Civic Intelligence

Finger Lakes Health Systems Agency

EIN 16-1061456 • 501(c)3 • Mount Morris, NY

Profile

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

PO Box 160Mount Morris, NY 14510

www.commongroundhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

71st percentile

0.61x

Higher debt load relative to assets than 71% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Source year 2025

Liabilities / Revenue

68th percentile

0.38x

Higher debt load relative to revenue than 68% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Source year 2025

Net Margin

50th percentile

2.2%

Higher net margin than 50% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Source year 2025

Top Officer Pay

44th percentile

$199,299

Higher top officer pay than 44% of similar nonprofits.

Top officer pay equals 3.1% of source-year revenue.

NTEE E • $5M-$10M nonprofits • Source year 2025

Asset Growth

50th percentile

5.3%

Faster asset growth than 50% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Annualized from 2024 to 2025

Revenue Growth

69th percentile

18%

Faster revenue growth than 69% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Annualized from 2024 to 2025

Assets

Up

$4,035,562

Up $201,983 (+5.3%) from 2024

Liabilities

Up

$2,455,878

Up $36,143 (+1.5%) from 2024

Net Assets

Up

$1,579,684

Up $165,840 (+12%) from 2024

Revenue

Up

$6,441,454

Up $988,605 (+18%) from 2024

Expenses

Up

$6,301,499

Up $232,454 (+3.8%) from 2024

Net Income

Up

$139,955

Up $756,151 (+123%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0Assets 2012: $2,380,926Liabilities 2012: $1,589,824Net Assets 2012: $791,1022012Assets 2013: $2,502,979Liabilities 2013: $1,651,211Net Assets 2013: $851,7682013Assets 2014: $4,284,378Liabilities 2014: $3,368,526Net Assets 2014: $915,8522014Assets 2015: $5,633,137Liabilities 2015: $4,533,341Net Assets 2015: $1,099,7962015Assets 2016: $3,902,495Liabilities 2016: $2,782,804Net Assets 2016: $1,119,6912016Assets 2017: $4,299,593Liabilities 2017: $2,648,722Net Assets 2017: $1,650,8712017Assets 2018: $3,665,416Liabilities 2018: $1,856,704Net Assets 2018: $1,808,7122018Assets 2019: $4,382,994Liabilities 2019: $2,077,273Net Assets 2019: $2,305,7212019Assets 2020: $3,974,689Liabilities 2020: $1,626,732Net Assets 2020: $2,347,9572020Assets 2021: $5,371,111Liabilities 2021: $2,983,536Net Assets 2021: $2,387,5752021Assets 2022: $4,905,746Liabilities 2022: $2,349,739Net Assets 2022: $2,556,0072022Assets 2023: $3,464,792Liabilities 2023: $1,445,209Net Assets 2023: $2,019,5832023Assets 2024: $3,833,579Liabilities 2024: $2,419,735Net Assets 2024: $1,413,8442024Assets 2025: $4,035,562Liabilities 2025: $2,455,878Net Assets 2025: $1,579,6842025

Highlighted filing

2025

Assets$4,035,562
Liabilities$2,455,878
Net Assets$1,579,684

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$15M$10M$5.0M$0-$5.0MRevenue 2012: $4,114,256Expenses 2012: $3,972,756Net Income 2012: $141,5002012Revenue 2013: $5,446,529Expenses 2013: $5,388,565Net Income 2013: $57,9642013Revenue 2014: $12,177,662Expenses 2014: $12,118,749Net Income 2014: $58,9132014Revenue 2015: $15,411,041Expenses 2015: $15,229,365Net Income 2015: $181,6762015Revenue 2016: $10,796,895Expenses 2016: $10,777,300Net Income 2016: $19,5952016Revenue 2017: $8,137,846Expenses 2017: $7,612,184Net Income 2017: $525,6622017Revenue 2018: $6,231,942Expenses 2018: $6,079,245Net Income 2018: $152,6972018Revenue 2019: $6,394,079Expenses 2019: $5,908,422Net Income 2019: $485,6572019Revenue 2020: $6,000,358Expenses 2020: $5,874,113Net Income 2020: $126,2452020Revenue 2021: $5,543,374Expenses 2021: $5,651,432Net Income 2021: -$108,0582021Revenue 2022: $6,568,530Expenses 2022: $6,387,520Net Income 2022: $181,0102022Revenue 2023: $5,853,545Expenses 2023: $6,337,281Net Income 2023: -$483,7362023Revenue 2024: $5,452,849Expenses 2024: $6,069,045Net Income 2024: -$616,1962024Revenue 2025: $6,441,454Expenses 2025: $6,301,499Net Income 2025: $139,9552025

Highlighted filing

2025

Revenue$6,441,454
Expenses$6,301,499
Net Income$139,955

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$4.04$2.46$1.58$6.44$6.30$0.14
2024Detailed filing. Detailed filing data is available for this year.$3.83$2.42$1.41$5.45$6.07$0.62
2023Detailed filing. Detailed filing data is available for this year.$3.46$1.45$2.02$5.85$6.34$0.48
2022Detailed filing. Detailed filing data is available for this year.$4.91$2.35$2.56$6.57$6.39$0.18
2021Detailed filing. Detailed filing data is available for this year.$5.37$2.98$2.39$5.54$5.65$0.11
2020Detailed filing. Detailed filing data is available for this year.$3.97$1.63$2.35$6.00$5.87$0.13
2019Detailed filing. Detailed filing data is available for this year.$4.38$2.08$2.31$6.39$5.91$0.49
2018Detailed filing. Detailed filing data is available for this year.$3.67$1.86$1.81$6.23$6.08$0.15
2017Detailed filing. Detailed filing data is available for this year.$4.30$2.65$1.65$8.14$7.61$0.53
2016Detailed filing. Detailed filing data is available for this year.$3.90$2.78$1.12$10.8$10.8$0.02
2015Summary only. Only limited summary data is available for this year.$5.63$4.53$1.10$15.4$15.2$0.18
2014Summary only. Only limited summary data is available for this year.$4.28$3.37$0.92$12.2$12.1$0.06
2013Summary only. Only limited summary data is available for this year.$2.50$1.65$0.85$5.45$5.39$0.06
2012Summary only. Only limited summary data is available for this year.$2.38$1.59$0.79$4.11$3.97$0.14
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Feb 6, 2026
Return Version
2024v5.5
Gross Receipts
$7,791,099
Mission and Program Overview

Mission

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

We bring focus to community health issues via data analysis, community engagement and solution implementation through community collaboration and partnership.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$307,814$1,226,790▲ $918,976
Savings and Temporary Cash Investments$514,201$624,463▲ $110,262
Investments Other Securities$486,164$541,451▲ $55,287
Cash and Non-Interest-Bearing Accounts$860,836$508,752▼ $352,084
Investments in Publicly Traded Securities$825,094$482,786▼ $342,308
Land, Buildings, and Equipment, Net$116,960$89,336▼ $27,624
Prepaid Expenses and Deferred Charges$41,259$27,239▼ $14,020
Total Assets$3,833,579$4,035,562▲ $201,983
Other Assets Total$681,251$534,745▼ $146,506
Liabilities
Deferred Revenue$1,191,732$1,280,800▲ $89,068
Accounts Payable and Accrued Expenses$544,824$633,567▲ $88,743
Other Liabilities$683,179$541,511▼ $141,668
Total Liabilities$2,419,735$2,455,878▲ $36,143
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,413,844$1,579,684▲ $165,840
Total Net Assets Fund Balance$1,413,844$1,579,684▲ $165,840
Total Liabilities and Net Assets / Fund Balance$3,833,579$4,035,562▲ $201,983

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$89,336$172,176$261,512
Leasehold Improvements$0$133,725$133,725
Other Assets Org$534,745--
Other Securities$541,451--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Wade NorwoodCEO THRU OCT 2024; CO-CEO AS OF NOV 2024FT$175,083$24,216$199,299
Wade NorwoodCEO THRU OCT 2024; CO-CEO AS OF NOV-$175,083$24,216$199,299
Dina FaticoneChief Program OfficerFT$124,065$17,110$141,175
Albert BlankleyChief Operating OfficerFT$130,543$9,204$139,747
Karen AccorsoDirector of FinanceFT$115,559$16,503$132,062
Melissa WendlandDirector of Strategic InitFT$110,357$19,725$130,082
Holly SienkiewiczDirector of ResearchFT$118,150$8,652$126,802

Board Members and Trustees

NameTitle
Melissa GardnerBoard Member / Chair
Christopher BellBoard Member/vice Chair
Ann Marie CookBoard Member/vice Chair - Joined Nov 2024
Angelica Perez-delgadoBoard Member
Dan M Delaus JrBoard Member
Hilda Rosario-escherBoard Member
Jeffrey SciortinoBoard Member
Jerome UnderwoodBoard Member
Jill GrazianoBoard Member
Jini FigueroaBoard Member
Jo Ellen PinkhamBoard Member
Margaret MorseBoard Member
Mark CroninBoard Member
Michael Ann FosterBoard Member
Michael McraeBoard Member
Michael Mendoza MdBoard Member
Sanford Mayer MdBoard Member
Kesha CarterBoard Member - Joined & Resigned During the Year
Balasz ZsenitsBoard Member - Joined Nov 2024
Jacob FlaitzBoard Member - Joined Nov 2024
John GlynnBoard Member - Joined Nov 2024
Larry BeckerBoard Member - Joined Nov 2024
Lucia CastillejoBoard Member - Joined Nov 2024
Peter RobinsonBoard Member - Joined Nov 2024
Robert DavisBoard Member - Joined Nov 2024
Sr Christine WagnerBoard Member - Joined Nov 2024
Carl Cameron MdBoard Member - Resigned During Year
Michael Rotondo MdBoard Member - Resigned During Year
Nicholas ApostolerisBoard Member - Resigned During Year
Marlene BessetteBOARD MEMBER THRU OCT 2024; CO-CEO AS OF NOV 2024
Mary ZelaznyBoard Member/secretary
Kathy JohnsonBoard Member/treasurer - Joined Nov 2024

Highest Paid Contractors

ContractorServicesLocationCompensation
University Business CenterRent And Utilities259 ALEXANDER STREET, Rochester, NY 14607$153,768
Rafiki Consortuim LLCProvide Indigenous Psychotherapy And Arc9985 VILLAGE GREEN DRIVE, Woodstock, MD 21163$153,250
Nextgen Healthcare INCData AnalyticsPO BOX 809390, Chicago, IL 60680$137,908
Revenue and Support

Revenue Composition

Contributions and Grants
$6,370,810
Program Service Revenue
$0
Investment Income
$70,644
Other Revenue
$0
All Other Contributions
$2,935,721
Change in Net Assets
$139,955

Audited Revenue Reconciliation

Revenue per Audited Statements
$6,431,410
Revenue Not Reported on Financial Statements
$10,044
Revenue Not Reported on Form 990
$25,885
Total Revenue per Audited Statements
$6,457,295
Total Revenue per Form 990
$6,441,454
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$4,142,036
Other Expenses$2,159,463
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,384,360$393,074-$2,777,434
Fees for Services Other$1,135,245$18,208-$1,153,453
Current Officers, Directors, Trustees, and Key Employees$430,795$210,260-$641,055
Other Employee Benefits$266,385$46,502-$312,887
Payroll Taxes$212,089$43,510-$255,599
Occupancy$139,764$24,598-$164,362
Pension Plan Contributions$134,027$21,034-$155,061
Travel$129,223$3,642-$132,865
Information Technology$119,632$9,107-$128,739
Office Expenses$111,385$565-$111,950
Fees for Services Legal$44,330$640-$44,970
Insurance$33,467$6,104-$39,571
Other Expenses$33,356$5,910-$39,266
Fees for Services Lobbying$37,911--$37,911
Depreciation Depletion$36,959--$36,959
Fees for Services Accounting-$22,653-$22,653
All Other Expenses$12,597$1,806-$14,403
Fees for Service Investment Mgmnt Fees-$10,044-$10,044
Total Functional Expenses$5,457,950$843,549$0$6,301,499

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$6,301,499
Expenses per Audited Statements$6,291,455
Total Expenses per Audited Statements$6,291,455
Expenses Not Reported on Financial Statements$10,044
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Common Board Member - M. GardnerReceipt of Payment for ProgramsNo$173,859
-Cgh Board & Ed of Pivital - M FosterConsultantNo$100,000
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$541,511
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 4

Changes to corporate documents were updated in november of 2024 to reflect the affiliation with rochester rhio and address structural needs for the entity as a result of that affiliation.

Form 990, Part VI, Section B, Line 11B

The 990 will be emailed to all voting members for review prior to submission. The 990 will be considered approved for filing if no member has emailed any questions within a certain time period stated within the email to the director of finance.

Form 990, Part VI, Section B, Line 12C

Board members are required to complete a conflict of interest statement annually. Conflicts are disclosed and then managed in accordance with the policies and procedures set forth in the agency by-laws.

Form 990, Part VI, Section B, Line 15

The ceo is reviewed annually by the board chair or an independent consultant. Officers receive annual reviews from the ceo. Salary levels are checked against comparability data provided by consultant.

Form 990, Part VI, Section C, Line 19

Available at the offices of flhsa upon request during normal business hours.

Filing and Contact Details

Filer

Filer Name
Finger Lakes Health Systems Agency
EIN
16-1061456
Phone
5852243101
Address
PO BOX 160, MOUNT MORRIS, NY 14510
Doing Business As
Common Ground Health

Signing Officer

Name
Marlene F Bessette
Title
CEO
Phone
5852243101
Signed
2026-02-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Marlene F Bessette
Formed
1976
Legal Domicile
Ny
Voting Board Members
27
Independent Board Members
19
Employees
45
Volunteers
520

Preparer

Firm
Mengel Metzger Barr & Co Llp
Address
370 WOODCLIFF DRIVE SUITE 2A, FAIRPORT, NY 14450
Preparer
Jason Redman
Phone
5854231860
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Purchased services: program service expenses 1,135,245. Management and general expenses 18,208. Fundraising expenses 0. Total expenses 1,153,453.

FORM 990, PART XII, LINE 2C:

The board has not changed its process for selecting the independent auditor nor have they changed the oversight of the audit from prior years.

Financial Statement Notes

PART X, LINE 2:

The agency is organized as a non-profit corporation and is exempt from federal and state income taxes under section 501(c)(3) of the internal revenue code and applicable state regulations. Accordingly, no provision for federal and state income taxes has been made. The agency files tax returns in various jurisdictions and is subject to potential examination by taxing authorities. The agency's current and prior three years tax returns remain subject to review by taxing authorities. Management of the agency believes it has no material uncertain tax positions and, accordingly, it has not recognized any liability for unrecognized tax benefits.

Raw XML AppendixShowing 400 of 741 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0IN 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 CHILDHOOD MENTAL HEALTH THAT BABIES AND TODDLERS NEED EARLY RELATIONSHIPS FULL OF LOVE AND SUPPORT FOR OPTIMAL, LIFELONG PHYSICAL, MENTAL, AND COGNITIVE HEALTH AND WELL-BEING; CONVENED THE HEALTHI KIDS COALITION TO UNDERSTAND AND PROMOTE THE ADOPTION OF WHOLE CHILD HEALTH PRINCIPLES IN COMMUNITY PLANNING; WORKED WITH ROCHESTER R-CENTERS TO IMPROVE FOOD AND NUTRITION STANDARDS, WITH THE CITY OF ROCHESTER TO PROMOTE EXPANDED OPPORTUNITIES TO PLAY AND BE PHYSICALLY ACTIVE, AND WITH THE ROCHESTER CITY SCHOOL DISTRICT TO IMPLEMENT THE DISTRICT'S WELLNESS POLICY; CO-CONVENED THE FOOD POLICY COUNCIL TO PROMOTE FOOD ACCESS IN ROCHESTER; CONVENED THE REGIONAL CONSORTIUM ON HEALTH CARE WORKFORCE TO ADVANCE REGIONAL WORKFORCE INITIATIVES; ADVANCED AGE-FRIENDLY INITIATIVES IN THE REGION; CONVENED THE SENIOR ADULT COMMUNITY ENGAGEMENT GROUP TO FOSTER PARTICIPATION IN INTERNAL AND EXTERNAL REGIONAL HEALTH PROJECTS; SUPPORTED A WALK AUDIT TO ASSESS THE WALKABILITY, SAFETY AND ACCESSIBILITY OF A SUBURBAN AREA; SUPPORTED PARTNERS IN HOSTING THE URBAN AG CONFERENCE; REPAINTED A STREET MURAL TO IMPROVE VISIBILITY AT AN INTERSECTION WITH A HISTORY OF ACCIDENTS; PERFORMED DATA ANALYSES AND PUBLISHED INFORMATION HEALTH SPOTLIGHT REPORTS ON SOCIAL ISOLATION AND LONELINESS, YOUTH MENTAL HEALTH AFTER THE COVID-19 PANDEMIC, LIFE EXPECTANCY, THE TOP HEALTH CONCERNS OF LOCAL RESIDENTS, WHAT SUPPORTS ARE NEEDED TO HELP OLDER ADULTS AGE IN PLACE; UPDATED ANALYSES OF SPARCS, MORTALITY AND CLAIMS DATABASES AND POPULATION ESTIMATES FROM THE U.S. CENSUS; UPDATED OUR INTERNAL INSIGHTS PLATFORM TO BETTER ANALYZE DIVERSE DATA SETS; CREATED A DASHBOARD TO ALLOW EASIER ANALYSIS OF MY HEALTH STORY 2022 SURVEY DATA; AND SUPPORTED PARTNER PROJECTS THAT ALIGN WITH REGIONAL HEALTH PLANNING.
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