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ADIRONDACK HEALTH INSTITUTE INC
PLATTSBURGH, NY · EIN 141698269 · Form 990 · FY2024 · NTEE E31Z · Health Care · Large ($10M-$50M) · ahihealth.org
revenue
$28.8M
expenses
$28.1M
net assets
$5.9M
employees
72
volunteers
29
program ratio
94%
mission · from form 990

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.

profile · synthesized from sources

Adirondack Health Institute (AHI) is a nonprofit organization based in Plattsburgh, NY, focused on transforming health care delivery in the Adirondack region. It leads initiatives to improve quality, access, and affordability through coordinated care models, accountable care, and data-driven quality improvement. AHI serves high-risk Medicaid populations with chronic conditions and supports regional health systems through analytics and performance reporting.

irs program accomplishments · form 990 part iii · fy2024

What they reported doing

  1. #1 primary $10.11M
    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.
  2. #2 $2.07M
    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.
named programs · 5 · from sources

What they call their work

Adirondacks Accountable Care Organization (ACO)
Accountable Care Organization partnering with 16 regional health entities to improve quality of care and reduce costs through data analytics, performance monitoring, and shared savings arrangements.
Data and Quality at AHI
Inter-organizational team providing data analytics, quality measurement, program evaluation, and reporting support for AHI and the Adirondacks ACO, including interactive dashboards and performance improvement initiatives.
Enrollment Assistance Services and Education (EASE)
Service helping individuals and families enroll in health insurance coverage through state and federal marketplaces.
Health Home/Care Management
State-designated care management program for high-risk Medicaid recipients with HIV/AIDS, serious mental illness, or multiple chronic conditions, providing care coordination and linkage to community supports across ten northern NY counties.
Keep New York Covered (KNYC)
Program educating New Yorkers about healthcare coverage options and assisting with enrollment in health insurance plans.
activities · 11 groups

What they do

  • Healthcare Delivery Networks and Coalitions 3 activities
    • Adirondacks Accountable Care Organization (ACO) operations
      Operates the Adirondacks ACO to expand medical access, reduce healthcare costs, and improve care quality through collaboration with regional healthcare professionals and data analytics initiatives.
    • Regional care coordination and policy collaboration
      Hosts monthly meetings for regional care management agencies to review state policies, identify improvements, and share best practices. Leads the AHI Performing Provider System (PPS), a network of over 100 organizations implementing healthcare delivery reform under the DSRIP initiative in Northern New York and the Adirondack region.
    • Regional health initiatives and collaborative forums
      Operates eleven regional health initiatives and provides a collaborative forum for public health leaders, healthcare providers, and community-based organizations to assess population health needs and develop joint responses. Focus areas include workforce development, telehealth, addiction care, chronic disease management, and environmental health.
  • Healthcare System Administrative Support 2 activities
    • Chronic disease care coordination
      Administers the Chronic Disease Care Coordination Network (CDCCN), a four-year HRSA-funded program, to improve health outcomes for individuals with heart disease and risk factors in a rural four-county region. Focuses on reducing new cases and improving care through effective care coordination and data-informed strategies.
    • Data analytics and evaluation for AHI-led grants
      Supports data collection, evaluation, outcome reporting, and data visualizations for AHI-led grants including the HRSA Chronic Disease Care Coordination Network (CDCCN), HRSA Workforce grant, Mother Cabrini Health Foundation Workforce grant, and the North Country Heart Network’s “Get Healthy North Country!” grant.
  • Healthcare Policy Advocacy 1 activity
    • Advocacy for health care policy and system reform
      Leads stakeholder engagement and advocacy efforts to inform and advance health care delivery, payment reform, and policy changes in the region.
  • Annual Impact and Evaluation Reporting 1 activity
    • Annual reporting and impact documentation
      Produces and publishes annual reports, impact reports, and year-in-review summaries to document organizational activities and outcomes, including the 2024 Impact Report, 2024 Year in Review, and prior years’ Annual Reports.
  • Nonprofit Capacity Building Services 1 activity
    • Capacity building for healthcare organizations
      Provides professional development, technical support, and grant application resources to healthcare providers and community organizations. Includes Bridges Out of Poverty training, a database of funding opportunities, and online courses to strengthen organizational effectiveness and sustainability.
  • Community Health Equity Initiatives 1 activity
    • Community Health Assessment and data reporting
      Facilitates the Community Health Assessment (CHA) Committee, publishes regional health assessments and county-specific infographics, and develops interactive dashboards to support partners in creating Community Health Improvement Plans. Includes development of a Diabetes Dashboard and regional asset mapping to identify service gaps.
  • Medicaid Health Home Care Coordination 1 activity
    • Health Home care management for high-risk Medicaid recipients
      Operates as a state-designated lead Health Home providing care management services that connect high-risk Medicaid individuals to healthcare and community resources. Aims to reduce emergency department visits, inpatient admissions, and healthcare costs through coordination with 22 care management agencies across eight counties.
  • Health Insurance Enrollment Assistance 1 activity
    • Health insurance enrollment assistance
      Provides free, year-round enrollment assistance to individuals, families, and small businesses through in-person and telephone appointments across an eight-county region in New York. Supports enrollment in Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans via the NY State of Health Marketplace through programs like EASE and Keep New York Covered (KNYC).
  • Healthcare Workforce Training & Career Pathways 1 activity
    • Healthcare workforce training and support programs
      Implements healthcare education and training programs, including the BOOST Program and MASH Camps, to address regional workforce shortages and support individuals from underserved communities in pursuing healthcare careers. Provides wraparound support such as scholarships, career coaching, and assistance with childcare, transportation, and living expenses to promote training completion and employment.
  • Intake and Referral Coordination 1 activity
    • Mental health and substance use disorder treatment navigation
      Provides free and confidential navigation services to assist individuals, including the uninsured, in accessing mental health and substance use disorder treatment. Offers direct support with insurance enrollment, provider identification, prior authorizations, appeals, and legal parity issues via phone or online request.
  • LGBTQ+ Community Support and Resource Centers 1 activity
    • Support for LGBTQ+ wellbeing and food access
      Operates a resource website promoting LGBTQ+ wellbeing with trainings, modules, and legal resources, and maintains a food access website to help individuals experiencing food insecurity locate fresh food by integrating resources from ARHN and the former Adirondack Food System Network.
financials · form 990 · fy2024
revenue
Total revenue$28.78M
Contributions & grants$4.83M17%
Program service revenue$23.11M80%
Investment income$845K3%
Other revenue$0
expenses
Total expenses$28.07M
Program expenses94%
Admin / overhead6%
Fundraising0%
Salaries & benefits$5.60M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$25.80M
Cash$18.06M
Investments$0
Liabilities$19.92M
Net assets$5.88M
Liquid reserves7.7 mo
3 years on record · 2020–2024 · YoY revenue -3.7%
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 7
NameTitleHours/wkCompensation
KAREN ASHLINE CHIEF EXECUTIVE OFFICER 40 $346K
SARAH WRIGHT CHIEF FINANCIAL OFFICER 40 $241K
JEFFREY HISCOX CHIEF OPERATING & COMPLIANCE OFFICER 40 $189K
KATIE PUSTOLKA DIRECTOR OF HUMAN RESOURCE 40 $143K
LAURA MORRIS DIRECTOR OF DATA ANALYTICS 40 $129K
JEREMY POWERS DIR. OF CLINICAL QUALITY IMPROVEMENT 40 $109K
ERIC BURTON OUTGOING CHIEF EXECUTIVE OFFICER 40 $59K
board members · 18
  • AARON KRAMER — DIRECTOR
  • ANNE MARIE HATCH — ACO VICE CHAIR
  • BRITTANY SILVESTRI — ACO BOARD CONSTITUENT
  • CHRISTOPHER HICKEY — DIRECTOR/ACO BOARD CONSTITUENT
  • CRAIG LETOURNEAU — ACO BOARD CONSTITUENT
  • DAN HILL — ACO BOARD CONSTITUENT
  • DANIEL BURKE — CHAIRMAN
  • DAVID BEGUIN MD — ACO BOARD CHAIR
  • DAVID KAISER — TREASURER
  • DONNA MCGREGOR — DIRECTOR
  • GEOFF PECK — VICE CHAIR
  • JEANNIE CROSS — SECRETARY
  • JOHN RUGGE MD — DIRECTOR EMERITUS
  • KELLY CHAMPNEY — ACO BOARD CONSTITUENT
  • KEVIN GALLAGHER MD — ACO BOARD CONSTITUENT
  • KRIS AMBLER MD — ACO BOARD CONSTITUENT
  • MICHELLE LEBEAU — DIRECTOR
  • MICHELLE MANNION — ACO BOARD CONSTITUENT
relationships · 40

Who they work with

  • Adirondack Health Partner — Member organization collaborating with AHI to improve regional health care access and quality
  • Adirondacks Accountable Care Organization Partner — Collaborates on data analytics and quality improvement initiatives.
  • Adirondacks Accountable Care Organization Partner — Jointly supported by AHI's Data Analytics and Quality Improvement teams.
  • Adirondacks Accountable Care Organization Partner — Jointly supported by inter-organizational Data Analytics and Quality Improvement teams; collaborates on data management, quality measurement, and performance reporting.
  • Adirondacks Accountable Care Organization Partner — Network member collaborating on the Chronic Disease Care Coordination Network.
  • Claxton-Hepburn Medical Center Partner — Partner organization whose staff members have received ARHN Rural Health Champion awards.
  • Community Service Society Navigator Network Partner — Collaborates with AHI to enroll individuals and families in affordable health insurance across New York State.
  • Community Service Society of NY Partner — Subcontracts AHI’s enrollment assistors for the EASE program.
  • Community Service Society of New York Partner — Collaborates with AHI on the CHAMP program to provide assistance with insurance and access to mental health and substance use disorder services.
  • FAITH Riding Center Partner — Partner organization whose owner received recognition as a Rural Health Champion by ARHN.
  • Fort Drum Regional Health Planning Organization Partner — Collaborates with AHI on the North Country Telehealth Partnership.
  • Get Healthy North Country Community Integrated Health Network Network — Coalition of nearly 30 organizations that AHI participates in to deliver health and wellness programs across nine counties in northern New York.
  • Glens Falls Hospital Partner — Member organization collaborating with AHI on health care transformation and access initiatives
  • Health Resources and Services Administration (HRSA) Funder — Funds the Chronic Disease Care Coordination Network operated by AHI.
  • Health Resources and Services Administration (HRSA) Government — Funder of the Chronic Disease Care Coordination Network through a federal award.
  • Hixny Partner — Collaborates with AHI and the Adirondacks ACO on the Client Data Warehouse, a secure data repository containing claims and clinical information.
  • Hudson Headwaters Health Network Partner — Member organization partnering with AHI to improve population health and care coordination
  • Hudson Headwaters Health Network Partner — Subcontracts AHI’s enrollment assistors for the EASE program.
  • Hudson Headwaters Health Network (HHHN) Partner — Partner organization whose staff member received the North Country Telehealth Partnership Telehealth Innovator Award through ARHN.
  • Hudson Mohawk Area Health Education Center Partner — Partner organization co-delivering MASH Camps for high school students interested in healthcare careers.
  • Legal Action Center Partner — Partners with AHI on the CHAMP program to support consumers with legal issues related to insurance coverage and parity in mental health and substance use disorder treatment.
  • MEDICARE Rights Center Partner — Collaborates with AHI in the CHAMP program to assist individuals with Medicare-related mental health and substance use disorder benefit access.
  • Mother Cabrini Health Foundation Funder — Primary funder supporting the creation and implementation of the BOOST program.
  • NY State of Health Marketplace Partner — Collaborates with the NY State of Health Marketplace to provide insurance enrollment assistance through the EASE program.
  • NYSDOH Government — Partners with AHI on health insurance enrollment initiatives for uninsured individuals and families.
  • New York State Council for Community Behavioral Healthcare Partner — Works with AHI as part of the statewide CHAMP initiative to improve access to behavioral health services across New York.
  • New York State Department of Health Funder — Funds the Clear the Air in the Southern Adirondacks (CASA) tobacco-free communities initiative.
  • New York State Department of Health Government — Partnership to implement Health Home policies and procedures.
  • New York State Department of Health Government — Primary funder and partner supporting ARHN through the Office of Health Systems Management, Division of Health Facility Planning, and Charles D. Cook Office of Rural Health.
  • New York State Department of Health Government — Primary funder of the HELP program from 2026 through 2030.
+ 10 more
strategies · 5

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Data-Driven Quality Improvement and Collaborative Learning
    methodology: data-driven_quality_improvement
    By integrating data analytics across clinical and community organizations and facilitating knowledge sharing through regional collaboratives, ADIRONDACK HEALTH INSTITUTE identifies performance gaps and spreads evidence-based practices, because shared measurement and learning accelerate systemic improvement.
  • Integrated Care Coordination for High-Risk Populations
    methodology: integrated_care_coordination
    By coordinating communication among medical, behavioral, and social service providers and embedding these processes into organizational workflows, ADIRONDACK HEALTH INSTITUTE improves health outcomes and reduces acute care utilization for high-need Medicaid populations, because integrated systems reduce fragmentation and service duplication.
  • Multi-Sector Collaboration to Address Social Determinants of Health
    methodology: addressing-social-determinants-of-health
    By partnering with community-based organizations and aligning regional efforts through coalitions, ADIRONDACK HEALTH INSTITUTE advances systemic health reform and equity, because addressing social determinants through coordinated policy, funding, and service delivery improves access and outcomes in underserved rural populations.
  • Unbiased Insurance Navigation and Community Education
    methodology: insurance_navigation
    By providing free, certified, and non-affiliated enrollment assistance and community education on health coverage, ADIRONDACK HEALTH INSTITUTE increases insurance uptake and access to care, because trusted, impartial guidance reduces confusion and overcomes barriers related to eligibility and plan selection.
  • Workforce Development with Barrier Reduction and Retention Support
    methodology: workforce-development-with-wraparound-support
    By combining expanded training access, wraparound support, and employer-based retention strategies, ADIRONDACK HEALTH INSTITUTE increases completion and retention among healthcare students and professionals from underserved communities, because addressing financial, social, and systemic barriers strengthens rural workforce capacity.