AND DESCRIBED ABOVE. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE DUE TO THE ADOPTION OF ASU NO. 2014-09 - REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENT. RATHER IT IS TREATED AS A NON-VOLUNTARY PRICE CONCESSION. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Footnote (3) from the Audited Financial Statements Charity Care: The cost of charity care provided is determined based on the application of a cost to gross charge ratio to the total charity care charges foregone. Included in net patient service revenue are amounts paid into and received from statewide uncompensated care pools. These uncompensated care pools are designed to help offset the cost of charity care and unreimbursed Medicaid services. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE EXPLANATION O'CONNOR IS A CRITICAL ACCESS HOSPITAL, SO COST IS CALCULATED ON THE SETTLEMENT SHEETS OF THE COST REPORT. IT WAS COMPARED TO MEDICARE REIMBURSEMENT, WHICH IS ALSO CALCULATED ON THE COST REPORT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance COLLECTION PRACTICES EXPLANATION Patients who qualify for financial assistance are contacted by the Financial counseling team that sends a letter of approval and time-frame for which the patient is approved. Schedule H, Part V, Section B, Line 16a FAP website - O'CONNOR HOSPITAL: Line 16a URL: https://www.bassett.org/patients-visitors/billing-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - O'CONNOR HOSPITAL: Line 16b URL: HTTPS://WWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - O'CONNOR HOSPITAL: Line 16c URL: HTTPS://WWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment Bassett Healthcare Network, O'Connor Hospital, in collaboration with Delaware County Public Health, Margaretville Memorial Hospital, and UHS Delaware Valley Hospital, developed a Community Service plan to address the health inequities defined in the Community Health Needs Assessment for Delaware County, NY, also a collaborative effort. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE A MAJOR COMPONENT OF THE O'CONNOR HOSPITAL 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 O'CONNOR EMPLOYEES. THE POLICY IS UPDATED ANNUALLY, DISTRIBUTED TO KEY PERSONNEL AND 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. 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. PATIENT REFERRAL TO THE DELAWARE COUNTY MEDICAID EXAMINER IS FACILITATED BY THE FINANCE DIRECTOR AT THE O'CONNOR HOSPITAL. A LISTING OF ALL SELF-PAY ACCOUNTS IS PRODUCED AND REVIEWED DAILY TO ENSURE THAT A COMMUNITY SERVICES BROCHURE HAS BEEN PROVIDED. THE SELF-PAY BILLING OFFICE IDENTIFIES PATIENTS DURING THE BILLING AND COLLECTIONS PROCESS THAT MAY REQUIRE ADDITIONAL HELP UNDERSTANDING THE PROGRAM. SELF-PAY ACCOUNTS FOR PATIENTS WHO HAVE BEEN APPROVED FOR COMMUNITY SERVICES WITHIN THE PRIOR 120 DAYS ARE AUTOMATICALLY INCLUDED WITH THE PRIOR APPROVAL. Schedule H, Part VI, Line 4 Community information COMMUNITY INFORMATION O'Connor Hospital's service area includes much of Delaware County, NY. The primary service area of 11 zip codes includes Andes, Bloomville, Bovina Center, Delancey, Delhi, Hamden, Hobart, Margaretville, South Kortright, Stamford, and Walton. The secondary service area is reflective of 12 zip codes and includes Denver, Downsville, East Branch, East Meredith, Fleishmans, Franklin, Hancock, Harpersfield, Long Eddy, Meridale, Prattsville, and Roxbury. Schedule H, Part VI, Line 5 Promotion of community health PROMOTION OF COMMUNITY HEALTH O'CONNOR HOSPITAL IS A CRITICAL ACCESS HOSPITAL IN DELHI, NEW YORK PROVIDING A FULL RANGE OF ACUTE AND PREVENTATIVE HEALTH CARE SERVICES, INCLUDING ACUTE INPATIENT CARE, RESTORATIVE/REHABILITATIVE (SWING BED) CARE, AN EMERGENCY SERVICES DEPARTMENT (WHERE PRACTITIONERS HAVE THE ABILITY TO INTERFACE WITH BOARD-CERTIFIED PRACTITIONERS IN COOPERSTOWN AND PRACTITIONERS IN ROCHESTER THROUGH TELEMEDICINE CONNECTIONS), A STATE-OF-THE-ART MEDICAL IMAGING SUITE, LABORATORY SERVICES, AN OUTPATIENT PHARMACY, PHYSICAL AND OCCUPATIONAL THERAPY, DIETARY CONSULTATIONS, A DENTAL CLINIC AND A WIDE RANGE OF SPECIALTY SERVICES. O'CONNOR HAS SERVED THE DELHI COMMUNITY SINCE 1922 AND HAS BEEN AFFILIATED WITH THE MARY IMOGENE BASSETT HOSPITAL (DBA BASSETT MEDICAL CENTER) SINCE 1988. O'CONNOR IS AN ENTITY OF THE BASSETT HEALTHCARE NETWORK. IT IS GOVERNED BY A 11 MEMBER BOARD OF TRUSTEES CONSISTING OF COMMUNITY VOLUNTEERS. O'CONNOR HOSPITAL COMMUNITY SERVICE PROGRAMS ADDRESS CHRONIC DISEASE MANAGEMENT, PROMOTE WELL-BEING AND MENTAL HEALTH, AND PREVENT SUBSTANCE ABUSE DISORDERS. THEY INCLUDE: 1. O'CONNOR HOSPITAL PROVIDES SPACE FOR DIABETES, MENTAL HEALTH AND PARKINSON'S SUPPORT GROUPS ON A MONTHLY BASIS. 2. O'CONNOR OFFERS FALL FLU SHOT CLINICS. 3. PROMOTED PLACES FOR PHYSICAL ACTIVITY, HIKING, PADDLING AND BIKING. 4. TRACKED TRAIL USE ON TWO LOCAL HIKING TRAILS. 5. MAINTAINED GETOUTANDWALK.ORG WEBSITE. 6. ENCOURAGED MUNICIPALITIES TO SIGN COMPLETE STREET POLICIES AND AGE-FRIENDLY STRUCTURAL IMPROVEMENTS. 7. BUILT AND MAINTAINED O'CONNOR HOSPITAL .5 MILE FITNESS TRAIL COMPLETE WITH FIVE FITNESS STATIONS AND OPEN TO THE COMMUNITY. 8. SUBMITTED DSRIP PROPOSAL TO FUND A PRESCRIBING MENTAL HEALTH PROVIDER TO WORK IN LOCAL HEALTH CENTER. 9. SUBMITTED GRANT PROPOSAL TO FUND PRACTITIONER RECRUITMENT AND RETENTION EFFORTS IN THE O'CONNOR HOSPITAL SERVICE AREA. 10. CONDUCTED PERFORMANCE IMPROVEMENT PROJECT TO REFER E.D. PATIENTS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES AND COMMUNITY RESOURCES. 11. COMPLETED PERFORMANCE IMPROVEMENT PROJECT TO INCREASE PATIENT REFERRALS TO CARE NAVIGATOR PROGRAM. 12. PARTICIPATED IN PILOT DRUG TAKE BACK PROGRAM. 13. PARTICIPATED IN LOCAL COMMUNITY COALITIONS AND COMMITTEES FORMED TO ADDRESS MENTAL HEALTH ISSUES IN THE COUNTY. 14. PARTICIPATED IN SUICIDE PREVENTION COALITION. 15. SUPPORTED TWO NURSES TO COMPLETE SEXUAL ASSAULT NURSE EXAMINER TRAINING COURSES. 16. COMPLETED AND PARTICIPATED IN COUNTY AND REGIONAL EMERGENCY PREPAREDNESS PROGRAMS AND DRILLS. 17. CONDUCTED PERFORMANCE IMPROVEMENT PROJECT ADDRESSING STANDARD PRECAUTIONS FOR MRSA/ VRE OF INPATIENTS. 18. HOSTED FIRST GRADERS FOR AN EDUCATIONAL PROGRAM OF THE EMERGENCY DEPARTMENT. 19. SPONSORED COMMUNITY WELLNESS EVENTS SUCH AS ROAD RACES, SUICIDE AWARENESS ACTIVITIES, AND EMS TEACHING EVENTS. O'CONNOR HAS A COMMUNITY BOARD WHO ARE ACTIVELY ENGAGED IN THE HOSPITAL BOTH SUPPORTING THE GROWTH AND THE INVESTMENT IN PROGRAMS THAT BRING HEALTH AND WELLNESS BENEFITS TO THE COMMUNITY. O'CONNOR CONTINUALLY INVESTS SURPLUS FUNDS IN PROGRAMS, EQUIPMENT AND PEOPLE TO ENSURE HIGH QUALITY SERVICE IS AVAILABLE IN THE COMMUNITY THEY SERVE. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS WHO ARE EMPLOYED BY BASSETT MEDICAL CENTER. THE HOSPITAL OPERATES AN EMERGENCY ROOM WHICH IS OPEN TO ALL, REGARDLESS OF ABILITY TO PAY. Schedule H, Part VI, Line 6 Affiliated health care system AFFILIATED HEALTH CARE SYSTEM O'CONNOR HOSPITAL IS PART OF THE BASSETT HEALTHCARE NETWORK THAT PROVIDES HEALTH SERVICES IN MORE THAN 20 COMMUNITIES SPANNING 5,600 SQUARE MILES AND SEVEN COUNTIES. Bassett Healthcare Network has four area community hospitals, including Bassett Medical Center and A.O. Fox Hospital in Otsego County, O'Connor Hospital in Delaware County, Cobleskill Regional Hospital in Schoharie County, and Little Falls Hospital in Herkimer County. Another hospital, A.O. Fox Hospital - Tri-Town Campus in Delaware County, provides a 24/7 emergency care facility in Sidney. The network also supports over 30 community-based outpatient health centers, 21 school-based health centers; two ambulatory surgery centers; Valley Health Services, a residential health care, and rehabilitation facility; At Home Care, a certified home care agency; and First Community Care of Bassett, a medical supply company. A) O'CONNOR HOSPITAL, A CRITICAL ACCESS HOSPITAL IN DELHI, DELAWARE COUNTY B) THE MARY IMOGENE BASSETT HOSPITAL - AN ACUTE CARE INPATIENT TEACHING FACILITY, AN OUTPATIENT PRIMARY AND SPECIALTY CARE CENTER, A REGIONAL NETWORK OF 34 COMMUNITY BASED OUTPATIENT HEALTH CENTERS, 22 SCHOOL BASED HEALTH CENTERS, TWO AMBULATORY SURGERY CENTERS, AND A FULLY SALARIED MEDICAL STAFF IN COOPERSTOWN, OTSEGO COUNTY C) COBLESKILL REGIONAL HOSPITAL, A CRITICAL ACCESS HOSPITAL IN COBLESKILL, SCHOHARIE COUNTY D) LITTLE FALLS HOSPITAL, A CRITICAL ACCESS HOSPITAL IN LITTLE FALLS, HERKIMER COUNTY E) A.O. FOX HOSPITAL TRI-TOWN CAMPUS, 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, A RESIDENTIAL HEALTH CARE AND REHABILITATION FACILITY H) AT HOME CARE, A CERTIFIED HOME CARE AGENCY I) FIRST COMMUNITY CARE OF BASSETT, A MEDICAL SUPPLY COMPANY ALL OF THE ABOVE MAKE UP THE BASSETT HEALTHCARE NETWORK AND PROVIDE HEALTH SERVICES TO THIS SEVEN COUNTY REGION IN CENTRAL NEW YORK. Schedule H, Part VI, Line 7 State filing of community benefit report NY false false false false false false false true false Susan Oakes-Ferrucci Critical Access Hospital President 0 294938 0 0 0 0 0 9048 0 8966 0 312952 0 0 Staci Thompson Network President CEO 0 826810 0 40000 0 0 0 0 0 12117 0 878927 0 0 Craig Faerber Interim Network CFO 0 524460 0 0 0 0 0 0 0 0 0 524460 0 0 Jim Vielkind VP of Finance 0 239992 0 0 0 0 0 14729 0 1446 0 256167 0 0 Erin Kingsbury Supervising Pharmacist 163098 0 0 0 0 0 11874 0 9618 0 184590 0 0 0 Erin Wood RN IV - Acute Care 113605 0 42500 0 0 0 4022 0 1984 0 162111 0 0 0 Andrea Barcomb Pharmacist I 154072 0 0 0 0 0 7811 0 2366 0 164249 0 0 0 Dan Endress Director Nursing Ops OCH 153515 0 0 0 0 0 10710 0 531 0 164756 0 0 0 Barb Garcia Director Nursing Operations OCH 139465 0 0 0 0 0 9883 0 2527 0 151875 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION THE MARY IMOGENE BASSETT HOSPITAL (DBA BASSETT MEDICAL CENTER) PROVIDES THE COMPENSATION FOR THE PRESIDENTS OF O'CONNOR HOSPITAL, A.O. FOX MEMORIAL HOSPITAL, COBLESKILL REGIONAL HOSPITAL, AND LITTLE FALLS HOSPITAL. BASSETT MEDICAL CENTER USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR SAID INDIVIDUALS: A) COMPENSATION COMMITTEE, B) INDEPENDENT COMPENSATION CONSULTANT, C) WRITTEN EMPLOYMENT CONTRACT, D) COMPENSATION SURVEY OR STUDY AND, E) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 7 Non-fixed payments Non-fixed Payments provided Non-fixed payments are made based on the success in meeting performance criteria that are prospectively agreed upon as goals for the officers and other employees. Form 990, Part VI, Line 6 Classes of members or stockholders BASSETT HEALTHCARE NETWORK IS THE PARENT AND SOLE MEMBER TO EACH OF THE FOLLOWING RELATED PARTIES. FRIENDS OF BASSETT, AO FOX MEMORIAL HOSPITAL, BASSETT HOSPITAL OF SCHOHARIE COUNTY, LITTLE FALLS HOSPITAL, O'CONNOR HOSPITAL, TEMPLETON FOUNDATION, VALLEY HEALTH SERVICES, VALLEY RESIDENTIAL SERVICES, AND MARY IMOGENE BASSETT HOSPITAL. AS PARENT AND SOLE MEMBER, BASSETT HEALTHCARE NETWORK HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE GOVERNING BOARDS OF ITS AFFILIATES AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARDS, INCLUDING, BUT NOT LIMITED TO, APPROVAL OF OPERATING AND CAPITAL BUDGETS, CERTAIN CAPITAL EXPENDITURES, INDEBTEDNESS NOT CONTAINED IN THE APPROVED BUDGETS, SUBSTANTIVE CHANGES IN CLINICAL PROGRAMS, MERGERS, CONSOLIDATIONS, LIQUIDATIONS AND DISSOLUTIONS INVOLVING ITS AFFILIATES AND CERTIFICATE OF NEED APPLICATIONS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body See Form 990, Part VI, Section A, line 6 above. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders See Form 990, Part VI, Section A, line 6 above. Form 990, Part VI, Line 11b Review of form 990 by governing body ORGANIZATION'S PROCESS TO REVIEW FORM 990 The 990s are provided to the board before filing. If there are any questions or concerns, they can raise it with the board, CEO and/or CFO. Form 990, Part VI, Line 12c Conflict of interest policy ENFORCEMENT OF CONFLICTS POLICY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO THE BOARD OF DIRECTORS, BOARD MEMBERS, AND KEY PERSONS SUCH AS THE PRESIDENT. EACH BOARD MEMBER, OFFICER, OR KEY PERSON OF THE HOSPITAL SHALL COMPLETE A CONFLICT-OF-INTEREST QUESTIONNAIRE ANNUALLY. ALL COMPLETED QUESTIONNAIRES ARE REVIEWED AND ALL DISCLOSURES OF POTENTIAL CONFLICTS WILL BE BROUGHT TO THE PRESIDENT. THE PRESIDENT OR HIS/HER DESIGNEE WILL TAKE ACTION TO ELIMINATE THE POTENTIAL CONFLICT OF INTEREST. ALL DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST IN THE COMPLETED QUESTIONNAIRES SHALL BE COMPILED AND REPORTED BY THE ASSISTANT TREASURER TO THE EXECUTIVE AND FINANCE COMMITTEE OF THE BOARD TO DETERMINE IF THE REPORTED DISCLOSURE AND RESOLUTION IS SATISFACTORY. IF THE ACTIONS TAKEN ARE NOT SATISFACTORY, THE EXECUTIVE AND FINANCE COMMITTEE SHALL DETERMINE FURTHER ACTION AS IT DEEMS APPROPRIATE. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION PROCESS FOR TOP OFFICIAL THE PRESIDENT'S SALARY IS PAID BY A RELATED ORGANIZATION UNDER A MANAGEMENT SERVICES AGREEMENT. THE PRESIDENT'S WORKPLAN AND ACCOMPLISHMENTS FOR THE YEAR ARE OVERSEEN BY THE NETWORK LEADERSHIP. THE PRESIDENT'S SALARY IS SUBMITTED AS PART OF THE MANAGEMENT SERVICES AGREEMENT. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS DISCLOSURE EXPLANATION O'CONNOR HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT 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 O'CONNOR HOSPITAL OR BY SENDING A SELF-ADDRESSED STAMPED ENVELOPE AND PAYMENT FOR COPYING OF THE REQUESTED MATERIAL TO O'CONNOR HOSPITAL ADMINISTRATIVE OFFICES. THE COST OF COPYING SHALL BE EQUAL TO THE COSTS IMPOSED BY THE IRS FOR COPYING PUBLIC DOCUMENTS. Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees CONTRACTED SERVICES - Total Expense: 5771491, Program Service Expense: 5767421, Management and General Expenses: , Fundraising Expenses: 4070; Form 990, Part XII, Line 2c THE CONSOLIDATED AUDIT REPORT IS REVIEWED AT A NETWORK LEVEL, BY THE BASSETT HEALTHCARE NETWORK AUDIT COMMITTEE. Bassett Healthcare Network One Atwell Road Cooperstown NY 13326 133218680 Support NY 501(c)(3) Type III-FI None false Friends of Bassett One Atwell Road Cooperstown NY 13326 237041610 Fundraiser NY 501(c)(3) 7 BHN false AO Fox Memorial Hospital One Norton Avenue Oneonta NY 13820 150539039 Healthcare NY 501(c)(3) 3 BHN false Bassett Hospital Schoharie County 178 Grandview Drive Cobleskill NY 12043 141772971 Healthcare NY 501(c)(3) 3 BHN false Little Falls Hospital 140 Burwell Street Little Falls NY 13365 150533578 Healthcare NY 501(c)(3) 3 BHN false Mary Imogene Bassett Hospital One Atwell Road Cooperstown NY 13326 135596796 Healthcare NY 501(c)(3) 3 BHN false Templeton Foundation One Atwell Road Cooperstown NY 13326 133317084 Landlord NY 501(c)(3) 10 BHN false Valley Health Services 690 West German Street Herkimer NY 13350 222511614 Elder Care NY 501(c)(3) 3 BHN false Bassett PPS LLC 6181 State Highway 7 Oneonta NY 13820 811749905 Healthcare NY 501(c)(3) Type I BHN false Valley Residential Services 690 West German Street Herkimer NY 13350 463703838 Elder Care NY 501(c)(3) 3 BHN false At Home Care Partners 25 Elm Street Oneonta NY 13820 562397098 Healthcare NY 501(c)(3) 3 AHC Inc false At Home Care Inc 25 Elm Street Oneonta NY 13820 161287069 Healthcare NY 501(c)(3) 3 BHN false Stamford Professional Associates 1 Norton Avenue ONEONTA NY 13820 161322304 RENTAL NY NA N/A false false First Community Care of Bassett 60 Northpointe Parkway AMHERST MA 14228 161504464 HEALTHCARE NY NA N/A false false CATSKILL CARE ENTERPRISES 1 NORTON AVENUE ONEONTA NY 13820 161236590 RETAIL PHARMACY NY AO Fox C Corporation false LEATHERSTOCKING PHYSICIANS PC ONE ATWELL ROAD COOPERSTOWN NY 13326 364864562 HEALTHCARE NY NA C Corporation false false false true false false false false false false true false true true false false false true false false