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ADIRONDACK HEALTH INSTITUTE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
ADIRONDACK HEALTH INSTITUTE INC (EIN 14-1698269)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-12
IRS object ID
202543169349305349
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-12T13:26:47-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN333709623PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK ADVISORY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 AVENUE OF THE AMERICASAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10019ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141698269EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADIRONDACK HEALTH INSTITUTE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlADIRBusinessNameControlTxt
Phone5184800111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 PLATTSBURGH PLAZAAddressLine1Txt
CityPLATTSBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAREN ASHLINEPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone5184800111PhoneNum
Signature2025-11-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd
Form8822 B AttachedYes (X)Form8822BAttachedInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLORI ROTHE YOKOBOSKYPreparerPersonNm
PTINP01273422PTIN
Phone2122970400PhoneNum
Preparation2025-10-31PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAREN ASHLINEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 PLATTSBURGH PLAZAAddressLine1Txt
CityPLATTSBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,779,902GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AHIHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee72TotalEmployeeCnt
Total Volunteers29TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,031,276PYContributionsGrantsAmt
CY Contributions Grants$4,828,591CYContributionsGrantsAmt
PY Program Service Revenue$24,323,358PYProgramServiceRevenueAmt
CY Program Service Revenue$23,105,916CYProgramServiceRevenueAmt
PY Investment Income$530,462PYInvestmentIncomeAmt
CY Investment Income$845,395CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$29,885,096PYTotalRevenueAmt
CY Total Revenue$28,779,902CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,250,373PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,598,770CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$23,624,532PYOtherExpensesAmt
CY Other Expenses$22,473,469CYOtherExpensesAmt
PY Total Expenses$28,874,905PYTotalExpensesAmt
CY Total Expenses$28,072,239CYTotalExpensesAmt
PY Revenues Less Expenses$1,010,191PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$707,663CYRevenuesLessExpensesAmt
Total Assets BOY$30,844,260TotalAssetsBOYAmt
Total Assets EOY$25,801,394TotalAssetsEOYAmt
Total Liabilities BOY$25,675,195TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,924,666TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,169,065NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,876,728NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$12,754,674ExpenseAmt
Revenue$12,654,185RevenueAmt
DescAHI 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,106,258ExpenseAmt
Revenue$10,106,258RevenueAmt
DescTHE 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,069,068ExpenseAmt
DescTHE 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.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,358,857ExpenseAmt
Revenue$345,473RevenueAmt
DescOTHER PROGRAM SERVICE EXPENSE INCLUDES EXPENSES RELATED TO BOTH MANAGEMENT SERVICE CONTRACTS AND ADDITIONAL GRANT AND CONTRACT SERVICE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,358,857TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$345,473TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$26,288,857TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee72EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SARAH WRIGHTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5184800111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 PLATTSBURGH PLAZAAddressLine1Txt
CityPLATTSBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DANIEL BURKE
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JEANNIE CROSS
SECRETARY1.00Yes (X)Yes (X)$0$0$0
CHRISTOPHER HICKEY
DIRECTOR/ACO BOARD CONSTITUENT1.00Yes (X)$0$0$0
DAVID KAISER
TREASURER1.00Yes (X)Yes (X)$0$0$0
AARON KRAMER
DIRECTOR1.00Yes (X)$0$0$0
MICHELLE LEBEAU
DIRECTOR1.00Yes (X)$0$0$0
DONNA MCGREGOR
DIRECTOR1.00Yes (X)$0$0$0
GEOFF PECK
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
REBECCA PREVE
DIRECTOR1.00Yes (X)$0$0$0
ROBERT ROSS
DIRECTOR1.00Yes (X)$0$0$0
JOHN RUGGE MD
DIRECTOR EMERITUS1.00Yes (X)$0$0$0
PAUL SCIMECA
DIRECTOR1.00Yes (X)$0$0$0
TUCKER SLINGERLAND MD
DIRECTOR1.00Yes (X)$0$0$0
DAVID BEGUIN MD
ACO BOARD CHAIR1.00Yes (X)Yes (X)$0$0$0
ANNE MARIE HATCH
ACO VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
KEVIN GALLAGHER MD
ACO BOARD CONSTITUENT1.00Yes (X)$0$0$0
KRIS AMBLER MD
ACO BOARD CONSTITUENT1.00Yes (X)$0$0$0
CRAIG LETOURNEAU
ACO BOARD CONSTITUENT1.00Yes (X)$0$0$0
PAUL FILION MD
ACO BOARD CONSTITUENT1.00Yes (X)$0$0$0
PAUL WILKE
ACO REPRESENTATIVE - MEDICARE1.00Yes (X)$0$0$0
KELLY CHAMPNEY
ACO BOARD CONSTITUENT1.00Yes (X)$0$0$0
MICHELLE MANNION
ACO BOARD CONSTITUENT1.00Yes (X)$0$0$0
DAN HILL
ACO BOARD CONSTITUENT1.00Yes (X)$0$0$0
BRITTANY SILVESTRI
ACO BOARD CONSTITUENT1.00Yes (X)$0$0$0
KAREN ASHLINE
CHIEF EXECUTIVE OFFICER40.00Yes (X)$268,598$0$77,107
SARAH WRIGHT
CHIEF FINANCIAL OFFICER40.00Yes (X)$167,783$0$72,780
ERIC BURTON
OUTGOING CHIEF EXECUTIVE OFFICER40.00Yes (X)$59,112$0$0
JEFFREY HISCOX
CHIEF OPERATING & COMPLIANCE OFFICER40.00$142,503$0$46,447Yes (X)
JEREMY POWERS
DIR. OF CLINICAL QUALITY IMPROVEMENT40.00$102,681$0$6,407Yes (X)
KATIE PUSTOLKA
DIRECTOR OF HUMAN RESOURCE40.00$109,689$0$32,905Yes (X)
LAURA MORRIS
DIRECTOR OF DATA ANALYTICS40.00$119,148$0$10,062Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$969,514TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$245,708TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
IDEABOX ENTERPRISES LLC
48 HEWITT AVENUEBRONXVILLENY10708COMPUTER SERVICES$127,440
COHNREZNICK LLP
PO BOX 1699ALBANYNY122011699AUDITING AND TAX SERVICES$121,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$4,243,653GovernmentGrantsAmt
All Other Contributions$584,938AllOtherContributionsAmt
Total Contributions$4,828,591TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CARE MANAGEMENT900099$12,654,185$12,654,185
ACO NONGRANT CONTRACT REVENUE900099$10,106,258$10,106,258
MANAGEMENT SERVICE900099$345,473$345,473
FieldValueIRS element (for citing)
Total Program Service Revenue$23,105,916TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$845,395TotalRevenueColumnAmt
Exclusion$845,395ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,779,902TotalRevenueColumnAmt
Related Or Exempt Func Income$23,105,916RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$845,395ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$645,380TotalAmt
Program Services$479,639ProgramServicesAmt
Management And General$165,741ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,944,953TotalAmt
Program Services$2,931,846ProgramServicesAmt
Management And General$1,013,107ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$142,106TotalAmt
Program Services$105,612ProgramServicesAmt
Management And General$36,494ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$530,409TotalAmt
Program Services$394,194ProgramServicesAmt
Management And General$136,215ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$335,922TotalAmt
Program Services$249,654ProgramServicesAmt
Management And General$86,268ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$362,322TotalAmt
Program Services$362,322ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$74,563TotalAmt
Program Services$45,759ProgramServicesAmt
Management And General$28,804ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$194,815TotalAmt
Program Services$62,153ProgramServicesAmt
Management And General$132,662ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,020,517TotalAmt
Program Services$1,944,218ProgramServicesAmt
Management And General$76,299ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$120,047TotalAmt
Program Services$90,556ProgramServicesAmt
Management And General$29,491ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$221,656TotalAmt
Program Services$221,656ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$113,837TotalAmt
Program Services$95,739ProgramServicesAmt
Management And General$18,098ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$58,648TotalAmt
Program Services$58,229ProgramServicesAmt
Management And General$419ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$70,787TotalAmt
Program Services$70,751ProgramServicesAmt
Management And General$36ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$47,347TotalAmt
Program Services$47,347ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$165,488TotalAmt
Program Services$130,985ProgramServicesAmt
Management And General$34,503ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CARE MANAGEMENT$10,356,494$10,356,494
ACO POPULATION HEALTH M$8,561,300$8,561,300
DUES AND SUBSCRIPTIONS$37,292$25,934$11,358
REPAIRS AND MAINTENANCE$13,159$13,159

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$55,197TotalAmt
Program Services$54,469ProgramServicesAmt
Management And General$728ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,072,239TotalAmt
Program Services$26,288,857ProgramServicesAmt
Management And General$1,783,382ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$400BOYAmt
EOY$400EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,678,547BOYAmt
EOY$18,058,080EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,603,621BOYAmt
EOY$4,185,205EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,524,504BOYAmt
EOY$2,619,459EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$273,803BOYAmt
EOY$280,045EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$344,173LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$253,255LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$118,866BOYAmt
EOY$90,918EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$644,519BOYAmt
EOY$567,287EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,844,260BOYAmt
EOY$25,801,394EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,272,674BOYAmt
EOY$8,827,976EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,253,064BOYAmt
EOY$8,998,966EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,505,000BOYAmt
EOY$1,505,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$644,457BOYAmt
EOY$592,724EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,675,195BOYAmt
EOY$19,924,666EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,169,065BOYAmt
EOY$5,876,728EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,169,065BOYAmt
EOY$5,876,728EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,844,260BOYAmt
EOY$25,801,394EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$707,663ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$150,476OtherCostOrOtherBasisAmt
Depreciation$105,333DepreciationAmt
Book Value$45,143BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$193,697OtherCostOrOtherBasisAmt
Depreciation$147,922DepreciationAmt
Book Value$45,775BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$90,918TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OPERATING LEASE LIABILITIES$568,274
DEFERRED COMPENSATION$24,450
FieldValueIRS element (for citing)
Total Liability$592,724TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$19,236,625TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$19,236,625RevenueSubtotalAmt
Other Revenues Not Included$9,543,277OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$9,543,277RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$28,779,902TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$18,528,962TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$18,528,962ExpensesSubtotalAmt
Other Expenses Not Included$9,543,277OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$9,543,277ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,072,239TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY AHI AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2024, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. AHI'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2021 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:ADIRONDACKS ACO, LLC 10,107,491. ELIMINATIONS -564,214.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ADIRONDACKS ACO, LLC 10,107,491. ELIMINATIONS -564,214.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KAREN ASHLINE
CHIEF EXECUTIVE OFFICER$268,598$0$0$0$0$0$35,986$0$41,121$0$345,705$0$0$0
SARAH WRIGHT
CHIEF FINANCIAL OFFICER$143,958$0$23,825$0$0$0$10,261$0$62,519$0$240,563$0$0$0
JEFFREY HISCOX
CHIEF OPERATING & COMPLIANCE OFFICER$142,503$0$0$0$0$0$8,164$0$38,283$0$188,950$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationTHE AMOUNT INCLUDED ON PART II, B(II), REPRESENTS BONUSES THAT WERE APPROVED BY THE BOARD. THE AMOUNT WAS INCLUDED IN THE INDIVIDUAL'S W-2.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, LINE 20A:THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION.
FORM 990, PART VI, SECTION A, LINE 6ADIRONDACK HEALTH INSTITUTE INC. IS A MEMBERSHIP CORPORATION. THE MEMBERS ARE AS FOLLOWS: HUDSON HEADWATERS HEALTH NETWORK 23.2% ADIRONDACK MEDICAL CENTER 13.3% CHAMPLAIN VALLEY PHYSICIANS HOSPITAL 29.9% GLENS FALLS HOSPITAL 18.3% ST. LAWRENCE HEALTH SYSTEM 15.3%
FORM 990, PART VI, SECTION A, LINE 7AADIRONDACK HEALTH INSTITUTE INC. IS A MEMBERSHIP CORPORATION. THE MEMBERS ARE AS FOLLOWS: HUDSON HEADWATERS HEALTH NETWORK 23.2% ADIRONDACK MEDICAL CENTER 13.3% CHAMPLAIN VALLEY PHYSICIANS HOSPITAL 29.9% GLENS FALLS HOSPITAL 18.3% ST. LAWRENCE HEALTH SYSTEM 15.3% EACH MEMBER IS ENTITLED TO ONE VOTE FOR THE PURPOSES OF ACTIONS TAKEN BY THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS PREPARED BY THE INDEPENDENT ACCOUNTANT. A COPY OF THE RETURN IS THEN SENT TO THE FINANCE COMMITTEE FOR THEIR REVIEW OF THE RETURN. THE RETURN IS THEN MADE AVAILABLE TO ALL BOD MEMBERS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, ANNUAL CONFLICT OF INTEREST REVIEWS SHALL BE CONDUCTED. THE ANNUAL REVIEW SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARMS LENGTH BARGAINING. WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ORGANIZATIONS WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES, AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. WHEN CONDUCTING THE PERIODIC REVIEWS AS PROVIDED FOR HEREIN, THE ORGANIZATION MAY, BUT NEED NOT, USE OUTSIDE ADVISORS. IF OUTSIDE EXPERTS ARE USED, THEIR USE SHALL NOT RELIEVE THE GOVERNING BOARD OF ITS RESPONSIBILITY FOR ENSURING PERIODIC REVIEWS ARE CONDUCTED.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION FOR CEO INCLUDES A PROCESS WHEREIN OBJECTIVE AND INDEPENDENT REVIEW PROCESS OF THE CEO'S COMPENSATION IS CONDUCTED WHICH INCLUDES BENCHMARKING AGAINST COMPARABLE ORGANIZATIONS. IT IS THEN VOTED ON BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE DOCUMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ADIRONDACKS ACO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 BEEKMAN STAddressLine1Txt
CityPLATTSBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12901ZIPCd
FieldValueIRS element (for citing)
EIN462840926EIN
Primary ActivitiesACCOUNTABLE CARE ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$10,107,491TotalIncomeAmt
End Of Year Assets$6,562,509EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ADIRONDACK HEALTH INSTITUTE INCBusinessNameLine1Txt