St Josephs Hospital Health Center
St Josephs Hospital Health Center consistently operates at a deficit with liabilities often exceeding assets.
EIN: 150532254 · Troy, NY · NTEE: E220 · Updated: 2026-03-28
Is St Josephs Hospital Health Center Legit?
Some Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
St Josephs Hospital Health Center directs 90% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About St Josephs Hospital Health Center
St Josephs Hospital Health Center (EIN: 150532254) is a nonprofit organization based in Troy, NY, classified under NTEE code E220. The organization reported total revenue of $629.5M and total assets of $447.6M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of St Josephs Hospital Health Center'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 St Josephs Hospital Health Center with a Mission Score of 65 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, St Josephs Hospital Health Center 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 $600 million in annual revenue is highly unusual and suggests that executive compensation may be reported under different categories or is not disclosed in a standard manner, raising questions about 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 St Josephs Hospital Health Center's IRS 990 filings:
- Consistent operating deficits (e.g., $53.3 million in 2023).
- Liabilities frequently exceed assets (e.g., $546.8M liabilities vs. $418.7M assets in 2023).
- Unusual 0% officer compensation reported across all filings for a large organization.
- Significant fluctuations in revenue and expenses year-over-year without clear explanation.
Strengths
The following positive indicators were identified for St Josephs Hospital Health Center:
- Substantial revenue generation, indicating a large operational scale.
- Consistent provision of healthcare services as a general hospital.
- Long history of IRS 990 filings, indicating compliance with reporting requirements.
Frequently Asked Questions about St Josephs Hospital Health Center
Is St Josephs Hospital Health Center a legitimate charity?
Based on AI analysis of IRS 990 filings, St Josephs Hospital Health Center (EIN: 150532254) some concerns. Mission Score: 65/100. 4 red flags identified, 3 strengths noted.
How does St Josephs Hospital Health Center spend its money?
St Josephs Hospital Health Center directs 90% of its spending to programs and services. The remaining budget covers administration and fundraising costs.
Are donations to St Josephs Hospital Health Center tax-deductible?
St Josephs Hospital Health Center is registered as a tax-exempt nonprofit (EIN: 150532254). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
How does St Josephs Hospital Health Center manage its recurring operating deficits, such as the $53.3 million deficit in 2023?
The organization frequently reports expenses exceeding revenue, indicating a reliance on other funding sources, asset liquidation, or debt to cover operational costs. For example, in 2023, expenses were $623,184,343 while revenue was $569,829,345.
Why is officer compensation consistently reported as 0% across all filings, despite the organization's large size and revenue?
This consistent reporting is highly unusual for an organization of this scale and suggests that executive compensation might be categorized differently or not fully disclosed in the 'Officer Comp' metric, impacting transparency.
What is the long-term strategy for addressing the trend of liabilities exceeding assets, as seen in 2023 ($546,852,583 liabilities vs. $418,788,281 assets)?
The organization's balance sheet shows a concerning trend where liabilities frequently outweigh assets, indicating potential solvency challenges that need to be addressed through financial planning or restructuring.
Given the NTEE code E220 (General Hospitals), how effectively are the substantial revenues and expenses being utilized to deliver healthcare services?
While the organization has significant financial activity, the recurring deficits and high liabilities suggest potential inefficiencies or significant uncompensated care costs that impact its overall financial health and ability to sustain services.
Filing History
IRS 990 filing history for St Josephs Hospital Health Center showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), St Josephs Hospital Health Center's revenue has grown by 16.4%, moving from $489.4M to $569.8M. Total assets decreased by 15.3% over the same period, from $494.2M to $418.8M. Total functional expenses rose by 34%, from $465.1M to $623.2M. In its most recent filing year (2023), St Josephs Hospital Health Center reported a deficit of $53.4M, with expenses exceeding revenue. The organization holds $546.9M in liabilities against $418.8M in assets (debt-to-asset ratio: 130.6%), resulting in net assets of $-128,064,302.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. | |
|---|---|---|---|---|---|---|
| 2023 | $569.8M | $623.2M | $418.8M | $546.9M | — | — |
| 2022 | $581.8M | $611.4M | $382.9M | $447.3M | — | View 990 |
| 2021 | $632.2M | $603.6M | $481.7M | $459.6M | — | View 990 |
| 2020 | $606.5M | $648.9M | $474.4M | $469.5M | — | — |
| 2019 | $646.7M | $649.9M | $456.5M | $393.7M | — | View 990 |
| 2018 | $632.2M | $631.3M | $463.0M | $417.9M | — | View 990 |
| 2017 | $627.8M | $638.4M | $433.2M | $390.9M | — | View 990 |
| 2016 | $309.5M | $302.4M | $480.5M | $429.6M | — | View 990 |
| 2015 | $618.8M | $617.0M | $485.4M | $409.2M | — | — |
| 2014 | $603.6M | $600.3M | $649.0M | $438.8M | — | View 990 |
| 2013 | $585.7M | $560.7M | $632.2M | $397.8M | — | View 990 |
| 2012 | $540.2M | $519.7M | $641.5M | $382.3M | — | View 990 |
| 2011 | $489.4M | $465.1M | $494.2M | $258.4M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $569.8M, expenses of $623.2M, and assets of $418.8M (revenue -2.1% year-over-year).
- 2022: Revenue of $581.8M, expenses of $611.4M, and assets of $382.9M (revenue -8.0% year-over-year).
- 2021: Revenue of $632.2M, expenses of $603.6M, and assets of $481.7M (revenue +4.2% year-over-year).
- 2020: Revenue of $606.5M, expenses of $648.9M, and assets of $474.4M (revenue -6.2% year-over-year).
- 2019: Revenue of $646.7M, expenses of $649.9M, and assets of $456.5M (revenue +2.3% year-over-year).
- 2018: Revenue of $632.2M, expenses of $631.3M, and assets of $463.0M (revenue +0.7% year-over-year).
- 2017: Revenue of $627.8M, expenses of $638.4M, and assets of $433.2M (revenue +102.9% year-over-year).
- 2016: Revenue of $309.5M, expenses of $302.4M, and assets of $480.5M (revenue -50.0% year-over-year).
- 2015: Revenue of $618.8M, expenses of $617.0M, and assets of $485.4M (revenue +2.5% year-over-year).
- 2014: Revenue of $603.6M, expenses of $600.3M, and assets of $649.0M (revenue +3.0% year-over-year).
- 2013: Revenue of $585.7M, expenses of $560.7M, and assets of $632.2M (revenue +8.4% year-over-year).
- 2012: Revenue of $540.2M, expenses of $519.7M, and assets of $641.5M (revenue +10.4% year-over-year).
- 2011: Revenue of $489.4M, expenses of $465.1M, and assets of $494.2M.
Data Sources and Methodology
This transparency report for St Josephs Hospital Health Center 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.