Adirondack Medical Center is a 501(c)(3) organization based in Saranac Lake, New York, registered in 1992, with $152,035,172 in FY2024 revenue. CharityIndex grades it A, and it directs about 83% of spending to programs.
Revenue (FY2024)
$152.0M
▲ 4.9% vs prior year
Health median: $840K
Expenses (FY2024)
$148.7M
Net assets
$54.1M
Employees
1,018
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Adirondack Medical Center: 83% to programs · $0 to raise $100 earns a A on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Adirondack Medical Center: 4 mo reserves · +2% margin earns a A on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Adirondack Medical Center: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Adirondack Medical Center: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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The medical center provides acute, skilled nursing and outpatient services to residents of the local geographic region.
Referred ambulatory, ambulatory surgery and emergency services in saranac lake, lake placid, tupper lake, st. regis falls and keene.
Miscellaneous program service revenue derived from support of adirondack medical center, including: dietary revenue, rebates and refunds, purchase discounts and other revenue.
Revenue grew from $101.3M (FY2013) to $152.0M (FY2024) across 12 reported years.
Financial snapshot
Operating margin
2.2%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$106.1M
Total liabilities
$52.0M
Net assets
$54.1M
Salaries & benefits
$78.4M
53% of expenses
Board members
14
11 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $152,035,172▲4.9% | $148,681,634▲3.5% | $54,097,357▲7.4% | $106,092,711▲5.2% | 990 |
| 2023 | $144,974,062▲21.4% | $143,652,270▲8.7% | $50,391,155▲3.7% | $100,860,604▲0.3% | 990 |
| 2022 | $119,378,552▼15.0% | $132,131,454▼3.9% | $48,611,569▼22.7% | $100,557,905▼19.5% | 990 |
| 2021 | $140,431,762▲8.0% | $137,502,421▲7.1% | $62,900,577▲6.0% | $124,890,673▼1.8% | 990 |
| 2020 | $130,028,262▲3.1% | $128,350,077▲2.0% | $59,357,539▲3.7% | $127,147,339▲14.7% | 990 |
| 2019 | $126,147,247▲1.7% | $125,887,386▲10.2% | $57,234,004▲2.6% | $110,855,990▼1.1% | 990 |
| 2018 | $124,046,859▲14.2% | $114,194,729▲7.5% | $55,776,041▲13.2% | $112,126,203▲7.8% | 990 |
| 2017 | $108,632,369▲4.3% | $106,207,071▲1.7% | $49,270,391▲9.9% | $104,036,922▲24.8% | 990 |
| 2016 | $104,108,017▼2.0% | $104,406,968▲3.5% | $44,832,165▲0.5% | $83,373,282▲18.9% | 990 |
| 2015 | $106,194,381▲6.4% | $100,853,817▲1.6% | $44,621,085▲12.8% | $70,141,172▲4.6% | 990 |
| 2014 | $99,783,034▼1.5% | $99,220,327▼0.7% | $39,571,572▲1.5% | $67,040,883▼3.9% | 990 |
| 2013 | $101,334,350 | $99,945,817▼4.3% | $38,987,948▲4.1% | $69,732,137▲2.7% | 990 |
| 2012 | — | $104,477,204▲1.2% | $37,463,518▼6.6% | $67,870,297▲1.8% | 990 |
| 2011 | — | $103,267,411▲10.9% | $40,089,900▼0.3% | $66,671,140▲0.3% | 990 |
| 2010 | — | $93,132,275 | $40,220,068 | $66,473,797 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Anthony Tramontano — $661,708 (0.45% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Anthony Tramontano | Physician | 40 | $661,708 |
| Claude Roland | Physician | 36 | $596,958 |
| Jonathan Vb Riddell | Physician | 40 | $587,883 |
| James W Pate | Physician | 3 | $575,465 |
| Henri Gaboriau | Physician | 40 | $462,711 |
| Aaron Kramer | President/ceo | 40 | $392,193 |
| Darci Beiras Md | Physician | 40 | $294,136 |
| Irwin Lieb Md | Cmo | 40 | $261,821 |
| Daniel Kilbourne-hill | Coo | 40 | $237,866 |
| David Mader | Cno | 40 | $230,932 |
| William B Chapin | Cfo | 40 | $191,555 |
| Bartlomiej Szczech Md | Medical Staff President | 3 | $35,000 |
| Craig Sheldon | Secretary/treasurer | 4 | — |
| Dan Kelleher | Trustee/foundation Chair | 3 | — |
| Eli Schwartzberg | Trustee | 3 | — |
| Elizabeth Buck Md | Trustee | 3 | — |
| Ernest Stretton Phd | Trustee | 3 | — |
| Glenn Keet | Trustee | 4 | — |
| Harris Semegram | Trustee | 3 | — |
| Janet Bliss | Trustee | 3 | — |
| Contractor | Services | Paid |
|---|---|---|
| Lake Placid Sports Medicine Pllc | Orthopaedic Services | $4,356,857 |
| Premier Anesthesia On New Yorkpc | Anesthesia Services | $3,050,542 |
| Ahsa LLC | Contracted Labor | $1,616,621 |
| Adirondack Gastrointestinal and Colorect | Gastroenterology Services | $1,472,895 |
| Weatherby Locumsinc V060987 | Contracted Labor | $986,628 |
6 grants to Adirondack Medical Center totaling $116K, reported by foundations on their Schedule I filings.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Fidelity Investments Charitable Gift Fund | For grant recipient's exempt purposes | 2022 | $10,000 |
| Mvp Health Plan Inc | Grant funding for mobile covid 19 testing support | 2021 | $15,000 |
| Capital District Physicians Health Plan Inc | Ppe, food, housing and emergency aid assistance | 2020 | $35,000 |
| Capital District Physicians Health Plan Inc | Ppe, food, housing and emergency aid assistance | 2020 | $25,000 |
| Mvp Health Plan Inc | Program support | 2018 | $25,000 |
| Donor Advised Charitable Giving | Health & human services | 2016 | $5,500 |
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Data for Adirondack Medical Center (EIN 14-1731786) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.