ADIRONDACK HEALTH INSTITUTE INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1987

Legal Domicile

Principal Officer

KAREN ASHLINE

Phone

5184800111

Tax Period

2023-01-01 to 2023-12-31

ADIRONDACK HEALTH INSTITUTE INC, founded in 1987, is a mid-sized nonprofit in the Health Care sector that reported $29.9M in total revenue in fiscal year 2023. Expenses of $28.9M left a modest 3% surplus.

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.

Program Service Accomplishments

Program 1

Expenses: $14,237,866 Revenue: $14,485,065

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...

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.

Program 2

Expenses: $9,453,203 Revenue: $9,453,203

THE 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...

THE 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.

Program 3

Expenses: $2,639,518

THE 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/...

THE 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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $5,031,276

Program Service Revenue $24,323,358

Investment Income $530,462

Other Revenue $0

TOTAL REVENUE $29,885,096

Expense Breakdown

Grants Paid $0

Salaries & Benefits $5,250,373

Fundraising Expenses $0

Program Expenses $27,361,841

Other Expenses $23,624,532

TOTAL EXPENSES $28,874,905

Year-over-Year Comparison

	2023	2022	Change
Revenue	$29,885,096	$28,790,887	+0.0%
Expenses	$28,874,905	$28,374,776	+0.0%
Net Income	$1,010,191	$416,111	+1.4%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$558,358

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DANIEL BURKE	CHAIRMAN	1.00	Officer Director	$0	$0	$0
JEANNIE CROSS	SECRETARY	1.00	Officer Director	$0	$0	$0
DAVID KAISER	TREASURER	1.00	Officer Director	$0	$0	$0
AARON KRAMER	DIRECTOR	1.00	Director	$0	$0	$0
DONNA MCGREGOR	DIRECTOR	1.00	Director	$0	$0	$0
MICHELLE LEBEAU	DIRECTOR	1.00	Director	$0	$0	$0
GEOFF PECK	VICE CHAIR	1.00	Officer Director	$0	$0	$0
REBECCA PREVE	DIRECTOR	1.00	Director	$0	$0	$0
ROBERT ROSS	DIRECTOR	1.00	Director	$0	$0	$0
JOHN RUGGE MD	DIRECTOR EMERITUS	1.00	Director	$0	$0	$0
PAUL SCIMECA	DIRECTOR	1.00	Director	$0	$0	$0
TUCKER SLINGERLAND MD	DIRECTOR	1.00	Director	$0	$0	$0
WOUTER RIETSEMA MD	OUTGOING SECRETARY	1.00	Officer Director	$0	$0	$0
DIANE WILDEY	OUTGOING DIRECTOR	1.00	Director	$0	$0	$0
DAVID BEGUIN MD	ACO BOARD CHAIR	1.00	Officer Director	$0	$0	$0
ANNE MARIE HATCH	ACO VICE CHAIR	1.00	Officer Director	$0	$0	$0
ROBERT LABA	OUTGOING ACO BOARD CONSTITUENT/TREASURER	1.00	Officer Director	$0	$0	$0
CHRIS TOURNIER MD	ACO BOARD CONSTITUENT	1.00	Director	$0	$0	$0
CHRISTOPHER HICKEY	ACO TREASURER	1.00	Officer Director	$0	$0	$0
KEVIN GALLAGHER MD	ACO BOARD CONSTITUENT	1.00	Director	$0	$0	$0
KRIS AMBLER MD	ACO BOARD CONSTITUENT	1.00	Director	$0	$0	$0
CRAIG LETOURNEAU	ACO BOARD CONSTITUENT	1.00	Director	$0	$0	$0
PAUL FILION MD	ACO BOARD CONSTITUENT	1.00	Director	$0	$0	$0
TESS BARKER	ACO APPOINTED MANAGER	1.00	Director	$0	$0	$0
PAUL WILKE	ACO APPOINTED MANAGER	1.00	Director	$0	$0	$0
AMANDA BULRIS-ALLEN	OUTGOING ACO APPOINTED MANAGER	1.00	Director	$0	$0	$0
KELLY LANGECHAMPNEY	ACO BOARD CONSTITUENT	1.00	Director	$0	$0	$0
MICHELLE MANNION	ACO BOARD CONSTITUENT	1.00	Director	$0	$0	$0
ERIC BURTON	CHIEF EXECUTIVE OFFICER	40.00	Officer	$348,118	$18,664	$366,782
SARAH WRIGHT	CHIEF FINANCIAL OFFICER	40.00	Officer	$151,900	$39,676	$191,576
JEFFREY HISCOX	CHIEF OPERATING & COMPLIANCE OFFICER	40.00	Highest	$133,836	$29,441	$163,277
JEREMY POWERS	DIR. OF CLINICAL QUALITY IMPROVEMENT	40.00	Highest	$103,078	$1,922	$105,000
KATIE PUSTOLKA	DIRECTOR OF HUMAN RESOURCE	40.00	Highest	$106,576	$19,423	$125,999
LAURA MORRIS	DIRECTOR OF DATA ANALYTICS	40.00	Highest	$114,326	$9,584	$123,910

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$29,885,096	$28,874,905	$30,844,260	$1,010,191
2022	$28,790,887	$28,374,776	$29,482,611	$416,111
2021	$28,558,628	$28,281,194	$33,135,931	$277,434
2020	$64,380,459	$63,945,409	$28,354,563	$435,050
2019	$54,392,712	$53,356,461	$38,159,077	$1,036,251
2018	$50,848,249	$50,091,026	$34,249,757	$757,223