2024-11-08T15:16:41-06:00 2023-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2023-01-01 161599892 AUBURN COMMUNITY HOSPITAL FOUNDATION INC AUBU 3152557231 PO BOX 918 AUBURN NY 13021 JASON LESCH CHIEF FINANCIAL OFFICER 3152557245 2024-11-01 1 1 THOMAS J GIUFRE P00841958 3154463600 2024-11-01 2023 2024-10-15 13:58:12Z JASON LESCH PO BOX 918 AUBURN NY 13021 1906817 0 X N/A X 2001 NY TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, BY PROVIDING FUNDRAISING AND FINANCIAL ASSISTANCE TO AUBURN COMMUNITY HOSPITAL, INC, AUBURN COMMUNITY COMPANIES, INC, AUBURN COMMUNITY PROPERTIES, INC, AND ANY OTHER ORGANIZATIONS WITH THE SAME OR SIMILAR PURPOSES HEREAFTER FORMED SO LONG AS SUCH ORGANIZATIONS ARE DESCRIBED IN SECTION 501(C)3 OF THE INTERNAL REVENUE CODE OF 1986. 9 6 0 0 0 0 199235 1174415 0 0 31219 49068 0 0 230454 1223483 402997 0 0 0 0 0 0 0 16008 75758 76164 478755 76164 -248301 1147319 4377860 5329909 423697 18028 3954163 5311881 X TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, BY PROVIDING FUNDRAISING AND FINANCIAL ASSISTANCE TO AUBURN COMMUNITY HOSPITAL, INC, AUBURN COMMUNITY COMPANIES, INC, AUBURN COMMUNITY PROPERTIES, INC, AND ANY OTHER ORGANIZATIONS WITH THE SAME OR SIMILAR PURPOSES HEREAFTER FORMED SO LONG AS SUCH ORGANIZATIONS ARE DESCRIBED IN SECTION 501(C)3 OF THE INTERNAL REVENUE CODE OF 1986. 0 0 60156 TO RECEIVE AND ADMINISTER CERTAIN GIFTS AND BEQUESTS TO AUBURN COMMUNITY HOSPITAL; TO PROVIDE FINANCIAL ASSISTANCE, MAKE GRANTS, CONTRIBUTIONS AND PAY OVER MONIES TO AUBURN COMMUNITY HOSPITAL, AND ITS RELATED COMPANIES FOR THEIR CORPORATE PURPOSES INCLUDING, BUT NOT LIMITED TO, SUPPORTING OPERATIONS, CAPITAL PROJECTS, IN-SERVICE TRAINING, EQUIPMENT PURCHASES AND EMPLOYEE SCHOLARSHIPS. 60156 1 1 0 0 0 0 0 0 0 1 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 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 9 6 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X JASON LESCH CFO AUBURN COMMUNITY HOSPITAL 3152557245 17 LANSING STREET AUBURN NY 13021 SCOTT BERLUCCHI EXECUTIVE DIRECTOR 1.00 37.00 X X 0 660762 22981 ANTHONY FRANCESCHELLI DIRECTOR 1.00 4.00 X 0 0 0 DAVID GOULD CHAIRMAN 1.00 4.00 X X 0 0 0 JD PABIS DIRECTOR 1.00 4.00 X 0 0 0 RONALD COLELLA TREASURER 1.00 X X 0 0 0 DAVID CONTIGUGLIA VICE CHAIR 1.00 X X 0 0 0 BRIAN DURANT DIRECTOR 1.00 4.00 X 0 0 0 DAVID KAU SECRETARY 1.00 39.00 X X 0 359145 5463 JOSEPH RUNKLE DIRECTOR 1.00 4.00 X 0 0 0 JASON LESCH CFO 1.00 37.00 X 0 0 0 0 1019907 28444 0 0 1 0 0 133216 1041199 1174415 67276 67276 562647 580855 -18208 -18208 -18208 102479 133216 102479 0 1223483 0 0 49068 275 275 16376 16376 7604 7604 301 301 PROFESSIONAL FEES 51608 35600 16008 76164 60156 0 16008 1084912 1203248 59367 672647 3949 3405 1230888 1426668 1998744 2023941 4377860 5329909 3350 556 17350 11950 402997 5522 423697 18028 X 2996517 3210236 957646 2101645 3954163 5311881 4377860 5329909 X 1147319 174802 35599 X X 0 1 X 1 0 X X 2 AUBURN COMMUNITY HOSPITAL 150532054 3 1 0 0 AUBURN MEMORIAL MEDICAL SERVICES PC 261193842 3 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 0 PART IV, SECTION E, LINE 2A AUBURN COMMUNITY HOSPITAL FOUNDATION, INC.'S ACTIVITES FURTHERED THE EXEMPT PURPOSES OF AUBURN COMMUNITY HOSPITAL BY PROVIDING FUND RAISING FOR THE RENOVATION OF THE ARTICLE 28 CLINICS LOCATED WITHIN THE HOSPITAL AS WELL AS THE BUILDING OF THE NEW CANCER CENTER. THESE RENOVATIONS AND CONSTRUCTION PROJECTS WILL ENSURE THE LOCATION OF THE HEALTH SERVICES TO OUR COMMUNITY ARE KEPT UP TO DATE TO ENSURE SAFETY AND COMFORTABLE QUARTERS WHEN PATIENTS ARE IN NEED. THESE FUNDRAISERS SUPPORT AUBURN COMMUNITY HOSPITAL'S MISSION OF PROVIDING COMPASSIONATE, QUALITY CARE AND IMPROVING THE HEALTH OF OUR COMMUNITY BY KEEPING THE HOSPITAL UP TO DATE AND PROVIDING THE SERVICES NEEDED CLOSE TO HOME. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 957647 1246067 102069 2101645 1228261 195033 -21270 444377 957647 2026753 11354 191654 1001500 1228261 2349831 253903 -36750 540231 2026753 2077631 248701 191726 168227 2349831 0.00000 0.34417 0.65584 0 0 0 COMMON STOCK 965835 F MUTUAL FUNDS 460833 F 1426668 LOAN RECEIVABLE FROM AUBURN COMMUNITY HOSPITAL 356435 PROMISSORY NOTE TO AUBURN COMMUNITY HOSPITAL 1574851 INTEREST RECEIVABLE FROM AUBURN COMMUNITY HOSPITAL 92655 2023941 DUE TO ACH 5522 5522 X PART V, LINE 4: THE HOSPITAL'S ENDOWMENTS CONSIST OF INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES SUCH AS TO PURCHASE CAPITAL EQUIPMENT FOR HEALTHCARE SERVICES. THE PERMANENTLY RESTRICTED ENDOWMENT CONSISTS OF INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES. PART X, LINE 2: THE HOSPITAL, EXCEPT FOR AMPC, QUALIFIES AS TAX EXEMPT ORGANIZATIONS. AS OF DECEMBER 31, 2023 AND 2022, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2020 THROUGH 2023. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. GOLF TOURNAMENT 111175 57638 53537 410 288 19623 16641 16575 GALA 124520 75578 48942 5445 31095 4050 8352 235695 133216 102479 410 288 25068 47736 4050 24927 102479 0 X X X 0 0 0 0 0 0 0 0 0 SCOTT BERLUCCHI EXECUTIVE DIRECTOR 0 554262 0 100000 0 6500 0 16500 0 6481 0 683743 0 0 DAVID KAU SECRETARY 0 359145 0 0 0 0 0 0 0 5463 0 364608 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS AUBURN COMMUNITY HOSPITAL, A RELATED NOT-FOR-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS REVIEWED BY THE AUDIT COMMITTEE AND THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE REVIEWED AND SIGNED AT THE BOARD MEETING ANNUALLY BY THE BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE ORGANIZATION'S BY-LAWS, ARTICLES OF INCORPORATION, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM AUBURN COMMUNITY HOSPITAL 35,599. PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. AUBURN COMMUNITY HOSPITAL 17 LANSING STREET AUBURN NY 13021 150532054 HOSPITAL NY 501(C)3 LINE 3 N/A 0 AUBURN COMMUNITY COMPANIES INC 17 LANSING STREET AUBURN NY 13021 223271881 PROVIDES NURSING HOME ACCOMMODATIONS NY 501(C)3 LINE 9 AUBURN COMMUNITY HOSPITAL 0 AUBURN MEMORIAL MEDICAL SERVICES PC 17 LANSING STREET AUBURN NY 13021 261193842 PRACTICE OF MEDICINE NY 501(C)3 LINE 11 AUBURN COMMUNITY HOSPITAL 0 ACH PROPERTIES INC 5-19 LANSING STREET AUBURN NY 13021 161335941 PROMOTE AND SUPPORT CHARITABLE PURPOSE OF AUBURN COMMUNITY HOSPITAL, INC. NY 501(C)3 N/A AUBURN COMMUNITY HOSPITAL 0 AUBURN MEDICAL PC 17 LANSING STREET AUBURN NY 13021 205111805 ANESTHESIOLOGY SERVICES NY N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 AUBURN COMMUNITY HOSPITAL P FMV AUBURN COMMUNITY HOSPITAL B FMV AUBURN MEMORIAL MEDICAL SERVICES B FMV