2026-07-20T10:43:39-05:00 2025-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2025-01-01 161602484 LEWIS COUNTY HOSPITAL FOUNDATION INC LEWI 3153765110 7785 NORTH STATE STREET LOWVILLE NY 13367 MICHAEL F YOUNG ESQ CHAIR 3153765203 2026-07-13 1 DESIREE M BENNETT P01263666 3154463600 2026-07-13 2025 2025-03-06 01:10:19Z MICHAEL F YOUNG ESQ 5344 CLINTON STREET LOWVILLE NY 13367 2076102 0 X WWW.LEWISCOUNTYHOSPITALFOUNDATION.ORG X 2001 NY THE MISSION OF THE LEWIS COUNTY HOSPITAL FOUNDATION IS TO ENRICH AND ENHANCE THE HOSPITAL'S HIGH QUALITY HEALTHCARE SERVICES BY BUILDING STRONG COMMUNITY RELATIONSHIPS AND RAISING FUNDS TO INVEST IN THE FUTURE OF OUR HOSPITAL. 10 7 2 35 0 0 628015 393040 0 0 52833 24934 0 0 680848 417974 51508 1242141 0 0 99518 107982 0 0 23154 81406 83804 232432 1433927 448416 -1015953 2375008 1427610 5294 5255 2369714 1422355 X THE MISSION OF THE LEWIS COUNTY HOSPITAL FOUNDATION IS TO ENRICH AND ENHANCE THE HOSPITAL'S HIGH QUALITY HEALTHCARE SERVICES BY BUILDING STRONG COMMUNITY RELATIONSHIPS AND RAISING FUNDS TO INVEST IN THE FUTURE OF OUR HOSPITAL. 0 0 1363646 1242141 THE MISSION OF THE LEWIS COUNTY HOSPITAL FOUNDATION IS TO ENRICH AND ENHANCE THE HOSPITAL'S HIGH QUALITY HEALTHCARE SERVICES BY BUILDING STRONG COMMUNITY RELATIONSHIPS AND RAISING FUNDS TO INVEST IN THE FUTURE OF OUR HOSPITAL.EVENTS: THE HOSPITAL FOUNDATION HELD THREE EVENTS IN 2025: A GOLF TOURNAMENT RAISED $39,057 A 5K RAISED $13,778 A GALA RAISED $49,728THE PUBLIC PHASE OF THE CAPITAL CAMPAIGN BEGAN IN JUNE 2023 AND WILL CONTINUE THROUGH JUNE 2025. ALL CAPITAL CAMPAIGN FUNDS WILL SUPPORT THE CAPITAL PROJECT AT LEWIS COUNTY GENERAL HOSPITAL. THE EMPLOYEE PLEDGE CAMPAIGN WILL CONTINUE THROUGH DECEMBER 2025. AN EMPLOYEE CAMPAIGN WAS CONDUCTED WITH LEWIS COUNTY GOVERNMENT EMPLOYEES IN 2025. ALL EMPLOYEE PLEDGE DONATIONS WILL BE RESTRICTED TO THE CAPITAL PROJECT AT LEWIS COUNTY GENERAL HOSPITAL. 1363646 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 0 0 NY X THE ORGANIZATION 3153765110 7785 N STATE STREET LOWVILLE NY 13367 MICHAEL F YOUNG ESQ CHAIR 1.00 X X 0 0 0 JANICE LEHMAN DIRECTOR 1.00 X 0 0 0 ROBERT PFEIFFER SECRETARY/TREASURER 1.00 X X 0 0 0 KEVIN MCARDLE DIRECTOR 1.00 X 0 0 0 LYNNE WORDEN VICE CHAIR 1.00 X X 0 0 0 DAVID BRYANT DIRECTOR 1.00 X 0 0 0 BRIAN MCGRATH ESQ DIRECTOR 1.00 X 0 0 0 LISA VIRKLER DIRECTOR 1.00 X 0 0 0 DR RACHEL ZEHR DIRECTOR 1.00 X 0 0 0 KYLE LOGAN DIRECTOR 1.00 X 0 0 0 GERALD CAYER PRESIDENT/EX OFFICIO 1.00 X 0 0 0 JOANNE RHUBART EXECUTIVE DIRECTOR 40.00 X 82954 0 10472 82954 0 10472 0 0 0 0 0 72161 12000 20000 288879 393040 24660 24660 1628000 1627726 274 274 274 30402 72161 30402 0 417974 0 0 24934 1242141 1242141 93428 70071 23357 7790 5842 1948 6764 5073 1691 8115 8115 2226 2226 2244 2244 PURCHASED SERVICES 48065 36049 12016 MISCELLANEOUS EXPENSE 23154 23154 1433927 1363646 47127 23154 22544 11128 938996 1261926 232104 154556 1181364 0 2375008 1427610 5294 5255 5294 5255 X 949838 858808 1419876 563547 2369714 1422355 2375008 1427610 X -1015953 -3579 72173 X X 0 1 X 1 0 X X 1 LEWIS COUNTY GENERAL HOSPITAL 156000458 3 1 1242109 0 1 1242109 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X SCHEDULE A, PART IV, SECTION E, LINE 1C THE FOUNDATION'S PURPOSE IS TO SOLICIT, RECEIVE, INVEST, AND ADMINISTER CONTRIBUTIONS, GIFTS, DEVISES, BEQUESTS, GRANTS, AND FUNDS RECEIVED FROM ANY SOURCE ON BEHALF OF LEWIS COUNTY GENERAL HOSPITAL AND RESIDENTIAL HEALTH CARE FACILITY - TO PAY OVER MONIES TO THE HOSPITAL TO BE USED FOR ITS CAPITAL REQUIREMENTS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1419876 192929 67 1049325 563547 1067807 405882 51 53864 1419876 610692 569262 61 112208 1067807 305879 377626 67 72880 610692 346828 63443 41 104433 305879 0.13700 0.86300 1 0 0 X 444797 -3579 30402 26823 417974 0 417974 1464329 30402 30402 1433927 0 1433927 PART X, LINE 2: THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2022 THROUGH 2025. AS OF DECEMBER 31, 2025 AND 2024, THE FOUNDATION DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 30,402. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 30,402. PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS LEWIS COUNTY HOSPITAL FOUNDATION SUSTAINABILITY FUND - ESTABLISHED IN 2013 TO MEET THE CURRENT AND FUTURE NEEDS OF THE HOSPITAL. LEWIS COUNTY HOSPITAL FOUNDATION FUND FOR HOPE - ESTABLISHED IN 2014 TO PROVIDE SUPPORT TO CANCER PATIENTS AT THE HOSPITAL. LEWIS COUNTY HOSPITAL FOUNDATION ENDOWMENT FUND - ESTABLISHED IN 2014 TO MEET THE CURRENT AND FUTURE NEEDS OF THE HOSPITAL. GALA 49728 38947 10781 10781 GOLF EVENT 39057 24575 14482 14482 1 13778 8639 5139 5139 102563 72161 30402 30402 30402 0 0 LEWIS COUNTY GENERAL HOSPITAL 7785 NORTH STATE STREET LOWVILLE NY 13367 156000458 1242109 0 SUPPORTING THE HOSPITAL FORM 990, SCHEDULE I, PART I, LINE II: THE BOARD OF DIRECTORS MONITORS THE USE OF GRANT FUNDS. ALL GRANT FUNDS ARE HELD IN A TEMPORARILY RESTRICTED ACCOUNT UNTIL INVOICES ARE SUBMITTED AND APPROVED BY THE BOARD TO RELEASE THE FUNDS FOR PAYMENT. FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE FORM 990 ARE DISTRIBUTED TO ALL BOARD MEMBERS BEFORE SUBMISSION. MEMBERS ARE ALLOWED TO REVIEW THE INFORMATION AND ASK QUESTIONS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS ARE REQUIRED TO SIGN AN "ANNUAL CONFLICTS OF INTEREST STATEMENT" WHICH IS DISTRIBUTED EVERY SEPTEMBER. NEW MEMBERS ARE GIVEN THE POLICY AND MUST SIGN THE DOCUMENT UPON ACCEPTING THEIR BOARD APPOINTMENT. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTOR POSITION IS THE ONLY PAID KEY POSITION ON THE FOUNDATION. SALARY IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST OF THE EXECUTIVE DIRECTOR. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST 72,173. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. LEWIS CO GENERAL HOSPITAL 7785 N STATE STREET LOWVILLE NY 13367 156000458 HOSPITAL NY N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1