Holy Rosary Healthcare
Nonprofit profile at a glance
- EIN
- 810231792
- IRS 990 coverage
- 2010–2024
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Miles City, MT, USA
- Phone
- 4062332600
- Rating
- 76
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospitals and Related Primary Medical Care Facilities
Reported finances
- Revenue
- $87,791,278
- Expenses
- $78,828,803
- Assets
- $112,851,594
- Liabilities
- $8,451,520
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
35 people listed
Executive titles in this filing
- BRYAN JOHNSON (INTERIM PRESIDENT, MT MKT(PARTIAL))
- KAREN COSTELLO (PRESIDENT HRH/PRESIDENT SJB(PARTIAL))
- LEE BOYLES (PRESIDENT MONTANA MARKET (PARTIAL))
- BENJAMIN UHLICH (VP CNO/COO/PRESIDENT(PARTIAL))
Highest reported compensation
- BRYAN JOHNSON (INTERIM PRESIDENT, MT MKT(PARTIAL)): $1,085,130 total reported compensation
- KAREN COSTELLO (PRESIDENT HRH/PRESIDENT SJB(PARTIAL)): $726,032 total reported compensation
- LEE BOYLES (PRESIDENT MONTANA MARKET (PARTIAL)): $720,394 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
We reveal and foster god's healing love by improving the health ofthe people and communities we serve, especially those who are poorand vulnerable.
What it reported doing in 2024
Founded in 1910, holy rosary healthcare is eastern Montana's healthcare destination. Holy rosary operates a comprehensive acute-care hospital, physician clinics, a residential living community, and hospice and palliative care services - providing a complete continuum of care to a 11-county region of eastern Montana. In august 1910, the presentation sisters of aberdeen, South Dakota, assumed management and operation of the county hospital in miles city at the request of the community, the milwaukee railroad and the doctors associated with the railroad. In 1915, the sisters purchased the hospital, committing to a relationship with the community that would extend for decades.in 1995, holy rosary healthcare opened a new cost effective facility on a 58-acre campus in miles city that allowed physicians and other care facilities to locate in the new hospital building. The building of the new facility and moving into the new facility was a community-wide effort, and was accomplished through the contributions of the staff, physicians, board members, community members and volunteers.in keeping with the new covenant process, sisters of charity of leavenworth health system, inc. (sclhs) assumed sponsorship of holy rosary healthcare in 1997. Today, the hospital, residential living community, and clinics serve as a centralized setting for comprehensive health care for the people across eastern Montana. On april 1, 2022, intermountain health care, inc. And sisters of charity of leavenworth health system, inc. Affiliated, creating a model health system that provides high-quality, accessible, and affordable healthcare to communities in Utah, Idaho, Nevada, Colorado, Montana, and Wyoming. The organization employs more than 68,000 caregivers, operates 34 hospitals (including one virtual hospital), and runs hundreds of clinics, while providing health insurance to over one million people in Colorado, Idaho, Nevada, and Utah. As part of intermountain healthcare, holy rosary has direct access to best practices, resources, technology, talent and strategic capital.today, holy rosary healthcare serves several eastern Montana counties, which cover over 20,000 square miles. More than half of the people receiving healthcare in miles city, which has a population of over 8,000, are from outside custer county. Therefore, holy rosary healthcare's impact on the healthcare delivery system reaches far beyond city and county lines. As part of the Montana market within the peaks region of intermountain heatlh care, inc., holy rosary is affiliated with st. James healthcare in butte and scl health - Montana (doing business as st. Vincent healthcare) in billings, giving it access to some of the state's most advanced medical technology. Holy rosary has a historic commitment to serving the poor and those with limited access to healthcare. The commitment is to the worth and dignity of the whole person - spiritual, psychological, and medical.holy rosary is currently licensed by the state of Montana and is accredited by the joint commission on accreditation of health care organizations. Holy rosary has 25 acute care and 90 extended care beds. Holy rosary is recognized as one of the best maternity hospitals in the country by us news and world report.holy rosary healthcare has a variety of programs and services to serve the community including but not limited to:- cancer care- emergency and trauma services- family health and wellness- primary care- hospice and palliative care- labor and delivery, level ii neonatal intensive care unit (nicu)- orthopedics- radiology, imagaing and ancillary services- residential living- sports medicine- surgery center- therapy and rehab services- walk-in care 7 days a week- women's health servicesduring 2024, holy rosary healthcare had the following results: admissions 864 outpatient visits 38,443emergency room visits 5,399births - 173surgeries 357lab tests 90,923 mission, vision, and values: mission: we reveal and foster god's healing love by
Operating model
- Revenue model
- Earned-program. 92% 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 - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.
Rating breakdown
- Financial Efficiency: 72
- Transparency & Controls: 71
- Accountability: 87
- Sustainability: 61
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 78.5%; rating input score 79
- Program expense ratio: 84.8%; rating input score 85
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: 90%; rating input score 90; 22nd percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 93.8%; rating input score 94; 44th percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- 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: 10.2%; rating input score 73; 73rd percentile among comparable filings
- Total-asset coverage ratio: 1.43; rating input score 52; 52nd percentile among comparable filings
- Liabilities to assets ratio: 0.07; rating input score 86; 86th percentile among comparable filings
- Officer compensation ratio: 5.9%; rating input score 11; 11th percentile among comparable filings
Growth
- Program expense growth: 7.6% per year; rating input score 100; 61st percentile among comparable filings
- Revenue growth: 6.7% per year; rating input score 100; 58th percentile among comparable filings
- Asset growth: 13.3% per year; rating input score 100; 82nd percentile among comparable filings
Details
- Where the money goes: 78.5% of revenue deployed · 84.8% of spending went to programs
- Governance: 15 of 16 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $66.9M in reported program spending
- Leadership: top reported pay $1.1M · 35 people listed · 0 of 6 pay-setting controls reported
- Consistency: 32 of 33 current checks pass · 1 finding to review
- Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 9 filed money-flow records
- Related organizations: 85 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 — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- Review — Sustainability: Total-asset coverage ratio scored 52/100.
- High — Sustainability: Officer compensation ratio scored 11/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.