Montefiore Nyack Hospital
Montefiore Nyack Hospital operates near break-even with growing assets, but executive compensation reporting is unclear.
EIN: 131740119 · Nyack, NY · NTEE: E220 · Updated: 2026-03-28
About Montefiore Nyack Hospital
Montefiore Nyack Hospital (EIN: 131740119) is a nonprofit organization based in Nyack, NY, classified under NTEE code E220. The organization reported total revenue of $378.1M and total assets of $309.6M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Montefiore Nyack Hospital's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Montefiore Nyack Hospital with a Mission Score of 75 out of 100 (Good). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Spending Breakdown
- admin: 7%
- programs: 90%
- fundraising: 3%
According to IRS 990 filings, Montefiore Nyack Hospital allocates its expenses as follows: admin: 7%, programs: 90%, fundraising: 3%. With 90% directed toward programs, this reflects a strong commitment to its charitable mission.
Executive Compensation Analysis
The reported 0% officer compensation across all available filings for an organization with over $300 million in annual revenue is highly unusual and suggests that executive compensation is either not reported in this section of the 990 or is managed and reported by a parent entity, impacting transparency regarding individual executive pay.
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 Montefiore Nyack Hospital's IRS 990 filings:
- Unclear executive compensation reporting (0% officer comp for a large hospital)
- Consistent slight operating deficits in recent years (e.g., 2023, 2022)
Strengths
The following positive indicators were identified for Montefiore Nyack Hospital:
- Significant growth in assets over the past decade, from $101M in 2014 to $293M in 2023, indicating financial stability and investment.
- Operations generally close to break-even, typical for mission-driven hospitals.
- Likely strong program spending given the nature of a hospital and the NTEE code E220 (General Hospitals).
Frequently Asked Questions about Montefiore Nyack Hospital
How is executive compensation for Montefiore Nyack Hospital's leadership structured and reported, given the 0% officer compensation in 990 filings?
The consistent reporting of 0% officer compensation in the 990 filings for an organization of this scale is atypical. It suggests that executive compensation might be reported under different categories (e.g., 'salaries and wages' for all employees) or that the hospital is part of a larger system (like Montefiore Health System) where executive compensation is managed and reported at the system level, rather than individually for this specific entity. This lack of specific detail for this entity reduces transparency regarding individual executive pay.
What is the specific breakdown of program service expenses for Montefiore Nyack Hospital?
While the 990 filings indicate overall expenses, a detailed breakdown of program service expenses (e.g., patient care, community health initiatives, medical education) is not readily available in the summary data provided. Further examination of the full 990 form, specifically Part IX, Statement of Functional Expenses, would be necessary to understand the allocation of program spending.
What is the reason for the consistent slight operating deficits observed in recent years (e.g., 2023, 2022)?
Operating deficits, such as the $3.87 million deficit in 2023 ($348,954,733 revenue vs. $352,825,870 expenses) and $9.83 million deficit in 2022, are not uncommon for hospitals. These can be attributed to various factors including rising healthcare costs, uncompensated care, changes in reimbursement rates, or strategic investments in facilities and technology that may not immediately yield revenue. A deeper dive into the hospital's financial statements would be needed to pinpoint the exact causes.
Filing History
IRS 990 filing history for Montefiore Nyack Hospital showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), Montefiore Nyack Hospital's revenue has grown by 64.2%, moving from $212.5M to $349.0M. Total assets increased by 276.3% over the same period, from $77.9M to $293.0M. Total functional expenses rose by 70.2%, from $207.3M to $352.8M. In its most recent filing year (2023), Montefiore Nyack Hospital reported a deficit of $3.9M, with expenses exceeding revenue. The organization holds $197.7M in liabilities against $293.0M in assets (debt-to-asset ratio: 67.5%), resulting in net assets of $95.4M.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. | |
|---|---|---|---|---|---|---|
| 2023 | $349.0M | $352.8M | $293.0M | $197.7M | — | — |
| 2022 | $337.3M | $347.1M | $219.1M | $193.2M | — | View 990 |
| 2021 | $317.9M | $314.0M | $214.1M | $162.8M | — | View 990 |
| 2020 | $318.7M | $314.5M | $210.7M | $190.2M | — | View 990 |
| 2019 | $300.6M | $289.7M | $150.4M | $134.3M | — | View 990 |
| 2018 | $267.0M | $271.2M | $122.0M | $118.3M | — | View 990 |
| 2017 | $252.3M | $263.0M | $106.1M | $96.6M | — | View 990 |
| 2016 | $233.7M | $243.5M | $106.5M | $87.1M | — | View 990 |
| 2015 | $227.0M | $228.1M | $103.9M | $75.9M | — | View 990 |
| 2014 | $217.2M | $217.7M | $101.0M | $70.1M | — | View 990 |
| 2013 | $222.4M | $219.2M | $76.8M | $69.8M | — | View 990 |
| 2012 | $208.0M | $203.6M | $75.7M | $77.3M | — | View 990 |
| 2011 | $212.5M | $207.3M | $77.9M | $81.2M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $349.0M, expenses of $352.8M, and assets of $293.0M (revenue +3.5% year-over-year).
- 2022: Revenue of $337.3M, expenses of $347.1M, and assets of $219.1M (revenue +6.1% year-over-year).
- 2021: Revenue of $317.9M, expenses of $314.0M, and assets of $214.1M (revenue -0.3% year-over-year).
- 2020: Revenue of $318.7M, expenses of $314.5M, and assets of $210.7M (revenue +6.0% year-over-year).
- 2019: Revenue of $300.6M, expenses of $289.7M, and assets of $150.4M (revenue +12.6% year-over-year).
- 2018: Revenue of $267.0M, expenses of $271.2M, and assets of $122.0M (revenue +5.8% year-over-year).
- 2017: Revenue of $252.3M, expenses of $263.0M, and assets of $106.1M (revenue +8.0% year-over-year).
- 2016: Revenue of $233.7M, expenses of $243.5M, and assets of $106.5M (revenue +2.9% year-over-year).
- 2015: Revenue of $227.0M, expenses of $228.1M, and assets of $103.9M (revenue +4.5% year-over-year).
- 2014: Revenue of $217.2M, expenses of $217.7M, and assets of $101.0M (revenue -2.3% year-over-year).
- 2013: Revenue of $222.4M, expenses of $219.2M, and assets of $76.8M (revenue +6.9% year-over-year).
- 2012: Revenue of $208.0M, expenses of $203.6M, and assets of $75.7M (revenue -2.1% year-over-year).
- 2011: Revenue of $212.5M, expenses of $207.3M, and assets of $77.9M.
Data Sources and Methodology
This transparency report for Montefiore Nyack Hospital 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.