Vassar Brothers Medical Center

Vassar Brothers Medical Center reports a $30 million operational deficit in 202309, following years of positive net income.

EIN: 141338586 · Poughkeepsie, NY · NTEE: E220 · Updated: 2026-03-28

$904.3MRevenue

$1.2BAssets

75/100Mission Score (Good)

E220

About Vassar Brothers Medical Center

Vassar Brothers Medical Center (EIN: 141338586) is a nonprofit organization based in Poughkeepsie, NY, classified under NTEE code E220. The organization reported total revenue of $904.3M and total assets of $1.2B according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Vassar Brothers Medical Center's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.

AI Transparency Report

Vassar Brothers Medical Center demonstrates a consistent operational scale, with revenues in the latest reported period (202309) at $774,380,228 and expenses at $804,194,259, indicating a slight operational deficit for that specific year. Over the past several years, the organization has generally maintained a positive net income, contributing to its substantial asset base of $1,208,509,203 as of 202309. The organization's NTEE code E220 indicates it is a general hospital, which typically involves high operational costs. The consistent reporting of 0% for Officer Compensation across all available filings suggests that executive compensation is either not reported in this specific field or is handled through a related entity, which could impact the assessment of internal financial transparency regarding leadership remuneration. Further investigation into related party transactions would be necessary to fully understand executive compensation practices.

The organization's financial health appears stable given its significant assets and consistent revenue streams, typical for a large medical center. However, the recent operational deficit in 202309, where expenses exceeded revenue by approximately $30 million, warrants attention. While not necessarily a red flag for a single year, especially in the healthcare sector, it's a trend to monitor. The substantial liabilities, reaching $710,974,734 in 202309, are also typical for a large hospital but should be managed carefully against its asset base. The absence of reported officer compensation in the provided data makes it difficult to assess spending efficiency in this specific area.

Mission Effectiveness Score

NonprofitSpending's AI analysis rates Vassar Brothers Medical Center 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: 7%
programs: 90%
fundraising: 3%

According to IRS 990 filings, Vassar Brothers Medical 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 provided IRS 990 data consistently reports 0% for Officer Compensation across all filings, which is unusual for an organization of this size with revenues exceeding $700 million. This suggests that executive compensation may be reported under a different category, through a related entity, or not disclosed in this specific field, making it impossible to assess relative to the organization's scale without further detail.

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 Vassar Brothers Medical Center's IRS 990 filings:

Consistent 0% reporting for Officer Compensation, which is atypical for an organization of this size and revenue, potentially indicating a lack of transparency in this specific data point.
Operational deficit of approximately $30 million in the latest reported period (202309), where expenses ($804,194,259) exceeded revenue ($774,380,228).

Strengths

The following positive indicators were identified for Vassar Brothers Medical Center:

Substantial and growing asset base, reaching over $1.2 billion in 202309, indicating strong financial foundation.
Consistent high revenue generation, with latest reported revenue at $774,380,228, demonstrating significant operational scale.
Generally positive net income in most prior periods, contributing to asset growth and financial stability.
Long history of IRS 990 filings (13 filings), suggesting consistent compliance and reporting.

Frequently Asked Questions about Vassar Brothers Medical Center

Why is Officer Compensation consistently reported as 0% across all filings?

The consistent reporting of 0% for Officer Compensation in the provided data for an organization of this scale is highly unusual. It suggests that executive compensation might be reported in a different section of the 990, paid through a related organization, or not captured in the specific data field provided. Without further information, it's impossible to determine the actual compensation practices for its leadership.

What caused the operational deficit of approximately $30 million in the 202309 period?

In the 202309 period, Vassar Brothers Medical Center reported revenues of $774,380,228 and expenses of $804,194,259, resulting in an operational deficit. The specific causes are not detailed in the provided summary data but could include increased operational costs, lower patient volumes, or changes in reimbursement rates.

How does the organization manage its substantial liabilities, which reached $710,974,734 in 202309?

The organization's liabilities are significant, reaching over $710 million in 202309. While common for large healthcare systems, effective management typically involves a mix of long-term debt, capital leases, and operational payables, balanced against its substantial assets of over $1.2 billion. The specific strategies for managing these liabilities are not detailed in the provided data.

Filing History

IRS 990 filing history for Vassar Brothers Medical Center showing financial trends over 13 years of public records:

Over 13 years of IRS 990 filings (2011–2023), Vassar Brothers Medical Center's revenue has grown by 93.3%, moving from $400.7M to $774.4M. Total assets increased by 172.7% over the same period, from $443.1M to $1.2B. Total functional expenses rose by 110.1%, from $382.7M to $804.2M. In its most recent filing year (2023), Vassar Brothers Medical Center reported a deficit of $29.8M, with expenses exceeding revenue. The organization holds $711.0M in liabilities against $1.2B in assets (debt-to-asset ratio: 58.8%), resulting in net assets of $497.5M.

Year	Revenue	Expenses	Assets	Liabilities	Officer Comp.	PDF
2023	$774.4M	$804.2M	$1.2B	$711.0M	—	View 990
2022	$772.4M	$758.6M	$1.2B	$709.4M	—	View 990
2021	$744.6M	$734.7M	$1.2B	$764.5M	—	View 990
2020	$700.2M	$680.3M	$1.2B	$790.0M	—	—
2019	$507.4M	$464.5M	$1.1B	$708.5M	—	View 990
2018	$676.5M	$573.6M	$1.1B	$661.5M	—	View 990
2017	$672.2M	$577.8M	$1.1B	$668.7M	—	View 990
2016	$646.2M	$541.3M	$1.0B	$700.7M	—	View 990
2015	$535.8M	$472.7M	$580.7M	$301.0M	—	View 990
2014	$486.3M	$437.0M	$512.0M	$261.8M	—	View 990
2013	$435.8M	$411.9M	$482.9M	$252.5M	—	View 990
2012	$417.4M	$405.1M	$470.7M	$300.3M	—	View 990
2011	$400.7M	$382.7M	$443.1M	$270.5M	—	View 990

Year-by-Year Financial Summary

2023: Revenue of $774.4M, expenses of $804.2M, and assets of $1.2B (revenue +0.3% year-over-year).
2022: Revenue of $772.4M, expenses of $758.6M, and assets of $1.2B (revenue +3.7% year-over-year).
2021: Revenue of $744.6M, expenses of $734.7M, and assets of $1.2B (revenue +6.3% year-over-year).
2020: Revenue of $700.2M, expenses of $680.3M, and assets of $1.2B (revenue +38.0% year-over-year).
2019: Revenue of $507.4M, expenses of $464.5M, and assets of $1.1B (revenue -25.0% year-over-year).
2018: Revenue of $676.5M, expenses of $573.6M, and assets of $1.1B (revenue +0.6% year-over-year).
2017: Revenue of $672.2M, expenses of $577.8M, and assets of $1.1B (revenue +4.0% year-over-year).
2016: Revenue of $646.2M, expenses of $541.3M, and assets of $1.0B (revenue +20.6% year-over-year).
2015: Revenue of $535.8M, expenses of $472.7M, and assets of $580.7M (revenue +10.2% year-over-year).
2014: Revenue of $486.3M, expenses of $437.0M, and assets of $512.0M (revenue +11.6% year-over-year).
2013: Revenue of $435.8M, expenses of $411.9M, and assets of $482.9M (revenue +4.4% year-over-year).
2012: Revenue of $417.4M, expenses of $405.1M, and assets of $470.7M (revenue +4.2% year-over-year).
2011: Revenue of $400.7M, expenses of $382.7M, and assets of $443.1M.

Data Sources and Methodology

This transparency report for Vassar Brothers 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.