Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
AO FOX MEMORIAL HOSPITAL |
150539039 | 3 | Yes | 0 | 0 | |
| (B)
BASSETT HOSPITAL OF SCHOHARIE COUNTY |
141772971 | 3 | Yes | 0 | 0 | |
| (C)
FRIENDS OF BASSETT |
237041610 | 7 | Yes | 0 | 0 | |
| (D)
LITTLE FALLS HOSPITAL |
150533578 | 3 | Yes | 0 | 0 | |
| (E)
MARY IMOGENE BASSETT HOSPITAL |
135596796 | 3 | Yes | 0 | 0 | |
| (F)
O'CONNOR HOSPITAL |
161540394 | 3 | Yes | 0 | 0 | |
| (G)
TEMPLETON FOUNDATION |
133317084 | 3 | Yes | 0 | 0 | |
| (H)
VALLEY HEALTH SERVICES |
222511614 | 3 | Yes | 3,251,489 | 0 | |
|
Total 8
|
3,251,489 | 0 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | 0 | |||
| 2 | Enter 85% of line 1 | 2 | 0 | |||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | 0 | |||
| 4 | Enter greater of line 2 or line 3 | 4 | 0 | |||
| 5 | Income tax imposed in prior year | 5 | 0 | |||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | 0 | |||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name | SUPPORTED ORGANIZATIONS NOT LISTED BY NAME AS DESCRIBED IN GOVERNING DOCUMENTS: "TO PROVIDE ASSISTANCE TO AND COORDINATION WITH OTHER NOT-FOR PROFIT CORPORATIONS HAVING ACTIVITIES IN OTSEGO, SCHOHARIE, DELAWARE, CHENANGO, AND HERKIMER COUNTIES IN NEW YORK SO AS TO MINIMIZE DUPLICATION OF EFFORT AND WASTE AND TO FOSTER JOINT PLANNING, ESTABLISHMENT OF COMMON GOALS AND OVERALL INCREASED EFFICIENCY IN THE FULFILLMENT BY SUCH CORPORATIONS OF THEIR RESPECTIVE PURPOSES". |
| Schedule A, Part IV, Section E, Line 3a Organization have the power to regularly appoint or elect a | APPOINT/ELECT OFFICERS FOR EACH SUPPORTED ORGANIZATION OFFICERS AND DIRECTORS OF THE BASSETT HEALTHCARE NETWORK ALSO PARTICIPATE IN THE BOARD (EITHER IN OFFICER AND/OR DIRECTOR POSITIONS) OF THE OTHER SUPPORTED ORGANIZATIONS. THEY ARE ACTIVE PARTICIPANTS AND VOTERS IN THESE BOARDS FOR RE-ELECTING CURRENT AND NEW MEMBERS. THROUGH RESERVE POWERS GIVEN TO THE ORGANIZATION IN THE BYLAWS OF THE SUPPORTED ORGANIZATIONS, THE ORGANIZATION HAS THE POWER TO APPOINT THE DIRECTORS, TRUSTEES, AND PRESIDENTS OF THE SUPPORTED ORGANIZATIONS. |
| Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities | DIRECTORS OF THE BASSETT HEALTHCARE NETWORK BOARD ALSO PARTICIPATE IN THE BOARD (EITHER IN OFFICER AND/OR DIRECTOR POSITIONS) OF THE OTHER SUPPORTED ORGANIZATIONS. THEY ARE ACTIVE PARTICIPANTS AND VOTERS IN THESE BOARDS IN REGARDS TO DIRECT DECISIONS AND POLICIES MADE FOR THOSE AFFILIATED COMPANIES. |
| Software ID: | 24020961 |
| Software Version: | 2024v5.1 |
| Return Reference | Explanation |
|---|---|
| Form 990, Part I, Line 1 | MISSION STATEMENT: IMPROVING THE HEALTH OF OUR PATIENTS AND THE WELL-BEING OF OUR COMMUNITIES. VISION: THROUGH ADVANCED INTEGRATED CLINICAL SERVICES, EDUCATION, AND RESEARCH, WE ASPIRE TO BE A MODEL OF EXCELLENCE FOR HEALTH, CREATING REMARKABLE PATIENT EXPERIENCES AND BETTER LIVING. BASSETT HEALTHCARE NETWORK IS THE PARENT ORGANIZATION TO THE MARY IMOGENE BASSETT HOSPITAL (D/B/A BASSETT MEDICAL CENTER), A.O. FOX MEMORIAL HOSPITAL, THE O'CONNOR HOSPITAL, BASSETT HOSPITAL OF SCHOHARIE COUNTY (D/B/A COBLESKILL REGIONAL HOSPITAL), LITTLE FALLS HOSPITAL, VALLEY HEALTH SERVICES, INC., VALLEY RESIDENTIAL SERVICES, FRIENDS OF BASSETT, INC. AND TEMPLETON FOUNDATION PURSUANT TO SECTION 509. THROUGH RESERVE POWERS GIVEN TO THE ORGANIZATION IN THE BYLAWS OF THE SUPPORTED ORGANIZATIONS, THE ORGANIZATION HAS THE POWER TO APPOINT THE DIRECTORS, TRUSTEES, AND PRESIDENTS OF THE SUPPORTED ORGANIZATIONS. |
| Form 990, Part III, Line 1 | MISSION STATEMENT: IMPROVING THE HEALTH OF OUR PATIENTS AND THE WELL-BEING OF OUR COMMUNITIES. VISION: THROUGH ADVANCED INTEGRATED CLINICAL SERVICES, EDUCATION, AND RESEARCH, WE ASPIRE TO BE A MODEL OF EXCELLENCE FOR HEALTH, CREATING REMARKABLE PATIENT EXPERIENCES AND BETTER LIVING. BASSETT HEALTHCARE NETWORK IS THE PARENT ORGANIZATION TO THE MARY IMOGENE BASSETT HOSPITAL (D/B/A BASSETT MEDICAL CENTER), A.O. FOX MEMORIAL HOSPITAL, THE O'CONNOR HOSPITAL, BASSETT HOSPITAL OF SCHOHARIE COUNTY (D/B/A COBLESKILL REGIONAL HOSPITAL), LITTLE FALLS HOSPITAL, VALLEY HEALTH SERVICES, INC., VALLEY RESIDENTIAL SERVICES, FRIENDS OF BASSETT, INC. AND TEMPLETON FOUNDATION PURSUANT TO SECTION 509. THROUGH RESERVE POWERS GIVEN TO THE ORGANIZATION IN THE BYLAWS OF THE SUPPORTED ORGANIZATIONS, THE ORGANIZATION HAS THE POWER TO APPOINT THE DIRECTORS, TRUSTEES, AND PRESIDENTS OF THE SUPPORTED ORGANIZATIONS. |
| Form 990, Part VI, Line 13 | BASSETT HEALTHCARE NETWORK FOLLOWS THE SAME POLICIES AS THE MARY IMOGENE BASSETT MEDICAL HOSPITAL (D/B/A BASSETT MEDICAL CENTER). |
| Form 990, Part VI, Line 14 | BASSETT HEALTHCARE NETWORK FOLLOWS THE SAME POLICIES AS THE MARY IMOGENE BASSETT MEDICAL HOSPITAL (D/B/A BASSETT MEDICAL CENTER). |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | JANE CLARK & KEVIN MOORE - Business relationship |
| 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 BASSETT HEALTHCARE NETWORK DOES NOT HAVE AN INTERNAL CONFLICT OF INTERESTS POLICY PER SE, BUT THE ORGANIZATION DOES FOLLOW THE POLICY OF THE MARY IMOGENE BASSETT HOSPITAL (DBA BASSETT MEDICAL CENTER). BASSETT MEDICAL CENTER'S RESPONSE TO PART VI, LINE 12A IS AS FOLLOWS: THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO THE BOARD OF TRUSTEES, INCLUDING ANY COMMITTEES OF THE BOARD, INDIVIDUAL MEMBERS OF THE BOARD (CEO, 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 ACTION. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | BASSETT HEALTHCARE NETWORK HAS A FORMAL PROCESS THAT IS USED TO DETERMINE THE BASE COMPENSATION OF THE PRESIDENT ON AN ANNUAL BASIS. THIS PROCESS INCLUDES A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OF TRUSTEES OR THE COMPENSATION COMMITTEE. BHN PAYS NON-FIXED EARNINGS BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE CEO. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | BASSETT HEALTHCARE NETWORK HAS A FORMAL PROCESS THAT IS USED TO DETERMINE THE BASE COMPENSATION OF OTHER OFFICERS ON AN ANNUAL BASIS. THIS PROCESS INCLUDES A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OF TRUSTEES OR THE COMPENSATION COMMITTEE. BHN PAYS NON-FIXED EARNINGS BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE OTHER OFFICERS. |
| Form 990, Part VI, Line 19 Required documents available to the public | GOVERNING DOCUMENTS DISCLOSURE EXPLANATION BASSETT HEALTHCARE NETWORK 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 ADMINISTRATION OFFICES OF BASSETT HEALTHCARE NETWORK OR BY SENDING A SELF-ADDRESSED STAMPED ENVELOPE AND PAYMENT FOR THE COPYING OF REQUESTED MATERIAL TO THE BASSETT HEALTHCARE NETWORK ADMINISTRATIVE OFFICES. THE COST OF COPYING SHALL BE EQUAL TO THE COSTS IMPOSED BY THE IRS FOR COPYING OF PUBLIC DOCUMENTS. |
| Form 990, Part IX, Line 25 | BEGINNING IN 2023, BASSETT HEALTHCARE NETWORK BEGAN TO ALLOCATE NETWORK MANAGEMENT EXPENSES TO ITS AFFILIATE ORGANIZATIONS WHICH REPORT THESE EXPENSES ON THEIR RESPECTIVE FORM 990S. THE EXPENSES ALLOCATED TO AFFILIATES INCLUDE SALARIES AND WAGES OF NETWORK EMPLOYEES. THE NETWORK IS ISSUING FORMS W-2 TO THESE EMPLOYEES. DUE TO THIS CHANGE, THE EXPENSES REPORTED ON THE NETWORK'S PART IX STATEMENT OF FUNCTIONAL EXPENSES ARE LESS THAN IN PRIOR YEARS AND ARE ALSO LESS THAN THE AMOUNT REPORTED AS W-2 COMPENSATION PAID BY THE NETWORK. |
| Form 990, Part IX, Line 11g Other Fees | OTHER EXPENSE - Total Expense: 1281281, Program Service Expense: 1281281, Management and General Expenses: , Fundraising Expenses: ; |
| Software ID: | 24020961 |
| Software Version: | 2024v5.1 |