Health Care for the Heart of the Track: Saratoga Backstretch Clinic

Horse racing is a key part of the history, tradition, and culture of Saratoga Springs, and as a result, Saratoga Hospital leaders had been investigating ways to support key members of the racing community by taking care of the people who take care of the horses – the backstretch workers.

Having a job as a backstretch worker can be demanding, often accompanied by long hours. For many of them, health care services are not part of their reality. In 2022, Hospital leadership began a collaboration with the Backstretch Employee Service Team (BEST) and New York Racing Association (NYRA) to address the need for accessible health care among workers during their time at the Saratoga Race Course.

In May 2023, the Backstretch Clinic opened its doors with four exam rooms, an on-site lab, and administrative space. Construction began the summer before with a significant investment by local philanthropist John Hendrickson in honor of his late wife Mary Lou Whitney and her love of the Saratoga Race Course.

“For many of our patients who seek care in the clinic, this is their only opportunity to receive primary care,” said Alexander Cardiel, MD, the clinic’s medical director. “For some, it’s the first time they’ve seen a physician in this country.”

During its first year, Saratoga Hospital clinicians provided primary care and behavioral health services to 623 patients, along with specialty services in dermatology and endocrinology.

“A team of skilled clinicians provide the workers with comprehensive health care while they are here, offering services that go beyond basic medical care,” said Scarlet Clement-Buffoline, vice president of operations at Saratoga Hospital. “It’s important to ensure the well-being and health of backstretch workers while supporting our community.”

The clinic, which offers bilingual services, operates seasonally, aligning with the Saratoga Race Course calendar from May to October.