ADIRONDACK MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ADIRONDACK MEDICAL CENTER (EIN 14-1731786)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202243149349302609
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-10T09:49:35-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141731786 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADIRONDACK MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ADIR | BusinessNameControlTxt |
| Phone | 5188914141 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 471 2233 STATE ROUTE 86 | AddressLine1Txt |
| City | SARANAC LAKE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12983 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT LABA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5188914141 | PhoneNum |
| Signature | 2022-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ROBERT | PersonFirstNm |
| Person Last | LABA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLY A REDMOND | PreparerPersonNm |
| PTIN | P00443718 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2022-11-04 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT LABA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 471 2233 STATE ROUTE 86 | AddressLine1Txt |
| City | SARANAC LAKE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12983 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $142,957,068 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ADIRONDACKHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE MEDICAL CENTER PROVIDES ACUTE, SKILLED NURSING AND OUTPATIENT SERVICES TO RESIDENTS OF THE LOCAL GEOGRAPHIC REGION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1083 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,626,162 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,255,708 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $116,471,195 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $132,342,061 | CYProgramServiceRevenueAmt |
| PY Investment Income | $242,635 | PYInvestmentIncomeAmt |
| CY Investment Income | $465,991 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,688,270 | PYOtherRevenueAmt |
| CY Other Revenue | $2,368,002 | CYOtherRevenueAmt |
| PY Total Revenue | $130,028,262 | PYTotalRevenueAmt |
| CY Total Revenue | $140,431,762 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $69,299,221 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $72,995,370 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $59,050,856 | PYOtherExpensesAmt |
| CY Other Expenses | $64,507,051 | CYOtherExpensesAmt |
| PY Total Expenses | $128,350,077 | PYTotalExpensesAmt |
| CY Total Expenses | $137,502,421 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,678,185 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,929,341 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $127,147,339 | TotalAssetsBOYAmt |
| Total Assets EOY | $124,890,673 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $67,789,800 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $61,990,096 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $59,357,539 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $62,900,577 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MEDICAL CENTER PROVIDES ACUTE, SKILLED NURSING AND OUTPATIENT SERVICES TO RESIDENTS OF THE LOCAL GEOGRAPHICAL AREA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $32,389,633 | ExpenseAmt |
| Revenue | $35,503,387 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $88,345,628 | ExpenseAmt |
| Revenue | $96,838,673 | RevenueAmt |
| Desc | REFERRED AMBULATORY, AMBULATORY SURGERY AND EMERGENCY SERVICES IN SARANAC LAKE, LAKE PLACID, TUPPER LAKE, ST. REGIS FALLS AND KEENE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $1,846,547 | RevenueAmt |
| Desc | MISCELLANEOUS PROGRAM SERVICE REVENUE DERIVED FROM SUPPORT OF ADIRONDACK MEDICAL CENTER, INCLUDING: DIETARY REVENUE, REBATES AND REFUNDS, PURCHASE DISCOUNTS AND OTHER REVENUE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $1,846,547 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $120,735,261 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 285 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1083 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT LABA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5188914141 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 471 2233 STATE ROUTE 86 | AddressLine1Txt |
| City | SARANAC LAKE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12983 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SUSAN DELEHANTY | ||||||||
| CHAIR | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GLENN KEET | ||||||||
| VICE CHAIR | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CRAIG SHELDON | ||||||||
| SECRETARY/TREASURER | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| ERNEST STRETTON PHD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL BETTMANN MD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JANET BLISS | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| REBECCA LEAHY | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA MONROE MD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $31,298 | $0 | $30,800 | |||
| JON PLEHN MD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| RANDY QUAYLE PHD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| TIM REILLY CPA | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| HARRIS SEMEGRAM | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM SMITH MD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $67,293 | $0 | $49,500 | |||
| KATHY WOUGHTER | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| WAGUIH KIROLLOS MD | ||||||||
| EX-OFFICIO MED STAFF PRES | 3.00 | Yes (X) | $16,664 | $0 | $0 | |||
| DAN KELLEHER | ||||||||
| EX-OFFICIO CHAIR, AH FOUND | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| SYLVIA GETMAN | ||||||||
| PRESIDENT/CEO (UNTIL 07/02/2021) | 40.00 | Yes (X) | $313,845 | $0 | $68,673 | |||
| AARON KRAMER | ||||||||
| CEO/PRESIDENT | 40.00 | Yes (X) | $270,805 | $0 | $11,118 | |||
| ROBERT LABA | ||||||||
| CFO | 40.00 | Yes (X) | $208,668 | $0 | $10,088 | |||
| DARCI BEIRAS | ||||||||
| CMO | 40.00 | $401,942 | $0 | $60,507 | Yes (X) | |||
| DAVID MADER | ||||||||
| CNO | 40.00 | $185,372 | $0 | $25,613 | Yes (X) | |||
| ANTHONY TRAMONTANO | ||||||||
| PHYSICIAN | 40.00 | $571,480 | $0 | $27,928 | Yes (X) | |||
| ERIC PILLEMER | ||||||||
| PHYSICIAN | 28.00 | $534,539 | $0 | $22,324 | Yes (X) | |||
| CLAUDE ROLAND | ||||||||
| PHYSICIAN | 26.00 | $545,099 | $0 | $1,048 | Yes (X) | |||
| HENRI GABORIAU | ||||||||
| PHYSICIAN | 40.00 | $459,222 | $0 | $23,690 | Yes (X) | |||
| JOHN ESPER | ||||||||
| PHYSICIAN | 40.00 | $452,550 | $0 | $32,659 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,058,777 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $363,948 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 124 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PREMIER ANESTHESIA ON NEW YORKPC | |||||
| 2655 NORTHWINDS PARKWAY | ALPHARETTA | GA | 30368 | ANESTHESIA SERVICES | $2,180,618 |
| ADIRONDACK GASTROINTESTINAL AND COLORECT | |||||
| 2249 NY-86 2 | SARANAC LAKE | NY | 12983 | GASTROENTEROLOGY SERVICES | $1,822,234 |
| AHSA LLC | |||||
| 10126 E CHERRY BEND RD | TRAVERSE CITY | MI | 49684 | CONTRACTED LABOR | $1,661,947 |
| LABORATORY CORPORATION OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | LAB SERVICES | $827,436 |
| CARDINAL HEALTH PHARMACY SERVICES | |||||
| 13651 DUBLIN CT | STAFFORD | TX | 77477 | PHARMACY MANAGEMENT SERVICES | $535,162 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,167,384 | RelatedOrganizationsAmt |
| Government Grants | $2,819,938 | GovernmentGrantsAmt |
| All Other Contributions | $268,386 | AllOtherContributionsAmt |
| Total Contributions | $5,255,708 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $132,342,061 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $132,342,061 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $132,342,061 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,830 | TotalRevenueColumnAmt |
| Exclusion | $29,830 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $521,456 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $521,456 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $521,456 | TotalRevenueColumnAmt |
| Exclusion | $521,456 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,947,507 | SecuritiesAmt |
| Other | $13,960 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,524,764 | SecuritiesAmt |
| Other | $542 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $422,743 | SecuritiesAmt |
| Other | $13,418 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $436,161 | TotalRevenueColumnAmt |
| Exclusion | $436,161 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 340B CONTRACT PHARMACIES | 900099 | $1,001,111 | $1,001,111 |
| DIETARY REVENUE | 900099 | $435,179 | $435,179 |
| REBATES & REFUNDS | 900099 | $170,415 | $170,415 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $239,841 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $239,841 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,846,546 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $140,431,762 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $134,188,607 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $987,447 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,668,932 | TotalAmt |
| Program Services | $705,435 | ProgramServicesAmt |
| Management And General | $963,497 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,942,599 | TotalAmt |
| Program Services | $51,400,790 | ProgramServicesAmt |
| Management And General | $7,541,809 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,602,597 | TotalAmt |
| Program Services | $1,441,937 | ProgramServicesAmt |
| Management And General | $160,660 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,565,298 | TotalAmt |
| Program Services | $5,653,980 | ProgramServicesAmt |
| Management And General | $911,318 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,215,944 | TotalAmt |
| Program Services | $3,628,889 | ProgramServicesAmt |
| Management And General | $587,055 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,371 | TotalAmt |
| Management And General | $272,371 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,961 | TotalAmt |
| Management And General | $128,961 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,773 | TotalAmt |
| Management And General | $20,773 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,444 | TotalAmt |
| Management And General | $33,444 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,184,149 | TotalAmt |
| Program Services | $14,357,341 | ProgramServicesAmt |
| Management And General | $3,826,808 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,522 | TotalAmt |
| Program Services | $166,443 | ProgramServicesAmt |
| Management And General | $3,079 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,232,000 | TotalAmt |
| Program Services | $789,453 | ProgramServicesAmt |
| Management And General | $442,547 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,530,104 | TotalAmt |
| Program Services | $1,395,950 | ProgramServicesAmt |
| Management And General | $134,154 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,424 | TotalAmt |
| Program Services | $97,039 | ProgramServicesAmt |
| Management And General | $15,385 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $851,869 | TotalAmt |
| Program Services | $851,869 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,510,701 | TotalAmt |
| Program Services | $5,510,701 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,048,758 | TotalAmt |
| Program Services | $1,048,758 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $22,823,774 | $22,818,524 | $5,250 |
| BAD DEBT | $6,763,854 | $6,763,854 | |
| MINOR EQUIPMENT | $930,969 | $325,890 | $605,079 |
| FOOD COSTS | $727,972 | $727,972 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,165,406 | TotalAmt |
| Program Services | $3,050,436 | ProgramServicesAmt |
| Management And General | $1,114,970 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,502,421 | TotalAmt |
| Program Services | $120,735,261 | ProgramServicesAmt |
| Management And General | $16,767,160 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,415,428 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,856,576 | BOYAmt |
| EOY | $17,395,664 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,858,970 | BOYAmt |
| EOY | $17,648,690 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,920,842 | BOYAmt |
| EOY | $3,273,923 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,594,575 | BOYAmt |
| EOY | $5,127,794 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $156,595,406 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $91,842,007 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,206,719 | BOYAmt |
| EOY | $64,753,399 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,225,853 | BOYAmt |
| EOY | $8,125,683 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,483,804 | BOYAmt |
| EOY | $5,150,092 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,147,339 | BOYAmt |
| EOY | $124,890,673 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,821,626 | BOYAmt |
| EOY | $20,107,960 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,506,846 | BOYAmt |
| EOY | $2,092,508 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,647,998 | BOYAmt |
| EOY | $27,059,638 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,172,000 | BOYAmt |
| EOY | $1,172,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,641,330 | BOYAmt |
| EOY | $11,557,990 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,789,800 | BOYAmt |
| EOY | $61,990,096 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,256,374 | BOYAmt |
| EOY | $61,911,529 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,101,165 | BOYAmt |
| EOY | $989,048 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,357,539 | BOYAmt |
| EOY | $62,900,577 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,147,339 | BOYAmt |
| EOY | $124,890,673 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,929,341 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $613,697 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $20,773 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $20,773 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT REFLECTED ON PART II-B, LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID TO HEALTH CARE ASSOCIATION OF NYS (HANYS), IROQUOIS HEALTHCARE, AMERICAN HOSPITAL ASSOCIATION (AHA), NATIONAL RURAL HEALTH ASSOCIATION (NRHA) AND LEADING AGE ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $988,665 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $383 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $989,048 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $988,287 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $378 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $988,665 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $987,886 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $401 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $988,287 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $993,598 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,390 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $8,102 | OtherExpendituresAmt |
| End Year Balance | $987,886 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $990,849 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,798 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,049 | OtherExpendituresAmt |
| End Year Balance | $993,598 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.94540 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.05460 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $285,879 | OtherCostOrOtherBasisAmt |
| Book Value | $285,879 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $94,308,413 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,572,980 | DepreciationAmt |
| Book Value | $53,735,433 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,128,753 | OtherCostOrOtherBasisAmt |
| Depreciation | $50,130,320 | DepreciationAmt |
| Book Value | $8,998,433 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,872,361 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,138,707 | DepreciationAmt |
| Book Value | $1,733,654 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $64,753,399 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| DEBT-CURRENT | $1,775,056 |
| RESIDENT FUNDS LIABILITY | $78,596 |
| ASSET RETIREMENT AND OTHER LT | $780,572 |
| ESTIMATED THIRD PARTY LIABILITY | $37,298 |
| CMS CONTRACT LIABILITY | $7,434,390 |
| CAPITAL LEASE PAYABLE | $1,452,078 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,557,990 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE SYSTEM'S ENDOWMENTS CONSIST OF FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. ITS ENDOWMENTS INCLUDE DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS AN ENDOWMENT. AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. TEMPORARILY RESTRICTED FUNDS ARE AVAILABLE FOR NURSING EDUCATION & OTHER PROGRAMS. PERMANENTLY RESTRICTED FUNDS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE FOR VARIOUS HEALTHCARE SERVICES. |
| PART X, LINE 2: | ADIRONDACK HEALTH (PREVIOUSLY DEFINED AS THE COLLECTIVE ENTITY) QUALIFIES AS NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ADIRONDACK HEALTH AND THE FOUNDATION HAVE BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE (IRS) AS ENTITIES THAT ARE NOT PRIVATE FOUNDATIONS. AS OF DECEMBER 31, 2021 AND 2020, ADIRONDACK HEALTH DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR LIABILITIES OR ANY RELATED ACCRUED INTEREST OR PENALTIES. ADIRONDACK HEALTH DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES WILL CHANGE IN THE NEXT TWELVE MONTHS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL STATE TAXING AUTHORITIES ARE 2018 THROUGH 2021. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,691 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $74,946 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,499,398 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,861,034 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,638,364 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08140 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,577,035 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,863,725 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,713,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08200 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $366,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $366,472 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,375,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,252,751 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,122,434 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01620 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,741,657 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,252,751 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,488,906 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01900 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,318,692 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,116,476 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,202,216 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,978,949 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,423,115 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $33,779,676 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $37,276,668 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,496,992 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd | Emergency Room OtherEmergencyRoomOtherInd |
|---|---|---|---|---|---|---|---|---|---|
| ADIRONDACK MEDICAL CENTER | |||||||||
| 1 | 2233 STATE ROUTE 86-PO BOX 471 | SARANAC LAKE | NY | 12983 | Yes (X) | Yes (X) | 95 ACUTE BEDS; NURSING HOME WITH 60 BEDS; NURSING HOME WITH 157 BEDS | A | |
| ADIRONDACK MEDICAL CENTER-LAKE PLACID | |||||||||
| 2 | 203 OLD MILITARY ROAD | LAKE PLACID | NY | 12946 | Yes (X) | OUTPATIENT SERIVCES, EMERGENCY ROOM | A | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY REPORTING GROUP - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.ADIRONDACKHEALTH.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | AHIHEALTH.ORG | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.ADIRONDACKHEALTH.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.ADIRONDACKHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.ADIRONDACKHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.ADIRONDACKHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | 0 | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: ADIRONDACK MEDICAL CENTER, - FACILITY 2: ADIRONDACK MEDICAL CENTER-LAKE PLACID |
| GROUP A-FACILITY 1 -- ADIRONDACK MEDICAL CENTER PART V, SECTION B, LINE 5: | ADIRONDACK MEDICAL CENTER AND OUR COLLABORATING PARTNERS, COUNTY PUBLIC HEALTH DEPARTMENTS AND REGIONAL HOSPITALS, WORKED THROUGH THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) TO CONDUCT A SURVEY THAT GAVE US INPUT FROM STAKEHOLDERS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY WE SERVE. THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) REGION INCLUDES CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN AND WASHINGTON COUNTIES. THERE ARE HEALTH PROFESSIONAL SHORTAGE AREAS WITHIN THE COUNTY, RESULTING IN SIGNIFICANT DISPARITIES IN ACCESS TO CARE AND THE POPULATION WITH LOW-INCOME AND LOW ACCESS TO SUPERMARKETS IS SIGNIFICANTLY HIGHER THAN THE ARHN REGION AND UPSTATE NEW YORK. THE WELL-BEING OF THE COMMUNUNITY IS REFLECTED THROUGH A WIDE ARRAY OF FACTORS, INCLUDING ACCESS TO MEDICAL SERVICES, INDIVIDUAL BEHAVIORS, SOCIO-DEMOGRAPHIC CHARACTERSTICS AND THE ENVIRONMENT IN WHICH ONE LIVES. ARHN ENGAGED THE CENTER FOR HEALTH WORKFORCE STUDIES (CHWS) AT THE UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH FOR QUANTITATIVE AND QUALITATIVE DATA COLLECTION.THE SURVEY IS CREATED WITH SUPPORT FROM NYS DOH AND HEALTH RESOURCES AND SERVICES ADMINISTRATION. THE SURVEY WAS ADMINISTERED ELECTRONICALLY USING A WEB-BASED SURVEY PROGRAM AND DISTRIBUTED TO A REGIONAL EMAIL CONTACT LIST OF 807 COMMUNITY STAKEHOLDERS. ULTIMATELY, 409 SURVEYS WERE COMPLETED DURING THE SIX-WEEK SURVEY PERIOD, A RESPONSE RATE OF 50 PERCENT. COMMUNITY STAKEHOLDERS WERE ASKED TO INDICATE ONE SECTOR THAT BEST DESCRIBED THEIR ORGANIZATION. OF THE 160 ORGANIZATIONS THAT RESPONDED, REPORTED PROVIDING A VARIETY OF SERVICES INCLUDING EDUCATION, HEALTH CARE, SOCIAL SERVICES, PUBLIC HEALTH, AND HEALTH BASED COMMUNITY BASED ORGANIZATIONS, AMONG MANY OTHERS. BELOW, TABLE A.1 SHOWS THE PRIMARY FUNCTIONS SELECTED BY RESPONDENTS. HEALTH CARE AND EDUCATIONAL AGENCIES ARE WELL REPRESENTED, AND THE MAJORITY PROVIDES SERVICES TO CHILDREN AND ADOLESCENTS, AS WELL AS PEOPLE LIVING AT OR NEAR THE POVERTY LEVEL.TABLE A.1. PRIMARY FUNCTIONS INDICATED BY SURVEY RESPONDENTS ORGANIZATION PRIMARY FUNCTION / PERCENT OF ALL APPLICANTSNOTE: RESPONDENTS COULD SELECT MORE THAN ONE PRIMARY FUNCTION. BUSINESS: 4CIVIC ASSOCIATION:3COLLEGE/UNIVERSITY:7DISABILITY SERVICES:10EARLY CHILDHOOD: 9ECONOMIC DEVELOPMENT:6EMPLOYMENT/JOB TRAINING:2FAITH-BASED:3FOOD/NUTRITION:10FOUNDATION/PHILANTHROPY:1HEALTHBASED CBO:30HEALTHCARE PROVIDE:53HEALTH INS. PLAN:1HOUSING:7LAW ENFORCEMENT:10LOCAL GOVERNMENT:29MEDIA:2MENTAL, EMOTIONAL, BEHAVIORAL HEALTH PROVIDER:22PUBLIC HEALTH:37RECREATION:3SCHOOL (K-12): 69SENIORS/ELDERS:28SOCIAL SERVICES:50TRANSPORTATION:2TRIBAL GOVERNMENT:1VETERANS:2 |
| GROUP A-FACILITY 1 -- ADIRONDACK MEDICAL CENTER PART V, SECTION B, LINE 6A: | OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH OUR PARTNERS ESSEX COUNTY PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, UVM HEALTH NETWORK-ALICE HYDE MEDICAL CENTER, ELIZABETHTOWN COMMUNITY HOSPITAL, AND ADIRONDACK RURAL HEALTH NETWORK. |
| GROUP A-FACILITY 1 -- ADIRONDACK MEDICAL CENTER PART V, SECTION B, LINE 6B: | SEE QUESTION 6A ABOVE |
| GROUP A-FACILITY 1 -- ADIRONDACK MEDICAL CENTER PART V, SECTION B, LINE 11: | ADIRONDACK HEALTH STRIVES TO MEET AS MANY OF THE HEALTH NEEDS OF OUR COMMUNITY MEMBERS AS POSSIBLE. IN MANY CASES, WE PARTNER WITH APPROPRIATE ORGANIZATIONS AND AGENCIES TO ADDRESS NEEDS THAT ADIRONDACK HEALTH DOES NOT. ON INITIATIVES THAT ARE NOT HOSPITAL-LED, ADIRONDACK HEALTH PARTNERS AND WORKS WITH THE LOCAL HEALTH DEPARTMENTS, SOCIAL SERVICES, BEHAVIORAL HEALTH PROVIDERS, SUBSTANCE ABUSE PREVENTION AND TREATMENT PROVIDERS, HOME CARE, AND MANY OTHERS TO ENSURE THAT THE NEEDS OF OUR COMMUNITY MEMBERS ARE MET.THE FOLLOWING ARE THE NYS PREVENTION AGENDA ITEMS THAT ADIRONDACK HEALTH DOES NOT DIRECTLY ADDRESS IN OUR IMPLEMENTATION STRATEGY:PROMOTE A HEALTHY AND SAFE ENVIRONMENTFOCUS AREA: INJURIES, VIOLENCE AND OCCUPATIONAL HEALTH THE RATE OF CRIME AND ASSAULT ARE LOW IN ADIRONDACK HEALTH'S SERVICE AREA. FALLS IN THE HOME AND OCCUPATIONAL HEALTH ARE ISSUES THAT COMMUNITY PARTNERS ARE BETTER POSITIONED TO ADDRESS.FOCUS AREA: OUTDOOR AIR AND WATER QUALITYTHE AIR AND WATER QUALITY INDICATORS ARE GOOD. DATA INDICATES THAT IT IS ONLY A FEW DAYS EACH YEAR THAT OUTDOOR AIR QUALITY IS POOR, AND THE LIKELY CAUSE OF THIS IS INDUSTRIAL POLLUTION FROM THE MID-WEST CARRIED HERE ON THE JET STREAM. ADIRONDACK HEALTH DOES NOT HAVE A STRATEGY TO DIRECTLY ADDRESS THIS AT THIS TIME, BUT NATIONAL GROUPS HAVE MADE PROGRESS AND ARE STILL WORKING TO IMPROVE OUTPUTS FROM THESE INDUSTRIAL AREAS.FOCUS AREA: BUILT ENVIRONMENT AND FOOD AND CONSUMER PRODUCTSIN OUR SERVICE AREA, MUCH OF THIS WORK IS BEING DONE BY COALITIONS TO WHICH ADIRONDACK HEALTH BELONGS. THE COALITIONS, LED BY PUBLIC HEALTH AND THE NORTH COUNTRY HEALTHY HEART NETWORK, ARE WORKING TOWARD PASSING COMPLETE STREETS POLICIES, IMPROVING PARKS AND OTHER RECREATIONAL AREAS, PASSING TOBACCO FREE GROUNDS POLICIES, IMPROVING ACCESS TO FRESH FRUITS AND VEGETABLES IN STORES AND RESTAURANTS, AND OTHER PROJECTS THAT IMPROVE ACCESS TO HEALTHY FOODS AND IMPROVE THE BUILT ENVIRONMENT SO COMMUNITY MEMBERS OF ALL LEVELS OF MOBILITY CAN FEEL SAFE AS PEDESTRIANS AND USING ALTERNATIVE FORMS OF TRANSPORTATION.PREVENT COMMUNICABLE DISEASESFOCUS AREA: HIV/STD'S, VACCINES-PREVENTABLE DISEASE, AND HEALTH CARE-ASSOCIATED INFECTIONS: THE IMMUNIZATION RATE FOR CHILDREN AGES 19 TO 35 MONTHS (66.6%) IS LOWER THAN THE PREVENTION AGENDA BENCHMARK (80.0%) AND THE PERCENTAGE OF FEMALES 13 TO 17 WITH THREE DOSE HPV VACCINE (31.1%) IS SIGNIFICANTLY LOWER THAN THE PREVENTION AGENDA BENCHMARK OF 50.0%. THE RATE OF PNEUMONIA/FLU HOSPITALIZATIONS FOR THOSE 65 YEARS OF AGE OR OLDER IS LOWER IN FRANKLIN COUNTY (84.1) THAN IN ARHN REGION (93.3), UPSTATE NEW YORK (93.7), AND THE STATE AS A WHOLE (87.3). THE RATE OF HIV IS EXTREMELY LOW IN ADIRONDACK HEALTH'S SERVICE AREA. ADIRONDACK HEALTH'S PROVIDERS CONTINUE TO WORK WITH PUBLIC HEALTH AND OTHER PROVIDERS TO DELIVER THE HIGHEST LEVEL OF CARE TO PATIENTS WITH HIV.THE FULL 340 PAGE 2019 COMMUNITY HEALTH ASSESSMENT DOCUMENT FOR ADIRONDACK HEALTH IS POSTED ON OUR WEBSITE. THE DOCUMENT INCLUDES OUR 2019-2021 COMMUNITY SERVICE PLAN. THAT DOCUMENT CAN BE FOUND AT: HTTPS://WWW.ADIRONDACKHEALTH.ORG/UPLOADS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| GROUP A-FACILITY 1 -- ADIRONDACK MEDICAL CENTER PART V, SECTION B, LINE 16J: | AN INTERPRETER IS AVAILABLE TO ASSIST LEP POPULATIONS AND STAFF IS AVAILABLE TO HELP PATIENTS FILL OUT DOCUMENTATION AND ANSWER ANY QUESTIONS. |
| GROUP A-FACILITY 1 -- ADIRONDACK MEDICAL CENTER PART V, SECTION B, LINE 20A: | FINANCIAL ASSISTANCE IS NOT OFFERED AT THE SNF FACILITY AND ECAS ARE NOT PERFORMED AT THE HOSPITAL. |
| GROUP A-FACILITY 2 -- ADIRONDACK MEDICAL CENTER - LAKE PLACID PART V, SECTION B, LINE 5: | ADIRONDACK MEDICAL CENTER AND OUR COLLABORATING PARTNERS, COUNTY PUBLIC HEALTH DEPARTMENTS AND REGIONAL HOSPITALS, WORKED THROUGH THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) TO CONDUCT A SURVEY THAT GAVE US INPUT FROM STAKEHOLDERS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY WE SERVE. THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) REGION INCLUDES CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN AND WASHINGTON COUNTIES. THERE ARE HEALTH PROFESSIONAL SHORTAGE AREAS WITHIN THE COUNTY, RESULTING IN SIGNIFICANT DISPARITIES IN ACCESS TO CARE AND THE POPULATION WITH LOW-INCOME AND LOW ACCESS TO SUPERMARKETS IS SIGNIFICANTLY HIGHER THAN THE ARHN REGION AND UPSTATE NEW YORK. THE WELL-BEING OF THE COMMUNUNITY IS REFLECTED THROUGH A WIDE ARRAY OF FACTORS, INCLUDING ACCESS TO MEDICAL SERVICES, INDIVIDUAL BEHAVIORS, SOCIO-DEMOGRAPHIC CHARACTERSTICS AND THE ENVIRONMENT IN WHICH ONE LIVES. ARHN ENGAGED THE CENTER FOR HEALTH WORKFORCE STUDIES (CHWS) AT THE UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH FOR QUANTITATIVE AND QUALITATIVE DATA COLLECTION.THE SURVEY IS CREATED WITH SUPPORT FROM NYS DOH AND HEALTH RESOURCES AND SERVICES ADMINISTRATION. THE SURVEY WAS ADMINISTERED ELECTRONICALLY USING A WEB-BASED SURVEY PROGRAM AND DISTRIBUTED TO A REGIONAL EMAIL CONTACT LIST OF 807 COMMUNITY STAKEHOLDERS. ULTIMATELY, 409 SURVEYS WERE COMPLETED DURING THE SIX-WEEK SURVEY PERIOD, A RESPONSE RATE OF 50 PERCENT. COMMUNITY STAKEHOLDERS WERE ASKED TO INDICATE ONE SECTOR THAT BEST DESCRIBED THEIR ORGANIZATION. OF THE 160 ORGANIZATIONS THAT RESPONDED, REPORTED PROVIDING A VARIETY OF SERVICES INCLUDING EDUCATION, HEALTH CARE, SOCIAL SERVICES, PUBLIC HEALTH, AND HEALTH BASED COMMUNITY BASED ORGANIZATIONS, AMONG MANY OTHERS. SURVEY PARTICIPANTS REPRESENTED A DIVERSE ARRAY OF DIFFERENT AGENCIES, POPULATION GROUPS, AND SERVICE-AREAS WITHIN THE OVERALL SEVEN-COUNTY ARHN REGION. BELOW, TABLE A.1 SHOWS THE PRIMARY FUNCTIONS SELECTED BY RESPONDENTS. HEALTH CARE AND EDUCATIONAL AGENCIES ARE WELL REPRESENTED, AND THE MAJORITY PROVIDES SERVICES TO CHILDREN AND ADOLESCENTS, AS WELL AS PEOPLE LIVING AT OR NEAR THE POVERTY LEVEL.TABLE A.1. PRIMARY FUNCTIONS INDICATED BY SURVEY RESPONDENTS ORGANIZATION PRIMARY FUNCTION / PERCENT OF ALL APPLICANTSNOTE: RESPONDENTS COULD SELECT MORE THAN ONE PRIMARY FUNCTION.BUSINESS: 4CIVIC ASSOCIATION:3COLLEGE/UNIVERSITY:7DISABILITY SERVICES:10EARLY CHILDHOOD: 9ECONOMIC DEVELOPMENT:6EMPLOYMENT/JOB TRAINING:2FAITH-BASED:3FOOD/NUTRITION:10FOUNDATION/PHILANTHROPY:1HEALTHBASED CBO:30HEALTHCARE PROVIDE:53HEALTH INS. PLAN:1HOUSING:7LAW ENFORCEMENT:10LOCAL GOVERNMENT:29MEDIA:2MENTAL, EMOTIONAL, BEHAVIORAL HEALTH PROVIDER:22PUBLIC HEALTH:37RECREATION:3SCHOOL (K-12): 69SENIORS/ELDERS:28SOCIAL SERVICES:50TRANSPORTATION:2TRIBAL GOVERNMENT:1VETERANS:2 |
| GROUP A-FACILITY 2 -- ADIRONDACK MEDICAL CENTER - LAKE PLACID PART V, SECTION B, LINE 6A: | OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH OUR PARTNERS ESSEX COUNTY PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, UVM HEALTH NETWORK-ALICE HYDE MEDICAL CENTER, ELIZABETHTOWN COMMUNITY HOSPITAL, AND ADIRONDACK RURAL HEALTH NETWORK. |
| GROUP A-FACILITY 2 -- ADIRONDACK MEDICAL CENTER - LAKE PLACID PART V, SECTION B, LINE 6B: | SEE QUESTION 6A ABOVE |
| GROUP A-FACILITY 2 -- ADIRONDACK MEDICAL CENTER - LAKE PLACID PART V, SECTION B, LINE 11: | ADIRONDACK HEALTH STRIVES TO MEET AS MANY OF THE HEALTH NEEDS OF OUR COMMUNITY MEMBERS AS POSSIBLE. IN MANY CASES, WE PARTNER WITH APPROPRIATE ORGANIZATIONS AND AGENCIES TO ADDRESS NEEDS THAT ADIRONDACK HEALTH DOES NOT. ON INITIATIVES THAT ARE NOT HOSPITAL-LED, ADIRONDACK HEALTH PARTNERS AND WORKS WITH THE LOCAL HEALTH DEPARTMENTS, SOCIAL SERVICES, BEHAVIORAL HEALTH PROVIDERS, SUBSTANCE ABUSE PREVENTION AND TREATMENT PROVIDERS, HOME CARE, AND MANY OTHERS TO ENSURE THAT THE NEEDS OF OUR COMMUNITY MEMBERS ARE MET.THE FOLLOWING ARE THE NYS PREVENTION AGENDA ITEMS THAT ADIRONDACK HEALTH DOES NOT DIRECTLY ADDRESS IN OUR IMPLEMENTATION STRATEGY:PROMOTE A HEALTHY AND SAFE ENVIRONMENTFOCUS AREA: INJURIES, VIOLENCE AND OCCUPATIONAL HEALTH THE RATE OF CRIME AND ASSAULT ARE LOW IN ADIRONDACK HEALTH'S SERVICE AREA. FALLS IN THE HOME AND OCCUPATIONAL HEALTH ARE ISSUES THAT COMMUNITY PARTNERS ARE BETTER POSITIONED TO ADDRESS.FOCUS AREA: OUTDOOR AIR AND WATER QUALITYTHE AIR AND WATER QUALITY INDICATORS ARE GOOD. DATA INDICATES THAT IT IS ONLY A FEW DAYS EACH YEAR THAT OUTDOOR AIR QUALITY IS POOR, AND THE LIKELY CAUSE OF THIS IS INDUSTRIAL POLLUTION FROM THE MID-WEST CARRIED HERE ON THE JET STREAM. ADIRONDACK HEALTH DOES NOT HAVE A STRATEGY TO DIRECTLY ADDRESS THIS AT THIS TIME, BUT NATIONAL GROUPS HAVE MADE PROGRESS AND ARE STILL WORKING TO IMPROVE OUTPUTS FROM THESE INDUSTRIAL AREAS.FOCUS AREA: BUILT ENVIRONMENT AND FOOD AND CONSUMER PRODUCTSIN OUR SERVICE AREA, MUCH OF THIS WORK IS BEING DONE BY COALITIONS TO WHICH ADIRONDACK HEALTH BELONGS. THE COALITIONS, LED BY PUBLIC HEALTH AND THE NORTH COUNTRY HEALTHY HEART NETWORK, ARE WORKING TOWARD PASSING COMPLETE STREETS POLICIES, IMPROVING PARKS AND OTHER RECREATIONAL AREAS, PASSING TOBACCO FREE GROUNDS POLICIES, IMPROVING ACCESS TO FRESH FRUITS AND VEGETABLES IN STORES AND RESTAURANTS, AND OTHER PROJECTS THAT IMPROVE ACCESS TO HEALTHY FOODS AND IMPROVE THE BUILT ENVIRONMENT SO COMMUNITY MEMBERS OF ALL LEVELS OF MOBILITY CAN FEEL SAFE AS PEDESTRIANS AND USING ALTERNATIVE FORMS OF TRANSPORTATION.PREVENT HIV/STDS, VACCINE-PREVENTABLE DISEASE AND HEALTHCARE ASSOCIATED INFECTIONSFOCUS AREA: PREVENT HIV AND STDS THE RATE OF HIV IS EXTREMELY LOW IN ADIRONDACK HEALTH'S SERVICE AREA. ADIRONDACK HEALTH'S PROVIDERS CONTINUE TO WORK WITH PUBLIC HEALTH AND OTHER PROVIDERS TO DELIVER THE HIGHEST LEVEL OF CARE TO PATIENTS WITH HIV.PREVENT COMMUNICABLE DISEASESFOCUS AREA: HIV/STD'S, VACCINES-PREVENTABLE DISEASE, AND HEALTH CARE-ASSOCIATED INFECTIONS: THE IMMUNIZATION RATE FOR CHILDREN AGES 19 TO 35 MONTHS (73.0%) IS LOWER THAN THE PREVENTION AGENDA BENCHMARK (80.0%) AND THE PERCENTAGE OF FEMALES 13 TO 17 WITH THREE DOSE HPV VACCINE (34.2%) IS SIGNIFICANTLY LOWER THAN THE PREVENTION AGENDA BENCHMARK OF 50.0%. THE RATE OF PNEUMONIA/FLU HOSPITALIZATIONS FOR THOSE 65 YEARS OF AGE OR OLDER IS ALSO HIGHER IN ESSEX COUNTY (98.4) THAN IN ARHN REGION (93.3), UPSTATE NEW YORK (93.7), AND THE STATE AS A WHOLE (87.3). THE RATE OF HIV IS EXTREMELY LOW IN ADIRONDACK HEALTH'S SERVICE AREA. ADIRONDACK HEALTH'S PROVIDERS CONTINUE TO WORK WITH PUBLIC HEALTH AND OTHER PROVIDERS TO DELIVER THE HIGHEST LEVEL OF CARE TO PATIENTS WITH HIV.THE FULL 340 PAGE 2019 COMMUNITY HEALTH ASSESSMENT DOCUMENT FOR ADIRONDACK HEALTH IS POSTED ON OUR WEBSITE. THE DOCUMENT INCLUDES OUR 2019-2021 COMMUNITY SERVICE PLAN. THAT DOCUMENT CAN BE FOUND AT: HTTPS://WWW.ADIRONDACKHEALTH.ORG/UPLOADS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| GROUP A-FACILITY 2 -- ADIRONDACK MEDICAL CENTER - LAKE PLACID PART V, SECTION B, LINE 16J: | AN INTERPRETER IS AVAILABLE TO ASSIST LEP POPULATIONS AND STAFF IS AVAILABLE TO HELP PATIENTS FILL OUT DOCUMENTATION AND ANSWER ANY QUESTIONS. |
| PART V, SECTION B, LINE 20A: | FINANCIAL ASSISTANCE IS NOT OFFERED AT THE SNF FACILITY AND ECAS ARE NOT PERFORMED AT THE HOSPITAL. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MERCY LIVING CENTER | ||||
| 114 WAWBEEK AVENUE | TUPPER LAKE | NY | 12986 | 60 BED LONG-TERM CARE AND SKILLED NURSING FACILITY; OUTPATIENT REHAB |
| 2 - LAKE PLACID HEALTH CENTER | ||||
| 203 OLD MILITARY ROAD | LAKE PLACID | NY | 12946 | PRIMARY CARE AND BEHAVIORAL HEALTH CLINICS; EMERGENCY SERVICES; RADIOLOGY |
| 3 - SARANAC LAKE HEALTH CENTER | ||||
| 285 COUNTY ROUTE 47 | SARANAC LAKE | NY | 12983 | PRIMARY CARE, BEHAVIORAL HEALTH AND WOUND CARE CLINICS |
| 4 - TUPPER LAKE HEALTH CENTER | ||||
| 7 STETSON ROAD | TUPPER LAKE | NY | 12986 | PRIMARY CARE, WOMEN'S HEALTH AND BEHAVIORAL HEALTH CLINIC; LAB AND RADIOLOGY |
| 5 - WOMEN'S HEALTH CENTER | ||||
| 309 OLD LAKE COLBY ROAD | SARANAC LAKE | NY | 12983 | WOMEN'S HEALTH CLINIC |
| 6 - ADIRONDACK HEALTH DENTAL CARE | ||||
| 55 BARN RD | LAKE PLACID | NY | 12946 | DENTAL CLINIC |
| 7 - KEENE HEALTH CENTER | ||||
| 2841 NYS ROUTE 73 | KEENE | NY | 12942 | PRIMARY CARE CLINIC |
| 8 - ST REGIS FALLS HEALTH CENTER | ||||
| 6 NORTH MAIN STREET | ST REGIS FALLS | NY | 12980 | PRIMARY CARE CLINIC |
| 9 - COSMETIC CLINIC | ||||
| 309 COUNTY ROAD 47 SUITE 2 | SARANAC LAKE | NY | 12983 | COSMETIC AND RECONSTRUCTIVE SURGERY |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | AMOUNTS CALCULATED USING COST-TO-CHARGE RATIO FROM WORKSHEET 2 (TOTAL OPERATING EXPENSE MINUS MEDICAID/PROVIDER TAXES, TOTAL COMMUNITY BENEFIT EXPENSE, AND TOTAL COMMUNITY BUILDING EXPENSE DIVIDED BY GROSS PATIENT CHARGES), AND ADDRESSES ALL PATIENT SEGMENTS. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 6,763,854. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE CEO ATTENDED ADIRONDACK HEALTH INSTITUTE MEETINGS. AHI IS A REGIONAL ORGANIZATION THAT INCLUDES THE TRI-LAKES, PLATTSBURGH, AND GLENS FALLS COMMUNITIES WHOSE PURPOSE IS TO IMPROVE THE OVERALL HEALTH OF THESE ADIRONDACK COMMUNITIES BY WORKING TOGETHER ON A REGIONAL BASIS. THE INFECTION PREVENTIONIST PREPARED AND CONDUCTED A BLOOD BORN PATHOGENS PROGRAM FOR THE GABRIELS FIRE DEPARTMENT, AND ALSO SERVES AS A COMMUNITY MEMBER FOR THE TRUDEAU INSTITUTE BIOSAFETY COMMITTEE. |
| PART III, LINE 2: | THE ORGANIZATION'S BAD DEBT EXPENSE OF $2,978,949 IS CALCULATED USING THE COST-TO-CHARGE RATIO FROM WORKSHEET 2 AND BAD DEBT EXPENSE. |
| PART III, LINE 3: | THE ORGANIZATION'S BAD DEBT EXPENSE IS CALCULATED USING A PERCENTAGE OF BAD DEBT THAT CONTAINS POSSIBLE CHARITY CARE CASES AND APPLYING IT TO LINE 2. RATIONALE FOR WHAT PORTION OF BAD DEBT SHOULD CONSTITUTE COMMUNITY BENEFIT: THE PROVISION OF HEALTH CARE IS DIFFERENT FROM PROVIDING OTHER SERVICES, IN THAT HOSPITALS, ALTHOUGH THEY MAY ATTEMPT TO OBTAIN FINANCIAL INFORMATION BEFORE SERVICE IS PROVIDED, FOCUS ON PROVIDING THE PATIENT WITH NEEDED HEALTH CARE AND LATER TRY TO OBTAIN PAYMENT. IN OTHER INDUSTRIES, THE SERVICE PROVIDER CAN CHECK THE CUSTOMER'S CREDIT RATING, ASK FOR PAYMENT IN ADVANCE, ETC AND IS USUALLY ASKING THIS INFORMATION WHEN THE CONSUMER IS NOT IN A HEALTH CRISIS AND UNDER GREAT STRESS AND WORRY. AT A LATER TIME, WHEN THE PROVIDER ATTEMPTS TO COLLECT PAYMENT AND FINDS THE PATIENT UNWILLING TO PAY, THEIR OPTIONS ARE AGAIN LIMITED GIVEN THE NATURE OF THE SERVICE PROVIDED AND THE INABILITY TO REPOSSESS THESERVICE. |
| PART III, LINE 4: | IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, ADIRONDACK HEALTH ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, ADIRONDACK HEALTH ANALYZES CONTRACTUALY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), ADIRONDACK HEALTH RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNT RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. |
| PART III, LINE 8: | CALCULATED USING COST-TO-CHARGE RATIO FROM WORKSHEET 2 AND APPLYING IT TO GROSS MEDICARE CHARGES. SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE PATIENT SERVICES ARE PROVIDED AT A COST THAT IS GREATER THAN REIMBURSEMENT. |
| PART III, LINE 9B: | ACCORDING TO OUR CHARITY CARE POLICY, THE LARGEST NUMBER OF OUR FAP-ELIGIBLE PATIENTS ARE WRITTEN-OFF AT 100% SO NO COLLECTION EFFORTS ARE NECESSARY. |
| PART VI, LINE 2: | ADIRONDACK MEDICAL CENTER USES A NUMBER OF ASSESSMENT METHODS TO DETERMINE HOW WELL WE ARE MEETING COMMUNITY NEEDS AND WHAT ADDITIONAL SERVICES WE CAN OFFER OUR COMMUNITY MEMBERS.AMC USES THE PRESS-GANEY PATIENT SATISFACTION SURVEY FOR CONTINUAL PATIENT FEEDBACK. THE SURVEYS ARE MAILED TO RANDOMLY SELECTED PATIENTS BY PRESS-GANEY, A NATIONALLY RECOGNIZED PATIENT SURVEY FIRM, AND PRESS-GANEY PROCESSES THE RESULTS. THEY GIVE AMC THE RESULTS BENCHMARKED AGAINST OTHER HOSPITALS TO HELP US UNDERSTAND HOW WELL WE ARE SERVING OUR COMMUNITY.THE MAJORITY OF AMC'S STRATEGIC INITIATIVES ARE DRIVEN BY A THREE-YEAR STRATEGIC PLAN, WHICH IS DEVELOPED THROUGH THE COLLABORATION OF THE BOARD, MEDICAL STAFF, AMC STAFF AND COMMUNITY MEMBERS. THE GOALS THAT ARE SET FORTH EVERY THREE YEARS IN THE STRATEGIC PLAN ARE INCORPORATED INTO AMC'S MANAGEMENT ACTION PLAN (MAP), WHICH IS REVIEWED AND REVISED EACH YEAR. AT THE BEGINNING OF EACH YEAR EVERY DEPARTMENT CREATES A MAP THAT OUTLINES THE CONCRETE STEPS THAT THE DEPARTMENT WILL ACCOMPLISH IN MOVING THE HOSPITAL CLOSER TO COMPLETING THE STRATEGIC PLAN GOALS. THE SUCCESS OF AMC, EACH DEPARTMENT, AND EACH EMPLOYEE IS MEASURED BY THE MAP AND THE PROGRESS MADE TOWARD ACCOMPLISHING THE GOALS SET OUT IN THE STRATEGIC PLAN.FOR NEW SERVICES, AMC STAFF DEVELOPS A NEEDS ASSESSMENT USING A VARIETY OF DATA INCLUDING REGIONAL DEMAND FOR THE SPECIFIC SERVICE, DEMOGRAPHICS, AND FINANCIAL ANALYSIS. THE BOARD OF TRUSTEES CAREFULLY REVIEWS THE ANALYSIS AND EITHER SUPPORTS THE RECOMMENDATION OR ASKS FOR FURTHER INFORMATION. |
| PART VI, LINE 3: | ANY PATIENT THAT CONTACTS SCHEDULING OR PRESENTS TO ANY AMC DEPARTMENT (INCLUDING ADMITTING, EMERGENCY ROOM, ETC.) THAT DOES NOT IDENTIFY AN INSURANCE COMPANY OR IDENTIFIES THEMSELVES AS SELF-PAY ARE INFORMED OF OUR SELF-PAY PROCESS. THIS PROCESS INCLUDES INFORMATION ABOUT AMC'S CHARITY CARE POLICY AND THE BENEFITS OF VISITING WITH A CERTIFIED FACILITATED ENROLLER WHO CAN CHECK THE PATIENT'S ELIGIBILITY FOR STATE AND FEDERAL HEALTH INSURANCE PROGRAMS. |
| PART VI, LINE 4: | AMC, LOCATED IN THE HEART OF THE ADIRONDACK PARK IN RURAL, UPSTATE NEW YORK. THE ADIRONDACK PARK IS A UNIQUE, SIX-(6)-MILLION-ACRE PATCHWORK OF PUBLIC AND PRIVATE LANDS. THE ADIRONDACK PARK CREATES A UNIQUE SETTING WHERE SMALL POPULATION CENTERS ARE SURROUNDED BY SUBSTANTIAL AREAS OF STATE-OWNED WILDERNESS AREAS. IT IS BEST KNOWN FOR ITS MOUNTAINS, THE HIGHEST IN NEW YORK STATE, AND ITS LAKES. THERE ARE EXPANSIVE AREAS OF BACKCOUNTRY INTERSPERSED WITH VILLAGES, PRIVATE HOMES, AND FARMS. AMC'S SERVICE AREA IS MAINLY COMPRISED OF TOWNS IN SOUTHERN FRANKLIN AND NORTHERN ESSEX COUNTIES, BUT ALSO INCLUDES PORTIONS OF SOUTHWESTERN CLINTON, NORTHERN HAMILTON, AND SOUTHEASTERN ST. LAWRENCE COUNTIES. THIS SERVICE AREA COVERS OVER 1,200 SQUARE MILES WITH AN AVERAGE OF JUST OVER 30 PEOPLE PER SQUARE MILE. AMC IS THE PRINCIPAL PROVIDER OF ACUTE CARE FOR 70.7% OF THE 22,595 RESIDENTS IN THE PRIMARY SERVICE AREA AND CARES FOR APPROXIMATELY 25.1% OF THE 12,455 RESIDENTS IN THE SECONDARY SERVICE AREA. FRANKLIN COUNTY'S POPULATION IS 51,054. SIMILAR TO THE REST OF UPSTATE NEW YORK, FRANKLIN COUNTY'S POPULATION IS VERY LIMITED IN ITS DIVERSITY, OVER 82% ARE WHITE/NON-HISPANICS, FOLLOWED BY 5.9% BLACK/AFRICAN AMERICAN, NON-HISPANICS AND 3.4% HISPANIC/LATINOS. OVER 15% OF THE POPULATION IS 65 YEARS OF AGE AND OLDER, WHICH IS SLIGHTLY LOWER THAN THE ARHN REGION (18.0%) AND UPSTATE NEW YORK (16.37%). ESSEX COUNTY'S POPULATION IS 38,233, MAKING IT THE SECOND LEAST POPULATED COUNTY IN THE ARHN REGION. SIMILAR TO THE REST OF UPSTATE NEW YORK, ESSEX COUNTY'S POPULATION IS VERY LIMITED IN ITS DIVERSITY, OVER 92% ARE WHITE/NON-HISPANICS, FOLLOWED BY 3.2% BLACK/AFRICAN AMERICAN, NON-HISPANICS AND 3.2% HISPANIC/LATINOS. OVER 21% OF THE POPULATION IS 65 YEARS OF AGE AND OLDER, WHICH IS SLIGHTLY HIGHER THAN THE ARHN REGION (18.0%) AND HIGHER THAN UPSTATE NEW YORK (16.37%). WHILE THERE ARE NO SIGNIFICANT HEALTH DISPARITIES BASED ON RACE AND ETHNICITY IN FRANKLIN COUNTY, THERE ARE SIGNIFICANT ACCESS TO CARE ISSUES. THE PERCENTAGE OF ADULTS WITH HEALTH INSURANCE IN FRANKLIN COUNTY IS AT 92.3%, WITH 81.1% OF THE POPULATION HAVING A REGULAR HEALTH CARE PROVIDER. THE RATE OF AGE-ADJUSTED PREVENTABLE HOSPITALIZATIONS PER 10,000 POPULATION AMONG THOSE 18 YEARS OF AGE AND OLDER (111.5) IS LOWER THAN THE RATE FOR UPSTATE NEW YORK (116.8), AND THE PREVENTION AGENDA BENCHMARK (122.0) RATE. THE RATE OF ED VISITS PER 10,000 POPULATION IN FRANKLIN COUNTY (4,694.2) IS LOWER THAN THE ARHN REGION (4,866.3) AND HIGHER THAN UPSTATE NEW YORK (3,865.6). LASTLY, THE PERCENTAGE OF ADULTS 18 YEARS OF AGE AND OLDER IN FRANKLIN COUNTY WITH DISABILITY (24.5%) IS LOWER THAN THE ARHN REGION (25.6%), BUT HIGHER THAN UPSTATE NEW YORK (22.8%), AND THE STATE AS A WHOLE (22.9%).SPECIFICALLY, IN OUR REGION WE SEE THAT WE ARE: -OLDER: 18% OF THE REGION'S RESIDENTS ARE OVER THE AGE OF 65 (VERSUS 16% NYS). -POORER: 23% RECEIVE MEDICAID AND THE AVERAGE HOUSEHOLD INCOME IS $66,618 (NYS AVERAGE IS $93,443) -MEDIAN HOUSEHOLD INCOME IN EVERY COUNTY OF THE REGION IS BELOW THE STATE MEDIAN OF $59,269 -UNEMPLOYMENT RATES ARE HIGHER THAN IN THE STATE AS A WHOLE, AS ARE CHILD POVERTY AND HOUSINGVACANCY RATES. LEGACY MANUFACTURING AND MINING INDUSTRIES IN THE REGION HAVE DECLINED OVERRECENT DECADES. HOWEVER, JOB GROWTH IN OTHER SECTORS E.G., ACCOMMODATIONS, FOOD SERVICESAND HEALTH CARE SERVICES HELPED MITIGATE UNEMPLOYMENT AFTER THE RECENT RECESSION. -HAVE POOR PREVENTIVE CARE: IMMUNIZATION RATES FOR CHILDREN ARE LOWER THAN THE PREVENTION AGENDA BENCHMARK -AT RISK: -MOTOR VEHICLE SPEED RELATED ACCIDENTS ARE HIGHER IN OUR REGION THAN IN NYS -ALCOHOL-RELATED CRASHES, INJURIES AND DEATHS IN THE REGION ARE SIGNIFICANTLY HIGHER THAN STATE RATES (38 VERSUS 19) -EXPERIENCE BEHAVIORAL HEALTH CHALLENGES: -SUICIDE RATES FOR ADOLESCENTS (15-19) HIGHER THAN THE STATE AVERAGE (11 V. 6) -RATE OF INDIVIDUALS 17 AND YOUNGER SERVED IN A MENTAL HEALTH OUTPATIENT SETTING IS TWICE THAT OF THE STATE AVERAGE -FOOD INSECURE/OVERWEIGHT AND OBESE: -PROPORTION OF THE POPULATION WITH LOW INCOME AND LOW ACCESS TO SUPERMARKETS OR LARGE GROCERY STORES IN MUCH HIGHER IN THE REGION THAT IN UPSTATE NEW YORK OR THE SAT AS A WHOLE -OBESITY IN ELEMENTARY SCHOOL STUDENTS IN THE REGION IN HIGHER THAN THE UPSTATE AND STATEWIDE AVERAGE -DEATHS AND HOSPITALIZATIONS DUE TO DIABETES IS HIGHER THAN THE UPSTATE AND NYS AVERAGE -SMOKERS: -SMOKING RELATED DISEASE ARE A CHALLENGE IN THE AREAS WITH CHRONIC LOWER RESPIRATORY DEATHS HOSPITALIZATIONS SIGNIFICANTLY HIGHER THAN IN UPSTATE NY AND THE STATE -PERCENT OF ADULTS WITH ASTHMA HIGHER -RATES OF LUNG AND BRONCHUS CANCER CASES ARE HIGHER -PERCENT OF BIRTHS WITHIN 24 MONTHS HIGHER THAN PREVENTION AGENDA BENCHMARK -PERCENT OF UNINTENDED PREGNANCIES HIGHER |
| PART VI, LINE 5: | AMC IS A SOLE COMMUNITY HOSPITAL AND ALTHOUGH NOT AFFILIATED WITH A LARGER MEDICAL NETWORK, IS PART OF THE ADIRONDACK ACCOUNTABLE CARE ORGANIZATION, WHICH IS COMPRISED OF 450 PRIMARY AND SPECIALTY CLINICIANS THROUGH NEW YORK AND VERMONT. AMC IS A PARTNER IN THE ADIRONDACK HEALTH INSTITUTE PPS FOR DSRIP AND COLLABORATES CLOSELY WITH MANY COMMUNITY-BASED ORGANIZATIONS IN THE REGION, INCLUDING PUBLIC HEALTH AGENCIES IN BOTH FRANKLIN AND ESSEX COUNTIES AND BEHAVIORAL HEALTH AGENCIES TO FURTHER THE GOALS OF THE COMMUNITY SERVICE PLAN. EFFORTS INCLUDE: -COLLABORATION WITH THE HEART HEALTHY NETWORK TO PROVIDE CHRONIC DISEASE COACHING THAT FOCUSES ON COACHING PATIENTS WHO HAVE CHRONIC DISEASES OR ARE AT RISK FOR THEM LIKE COPD, HYPERTENSION, HEART DISEASE AND DIABETES. -ENGAGED IN QUALITY IMPROVEMENT INITIATIVES AIMED AT REDUCING HOSPITAL READMISSIONS FOR PATIENTS WITH HEART FAILURE BY INITIATING A GUIDELINE BASED INPATIENT HEART FAILURE EDUCATION PROGRAM CALLED "HEART FAILURE ZONES." THIS PROGRAM EDUCATES THE PATIENT AND CAREGIVERS ALONG WITH CONTINUOUS FOLLOW UP POST DISCHARGE TO DETERMINE PATIENT'S PROGRESS. -CREATED CHRONIC DISEASE WELLNESS COACHES WHO WORK IN THE PRIMARY CARE SETTING TO CONNECT WITH AT-RISK, LOW-RISK INDIVIDUALS OF PRE-DIABETES, DIABETES AND OTHER CHRONIC ILLNESSSES TO MAKE LIFESTYLE CHANGES THAT IMPROVE HEALTH OUTCOMES. -OFFERED FREE ADVANCED CARE PLANNING TO ALL MEMBERS OF THE COMMUNITY TO DECREASE IN-HOSPITAL DEATHS, INCREASE THE USE OF HOPSICE CARE AND DECREASE UNNECESSARY MEDICAL TREATMENTS. -CREATED PEER NAVIGATORS IN THE ED TO ACT AS A GATEKEEPER FOR PATIENTS BEING EVALUATED FOR ADMISSIONS/OBSERVATION INTO THE HOSPITAL SETTING BY WORKING WITH PATIENTS TO ACT AS AN ADVOCATE AND LIAISON BETWEEN THE PATIENT, FAMILY/CAREGIVER, THEIR CLINICAL TEAM AND PROVIDERS, AND THIRD-PAYORS. -NEW YORK STATE PREVENTION AGENDA PRIORITY OF PROMOTING HEALTHY WOMEN, INFANT AND CHILDREN WITH A PERINATAL QUALITY COLLABORATIVE SAFE SLEEP PROJECT TO REDUCE SUDDEN INFANT DEATH SYNDROME AND INCREASE BREASTFEEDING IN OUR REGION. -SPONSOR OF ADIRONDACK HEALTH PROGRAMS AND EMPLOYEE WELLNESS PROGRAMS WHICH INCLUDED FREE PHYSICAL ACTIVITY EVENTS FOR THE COMMUNITY WITH CHAIR YOGA, 5K EVENTS/HALF MARATHON EVENTS, CHAIR MASSAGE, CROSS COUNTRY SKIING, FAMILY SWIM PROGRAMS AND SNOWSHOE CLASSES. -PARTICIPATION IN DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PAYMENT) WITH SEVEN PROJECTS ALL OF WHICH ARE PART OF A COMPREHENSIVE MEDICAID REFORM PROGRAM TO REDUCE AVOIDABLE HOSPITAL ADMISSIONS AND EMERGENCY DEPARTMENT ADMISSIONS BY 25% OVER 5 YEARS. THESE PROJECTS INCLUDE HOME TELEMONITORING EQUIPMENT, FACILITATOR TRAINING WITH RESPECTING CHOICES (A PALLIATIVE CARE INITIATIVE), CHRONIC DISEASE PREVENTION, INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE, HEALTH CENTER CERTIFICATION UNDER NCQA AND MANY OTHER POPULATION HEALTH EFFORTS. |
| PART VI, LINE 6: | THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY TRAMONTANO | ||||||||||||||
| PHYSICIAN | $571,480 | $0 | $0 | $0 | $0 | $0 | $11,641 | $0 | $16,287 | $0 | $599,408 | $0 | $0 | $0 |
| ERIC PILLEMER | ||||||||||||||
| PHYSICIAN | $534,539 | $0 | $0 | $0 | $0 | $0 | $13,016 | $0 | $9,308 | $0 | $556,863 | $0 | $0 | $0 |
| CLAUDE ROLAND | ||||||||||||||
| PHYSICIAN | $545,099 | $0 | $0 | $0 | $0 | $0 | $1,048 | $0 | $0 | $0 | $546,147 | $0 | $0 | $0 |
| JOHN ESPER | ||||||||||||||
| PHYSICIAN | $452,550 | $0 | $0 | $0 | $0 | $0 | $14,500 | $0 | $18,159 | $0 | $485,209 | $0 | $0 | $0 |
| HENRI GABORIAU | ||||||||||||||
| PHYSICIAN | $459,222 | $0 | $0 | $0 | $0 | $0 | $8,315 | $0 | $15,375 | $0 | $482,912 | $0 | $0 | $0 |
| DARCI BEIRAS | ||||||||||||||
| CMO | $394,274 | $0 | $7,668 | $0 | $0 | $0 | $43,691 | $0 | $16,816 | $0 | $462,449 | $0 | $0 | $0 |
| SYLVIA GETMAN | ||||||||||||||
| PRESIDENT/CEO (UNTIL 07/02/2021) | $313,845 | $0 | $0 | $0 | $0 | $0 | $60,283 | $0 | $8,390 | $0 | $382,518 | $0 | $50,000 | $0 |
| AARON KRAMER | ||||||||||||||
| CEO/PRESIDENT | $264,895 | $0 | $5,910 | $0 | $0 | $0 | $10,938 | $0 | $180 | $0 | $281,923 | $0 | $0 | $0 |
| ROBERT LABA | ||||||||||||||
| CFO | $203,106 | $0 | $5,562 | $0 | $0 | $0 | $9,908 | $0 | $180 | $0 | $218,756 | $0 | $0 | $0 |
| DAVID MADER | ||||||||||||||
| CNO | $180,041 | $0 | $5,331 | $0 | $0 | $0 | $8,994 | $0 | $16,619 | $0 | $210,985 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART 1, LINE 4B | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL HAS A DEFERRED COMPENSATION PLAN FOR PARTICIPATING PHYSICIANS WHO PROVIDE SERVICES THROUGH THE HOSPITAL'S "ON-CALL" PROGRAM. PATRICIA MONROE, MD RECEIVED $31,298 FROM THIS DEFERRED COMPENSATION PLAN AND $30,800 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF PATRICIA. WILLIAM SMITH, MD RECEIVED $67,293 FROM THIS DEFERRED COMPENSATION PLAN AND $49,500 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF WILLIAM. $32,000 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF DARCI BEIRAS, MD. THE HOSPITAL ALSO HAS A 457(F) DEFERRED COMPENSATION PLAN FOR IT'S CEO, SYLVIA GETMAN. IN 2021 SYLVIA RECEIVED $50,000 FROM THIS DEFERRED COMPENSATION PLAN AND $50,000 WAS CONTRIBUTED TO THIS DEFERRED COMPENSATION PLAN ON BEHALF OF SYLVIA. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| FRANKLIN COUNTY CIVIC DEVELOPMENT CORPORATION | |||||||
| A | 800627350 | 2016-10-18 | $24,455,000 | MULTI-MODE REVENUE BONDS FOR CAPITAL PROJECTS- REFINANCE | 0 | 0 | 0 |
| ESSEX COUNTY CAPITAL RESOURCE CORPORATION | |||||||
| B | 274698218 | 2017-10-05 | $9,500,000 | MULTI-MODE REVENUE BONDS FOR CAPITAL PROJECTS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $110,000 | $24,455,000 | $479,474 | $14,335,658 | $349,674 | 2019 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $9,500,000 | $190,000 | $9,238,750 | $71,250 | 2018 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PRESENTED AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO FILING THE 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MEMBERS OF THE BOARD OF TRUSTEES ARE REQUIRED TO COMPLETE AND SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY. THESE ARE THEN REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION DECISIONS ARE DEVELOPED BASED ON THE USE OF NATIONAL AND REGIONAL SALARY SURVEY DATA WHICH IS ANALYZED BY THE COMPENSATION COMMITTEE AND THEN APPROVED BY THE FULL BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 6,603,590. MANAGEMENT AND GENERAL EXPENSES 3,462,262. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,065,852. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 4,556,919. MANAGEMENT AND GENERAL EXPENSES 20,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,576,919. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 517,222. MANAGEMENT AND GENERAL EXPENSES 137,195. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 654,417. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,985,900. MANAGEMENT AND GENERAL EXPENSES 32,514. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,018,414. CONSULTING FEES: PROGRAM SERVICE EXPENSES 184,981. MANAGEMENT AND GENERAL EXPENSES 150,865. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 335,846. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 306,904. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 306,904. TRASH REMOVAL: PROGRAM SERVICE EXPENSES 201,825. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 201,825. COLLECTION AGENCIES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,972. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,972. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ADIRONDACK MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 120 2233 STATE ROUTE 86 | SARANAC LAKE | NY | 12983 | 161528554 | SUPPORT AND ASSIST ADIRONDACK MEDICAL CENTER | NY | 501(C)3 | BOX 11 | ADIRONDACK MEDICAL CENTER | 0 |
| ADIRONDACK HEALTH REGIONAL MEDICAL PC | ||||||||||
| PO BOX 471 2233 STATE ROUTE 86 | SARANAC LAKE | NY | 12983 | 475676016 | SUPPORT AND ASSIST ADIRONDACK MEDICAL CENTER | NY | 501(C)3 | BOX 11 | ADIRONDACK MEDICAL CENTER | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRUDEAU HEALTH SYSTEMS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 471 2233 STATE ROUTE 86 | AddressLine1Txt |
| City | SARANAC LAKE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12983 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141788211 | EIN |
| Primary Activities | CONTRACTING - HEALTH SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMC AND TRUDEAU HEALTH SYSTEMS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of EOY Assets | $1,980 | ShareOfEOYAssetsAmt |
| Ownership | 0.50000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |