2024-05-14T08:53:22-05:00 2023-06-30 135565207 KPMG LLP 515 BROADWAY 4TH FLOOR ALBANY NY 122072974 990 2023-01-01 222871993 AURELIA OSBORN FOX MEMORIAL HOSPITAL FOUNDATION AURE 5074315900 ONE NORTON AVENUE ONEONTA NY 13820 JEFFREY MORGAN SENIOR VP & CFO 5074315900 2024-05-13 1 JEFFREY MORGAN XXX-XX-XXXX 1 GENEVA FURLANO P01877392 5184274600 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z X JEFFREY MORGAN ONE NORTON AVE ONEONTA NY 13820 2590 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 5 5 0 0 0 0 195913 0 0 0 140171 2566 0 0 336084 2566 197607 0 0 0 92900 0 0 0 0 2423 0 292930 0 43154 2566 706 0 0 0 706 0 X THE FOUNDATION IS AN INDEPENDENT TRUST WHOSE SOLE PURPOSE IS TO PROMOTE THE SUPPORT, OPERATION, MAINTENANCE OR IMPROVEMENT OF THE A.O. FOX MEMORIAL HOSPITAL FOR THE HEALTH OF THE COMMUNITY SERVICED BY THE HOSPITAL. 0 1 0 0 0 THE PRIMARY ACTIVITY OF THE FOUNDATION IS TO SUPPORT THE AURELIA OSBORN FOX MEMORIAL HOSPITAL THROUGH FUNDRAISING EFFORTS AND GRANTMAKING. AS THE FOUNDATION TERMINATED ITS OPERATIONS, THERE WERE NO PROGRAM SERVICE REVENUES OR EXPENDITURES MADE DURING THE YEAR ENDING JUNE 30, 2023. 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 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 SECRETARY TREASURER 0.00 1.00 X 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 ARNIE DROGEN TRUSTEE 0.00 1.00 X 0 0 0 JEFFERY JOYNER PRESIDENT 1.00 40.00 X 0 430621 37313 CHRISTOPHER GRAHAM VP OF FINANCE 1.00 40.00 X 0 197737 24626 0 628358 61939 0 0 1 0 0 2544 2544 46 24 22 22 22 2566 0 0 2566 0 0 0 0 706 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 706 0 0 0 X 706 0 0 0 706 0 706 0 X 2566 -3272 X X 0 1 X 1 0 X X 1 AURELIA OSBORN FOX MEMORIAL HOSPITAL 150539039 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 706 2566 3272 5117099 195913 -917487 4394818 707 4706939 376323 364398 330561 5117099 3597869 1188464 235162 314556 4706939 3285987 975802 506144 1170064 3597869 0 0 0 2566 0 2566 0 2566 0 0 0 0 0 PART V, LINE 4: THE FOUNDATION TRANSFERRED THE REMAINDER 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. 0 0 0 0 0 0 0 0 0 JEFFERY JOYNER PRESIDENT 0 427621 0 3000 0 0 0 17488 0 19825 0 467934 0 0 CHRISTOPHER GRAHAM VP OF FINANCE 0 194737 0 3000 0 0 0 10323 0 14303 0 222363 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 2023-06-30 3272 FMV 237041610 FRIENDS OF BASSETT INC ONE ATWELL ROAD COOPERSTOWN NY 13326 501(C)(3) 0 0 0 0 1 1 1 1 0 FORM 990, PART III, LINE 3 THE FOUNDATION TRANSFERRED ITS REMAINING NET ASSETS TO FRIENDS OF BASSETT, INC, A RELATED 501(C)(3) ORGANIZATION WITHIN THE BASSETT HEALTHCARE NETWORK. 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 -3,272. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. 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