Lewis County General Hospital is a Short Term Acute Care facility with a level II Emergency Department open twenty-four hours.

[5] In September 2021, Lewis County General Hospital paused its maternity services due to staff shortages, attributed in part to the Covid epidemic.

[6] Under a Memorandum of Understanding mothers-to-be in final weeks of pregnancy transition to care through Samaritan Medical Center in Watertown.

Similar agreements were reached with Carthage Area Hospital and the Mohawk Valley Health System in Utica.

[7] In April 2022, Lewis County Health System broke ground on a new two-story surgical pavilion.