Adirondack Medical Center - Saranac Lake

Adirondack Medical Center - Saranac Lake, located at 2233 State Route 86, PO Box 471 in Saranac Lake, NY, is a leading healthcare provider for the region. Overlooking scenic Lake Colby, our Saranac Lake campus offers a wide range of inpatient and outpatient medical and surgical services, including 24-hour emergency care. As a Level 1 Perinatal Center, we provide comprehensive maternity services alongside certified mental health services, primary care, and specialized medical treatments. We are dedicated to delivering exceptional care to our community through our main hospital building, health center, wound care facilities, and physician offices.

Identifiers

Hospital Name Adirondack Medical Center - Saranac Lake
Facility ID 330079

Location

Address 2233 STATE ROUTE 86, PO BOX 471
City/Town Saranac Lake
State NY
ZIP Code 12983
County/Parish FRANKLIN

Health System

Health System Independent
Health System Website Domain adirondackhealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 95
Health System Hospital Locations New York

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Other
Ownership Details Adirondack Health
Emergency Services Yes

Aaron Kramer

President and Chief Executive Officer

Aaron Kramer, FACHE, CHCIO is the President and Chief Executive Officer of Adirondack Health. [2, 8, 11]

Bill Chapin

Chief Financial Officer

NA

Suzan McDermott

Human Resources AVP

NA

Jennifer Balog

Executive Director, Adirondack Health Foundation

Jennifer Balog, CFRE is the Executive Director of the Adirondack Health Foundation and Community Relations. [2, 4]

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 95

Staffing & Personnel

FTE Employees on Payroll 641.39
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 2961
Inpatient Days (Title XIX) 163
Total Inpatient Days 7784
Bed Count 83
Available Bed Days 30295
Discharges (Title V) NA
Discharges (Title XVIII) 703
Discharges (Title XIX) 35
Total Discharges 1893

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 2368
Inpatient Days (Title XIX; Adults & Peds) 124
Total Inpatient Days (Adults & Peds) 6052
Bed Count (Adults & Peds) 75
Available Bed Days (Adults & Peds) 27375
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 703
Discharges (Title XIX; Adults & Peds) 35
Total Discharges (Adults & Peds) 1893

Quality Summary

Care Quality Stengths Overall patient satisfaction is overall very high. Patients report that nurse communication is excellent. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours.
Care Quality Concerns Hospital does not do a good job of treating conditions like pneumonia so that patients don't have to come back to the hospital. Hospital has had some challengs with infection rates being high.

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 83%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 131

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -18.6
Readmission Score Hospital Return Days for Pneumonia Patients 36.7
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.9
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 8.7
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.9
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.2
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 17.2
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 18.7
Readmission Score Rate of Readmission After Hip/Knee Replacement 2.9
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.8
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients More Days Than Average per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Better Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 0.691
CAUTI SIR (Standardized Infection Ratio) 0.571
SSI SIR (Standardized Infection Ratio) 1.137
CDI SIR (Standardized Infection Ratio) 1.207
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $43
Bad Debt Expense $2,230
Uncompensated Care Cost $863
Total Uncompensated Care $7,246

Operating Expenses ($ thousands)

Total Salaries $60,372
Overhead Expenses (Non-Salary) $76,344
Depreciation Expense $4,840
Total Operating Costs $112,232

Charges ($ thousands)

Inpatient Charges $77,916
Outpatient Charges $222,784
Total Patient Charges $300,700

Wage-Related Details ($ thousands)

Core Wage Costs $9,989
Wage Costs (RHC/FQHC)
Adjusted Salaries $60,372
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $5,388
Short-Term Investments
Notes Receivable $15,052
Accounts Receivable $2,073
Allowance for Doubtful Accounts
Inventory $3,441
Prepaid Expenses $3,946
Other Current Assets $4,608
Total Current Assets $34,507

Balance Sheet – Fixed Assets ($ thousands)

Land Value $286
Land Improvements Value $1,505
Building Value $97,020
Leasehold Improvements $301
Fixed Equipment Value $11,116
Major Movable Equipment $47,385
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $60,757

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $2,330
Other Assets $2,089
Total Other Assets $5,294
Total Assets $100,558

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $6,089
Salaries & Wages Payable $9,393
Payroll Taxes Payable
Short-Term Debt $1,480
Deferred Revenue
Other Current Liabilities $5,346
Total Current Liabilities $22,308

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $26,655
Unsecured Loans
Other Long-Term Liabilities $2,984
Total Long-Term Liabilities $29,639
Total Liabilities $51,946

Balance Sheet – Equity ($ thousands)

General Fund Balance $47,618
Total Fund Balances $48,612
Total Liabilities & Equity $100,558

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $5,932
DRG (Post-Oct 1) $1,786
Outlier Payments
DSH Adjustment $128
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $81,734
Outpatient Revenue $254,558
Total Patient Revenue $336,292
Contractual Allowances & Discounts $216,737
Net Patient Revenue $119,556
Total Operating Expenses $136,417
Net Service Income $-16,861
Other Income $1,673
Total Income $-15,188
Other Expenses $-1
Net Income $-15,187

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $9,157
Medicaid Charges $42,294
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH MAGIC
EHR Version MAGIC
EHR is Changing No

ERP Information

ERP MEDITECH
ERP Version NA
EHR is Changing No