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Nonprofiteer
← ADIRONDACK MEDICAL CENTER

Form 990 for tax year 2022

Filed by ADIRONDACK MEDICAL CENTER.

Totals

Total revenue
$119,378,552
Total expenses
$132,131,454
Contributions and grants received
$1,087,583
Grants paid
$0
Program service revenue
$115,385,057
Investment income
$814,178
Other revenue
$2,091,734
Total assets, end of year
$100,557,905
Total liabilities, end of year
$51,946,336
Net assets or fund balances, end of year
$48,611,569
Program services expenses (Part IX)
$116,082,432
Management and general expenses
$16,049,022
Fundraising expenses
$0
Program service expenses (Part III)
$116,082,432

Program services were 87.9% 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

    $662,238

  • 1e · Government grants (contributions)

    $151,583

  • 1f · All other contributions, gifts and grants

    $273,762

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

    total $119,938,236 · related or exempt $119,938,236

  • 2b · Program service revenue: LOSS ON DISCONTINUED OPERATIONS O

    total -$4,553,179 · related or exempt -$4,553,179

  • 3 · Investment income

    total $111,372 · excluded $111,372

  • 6a · Gross rents

    real property $372,624

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $372,624

  • 6d · Net rental income or loss

    total $372,624 · excluded $372,624

  • 7a · Gross sales of assets other than inventory

    securities $17,034,732 · other assets $550

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

    securities $16,329,629 · other assets $2,847

  • 7c · Gain or loss

    securities $705,103 · other assets -$2,297

  • 7d · Net gain or loss

    total $702,806 · excluded $702,806

  • 11a · Other revenue: 340B CONTRACT PHARMACIES

    total $720,967 · related or exempt $720,967

  • 11b · Other revenue: DIETARY REVENUE

    total $486,077 · related or exempt $486,077

  • 11c · Other revenue: REBATES & REFUNDS

    total $179,116 · related or exempt $179,116

  • 11d · All other revenue

    total $332,950 · related or exempt $332,950

  • 11e · Other revenue, total

    $1,719,110

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,819,692 · program services $760,609 · management and general $1,059,083

  • 7 · Other salaries and wages

    total $55,468,999 · program services $48,329,880 · management and general $7,139,119

  • 8 · Pension plan contributions

    total $1,622,869 · program services $1,484,717 · management and general $138,152

  • 9 · Other employee benefits

    total $5,022,818 · program services $5,245,079 · management and general -$222,261

  • 10 · Payroll taxes

    total $3,944,558 · program services $3,600,268 · management and general $344,290

  • 11b · Fees: legal

    total $454,152 · program services $15,278 · management and general $438,874

  • 11c · Fees: accounting

    total $91,206 · management and general $91,206

  • 11d · Fees: lobbying

    total $94,586 · management and general $94,586

  • 11f · Fees: investment management

    total $26,626 · management and general $26,626

  • 11g · Fees: other

    total $21,941,657 · program services $16,541,810 · management and general $5,399,847

  • 12 · Advertising and promotion

    total $189,638 · program services $189,638

  • 13 · Office expenses

    total $1,130,712 · program services $731,090 · management and general $399,622

  • 16 · Occupancy

    total $1,878,301 · program services $1,721,381 · management and general $156,920

  • 19 · Conferences, conventions and meetings

    total $141,416 · program services $118,056 · management and general $23,360

  • 20 · Interest

    total $835,014 · program services $835,014

  • 22 · Depreciation, depletion and amortization

    total $4,870,700 · program services $4,870,700

  • 23 · Insurance

    total $1,131,856 · program services $1,131,856

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $23,806,836 · program services $23,800,990 · management and general $5,846

  • 24b · Other expenses: BAD DEBT

    total $3,225,679 · program services $3,225,679

  • 24c · Other expenses: FOOD COSTS

    total $794,170 · program services $794,170

  • 24d · Other expenses: MINOR EQUIPMENT

    total $391,354 · program services $242,140 · management and general $149,214

  • 24e · All other expenses

    total $3,248,615 · program services $2,444,077 · management and general $804,538

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,415,428 · end of year -$122,616

  • 2 · Savings and temporary cash investments

    beginning of year $17,395,664 · end of year $5,510,399

  • 4 · Accounts receivable

    beginning of year $17,648,690 · end of year $15,051,719

  • 8 · Inventories for sale or use

    beginning of year $3,273,923 · end of year $3,441,353

  • 9 · Prepaid expenses and deferred charges

    beginning of year $5,127,794 · end of year $3,627,395

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

    $151,287,677

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

    $91,488,462

  • 10c · Land, buildings and equipment, net

    beginning of year $64,753,399 · end of year $59,799,215

  • 11 · Investments: publicly traded securities

    beginning of year $8,125,683 · end of year $7,354,558

  • 15 · Other assets

    beginning of year $5,150,092 · end of year $5,895,882

  • 17 · Accounts payable and accrued expenses

    beginning of year $20,107,960 · end of year $19,155,959

  • 19 · Deferred revenue

    beginning of year $2,092,508 · end of year $1,084,043

  • 23 · Secured mortgages and notes payable

    beginning of year $27,059,638 · end of year $24,483,028

  • 24 · Unsecured notes and loans payable

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

  • 25 · Other liabilities

    beginning of year $11,557,990 · end of year $6,051,306

  • 27 · Net assets without donor restrictions

    beginning of year $61,911,529 · end of year $47,617,608

  • 28 · Net assets with donor restrictions

    beginning of year $989,048 · end of year $993,961

Mission and programs · 2022

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 $29,235,102 · Revenue $30,065,223

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

    Expenses $86,847,330 · Revenue $87,594,219

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

    Revenue $1,719,110

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Susan Delehanty

    CHAIR

    Total calculated
    $0
    Hours/week
    4

  • Glenn Keet

    VICE CHAIR

    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
    $74,161
    From this org
    $39,761
    From related orgs
    $0
    Other
    $34,400
    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

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Harris Semegram

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • William Smith MD

    TRUSTEE

    Total calculated
    $110,594
    From this org
    $60,544
    From related orgs
    $0
    Other
    $50,050
    Hours/week
    3

  • Kathy Woughter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    3

  • Irwin Lieb MD

    EX-OFFICIO MED STAFF PRES

    Total calculated
    $365,889
    From this org
    $348,450
    From related orgs
    $0
    Other
    $17,439
    Hours/week
    3

    Schedule J breakdown matched by us

    Base
    $348,450
    Bonus
    $0
    Other
    $0
    Deferred
    $5,845
    Nontaxable benefits
    $11,594
    Filer's total
    $365,889

  • Dan Kelleher

    EX-OFFICIO CHAIR, AH FOUND

    Total calculated
    $0
    Hours/week
    3

  • Aaron Kramer

    CEO/PRESIDENT

    Total calculated
    $369,370
    From this org
    $355,932
    From related orgs
    $0
    Other
    $13,438
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $326,842
    Bonus
    $29,090
    Other
    $0
    Deferred
    $13,258
    Nontaxable benefits
    $180
    Filer's total
    $369,370

  • Robert Laba

    CFO

    Total calculated
    $281,784
    From this org
    $270,029
    From related orgs
    $0
    Other
    $11,755
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $245,591
    Bonus
    $24,438
    Other
    $0
    Deferred
    $11,575
    Nontaxable benefits
    $180
    Filer's total
    $281,784

  • Darci Beiras

    CMO

    Total calculated
    $490,628
    From this org
    $426,255
    From related orgs
    $0
    Other
    $64,373
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $403,923
    Bonus
    $22,332
    Other
    $0
    Deferred
    $47,098
    Nontaxable benefits
    $17,275
    Filer's total
    $490,628

  • David Mader

    CNO

    Total calculated
    $235,180
    From this org
    $208,540
    From related orgs
    $0
    Other
    $26,640
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $183,790
    Bonus
    $24,750
    Other
    $0
    Deferred
    $9,149
    Nontaxable benefits
    $17,491
    Filer's total
    $235,180

  • Daniel Hill

    COO (STARTING 10/25/2021)

    Total calculated
    $223,479
    From this org
    $197,583
    From related orgs
    $0
    Other
    $25,896
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $187,583
    Bonus
    $10,000
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $16,746
    Filer's total
    $223,479

  • Anthony Tramontano

    PHYSICIAN

    Total calculated
    $672,212
    From this org
    $643,185
    From related orgs
    $0
    Other
    $29,027
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $643,185
    Bonus
    $0
    Other
    $0
    Deferred
    $12,281
    Nontaxable benefits
    $16,746
    Filer's total
    $672,212

  • Eve Burns

    PHYSICIAN

    Total calculated
    $737,074
    From this org
    $672,422
    From related orgs
    $0
    Other
    $64,652
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $672,422
    Bonus
    $0
    Other
    $0
    Deferred
    $64,472
    Nontaxable benefits
    $180
    Filer's total
    $737,074

  • Claude Roland

    PHYSICIAN

    Total calculated
    $569,437
    From this org
    $557,019
    From related orgs
    $0
    Other
    $12,418
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $557,019
    Bonus
    $0
    Other
    $0
    Deferred
    $11,550
    Nontaxable benefits
    $868
    Filer's total
    $569,437

  • Henri Gaboriau

    PHYSICIAN

    Total calculated
    $489,369
    From this org
    $460,186
    From related orgs
    $0
    Other
    $29,183
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $460,186
    Bonus
    $0
    Other
    $0
    Deferred
    $12,077
    Nontaxable benefits
    $17,106
    Filer's total
    $489,369

  • John Esper

    PHYSICIAN

    Total calculated
    $520,397
    From this org
    $486,529
    From related orgs
    $0
    Other
    $33,868
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $486,529
    Bonus
    $0
    Other
    $0
    Deferred
    $15,250
    Nontaxable benefits
    $18,618
    Filer's total
    $520,397

  • Sylvia Getman

    PRESIDENT/CEO (UNTIL 07/21)

    Total calculated
    $100,000
    From this org
    $100,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $100,000
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $100,000

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 $39,761 FROM THIS DEFERRED COMPENSATION PLAN AND $34,400 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF ELIZABETH. WILLIAM SMITH, MD RECEIVED $60,544 FROM THIS DEFERRED COMPENSATION PLAN AND $50,050 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF WILLIAM. $34,800 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF DARCI BEIRAS, MD. THE HOSPITAL ALSO HAD A 457(F) DEFERRED COMPENSATION PLAN FOR IT'S FORMER CEO, SYLVIA GETMAN. IN 2022 SYLVIA RECEIVED $100,000 FROM THIS DEFERRED COMPENSATION PLAN.

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

    Directly controlled by AMC AND TRUDEAU HEALTH SYSTEMS

Provenance

Return type
form_990
Tax year
2022
Filed
6 November 2023
IRS schema version
2022v5.0
Source object
202343159349300214

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