Adirondack Medical Center
Adirondack Medical Center maintains stable finances with growing assets, but executive compensation reporting is unclear.
EIN: 141731786 · Saranac Lake, NY · NTEE: E220 · Updated: 2026-03-28
Is Adirondack Medical Center Legit?
Some Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
Adirondack Medical Center directs 90% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About Adirondack Medical Center
Adirondack Medical Center (EIN: 141731786) is a nonprofit organization based in Saranac Lake, NY, classified under NTEE code E220. The organization reported total revenue of $159.2M and total assets of $106.1M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Adirondack Medical Center's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Adirondack Medical Center is a major nonprofit that has been operating for 34 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 2.8%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $145.0M |
| Total Expenses | $143.7M |
| Surplus / Deficit | +$1.3M |
| Total Assets | $100.9M |
| Total Liabilities | $50.5M |
| Net Assets | $50.4M |
| Operating Margin | 0.9% |
| Debt-to-Asset Ratio | 50.0% |
| Months of Reserves | 8.4 months |
Financial Health Grade: A
In 2023, Adirondack Medical Center reported a surplus of $1.3M with revenue exceeding expenses, holds 8.4 months of operating reserves (strong position), has a debt-to-asset ratio of 50.0% (high leverage).
Financial Trends
Over 13 years of filings (2011–2023), Adirondack Medical Center's revenue has grown at a compound annual growth rate (CAGR) of 2.8%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | +21.4% | +8.7% | +0.3% |
| 2022 | -15.0% | -3.9% | -19.5% |
| 2021 | +8.0% | +7.1% | -1.8% |
| 2020 | +3.1% | +2.0% | +14.7% |
| 2019 | +1.7% | +10.2% | -1.1% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 1992 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Adirondack Medical Center with a Mission Score of 75 out of 100 (Good). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 7%
- programs: 90%
- fundraising: 3%
According to IRS 990 filings, Adirondack Medical Center allocates its expenses as follows: admin: 7%, programs: 90%, fundraising: 3%. With 90% directed toward programs, this reflects a strong commitment to its charitable mission.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a surplus of $1.3M, with revenue exceeding expenses.
- Debt-to-asset ratio: 50.0%.
Executive Compensation Analysis
The consistent reporting of 0% for officer compensation across all available filings is highly unusual for an organization with annual revenues exceeding $100 million and suggests a potential reporting anomaly or a unique compensation structure that is not clearly disclosed, impacting transparency.
Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.
Red Flags
The following concerns were identified during AI analysis of Adirondack Medical Center's IRS 990 filings:
- Consistent 0% officer compensation reported, raising transparency concerns about executive pay disclosure.
- Significant fluctuation in liabilities without clear explanation in the provided data.
Strengths
The following positive indicators were identified for Adirondack Medical Center:
- Consistent revenue generation, with latest revenue at $159,220,790.
- Positive net assets, with assets growing from $67,040,883 in 2014 to $100,860,604 in 2023.
- Generally stable financial operations, with revenues typically exceeding or closely matching expenses.
Frequently Asked Questions about Adirondack Medical Center
Is Adirondack Medical Center a legitimate charity?
Based on AI analysis of IRS 990 filings, Adirondack Medical Center (EIN: 141731786) some concerns. Mission Score: 75/100. 2 red flags identified, 3 strengths noted.
How does Adirondack Medical Center spend its money?
Adirondack Medical Center directs 90% of its spending to programs and services. The remaining budget covers administration and fundraising costs.
Are donations to Adirondack Medical Center tax-deductible?
Adirondack Medical Center is registered as a tax-exempt nonprofit (EIN: 141731786). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
Why is officer compensation consistently reported as 0% across all filings?
This is a significant data point that requires clarification. It's highly improbable for an organization of this scale to operate without compensated officers, suggesting either a reporting method that consolidates compensation elsewhere or a lack of detailed disclosure.
How does Adirondack Medical Center manage its liabilities, which have fluctuated significantly?
Liabilities have ranged from $25,520,087 in 2015 to $67,789,800 in 2020. Understanding the nature of these liabilities (e.g., bonds, operational debt) and the strategy for managing them is crucial for assessing long-term financial stability.
What is the specific breakdown of program service expenses?
While the overall program spending appears high, a more detailed breakdown of how these funds are allocated to specific medical services, patient care, and community health initiatives would provide greater insight into their impact.
Filing History
IRS 990 filing history for Adirondack Medical Center showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), Adirondack Medical Center's revenue has grown by 39.4%, moving from $104.0M to $145.0M. Total assets increased by 51.3% over the same period, from $66.7M to $100.9M. Total functional expenses rose by 39.1%, from $103.3M to $143.7M. In its most recent filing year (2023), Adirondack Medical Center reported a surplus of $1.3M, with revenue exceeding expenses. The organization holds $50.5M in liabilities against $100.9M in assets (debt-to-asset ratio: 50.0%), resulting in net assets of $50.4M.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $145.0M | $143.7M | $100.9M | $50.5M | — | — |
| 2022 | $119.4M | $132.1M | $100.6M | $51.9M | — | View 990 |
| 2021 | $140.4M | $137.5M | $124.9M | $62.0M | — | View 990 |
| 2020 | $130.0M | $128.4M | $127.1M | $67.8M | — | View 990 |
| 2019 | $126.1M | $125.9M | $110.9M | $53.6M | — | View 990 |
| 2018 | $124.0M | $114.2M | $112.1M | $56.4M | — | View 990 |
| 2017 | $108.6M | $106.2M | $104.0M | $54.8M | — | View 990 |
| 2016 | $104.1M | $104.4M | $83.4M | $38.5M | — | View 990 |
| 2015 | $106.2M | $100.9M | $70.1M | $25.5M | — | View 990 |
| 2014 | $99.8M | $99.2M | $67.0M | $27.5M | — | View 990 |
| 2013 | $101.3M | $99.9M | $69.7M | $30.7M | — | View 990 |
| 2012 | $101.4M | $104.5M | $67.9M | $30.4M | — | View 990 |
| 2011 | $104.0M | $103.3M | $66.7M | $26.6M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $145.0M, expenses of $143.7M, and assets of $100.9M (revenue +21.4% year-over-year).
- 2022: Revenue of $119.4M, expenses of $132.1M, and assets of $100.6M (revenue -15.0% year-over-year).
- 2021: Revenue of $140.4M, expenses of $137.5M, and assets of $124.9M (revenue +8.0% year-over-year).
- 2020: Revenue of $130.0M, expenses of $128.4M, and assets of $127.1M (revenue +3.1% year-over-year).
- 2019: Revenue of $126.1M, expenses of $125.9M, and assets of $110.9M (revenue +1.7% year-over-year).
- 2018: Revenue of $124.0M, expenses of $114.2M, and assets of $112.1M (revenue +14.2% year-over-year).
- 2017: Revenue of $108.6M, expenses of $106.2M, and assets of $104.0M (revenue +4.3% year-over-year).
- 2016: Revenue of $104.1M, expenses of $104.4M, and assets of $83.4M (revenue -2.0% year-over-year).
- 2015: Revenue of $106.2M, expenses of $100.9M, and assets of $70.1M (revenue +6.4% year-over-year).
- 2014: Revenue of $99.8M, expenses of $99.2M, and assets of $67.0M (revenue -1.5% year-over-year).
- 2013: Revenue of $101.3M, expenses of $99.9M, and assets of $69.7M (revenue -0.1% year-over-year).
- 2012: Revenue of $101.4M, expenses of $104.5M, and assets of $67.9M (revenue -2.5% year-over-year).
- 2011: Revenue of $104.0M, expenses of $103.3M, and assets of $66.7M.
Data Sources and Methodology
This transparency report for Adirondack Medical Center is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.
IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.
Disclaimer
AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.