In 1888, a third hotel was built at the northern end of the lake, this on the western shore of Ampersand bay, the Hotel Ampersand. Originally conceived as a year-round health resort, banking on Saranac Lake's reputation for the treatment of tuberculosis, instead it found its best clientele to be healthy summer vacationers. The largest and most fashionable of the three hotels, it was dubbed the Saratoga of Lower Saranac Lake.