Civic Intelligence

St Mary'S Hospital Inc

EIN 82-0226453 • 501(c)3 • Cottonwood, ID

Profile

We improve healthcare one patient at a time in a friendly and professional culture committed to superior quality and safety.

PO Box 137Cottonwood, ID 83522

www.smh-cvhc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

49th percentile

0.21x

Higher debt load relative to assets than 49% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

44th percentile

0.22x

Higher debt load relative to revenue than 44% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

57th percentile

7.0%

Higher net margin than 57% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

90th percentile

$729,329

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 2.4% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

55th percentile

6.6%

Faster asset growth than 55% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

61st percentile

13%

Faster revenue growth than 61% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Down

$32,827,581

Down $1,484,068 (-4.3%) from 2021

Liabilities

Down

$6,742,347

Down $6,097,057 (-47%) from 2021

Net Assets

Up

$26,085,234

Up $4,612,989 (+21%) from 2021

Revenue

Up

$30,659,664

Up $3,657,177 (+14%) from 2021

Expenses

Up

$28,510,590

Up $4,880,977 (+21%) from 2021

Net Income

Down

$2,149,074

Down $1,223,800 (-36%) from 2021

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2010: $15,458,277Liabilities 2010: $2,307,585Net Assets 2010: $13,150,6922010Assets 2011: $16,884,472Liabilities 2011: $2,368,234Net Assets 2011: $14,516,2382011Assets 2012: $17,301,674Liabilities 2012: $2,313,464Net Assets 2012: $14,988,2102012Assets 2013: $18,927,112Liabilities 2013: $3,010,028Net Assets 2013: $15,917,0842013Assets 2014: $19,946,287Liabilities 2014: $2,517,603Net Assets 2014: $17,428,6842014Assets 2015: $19,398,730Liabilities 2015: $2,044,807Net Assets 2015: $17,353,9232015Assets 2016: $19,364,173Liabilities 2016: $1,779,460Net Assets 2016: $17,584,7132016Assets 2017: $20,324,959Liabilities 2017: $1,725,759Net Assets 2017: $18,599,2002017Assets 2018: $20,532,601Liabilities 2018: $1,590,022Net Assets 2018: $18,942,5792018Assets 2019: $21,242,982Liabilities 2019: $1,689,115Net Assets 2019: $19,553,8672019Assets 2020: $35,221,919Liabilities 2020: $16,883,591Net Assets 2020: $18,338,3282020Assets 2021: $34,311,649Liabilities 2021: $12,839,404Net Assets 2021: $21,472,2452021Assets 2024: $32,827,581Liabilities 2024: $6,742,347Net Assets 2024: $26,085,2342024

Highlighted filing

2024

Assets$32,827,581
Liabilities$6,742,347
Net Assets$26,085,234

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $17,457,5602010Expenses 2011: $18,700,4662011Expenses 2012: $18,238,2912012Expenses 2013: $19,072,0992013Revenue 2014: $20,936,709Expenses 2014: $19,919,473Net Income 2014: $1,017,2362014Revenue 2015: $20,752,412Expenses 2015: $20,617,938Net Income 2015: $134,4742015Revenue 2016: $21,211,561Expenses 2016: $20,649,983Net Income 2016: $561,5782016Revenue 2017: $22,391,610Expenses 2017: $21,924,293Net Income 2017: $467,3172017Revenue 2018: $22,018,268Expenses 2018: $22,168,155Net Income 2018: -$149,8872018Revenue 2019: $22,050,446Expenses 2019: $21,352,431Net Income 2019: $698,0152019Revenue 2020: $22,030,451Expenses 2020: $22,412,674Net Income 2020: -$382,2232020Revenue 2021: $27,002,487Expenses 2021: $23,629,613Net Income 2021: $3,372,8742021Revenue 2024: $30,659,664Expenses 2024: $28,510,590Net Income 2024: $2,149,0742024

Highlighted filing

2024

Revenue$30,659,664
Expenses$28,510,590
Net Income$2,149,074

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.8$6.74$26.1$30.7$28.5$2.15
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$34.3$12.8$21.5$27.0$23.6$3.37
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$35.2$16.9$18.3$22.0$22.4$0.38
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$21.2$1.69$19.6$22.1$21.4$0.70
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.5$1.59$18.9$22.0$22.2$0.15
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.3$1.73$18.6$22.4$21.9$0.47
2016Detailed filing. Detailed filing data is available for this year.$19.4$1.78$17.6$21.2$20.6$0.56
2015Detailed filing. Detailed filing data is available for this year.$19.4$2.04$17.4$20.8$20.6$0.13
2014Detailed filing. Detailed filing data is available for this year.$19.9$2.52$17.4$20.9$19.9$1.02
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.9$3.01$15.9$19.1
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.3$2.31$15.0$18.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.9$2.37$14.5$18.7
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.5$2.31$13.2$17.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Aug 25, 2025
Return Version
2024v5.2
Gross Receipts
$30,768,863
Mission and Program Overview

Mission

We are called to make a healthy difference in people's lives.

We improve healthcare one patient at a time in a friendly and professional culture committed to superior quality and safety.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$13,254,073$13,244,263▼ $9,810
Investments Other Securities$7,442,581$7,852,385▲ $409,804
Savings and Temporary Cash Investments$4,692,842$5,357,216▲ $664,374
Accounts Receivable$3,350,057$3,554,357▲ $204,300
Cash and Non-Interest-Bearing Accounts$1,093,230$1,293,525▲ $200,295
Inventories for Sale or Use$174,160$352,786▲ $178,626
Prepaid Expenses and Deferred Charges$179,929$223,865▲ $43,936
Pledges and Grants Receivable$75,474$101,118▲ $25,644
Other Notes and Loans Receivable, Net$215$14,067▲ $13,852
Total Assets$30,784,173$32,827,581▲ $2,043,408
Other Assets Total$521,612$833,999▲ $312,387
Liabilities
Mortgage Notes Payable Secured by Investment Property$3,647,665$3,385,143▼ $262,522
Accounts Payable and Accrued Expenses$2,303,841$2,068,952▼ $234,889
Other Liabilities$911,413$1,288,251▲ $376,838
Deferred Revenue$337$1▼ $336
Total Liabilities$6,863,256$6,742,347▼ $120,909
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$23,920,917$26,085,234▲ $2,164,317
Total Net Assets Fund Balance$23,920,917$26,085,234▲ $2,164,317
Total Liabilities and Net Assets / Fund Balance$30,784,173$32,827,581▲ $2,043,408

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$11,074,075$3,948,934$15,023,009
Equipment$1,642,574$9,142,173$10,784,747
Other Land Buildings$332,103$16,028$348,131
Land$195,511-$195,511
Other Securities$7,852,385--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Thomas WonderlichPhysicianFT$301,149$168,814$469,963
Justin JonesPhysicianFT$293,606$139,408$433,014
Tema JessupPhysicianFT$299,930$124,084$424,014
Andrew SchweitzerPhysicianFT$331,104$90,999$422,103
Jack Bruner IiPhysicianFT$294,203$109,733$403,936

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Palouse Imaging Consultants PllcRadiology ReadsPO BOX 9583, Moscow, ID 83843$346,101
Dms ImagingMri Radiology ReadsPO BOX 670747, Dallas, TX 75267-0747$344,015
Axon Anesthesia INCAnesthesiaPO BOX 310, Grangeville, ID 83530$297,221
Newport Health ServicesSleep Lab Management4 CORPORATE PLAZA SUITE 150, Newport Beach, CA 92660$179,525
Qualvis LLCRn Coverage5930 CORNORSTONE COURT WEST SUITE 3, San Diego, CA 92121$151,088
Revenue and Support

Revenue Composition

Contributions and Grants
$790,713
Program Service Revenue
$28,900,957
Investment Income
$559,007
Other Revenue
$408,987
All Other Contributions
$655,963
Change in Net Assets
$2,149,074
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$19,321,112
Other Expenses$9,169,018
Grants and Similar Amounts Paid$20,460
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,646,013$3,679,948-$16,325,961
Fees for Services Other$2,241,751$576,034-$2,817,785
Other Employee Benefits$27,956$1,495,148-$1,523,104
Payroll Taxes$773,349$225,042-$998,391
Depreciation Depletion-$856,695-$856,695
All Other Expenses$792,936$38,851-$831,787
Other Expenses$529,354$779,069-$529,354
Pension Plan Contributions$366,892$106,764-$473,656
Occupancy$324,781$6,935-$331,716
Office Expenses$128,913$155,723-$284,636
Information Technology$24,129$152,387-$176,516
Interest$139,851--$139,851
Travel$81,647$46,273-$127,920
Insurance$5,199$106,352-$111,551
Advertising-$82,060-$82,060
Grants to Domestic Orgs$20,460--$20,460
Fees for Services Accounting-$10,629-$10,629
Fees for Service Investment Mgmnt Fees-$1,521-$1,521
Fees for Services Lobbying-$1,096-$1,096
Total Functional Expenses$20,190,063$8,320,527$0$28,510,590
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Kootenai Health FoundationCoeur Dalene, ID501(c)(3)Shared Employee Salary and Benefits$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Organization$945,869
Deferred Compensation$205,703
Capital Lease Liability$106,604
Other Long-term Liabilities$30,075
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Kootenai hospital district dba kootenai health is the sole member of st. Mary's hospital and clinics, inc. And may elect one or more members of the governing body as described in schedule o, part vi, line 7. Kootenai health and benedictine sisters of scholastica monastery have reserved powers with respect to st. Mary's hospital, inc. As described in schedule o, part vi. Line 7b.

Form 990, Part VI, Section A, Line 7A

Kootenai hospital district appoints and removes st. Mary's hospital, inc. Governing body.

Form 990, Part VI, Section A, Line 7B

Kootenai hospital district has reserved powers as follows: strategic and business plans - authority to create and to approve smh's strategic and business plans. Mission - authority to create and to approve the mission purpose and vision statement for smh. Debt - approval of the incurrence of debt by and the creation of all mortgages, liens, security interests, or other encumbrances on the assets of smh in excess of the single or annual aggregate dollar limits prescribed in writing by the kh board of directors. Governing instruments - authority to cause and approve amendments of the articles of incorporation and bylaws of smh. Mergers and acquisitions - authority to cause and to approve all mergers, consolidations, and dissolutions of smh. Affiliations and joint ventures - authority to cause and approve all affiliations, joint ventures and other alliances between third parties and smh. Transfer of assets - authority to cause and to approve the sale, lease, or other transfer of smh assets when the asset's value exceeds the single or aggregate dollar limit prescribed in writing by the kh board of directors. Services - authority to cause and to approve the discontinuance of services and service locations of smh. Budgets - approval of capital and operating budgets of smh. Professional services - selection of the general legal counsel and external auditors of smh. Acquisitions - authority to cause and to approve all acquisitions by and formations of entities by smh. Marketing and branding - authority to implement smh marketing, branding, and promotional activities. Compliance plans - authority to create and to approve corporate compliance, safety and risk management plans for smh. Quality plan - authority to create to approve smh's quality plan. Non-budgeted purchases - approval of non-budgeted capital purchases, operating expenses, and leases in excess of the single or annual aggregate dollar limits prescribed in writing by kh for smh. Human resources - authority to create human resource policies and procedures for smh. Reserved powers - authority to create additional kh reserved powers by the affirmative vote of at least 75% of the kh board of directors (excluding the kh president); provided, however that any additional kh reserved powers shall not contravene or hinder the ssm reserved powers. As a sponsor to smh, the sisters of st. Scholastica monastery (ssm) also has certain reserved powers over smh. Ssm's reserved powers are as follows: mission - authority to approve the mission and purpose statements for smh. Adherence to erds - authority to review and approve the methods, policies and procedures pertaining to adherence of smh to the ethical and religious directives for catholic health care services (erds). Official catholic director - authority to oversee the listing of smh in the official catholic directory, subject to the approval of applicable catholic authorities. Catholic health association - authority to require smh to join the membership of the catholic health association of the united states if smh qualifies and such membership does not impose an unreasonable burden on smh as determined by kootenai health. Alienation of stable patrimony or ecclesiastical goods - authority to approve alienation of either stable patrimony or other ecclesiastical goods at smh having a dollar value equal to or greater than 70% of the amount established from time to time that requires approval from the holy see; provided, however, that it is the intent of the parties that this provision not be applied to restrict or to impede smh from acting and making decisions in the ordinary course of business; instead it is intended to prevent the transfer of substantial assets of smh to support the secular entities of kootenai health without the prior approval of ssm. Mission effectiveness -authority to approve annual plans and evaluations relating to mission effectiveness and chaplaincy for smh including the use of religious symbols and prayers. Amen

Form 990, Part VI, Section B, Line 11B

A copy of the 990 is provided to the ceo and cfo who review the form, schedules and related attachments. Any comments or questions are addressed with the preparer and a final draft is provided to the board of directors. Once management is satisfied with the 990, the cfo signs the form 8879-te authorizing the preparer to e-file the return.

Form 990, Part VI, Section B, Line 12C

The hospital requires board members and officers of the organization to annually disclose potential conflicts. If a potential conflict exists, they are reviewed by the board and the individual with the potential conflict abstains from voting on the issue.

Form 990, Part VI, Section B, Line 15

The independent executive compensation committee of the board of directors is authorized to fulfill the board's responsibilities regarding executive compensation. The executive compensation committee responsibilities include, but are not limited to, establishing, reviewing and modifying, as appropriate, reasonable compensation and benefits for designated executives who are officers or key employees which may be paid by related organizations. The executive compensation committee engages qualified independent compensation advisors to provide objective and impartial comparative data and to express opinion on total compensation reasonableness. The executive compensation committee may request its independent advisors to monitor comparability data and marketplace trends, make appropriate recommendations regarding salary ranges, and periodically review the market competitiveness of executive compensation packages prior to establishing or adjusting executive compensation. The executive compensation committee will obtain and rely upon appropriate data as to comparability of the proposed compensation or adjustments. The executive compensation committee will adequately document the basis for its determination concurrently with making those determinations. The executive compensation committee minutes will include the terms of the approved compensation and the date approved. The executive compensation committee members present during the review, discussion and approval of the proposed compensation and those who voted on the proposed compensation identification of the comparability data obtained and relied upon by the executive compensation committee and how the data was obtained, any actions by a member of the executive compensation committee having conflict of interest, and documentation of the basis for determination the year this process was last undertaken.

Form 990, Part VI, Section C, Line 19

The governing documents, conflict of interest policy, and audited financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
ST MARY'S HOSPITAL INC
EIN
82-0226453
Phone
2089623251
Address
PO BOX 137, COTTONWOOD, ID 83522
Doing Business As
ST MARY'S HEALTH

Signing Officer

Name
Jyl Ruland
Title
CFO
Phone
2089623251
Signed
2025-08-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lenne Bonner
Formed
1958
Legal Domicile
Id
Voting Board Members
13
Independent Board Members
12
Employees
275
Volunteers
10

Preparer

Firm
Wipfli Llp
Address
105 E PINE ST UPPER FLOOR, MISSOULA, MT 59802
Preparer
Sam Brunson CPA
Phone
4067281800
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

The process has not changed since the prior year.

Raw XML AppendixShowing 400 of 1,080 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsReceivableGrp/EOYAmt03554357
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0WE IMPROVE HEALTHCARE ONE PATIENT AT A TIME IN A FRIENDLY AND PROFESSIONAL CULTURE COMMITTED TO SUPERIOR QUALITY AND SAFETY.
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IRS990/Desc0ST 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, CRAIGMONT AND ELK CITY.THE HOSPITAL PROVIDED 958 HOSPITAL PATIENT DAYS, 24,988 OUTPATIENT VISITS, 2,022 ER VISITS, AND 28,690 CLINIC ENCOUNTERS DURING THE YEAR. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $141,061 FOR CHARITY CARE, $4,046,066 FOR MEDICARE, $2,315,340 FOR MEDICAID, AND $3,087,692 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR.
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