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New York · Nonprofit

FINGER LAKES HEALTH SYSTEMS AGENCY

FINGER LAKES HEALTH SYSTEMS AGENCY (New York) receives grants from 18 organizations whose IRS filings report $8,323,384 to it, the largest being Greater Rochester Health Foundation ($5,159,630). 9 of them have funded it in more than one year.

Revenue FY2025
$6.4M
Funders on record
18
Grants received
$8.3M
Net assets
$1.6M
9/18 repeat funderspeak grant-dependency 40%
01What it does

What Finger Lakes Health Systems Agency does

Mission

Through regional collaboration and partnerships, we bring greater focus to community health issues via data analysis, resident engagement and solution implementation.

As stated on its FY2025 Form 990.

Program

  1. In 2024, common ground health supported schools in hosting global school play day at locations across rochester; hosted the playful learning summit to support teachers in tapping play to transform education; hosted speak life! To promote improved health outcomes for all; hosted the hair and health symposium to focus on the connection hair, skin and nails have to health; supported and trained barbers and beauty salons who promoted health literacy in their communities through events and outreach and improved access to naloxone to reverse overdoses; provided mental health education for faith leaders and community groups; supported and trained churches and faith communities in promoting health literacy and improved outcomes through events and outreach; hosted events for the national week of prayer for healing of aids; offered training for mental and behavioral health providers to help them better serve the community; convened health coalitions to better understand barriers to accessing physical and mental health services; collected personal care items for older adults in nursing homes; launched an advertising campaign and external activities to raise awareness of infant and early…

    $5,457,950 spent
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $5,457,950.

02The organization over time

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.

100 = 20172017 Revenue 100 ($8.1M) Expenses 100 ($7.6M) Net assets 100 ($1.7M)2018 Revenue 77 ($6.2M) Expenses 80 ($6.1M) Net assets 110 ($1.8M)2019 Revenue 79 ($6.4M) Expenses 78 ($5.9M) Net assets 140 ($2.3M)2020 Revenue 74 ($6.0M) Expenses 77 ($5.9M) Net assets 142 ($2.3M)2021 Revenue 68 ($5.5M) Expenses 74 ($5.7M) Net assets 145 ($2.4M)2022 Revenue 81 ($6.6M) Expenses 84 ($6.4M) Net assets 155 ($2.6M)2023 Revenue 72 ($5.9M) Expenses 83 ($6.3M) Net assets 122 ($2.0M)2024 Revenue 67 ($5.5M) Expenses 80 ($6.1M) Net assets 86 ($1.4M)2025 Revenue 79 ($6.4M) Expenses 83 ($6.3M) Net assets 96 ($1.6M)
'17'18'19'20'21'22'23'24'25
Revenue (79)Expenses (83)Net assets (96)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2022 to 2023, from $4.9M to $3.5M (−29%).

$4.3M
$3.7M
$4.4M
$4.0M
$5.4M
$4.9M
$3.5M
$3.8M
$4.0M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

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.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 75% · 2018 72% · 2019 74% · 2020 75% · 2021 73% · 2022 67% · 2023 63% · 2024 61% · 2025 53%. Grants only. Government contracts and fees sit inside program revenue.

99% of FINGER LAKES HEALTH SYSTEMS AGENCY’s revenue is contributions — more reliant on donations than three-quarters of its peers (51% for the typical peer).

This organization
Typical peer · 8,611 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 3 of the last 9 reported years ran a deficit.

$526k
’17
$153k
’18
$486k
’19
$126k
’20
−$108k
’21
$181k
’22
−$484k
’23
−$616k
’24
$140k
’25
2.2
months of
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.

Board chair

Melissa Gardner

Board member / chair

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed353433313035333038
Joined·+5+2+5+3+8+2+3+12
No longer listed·63743464
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 2 funders to 7 funders, grant income rose $214k → $1.3M.

4 of 18 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 13% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

Left out of every figure on this page: $45k from one payer (the payer shares this organization's board, largest Finger Lakes Performing Provider System Inc). These are real filings, and they are not money FINGER LAKES HEALTH SYSTEMS AGENCY raised.

From the IRS filings of FINGER LAKES HEALTH SYSTEMS AGENCY’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

FINGER LAKES HEALTH SYSTEMS AGENCY leans on a few funders — its largest provides 62% of grant income and the top three 77%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

26% 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 FINGER LAKES HEALTH SYSTEMS AGENCY.

62%
largest funder
77%
top three
~2
effective funders

Largest funder’s share by year: 2017 70% · 2018 89% · 2019 76% · 2020 87% · 2021 66% · 2022 43% · 2023 75% — growing more concentrated.

“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.

How long its funders stay

50% of FINGER LAKES HEALTH SYSTEMS AGENCY's funders are still giving 3 years after their first grant; 50% give in more than one year at all.

first grant+1y+2y+3y+4y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

92% of FINGER LAKES HEALTH SYSTEMS AGENCY's grant income comes from New York funders.

NY
MA
PA
MD

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
New York out of state home

Funder states come from each funder’s own filing. $1.1M arriving through sponsors registered in 2 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. 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.

04Its place in the field

Against its field

FINGER LAKES HEALTH SYSTEMS AGENCY's funding base is broadening — from 2 funders to 7 as grant income climbed.

Operating margin2% · below the median
Months of reserve2.2mo · below the median
Revenue growth (annualized)−3% · bottom quartile

this organization peer median middle 50% of peers· 4,665 health nonprofits $1M–$10M, FY2025

Organizations like FINGER LAKES HEALTH SYSTEMS AGENCY

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

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

87% of spending goes to programs.

Program 87%Management 13%Fundraising 0%

Governance

27
board members
70%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

98%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

NY

Screen this organization

A dated, signed PDF of the compliance screen for FINGER LAKES HEALTH SYSTEMS AGENCY: 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.

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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 FINGER LAKES HEALTH SYSTEMS AGENCY?
FINGER LAKES HEALTH SYSTEMS AGENCY (New York) receives grants from 18 organizations whose IRS filings report $8,323,384 to it, the largest being Greater Rochester Health Foundation ($5,159,630). 9 of them have funded it in more than one year.
How many funders does FINGER LAKES HEALTH SYSTEMS AGENCY have?
IRS filings report 18 organizations giving $8,323,384 in grants to FINGER LAKES HEALTH SYSTEMS AGENCY, 9 of which have funded it in more than one year.
Who is the largest funder of FINGER LAKES HEALTH SYSTEMS AGENCY?
Greater Rochester Health Foundation is the largest funder on record, with $5,159,630 in grants. The full list of funders is on this page.
How can an organization like FINGER LAKES HEALTH SYSTEMS AGENCY 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 Finger Lakes Health Systems Agency →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 18 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