St Marys Health System
St. Mary's Health System: Declining Revenue and Asset Base Raise Sustainability Concerns
EIN: 222504349 · Lewiston, ME · NTEE: E210 · Updated: 2026-04-04
| Metric | Value |
|---|---|
| Total Revenue | $3.7M |
| Total Expenses | $3.3M |
| Program Spending | 70% |
| Net Assets | $-13,915,128 |
| Transparency Score | 65/100 |
Is St Marys Health System Legit?
Some Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
St Marys Health System directs 70% of its spending to programs. This meets the industry benchmark of 65% for efficient nonprofits.
About St Marys Health System
St Marys Health System (EIN: 222504349) is a nonprofit organization based in Lewiston, ME, classified under NTEE code E210. The organization reported total revenue of $3.7M and total assets of $8.0M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of St Marys Health System's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
St Marys Health System is a mid-size nonprofit that has been operating for 80 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of -11.8%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $4.5M |
| Total Expenses | $3.3M |
| Surplus / Deficit | +$1.2M |
| Total Assets | $7.4M |
| Total Liabilities | $21.3M |
| Net Assets | $-13,915,128 |
| Operating Margin | 26.1% |
| Debt-to-Asset Ratio | 289.0% |
| Months of Reserves | 26.6 months |
Financial Health Grade: A
In 2023, St Marys Health System reported a surplus of $1.2M with revenue exceeding expenses, holds 26.6 months of operating reserves (strong position), has a debt-to-asset ratio of 289.0% (high leverage).
Financial Trends
Over 13 years of filings (2011–2023), St Marys Health System's revenue has declined at a compound annual growth rate (CAGR) of -11.8%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | +29.5% | -9.3% | -24.4% |
| 2022 | +0.0% | +11.4% | -17.6% |
| 2021 | +7.8% | -1.2% | +11.2% |
| 2020 | -24.2% | -39.3% | -25.0% |
| 2019 | -12.8% | +1.8% | -28.8% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1700 |
| IRS Ruling Date | 1946 |
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 Marys Health System 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: 15%
- programs: 70%
- fundraising: 15%
According to IRS 990 filings, St Marys Health System allocates its expenses as follows: admin: 15%, programs: 70%, fundraising: 15%. Approximately 70% goes to programs, indicating moderate mission focus.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a surplus of $1.2M, with revenue exceeding expenses.
- Debt-to-asset ratio: 289.0%.
Executive Compensation Analysis
Executive compensation is reported as 0% across all available filings, which is highly unusual for an organization of this size and suggests compensation may be reported under different categories or through related entities.
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 Marys Health System's IRS 990 filings:
- Significant and continuous decline in total assets from $45.5M (2017) to $7.3M (2023) raises questions about long-term viability.
- Revenue has dropped from $14.2M (2016) to $4.4M (2023), indicating a substantial reduction in services or funding.
- Consistent reporting of 0% compensation for key executives across multiple years is a red flag for transparency and accurate financial disclosure.
- Liabilities consistently exceed assets, with liabilities at $21,278,420 and assets at $7,363,292 in 2023, indicating potential insolvency.
Strengths
The following positive indicators were identified for St Marys Health System:
- Despite financial challenges, the organization has continued to operate for many years, suggesting resilience or critical community support.
- The consistent reporting of 0% compensation, while a red flag, could also indicate a highly volunteer-driven leadership model, if verified.
Frequently Asked Questions about St Marys Health System
Is St Marys Health System a legitimate charity?
Based on AI analysis of IRS 990 filings, St Marys Health System (EIN: 222504349) some concerns. Mission Score: 65/100. 4 red flags identified, 2 strengths noted.
How does St Marys Health System spend its money?
St Marys Health System directs 70% of its spending to programs and services. The remaining budget covers administration and fundraising costs.
Are donations to St Marys Health System tax-deductible?
St Marys Health System is registered as a tax-exempt nonprofit (EIN: 222504349). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
What percentage of St Marys Health System's spending goes to programs?
St Marys Health System directs 70% to programs, 15% to fundraising. This meets the 65% industry benchmark for efficient nonprofits.
How does St Marys Health System compare to similar nonprofits?
With a transparency score of 65/100 (Good), St Marys Health System is above average for NTEE category E210 nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.
Where is St Marys Health System located?
St Marys Health System is headquartered in Lewiston, Maine and files with the IRS under EIN 222504349. It is classified under NTEE code E210.
How many years of IRS 990 filings does St Marys Health System have?
St Marys Health System 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 $3.7M in total revenue.
What does St Marys Health System do?
St Marys Health System is a nonprofit organization in the Health Care sector, located in Lewiston, Maine. It is classified under NTEE code E210.
How much revenue does St Marys Health System have?
St Marys Health System reported total revenue of $3,697,099. Based on 13 IRS 990 filings on record.
What are St Marys Health System's total assets?
St Marys Health System holds total assets of $7,971,719 as reported in IRS 990 filings.
Where is St Marys Health System located?
St Marys Health System is based in Lewiston, Maine.
What is St Marys Health System's EIN?
St Marys Health System's Employer Identification Number (EIN) is 222504349. This is the unique tax ID assigned by the IRS for tax-exempt organizations.
What type of nonprofit is St Marys Health System?
St Marys Health System is classified under NTEE code E210 (Health Care).
Is St Marys Health System a registered 501(c)(3)?
Yes, St Marys Health System is recognized as a tax-exempt organization by the IRS. EIN: 222504349.
Does St Marys Health System file IRS Form 990?
Yes, St Marys Health System has 13 IRS Form 990 filings on record. The most recent covers tax period 202312.
What was St Marys Health System's revenue in 2023?
In the 202312 filing period, St Marys Health System reported total revenue of $4,492,714, total expenses of $3,321,001, and net assets of $7,363,292.
Is St Marys Health System's revenue growing or declining?
St Marys Health System's revenue is growing. Revenue went from $3,470,089 (202212) to $4,492,714 (202312), a +29.5% change. Based on 13 filings on record.
What is St Marys Health System's most recent 990 filing?
The most recent IRS Form 990 filing for St Marys Health System covers tax period 202312. It shows revenue of $4,492,714, expenses of $3,321,001, total assets of $7,363,292, and liabilities of $21,278,420.
How much does St Marys Health System spend on programs vs administration?
Based on IRS 990 analysis, St Marys Health System allocates approximately 70% of expenses to program services, 15% to administrative costs, and 15% to fundraising. Program spending is moderate relative to overhead.
Is St Marys Health System a trustworthy charity?
Based on AI analysis of IRS 990 data, St Marys Health System shows mixed signals. Mission Score: 65/100 (Good). 4 red flags identified. 2 strengths noted.
What are the red flags for St Marys Health System?
The following concerns were identified: Significant and continuous decline in total assets from $45.5M (2017) to $7.3M (2023) raises questions about long-term viability.. Revenue has dropped from $14.2M (2016) to $4.4M (2023), indicating a substantial reduction in services or funding.. Consistent reporting of 0% compensation for key executives across multiple years is a red flag for transparency and accurate financial disclosure.. Liabilities consistently exceed assets, with liabilities at $21,278,420 and assets at $7,363,292 in 2023, indicating potential insolvency.. These flags are based on automated analysis of IRS 990 public filings and should be verified independently.
What are St Marys Health System's strengths?
Positive indicators for St Marys Health System include: Despite financial challenges, the organization has continued to operate for many years, suggesting resilience or critical community support.. The consistent reporting of 0% compensation, while a red flag, could also indicate a highly volunteer-driven leadership model, if verified.. These findings are derived from AI analysis of the organization's financial filings.
How does St Marys Health System compensate executives?
Executive compensation is reported as 0% across all available filings, which is highly unusual for an organization of this size and suggests compensation may be reported under different categories or through related entities. Executive compensation data is sourced from IRS 990 filings, which require disclosure of officer, director, and key employee pay.
What is the primary cause for the drastic decline in assets and revenue over the past seven years, and how does the organization plan to address this trend?
The provided data does not specify the reasons for the decline, but such a significant reduction in assets from $45.5M to $7.3M and revenue from $14.2M to $4.4M suggests major operational changes, divestitures, or severe financial distress that would require a detailed explanation from the organization.
Given the consistent reporting of 0% executive compensation, how are leadership roles compensated, and what is the total compensation for the highest-paid individuals?
The filings indicate 'c0%' for compensation, which implies either no compensation for the highest-paid individuals or that compensation is reported under a different line item or through a related party not detailed in these specific filings. A deeper dive into their IRS Form 990 would be necessary to understand the true compensation structure.
Filing History
IRS 990 filing history for St Marys Health System showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), St Marys Health System's revenue has declined by 77.8%, moving from $20.2M to $4.5M. Total assets decreased by 76% over the same period, from $30.7M to $7.4M. Total functional expenses fell by 82.9%, from $19.4M to $3.3M. In its most recent filing year (2023), St Marys Health System reported a surplus of $1.2M, with revenue exceeding expenses. The organization holds $21.3M in liabilities against $7.4M in assets (debt-to-asset ratio: 289.0%), resulting in net assets of $-13,915,128.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $4.5M | $3.3M | $7.4M | $21.3M | — | — |
| 2022 | $3.5M | $3.7M | $9.7M | $24.4M | — | View 990 |
| 2021 | $3.5M | $3.3M | $11.8M | $26.2M | — | View 990 |
| 2020 | $3.2M | $3.3M | $10.6M | $25.2M | — | View 990 |
| 2019 | $4.2M | $5.5M | $14.2M | $30.9M | — | View 990 |
| 2018 | $4.9M | $5.4M | $19.9M | $36.5M | — | View 990 |
| 2017 | $5.7M | $5.9M | $45.5M | $60.8M | — | View 990 |
| 2016 | $14.3M | $18.0M | $18.9M | $35.5M | — | View 990 |
| 2015 | $12.3M | $14.0M | $15.6M | $29.9M | — | View 990 |
| 2014 | $15.8M | $17.5M | $19.8M | $33.3M | — | View 990 |
| 2013 | $16.8M | $15.5M | $22.2M | $35.9M | — | View 990 |
| 2012 | $17.8M | $22.3M | $15.9M | $28.7M | — | View 990 |
| 2011 | $20.2M | $19.4M | $30.7M | $49.9M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $4.5M, expenses of $3.3M, and assets of $7.4M (revenue +29.5% year-over-year).
- 2022: Revenue of $3.5M, expenses of $3.7M, and assets of $9.7M (revenue +0.0% year-over-year).
- 2021: Revenue of $3.5M, expenses of $3.3M, and assets of $11.8M (revenue +7.8% year-over-year).
- 2020: Revenue of $3.2M, expenses of $3.3M, and assets of $10.6M (revenue -24.2% year-over-year).
- 2019: Revenue of $4.2M, expenses of $5.5M, and assets of $14.2M (revenue -12.8% year-over-year).
- 2018: Revenue of $4.9M, expenses of $5.4M, and assets of $19.9M (revenue -14.0% year-over-year).
- 2017: Revenue of $5.7M, expenses of $5.9M, and assets of $45.5M (revenue -60.4% year-over-year).
- 2016: Revenue of $14.3M, expenses of $18.0M, and assets of $18.9M (revenue +16.5% year-over-year).
- 2015: Revenue of $12.3M, expenses of $14.0M, and assets of $15.6M (revenue -22.4% year-over-year).
- 2014: Revenue of $15.8M, expenses of $17.5M, and assets of $19.8M (revenue -6.0% year-over-year).
- 2013: Revenue of $16.8M, expenses of $15.5M, and assets of $22.2M (revenue -5.5% year-over-year).
- 2012: Revenue of $17.8M, expenses of $22.3M, and assets of $15.9M (revenue -12.1% year-over-year).
- 2011: Revenue of $20.2M, expenses of $19.4M, and assets of $30.7M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for St Marys Health System:
Data Sources and Methodology
This transparency report for St Marys Health System 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.