St James Hospital
St James Hospital faces recurring operating deficits despite significant asset growth, with no reported officer compensation.
EIN: 160743310 · Hornell, NY · NTEE: E220 · Updated: 2026-03-28
| Metric | Value |
|---|---|
| Total Revenue | $62.1M |
| Total Expenses | $58.9M |
| Program Spending | 90% |
| CEO/Top Officer Pay | $62,149,825 |
| Net Assets | $60.3M |
| Transparency Score | 70/100 |
Is St James Hospital Legit?
Some Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
St James Hospital directs 90% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About St James Hospital
St James Hospital (EIN: 160743310) is a nonprofit organization based in Hornell, NY, classified under NTEE code E220. The organization reported total revenue of $62.1M and total assets of $94.9M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of St James Hospital's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
St James Hospital is a major nonprofit that has been operating for 36 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of -0.8%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $51.9M |
| Total Expenses | $58.9M |
| Surplus / Deficit | $-7,080,805 |
| Total Assets | $91.6M |
| Total Liabilities | $31.3M |
| Net Assets | $60.3M |
| Operating Margin | -13.7% |
| Debt-to-Asset Ratio | 34.1% |
| Months of Reserves | 18.7 months |
Financial Health Grade: B
In 2023, St James Hospital reported a deficit of $7.1M with expenses exceeding revenue, holds 18.7 months of operating reserves (strong position), has a debt-to-asset ratio of 34.1% (moderate leverage).
Financial Trends
Over 13 years of filings (2011–2023), St James Hospital's revenue has declined at a compound annual growth rate (CAGR) of -0.8%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | -7.7% | +7.0% | -8.4% |
| 2022 | +6.2% | +21.5% | -2.2% |
| 2021 | +154.0% | +120.5% | -4.8% |
| 2020 | -68.4% | -46.5% | +23.0% |
| 2019 | +116.6% | +16.4% | +74.2% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1200 |
| IRS Ruling Date | 1990 |
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 St James Hospital with a Mission Score of 70 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: 10%
- programs: 90%
- fundraising: 0%
According to IRS 990 filings, St James Hospital allocates its expenses as follows: admin: 10%, programs: 90%, fundraising: 0%. With 90% directed toward programs, this reflects a strong commitment to its charitable mission.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a deficit of $7.1M, with expenses exceeding revenue.
- Debt-to-asset ratio: 34.1%.
Executive Compensation Analysis
The IRS 990 filings consistently report 0% officer compensation, which is unusual for an organization of this size with $62,149,825 in latest revenue and $94,899,002 in assets. This suggests that executive compensation might be reported under different expense categories or that the organization operates with an entirely volunteer executive leadership, which would be highly atypical for a hospital.
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 St James Hospital's IRS 990 filings:
- Recurring operating deficits in recent years (e.g., $7M deficit in 2023).
- Unusual 0% reported officer compensation across all filings, requiring clarification.
- Significant fluctuations in revenue year-over-year (e.g., $20.8M in 2020 vs. $65.9M in 2019).
Strengths
The following positive indicators were identified for St James Hospital:
- Substantial growth in total assets from $18M in 2017 to $91M in 2023.
- Strong net asset position, indicating accumulated reserves.
- Likely high program spending given the nature of a hospital and the absence of reported fundraising expenses.
Frequently Asked Questions about St James Hospital
Is St James Hospital a legitimate charity?
St James Hospital (EIN: 160743310) is a registered tax-exempt nonprofit based in New York. Our AI analysis gives it a Mission Score of 70/100. It has 13 years of IRS 990 filings on record. Total revenue: $62.1M. 3 red flags identified. 3 strengths noted. Financial health grade: B.
How does St James Hospital spend its money?
St James Hospital directs 90% of its spending to programs and services. This exceeds the 65% industry benchmark.
Are donations to St James Hospital tax-deductible?
St James Hospital is registered as a tax-exempt nonprofit (EIN: 160743310). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
How much does the St James Hospital CEO make?
St James Hospital's highest-compensated officer earns $62,149,825 annually. The organization reported $62.1M in total revenue. Executive compensation data is disclosed in IRS 990 filings.
How does St James Hospital compare to similar nonprofits?
With a transparency score of 70/100 (Good), St James Hospital 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 St James Hospital located?
St James Hospital is headquartered in Hornell, New York and files with the IRS under EIN 160743310. It is classified under NTEE code E220.
How many years of IRS 990 filings does St James Hospital have?
St James Hospital has 13 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 $62.1M in total revenue.
Is St James Hospital financially stable given its recent operating deficits?
St James Hospital has experienced operating deficits in several recent years, including 2023 ($51.8M revenue vs. $58.9M expenses) and 2018 ($30.4M revenue vs. $32.9M expenses). While assets have grown substantially, these deficits could indicate a need for improved financial management or increased revenue generation to ensure long-term stability.
How does St James Hospital manage to report 0% officer compensation?
The consistent reporting of 0% officer compensation across all 13 filings is highly unusual for a hospital of this scale. It warrants further investigation to understand if executive compensation is included in other expense lines (e.g., program services or administrative expenses) or if the organization indeed operates with unpaid executive leadership.
What is the trend in St James Hospital's net assets?
St James Hospital's net assets (Assets minus Liabilities) have shown significant growth. For example, net assets increased from $7,167,906 in 2017 ($18.0M assets - $10.8M liabilities) to $60,335,017 in 2023 ($91.6M assets - $31.2M liabilities), indicating a substantial increase in its financial reserves over time despite recent operating deficits.
Filing History
IRS 990 filing history for St James Hospital showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), St James Hospital's revenue has declined by 9.3%, moving from $57.2M to $51.9M. Total assets increased by 133.3% over the same period, from $39.3M to $91.6M. Total functional expenses fell by 3.8%, from $61.2M to $58.9M. In its most recent filing year (2023), St James Hospital reported a deficit of $7.1M, with expenses exceeding revenue. The organization holds $31.3M in liabilities against $91.6M in assets (debt-to-asset ratio: 34.1%), resulting in net assets of $60.3M.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $51.9M | $58.9M | $91.6M | $31.3M | — | View 990 |
| 2022 | $56.2M | $55.1M | $100.0M | $31.9M | — | View 990 |
| 2021 | $52.9M | $45.3M | $102.3M | $34.1M | — | — |
| 2020 | $20.8M | $20.6M | $107.5M | $46.9M | — | View 990 |
| 2019 | $65.9M | $38.4M | $87.4M | $35.4M | — | View 990 |
| 2018 | $30.4M | $33.0M | $50.2M | $25.7M | — | View 990 |
| 2017 | $34.4M | $30.4M | $18.0M | $10.8M | — | View 990 |
| 2016 | $33.3M | $33.3M | $15.2M | $12.0M | — | View 990 |
| 2015 | $46.2M | $49.0M | $14.0M | $10.8M | — | View 990 |
| 2014 | $42.7M | $47.8M | $21.9M | $23.1M | — | View 990 |
| 2013 | $45.8M | $52.7M | $29.2M | $28.1M | — | View 990 |
| 2012 | $49.5M | $53.3M | $35.9M | $28.4M | — | View 990 |
| 2011 | $57.2M | $61.2M | $39.3M | $27.8M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $51.9M, expenses of $58.9M, and assets of $91.6M (revenue -7.7% year-over-year).
- 2022: Revenue of $56.2M, expenses of $55.1M, and assets of $100.0M (revenue +6.2% year-over-year).
- 2021: Revenue of $52.9M, expenses of $45.3M, and assets of $102.3M (revenue +154.0% year-over-year).
- 2020: Revenue of $20.8M, expenses of $20.6M, and assets of $107.5M (revenue -68.4% year-over-year).
- 2019: Revenue of $65.9M, expenses of $38.4M, and assets of $87.4M (revenue +116.6% year-over-year).
- 2018: Revenue of $30.4M, expenses of $33.0M, and assets of $50.2M (revenue -11.6% year-over-year).
- 2017: Revenue of $34.4M, expenses of $30.4M, and assets of $18.0M (revenue +3.3% year-over-year).
- 2016: Revenue of $33.3M, expenses of $33.3M, and assets of $15.2M (revenue -27.9% year-over-year).
- 2015: Revenue of $46.2M, expenses of $49.0M, and assets of $14.0M (revenue +8.3% year-over-year).
- 2014: Revenue of $42.7M, expenses of $47.8M, and assets of $21.9M (revenue -6.9% year-over-year).
- 2013: Revenue of $45.8M, expenses of $52.7M, and assets of $29.2M (revenue -7.4% year-over-year).
- 2012: Revenue of $49.5M, expenses of $53.3M, and assets of $35.9M (revenue -13.5% year-over-year).
- 2011: Revenue of $57.2M, expenses of $61.2M, and assets of $39.3M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for St James Hospital:
Data Sources and Methodology
This transparency report for St James 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.