Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

New York · Ranked 757 of 1033 by CEO pay.

Adirondack Medical Center

Aaron Kramer, President/CEO. Fiscal year ending 2024-12.

$407,382
CEO total compensation
Form 990 Part VII, columns D+E+F
0.05%
of expenses spent on charity care
Schedule H Part I line 7a
580.0%
CEO pay as a share of all charity care
In the most recent filing year, Aaron Kramer’s reported compensation was $407,382. The system’s charity care for the same year was $70,235. One person’s reported compensation was 5.8 times what the system gave to every patient who could not pay.

§1The filing

Total revenue
$152,035,172
Total expenses
$148,681,634
Net assets
$54,097,357
Employees
1,018
Hospitals covered
2 facilities across 1 filing
Charity care, net
$70,235
Bad debt
$1,597,527
Medicare surplus (shortfall), as filed
($7,528,593)
CEO pay from the organization (Part VII col. D)
$392,193
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$15,189
CEO total compensation (D+E+F)
$407,382 to Aaron Kramer

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Adirondack Medical Center, EIN 14-1731786, fiscal year ending 2024-12, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$5.9M Of which charity care to patients who could not pay (line 7a)$70,235 (1%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($1.6M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Adirondack Medical Center: CEO pay $407,382, charity care 0.05% of expenses