2024-11-16T15:29:56-06:00 2023-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2023-01-01 222488389 CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION INC CLAX 3153939175 125 NEW YORK AVENUE OGDENSBURG NY 13669 PETER SINAGRA EXECUTIVE DIRECTOR 3153939175 2024-11-15 1 0 TIMOTHY HAMMOND P01224809 3154227109 2024-11-15 2023 2024-10-15 13:58:12Z PETER SINAGRA 125 NEW YORK AVENUE OGDENSBURG NY 13669 6854293 0 X HTTPS://WWW.CLAXTONHEPBURN.ORG/FOUNDATION/ X 1983 NY TO PROVIDE FINANCIAL SUPPORT TO CLAXTON-HEPBURN MEDICAL CENTER. 11 11 0 11 0 0 425960 558194 0 0 610219 1132805 2284 30 1038463 1691029 137403 36438 0 0 117387 34409 0 0 109482 4742111 185702 4996901 256549 -3958438 1434480 13432288 15384149 59580 149325 13372708 15234824 TO PROVIDE FINANCIAL SUPPORT TO CLAXTON-HEPBURN MEDICAL CENTER BY ENGAGING THE COMMUNITY, INCREASING PHILANTHROPIC REVENUE, AND ENSURING CONSCIENTIOUS STEWARDSHIP OF THE FUNDS AND RESOURCES AND RESOUNRCES PLACED IN OUR CARE. 0 0 94746 36438 HELPED TO RAISE FUNDS TO SUPPORT THE DONATION OF NEW AND RENOVATED HEALTHCARE FACILITIES TO CLAXTON-HEPBURN MEDICAL CENTER (CHMC). DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2023, THE FOUNDATION SUPPORTED CHMC THROUGH EXTENDING AN APPROX. $3.5 MILLION LINE OF CREDIT AND AN APPROX. $1.1 MILLION LOAN, PLEDGING COLLATERAL OF APPROX. $4.8 MILLION TO GUARANTEE EXTERNAL THIRD PARTY LOANS, AND CONTRIBUTING APPROX. $36,000 TO CHMC TO SUPPORT ITS INITIATIVES. 94746 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 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 11 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X EMILY GAZDA 3154931000 40 FRANKLIN STREET CARTHAGE NY 13619 CATHY PICHE CHAIR 1.00 X X 0 0 0 WILLIAM A FLYNN VICE CHAIR 1.00 X X 0 0 0 COURTNEY BLOODOUGH DIRECTOR 1.00 X 0 0 0 SHERIN C CUNNINGHAM DIRECTOR 1.00 X 0 0 0 MARY EDWARDS DIRECTOR 1.00 X 0 0 0 NICHOLE KENNEDY DIRECTOR (THRU JUN 2023) 1.00 X 0 0 0 DARLENE LISCUM DIRECTOR 1.00 X 0 0 0 PATRICIA MAHONEY DMD DIRECTOR (THRU NOV 2023) 1.00 X 0 0 0 JANE MCGRATH DIRECTOR 1.00 X 0 0 0 MICHAEL OAKLEY DIRECTOR (THRU FEB 2023) 1.00 39.00 X 0 88492 3821 ANDREA SMITH DIRECTOR 1.00 X 0 0 0 RICHARD TACCHINO DIRECTOR (THRU JUL 2023) 1.00 X 0 0 0 DONALD TEBO DIRECTOR 1.00 X 0 0 0 ZVI SZFRAN DIRECTOR 1.00 3.00 X 0 0 0 DIANE DAILEY DIRECTOR 1.00 X 0 0 0 AMANDA A HITTERMAN EXECUTIVE DIRECTOR (THRU MAY 2023) 40.00 X 0 4500 135 PETER SINAGRA EXECUTIVE DIRECTOR (BEG AUG 2023) 20.00 20.00 X 0 62308 732 0 155300 4688 0 0 0 0 0 184000 374194 558194 473069 473069 5823000 5163264 659736 659736 659736 MISCELLANEOUS REVENUE 900099 30 30 30 1691029 0 0 1132835 X 36438 36438 4635 1159 1159 2317 22809 5702 5702 11405 6965 1741 1741 3483 63061 15765 15765 31531 78042 19511 19511 39020 7430 7430 9785 2446 2446 4893 3293 823 823 1647 4013 4013 BAD DEBT EXPENSES 10000 10000 FUNDRAISING 5436 5436 OTHER MISCELLANEOUS 4642 1161 1161 2320 256549 94746 52321 109482 514503 3722590 157609 365707 46900 84559 638 5285 5285 0 0 12713276 11210655 13432288 15384149 59580 149325 59580 149325 X 10248314 11547385 3124394 3687439 13372708 15234824 13432288 15384149 1434480 427636 0 X 0 1 X 1 0 X X 1 CLAXTON-HEPBURN MEDICAL CENTER 150559686 3 1 36438 0 1 36438 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 19249516 188109 2181999 21619624 17786377 261167 1471979 270007 19249516 18014803 209671 1531917 1970014 17786377 16430046 378284 2648123 1441650 18014803 5285 5285 0 0 2118665 427636 427636 1691029 0 1691029 256549 0 256549 0 256549 1 CLAXTON-HEPBURN MEDICAL CENTER 214 KING STREET OGDENSBURG NY 13669 150559686 501(C)(3) 36438 0 HOSPITAL IMPROVEMENTS 1 PART I, LINE 2: CLAXTON-HEPBURN MEDICAL CENTER (CHMC) SUBMITS A BUDGET FOR CAPITAL AND SPECIAL PROJECTS TO THE FOUNDATION, WHICH CONSIDERS AND APPROVES GRANTS TO CHMC. CHMC THEN INCURS EXPENDITURES, PROVIDES SUPPORT TO THE FOUNDATION FOR THE AMOUNT AND REQUESTS REIMBURSEMENT. FORM 990, PART VI, SECTION A, LINE 6 NORTH STAR HEALTH ALLIANCE, INC. A NOT-FOR-PROFIT HOLDING COMPANY, IS THE SOLE CORPORATE MEMBER OF THE ORGANTIZATION. FORM 990, PART VI, SECTION A, LINE 7A NORTH STAR HEALTH ALLIANCE, INC. SHALL HAVE AND EXERCISE ALL THE RIGHTS AND POWERS OF CORPORATE MEMBERSHIP CREATED BY THE LAWS OF THE STATE OF NEW YORK OR THE CERTIFICATE OF INCORPORATION OR BYLAWS BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS SENT TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION DISCUSSES AND ENFORCES COMPLIANCE WITH THE WRITTEN CONFLICT OF INTEREST POLICY ANNUALLY. 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 IX, LINE 11G OTHER PURCHASED SERVICES FEES: PROGRAM SERVICE EXPENSES 19,511. MANAGEMENT AND GENERAL EXPENSES 19,511. FUNDRAISING EXPENSES 39,020. TOTAL EXPENSES 78,042. NORTH STAR HEALTH ALLIANCE INC 214 KING STREET OGDENSBURG NY 13669 161449491 HOLDING COMPANY NY 501(C)(3) LINE 12B, II N/A 0 CLAXTON-HEPBURN MEDICAL CENTER 214 KING STREET OGDENSBURG NY 13669 150559686 HEALTHCARE SERVICES NY 501(C)(3) LINE 3 NORTH STAR HEALTH ALLIANCE INC 0 CARTHAGE AREA HOSPITAL 1001 WEST STREET CARTHAGE NY 13619 150622079 HEALTHCARE SERVICES NY 501(C)(3) LINE 3 NORTH STAR HEALTH ALLIANCE INC 0 MEADOWBROOK TERRACE INC 21957 COLE ROAD CARTHAGE NY 13619 454102458 ASSISTED LIVING NY 501(C)(3) LINE 10 CARTHAGE AREA HOSPITAL 0 CARTHAGE AREA HOSPITAL FOUNDATION INC 3 BRIDGE STREET CARTHAGE NY 13619 161467023 FUNDRAISING NY 501(C)(3) LINE 7 CARTHAGE AREA HOSPITAL 0 CLAXTON MEDICAL PC 214 KING STREET OGDENSBURG NY 13669 264009395 SPECIALTY HEALTHCARE SERVICES NY 501(C)(3) LINE 12B, II CLAXTON-HEPBURN MEDICAL CENTER 0 NORTH COUNTRY ORTHOPEDIC AMBULATORY SURGERY CENTER LLC 1571 WASHINGTON STREET SUITE 201 WATERTOWN NY 13601 731653922 SURGICAL SERVICES NY N/A 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0