2024-11-11T07:40:06-06:00 2023-12-31 010723685 DERMODY BURKE & BROWN CPAS LLC 443 N FRANKLIN ST STE 100 SYRACUSE NY 132041441 990 2023-01-01 463703838 VALLEY RESIDENTIAL SERVICES INC VALL 3158663330 CO VHS INC 690 W GERMAN STREET HERKIMER NY 13350 MICHAEL R TREEN CFO 3158663330 2024-11-07 1 0 SHANNON B NELSON P01221640 3154719171 2024-11-07 2023 2024-10-15 13:58:12Z CONNIE A JASTREMSKI 690 W GERMAN ST HERKIMER NY 13350 2772101 0 X WWW.VALLEYHEALTHSERVICES.ORG X 2013 NY TO ESTABLISH A LICENSED ENRICHED HOUSING FACILITY CONTAINING AN ASSISTED LIVING PROGRAM AND A LICENSED HOME HEALTHCARE SERVICES AGENCY TO SERVE THE REGION'S FRAIL ELDERS AND DISABLED INDIVIDUALS OF LIMITED FINANCIAL MEANS WHO REQUIRE SOME ASSISTANCE WITH ACTIVITIES OF DAILY LIVING IN ORDER TO RETAIN THEIR INDEPENDENCE. COMMUNITY-BASED AND LOCAL PUBLIC HEALTHCARE PROVIDERS AND A LICENSED HOME CARE SERVICES AGENCY WILL ASSIST IN THE CARE OF THE ENRICHED HOUSING RESIDENTS. 11 11 54 15 0 0 25307 8208 2027257 2708335 0 0 59463 55558 2112027 2772101 0 0 0 0 2009903 1928425 0 0 0 1348392 1462288 3358295 3390713 -1246268 -618612 9403751 8829527 6218526 6262914 3185225 2566613 X TO PROVIDE A SUPPORTIVE LIVING ENVIRONMENT FOR SENIORS, ENSURING A COMFORTABLE LIFE-ENRICHING ATMOSPHERE AND ASSISTANCE WITH DAILY NEEDS, WHILE PROMOTING DIGNITY, PRIVACY AND INDEPENDENCE. 0 0 3077883 2761753 VALLEY RESIDENTIAL SERVICES, INC. (THE FACILITY) IS A 76-BED NOT-FOR-PROFIT ENRICHED HOUSING FACILITY LOCATED IN HERKIMER, NEW YORK. THE FACILITY OFFER RESIDENTS THE INDEPENDENCE OF APARTMENT LIVING, WITH THE CONVENIENCE OF ASSISTED LIVING. RESIDENTS HAVE ACCESS TO SKILLED STAFF MEMBERS AND NURSES THAT PROVIDE MEDICATION MANAGEMENT, ASSISTANCE IN THE HEALTH CENTER, AND READILY AVAILABLE CARE AND TRANSPORTATION IN THE INSTANCE OF AN EMERGENCY. RESIDENTS OF LIMITED MEANS WHO QUALIFY FOR MEDICAID HAVE ACCESS TO THE FACILITY'S ASSISTED LIVING SERVICES THROUGH ITS NYS ASSISTED LIVING PROGRAM (ALP). THE FACILITY WAS INCORPORATED IN SEPTEMBER 2013 AND OPENED TO THE PUBLIC IN THE SPRING OF 2015 WITH 48 BEDS. THE FACILITY COMPLETED CONSTRUCTION ON A 12,107-SQUARE FOOT EXPANSION WHICH INCLUDED 12 ONE BEDROOM APARTMENTS, 2 ONE BEDROOM APARTMENTS WITH A DEN AND 1.5 BATHS, ALONG WITH A NEW WELLNESS AND FITNESS CENTER IN DECEMBER 2018. 3077883 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 1 54 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MICHAEL R TREEN CFO 3158663330 690 W GERMAN STREET HERKIMER NY 13350 CONNIE JASTREMSKI BOARD CHAIR 1.00 1.00 X X 0 0 0 JOHN MILITELLO BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 HARRY J ENEA JR TREASURER 1.00 1.00 X X 0 0 0 ANNA LYGA MEMBER 1.00 1.00 X 0 0 0 JEFFREY WOEPPEL MEMBER 1.00 1.00 X 0 0 0 KATHLEEN A HORN MEMBER 1.00 1.00 X 0 0 0 ROBERT N BASLOE MEMBER 1.00 1.00 X 0 0 0 MARIANNE O'DONNELL SECRETARY 1.00 1.00 X X 0 0 0 JUDITH B GORMAN MEMBER 1.00 1.00 X 0 0 0 KATHLEEN MAROLLO MEMBER 1.00 1.00 X 0 0 0 CURTIS M PEARSALL MEMBER 1.00 1.00 X 0 0 0 LISA M BETRUS PRESIDENT 6.00 40.00 X 0 393317 22351 JENNIFER MILLER ADMINISTRATOR 40.00 X 90043 0 8077 MICHAEL R TREEN CFO 1.00 40.00 X 0 129203 17652 90043 522520 48080 0 0 1 0 0 8208 8208 RESIDENT SERVICE REVENUE, NET 623000 2708335 2708335 2708335 MISCELLANEOUS REVENUE 900099 53418 53418 CAFETERIA 900099 2140 2140 55558 2772101 2761753 0 2140 98121 98121 1622483 1578297 44186 32030 32030 45757 45585 172 130034 119945 10089 1026 1026 8400 8400 208823 124581 84242 261007 252565 8442 90942 88214 2728 1561 429 1132 236342 229252 7090 570123 554553 15570 50344 48834 1510 MISCELLANEOUS EXPENSES 33720 3598 30122 3390713 3077883 312830 0 85997 63266 503 503 108108 68079 17876 15639 11783 14952 12798239 4393088 8940761 8405151 238723 261937 9403751 8829527 511438 500521 4124580 3964338 1582508 1798055 6218526 6262914 X 3185225 2566613 3185225 2566613 9403751 8829527 -618612 0 X X 0 1 X 1 0 X 20063 314876 34922 25307 8208 403376 1902491 1880046 1879079 2083954 2761753 10507323 5783 2614 2141 2766 2140 15444 1928337 2197536 1916142 2112027 2772101 10926143 0 0 0 10926143 1928337 2197536 1916142 2112027 2772101 10926143 1.00000 1.00000 0.00000 X 325471 325471 11607910 3750533 7857377 864858 642555 222303 8405151 PATIENT TRUST FUNDS 246337 OTHER LIABILITIES 236195 DUE TO RELATED PARTY 1315523 1798055 X 2772101 0 2772101 0 2772101 3390713 0 3390713 0 3390713 PART X, LINE 2: MANAGEMENT IS UNAWARE OF ANY UNRELATED BUSINESS ACTIVITIES THAT MAY BE SUBJECT TO UNRELATED BUSINESS INCOME TAX OR ANY ACTIVITIES THAT WOULD JEOPARDIZE THE FACILITY'S EXEMPT STATUS. 0 0 0 0 0 0 0 0 0 LISA M BETRUS PRESIDENT 0 393317 0 0 0 0 0 18689 0 3662 0 415668 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED AT A BOARD MEETING PRIOR TO FILING. ANY QUESTIONS ARE RAISED, AND ONCE APPROVED, THE FORM 990 CAN BE FILED. A COMPLETE COPY OF THE FINAL FORM 990 INCLUDING ALL RELATED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, IS MADE AVAILABLE TO EACH MEMBER OF THE BOARD PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING THE BOARD OF DIRECTORS TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. FORM 990, PART VI, SECTION B, LINE 15 THE BHN COMPENSATION COMMITTEE, MADE UP OF BHN BOARD MEMBERS, WILL CONDUCT AN ANNUAL REVIEW OF SALARY PLANS FOR ALL ORGANIZATIONAL EXECUTIVES. THIS REVIEW WILL TAKE INTO ACCOUNT EXTERNAL SURVEY DATA, RECRUITING EXPERIENCES, ECONOMIC TRENDS, AND A COST IMPACT ANALYSIS FOR THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. VALLEY HEALTH SERVICES INC 690 WEST GERMAN STREET HERKIMER NY 13350 222511614 PROVIDES INPATIENT/OUTPATIENT SERVICES NY 501(C)(3) LINE 3 BASSETT HEALTHCARE NETWORK 1 VALLEY HEALTH DEVELOPMENT CORPORATION 690 WEST GERMAN STREET HERKIMER NY 13350 222607657 HOLDS A MORTGAGE FROM VALLEY HEALTH SERVICES, INC. NY 501(C)(3) LINE 12D, III-O 0 BASSETT HEALTHCARE NETWORK 1 ATWELL ROAD COOPERSTOWN NY 13326 133218680 SUPPORTING ORG.TO M.I. BASSETT HOSPITAL,FRIENDS OF BASSETT & TEMPLE FDTN NY 501(C)(3) LINE 12A, I 0 COMMUNITY CARE ALLIANCE 108 UTICA ROAD CLINTON NY 13323 161565909 FACILITATE IMPROVEMENT OF 5 NURING HOMES NY 501(C)(3) LINE 12A, I 0 THE MARY IMOGENE BASSETT HOSPITAL 1 ATWELL ROAD COOPERSTOWN NY 13326 135596796 180-BED ACUTE CARE INPATIENT TEACHING HOSPITAL NY 501(C)(3) LINE 3 BASSETT HEALTHCARE NETWORK 1 LITTLE FALLS HOSPITAL 140 BURWELL STREET LITTLE FALLS NY 13365 150533578 CRITICAL ACCESS HOSPITAL PROVIDING ACUTE CARE AND RESIDENTIAL HEALTH SVCS NY 501(C)(3) LINE 3 BASSETT HEALTHCARE NETWORK 1 FRIENDS OF BASSETT INC 1 ATWELL ROAD COOPERSTOWN NY 13326 237041610 PROMOTE AND ADVANCE THE WELFARE OF ALL THURSTON CORPORATION MEMBERS NY 501(C)(3) LINE 7 BASSETT HEALTHCARE NETWORK 1 AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY 1 NORTON AVENUE ONEONTA NY 13820 150539039 HEALTHCARE ORANIZATION OFFERING INPATIENT AND OUTPATIENT SERVICES NY 501(C)(3) LINE 3 BASSETT HEALTHCARE NETWORK 1 TEMPLETON FOUNDATION 1 ATWELL ROAD COOPERSTOWN NY 13326 133317084 PROMOTE HEALTHCARE BY PROVIDING RESIDENTIAL FACILITIES AND OFFICE SPACE NY 501(C)(3) LINE 10 BASSETT HEALTHCARE NETWORK 1 O'CONNOR HOSPITAL 460 ANDES ROAD DELHI NY 13753 161540394 CRITICAL ACCESS HOSPITAL PROVIDING SVCS TO DELAWARE & SUROUNDING REGION NY 501(C)(3) LINE 3 BASSETT HEALTHCARE NETWORK 1 TRI TOWN REGIONAL HEALTHCARE 43 PEARL STREET SIDNEY NY 13838 260169584 PROVIDE ACUTE & EMERGENCY SVCS TO RESIDENTS - TOWN OF SIDNEY & TRI TOWN COMM NY 501(C)(3) LINE 3 BASSETT HEALTHCARE NETWORK 1 BASSET HOSPITAL OF SCHOHARIE CO 178 GRANDVIEW DRIVE COBLESKILL NY 12043 141772971 PROVIDE HEALTHCARE SERVICES TO SCHOHARIE COUNTY & SURROUNDING AREA NY 501(C)(3) LINE 3 BASSETT HEALTHCARE NETWORK 1 BASSETT PPS LLC 6181 STATE HIGHWAY 7 ONEONTA NY 13820 811749905 HEALTHCARE NY 501(C)(3) LINE 12A, I BASSETT HEALTHCARE NETWORK 1 AT HOME CARE PARTNERS 25 ELM STREET ONEONTA NY 13820 562397098 HEALTHCARE NY 501(C)(3) LINE 3 N/A 0 AT HOME CARE INC 25 ELM STREET ONEONTA NY 13820 161287069 HEALTHCARE NY 501(C)(3) LINE 3 N/A 0 AO FOX FOUNDATION 1 NORTON AVENUE ONEONTA NY 13820 222871993 FUNDRAISER NY 501(C)(3) LINE 9 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0