New York · Nonprofit
ADIRONDACK HEALTH INSTITUTE INC
ADIRONDACK HEALTH INSTITUTE INC (New York) receives grants from 4 organizations whose IRS filings report $4,101,210 to it, the largest being COMMUNITY SERVICE SOCIETY OF NEW YORK ($2,711,855). 3 of them have funded it in more than one year.
- Revenue FY2024
- $29M
- Funders on record
- 4
- Grants received
- $4.1M
- Net assets
- $5.9M
What Adirondack Health Institute Inc does
Mission
To lead and work collaboratively with community partners on innovative initiatives that advance quality, improve access and affordability, and transform health care delivery in the adirondack region.in march 2021, cvph and hhhn transferred their ownership interest in adirondacks aco to ahi in exchange for $1. As a result of the transfer, ahi became the sole holder of the membership interest in the adirondacks aco.
As stated on its FY2024 Form 990.
Programs
Ahi is a ny state-designated lead health home with twenty-three care management agencies which provide outreach and care management to medicaid recipients with hiv/aids, serious persistent mental illness, or two or more other chronic conditions. The health home model expands on the traditional medical home model by placing a greater emphasis on linking community and social supports with health care, and providing enhanced coordination of medical and behavioral health care. Ahi's health home serves patients in clinton, essex, franklin, hamilton, saratoga, st. Lawrence, warren, and washington counties.
$12,754,674 spent$12,654,185 earned by the program49% of program spendingThe adirondacks aco (adk aco) is an accountable care organization in partnership with northern new york and adirondack's dedicated health care professionals that strives to ensure a future of expanded medical access with lower costs, improved efficiency and outcomes, increased patient and provider satisfaction, and overall high quality of care.
$10,106,258 spent$10,106,258 earned by the program38% of program spendingThe ahi pps is a partnership of more than 100 organizations formed to plan for and manage delivery system reform incentive payment (dsrip) health care restructuring in the northern new york/ adirondack region. Partners include hospitals, primary care providers, mental health and substance abuse treatment providers, skilled nursing facilities, home and community providers, and others. The dsrip project will address social factors that impact health, requiring engagement and collaboration with many stakeholders, including community-based organizations, from diverse sectors.
$2,069,068 spent8% of program spendingOther program service expense includes expenses related to both management service contracts and additional grant and contract service.
$1,358,857 spent$345,473 earned by the program5% of program spending
The 4 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $26,288,857.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $38M to $28M (−26%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 72% · 2018 81% · 2019 78% · 2020 81% · 2021 18% · 2022 17% · 2023 15% · 2024 15%. Grants only. Government contracts and fees sit inside program revenue.
17% of ADIRONDACK HEALTH INSTITUTE INC’s revenue is contributions — more donation-reliant than the typical peer (7% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 8 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Karen Ashline
Chief executive officer
As listed on its FY2024 Form 990.
The chief executive listed changed between the FY2023 and FY2024 filings.
Who funds it, year by year
2020 → 2023: the base broadened from 1 funder to 3 funders, grant income rose $250k → $1.1M.
Left out of every figure on this page: $26k from one payer (the payer shares this organization's board, largest Adirondack Foundation). These are real filings, and they are not money ADIRONDACK HEALTH INSTITUTE INC raised.
From the IRS filings of ADIRONDACK HEALTH INSTITUTE INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
ADIRONDACK HEALTH INSTITUTE INC leans on a few funders — its largest provides 66% of grant income and the top three 99%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
66% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund ADIRONDACK HEALTH INSTITUTE INC.
Largest funder’s share by year: 2020 100% · 2021 69% · 2022 70% · 2023 66% — diversifying over time.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Where its funders are
99% of ADIRONDACK HEALTH INSTITUTE INC's grant income comes from New York funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
ADIRONDACK HEALTH INSTITUTE INC holds deeper cash reserves than three-quarters of the 4,580 health nonprofits its size.
this organization peer median middle 50% of peers· 4,580 health nonprofits $10M–$100M, FY2024
Government funding ADIRONDACK HEALTH INSTITUTE INC receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $3.9M on record.
- Department of Health and Human Services$3.9M
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like ADIRONDACK HEALTH INSTITUTE INC
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In New York
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
94% of spending goes to programs.
Governance
Footprint & structure
Files a return copy in 1 state
Part of a family of 1 related entity
- Adirondacks Aco LLC · disregarded
Screen this organization
A dated, signed PDF of the compliance screen for ADIRONDACK HEALTH INSTITUTE INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds ADIRONDACK HEALTH INSTITUTE INC?
- ADIRONDACK HEALTH INSTITUTE INC (New York) receives grants from 4 organizations whose IRS filings report $4,101,210 to it, the largest being COMMUNITY SERVICE SOCIETY OF NEW YORK ($2,711,855). 3 of them have funded it in more than one year.
- How many funders does ADIRONDACK HEALTH INSTITUTE INC have?
- IRS filings report 4 organizations giving $4,101,210 in grants to ADIRONDACK HEALTH INSTITUTE INC, 3 of which have funded it in more than one year.
- Who is the largest funder of ADIRONDACK HEALTH INSTITUTE INC?
- COMMUNITY SERVICE SOCIETY OF NEW YORK is the largest funder on record, with $2,711,855 in grants. The full list of funders is on this page.
- How can an organization like ADIRONDACK HEALTH INSTITUTE INC find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in New York. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
Play a game about who funds Adirondack Health Institute →
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 4 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing