ADIRONDACK MEDICAL CENTER

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1991

Legal Domicile

Principal Officer

WILLIAM CHAPIN

Phone

5188914141

Tax Period

2024-01-01 to 2024-12-31

ADIRONDACK MEDICAL CENTER, founded in 1991, is a major nonprofit in the Health Care sector that reported $152.0M in total revenue in fiscal year 2024.

Mission

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

Program Service Accomplishments

Program 1

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

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).

Program 2

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

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

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $787,616

Program Service Revenue $149,895,648

Investment Income $317,110

Other Revenue $1,034,798

TOTAL REVENUE $152,035,172

Expense Breakdown

Grants Paid $0

Salaries & Benefits $78,381,484

Fundraising Expenses $0

Program Expenses $128,063,540

Other Expenses $70,300,150

TOTAL EXPENSES $148,681,634

Year-over-Year Comparison

	2024	2023	Change
Revenue	$152,035,172	$144,974,062	+0.0%
Expenses	$148,681,634	$143,652,270	+0.0%
Net Income	$3,353,538	$1,321,792	+1.5%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

1018

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$619,338

Total Directors

$459,182

Key Employees

$1,168,571

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
AARON KRAMER	PRESIDENT/CEO	40.00	Officer Director	$392,193	$15,189	$407,382
GLENN KEET	TRUSTEE	4.00	Director	$0	$0	$0
CRAIG SHELDON	SECRETARY/TREASURER	4.00	Officer Director	$0	$0	$0
ERNEST STRETTON PHD	TRUSTEE	3.00	Director	$0	$0	$0
MICHAEL BETTMANN MD	VICE CHAIR	3.00	Officer Director	$0	$0	$0
JANET BLISS	TRUSTEE	3.00	Director	$0	$0	$0
ELIZABETH BUCK MD	TRUSTEE	3.00	Director	$0	$16,800	$16,800
VIRGINIA GINNY VALKENBURGH	TRUSTEE	3.00	Director	$0	$0	$0
ROSS WHALEY RESIGNED MID-YEAR	TRUSTEE	0.00	Director	$0	$0	$0
TIM REILLY	CHAIR	3.00	Officer Director	$0	$0	$0
HARRIS SEMEGRAM	TRUSTEE	3.00	Director	$0	$0	$0
WILLIAM SMITH MD	TRUSTEE	3.00	Director	$0	$0	$0
KATHY WOUGHTER	TRUSTEE	3.00	Director	$0	$0	$0
BARTLOMIEJ SZCZECH MD	MEDICAL STAFF PRESIDENT	3.00	Director	$35,000	$0	$35,000
JEANNIE CROSS	TRUSTEE EMERITUS	0.00	Director	$0	$0	$0
ELI SCHWARTZBERG	TRUSTEE	3.00	Director	$0	$0	$0
DAN KELLEHER	TRUSTEE/FOUNDATION CHAIR	3.00	Director	$0	$0	$0
WILLIAM B CHAPIN	CFO	40.00	Officer	$191,555	$20,401	$211,956
DARCI BEIRAS MD	PHYSICIAN	40.00	Key Emp	$294,136	$65,025	$359,161
DAVID MADER	CNO	40.00	Key Emp	$230,932	$22,777	$253,709
DANIEL KILBOURNE-HILL	COO	40.00	Key Emp	$237,866	$34,966	$272,832
IRWIN LIEB MD	CMO	40.00	Key Emp	$261,821	$21,048	$282,869
JONATHAN VB RIDDELL	PHYSICIAN	40.00	Highest	$587,883	$39,084	$626,967
ANTHONY TRAMONTANO	PHYSICIAN	40.00	Highest	$661,708	$38,508	$700,216
CLAUDE ROLAND	PHYSICIAN	36.00	Highest	$596,958	$15,555	$612,513
JAMES W PATE	PHYSICIAN	3.00	Highest	$575,465	$64,986	$640,451
HENRI GABORIAU	PHYSICIAN	40.00	Highest	$462,711	$40,062	$502,773

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2024	$152,035,172	$148,681,634	$106,092,711	$3,353,538
2023	$144,974,062	$143,652,270	$100,860,604	$1,321,792
2022	$119,378,552	$132,131,454	$100,557,905	$-12,752,902
2021	$140,431,762	$137,502,421	$124,890,673	$2,929,341
2020	$130,028,262	$128,350,077	$127,147,339	$1,678,185
2019	$126,147,247	$125,887,386	$110,855,990	$259,861
2018	$124,046,859	$114,194,729	$112,126,203	$9,852,130