Rochester Regional Health Foundation
Rochester Regional Health Foundation: Strong Financials, High Administrative Costs
EIN: 222229425 · Rochester, NY · NTEE: E220 · Updated: 2026-04-04
| Metric | Value |
|---|---|
| Total Revenue | $63.7M |
| Total Expenses | $15.0M |
| Program Spending | 60% |
| CEO/Top Officer Pay | $454,688, |
| Net Assets | $71.7M |
| Transparency Score | 75/100 |
Is Rochester Regional Health Foundation Legit?
Some Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
Rochester Regional Health Foundation directs 60% of its spending to programs. This falls below the 65% benchmark. Donors may want to investigate further.
About Rochester Regional Health Foundation
Rochester Regional Health Foundation (EIN: 222229425) is a nonprofit organization based in Rochester, NY, classified under NTEE code E220. The organization reported total revenue of $63.7M and total assets of $97.0M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Rochester Regional Health Foundation's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
Rochester Regional Health Foundation is a major nonprofit that has been operating for 47 years, with 14 years of IRS 990 filings on record (2010–2023). Revenue has grown at a compound annual rate of 1.4%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $7.9M |
| Total Expenses | $15.0M |
| Surplus / Deficit | $-7,171,321 |
| Total Assets | $76.3M |
| Total Liabilities | $4.5M |
| Net Assets | $71.7M |
| Operating Margin | -91.2% |
| Debt-to-Asset Ratio | 6.0% |
| Months of Reserves | 60.9 months |
Financial Health Grade: B
In 2023, Rochester Regional Health Foundation reported a deficit of $7.2M with expenses exceeding revenue, holds 60.9 months of operating reserves (strong position), has a debt-to-asset ratio of 6.0% (very low leverage).
Financial Trends
Over 14 years of filings (2010–2023), Rochester Regional Health Foundation's revenue has grown at a compound annual growth rate (CAGR) of 1.4%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | +143.9% | +21.0% | -2.0% |
| 2022 | -87.1% | -16.9% | -16.4% |
| 2021 | +80.4% | -58.8% | +12.4% |
| 2020 | -10.5% | +310.1% | -20.8% |
| 2019 | +97.3% | +22.1% | +26.0% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 1979 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Transparency Report
Mission Effectiveness Score
NonprofitSpending's AI analysis rates Rochester Regional Health Foundation 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: 25%
- programs: 60%
- fundraising: 15%
According to IRS 990 filings, Rochester Regional Health Foundation allocates its expenses as follows: admin: 25%, programs: 60%, fundraising: 15%. Approximately 60% goes to programs, indicating moderate mission focus.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a deficit of $7.2M, with expenses exceeding revenue.
- Debt-to-asset ratio: 6.0%.
Executive Compensation Analysis
Executive compensation appears reasonable given the organization's size and revenue. For example, in 2023, the highest-paid executive received $454,688, which is less than 1% of the total revenue of $63,728,665.
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 Rochester Regional Health Foundation's IRS 990 filings:
- Administrative expenses, including salaries and other overhead, are consistently high, reaching $15,032,632 in 2023, representing a significant portion of total expenses.
- Fundraising expenses have fluctuated, with a notable increase in 2023 to $7,861,311, which is 12.3% of total revenue.
- Despite significant revenue, the organization reported a net loss in several years, including 2023, where expenses exceeded revenue by over $15 million.
Strengths
The following positive indicators were identified for Rochester Regional Health Foundation:
- The foundation demonstrates strong revenue growth, with a significant increase from $3,222,712 in 2022 to $63,728,665 in 2023.
- Total assets are substantial, reaching $96,965,491 in 2023, indicating a healthy financial position.
- The organization consistently maintains a positive net asset balance, demonstrating long-term financial stability.
- The foundation has a clear mission to support Rochester Regional Health, contributing to community health initiatives.
Frequently Asked Questions about Rochester Regional Health Foundation
Is Rochester Regional Health Foundation a legitimate charity?
Based on AI analysis of IRS 990 filings, Rochester Regional Health Foundation (EIN: 222229425) some concerns. Mission Score: 75/100. 3 red flags identified, 4 strengths noted.
How does Rochester Regional Health Foundation spend its money?
Rochester Regional Health Foundation directs 60% of its spending to programs and services. The remaining budget covers administration and fundraising costs.
Are donations to Rochester Regional Health Foundation tax-deductible?
Rochester Regional Health Foundation is registered as a tax-exempt nonprofit (EIN: 222229425). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
How much does the Rochester Regional Health Foundation CEO make?
Rochester Regional Health Foundation's highest-compensated officer earns $454,688, annually. The organization reported $63.7M in total revenue. Executive compensation data is disclosed in IRS 990 filings.
What percentage of Rochester Regional Health Foundation's spending goes to programs?
Rochester Regional Health Foundation directs 60% to programs, 15% to fundraising. This falls below the 65% industry benchmark, which may warrant further review by donors.
How does Rochester Regional Health Foundation compare to similar nonprofits?
With a transparency score of 75/100 (Good), Rochester Regional Health Foundation is above average for NTEE category E220 nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.
Where is Rochester Regional Health Foundation located?
Rochester Regional Health Foundation is headquartered in Rochester, New York and files with the IRS under EIN 222229425. It is classified under NTEE code E220.
How many years of IRS 990 filings does Rochester Regional Health Foundation have?
Rochester Regional Health Foundation has 14 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $63.7M in total revenue.
What does Rochester Regional Health Foundation do?
Rochester Regional Health Foundation is a nonprofit organization in the Health Care sector, located in Rochester, New York. It is classified under NTEE code E220.
How much revenue does Rochester Regional Health Foundation have?
Rochester Regional Health Foundation reported total revenue of $63,728,665. Based on 14 IRS 990 filings on record.
What are Rochester Regional Health Foundation's total assets?
Rochester Regional Health Foundation holds total assets of $96,965,491 as reported in IRS 990 filings.
Where is Rochester Regional Health Foundation located?
Rochester Regional Health Foundation is based in Rochester, New York.
What is Rochester Regional Health Foundation's EIN?
Rochester Regional Health Foundation's Employer Identification Number (EIN) is 222229425. This is the unique tax ID assigned by the IRS for tax-exempt organizations.
What type of nonprofit is Rochester Regional Health Foundation?
Rochester Regional Health Foundation is classified under NTEE code E220 (Health Care).
Is Rochester Regional Health Foundation a registered 501(c)(3)?
Yes, Rochester Regional Health Foundation is recognized as a tax-exempt organization by the IRS. EIN: 222229425.
Does Rochester Regional Health Foundation file IRS Form 990?
Yes, Rochester Regional Health Foundation has 14 IRS Form 990 filings on record. The most recent covers tax period 202312.
What was Rochester Regional Health Foundation's revenue in 2023?
In the 202312 filing period, Rochester Regional Health Foundation reported total revenue of $7,861,311, total expenses of $15,032,632, and net assets of $76,258,966.
Is Rochester Regional Health Foundation's revenue growing or declining?
Rochester Regional Health Foundation's revenue is growing. Revenue went from $3,222,712 (202212) to $7,861,311 (202312), a +143.9% change. Based on 14 filings on record.
What is Rochester Regional Health Foundation's most recent 990 filing?
The most recent IRS Form 990 filing for Rochester Regional Health Foundation covers tax period 202312. It shows revenue of $7,861,311, expenses of $15,032,632, total assets of $76,258,966, and liabilities of $4,546,886.
How much does Rochester Regional Health Foundation spend on programs vs administration?
Based on IRS 990 analysis, Rochester Regional Health Foundation allocates approximately 60% of expenses to program services, 25% to administrative costs, and 15% to fundraising. Program spending is moderate relative to overhead.
Is Rochester Regional Health Foundation a trustworthy charity?
Based on AI analysis of IRS 990 data, Rochester Regional Health Foundation appears trustworthy. Mission Score: 75/100 (Good). 3 red flags identified. 4 strengths noted.
What are the red flags for Rochester Regional Health Foundation?
The following concerns were identified: Administrative expenses, including salaries and other overhead, are consistently high, reaching $15,032,632 in 2023, representing a significant portion of total expenses.. Fundraising expenses have fluctuated, with a notable increase in 2023 to $7,861,311, which is 12.3% of total revenue.. Despite significant revenue, the organization reported a net loss in several years, including 2023, where expenses exceeded revenue by over $15 million.. These flags are based on automated analysis of IRS 990 public filings and should be verified independently.
What are Rochester Regional Health Foundation's strengths?
Positive indicators for Rochester Regional Health Foundation include: The foundation demonstrates strong revenue growth, with a significant increase from $3,222,712 in 2022 to $63,728,665 in 2023.. Total assets are substantial, reaching $96,965,491 in 2023, indicating a healthy financial position.. The organization consistently maintains a positive net asset balance, demonstrating long-term financial stability.. The foundation has a clear mission to support Rochester Regional Health, contributing to community health initiatives.. These findings are derived from AI analysis of the organization's financial filings.
How does Rochester Regional Health Foundation compensate executives?
Executive compensation appears reasonable given the organization's size and revenue. For example, in 2023, the highest-paid executive received $454,688, which is less than 1% of the total revenue of $63,728,665. Executive compensation data is sourced from IRS 990 filings, which require disclosure of officer, director, and key employee pay.
How does the significant increase in revenue in 2023 impact the foundation's long-term financial strategy, especially considering the concurrent rise in administrative and fundraising expenses?
The substantial revenue increase in 2023, from $3.2M to $63.7M, suggests a successful fundraising year or a significant one-time gift. However, the corresponding rise in administrative ($15M) and fundraising ($7.8M) expenses indicates that a large portion of this new revenue is being allocated to operational and fundraising efforts rather than directly to programs. This trend warrants scrutiny to ensure efficient resource allocation and to understand if this expense structure is sustainable and optimized for mission delivery in future years.
Given the consistent reporting of net losses in several years, including 2023, how does the foundation plan to achieve financial sustainability and ensure that its expenses do not consistently outpace its revenue?
The recurring net losses, such as the $15,032,632 deficit in 2023, suggest a potential imbalance between revenue generation and expenditure. While foundations often operate with varying financial cycles, consistent losses could erode assets over time. The foundation needs to articulate a clear strategy for achieving financial sustainability, which might involve optimizing operational costs, diversifying revenue streams, or implementing more stringent budgeting controls to ensure that expenses are aligned with available resources.
Filing History
IRS 990 filing history for Rochester Regional Health Foundation showing financial trends over 14 years of public records:
Over 14 years of IRS 990 filings (2010–2023), Rochester Regional Health Foundation's revenue has grown by 20.1%, moving from $6.5M to $7.9M. Total assets increased by 89% over the same period, from $40.4M to $76.3M. Total functional expenses rose by 176.9%, from $5.4M to $15.0M. In its most recent filing year (2023), Rochester Regional Health Foundation reported a deficit of $7.2M, with expenses exceeding revenue. The organization holds $4.5M in liabilities against $76.3M in assets (debt-to-asset ratio: 6.0%), resulting in net assets of $71.7M.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $7.9M | $15.0M | $76.3M | $4.5M | — | — |
| 2022 | $3.2M | $12.4M | $77.8M | $3.3M | — | View 990 |
| 2021 | $25.0M | $15.0M | $93.1M | $2.5M | — | View 990 |
| 2020 | $13.9M | $36.3M | $82.8M | $3.8M | — | View 990 |
| 2019 | $15.5M | $8.9M | $104.6M | $6.6M | — | View 990 |
| 2018 | $7.9M | $7.3M | $83.0M | $1.8M | — | View 990 |
| 2017 | $17.6M | $8.3M | $85.3M | $2.0M | — | View 990 |
| 2016 | $26.8M | $4.7M | $64.4M | $5.8M | — | View 990 |
| 2015 | $7.3M | $5.6M | $38.6M | $2.9M | — | View 990 |
| 2014 | $7.7M | $4.1M | $38.4M | $3.0M | — | View 990 |
| 2013 | $5.0M | $6.3M | $35.2M | $2.3M | — | View 990 |
| 2012 | $5.1M | $5.6M | $36.6M | $2.8M | — | View 990 |
| 2011 | $6.1M | $8.2M | $38.2M | $5.3M | — | View 990 |
| 2010 | $6.5M | $5.4M | $40.4M | $2.9M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $7.9M, expenses of $15.0M, and assets of $76.3M (revenue +143.9% year-over-year).
- 2022: Revenue of $3.2M, expenses of $12.4M, and assets of $77.8M (revenue -87.1% year-over-year).
- 2021: Revenue of $25.0M, expenses of $15.0M, and assets of $93.1M (revenue +80.4% year-over-year).
- 2020: Revenue of $13.9M, expenses of $36.3M, and assets of $82.8M (revenue -10.5% year-over-year).
- 2019: Revenue of $15.5M, expenses of $8.9M, and assets of $104.6M (revenue +97.3% year-over-year).
- 2018: Revenue of $7.9M, expenses of $7.3M, and assets of $83.0M (revenue -55.3% year-over-year).
- 2017: Revenue of $17.6M, expenses of $8.3M, and assets of $85.3M (revenue -34.4% year-over-year).
- 2016: Revenue of $26.8M, expenses of $4.7M, and assets of $64.4M (revenue +268.7% year-over-year).
- 2015: Revenue of $7.3M, expenses of $5.6M, and assets of $38.6M (revenue -5.6% year-over-year).
- 2014: Revenue of $7.7M, expenses of $4.1M, and assets of $38.4M (revenue +54.9% year-over-year).
- 2013: Revenue of $5.0M, expenses of $6.3M, and assets of $35.2M (revenue -1.6% year-over-year).
- 2012: Revenue of $5.1M, expenses of $5.6M, and assets of $36.6M (revenue -17.3% year-over-year).
- 2011: Revenue of $6.1M, expenses of $8.2M, and assets of $38.2M (revenue -6.6% year-over-year).
- 2010: Revenue of $6.5M, expenses of $5.4M, and assets of $40.4M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for Rochester Regional Health Foundation:
Data Sources and Methodology
This transparency report for Rochester Regional Health Foundation 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.