irs program accomplishments · form 990 part iii · fy2024
What they reported doing
- #1 primary $92.42MREFERRED AMBULATORY, AMBULATORY SURGERY AND EMERGENCY SERVICES IN SARANAC LAKE, LAKE PLACID, TUPPER LAKE, ST. REGIS FALLS AND KEENE.
named programs · 5 · from sources
What they call their work
Acute Care Services
Provides inpatient hospitalization and emergency services at Adirondack Medical Center in Saranac Lake
Electronic Medical Records Access
Enables patients to access their health records through the My Health Record NY and Healow patient portals
Emergency Services
Operates emergency departments in Saranac Lake, Lake Placid, and Tupper Lake for urgent medical care
Outpatient Services
Delivers ambulatory care including surgery, endoscopy, lab work, and specialist visits across multiple locations
Skilled Nursing Services
Offers post-acute and long-term care for patients requiring medical supervision and rehabilitation
activities · 8 groups
What they do
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Advanced Surgical and Cardiac Care 3 activities
- Delivers primary and specialty healthcare through board-certified medical staffProvides interdisciplinary healthcare services via a medical staff board certified in 25 specialties, including family medicine, pediatrics, cardiology, oncology, gastroenterology, and gynecology.
- Operates a long-standing bariatric surgery program recognized as a Center of ExcellenceRuns a bariatric surgery program designated as a Center of Excellence for 25 years, offering services including bariatric surgery, endoscopy, reflux treatment, and related surgical care.
- Provides inpatient and outpatient medical and surgical careOffers comprehensive inpatient and outpatient services across a range of specialties, including general surgery, orthopedics, cardiology, oncology, and obstetrics/gynecology. Services include hospitalist care for inpatients and surgical procedures such as bariatric, colorectal, thoracic, and reflux surgery.
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Outpatient and Emergency Care Services 1 activity
- Delivers emergency and ambulatory care services across multiple locationsProvides 24/7 emergency care, ambulatory services, and ambulatory surgery at facilities in Saranac Lake, Lake Placid, Tupper Lake, St. Regis Falls, and Keene. The emergency department is staffed by emergency physicians, physician assistants, and nurses, offering continuous emergency medical care.
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Financial Assistance Policy Implementation 1 activity
- Ensures transparent healthcare pricing and cost estimation toolsComplies with federal requirements by publishing clear, accessible pricing information for all services, including a machine-readable price list and a patient liability estimator tool. Also offers an uninsured discount policy to help reduce out-of-pocket costs.
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Healthcare Compliance and Ethics Programs 1 activity
- Maintains compliance and ethics reporting systemsOperates a confidential compliance hotline, email, and direct contact with the corporate compliance officer to report violations of laws, regulations, or organizational policies. All reports are investigated promptly, and protections are in place against retaliation for good faith reporting.
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Patient Portal and Digital Health Access 1 activity
- Manages secure electronic health information and patient recordsUses an Electronic Medical Record (EMR) system to enable secure, system-wide access to patient health information across Adirondack Medical Center, regional health centers, and specialty clinics. Patients can access their inpatient and outpatient records online, including lab results, medication lists, allergies, and discharge instructions.
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Community Blood Pressure Screening and Hypertension Education 1 activity
- Offers patient education and community health programsProvides free educational classes on cardiac disease, prenatal care, smoking cessation, CPR, and diabetes management. Also hosts annual blood drives and flu vaccination clinics to support community health.
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Sliding Fee Scale Healthcare 1 activity
- Provides financial assistance and billing support for patientsOffers financial aid to uninsured and underinsured patients based on income, interest-free payment plans, and assistance with enrollment in low-cost or free health insurance programs. Also provides billing counseling and multiple tools for managing and paying medical bills, including online portals and account summaries.
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Healthcare Workforce Training & Career Pathways 1 activity
- Supports healthcare workforce development through student trainingProvides hands-on healthcare experience to students from local high schools and colleges through hospital-based training opportunities, contributing to local workforce development.
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financials · form 990 · fy2024
revenue
Total revenue$152.04M
Contributions & grants$788K1%
Program service revenue$149.90M99%
Investment income$317K0%
Other revenue$1.03M
expenses
Total expenses$148.68M
Program expenses83%
Admin / overhead17%
Fundraising0%
Salaries & benefits$78.38M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$106.09M
Cash$6.20M
Investments$12.44M
Liabilities$52.00M
Net assets$54.10M
Liquid reserves1.5 mo
3 years on record · 2020–2024 · YoY revenue +4.9%
leadership · form 990 part vii · fy2024
Who runs it
paid leadership · 13
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| ANTHONY TRAMONTANO | PHYSICIAN | 40 | $700K |
| JAMES W PATE | PHYSICIAN | 3 | $640K |
| JONATHAN VB RIDDELL | PHYSICIAN | 40 | $627K |
| CLAUDE ROLAND | PHYSICIAN | 36 | $613K |
| HENRI GABORIAU | PHYSICIAN | 40 | $503K |
| AARON KRAMER | PRESIDENT/CEO | 40 | $407K |
| DARCI BEIRAS MD | PHYSICIAN | 40 | $359K |
| IRWIN LIEB MD | CMO | 40 | $283K |
| DANIEL KILBOURNE-HILL | COO | 40 | $273K |
| DAVID MADER | CNO | 40 | $254K |
| WILLIAM B CHAPIN | CFO | 40 | $212K |
| BARTLOMIEJ SZCZECH MD | MEDICAL STAFF PRESIDENT | 3 | $35K |
| ELIZABETH BUCK MD | TRUSTEE | 3 | $17K |
board members · 12
- CRAIG SHELDON — SECRETARY/TREASURER
- DAN KELLEHER — TRUSTEE/FOUNDATION CHAIR
- ELI SCHWARTZBERG — TRUSTEE
- ERNEST STRETTON PHD — TRUSTEE
- GLENN KEET — TRUSTEE
- HARRIS SEMEGRAM — TRUSTEE
- JANET BLISS — TRUSTEE
- JEANNIE CROSS — TRUSTEE EMERITUS
- KATHY WOUGHTER — TRUSTEE
- MICHAEL BETTMANN MD — VICE CHAIR
- ROSS WHALEY RESIGNED MID-YEAR — TRUSTEE
- TIM REILLY — CHAIR
relationships · 13
Who they work with
- Adirondack Health Network — Adirondack Medical Center - Saranac Lake is part of the Adirondack Health system, which administers the facility.
- Centers for Medicare and Medicaid Services Government — Complies with CMS price transparency requirements and aligns reporting with federal regulations.
- Centers for Medicare and Medicaid Services Government — Source of pricing and reimbursement data used in hospital billing and transparency reporting.
- Healow Partner — Technology partner providing the health records and appointment request app.
- Health Data NY Government — Platform of the New York State Department of Health used to access hospital cost transparency data.
- Healthcare Information Exchange of New York (Hixny) Partner — Collaborates with Hixny to enable real-time electronic sharing of patient health information across providers in a 28-county region.
- High Peaks Hospice Partner — Partnership with Adirondack Health to support community health initiatives.
- Mercy Care for the Adirondacks Partner — Partnership with Adirondack Health to support community health initiatives.
- National Council on Aging Partner — Partner organization providing access to BenefitsCheckUp.org, a service that helps older adults identify assistance programs for medications, utilities, housing, and food.
- North Country Life Flight Partner — Partnership with Adirondack Health to support community health initiatives.
- St. Joseph's Addiction and Rehabilitation Center Partner — Partnership with Adirondack Health to support community health initiatives.
- Trudeau Institute Partner — Research and clinical care partnership to improve community health
- U.S. Olympic Training Center Partner — Adirondack Health is an official healthcare provider for the Lake Placid Olympic Training Center.
strategies · 4
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- Community Health Education for Preventionmethodology: community_health_educationBy addressing specific community health needs through targeted education, the organization improves healthcare access and prevents illness, because localized health literacy empowers residents to seek timely care and adopt preventive behaviors.
- Financial Assistance as Access Strategymethodology: care-accessibilityBy providing financial assistance and flexible payment options to uninsured and low-income patients, the organization ensures access to care regardless of ability to pay, because removing financial barriers increases utilization and equity in service delivery.
- Integrated Research-Clinical Modelmethodology: research-clinical integrationBy collaborating with research institutions to integrate scientific discovery into clinical care, the organization improves treatment quality and innovation, because translating research findings into practice enhances evidence-based decision-making and patient outcomes.
- Interdisciplinary Care Modelmethodology: interdisciplinary_careBy coordinating care across medical specialties and settings through an interdisciplinary team approach, the organization delivers more timely and accessible healthcare, because integrated professional collaboration reduces delays and improves patient outcomes.