Civic Intelligence

Adirondack Medical Center

EIN 14-1731786 • 501(c)3 • Saranac Lake, NY

Profile

The medical center provides excellent healthcare close to home.

PO Box 471 2233 State Route 86Saranac Lake, NY 12983

www.adirondackhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

49th percentile

0.49x

Higher debt load relative to assets than 49% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

45th percentile

0.34x

Higher debt load relative to revenue than 45% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Net Margin

57th percentile

2.2%

Higher net margin than 57% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

28th percentile

$700,216

Higher top officer pay than 28% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

NTEE E • $100M-$250M nonprofits • Source year 2024

Asset Growth

43rd percentile

5.2%

Faster asset growth than 43% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

34th percentile

4.9%

Faster revenue growth than 34% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$106,092,711

Up $5,232,107 (+5.2%) from 2023

Liabilities

Up

$51,995,354

Up $1,525,905 (+3.0%) from 2023

Net Assets

Up

$54,097,357

Up $3,706,202 (+7.4%) from 2023

Revenue

Up

$152,035,172

Up $7,061,110 (+4.9%) from 2023

Expenses

Up

$148,681,634

Up $5,029,364 (+3.5%) from 2023

Net Income

Up

$3,353,538

Up $2,031,746 (+154%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $66,473,797Liabilities 2010: $26,253,729Net Assets 2010: $40,220,0682010Assets 2011: $66,671,140Liabilities 2011: $26,581,240Net Assets 2011: $40,089,9002011Assets 2012: $67,870,297Liabilities 2012: $30,406,779Net Assets 2012: $37,463,5182012Assets 2013: $69,732,137Liabilities 2013: $30,744,189Net Assets 2013: $38,987,9482013Assets 2014: $67,040,883Liabilities 2014: $27,469,311Net Assets 2014: $39,571,5722014Assets 2015: $70,141,172Liabilities 2015: $25,520,087Net Assets 2015: $44,621,0852015Assets 2016: $83,373,282Liabilities 2016: $38,541,117Net Assets 2016: $44,832,1652016Assets 2017: $104,036,922Liabilities 2017: $54,766,531Net Assets 2017: $49,270,3912017Assets 2018: $112,126,203Liabilities 2018: $56,350,162Net Assets 2018: $55,776,0412018Assets 2019: $110,855,990Liabilities 2019: $53,621,986Net Assets 2019: $57,234,0042019Assets 2020: $127,147,339Liabilities 2020: $67,789,800Net Assets 2020: $59,357,5392020Assets 2021: $124,890,673Liabilities 2021: $61,990,096Net Assets 2021: $62,900,5772021Assets 2022: $100,557,905Liabilities 2022: $51,946,336Net Assets 2022: $48,611,5692022Assets 2023: $100,860,604Liabilities 2023: $50,469,449Net Assets 2023: $50,391,1552023Assets 2024: $106,092,711Liabilities 2024: $51,995,354Net Assets 2024: $54,097,3572024

Highlighted filing

2024

Assets$106,092,711
Liabilities$51,995,354
Net Assets$54,097,357

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$150M$100M$50M$0-$50MExpenses 2010: $93,132,2752010Revenue 2011: $103,986,309Expenses 2011: $103,267,411Net Income 2011: $718,8982011Expenses 2012: $104,477,2042012Revenue 2013: $101,334,350Expenses 2013: $99,945,817Net Income 2013: $1,388,5332013Revenue 2014: $99,783,034Expenses 2014: $99,220,327Net Income 2014: $562,7072014Revenue 2015: $106,194,381Expenses 2015: $100,853,817Net Income 2015: $5,340,5642015Revenue 2016: $104,108,017Expenses 2016: $104,406,968Net Income 2016: -$298,9512016Revenue 2017: $108,632,369Expenses 2017: $106,207,071Net Income 2017: $2,425,2982017Revenue 2018: $124,046,859Expenses 2018: $114,194,729Net Income 2018: $9,852,1302018Revenue 2019: $126,147,247Expenses 2019: $125,887,386Net Income 2019: $259,8612019Revenue 2020: $130,028,262Expenses 2020: $128,350,077Net Income 2020: $1,678,1852020Revenue 2021: $140,431,762Expenses 2021: $137,502,421Net Income 2021: $2,929,3412021Revenue 2022: $119,378,552Expenses 2022: $132,131,454Net Income 2022: -$12,752,9022022Revenue 2023: $144,974,062Expenses 2023: $143,652,270Net Income 2023: $1,321,7922023Revenue 2024: $152,035,172Expenses 2024: $148,681,634Net Income 2024: $3,353,5382024

Highlighted filing

2024

Revenue$152,035,172
Expenses$148,681,634
Net Income$3,353,538

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$106$52.0$54.1$152$149$3.35
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$101$50.5$50.4$145$144$1.32
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$101$51.9$48.6$119$132$12.8
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$125$62.0$62.9$140$138$2.93
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$127$67.8$59.4$130$128$1.68
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$111$53.6$57.2$126$126$0.26
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$112$56.4$55.8$124$114$9.85
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$104$54.8$49.3$109$106$2.43
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$83.4$38.5$44.8$104$104$0.30
2015Detailed filing. Detailed filing data is available for this year.$70.1$25.5$44.6$106$101$5.34
2014Detailed filing. Detailed filing data is available for this year.$67.0$27.5$39.6$99.8$99.2$0.56
2013Detailed filing. Detailed filing data is available for this year.$69.7$30.7$39.0$101$99.9$1.39
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$67.9$30.4$37.5$104
2011Summary only. Only limited summary data is available for this year.$66.7$26.6$40.1$104$103$0.72
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$66.5$26.3$40.2$93.1
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 6, 2023
Return Version
2022v5.0
Gross Receipts
$135,711,028
Mission and Program Overview

Mission

The medical center provides acute, skilled nursing and outpatient services to residents of the local geographical area.

The medical center provides acute, skilled nursing and outpatient services to residents of the local geographic region.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$64,753,399$59,799,215▼ $4,954,184
Accounts Receivable$17,648,690$15,051,719▼ $2,596,971
Investments in Publicly Traded Securities$8,125,683$7,354,558▼ $771,125
Savings and Temporary Cash Investments$17,395,664$5,510,399▼ $11,885,265
Prepaid Expenses and Deferred Charges$5,127,794$3,627,395▼ $1,500,399
Inventories for Sale or Use$3,273,923$3,441,353▲ $167,430
Cash and Non-Interest-Bearing Accounts$3,415,428$-122,616▼ $3,538,044
Total Assets$124,890,673$100,557,905▼ $24,332,768
Other Assets Total$5,150,092$5,895,882▲ $745,790
Liabilities
Mortgage Notes Payable Secured by Investment Property$27,059,638$24,483,028▼ $2,576,610
Accounts Payable and Accrued Expenses$20,107,960$19,155,959▼ $952,001
Other Liabilities$11,557,990$6,051,306▼ $5,506,684
Unsecured Notes Loans Payable$1,172,000$1,172,000→ $0
Deferred Revenue$2,092,508$1,084,043▼ $1,008,465
Total Liabilities$61,990,096$51,946,336▼ $10,043,760
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$61,911,529$47,617,608▼ $14,293,921
Net Assets With Donor Restrictions$989,048$993,961▲ $4,913
Total Net Assets Fund Balance$62,900,577$48,611,569▼ $14,289,008
Total Liabilities and Net Assets / Fund Balance$124,890,673$100,557,905▼ $24,332,768

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$49,952,280$39,137,153$89,089,433
Equipment$7,742,680$51,210,290$58,952,970
Other Land Buildings$1,849,553$1,141,019$2,990,572
Land$254,702-$254,702
Other Assets Org$957,461--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2022$989,048-▲ $4,913-$993,961
2021$988,665-▲ $383-$989,048
2020$988,287-▲ $378-$988,665
2019$987,886-▲ $401-$988,287
2018$993,598-▲ $2,390$8,102$987,886
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Eve BurnsPhysicianFT$672,422$64,652$737,074
Anthony TramontanoPhysicianFT$643,185$29,027$672,212
Claude RolandPhysicianFT$557,019$12,418$569,437
John EsperPhysicianFT$486,529$33,868$520,397
Darci BeirasCMOFT$403,923$86,705$490,628
Henri GaboriauPhysicianFT$460,186$29,183$489,369
Aaron KramerCEO/presidentFT$326,842$42,528$369,370
Irwin Lieb MdEx-officio Med Staff Pres-$348,450$17,439$365,889
Robert LabaCFOFT$245,591$36,193$281,784
David MaderCNOFT$183,790$51,390$235,180
Daniel HillCOO (starting 10/25/2021)FT$187,583$35,896$223,479
William Smith MdTrustee-$60,544$50,050$110,594
Sylvia GetmanPresident/CEO (until 07/21)FT$100,000-$100,000
Elizabeth Buck MdTrustee-$39,761$34,400$74,161

Board Members and Trustees

NameTitle
Susan DelehantyChair
Dan KelleherEx-officio Chair, Ah Found
Glenn KeetVice Chair
Ernest Stretton PhdTrustee
Harris SemegramTrustee
Janet BlissTrustee
Jon Plehn MdTrustee
Kathy WoughterTrustee
Michael Bettmann MdTrustee
Randy Quayle PhdTrustee
Rebecca LeahyTrustee
Tim Reilly CPATrustee
Craig SheldonSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Ahsa LLCContracted Labor10126 E CHERRY BEND RD, Traverse City, MI 49684$3,695,516
Premier Anesthesia On New YorkpcAnesthesia Services2655 NORTHWINDS PARKWAY, Alpharetta, GA 30368$2,436,347
Adirondack Gastrointestinal And ColorectGastroenterology Services2249 NY-86 2, Saranac Lake, NY 12983$1,728,749
Laboratory Corporation Of AmericaLab ServicesPO BOX 12140, Burlington, NC 27216$899,971
Weatherby Locum INCPhysician ServicesPO BOX 972633, Dallas, TX 75397$800,373
Revenue and Support

Revenue Composition

Contributions and Grants
$1,087,583
Program Service Revenue
$115,385,057
Investment Income
$814,178
Other Revenue
$2,091,734
All Other Contributions
$273,762
Change in Net Assets
$-12,752,902
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$67,878,936
Other Expenses$64,252,518
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$48,329,880$7,139,119-$55,468,999
Fees for Services Other$16,541,810$5,399,847-$21,941,657
Other Employee Benefits$5,245,079$-222,261-$5,022,818
Depreciation Depletion$4,870,700--$4,870,700
Payroll Taxes$3,600,268$344,290-$3,944,558
All Other Expenses$2,444,077$804,538-$3,248,615
Occupancy$1,721,381$156,920-$1,878,301
Current Officers, Directors, Trustees, and Key Employees$760,609$1,059,083-$1,819,692
Pension Plan Contributions$1,484,717$138,152-$1,622,869
Insurance$1,131,856--$1,131,856
Office Expenses$731,090$399,622-$1,130,712
Interest$835,014--$835,014
Fees for Services Legal$15,278$438,874-$454,152
Other Expenses$242,140$149,214-$391,354
Advertising$189,638--$189,638
Conferences and Meetings$118,056$23,360-$141,416
Fees for Services Lobbying-$94,586-$94,586
Fees for Services Accounting-$91,206-$91,206
Fees for Service Investment Mgmnt Fees-$26,626-$26,626
Total Functional Expenses$116,082,432$16,049,022$0$132,131,454
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Debt-current$3,440,105
Capital Lease Payable$1,448,469
Asset Retirement and Other Lt$815,267
Estimated Third Party Liability$307,715
Resident Funds Liability$39,750

Bond Issues

BondIssuerIssuedIssue PricePurpose
AFranklin County Civic Development Corporation2016-10-18$24,455,000Multi-mode revenue bonds for capital projects- refinance
BEssex County Capital Resource Corporation2017-10-05$9,500,000Multi-mode revenue bonds for capital projects

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$24,455,000$349,674-$479,474
B$9,500,000$71,250-$190,000

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

The 990 is presented and reviewed by the board of trustees prior to filing the 990.

Form 990, Part VI, Section B, Line 12C

All members of the board of trustees are required to complete and sign conflict of interest statements annually. These are then reviewed by the audit and compliance committee.

Form 990, Part VI, Section B, Line 15

Compensation decisions are developed based on the use of national and regional salary survey data which is analyzed by the compensation committee and then approved by the full board.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Adirondack Medical Center
EIN
14-1731786
Phone
5188914141
Address
PO BOX 471 2233 STATE ROUTE 86, SARANAC LAKE, NY 12983

Signing Officer

Name
Willis Grant
Title
Interim CFO
Phone
5188914141
Signed
2023-11-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Willis Grant
Formed
1991
Legal Domicile
Ny
Voting Board Members
16
Independent Board Members
13
Employees
1,083
Volunteers
16

Preparer

Firm
Fustcharles Llp
Address
220 S WARREN STREET, SYRACUSE, NY 13202
Preparer
Desiree M Bennett
Phone
3154463600
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

In october 2022, adirondack health entered into a non-binding letter of intent to sell mercy living center. The planned divestiture of mercy living center includes the operating license and certain property and equipment. On july 17, 2023, adirondack health executed purchasing and consulting agreements related to the sale of the property and equipment associated with mercy living center.

Form 990, Part IX, Line 11G

Contracted services: program service expenses 4,323,878. Management and general expenses 4,542,756. Fundraising expenses 0. Total expenses 8,866,634. Physician fees: program service expenses 6,747,346. Management and general expenses 35,000. Fundraising expenses 0. Total expenses 6,782,346. Professional fees: program service expenses 487,617. Management and general expenses 419,742. Fundraising expenses 0. Total expenses 907,359. Contract labor: program service expenses 4,303,472. Management and general expenses 71,494. Fundraising expenses 0. Total expenses 4,374,966. Consulting fees: program service expenses 158,972. Management and general expenses 210,412. Fundraising expenses 0. Total expenses 369,384. Laundry services: program service expenses 290,136. Management and general expenses 0. Fundraising expenses 0. Total expenses 290,136. Trash removal: program service expenses 230,389. Management and general expenses 0. Fundraising expenses 0. Total expenses 230,389. Collection agencies: program service expenses 0. Management and general expenses 120,443. Fundraising expenses 0. Total expenses 120,443.

FORM 990, PART XII, LINE 2C:

The process has not changed from the prior year.

Financial Statement Notes

PART V, LINE 4:

The system's endowments consist of funds established for a variety of purposes. Its endowments include donor-restricted endowment funds and funds designated by the board of trustees to function as an endowment. As required by generally accepted accounting principles, net assets associated with endowment funds, including funds designated by the board of trustees to function as endowments, are classified and reported based on the existence or absence of donor-imposed restrictions. Temporarily restricted funds are available for nursing education & other programs. Permanently restricted funds are to be held in perpetuity, the income from which is expendable for various healthcare services.

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, 2022 and 2021, 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 state taxing authorities are 2019 through 2022.

Raw XML AppendixShowing 400 of 1,269 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0THE MEDICAL CENTER PROVIDES ACUTE, SKILLED NURSING AND OUTPATIENT SERVICES TO RESIDENTS OF THE LOCAL GEOGRAPHIC REGION.
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IRS990/AdvertisingGrp/TotalAmt0189638
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IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt0804538
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2ADIRONDACK GASTROINTESTINAL AND COLORECT
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3LABORATORY CORPORATION OF AMERICA
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4WEATHERBY LOCUM INC
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IRS990/ContractorCompensationGrp/ServicesDesc3LAB SERVICES
IRS990/ContractorCompensationGrp/ServicesDesc4PHYSICIAN SERVICES
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