St James Healthcare

What it reported doing in 2024

St. James healthcare (st. James) has played an important role in the history of butte, Montana. Founded in 1881 by the sisters of charity of leavenworth, st. James has been known for generations for its mission of compassionate care and service to the poor. Today, that commitment is accompanied by st. James' reputation as a technological leader in Montana's healthcare industry and the largest acute-care hospital in southwest Montana.st. James is related to scl health medical group - butte, llc, a single member limited liability company owned by a related organization, sisters of charity of leavenworth health system, inc. Scl health medical group - butte, llc is a group of physician clinics that provide professional services to the st. James community and supports the mission of st. James. Although scl health medical group - butte, llc is not owned directly by st. James, st. James is required to fund all operating losses of scl health medical group - butte, llc. In 2024, the hospital provided $7,655,472 in support of the losses of the physician clinics.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 33 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 health (integrated health system), st. James has direct access to best practices, resources, technology, talent and strategic capital. St. James continues to be a proud recipient of the press ganey guardian of excellence award.st. James has a variety of programs and services to serve the community including but not limited to:- cancer care- cardiac services- emergency and trauma services (level iii trauma center)- hospice and palliative care- imaging- joint surgery and replacement center- labor and delivery- orthopedics- sports medicine- surgery center- therapy and rehab services- women's health servicesduring 2024, st. James had the following results: admissions 2,638outpatient visits 81,437emergency department visits 17,201births - 255surgeries 1,275laboratory tests 298,146mission: we reveal and foster god's healing love by improving the health of the people and communities we serve, especially those who are poor andvulnerable.vision: be a model health system by providing extraordinary care and superior service at an affordable cost.values: we are leaders in clinical excellence, delivering safe, best-in-quality care.we believe in what we do, living our mission every day.we serve with empathy, caring for each caregiver, patient, and member with compassion and respect.we are partners in health, collaborating to keep people well.we do the right thing, learning and acting with purpose.we are better together, building community through teamwork and belonging.

Financial Efficiency

• Mission deployment rate: 88%; rating input score 88
• Program expense ratio: 86.4%; rating input score 86
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th 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: 99.8%; rating input score 100; 44th 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: -2.3%; rating input score 18; 18th percentile among comparable filings
• Total-asset coverage ratio: 0.93; rating input score 37; 37th percentile among comparable filings
• Liabilities to assets ratio: 0.06; rating input score 88; 88th percentile among comparable filings
• Officer compensation ratio: 3.6%; rating input score 30; 30th percentile among comparable filings

Growth

• Program expense growth: 4.7% per year; rating input score 100; 37th percentile among comparable filings
• Revenue growth: 3.5% per year; rating input score 100; 28th percentile among comparable filings
• Asset growth: 5.9% per year; rating input score 100; 44th percentile among comparable filings