ADIRONDACK MEDICAL CENTER (EIN 141731786) - Form 990 Financial Analysis & Trantor Score

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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

2023-01-01 to 2023-12-31

ADIRONDACK MEDICAL CENTER, founded in 1991, is a major nonprofit in the Health Care sector that reported $145.0M in total revenue in fiscal year 2023. Revenue surged 21% from the prior year, signaling strong growth momentum.

Mission

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

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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 (2023)

Revenue Breakdown

Contributions & Grants $4,878,689

Program Service Revenue $139,216,182

Investment Income $155,820

Other Revenue $723,371

TOTAL REVENUE $144,974,062

Expense Breakdown

Grants Paid $0

Salaries & Benefits $73,614,048

Fundraising Expenses $0

Program Expenses $122,706,801

Other Expenses $70,038,222

TOTAL EXPENSES $143,652,270

Year-over-Year Comparison

	2023	2022	Change
Revenue	$144,974,062	$119,378,552	+0.2%
Expenses	$143,652,270	$132,131,454	+0.1%
Net Income	$1,321,792	$-12,752,902	-1.1%

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

1087

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

$635,112

Total Directors

$541,253

Key Employees

$1,147,610

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
AARON KRAMER	PRESIDENT/CEO	40.00	Officer Director	$337,058	$14,730	$351,788
SUSAN DELEHANTY	CHAIR	4.00	Officer Director	$0	$0	$0
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	TRUSTEE	3.00	Director	$0	$0	$0
JANET BLISS	TRUSTEE	3.00	Director	$0	$0	$0
REBECCA LEAHY	TRUSTEE	3.00	Director	$0	$0	$0
ELIZABETH BUCK MD	TRUSTEE	3.00	Director	$33,014	$26,000	$59,014
JON PLEHN MD	TRUSTEE	3.00	Director	$0	$0	$0
RANDY QUAYLE PHD	TRUSTEE	3.00	Director	$0	$0	$0
TIM REILLY CPA	VICE CHAIR	3.00	Officer Director	$0	$0	$0
HARRIS SEMEGRAM	TRUSTEE	3.00	Director	$0	$0	$0
WILLIAM SMITH MD	TRUSTEE	3.00	Director	$128,251	$2,200	$130,451
KATHY WOUGHTER	TRUSTEE	3.00	Director	$0	$0	$0
BARTLOMIEJ SZCZECH MD	MEDICAL STAFF PRESIDENT	3.00	Director	$0	$0	$0
JEANNIE CROSS	EX-OFFICIO, TRUSTEE EMERITUS	0.00	Director	$0	$0	$0
DAN KELLEHER	EX-OFFICIO CHAIR, AH FOUND	3.00	Director	$0	$0	$0
ROBERT LABA	CFO	40.00	Officer	$226,704	$9,889	$236,593
WILLIAM CHAPIN	CFO	0.00	Officer	$0	$0	$0
WILLIS GRANT	INTERIM CFO	40.00	Officer	$46,731	$0	$46,731
DARCI BEIRAS MD	PHYSICIAN	40.00	Key Emp	$309,156	$66,375	$375,531
DAVID MADER	CNO	40.00	Key Emp	$195,246	$20,746	$215,992
DANIEL KILBOURNE-HILL	COO	40.00	Key Emp	$190,438	$28,951	$219,389
IRWIN LIEB MD	CMO	40.00	Key Emp	$313,431	$23,267	$336,698
AMY CORLISS	PHYSICIAN	40.00	Highest	$473,259	$32,134	$505,393
ANTHONY TRAMONTANO	PHYSICIAN	40.00	Highest	$635,804	$32,131	$667,935
CLAUDE ROLAND	PHYSICIAN	36.00	Highest	$549,213	$15,997	$565,210
JOHN ESPER	PHYSICIAN	45.00	Highest	$486,681	$37,165	$523,846
HENRI GABORIAU	PHYSICIAN	40.00	Highest	$458,760	$32,984	$491,744

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
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

ADIRONDACK MEDICAL CENTER