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 WonderlichTHOMAS 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 SchweitzerANDREW 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 McGrathKELLY 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 IIJACK 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 JessupTEMA 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 JonesJUSTIN 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 BonnerLENNE 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 RulandJYL 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'BrienCINDY O'BRIEN
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Kim IngramKIM INGRAM
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Christina UlmerCHRISTINA ULMER
SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Matt SartiniMATT SARTINI
BOARD DIRECT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Paul NusserPAUL NUSSER
BOARD DIRECT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Sister Lisa MaurerSISTER LISA MAURER
BOARD DIRECT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Rene ForsmanRENE FORSMAN
BOARD DIRECT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Jeremy EvansJEREMY EVANS
BOARD DIRECT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Sister Barbara Jean GlodowskiSISTER BARBARA JEAN GLODOWSKI
BOARD DIRECT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Mark ImusMARK IMUS
BOARD DIRECT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Christopher RiggersCHRISTOPHER 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
-
$6,744
FINANCIAL SUPPORT
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.
-
CLEARWATER VALLEY HOSPITAL & CLINIC
501C3 · HOSPITAL · ID · controlled entity
Directly controlled by KOOTENAI
-
KOOTENAI HEALTH FOUNDATION INC
501C3 · FOUNDATION · ID · controlled entity
Directly controlled by KOOTENAI
-
KOOTENAI HEALTH
GOV · HOSPITAL · ID
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
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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