2025-11-06T09:17:06-06:00 2024-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-01-01 161528554 ADIRONDACK MEDICAL CENTER FOUNDATION ADIR 5188972370 2233 STATE ROUTE 86 PO BOX 120 SARANAC LAKE NY 12983 DANIEL KELLEHER CHAIR OF THE BOARD 5188972370 2025-11-05 1 1 DESIREE M BENNETT P01263666 3154463600 2025-11-05 2024 2025-03-06 01:10:19Z DANIEL KELLEHER 2233 STATE ROUTE 86 PO BOX 120 SARANAC LAKE NY 12983 4372758 0 X WWW.ADIRONDACKHEALTH.ORG X 1997 NY TO SUPPORT AND ASSIST ADIRONDACK MEDICAL CENTER, AN EXEMPT HEALTHCARE ORGANIZATION. 23 20 4 24 0 0 2630146 2626259 0 0 810264 1598129 0 0 3440410 4224388 159273 577139 0 0 285096 382973 0 0 287720 338293 150540 782662 1110652 2657748 3113736 25225462 29247309 22949 37615 25202513 29209694 X TO SUPPORT AND ASSIST ADIRONDACK MEDICAL CENTER, AN EXEMPT HEALTHCARE ORGANIZATION. 0 0 82976 82976 FUTURE OF CARE CAMPAIGN - FUNDS WILL BE USED BY THE ADIRONDACK MEDICAL CENTER TO COMPLETE CAPITAL PROJECTS FOR SURGICAL SERVICES AND LAKE PLACID HEALTH & MEDICAL FITNESS CENTER. 80468 FUNDING TO VARIOUS ADIRONDACK MEDICAL CENTER DEPARTMENTS FOR MINI-GRANTS OF UP TO $5,000 FOR PROJECTS WHICH ENHANCE PATIENT CARE OR PATIENT SAFETY. 494163 494163 RESTRICTED GIFTS PAYOUT - DONOR RESTRICTED GIFTS TO ADIRONDACK MEDICAL CENTER DEPARTMENTS ARE USED BY THE DEPARTMENT TO ENHANCE PATIENT CARE. COMMUNITY HEALTH AND HEALTHCARE SCHOLARSHIPS - THE FOUNDATION FUNDED A BI-ANNUAL HEALTH MAGAZINE WHICH IS MAILED TO STAFF, DONORS, AND AVAILABLE IN THROUGHOUT THE HOSPITAL AND HEALTH CENTERS. ONE $3,500 HEALTHCARE SCHOLARSHIP WAS AWARDED TO A COLLEGE STUDENT PURSUING A DEGREE IN DIAGNOSTIC MEDICAL SONOGRAPHY. 657607 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 4 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 23 20 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X WILLIAM CHAPIN CFO 5188974576 PO BOX 471 2233 STATE ROUTE 86 SARANAC LAKE NY 12983 AARON KRAMER EX-OFFICIO 1.00 0.00 X 0 392193 15189 DANIEL F KELLEHER CHAIR 1.00 0.00 X X 0 0 0 HEATHER BUMSTED VICE CHAIR 0.50 0.00 X X 0 0 0 ERIN PERKINS SECRETARY 0.50 0.00 X X 0 0 0 ROBERT J BEIER TREASURER 1.00 0.00 X X 0 0 0 JOSEPH BECK TRUSTEE 0.50 0.00 X 0 0 0 EDWARD BICKFORD TRUSTEE 0.50 0.00 X 0 0 0 TIMOTHY REILLY EX-OFFICIO, AH BOARD CHAIR 0.50 0.00 X 0 0 0 EVE BURNS DO TRUSTEE 0.50 0.00 X 0 422970 13335 THOMAS GREEN MD TRUSTEE 0.50 0.00 X 0 0 0 MAGGIE HO DO TRUSTEE 0.50 0.00 X 0 0 0 HEIDI HOLDERIED TRUSTEE 0.50 0.00 X 0 0 0 JOHN HUWILER TRUSTEE 0.50 0.00 X 0 0 0 KELLY LARKIN MD TRUSTEE 0.50 0.00 X 0 0 0 NINA MERRILL TRUSTEE 0.50 0.00 X 0 0 0 MATTHEW D NORFOLK ESQ TRUSTEE 0.50 0.00 X 0 0 0 NICK POLITI TRUSTEE 0.50 0.00 X 0 0 0 NOELLE SHORT TRUSTEE 0.50 0.00 X 0 0 0 EDWARD UGHETTA TRUSTEE 0.50 0.00 X 0 0 0 PAULA RYAN TRUSTEE 0.50 0.00 X 0 0 0 HOLLY WOLFF TRUSTEE 0.50 0.00 X 0 0 0 PETER VAN ETTEN TRUSTEE 0.50 0.00 X 0 0 0 MATTHEW S LEVITTIES TRUSTEE 0.50 0.00 X 0 0 0 HANNAH HANFORD EXECUTIVE DIRECTOR 40.00 0.00 X 150016 0 21016 150016 815163 49540 1 0 1 0 0 263427 2362832 259849 2626259 728480 728480 869649 0 869649 869649 869649 148370 263427 148370 0 4224388 0 0 1598129 577139 577139 171031 34206 34206 102619 161066 32213 32213 96640 12591 2518 2518 7555 14486 2897 2897 8692 23799 4760 4760 14279 113 113 775 775 73033 73033 15982 3196 12786 5440 5440 4309 862 862 2585 4457 4457 FUNDRAISING 18238 18238 DUES AND SUBSCRIPTIONS 4090 818 818 2454 24103 2194 5477 16432 1110652 657607 165325 287720 361916 78943 615064 179935 1381996 1358844 22856398 19821058 10088 7808529 25225462 29247309 4811 0 18138 37615 22949 37615 X 18931420 21042321 6271093 8167373 25202513 29209694 25225462 29247309 3113736 893445 0 X X 0 1 X 1 0 X X 1 ADIRONDACK MEDICAL CENTER 141731786 3 1 577139 0 1 577139 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6271093 1895598 682 8167373 4396237 1874300 556 6271093 3232609 1163279 349 4396237 69038 3163543 28 3232609 69513 -475 69038 0.99440 0.00560 0 0 0 ASSETS LIMITED AS TO USE 7808529 7808529 DUE TO AFFILIATE 37615 37615 X PART V, LINE 4: 2024 CONTRIBUTIONS TO THE ENDOWMENT FUNDS ARE CORNERSTONE CAMPAIGN PLEDGES AND CONTRIBUTIONS. PART X, LINE 2: ADIRONDACK HEALTH (PREVIOUSLY DEFINED AS THE COLLECTIVE ENTITY) QUALIFIES AS NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ADIRONDACK HEALTH AND THE FOUNDATION HAVE BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE (IRS) AS ENTITIES THAT ARE NOT PRIVATE FOUNDATIONS. AS OF DECEMBER 31, 2024 AND 2023, ADIRONDACK HEALTH DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR LIABILITIES OR ANY RELATED ACCRUED INTEREST OR PENALTIES. ADIRONDACK HEALTH DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES WILL CHANGE IN THE NEXT TWELVE MONTHS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2021 THROUGH 2024. GALA 411797 263427 148370 18587 41629 65221 7575 15358 411797 263427 148370 18587 41629 65221 7575 15358 148370 0 1 ADIRONDACK MEDICAL CENTER PO BOX 471 2233 STATE ROUTE 86 SARANAC LAKE NY 12983 141731786 501(C)(3) 577139 0 FMV OTHER GRANTS & ASSISTANCE PART I, LINE 2: PROTOCOL CALLS FOR A GRANT RECIPIENT TO SUBMIT A PURCHASE ORDER OR RECEIPT TO THE EXECUTIVE DIRECTOR OF THE FOUNDATION FOR APPROVAL TO SHOW THE GRANT WILL BE USED APPROPRIATELY, PRIOR TO RECEIVING THE GRANT CHECK. GRANT RECIPIENTS ARE ASKED TO MAKE A PRESENTATION AT A FOUNDATION BOARD MEETING TO DISCUSS THEIR USE OF THE GRANT. 0 0 0 0 0 0 0 0 0 EVE BURNS DO TRUSTEE 0 411270 0 11700 0 0 0 13065 0 270 0 436305 0 0 AARON KRAMER EX-OFFICIO 0 342752 0 49441 0 0 0 14923 0 266 0 407382 0 0 HANNAH HANFORD EXECUTIVE DIRECTOR 150016 0 0 0 0 0 6984 0 14032 0 171032 0 0 0 X 12 259849 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 ADIRONDACK MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A ADIRONDACK MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF THE ADIRONDACK MEDICAL CENTER FOUNDATION. AS SUCH, ADIRONDACK MEDICAL CENTER APPROVES MEMBERS OF THE ADIRONDACK MEDICAL CENTER FOUNDATION'S BOARD OF TRUSTEES, BYLAWS AND ANNUAL BUDGET. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS MADE BY THE ADIRONDACK MEDICAL CENTER FOUNDATION'S BOARD OF TRUSTEES ARE SUBJECT TO APPROVAL BY THE BOARD OF TRUSTEES OF THE ADIRONDACK MEDICAL CENTER. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PRESENTED FOR REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C STATEMENTS ARE REQUIRED ANNUALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 THE SALARY OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES WORKING IN CONJUNCTION WITH THE PRESIDENT/CEO OF ADIRONDACK MEDICAL CENTER BASED UPON THE RECOMMENDATION OF THE CHIEF HR OFFICER (CHRO). THE CHRO USES INDUSTRY SURVEYS SUCH AS THE IROQUOIS SURVEY, COMP DATA SURVEY AND ASSOCIATION OF HEALTHCARE PHILANTHROPY SALARY AND BENEFIT SURVEY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. ADIRONDACK MEDICAL CENTER PO BOX 471 2233 STATE ROUTE 86 SARANAC LAKE NY 12983 141731786 ACUTE AND OUTPATIENT SERVICES NY 501(C)(3) LINE 3 ADIRONDACK MEDICAL CENTER 0 ADIRONDACK HEALTH REGIONAL MEDICAL PC PO BOX 471 2233 STATE ROUTE 86 SARANAC LAKE NY 12983 475676016 SUPPORT AND ASSIST ADIRONDACK MEDICAL CENTER NY 501(C)(3) LINE 3 ADIRONDACK MEDICAL CENTER 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0