Adirondack Health Institute Inc

Adirondack Health Institute consistently allocates over 85% of expenses to programs, with no reported officer compensation.

EIN: 141698269 · Plattsburgh, NY · NTEE: E31Z · Updated: 2026-03-28

$28.8MRevenue

$25.8MAssets

85/100Mission Score (Excellent)

E31Z

About Adirondack Health Institute Inc

Adirondack Health Institute Inc (EIN: 141698269) is a nonprofit organization based in Plattsburgh, NY, classified under NTEE code E31Z. The organization reported total revenue of $28.8M and total assets of $25.8M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Adirondack Health Institute Inc's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.

AI Transparency Report

Adirondack Health Institute Inc demonstrates a consistent commitment to its program services, with a high percentage of its expenses directed towards its mission. For instance, in the latest filing (202312), 87% of total expenses were allocated to program services, indicating strong operational efficiency in delivering its health-related initiatives. The organization has also shown a healthy financial position, with assets consistently exceeding liabilities, such as $30,844,260 in assets against $25,675,195 in liabilities in 202312. This suggests a stable financial foundation.

However, a notable aspect is the reported 0% officer compensation across all available filings. While this might suggest a volunteer-led executive team or that compensation is reported differently, it warrants further investigation for complete transparency regarding leadership remuneration. The organization's revenue has fluctuated significantly over the years, peaking at $64,380,459 in 202012 before stabilizing around $28-29 million in recent years. This volatility could be due to specific grant cycles or project funding, but the consistent program spending ratio is a positive indicator of its ability to manage varying income levels while maintaining its core activities.

Mission Effectiveness Score

NonprofitSpending's AI analysis rates Adirondack Health Institute Inc with a Mission Score of 85 out of 100 (Excellent). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.

Spending Breakdown

admin: 8%
programs: 87%
fundraising: 5%

According to IRS 990 filings, Adirondack Health Institute Inc allocates its expenses as follows: admin: 8%, programs: 87%, fundraising: 5%. With 87% directed toward programs, this reflects a strong commitment to its charitable mission.

Executive Compensation Analysis

The IRS 990 filings consistently report 0% officer compensation, which is unusual for an organization of this size with revenues in the tens of millions. This suggests either a fully volunteer executive leadership or that compensation is reported under different categories, requiring further scrutiny for full transparency.

Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.

Red Flags

The following concerns were identified during AI analysis of Adirondack Health Institute Inc's IRS 990 filings:

Consistent 0% reported officer compensation, which may obscure actual executive remuneration.
Significant year-over-year revenue volatility, potentially indicating reliance on large, non-recurring grants.

Strengths

The following positive indicators were identified for Adirondack Health Institute Inc:

High percentage of expenses consistently allocated to program services (e.g., 87% in 202312).
Healthy financial position with assets consistently exceeding liabilities (e.g., $30,844,260 assets vs. $25,675,195 liabilities in 202312).
Positive net income in most recent years, indicating financial sustainability (e.g., $1,010,191 in 202312).

Frequently Asked Questions about Adirondack Health Institute Inc

Is Adirondack Health Institute Inc a good charity?

Based on its consistent allocation of a high percentage of expenses (e.g., 87% in 202312) to program services and a healthy asset-to-liability ratio, Adirondack Health Institute Inc appears to be an effective charity in terms of financial management and program delivery. However, the lack of reported officer compensation warrants further investigation for complete transparency.

Why is officer compensation reported as 0% across all filings?

The consistent reporting of 0% officer compensation is unusual for an organization with annual revenues in the tens of millions. This could indicate that executive leadership is entirely volunteer-based, or that compensation is categorized differently within the financial statements, such as under general salaries and wages, rather than specifically as officer compensation. Further detail from the organization would be needed to clarify this.

How has the organization's revenue changed over time?

Adirondack Health Institute Inc has experienced significant revenue fluctuations, with a peak of $64,380,459 in 202012, followed by a stabilization around $28-29 million in the most recent years (202112-202312). This suggests potential reliance on specific grants or projects that can cause large swings in annual income.

Filing History

IRS 990 filing history for Adirondack Health Institute Inc showing financial trends over 13 years of public records:

Over 13 years of IRS 990 filings (2011–2023), Adirondack Health Institute Inc's revenue has grown by 535.2%, moving from $4.7M to $29.9M. Total assets increased by 474.7% over the same period, from $5.4M to $30.8M. Total functional expenses rose by 707.6%, from $3.6M to $28.9M. In its most recent filing year (2023), Adirondack Health Institute Inc reported a surplus of $1.0M, with revenue exceeding expenses. The organization holds $25.7M in liabilities against $30.8M in assets (debt-to-asset ratio: 83.2%), resulting in net assets of $5.2M.

Year	Revenue	Expenses	Assets	Liabilities	Officer Comp.	PDF
2023	$29.9M	$28.9M	$30.8M	$25.7M	—	—
2022	$28.8M	$28.4M	$29.5M	$25.3M	—	View 990
2021	$28.6M	$28.3M	$33.1M	$29.4M	—	View 990
2020	$64.4M	$63.9M	$28.4M	$24.9M	—	—
2019	$54.4M	$53.4M	$38.2M	$35.1M	—	View 990
2018	$50.8M	$50.1M	$34.2M	$32.3M	—	View 990
2017	$30.0M	$29.5M	$34.0M	$32.8M	—	View 990
2016	$20.8M	$20.5M	$18.8M	$18.0M	—	View 990
2015	$7.9M	$9.3M	$22.5M	$22.0M	—	View 990
2014	$4.8M	$5.3M	$5.4M	$3.5M	—	View 990
2013	$3.5M	$4.3M	$4.6M	$2.1M	—	View 990
2012	$3.8M	$4.3M	$5.3M	$2.1M	—	View 990
2011	$4.7M	$3.6M	$5.4M	$1.7M	—	View 990

Year-by-Year Financial Summary

2023: Revenue of $29.9M, expenses of $28.9M, and assets of $30.8M (revenue +3.8% year-over-year).
2022: Revenue of $28.8M, expenses of $28.4M, and assets of $29.5M (revenue +0.8% year-over-year).
2021: Revenue of $28.6M, expenses of $28.3M, and assets of $33.1M (revenue -55.6% year-over-year).
2020: Revenue of $64.4M, expenses of $63.9M, and assets of $28.4M (revenue +18.4% year-over-year).
2019: Revenue of $54.4M, expenses of $53.4M, and assets of $38.2M (revenue +7.0% year-over-year).
2018: Revenue of $50.8M, expenses of $50.1M, and assets of $34.2M (revenue +69.7% year-over-year).
2017: Revenue of $30.0M, expenses of $29.5M, and assets of $34.0M (revenue +44.2% year-over-year).
2016: Revenue of $20.8M, expenses of $20.5M, and assets of $18.8M (revenue +161.6% year-over-year).
2015: Revenue of $7.9M, expenses of $9.3M, and assets of $22.5M (revenue +65.4% year-over-year).
2014: Revenue of $4.8M, expenses of $5.3M, and assets of $5.4M (revenue +37.0% year-over-year).
2013: Revenue of $3.5M, expenses of $4.3M, and assets of $4.6M (revenue -7.4% year-over-year).
2012: Revenue of $3.8M, expenses of $4.3M, and assets of $5.3M (revenue -19.6% year-over-year).
2011: Revenue of $4.7M, expenses of $3.6M, and assets of $5.4M.

Data Sources and Methodology

This transparency report for Adirondack Health Institute Inc is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.

IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.

Disclaimer

AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.