A.O. Fox Hospital
Legal name: Aurelia Osborn Fox Memorial Hospital
Nonprofit profile at a glance
- EIN
- 150539039
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Oneonta, NY, US
- Phone
- (607) 432-2000
- Rating
- 85
- Verdict
- STRONG
- Rating confidence
- Standard
- Sector
- Hospital, General
Reported finances
- Revenue
- $113,429,607
- Expenses
- $104,876,944
- Assets
- $62,063,392
- Liabilities
- $21,913,533
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
22 people listed
Executive titles in this filing
- Dan Croft MD (Hospital Vice President Medical Affairs)
- Staci Thompson (BHN President and CEO)
- Tommy Ibrahim MD (Former President)
Highest reported compensation
- Staci Thompson (BHN President and CEO): $878,927 total reported compensation
- Craig Faerber (Interim Network CFO): $524,460 total reported compensation
- Tommy Ibrahim MD (Former President): $424,611 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To provide high-quality, compassionate healthcare services to the community.
What it reported doing in 2024
Health care delivery: includes: uncompensated care, payments into bad debt and charity pools, nys health facilities assessment, community education, maternal care program, cost of providing services to government payors. Health/wellness and educational services to the general public. In 2024 the hospital had over 7,000 patient days, 24,000 emergency room visits, and 60,000 outpatient visits.
Operating model
- Revenue model
- Other-operating. 93% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Total assets are small relative to annual expenses; liquid coverage is unknown and assets have declined or grown slowly.
Rating breakdown
- Financial Efficiency: 81
- Transparency & Controls: 90
- Accountability: 95
- Sustainability: 52
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 79.5%; rating input score 80
- Program expense ratio: 85.9%; rating input score 86
- Fundraising efficiency: $52.78 raised per $1 spent on fundraising; rating input score 75; 75th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 7.5%; rating input score 66; 66th percentile among comparable filings
- Total-asset coverage ratio: 0.59; rating input score 23; 23rd percentile among comparable filings
- Liabilities to assets ratio: 0.35; rating input score 50; 50th percentile among comparable filings
- Officer compensation ratio: 1.1%; rating input score 72; 72nd percentile among comparable filings
Growth
- Program expense growth: 2% per year; rating input score 100; 15th percentile among comparable filings
- Revenue growth: 1.4% per year; rating input score 100; 10th percentile among comparable filings
- Asset growth: -2.8% per year; rating input score 0; 3rd percentile among comparable filings
Details
- What they do: 12 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 79.5% of revenue deployed · 85.9% of spending went to programs
- Governance: 12 of 12 board members independent · 8 of 9 filing controls reported
- Programs: 2 filed program accomplishments · $90.1M in reported program spending
- Leadership: top reported pay $879K · 22 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $10.6M reported
- Consistency: 43 of 43 current checks pass
- Schedules: 8 filed schedules · includes major donors, executive pay, and related organizations
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 6 filed money-flow records
- Related organizations: 16 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Total-asset coverage ratio scored 23/100.
- High — Growth: Asset growth scored 0/100.
- Review — Accountability: Governance controls: Other executive compensation review process not reported.
- Review — Sustainability: Liabilities to assets ratio scored 50/100.