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← ADIRONDACK MEDICAL CENTER

Form 990 for tax year 2024

Filed by ADIRONDACK MEDICAL CENTER.

What the amendment changed

Compared with the return it replaced , filed 13 November 2025. matched by us Only the Part I totals and the names listed in Part VII are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Program services expenses
$122,683,177 changed to $128,063,540
Management and general expenses
$25,998,457 changed to $20,618,094
Program service expenses (Part III)
$122,683,177 changed to $128,063,540

Totals

Total revenue
$152,035,172
Total expenses
$148,681,634
Contributions and grants received
$787,616
Grants paid
$0
Program service revenue
$149,895,648
Investment income
$317,110
Other revenue
$1,034,798
Total assets, end of year
$106,092,711
Total liabilities, end of year
$51,995,354
Net assets or fund balances, end of year
$54,097,357
Program services expenses (Part IX)
$128,063,540
Management and general expenses
$20,618,094
Fundraising expenses
$0
Program service expenses (Part III)
$128,063,540

Program services were 86.1% 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

    $557,731

  • 1e · Government grants (contributions)

    $19,408

  • 1f · All other contributions, gifts and grants

    $210,477

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

    total $148,769,022 · related or exempt $148,769,022

  • 2b · Program service revenue: DIETARY REVENUE

    total $578,324 · related or exempt $578,324

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

    total $512,424 · related or exempt $512,424

  • 2d · Program service revenue: MERCY LIVING CENTER

    total $35,878 · related or exempt $35,878

  • 3 · Investment income

    total $532,543 · excluded $532,543

  • 6a · Gross rents

    real property $375,139

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $375,139

  • 6d · Net rental income or loss

    total $375,139 · excluded $375,139

  • 7a · Gross sales of assets other than inventory

    securities $6,902,411 · other assets $67,774

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

    securities $6,794,004 · other assets $391,614

  • 7c · Gain or loss

    securities $108,407 · other assets -$323,840

  • 7d · Net gain or loss

    total -$215,433 · excluded -$215,433

  • 11a · Other revenue: ALL OTHER REVENUE

    total $560,854 · related or exempt $560,854

  • 11b · Other revenue: REBATES & REFUNDS

    total $98,805 · related or exempt $98,805

  • 11e · Other revenue, total

    $659,659

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,923,370 · program services $962,599 · management and general $960,771

  • 7 · Other salaries and wages

    total $60,967,464 · program services $51,717,229 · management and general $9,250,235

  • 8 · Pension plan contributions

    total $1,765,044 · program services $1,505,735 · management and general $259,309

  • 9 · Other employee benefits

    total $9,284,576 · program services $7,815,992 · management and general $1,468,584

  • 10 · Payroll taxes

    total $4,441,030 · program services $3,724,180 · management and general $716,850

  • 11b · Fees: legal

    total $752,907 · program services $55,999 · management and general $696,908

  • 11c · Fees: accounting

    total $92,599 · management and general $92,599

  • 11d · Fees: lobbying

    total $172,053 · management and general $172,053

  • 11f · Fees: investment management

    total $20,115 · management and general $20,115

  • 11g · Fees: other

    total $24,833,847 · program services $20,673,299 · management and general $4,160,548

  • 12 · Advertising and promotion

    total $161,967 · management and general $161,967

  • 13 · Office expenses

    total $1,250,537 · program services $777,777 · management and general $472,760

  • 16 · Occupancy

    total $1,650,377 · program services $1,588,814 · management and general $61,563

  • 19 · Conferences, conventions and meetings

    total $189,880 · program services $148,274 · management and general $41,606

  • 20 · Interest

    total $870,014 · program services $870,014

  • 22 · Depreciation, depletion and amortization

    total $4,098,123 · program services $4,098,123

  • 23 · Insurance

    total $1,152,717 · program services $1,152,717

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $25,759,575 · program services $25,751,801 · management and general $7,774

  • 24b · Other expenses: BAD DEBT

    total $4,294,428 · program services $4,294,428

  • 24c · Other expenses: FOOD COSTS

    total $604,911 · program services $604,911

  • 24d · Other expenses: MINOR EQUIPMENT

    total $321,216 · program services $140,246 · management and general $180,970

  • 24e · All other expenses

    total $4,074,884 · program services $2,181,402 · management and general $1,893,482

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year -$125,114 · end of year $486,962

  • 2 · Savings and temporary cash investments

    beginning of year $5,123,266 · end of year $5,715,442

  • 4 · Accounts receivable

    beginning of year $16,050,646 · end of year $18,683,033

  • 8 · Inventories for sale or use

    beginning of year $2,943,988 · end of year $3,265,217

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,423,100 · end of year $4,080,993

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

    $152,866,304

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

    $99,191,415

  • 10c · Land, buildings and equipment, net

    beginning of year $56,569,010 · end of year $53,674,889

  • 11 · Investments: publicly traded securities

    beginning of year $8,093,759 · end of year $12,438,840

  • 15 · Other assets

    beginning of year $8,781,949 · end of year $7,747,335

  • 17 · Accounts payable and accrued expenses

    beginning of year $19,317,355 · end of year $21,963,583

  • 19 · Deferred revenue

    beginning of year $1,164,179 · end of year $1,173,179

  • 23 · Secured mortgages and notes payable

    beginning of year $22,231,880 · end of year $20,751,781

  • 24 · Unsecured notes and loans payable

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

  • 25 · Other liabilities

    beginning of year $6,584,035 · end of year $6,934,811

  • 27 · Net assets without donor restrictions

    beginning of year $49,334,904 · end of year $53,013,230

  • 28 · Net assets with donor restrictions

    beginning of year $1,056,251 · end of year $1,084,127

Mission and programs · 2024

Mission

THE MEDICAL CENTER PROVIDES ACUTE 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, PEDIATRIC AND GERIATRIC PSYCH).

    Expenses $31,596,966 · Revenue $36,829,232

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

    Expenses $96,466,574 · Revenue $112,452,214

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

    Revenue $1,273,861

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Aaron Kramer

    PRESIDENT/CEO

    Total calculated
    $407,382
    From this org
    $392,193
    From related orgs
    $0
    Other
    $15,189
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $342,752
    Bonus
    $49,441
    Other
    $0
    Deferred
    $14,923
    Nontaxable benefits
    $266
    Filer's total
    $407,382

  • 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

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    3

  • Janet Bliss

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Elizabeth Buck MD

    TRUSTEE

    Total calculated
    $16,800
    From this org
    $0
    From related orgs
    $0
    Other
    $16,800
    Hours/week
    3

  • Virginia Ginny Valkenburgh

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Ross Whaley Resigned Mid-Year

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0

  • Tim Reilly

    CHAIR

    Total calculated
    $0
    Hours/week
    3

  • Harris Semegram

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • William Smith MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Kathy Woughter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Bartlomiej Szczech MD

    MEDICAL STAFF PRESIDENT

    Total calculated
    $35,000
    From this org
    $35,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Jeannie Cross

    TRUSTEE EMERITUS

    Total calculated
    $0
    Hours/week
    0

  • Eli Schwartzberg

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Dan Kelleher

    TRUSTEE/FOUNDATION CHAIR

    Total calculated
    $0
    Hours/week
    3

  • William B Chapin

    CFO

    Total calculated
    $211,956
    From this org
    $191,555
    From related orgs
    $0
    Other
    $20,401
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,555
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $20,401
    Filer's total
    $211,956

  • Darci Beiras MD

    PHYSICIAN

    Total calculated
    $359,161
    From this org
    $294,136
    From related orgs
    $0
    Other
    $65,025
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,239
    Bonus
    $28,897
    Other
    $0
    Deferred
    $40,601
    Nontaxable benefits
    $24,424
    Filer's total
    $359,161

  • David Mader

    CNO

    Total calculated
    $253,709
    From this org
    $230,932
    From related orgs
    $0
    Other
    $22,777
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $202,248
    Bonus
    $28,684
    Other
    $0
    Deferred
    $9,843
    Nontaxable benefits
    $12,934
    Filer's total
    $253,709

  • Daniel Kilbourne-Hill

    COO

    Total calculated
    $272,832
    From this org
    $237,866
    From related orgs
    $0
    Other
    $34,966
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $207,739
    Bonus
    $30,127
    Other
    $0
    Deferred
    $10,308
    Nontaxable benefits
    $24,658
    Filer's total
    $272,832

  • Irwin Lieb MD

    CMO

    Total calculated
    $282,869
    From this org
    $261,821
    From related orgs
    $0
    Other
    $21,048
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $228,971
    Bonus
    $32,850
    Other
    $0
    Deferred
    $9,342
    Nontaxable benefits
    $11,706
    Filer's total
    $282,869

  • Jonathan Vb Riddell

    PHYSICIAN

    Total calculated
    $626,967
    From this org
    $587,883
    From related orgs
    $0
    Other
    $39,084
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $587,883
    Bonus
    $0
    Other
    $0
    Deferred
    $14,646
    Nontaxable benefits
    $24,438
    Filer's total
    $626,967

  • Anthony Tramontano

    PHYSICIAN

    Total calculated
    $700,216
    From this org
    $661,708
    From related orgs
    $0
    Other
    $38,508
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $515,155
    Bonus
    $146,553
    Other
    $0
    Deferred
    $13,850
    Nontaxable benefits
    $24,658
    Filer's total
    $700,216

  • Claude Roland

    PHYSICIAN

    Total calculated
    $612,513
    From this org
    $596,958
    From related orgs
    $0
    Other
    $15,555
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $487,758
    Bonus
    $109,200
    Other
    $0
    Deferred
    $14,367
    Nontaxable benefits
    $1,188
    Filer's total
    $612,513

  • James W Pate

    PHYSICIAN

    Total calculated
    $640,451
    From this org
    $575,465
    From related orgs
    $0
    Other
    $64,986
    Hours/week
    3

    Schedule J breakdown matched by us

    Base
    $275,934
    Bonus
    $299,531
    Other
    $0
    Deferred
    $47,479
    Nontaxable benefits
    $17,507
    Filer's total
    $640,451

  • Henri Gaboriau

    PHYSICIAN

    Total calculated
    $502,773
    From this org
    $462,711
    From related orgs
    $0
    Other
    $40,062
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $462,711
    Bonus
    $0
    Other
    $0
    Deferred
    $14,645
    Nontaxable benefits
    $25,417
    Filer's total
    $502,773

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. $16,800 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF ELIZABETH BUCK, MD. $36,860 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF DARCI BEIRAS, MD. $30,000 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF JAMES W. PATE.

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
2024
Filed
24 June 2026
IRS schema version
2024v5.5
Source object
202601769349300805

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