2023-11-15T11:14:18-06:00 2022-12-31 135565207 KPMG LLP 515 BROADWAY 4TH FLOOR ALBANY NY 122072974 990 2022-01-01 222871993 AURELIA OSBORN FOX MEMORIAL HOSPITAL FOUNDATION AURE 5074315900 ONE NORTON AVE ONEONTA NY 13820 TOMMY IBRAHIM PRESIDENT 5074315900 2023-11-15 1 TOMMY IBRAHIM XXX-XX-XXXX 0 GENEVA FURLANO P01877392 5184274600 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TOMMY IBRAHIM ONE NORTON AVE ONEONTA NY 13820 2407892 0 X N/A X 1986 NY THE FOUNDATION IS AN INDEPENDENT TRUST WHOSE SOLE PURPOSE IS TO PROMOTE THE SUPPORT, OPERATIONS, MAINTENANCE OR IMPROVEMENT OF AURELIA OSBORN FOX MEMORIAL HOSPITAL FOR THE HEALTH OF THE COMMUNITY SERVICED BY THE HOSPITAL. X 8 8 0 8 0 0 376324 195913 0 0 248935 140171 0 0 625259 336084 316949 197607 0 0 0 0 0 0 0 13612 95324 330561 292931 294698 43153 5117098 706 0 0 5117098 706 X THE FOUNDATION IS AN INDEPENDENT TRUST WHOSE SOLE PURPOSE IS TO PROMOTE THE SUPPORT, OPERATIONS, MAINTENANCE OR IMPROVEMENT OF AURELIA OSBORN FOX MEMORIAL HOSPITAL FOR THE HEALTH OF THE COMMUNITY SERVICED BY THE HOSPITAL. 0 1 292931 197607 THE PRIMARY ACTIVITY OF THE FOUNDATION IS TO SUPPORT THE AURELIA OSBORN FOX MEMORIAL HOSPITAL THROUGH FUNDRAISING EFFORTS AND GRANTMAKING. 292931 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 0 NY X AO FOX MEMORIAL HOSPITAL FDN 6074315900 ONE NORTON AVE ONEONTA NY 13820 JAMIE REYNOLDS CHAIR 0.00 1.00 X X 0 0 0 DAVID ROWLEY VICE CHAIRMAN 0.00 1.00 X X 0 0 0 MICHELLE EASTMAN SECRETARY TREASURER 0.00 1.00 X X 0 0 0 STEPHANIE HOLMES TRUSTEE 0.00 1.00 X 0 0 0 GARY LAING TRUSTEE 0.00 1.00 X 0 0 0 ARNIE DROGEN TRUSTEE 0.00 1.00 X 0 0 0 GEORGE ALLEN TRUSTEE 0.00 1.00 X 0 0 0 RYAN BROOKS TRUSTEE 0.00 1.00 X 0 0 0 JEFFERY JOYNER PRESIDENT 1.00 40.00 X 0 483649 29962 CHRISTOPHER GRAHAM VP OF FINANCE 1.00 40.00 X 0 147500 11591 0 631149 41553 0 0 1 0 0 195913 195913 64247 64247 2147732 2071808 75924 75924 75924 336084 0 0 140171 197607 197607 95324 95324 292931 292931 0 0 158337 706 112109 0 31109 0 4815543 0 5117098 706 0 0 X -1592483 706 6709581 0 5117098 706 5117098 706 X 43153 -523272 -4636273 X 0 1 X 1 0 X X 1 AURELIA OSBORN FOX MEMORIAL HOSPITAL 150539039 3 1 197607 0 1 197607 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5117099 195913 -917487 4395525 4706939 376323 364398 330561 5117099 3597869 1188464 235162 314556 4706939 3285987 975802 506144 1170064 3597869 3388618 443717 -127097 419251 3285987 0 0 0 X PART V, LINE 4: DURING 2022, AS PART OF THE WINDING DOWN OF ITS OPERATIONS, THE FOUNDATION TRANSFERRED THE MAJORITY OF ITS ENDOWMENT ASSETS TO FRIENDS OF BASSETT, INC., A RELATED 501(C)(3) ORGANIZATION. PRIOR TO THE TRANSFER OF THE ENDOWMENT ASSETS, THE PURPOSES OF EACH CATEGORY WERE AS FOLLOWS: THE INTENDED USE OF INCOME FROM THESE FUNDS IS FOR CHILDREN'S CARE, ADULT DAY HEALTH PROGRAM AND HOSPITAL SERVICES. BOARD DESIGNATED OR QUASI ENDOWMENTS: THE INTENDED USE OF INCOME FROM THESE FUNDS IS TO SUPPORT HOSPITAL OPERATIONS. TERM ENDOWMENT: THE INTENDED USE OF THESE FUNDS IS FOR THE CHILDREN'S CARE, PURCHASE OF HOSPITAL EQUIPMENT AND SUPPORT OF HOSPITAL SERVICES. PART X, LINE 2: FIN 48 FOOTNOTE AURELIA OSBORN FOX MEMORIAL HOSPITAL FOUNDATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BASSETT HEALTHCARE NETWORK (THE NETWORK). THE TEXT OF THE FIN 48 FOOTNOTE FROM THE CONSOLIDATED FINANCIAL STATEMENTS IS AS FOLLOWS: THE NETWORK'S VARIOUS SUBSIDIARIES GENERALLY CONSIST OF NOT-FOR-PROFIT CORPORATIONS ORGANIZED IN ACCORDANCE WITH SECTION 501(C)(3) OF THE IRC AND THEREFORE ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. THE NETWORK RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES OR UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED. FOR TAXABLE SUBSIDIARIES OR INVESTMENTS, INCLUDING CCE, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES OF TEMPORARY DIFFERENCES BY APPLYING ENACTED STATUTORY TAX RATES APPLICABLE TO FUTURE YEARS FOR THE DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENTS AND TAX BASIS OF EXISTING ASSETS AND LIABILITIES. SUCH DEFERRED TAX ASSETS AND LIABILITIES WERE NOT MATERIAL AS OF DECEMBER 31, 2022 AND 2021. 0 AURELIA OSBORN FOX MEMORIAL HOSPITAL ONE NORTON AVE ONEONTA NY 13820 150539039 501(C) (3) 197607 0 BOOK NONE OPERATIONS, PROPERTY, PLANT & EQUIPMENT 1 PART I, LINE 2: AURELIA OSBORN FOX MEMORIAL HOSPITAL FOUNDATION PROVIDES GRANTS TO THE AURELIA OSBORN FOX MEMORIAL HOSPITAL, WHICH IS ITS SUPPORTED ORGANIZATION. THE FOUNDATION WORKS WITH THE AURELIA OSBORN FOX MEMORIAL HOSPITAL TO ENSURE THAT THE FUNDS ARE USED AS INTENDED. 0 0 0 0 0 0 0 0 0 JEFFERY JOYNER PRESIDENT 0 398555 0 85094 0 0 0 18520 0 11442 0 513611 0 0 CHRISTOPHER GRAHAM VP OF FINANCE 0 118013 0 29487 0 0 0 8462 0 3129 0 159091 0 0 PART I, LINE 3 RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION THE MARY IMOGENE BASSETT HOSPITAL (DBA BASSETT MEDICAL CENTER) PROVIDES THE COMPENSATION FOR THE OFFICERS AND DIRECTORS OF THE AFFILIATES, INCLUDING AURELIA OSBORN FOX MEMORIAL HOSPITAL FOUNDATION. 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. CASH 2022-12-30 949592 FMV 237041610 FRIENDS OF BASSETT INC ONE ATWELL ROAD COOPERSTOWN NY 13326 501(C)(3) BONDS 2022-12-30 610119 FMV 237041610 FRIENDS OF BASSETT INC ONE ATWELL ROAD COOPERSTOWN NY 13326 501(C)(3) STOCKS & SECURITIES 2022-12-30 1709087 FMV 237041610 FRIENDS OF BASSETT INC ONE ATWELL ROAD COOPERSTOWN NY 13326 501(C)(3) MUTUAL FUNDS 2022-12-30 900303 FMV 237041610 FRIENDS OF BASSETT INC ONE ATWELL ROAD COOPERSTOWN NY 13326 501(C)(3) MUNICIPAL BONDS 2022-12-30 280016 FMV 237041610 FRIENDS OF BASSETT INC ONE ATWELL ROAD COOPERSTOWN NY 13326 501(C)(3) US GOVERNMENT BONDS 2022-12-30 187156 FMV 237041610 FRIENDS OF BASSETT INC ONE ATWELL ROAD COOPERSTOWN NY 13326 501(C)(3) 0 0 0 0 FORM 990, PART III, LINE 3 AS OF DECEMBER 31, 2022, THE FOUNDATION HAS TRANSFERRED THE MAJORITY OF ITS REMAINING NET ASSETS TO FRIENDS OF BASSETT, INC, A RELATED 501(C)(3) ORGANIZATION WITHIN THE BASSETT HEALTHCARE NETWORK. WHILE IT IS STILL IN THE PROCESS OF COMPLETING A FINAL AND LEGAL DISSOLUTION, THE YEAR 2022 MARKS THE YEAR IN WHICH MOST OF ITS FUNDRAISING AND GRANTMAKING ACTIVITIES HAVE CEASED. THE TRANSFER OF ITS REMAINING NET ASSETS TO FRIENDS OF BASSETT INC WAS THE RESULT OF AN EFFORT WITHIN THE OVERALL NETWORK TO CENTRALIZE THE ENDOWMENT MANAGEMENT FUNCTION, THEREBY IMPROVING THE EFFICIENCY AND SUPPORT DERIVED FROM THESE ASSETS, IN FURTHERANCE OF THE FOUNDATION'S ORIGINAL MISSION TO SUPPORT AND PROMOTE THE MISSION OF THE AURELIA OSBORN FOX MEMORIAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 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, MARY IMOGENE BASSETT HOSPITAL, AND AO FOX MEMORIAL HOSPITAL FOUNDATION. AS PARENT AND SOLE MEMBER, BASSETT HEALTHCARE NETWORK HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE GOVERNING BOARDS OF ITS SUBSIDIARIES AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARDS, INCLUDING, BUT NOT LIMITED TO, APPROVAL OF OPERATING AND CAPITAL BUDGETS, CERTAIN CAPITAL EXPENDITURES, INDEBTEDNESS NOT CONTAINED IN THE APPROVED BUDGETS, SUBSTANTIVE CHANGES IN CLINICAL PROGRAMS, MERGERS, CONSOLIDATIONS, LIQUIDATIONS AND DISSOLUTIONS INVOLVING ITS SUBSIDIARIES AND CERTIFICATE OF NEED APPLICATIONS. FORM 990, PART VI, SECTION A, LINE 7A SEE DISCLOSURE FOR PART VI, LINE 6 FORM 990, PART VI, SECTION A, LINE 7B SEE DISCLOSURE FOR PART VI, LINE 6 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S GOVERNING BODY REVIEWED THE TAX DOCUMENT AT THE BOARD MEETING BEFORE IT WAS SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE FOUNDATION ADMINISTRATION AND IF NECESSARY ARE REFERRED TO THE FOUNDATION BOARD AND HANDLED APPROPRIATELY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL MAKE THE GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OUT TO FRIENDS OF BASSETT -4,636,273. BASSETT HEALTHCARE NETWORK ONE ATWELL ROAD COOPERSTOWN NY 13326 133218680 SUPPORT NY 501C3 12C NONE 0 FRIENDS OF BASSETT ONE ATWELL ROAD COOPERSTOWN NY 13326 237041610 FUNDRAISER NY 501C3 7 BHN 0 O'CONNOR HOSPITAL 460 ANDES ROAD DELHI NY 13753 161540394 HEALTHCARE NY 501C3 3 BHN 0 LITTLE FALLS HOSPITAL 140 BURWELL STREET LITTLE FALLS NY 13365 150533578 HEALTHCARE NY 501C3 3 BHN 0 MARY IMOGENE BASSETT HOSPITAL ONE ATWELL ROAD COOPERSTOWN NY 13326 135596796 HEALTHCARE NY 501C3 3 BHN 0 TEMPLETON FOUNDATION ONE ATWELL ROAD COOPERSTOWN NY 13326 133317084 LANDLORD NY 501C3 10 BHN 0 VALLEY HEALTH SERVICES 690 WEST GERMAN STREET HERKIMER NY 13350 222511614 ELDER CARE NY 501C3 3 BHN 0 BASSETT PPS LLC 6181 STATE HIGHWAY 7 ONEONTA NY 13820 811749905 HEALTHCARE NY 501C3 12A MIBH 0 VALLEY RESIDENTIAL SERVICES 690 WEST GERMAN STREET HERKIMER NY 13350 463703838 ELDER CARE NY 501C3 10 BHN 0 AT HOME CARE PARTNERS 25 ELM STREET ONEONTA NY 13820 562397098 HEALTHCARE NY 501C3 10 AHC INC 0 AT HOME CARE INC 25 ELM STREET ONEONTA NY 13820 161287069 HEALTHCARE NY 501C3 10 BHN 0 BASSETT HOSPITAL SCHOHARIE COUNTY 178 GRANDVIEW DRIVE COBLESKILL NY 12043 141772971 HEALTHCARE NY 501C3 3 BHN 0 AO FOX MEMORIAL HOSPITAL 1 NORTON AVE ONEONTA NY 13820 150539039 HEALTHCARE NY 501C3 3 BHN 0 STAMFORD PROFESSIONAL ASSOCIATES 1 NORTON AVE ONEONTA NY 13820 161322304 RENTAL NY N/A 0 0 FIRST COMMUNITY CARE OF BASSETT 60 NORTHPOINTE PARKWAY AMHERST NY 14228 161504464 HEALTHCARE NY N/A 0 0 CATSKILL CARE ENTERPRISES 1 NORTON AVE ONEONTA NY 13820 161236590 RETAIL PHARMACY & FITNESS CENTER NY N/A C 0 LEATHERSTOCKING PHYSICIANS PC ONE ATWELL ROAD COOPERSTOWN NY 13326 364864562 HEALTHCARE SERVICES NY N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0