Civic Intelligence

Adirondack Medical Center Foundation

EIN 16-1528554 • 501(c)3 • Saranac Lake, NY

Profile

The foundation ensures quality healthcare for the heart of the adirondacks by raising, investing and distributing funds in support of adirondack health's mission: excellent healthcare...close to home.

2233 State Route 86 PO Box 120Saranac Lake, NY 12983

www.adirondackhealth.org

Siviq Scores

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

Liabilities / Assets

90th percentile

0.00x

Higher debt load relative to assets than 90% of similar nonprofits.

NTEE T20 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

88th percentile

0.01x

Higher debt load relative to revenue than 88% of similar nonprofits.

NTEE T20 • $25M-$50M nonprofits • Source year 2024

Net Margin

74th percentile

74%

Higher net margin than 74% of similar nonprofits.

NTEE T20 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

98th percentile

$436,305

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 10.3% of source-year revenue.

NTEE T20 • $25M-$50M nonprofits • Source year 2024

Asset Growth

72nd percentile

16%

Faster asset growth than 72% of similar nonprofits.

NTEE T20 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

42nd percentile

23%

Faster revenue growth than 42% of similar nonprofits.

NTEE T • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$29,247,309

Up $4,021,847 (+16%) from 2023

Liabilities

Up

$37,615

Up $14,666 (+64%) from 2023

Net Assets

Up

$29,209,694

Up $4,007,181 (+16%) from 2023

Revenue

Up

$4,224,388

Up $783,978 (+23%) from 2023

Expenses

Up

$1,110,652

Up $327,990 (+42%) from 2023

Net Income

Up

$3,113,736

Up $455,988 (+17%) from 2023

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2010: $14,686,846Liabilities 2010: $116,664Net Assets 2010: $14,570,1822010Assets 2011: $12,232,115Liabilities 2011: $146,631Net Assets 2011: $12,085,4842011Assets 2012: $13,245,120Liabilities 2012: $278,842Net Assets 2012: $12,966,2782012Assets 2013: $14,867,130Liabilities 2013: $370,041Net Assets 2013: $14,497,0892013Assets 2014: $14,899,307Liabilities 2014: $121,687Net Assets 2014: $14,777,6202014Assets 2015: $17,036,681Liabilities 2015: $119,583Net Assets 2015: $16,917,0982015Assets 2016: $21,893,301Liabilities 2016: $45,230Net Assets 2016: $21,848,0712016Assets 2017: $25,155,760Liabilities 2017: $152,230Net Assets 2017: $25,003,5302017Assets 2018: $16,765,608Liabilities 2018: $32,921Net Assets 2018: $16,732,6872018Assets 2019: $16,606,765Liabilities 2019: $59,294Net Assets 2019: $16,547,4712019Assets 2020: $18,326,322Liabilities 2020: $22,041Net Assets 2020: $18,304,2812020Assets 2021: $22,163,364Liabilities 2021: $2,500Net Assets 2021: $22,160,8642021Assets 2022: $20,838,777Liabilities 2022: $17,347Net Assets 2022: $20,821,4302022Assets 2023: $25,225,462Liabilities 2023: $22,949Net Assets 2023: $25,202,5132023Assets 2024: $29,247,309Liabilities 2024: $37,615Net Assets 2024: $29,209,6942024

Highlighted filing

2024

Assets$29,247,309
Liabilities$37,615
Net Assets$29,209,694

Operations Trend

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

$10M$5.0M$0-$5.0MExpenses 2010: $1,023,8092010Expenses 2011: $2,736,5102011Expenses 2012: $1,194,4052012Revenue 2013: $2,553,232Expenses 2013: $1,303,840Net Income 2013: $1,249,3922013Revenue 2014: $1,761,852Expenses 2014: $1,206,671Net Income 2014: $555,1812014Revenue 2015: $4,106,713Expenses 2015: $1,206,799Net Income 2015: $2,899,9142015Revenue 2016: $5,856,488Expenses 2016: $1,268,852Net Income 2016: $4,587,6362016Revenue 2017: $2,610,700Expenses 2017: $1,302,350Net Income 2017: $1,308,3502017Revenue 2018: $3,778,164Expenses 2018: $7,942,629Net Income 2018: -$4,164,4652018Revenue 2019: $1,167,386Expenses 2019: $3,363,377Net Income 2019: -$2,195,9912019Revenue 2020: $2,150,071Expenses 2020: $1,511,315Net Income 2020: $638,7562020Revenue 2021: $5,215,601Expenses 2021: $2,800,848Net Income 2021: $2,414,7532021Revenue 2022: $3,691,701Expenses 2022: $1,161,388Net Income 2022: $2,530,3132022Revenue 2023: $3,440,410Expenses 2023: $782,662Net Income 2023: $2,657,7482023Revenue 2024: $4,224,388Expenses 2024: $1,110,652Net Income 2024: $3,113,7362024

Highlighted filing

2024

Revenue$4,224,388
Expenses$1,110,652
Net Income$3,113,736

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.2$0.04$29.2$4.22$1.11$3.11
2023Summary only. Only limited summary data is available for this year.$25.2$0.02$25.2$3.44$0.78$2.66
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$20.8$0.02$20.8$3.69$1.16$2.53
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.2$0.00$22.2$5.22$2.80$2.41
2020Summary only. Only limited summary data is available for this year.$18.3$0.02$18.3$2.15$1.51$0.64
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.6$0.06$16.5$1.17$3.36$2.20
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.8$0.03$16.7$3.78$7.94$4.16
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$25.2$0.15$25.0$2.61$1.30$1.31
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$21.9$0.05$21.8$5.86$1.27$4.59
2015Summary only. Only limited summary data is available for this year.$17.0$0.12$16.9$4.11$1.21$2.90
2014Detailed filing. Detailed filing data is available for this year.$14.9$0.12$14.8$1.76$1.21$0.56
2013Detailed filing. Detailed filing data is available for this year.$14.9$0.37$14.5$2.55$1.30$1.25
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.2$0.28$13.0$1.19
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.2$0.15$12.1$2.74
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.7$0.12$14.6$1.02
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 5, 2025
Return Version
2024v5.2
Gross Receipts
$4,372,758
Mission and Program Overview

Mission

The foundation ensures quality healthcare for the heart of the adirondacks by raising, investing and distributing funds in support of adirondack health's mission: excellent healthcare...close to home.

To support and assist adirondack medical center, an exempt healthcare organization.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$22,856,398$19,821,058▼ $3,035,340
Pledges and Grants Receivable$1,381,996$1,358,844▼ $23,152
Savings and Temporary Cash Investments$615,064$179,935▼ $435,129
Cash and Non-Interest-Bearing Accounts$361,916$78,943▼ $282,973
Total Assets$25,225,462$29,247,309▲ $4,021,847
Other Assets Total$10,088$7,808,529▲ $7,798,441
Liabilities
Other Liabilities$18,138$37,615▲ $19,477
Accounts Payable and Accrued Expenses$4,811$0▼ $4,811
Total Liabilities$22,949$37,615▲ $14,666
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$18,931,420$21,042,321▲ $2,110,901
Net Assets With Donor Restrictions$6,271,093$8,167,373▲ $1,896,280
Total Net Assets Fund Balance$25,202,513$29,209,694▲ $4,007,181
Total Liabilities and Net Assets / Fund Balance$25,225,462$29,247,309▲ $4,021,847

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$7,808,529--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$6,271,093$1,895,598▲ $682-$8,167,373
2023$4,396,237$1,874,300▲ $556-$6,271,093
2022$3,232,609$1,163,279▲ $349-$4,396,237
2021$69,038$3,163,543▲ $28-$3,232,609
2020$69,513-▼ $475-$69,038
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Hannah HanfordExecutive DirectorFT$150,016$21,016$171,032

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$2,626,259
Program Service Revenue
$0
Investment Income
$1,598,129
Other Revenue
$0
All Other Contributions
$2,362,832
Change in Net Assets
$3,113,736

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded12$259,849Fair Market Value (FMV)
Total Noncash Contributions12$259,849-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$577,139
Salaries, Compensation, and Employee Benefits$382,973
Total Fundraising Expense$287,720
Other Expenses$150,540
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$577,139--$577,139
Current Officers, Directors, Trustees, and Key Employees$34,206$34,206$102,619$171,031
Other Salaries and Wages$32,213$32,213$96,640$161,066
Fees for Service Investment Mgmnt Fees-$73,033-$73,033
All Other Expenses$2,194$5,477$16,432$24,103
Payroll Taxes$4,760$4,760$14,279$23,799
Fees for Services Other-$3,196$12,786$15,982
Other Employee Benefits$2,897$2,897$8,692$14,486
Pension Plan Contributions$2,518$2,518$7,555$12,591
Advertising--$5,440$5,440
Conferences and Meetings-$4,457-$4,457
Office Expenses$862$862$2,585$4,309
Other Expenses$818$818$2,454$4,090
Fees for Services Accounting-$775-$775
Fees for Services Legal-$113-$113
Total Functional Expenses$657,607$165,325$287,720$1,110,652
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Adirondack Medical CenterSaranac Lake, NY501(c)(3)Other Grants & Assistance$577,139
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$148,370
Fundraising Gross Income$148,370
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala$411,797$148,370$15,358$133,012
Total Events$411,797$148,370$148,370$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliate$37,615
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Adirondack medical center is the sole corporate member of the foundation.

Form 990, Part VI, Section A, Line 7A

Adirondack medical center is the sole corporate member of the adirondack medical center foundation. As such, adirondack medical center approves members of the adirondack medical center foundation's board of trustees, bylaws and annual budget.

Form 990, Part VI, Section A, Line 7B

Certain decisions made by the adirondack medical center foundation's board of trustees are subject to approval by the board of trustees of the adirondack medical center.

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

The 990 is presented for review and approval by the board of trustees prior to filing the 990.

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

Statements are required annually by the board of trustees.

Form 990, Part VI, Section B, Line 15

The salary of the executive director is determined by the executive committee of the board of trustees working in conjunction with the president/ceo of adirondack medical center based upon the recommendation of the chief hr officer (chro). The chro uses industry surveys such as the iroquois survey, comp data survey and association of healthcare philanthropy salary and benefit survey.

Form 990, Part VI, Section C, Line 19

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

Filing and Contact Details

Filer

Filer Name
Adirondack Medical Center Foundation
EIN
16-1528554
Phone
5188972370
Address
2233 STATE ROUTE 86 PO BOX 120, SARANAC LAKE, NY 12983

Signing Officer

Name
Daniel Kelleher
Title
Chair of the Board
Phone
5188972370
Signed
2025-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Daniel Kelleher
Formed
1997
Legal Domicile
Ny
Voting Board Members
23
Independent Board Members
20
Employees
4
Volunteers
24

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 XII, LINE 2C:

The process has not changed since the prior year.

Financial Statement Notes

PART V, LINE 4:

2024 contributions to the endowment funds are cornerstone campaign pledges and contributions.

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, 2024 and 2023, 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 and state taxing authorities are 2021 through 2024.

Raw XML AppendixShowing 400 of 733 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
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt04811
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO SUPPORT AND ASSIST ADIRONDACK MEDICAL CENTER, AN EXEMPT HEALTHCARE ORGANIZATION.
IRS990/AdvertisingGrp/FundraisingAmt05440
IRS990/AdvertisingGrp/TotalAmt05440
IRS990/AllOtherContributionsAmt02362832
IRS990/AllOtherExpensesGrp/FundraisingAmt016432
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt05477
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IRS990/AllOtherExpensesGrp/TotalAmt024103
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0WILLIAM CHAPIN CFO
IRS990/BooksInCareOfDetail/PhoneNum05188974576
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 471 2233 STATE ROUTE 86
IRS990/BooksInCareOfDetail/USAddress/CityNm0SARANAC LAKE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NY
IRS990/BooksInCareOfDetail/USAddress/ZIPCd012983
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
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IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd01
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IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt02626259
IRS990/CYGrantsAndSimilarPaidAmt0577139
IRS990/CYInvestmentIncomeAmt01598129
IRS990/CYOtherExpensesAmt0150540
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IRS990/CYRevenuesLessExpensesAmt03113736
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IRS990/DeductibleNonCashContriInd01
IRS990/DelegationOfMgmtDutiesInd00
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IRS990/DescribedInSection501c3Ind01
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IRS990/Form990PartVIISectionAGrp/PersonNm3ERIN PERKINS
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IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4TREASURER
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IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7EX-OFFICIO, AH BOARD CHAIR
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IRS990/Form990PartVIISectionAGrp/TitleTxt22TRUSTEE
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IRS990/ProgSrvcAccomActy2Grp/Desc0FUNDING TO VARIOUS ADIRONDACK MEDICAL CENTER DEPARTMENTS FOR MINI-GRANTS OF UP TO $5,000 FOR PROJECTS WHICH ENHANCE PATIENT CARE OR PATIENT SAFETY.
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IRS990/ProgSrvcAccomActy3Grp/Desc0RESTRICTED GIFTS PAYOUT - DONOR RESTRICTED GIFTS TO ADIRONDACK MEDICAL CENTER DEPARTMENTS ARE USED BY THE DEPARTMENT TO ENHANCE PATIENT CARE.
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IRS990/ProgSrvcAccomActyOtherGrp/Desc0COMMUNITY HEALTH AND HEALTHCARE SCHOLARSHIPS - THE FOUNDATION FUNDED A BI-ANNUAL HEALTH MAGAZINE WHICH IS MAILED TO STAFF, DONORS, AND AVAILABLE IN THROUGHOUT THE HOSPITAL AND HEALTH CENTERS. ONE $3,500 HEALTHCARE SCHOLARSHIP WAS AWARDED TO A COLLEGE STUDENT PURSUING A DEGREE IN DIAGNOSTIC MEDICAL SONOGRAPHY.
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