St. James Hospital

Legal name: St James Hospital

Nonprofit profile at a glance

EIN
160743310
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Hornell, NY, US
Phone
(607) 247-2200
Rating
78
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$64,054,940
Expenses
$59,392,429
Assets
$95,706,136
Liabilities
$29,206,651

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

24 people listed

Executive titles in this filing

  • WENDY DISBROW (CHIEF EXECUTIVE OFFICER)
  • DENISE BECHER (EXECUTIVE VICE PRESIDENT)

Highest reported compensation

  • STEVEN GOLDSTEIN (BOARD MEMBER): $1,591,441 total reported compensation
  • BILAL AHMED (BOARD MEMBER): $870,092 total reported compensation
  • MICHAEL KAMALI MD (BOARD MEMBER UNTIL 01/25): $839,390 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Providing support to St. James Hospital.

What it reported doing in 2024

St. James hospital is an acute healthcare facility providing routine, ambulatory and ancillary services. Major services include medical, surgical, radiology and laboratory. Total acute discharges for the hospital were 1,037. Oupatient registrations for the hospital were 338,754. St. James hospital operates several physician practices. Total office visits were 49,920 including urgent care.

Operating model

Revenue model
Earned-program. 97% of the money available for current operations came from fees and other program 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

SUPPORTED - The filed numbers largely add up and a large share of available resources goes toward mission work. Total assets are small relative to annual expenses; liquid coverage is unknown and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 66
  • Transparency & Controls: 90
  • Accountability: 84
  • Sustainability: 57
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 72.2%; rating input score 72
  • Program expense ratio: 78.9%; rating input score 79
  • Fundraising efficiency: Limited

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: 72.7%; rating input score 73; 22nd percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 7.3%; rating input score 65; 65th percentile among comparable filings
  • Total-asset coverage ratio: 1.61; rating input score 56; 56th percentile among comparable filings
  • Liabilities to assets ratio: 0.31; rating input score 55; 55th percentile among comparable filings
  • Officer compensation ratio: 3.5%; rating input score 31; 31st percentile among comparable filings

Growth

  • Program expense growth: 4.8% per year; rating input score 100; 38th percentile among comparable filings
  • Revenue growth: 1.2% per year; rating input score 100; 9th percentile among comparable filings
  • Asset growth: 10.9% per year; rating input score 100; 74th percentile among comparable filings

Details

  • What they do: 3 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 72.2% of revenue deployed · 78.9% of spending went to programs
  • Governance: 8 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $46.8M in reported program spending
  • Leadership: top reported pay $1.6M · 24 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.3M reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 8 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 57 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.

  • Review — Sustainability: Total-asset coverage ratio scored 56/100.
  • Moderate — Sustainability: Officer compensation ratio scored 31/100.
  • Review — Sustainability: Liabilities to assets ratio scored 55/100.