St Marys Regional Medical Center
St Marys Regional Medical Center faces persistent operational deficits, with liabilities exceeding assets in its latest filing.
EIN: 10211551 · Lewiston, ME · NTEE: E220 · Updated: 2026-03-28
| Metric | Value |
|---|---|
| Total Revenue | $236.2M |
| Total Expenses | $267.7M |
| Program Spending | 85% |
| Net Assets | $-26,302,412 |
| Transparency Score | 65/100 |
Is St Marys Regional Medical Center Legit?
Some Concerns
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
St Marys Regional Medical Center directs 85% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.
About St Marys Regional Medical Center
St Marys Regional Medical Center (EIN: 10211551) is a nonprofit organization based in Lewiston, ME, classified under NTEE code E220. The organization reported total revenue of $236.2M and total assets of $135.7M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of St Marys Regional Medical Center's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
St Marys Regional Medical Center is a major nonprofit that has been operating for 57 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 3.5%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $238.0M |
| Total Expenses | $267.7M |
| Surplus / Deficit | $-29,793,150 |
| Total Assets | $138.3M |
| Total Liabilities | $164.6M |
| Net Assets | $-26,302,412 |
| Operating Margin | -12.5% |
| Debt-to-Asset Ratio | 119.0% |
| Months of Reserves | 6.2 months |
Financial Health Grade: C
In 2023, St Marys Regional Medical Center reported a deficit of $29.8M with expenses exceeding revenue, holds 6.2 months of operating reserves (strong position), has a debt-to-asset ratio of 119.0% (high leverage).
Financial Trends
Over 13 years of filings (2011–2023), St Marys Regional Medical Center's revenue has grown at a compound annual growth rate (CAGR) of 3.5%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | +6.8% | -1.3% | +7.1% |
| 2022 | -10.4% | +6.2% | -6.1% |
| 2021 | +13.9% | +11.0% | +2.5% |
| 2020 | -7.2% | -2.0% | -8.8% |
| 2019 | +12.8% | +0.9% | -1.0% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1000 |
| IRS Ruling Date | 1969 |
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 Regional Medical 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: 10%
- programs: 85%
- fundraising: 5%
According to IRS 990 filings, St Marys Regional Medical Center allocates its expenses as follows: admin: 10%, programs: 85%, fundraising: 5%. With 85% 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 $29.8M, with expenses exceeding revenue.
- Debt-to-asset ratio: 119.0%.
Executive Compensation Analysis
The IRS 990 filings consistently report 0% officer compensation, which could indicate that executive compensation is either not paid or not reported in the standard officer compensation section, requiring deeper scrutiny to fully assess executive pay relative to the organization's size and financial performance.
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 Regional Medical Center's IRS 990 filings:
- Consistent operational deficits, with expenses exceeding revenue in most recent years (e.g., $29.7M deficit in 2023).
- Liabilities ($164,585,280 in 2023) exceeding total assets ($138,282,868 in 2023), indicating a negative net asset position.
- Unusually consistent 0% officer compensation reported, which may obscure actual executive pay structures.
- Significant increase in liabilities from $83,803,349 in 2021 to $164,585,280 in 2023.
Strengths
The following positive indicators were identified for St Marys Regional Medical Center:
- Long history of IRS 990 filings (13 filings), indicating consistent compliance and transparency in reporting.
- Substantial revenue generation, with latest reported revenue at $237,955,693, demonstrating significant operational scale.
- Provides essential healthcare services (NTEE Code E220), fulfilling a critical community need.
Frequently Asked Questions about St Marys Regional Medical Center
Is St Marys Regional Medical Center a legitimate charity?
Based on AI analysis of IRS 990 filings, St Marys Regional Medical Center (EIN: 10211551) some concerns. Mission Score: 65/100. 4 red flags identified, 3 strengths noted.
How does St Marys Regional Medical Center spend its money?
St Marys Regional Medical Center directs 85% of its spending to programs and services. The remaining budget covers administration and fundraising costs.
Are donations to St Marys Regional Medical Center tax-deductible?
St Marys Regional Medical Center is registered as a tax-exempt nonprofit (EIN: 10211551). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
What percentage of St Marys Regional Medical Center's spending goes to programs?
St Marys Regional Medical Center directs 85% to programs, 5% to fundraising. This exceeds the 65% industry benchmark for efficient nonprofits.
How does St Marys Regional Medical Center compare to similar nonprofits?
With a transparency score of 65/100 (Good), St Marys Regional Medical Center 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 Marys Regional Medical Center located?
St Marys Regional Medical Center is headquartered in Lewiston, Maine and files with the IRS under EIN 10211551. It is classified under NTEE code E220.
How many years of IRS 990 filings does St Marys Regional Medical Center have?
St Marys Regional Medical Center 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 $236.2M in total revenue.
Is St Marys Regional Medical Center a good charity?
While St Marys Regional Medical Center provides essential healthcare services (NTEE Code E220), its financial health is concerning due to consistent operational deficits and liabilities exceeding assets in the latest filing. The lack of reported officer compensation requires further investigation to fully assess its financial practices.
Why are expenses consistently higher than revenue?
The filings show a consistent trend of expenses exceeding revenue, for example, a $29.7 million deficit in 2023 ($267.7M expenses vs $237.9M revenue) and a $48.5 million deficit in 2022 ($271.4M expenses vs $222.8M revenue). This suggests ongoing operational challenges or significant investments not immediately offset by revenue.
What is the trend in the organization's assets and liabilities?
Assets have fluctuated, reaching $138,282,868 in 2023, but liabilities have significantly increased, reaching $164,585,280 in 2023, surpassing assets. This indicates a deteriorating balance sheet position.
How does the organization fund its operations given the deficits?
The consistent operational deficits suggest the organization may be relying on drawing down reserves, increasing debt (as indicated by rising liabilities), or receiving other forms of non-operating income not fully captured in the 'Revenue' line item to sustain operations.
Is the 0% officer compensation accurate?
The consistent reporting of 0% officer compensation across all filings is unusual for an organization of this size and revenue. It warrants further investigation to understand if executive compensation is reported elsewhere, paid by an affiliated entity, or if the organization truly operates without compensated officers.
Filing History
IRS 990 filing history for St Marys Regional Medical Center showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), St Marys Regional Medical Center's revenue has grown by 50.4%, moving from $158.2M to $238.0M. Total assets decreased by 12.2% over the same period, from $157.5M to $138.3M. Total functional expenses rose by 72.4%, from $155.3M to $267.7M. In its most recent filing year (2023), St Marys Regional Medical Center reported a deficit of $29.8M, with expenses exceeding revenue. The organization holds $164.6M in liabilities against $138.3M in assets (debt-to-asset ratio: 119.0%), resulting in net assets of $-26,302,412.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $238.0M | $267.7M | $138.3M | $164.6M | — | — |
| 2022 | $222.9M | $271.4M | $129.1M | $125.5M | — | View 990 |
| 2021 | $248.6M | $255.6M | $137.5M | $83.8M | — | View 990 |
| 2020 | $218.2M | $230.2M | $134.1M | $72.2M | — | View 990 |
| 2019 | $235.1M | $234.9M | $147.1M | $70.5M | — | View 990 |
| 2018 | $208.5M | $232.9M | $148.6M | $79.2M | — | View 990 |
| 2017 | $230.9M | $205.7M | $182.4M | $63.8M | — | View 990 |
| 2016 | $187.9M | $181.4M | $156.9M | $64.0M | — | View 990 |
| 2015 | $155.0M | $156.3M | $150.0M | $63.0M | — | View 990 |
| 2014 | $148.8M | $149.6M | $141.8M | $58.1M | — | View 990 |
| 2013 | $159.6M | $158.5M | $146.3M | $59.6M | — | View 990 |
| 2012 | $153.8M | $155.0M | $144.3M | $62.2M | — | View 990 |
| 2011 | $158.2M | $155.3M | $157.5M | $64.5M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $238.0M, expenses of $267.7M, and assets of $138.3M (revenue +6.8% year-over-year).
- 2022: Revenue of $222.9M, expenses of $271.4M, and assets of $129.1M (revenue -10.4% year-over-year).
- 2021: Revenue of $248.6M, expenses of $255.6M, and assets of $137.5M (revenue +13.9% year-over-year).
- 2020: Revenue of $218.2M, expenses of $230.2M, and assets of $134.1M (revenue -7.2% year-over-year).
- 2019: Revenue of $235.1M, expenses of $234.9M, and assets of $147.1M (revenue +12.8% year-over-year).
- 2018: Revenue of $208.5M, expenses of $232.9M, and assets of $148.6M (revenue -9.7% year-over-year).
- 2017: Revenue of $230.9M, expenses of $205.7M, and assets of $182.4M (revenue +22.9% year-over-year).
- 2016: Revenue of $187.9M, expenses of $181.4M, and assets of $156.9M (revenue +21.2% year-over-year).
- 2015: Revenue of $155.0M, expenses of $156.3M, and assets of $150.0M (revenue +4.2% year-over-year).
- 2014: Revenue of $148.8M, expenses of $149.6M, and assets of $141.8M (revenue -6.8% year-over-year).
- 2013: Revenue of $159.6M, expenses of $158.5M, and assets of $146.3M (revenue +3.8% year-over-year).
- 2012: Revenue of $153.8M, expenses of $155.0M, and assets of $144.3M (revenue -2.8% year-over-year).
- 2011: Revenue of $158.2M, expenses of $155.3M, and assets of $157.5M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for St Marys Regional Medical Center:
Data Sources and Methodology
This transparency report for St Marys Regional Medical 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.