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Nonprofiteer
← ST MARYS HOSPITAL INC

Form 990 for tax year 2022

Filed by ST MARYS HOSPITAL INC.

Totals

Total revenue
$26,438,248
Total expenses
$25,329,076
Contributions and grants received
$1,043,398
Grants paid
$7,807
Program service revenue
$24,907,804
Investment income
$179,870
Other revenue
$307,176
Total assets, end of year
$29,199,175
Total liabilities, end of year
$7,532,890
Net assets or fund balances, end of year
$21,666,285
Program services expenses (Part IX)
$20,428,158
Management and general expenses
$4,889,031
Fundraising expenses
$11,887
Program service expenses (Part III)
$20,428,158

Program services were 80.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $145,318

  • 1e · Government grants (contributions)

    $833,082

  • 1f · All other contributions, gifts and grants

    $64,998

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $24,907,804 · related or exempt $24,907,804

  • 3 · Investment income

    total $185,546 · excluded $185,546

  • 6a · Gross rents

    real property $640

  • 6c · Rental income or loss

    real property $640

  • 6d · Net rental income or loss

    total $640 · excluded $640

  • 7a · Gross sales of assets other than inventory

    securities $842

  • 7b · Less cost or other basis and sales expenses

    other assets $6,518

  • 7c · Gain or loss

    securities $842 · other assets -$6,518

  • 7d · Net gain or loss

    total -$5,676 · excluded -$5,676

  • 11a · Other revenue: MEDICARE SHARED SAVINGS PROG

    total $259,456 · excluded $259,456

  • 11b · Other revenue: OTHER

    total $46,408 · excluded $46,408

  • 11c · Other revenue: REBATES

    total $672 · excluded $672

  • 11e · Other revenue, total

    $306,536

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $7,807 · program services $7,807

  • 7 · Other salaries and wages

    total $14,079,715 · program services $11,132,029 · management and general $2,939,508 · fundraising $8,178

  • 8 · Pension plan contributions

    total $394,731 · program services $312,240 · management and general $82,450 · fundraising $41

  • 9 · Other employee benefits

    total $1,042,323 · program services $824,498 · management and general $217,716 · fundraising $109

  • 10 · Payroll taxes

    total $1,119,541 · program services $885,579 · management and general $233,845 · fundraising $117

  • 11b · Fees: legal

    total $123 · management and general $123

  • 11c · Fees: accounting

    total $40,222 · management and general $40,222

  • 11f · Fees: investment management

    total $1,406 · management and general $1,406

  • 11g · Fees: other

    total $2,546,424 · program services $2,171,209 · management and general $375,004 · fundraising $211

  • 12 · Advertising and promotion

    total $81,981 · management and general $81,981

  • 13 · Office expenses

    total $742,736 · program services $491,035 · management and general $251,180 · fundraising $521

  • 14 · Information technology

    total $43,172 · program services $14,537 · management and general $28,633 · fundraising $2

  • 16 · Occupancy

    total $332,998 · program services $265,693 · management and general $66,689 · fundraising $616

  • 17 · Travel

    total $98,019 · program services $66,396 · management and general $31,615 · fundraising $8

  • 19 · Conferences, conventions and meetings

    total $98,081 · program services $65,097 · management and general $32,982 · fundraising $2

  • 20 · Interest

    total $157,042 · management and general $157,042

  • 22 · Depreciation, depletion and amortization

    total $728,830 · program services $532,571 · management and general $194,539 · fundraising $1,720

  • 23 · Insurance

    total $81,787 · program services $65,887 · management and general $15,783 · fundraising $117

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $2,413,488 · program services $2,413,488

  • 24b · Other expenses: DUES & SUBSCRIPTIONS

    total $717,922 · program services $638,077 · management and general $79,843 · fundraising $2

  • 24c · Other expenses: REPAIR & MAINTENANCE

    total $345,897 · program services $319,283 · management and general $26,371 · fundraising $243

  • 24e · All other expenses

    total $254,831 · program services $222,732 · management and general $32,099

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,722,701 · end of year $1,516,620

  • 2 · Savings and temporary cash investments

    beginning of year $8,205,001 · end of year $3,184,258

  • 3 · Pledges and grants receivable

    beginning of year $71,092 · end of year $65,422

  • 4 · Accounts receivable

    beginning of year $3,294,978 · end of year $3,005,188

  • 7 · Other notes and loans receivable

    beginning of year $2,389 · end of year $25,500

  • 8 · Inventories for sale or use

    beginning of year $269,606 · end of year $230,711

  • 9 · Prepaid expenses and deferred charges

    beginning of year $201,511 · end of year $316,525

  • 10a · Land, buildings and equipment: cost or other basis

    $24,888,571

  • 10b · Land, buildings and equipment: accumulated depreciation

    $11,545,428

  • 10c · Land, buildings and equipment, net

    beginning of year $12,824,524 · end of year $13,343,143

  • 12 · Investments: other securities

    beginning of year $7,568,974 · end of year $6,829,382

  • 15 · Other assets

    beginning of year $150,873 · end of year $682,426

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,001,640 · end of year $1,917,618

  • 19 · Deferred revenue

    end of year $185,688

  • 23 · Secured mortgages and notes payable

    beginning of year $4,072,429 · end of year $3,873,644

  • 25 · Other liabilities

    beginning of year $6,765,335 · end of year $1,555,940

  • 27 · Net assets without donor restrictions

    beginning of year $21,472,245 · end of year $21,666,285

Mission and programs · 2022

Mission

TO IMPROVE HEALTH ONE PATIENT AT A TIME IN A FRIENDLY AND PROFESSIONAL CULTURE COMMITTED TO SUPERIOR QUALITY AND SAFETY.

  • ST MARY'S HOSPITAL (SMH) IS CREATED AND ORGANIZED TO OWN, MAINTAIN, OPERATE AND CONDUCT, DIRECTLY OR INDIRECTLY, AND TO ASSIST AND COORDINATE ACTIVITIES OF FACILITIES FOR HEALTH CARE, EDUCATION, CARE FOR THE AGED AND SOCIAL SERVICES IN ACCORDANCE WITH THE CHARITABLE WORKS TRADITION OF THE ROMAN CATHOLIC CHURCH. IN KEEPING WITH THIS SPECIFIC PURPOSE, ALL WORKS SHALL BE CARRIED OUT IN ACCORDANCE WITH THE CHARISM OF THE BENEDICTINE SISTERS OF ST. SCHOLASTICA MONASTERY. SMH OPERATES A 25-BED CRITICAL ACCESS HOSPITAL AND PRIMARY CARE CLINICS THAT PROVIDE GENERAL MEDICAL AND SURGICAL CARE FOR INPATIENT, OUTPATIENT, AND EMERGENCY ROOM PATIENTS IN COTTONWOOD AND THE SURROUNDING AREAS OF KAMIAH, GRANGEVILLE, NEZPERCE AND CRAIGMONT.

    Expenses $20,428,158 · Grants $7,807 · Revenue $24,907,804

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Thomas Wonderlich

    PHYSICIAN

    Total calculated
    $441,757
    From this org
    $377,782
    From related orgs
    $0
    Other
    $63,975
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $301,097
    Bonus
    $71,190
    Other
    $5,495
    Deferred
    $47,590
    Nontaxable benefits
    $16,385
    Filer's total
    $441,757
  • Andrew Schweitzer

    PHYSICIAN

    Total calculated
    $416,847
    From this org
    $361,747
    From related orgs
    $0
    Other
    $55,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $297,557
    Bonus
    $55,659
    Other
    $8,531
    Deferred
    $31,415
    Nontaxable benefits
    $23,685
    Filer's total
    $416,847
  • Kelly McGrath

    BOARD DIRECT

    Total calculated
    $434,940
    From this org
    $0
    From related orgs
    $349,933
    Other
    $85,007
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    not reported + $317,725 related
    Bonus
    not reported + $15,007 related
    Other
    not reported + $17,201 related
    Deferred
    not reported + $57,420 related
    Nontaxable benefits
    not reported + $27,587 related
    Filer's total
    not reported + $434,940 related
  • Jack Bruner II

    PHYSICIAN

    Total calculated
    $380,930
    From this org
    $324,601
    From related orgs
    $0
    Other
    $56,329
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $272,905
    Bonus
    $47,300
    Other
    $4,396
    Deferred
    $30,876
    Nontaxable benefits
    $25,453
    Filer's total
    $380,930
  • Tema Jessup

    PHYSICIAN

    Total calculated
    $366,214
    From this org
    $317,387
    From related orgs
    $0
    Other
    $48,827
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $278,903
    Bonus
    $38,484
    Other
    not reported
    Deferred
    $22,315
    Nontaxable benefits
    $26,512
    Filer's total
    $366,214
  • Justin Jones

    PHYSICIAN

    Total calculated
    $369,034
    From this org
    $310,538
    From related orgs
    $0
    Other
    $58,496
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $277,833
    Bonus
    $27,635
    Other
    $5,070
    Deferred
    $31,900
    Nontaxable benefits
    $26,596
    Filer's total
    $369,034
  • Lenne Bonner

    CEO

    Total calculated
    $319,249
    From this org
    $0
    From related orgs
    $300,932
    Other
    $18,317
    Hours/week
    30 + 30 related

    Schedule J breakdown matched by us

    Base
    not reported + $261,726 related
    Bonus
    not reported + $39,206 related
    Other
    not reported
    Deferred
    not reported + $5,664 related
    Nontaxable benefits
    not reported + $12,653 related
    Filer's total
    not reported + $319,249 related
  • Jyl Ruland

    CFO

    Total calculated
    $235,010
    From this org
    $0
    From related orgs
    $176,724
    Other
    $58,286
    Hours/week
    30 + 30 related

    Schedule J breakdown matched by us

    Base
    not reported + $157,998 related
    Bonus
    not reported + $9,906 related
    Other
    not reported + $8,820 related
    Deferred
    not reported + $33,526 related
    Nontaxable benefits
    not reported + $24,760 related
    Filer's total
    not reported + $235,010 related
  • Cindy O'Brien

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Kim Ingram

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Christina Ulmer

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Matt Sartini

    BOARD DIRECT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Paul Nusser

    BOARD DIRECT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Sister Lisa Maurer

    BOARD DIRECT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Rene Forsman

    BOARD DIRECT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jeremy Evans

    BOARD DIRECT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Sister Barbara Jean Glodowski

    BOARD DIRECT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mark Imus

    BOARD DIRECT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Christopher Riggers

    BOARD DIRECT

    Total calculated
    $0
    Hours/week
    1 + 1 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • KOOTENAI URGENT CARE LLC

    MEDICAL · ID

  • KOOTENAI OUTPATIENT SURGERY

    SURGERY · ID

  • KOOTENAI OUTPATIENT IMAGING

    IMAGING · ID

Provenance

Return type
form_990
Tax year
2022
Filed
11 September 2023
IRS schema version
2022v5.0
Source object
202302779349301500

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