2025-10-13T12:13:42-05:00 2024-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990EZ 2024-01-01 475676016 ADIRONDACK HEALTH REGIONAL MEDICAL PC ADIR 5188972301 PO BOX 471 2233 STATE ROUTE 86 SARANAC LAKE NY 12983 DARCI BEIRAS MD OFFICER 5188972301 2025-09-30 1 1 DESIREE M BENNETT P01263666 3154463600 2025-09-24 2024 2025-03-06 01:10:19Z X X N/A X X 133165 X 133165 133165 115118 18799 133917 -752 -10706 0 -11458 X 21925 63710 8653 8560 30578 72270 41284 83728 -10706 -11458 X TO SUPPORT THE CHARITABLE FUNCTION, PURPOSE, MISSION AND IDENTITY OF ADIRONDACK MEDICAL CENTER, A NEW YORK NOT-FOR-PROFIT HOSPITAL. PROVIDE THE SERVICES OF A NEW YORK CERTIFIED ATHLETIC TRAINER TO STUDENTS PARTICIPATING IN AN INTERSCHOLASTIC SPORTS PROGRAM. PROVIDE BASIC PHYSICAL EXAMINATIONS FOR THE STUDENTS, TEACHERS AND OTHER STAFF OF LOCAL SCHOOL DISTRICTS. 0 133917 133917 DARCI BEIRAS CEO 5.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NY WILLIAM CHAPIN PO BOX 471 2233 STATE ROUTE 86 SARANAC LAKE NY 12983 5188974576 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: DUES AND SUBSCRIPTIONS. AMOUNT: 446. DESCRIPTION: OTHER EXPENSES. AMOUNT: 3,583. DESCRIPTION: PROGRAM SERVICES EXPENSE. AMOUNT: 11,181. DESCRIPTION: SEMINARS. AMOUNT: 3,589. TOTAL TO FORM 990-EZ, LINE 16: 18,799. FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 8,561. END OF YEAR AMOUNT: 8,560. DESCRIPTION: OTHER RECEIVABLES. BEG. OF YEAR AMOUNT: 92. END OF YEAR AMOUNT: 0. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: DUE TO AFFILIATES. BEG. OF YEAR AMOUNT: 41,284. END OF YEAR AMOUNT: 78,101. DESCRIPTION: OTHER PAYABLES. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 5,627. SCHEDULE A, LINE 3: ADIRONDACK HEALTH REGIONAL MEDICAL PC IS A CAPTIVE PHYSICIAN PRACTICE WHICH HAS AS ITS MAIN PURPOSE THE PROVISION OF MEDICAL SERVICES. IT IS APPROPRIATELY NOTED ON ITS IRS TAX EXEMPT DETERMINATION LETTER AS A HOSPITAL. THE STATE OF NEW YORK DOES NOT REQUIRE CAPTIVE PHYSICIAN PRACTICES TO BE LICENSED AS A HOSPITAL. AS A CAPTIVE PHYSICIAN PRACTICE, ADIRONDACK HEALTH REGIONAL MEDICAL PC HAS AS ITS PRINCIPAL PURPOSE THE PROVISION OF MEDICAL CARE. ACCORDINGLY, IT WAS (I) PROPERLY IDENTIFIED AS A "HOSPITAL" ON ITS IRS TAX EXEMPT DETERMINATION LETTER; (II) PROPERLY IDENTIFIED AS A "HOSPITAL" ON FORM 990 SCHEDULE A; AND (III) SHOULD NOT BE DESIGNATED AS A HOSPITAL/HOSPITAL FACILITY" ON FORM 990 SCHEDULE H. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.