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← ADIRONDACK MEDICAL CENTER

Form 990 for tax year 2023

Filed by ADIRONDACK MEDICAL CENTER.

Totals

Total revenue
$144,974,062
Total expenses
$143,652,270
Contributions and grants received
$4,878,689
Grants paid
$0
Program service revenue
$139,216,182
Investment income
$155,820
Other revenue
$723,371
Total assets, end of year
$100,860,604
Total liabilities, end of year
$50,469,449
Net assets or fund balances, end of year
$50,391,155
Program services expenses (Part IX)
$122,706,801
Management and general expenses
$20,945,469
Fundraising expenses
$0
Program service expenses (Part III)
$122,706,801

Program services were 85.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $189,268

  • 1e · Government grants (contributions)

    $4,678,303

  • 1f · All other contributions, gifts and grants

    $11,118

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $133,941,021 · related or exempt $133,941,021

  • 2b · Program service revenue: MERCY LIVING CENTER

    total $4,269,479 · related or exempt $4,269,479

  • 2c · Program service revenue: DIETARY REVENUE

    total $529,613 · related or exempt $529,613

  • 2d · Program service revenue: 340B CONTRACT PHARMACIES

    total $476,069 · related or exempt $476,069

  • 3 · Investment income

    total $419,608 · excluded $419,608

  • 6a · Gross rents

    real property $349,279

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $349,279

  • 6d · Net rental income or loss

    total $349,279 · excluded $349,279

  • 7a · Gross sales of assets other than inventory

    securities $7,015,415 · other assets $616,539

  • 7b · Less cost or other basis and sales expenses

    securities $6,948,110 · other assets $947,632

  • 7c · Gain or loss

    securities $67,305 · other assets -$331,093

  • 7d · Net gain or loss

    total -$263,788 · excluded -$263,788

  • 11a · Other revenue: ALL OTHER REVENUE

    total $268,898 · related or exempt $268,898

  • 11b · Other revenue: REBATES & REFUNDS

    total $105,194 · related or exempt $105,194

  • 11e · Other revenue, total

    $374,092

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,854,958 · program services $768,975 · management and general $1,085,983

  • 7 · Other salaries and wages

    total $60,044,329 · program services $51,351,940 · management and general $8,692,389

  • 8 · Pension plan contributions

    total $1,819,282 · program services $1,552,071 · management and general $267,211

  • 9 · Other employee benefits

    total $5,543,959 · program services $4,686,622 · management and general $857,337

  • 10 · Payroll taxes

    total $4,351,520 · program services $3,666,528 · management and general $684,992

  • 11b · Fees: legal

    total $763,761 · program services $32,378 · management and general $731,383

  • 11c · Fees: accounting

    total $119,925 · management and general $119,925

  • 11d · Fees: lobbying

    total $111,167 · management and general $111,167

  • 11f · Fees: investment management

    total $17,721 · management and general $17,721

  • 11g · Fees: other

    total $23,963,059 · program services $18,543,601 · management and general $5,419,458

  • 12 · Advertising and promotion

    total $211,965 · management and general $211,965

  • 13 · Office expenses

    total $1,203,143 · program services $763,191 · management and general $439,952

  • 16 · Occupancy

    total $1,984,615 · program services $1,867,493 · management and general $117,122

  • 19 · Conferences, conventions and meetings

    total $134,446 · program services $112,333 · management and general $22,113

  • 20 · Interest

    total $921,511 · program services $921,511

  • 22 · Depreciation, depletion and amortization

    total $4,354,619 · program services $4,354,619

  • 23 · Insurance

    total $1,173,484 · program services $1,173,484

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $23,824,846 · program services $23,822,700 · management and general $2,146

  • 24b · Other expenses: BAD DEBT

    total $5,673,167 · program services $5,673,167

  • 24c · Other expenses: FOOD COSTS

    total $759,026 · program services $759,026

  • 24d · Other expenses: MINOR EQUIPMENT

    total $437,392 · program services $219,941 · management and general $217,451

  • 24e · All other expenses

    total $4,384,375 · program services $2,437,221 · management and general $1,947,154

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year -$122,616 · end of year -$125,114

  • 2 · Savings and temporary cash investments

    beginning of year $5,510,399 · end of year $5,123,266

  • 4 · Accounts receivable

    beginning of year $15,051,719 · end of year $16,050,646

  • 8 · Inventories for sale or use

    beginning of year $3,441,353 · end of year $2,943,988

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,627,395 · end of year $3,423,100

  • 10a · Land, buildings and equipment: cost or other basis

    $152,550,143

  • 10b · Land, buildings and equipment: accumulated depreciation

    $95,981,133

  • 10c · Land, buildings and equipment, net

    beginning of year $59,799,215 · end of year $56,569,010

  • 11 · Investments: publicly traded securities

    beginning of year $7,354,558 · end of year $8,093,759

  • 15 · Other assets

    beginning of year $5,895,882 · end of year $8,781,949

  • 17 · Accounts payable and accrued expenses

    beginning of year $19,155,959 · end of year $19,317,355

  • 19 · Deferred revenue

    beginning of year $1,084,043 · end of year $1,164,179

  • 23 · Secured mortgages and notes payable

    beginning of year $24,483,028 · end of year $22,231,880

  • 24 · Unsecured notes and loans payable

    beginning of year $1,172,000 · end of year $1,172,000

  • 25 · Other liabilities

    beginning of year $6,051,306 · end of year $6,584,035

  • 27 · Net assets without donor restrictions

    beginning of year $47,617,608 · end of year $49,334,904

  • 28 · Net assets with donor restrictions

    beginning of year $993,961 · end of year $1,056,251

Mission and programs · 2023

Mission

THE MEDICAL CENTER PROVIDES ACUTE, SKILLED NURSING AND OUTPATIENT SERVICES TO RESIDENTS OF THE LOCAL GEOGRAPHICAL AREA.

Activities or mission (Part I)

THE MEDICAL CENTER PROVIDES ACUTE, SKILLED NURSING AND OUTPATIENT SERVICES TO RESIDENTS OF THE LOCAL GEOGRAPHIC REGION.

  • ADIRONDACK MEDICAL CENTER IS A 95-BED ACUTE CARE FACILITY IN SARANAC LAKE. IT PROVIDES A FULL RANGE OF INPATIENT SERVICES (SURGICAL, MATERNITY AND PEDIATRIC) AS WELL AS MAINTAINS A 60 BED LONG-TERM CARE FACILITY.

    Expenses $30,273,000 · Revenue $34,097,919

  • REFERRED AMBULATORY, AMBULATORY SURGERY AND EMERGENCY SERVICES IN SARANAC LAKE, LAKE PLACID, TUPPER LAKE, ST. REGIS FALLS AND KEENE.

    Expenses $92,433,801 · Revenue $104,112,581

  • MISCELLANEOUS PROGRAM SERVICE REVENUE DERIVED FROM SUPPORT OF ADIRONDACK MEDICAL CENTER, INCLUDING: DIETARY REVENUE, REBATES AND REFUNDS, PURCHASE DISCOUNTS AND OTHER REVENUE.

    Revenue $1,379,774

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Aaron Kramer

    PRESIDENT/CEO

    Total calculated
    $351,788
    From this org
    $337,058
    From related orgs
    $0
    Other
    $14,730
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $337,058
    Bonus
    $0
    Other
    $0
    Deferred
    $14,550
    Nontaxable benefits
    $180
    Filer's total
    $351,788

  • Susan Delehanty

    CHAIR

    Total calculated
    $0
    Hours/week
    4

  • Glenn Keet

    TRUSTEE

    Total calculated
    $0
    Hours/week
    4

  • Craig Sheldon

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    4

  • Ernest Stretton PhD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Michael Bettmann MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Janet Bliss

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Rebecca Leahy

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Elizabeth Buck MD

    TRUSTEE

    Total calculated
    $59,014
    From this org
    $33,014
    From related orgs
    $0
    Other
    $26,000
    Hours/week
    3

  • Jon Plehn MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Randy Quayle PhD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Tim Reilly CPA

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    3

  • Harris Semegram

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • William Smith MD

    TRUSTEE

    Total calculated
    $130,451
    From this org
    $128,251
    From related orgs
    $0
    Other
    $2,200
    Hours/week
    3

  • Kathy Woughter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Bartlomiej Szczech MD

    MEDICAL STAFF PRESIDENT

    Total calculated
    $0
    Hours/week
    3

  • Jeannie Cross

    EX-OFFICIO, TRUSTEE EMERITUS

    Total calculated
    $0
    Hours/week
    0

  • Dan Kelleher

    EX-OFFICIO CHAIR, AH FOUND

    Total calculated
    $0
    Hours/week
    3

  • Robert Laba

    CFO

    Total calculated
    $236,593
    From this org
    $226,704
    From related orgs
    $0
    Other
    $9,889
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,704
    Bonus
    $0
    Other
    $0
    Deferred
    $9,744
    Nontaxable benefits
    $145
    Filer's total
    $236,593

  • William Chapin

    CFO

    Total calculated
    $0
    Hours/week
    0

  • Willis Grant

    INTERIM CFO

    Total calculated
    $46,731
    From this org
    $46,731
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Darci Beiras MD

    PHYSICIAN

    Total calculated
    $375,531
    From this org
    $309,156
    From related orgs
    $0
    Other
    $66,375
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $268,069
    Bonus
    $41,087
    Other
    $0
    Deferred
    $47,053
    Nontaxable benefits
    $19,322
    Filer's total
    $375,531

  • David Mader

    CNO

    Total calculated
    $215,992
    From this org
    $195,246
    From related orgs
    $0
    Other
    $20,746
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $195,246
    Bonus
    $0
    Other
    $0
    Deferred
    $9,735
    Nontaxable benefits
    $11,011
    Filer's total
    $215,992

  • Daniel Kilbourne-Hill

    COO

    Total calculated
    $219,389
    From this org
    $190,438
    From related orgs
    $0
    Other
    $28,951
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,438
    Bonus
    $0
    Other
    $0
    Deferred
    $10,158
    Nontaxable benefits
    $18,793
    Filer's total
    $219,389

  • Irwin Lieb MD

    CMO

    Total calculated
    $336,698
    From this org
    $313,431
    From related orgs
    $0
    Other
    $23,267
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $312,031
    Bonus
    $1,400
    Other
    $0
    Deferred
    $5,842
    Nontaxable benefits
    $17,425
    Filer's total
    $336,698

  • Amy Corliss

    PHYSICIAN

    Total calculated
    $505,393
    From this org
    $473,259
    From related orgs
    $0
    Other
    $32,134
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $463,259
    Bonus
    $10,000
    Other
    $0
    Deferred
    $13,485
    Nontaxable benefits
    $18,649
    Filer's total
    $505,393

  • Anthony Tramontano

    PHYSICIAN

    Total calculated
    $667,935
    From this org
    $635,804
    From related orgs
    $0
    Other
    $32,131
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $508,358
    Bonus
    $127,446
    Other
    $0
    Deferred
    $13,338
    Nontaxable benefits
    $18,793
    Filer's total
    $667,935

  • Claude Roland

    PHYSICIAN

    Total calculated
    $565,210
    From this org
    $549,213
    From related orgs
    $0
    Other
    $15,997
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $427,194
    Bonus
    $122,019
    Other
    $0
    Deferred
    $14,809
    Nontaxable benefits
    $1,188
    Filer's total
    $565,210

  • John Esper

    PHYSICIAN

    Total calculated
    $523,846
    From this org
    $486,681
    From related orgs
    $0
    Other
    $37,165
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $481,031
    Bonus
    $5,650
    Other
    $0
    Deferred
    $16,500
    Nontaxable benefits
    $20,665
    Filer's total
    $523,846

  • Henri Gaboriau

    PHYSICIAN

    Total calculated
    $491,744
    From this org
    $458,760
    From related orgs
    $0
    Other
    $32,984
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $458,760
    Bonus
    $0
    Other
    $0
    Deferred
    $13,831
    Nontaxable benefits
    $19,153
    Filer's total
    $491,744

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART 1, LINE 4B
THE HOSPITAL HAS A DEFERRED COMPENSATION PLAN FOR PARTICIPATING PHYSICIANS WHO PROVIDE SERVICES THROUGH THE HOSPITAL'S "ON-CALL" PROGRAM. ELIZABETH BUCK, MD RECEIVED $33,014 FROM THIS DEFERRED COMPENSATION PLAN AND $26,000 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF ELIZABETH. WILLIAM SMITH, MD RECEIVED $128,251 FROM THIS DEFERRED COMPENSATION PLAN AND $2,200 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF WILLIAM. $36,000 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF DARCI BEIRAS, MD.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • TRUDEAU HEALTH SYSTEMS LLC

    C · CONTRACTING - HEALTH SERVICES · NY · 50% owned · share of assets $1,980

    Directly controlled by AMC AND TRUDEAU HEALTH SYSTEMS

Provenance

Return type
form_990
Tax year
2023
Filed
6 November 2024
IRS schema version
2023v5.1
Source object
202403139349303435

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