2023-11-14T16:18:21-06:00 2022-12-31 135565207 KPMG LLP 515 BROADWAY 4TH FLOOR ALBANY NY 122072974 990 2022-01-01 133317084 TEMPLETON FOUNDATION TEMP 6075473635 ONE ATWELL ROAD COOPERSTOWN NY 13326 TOMMY IBRAHIM PRESIDENT 6075473635 2023-11-14 1 TOMMY IBRAHIM XXX-XX-XXXX 0 GENEVA FURLANO P01877392 5184274600 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TOMMY IBRAHIM MD ONE ATWELL ROAD COOPERSTOWN NY 13326 7231955 0 X N/A X 1984 NY TEMPLETON FOUNDATION'S MISSION IS TO PROMOTE HEALTHCARE IN OTSEGO, CHENANGO, MADISON, ONEIDA, HERKIMER, FULTON, MONTGOMERY, SCHOHARIE, DELAWARE, AND SULLIVAN COUNTIES BY PROVIDING NECESSARY RESIDENTIAL FACILITIES AND OFFICE SPACE TO HOSPITALS AND HEALTH CARE ORGANIZATIONS WITHIN THE COUNTY AND TO MANAGE AND ADMINISTER PROPERTY HELD EXCLUSIVELY FOR CHARITABLE PURPOSES. 6 5 0 5 0 0 0 0 7194400 7231955 0 -19686 0 0 7194400 7212269 0 0 0 0 0 0 0 0 0 5114022 6008674 5114022 6008674 2080378 1203595 47757464 49229712 22273165 20201954 25484299 29027758 X TEMPLETON FOUNDATION'S MISSION IS TO PROMOTE HEALTHCARE IN OTSEGO, CHENANGO, MADISON, ONEIDA, HERKIMER, FULTON, MONTGOMERY, SCHOHARIE, DELAWARE, AND SULLIVAN COUNTIES BY PROVIDING NECESSARY RESIDENTIAL FACILITIES AND OFFICE SPACE TO HOSPITALS AND HEALTH CARE ORGANIZATIONS WITHIN THE COUNTY AND TO MANAGE AND ADMINISTER PROPERTY HELD EXCLUSIVELY FOR CHARITABLE PURPOSES. 0 0 6008674 0 7231955 THE PRIMARY PURPOSE OF THE FOUNDATION IS TO PROMOTE HEALTHCARE IN OTSEGO, CHENANGO, MADISON, ONEIDA, HERKIMER, FULTON, MONTGOMERY, SCHOHARIE, DELAWARE AND SULLIVAN COUNTIES BY PROVIDING NECESSARY RESIDENTIAL FACILITIES AND OFFICE SPACE TO HOSPITALS AND HEALTHCARE ORGANIZATIONS IN THOSE COUNTIES AND TO MANAGE, MAINTAIN, AND ADMINISTER PROPERTY HELD EXCLUSIVELY FOR CHARITABLE PURPOSES. 6008674 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 NY X PAUL SWINKO 6075474800 ONE ATWELL ROAD COOPERSTOWN NY 13326 TOMMY IBRAHIM MD PRESIDENT 0.50 40.00 X X 0 970597 29962 PETER HAMILTON TRUSTEE 0.50 0.50 X 0 0 0 ROBERT HANFT TRUSTEE 0.50 0.50 X 0 0 0 KEVIN MOORE TRUSTEE 0.50 0.50 X 0 0 0 JAMES PATRICK TRUSTEE 0.50 0.50 X 0 0 0 DOUGLAS WILLIES TRUSTEE 0.50 0.50 X 0 0 0 HENRY WEIL MD VICE PRESIDENT 0.50 40.00 X 0 666250 30407 PAUL SWINKO TREASURER 0.50 40.00 X 0 641526 21599 ANDREW MARIETTA SECRETARY 0.50 0.50 X 0 0 0 WILLIAM LECATES FORMER PRESIDENT 0.00 40.00 X 0 363030 27266 0 2641403 109234 0 1 1 0 0 RENTAL INCOME 531120 7231955 7231955 7231955 19686 -19686 -19686 -19686 7212269 7231955 0 -19686 570679 570679 279342 279342 800226 800226 897266 897266 2861422 2861422 191711 191711 MAINTENANCE 359505 359505 MISCELLANEOUS 48523 48523 6008674 6008674 0 0 164253 186754 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61650 64232 91594585 49918605 40241169 41675980 0 0 0 0 0 0 0 0 7290392 7302746 47757464 49229712 156595 122156 0 0 0 0 19404079 19429079 0 0 0 0 0 0 0 0 2712491 650719 22273165 20201954 X 25473349 29016808 10950 10950 25484299 29027758 47757464 49229712 X 1203595 2339864 X 0 1 X 1 0 X 7196409 7229639 7197630 7194400 7231955 36050033 7196409 7229639 7197630 7194400 7231955 36050033 0 0 0 36050033 7196409 7229639 7197630 7194400 7231955 36050033 1.00000 1.00000 0.00000 X 5946145 5946145 71163258 38453851 32709407 11939427 9400532 2538895 2251932 2064222 187710 293823 293823 41675980 DUE FROM RELATED PARTIES 5578345 OTHER ASSETS 648678 OPERATING LEASE - RIGHT OF USE 643350 INTEREST RATE SWAP 432373 7302746 OPERATING LEASE LIABILITIY 650719 650719 X PART X, LINE 2: TEMPLETON FOUNDATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BASSETT HEALTHCARE NETWORK ("THE NETWORK"). THE TEXT OF THE ASC 740 FOOTNOTE PROVIDED IN THE CONSOLIDATED FINANCIALS 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 0 0 0 0 0 0 0 0 TOMMY IBRAHIM MD PRESIDENT 0 788007 0 182590 0 0 0 18520 0 11442 0 1000559 0 0 HENRY WEIL MD VICE PRESIDENT 0 607237 0 59013 0 0 0 27670 0 2737 0 696657 0 0 PAUL SWINKO TREASURER 0 510238 0 131288 0 0 0 18520 0 3079 0 663125 0 0 WILLIAM LECATES FORMER PRESIDENT 0 263344 0 99686 0 0 0 23488 0 3778 0 390296 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 TEMPLETON 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. THE TRUSTEES OF THE FOUNDATION DO NOT RECEIVE ANY COMPENSATION RELATED TO THEIR SERVICE ON THE BOARD. ANY COMPENSATION REPORTED TO TRUSTEES ON PART VII AND SCHEDULE J IS SOLELY DERIVED FROM THEIR SERVICES PROVIDED AT RELATED ORGANIZATIONS. A 2018A OTSEGO COUNTY CAPITAL RESOURCE CORP 263661593 2018-11-09 12000000 REFUND OF 2011 ISSUE 0 0 0 A 12000000 212311 11787689 1 0 1 1 A 0 0 1 1 0 0 0 0 A 0 1 1 0 1 1 M&T TRUST COMPANY 10.000000000000 0 0 0 0 A 0 PART I THE 2018A SERIES OTSEGO COUNTY CAPITAL RESOURCE CORP REFUNDED THE 2011A SERIES OTSEGO COUNTY CAPITAL CORP, WHICH WAS ISSUED DECEMBER 1, 2011. PART IV, LINE 2B 2018A SERIES OTSEGO COUNTY CAPITAL RESOURCE CORP THE REBATE EXCEPTION REQUIREMENTS HAVE BEEN MET. PART V TEMPLETON CURRENTLY DOES NOT HAVE WRITTEN PROCEDURES IN PLACE BUT MANAGEMENT REGULARLY REVIEWS THE OBLIGATIONS UNDER TAX-EXEMPT BONDS TO ENSURE THERE IS NO VIOLATIONS OF FEDERAL TAX REQUIREMENTS. OUR GOVERNING BODY IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES TO ENSURE COMPLIANCE WITH TAX-EXEMPT BONDS. 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, AND MARY IMOGENE BASSETT HOSPITAL. AS PARENT AND SOLE MEMBER, BASSETT HEALTHCARE NETWORK HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE GOVERNING BOARDS OF ITS SUBSIDIARIES AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARDS, INCLUDING, BUT NOT LIMITED TO, APPROVAL OF OPERATING AND CAPITAL BUDGETS, CERTAIN CAPITAL EXPENDITURES, INDEBTEDNESS NOT CONTAINED IN THE APPROVED BUDGETS, SUBSTANTIVE CHANGES IN CLINICAL PROGRAMS, MERGERS, CONSOLIDATIONS, LIQUIDATIONS AND DISSOLUTIONS INVOLVING ITS SUBSIDIARIES AND CERTIFICATE OF NEED APPLICATIONS. FORM 990, PART VI, 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 ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE TREASURER OF THE BOARD FOR TEMPLETON FOUNDATION DISTRIBUTES THE DRAFT 990 TO THE BOARD OF DIRECTORS PRIOR TO FILING. ANY QUESTIONS ARE RAISED AND ANSWERED. ONCE APPROVED, THE 990 CAN BE FILED. A COMPLETE COPY OF THE ORGANIZATION'S FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, IS AVAILABLE TO EACH MEMBER OF THE BOARD BEFORE ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS POLICY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO THE BOARD OF TRUSTEES, INCLUDING ANY COMMITTEES OF THE BOARD, INDIVIDUAL MEMBERS OF THE BOARD, OFFICERS OF THE HOSPITAL (PRESIDENT, COO, CFO), VICE PRESIDENTS, AND ALL DIRECTORS SERVING AS DIRECTORS TEAM MEMBERS. UPON THE COMMENCEMENT OF AN INDIVIDUAL SERVING IN THE ROLES PREVIOUSLY DEFINED, AND THEREAFTER ANNUALLY BY JANUARY 1, A CONFLICT OF INTEREST QUESTIONNAIRE WHICH IS PRESCRIBED BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES MUST BE COMPLETED. ALL COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE COMPLIANCE OFFICER OF THE ORGANIZATION. ANY POTENTIAL CONFLICT OF INTEREST WILL BE DISCUSSED WITH THE INDIVIDUAL AND/OR WITH LEGAL COUNSEL. THE COMPLIANCE OFFICER WILL TAKE ACTION TO ELIMINATE THE POTENTIAL CONFLICT OF INTEREST, IF DEEMED APPROPRIATE. AFTER INVESTIGATION, IF IT IS DEEMED THAT THE INDIVIDUAL HAS FAILED TO COMPLY WITH SUCH POLICIES AND DIRECTIVES, APPROPRIATE CORRECTIVE ACTION WILL BE TAKEN. THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES MAY DETERMINE WHETHER THE CORRECTIVE ACTION IS SATISFACTORY AND, IF NOT, SHALL REQUIRE FURTHER ACTION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION TEMPLETON MAKES ITS GOVERNING DOCUMENTS 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 TEMPLETON FOUNDATION OR BY SENDING A SELF-ADDRESSED STAMPED ENVELOPE ALONG WITH PAYMENT FOR COPYING OF THE REQUESTED MATERIAL TO TEMPLETON FOUNDATION ADMINISTRATIVE OFFICES. THE COST OF COPYING SHALL BE EQUAL TO THE COSTS IMPOSED BY THE IRS FOR COPYING OF PUBLIC DOCUMENTS. FORM 990, PART XI, LINE 9: ADJUSTMENTS TO FAIR VALUE OF INTEREST RATE SWAPS 2,339,864. 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 A O FOX MEMORIAL HOSPITAL ONE NORTON AVENUE ONEONTA NY 13820 150539039 HEALTHCARE NY 501C3 3 BHN 0 BASSETT HOSPITAL SCHOHARIE COUNTY 178 GRANDVIEW DRIVE COBLESKILL NY 12043 141772971 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 O'CONNOR HOSPITAL 460 ANDES ROAD DELHI NY 13753 161540394 HEALTHCARE NY 501C3 3 BHN 0 VALLEY HEALTH SERVICES 690 WEST GERMAN STREET HERKIMER NY 13350 222511614 ELDER CARE NY 501C3 3 BHN 0 VALLEY RESIDENTIAL SERVICES 690 WEST GERMAN STREET HERKIMER NY 13350 463703838 ELDER CARE NY 501C3 10 BHN 0 BASSETT PPS LLC 618 STATE HIGHWAY 7 ONEONTA NY 13820 811749905 HEALTHCARE NY 501C3 12A MIBH 0 AT HOME CARE PARTNERS INC 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 AO FOX FOUNDATION 1 NORTON AVE ONEONTA NY 13820 222871933 FUNDRAISER NY 501C3 9 AO FOX 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 NY N/A C 0 LEATHERSTOCKING PHYSICIANS PC ONE ATWELL ROAD COOPERSTOWN NY 13326 364864562 HEALTHCARE NY N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 1