St James Healthcare Foundation Inc
Nonprofit profile at a glance
- EIN
- 651202190
- IRS 990 coverage
- 2010–2025
- Forms available
- Form 990 2025, Form 990-T 2020
- Location
- Butte, MT, USA
- Phone
- 4067825640
- Rating
- 60
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
Reported finances
- Revenue
- $779,187
- Expenses
- $363,157
- Assets
- $0
- Liabilities
- $0
Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.
Leadership & pay
8 people listed
Executive titles in this filing
- TYLER WILTGEN (INTERIM VP PHILANTHROPY PEAKS/EXECUTIVE DIRECTOR ()
Highest reported compensation
- TYLER WILTGEN (INTERIM VP PHILANTHROPY PEAKS/EXECUTIVE DIRECTOR (): $280,040 total reported compensation
- HOLLY FERGUSON (TRUSTEE (PARTIAL)): $187,245 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Helping people live the healthiest lives possible.
What it reported doing in 2025
St. James healthcare foundation, a 501(c)(3) not-for-profit charitable organization was formed in 2003, and it operates to address three main purposes:1. To raise funds to augment capital purchases and program development at st. James healthcare.2. To provide direct assistance to individuals and organizations in butte and surrounding communities in relation to health care and healthy living.3. To conduct outreach and awareness activities to maintain st. James and its foundation as visible community partners in improving the living experience of local citizens and visitors. St. James healthcare covers the administrative costs of the foundation so 100% of associate and community contributions go directly toward helping people in need. 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 69,000 caregivers, operates 34 hospitals (including one virtual hospital), and runs hundreds of clinics, while providing health insurance to more than one million people in Colorado, Idaho, Nevada, and Utah.in order to operate more efficiently, the decision was made to consolidate the various foundations operated as part of sisters of charity of leavenworth health system. This return is marked final; however, st. James healthcare foundation will continue to operate as a dba under catholic foundation of intermountain health, inc. (fein 84-0735096).the st. James healthcare foundation offers many helpful programs and services including: patient compassion program: the patient compassion program offers financial assistance to individuals and their families throughout southwest Montana who must travel out of town to get specialized medical treatment not available in butte. The program also provides assistance to patients from the surrounding area to travel to butte for their medical care. It helps families and individuals with fuel costs, hotel expenses, bus vouchers, airline tickets, and other expenses. In addition to travel assistance, the program helps patients after being discharged from the hospital with recovery medication, equipment at home, and co-pays. Diabetes program: several years ago, st. James healthcare established a community-wide diabetes program with the help of a federal planning grant through the u.s. Department of health & human services' health resources and service administration (hrsa). The goal of the program is to develop a network within the community and to have a central plan of action for those at risk of developing or previously diagnosed with diabetes. Through the program, st. James healthcare collaborates with organizations and health care providers throughout southwest Montana who deal with diabetes. A diabetes prevention program grant from the Montana department of public health and human services helps prevent diabetes in those at risk through teaching people about nutrition and activities to prevent the onset of diabetes.scholarships: st. James healthcare foundation is proud to offer scholarships to individuals who have chosen health care as their field of study. There are two scholarships that are currently available: bern and ruth dennehy scholarshipst. James nursing alumni scholarshipst. James foundation provides and manages the following grant funds in support of the healthcare needs of the community. Unrestricted/greatest need - dollars not restricted to a specific fund that are transferred to st. James on a quarterly basis for them to determine the area of greatest need to use those dollars.associate crisis fund - loans and a few grants given to associates during times of crisis. Associates must fill out paperwork as well as meet certain criteria to be awarded these loans/grants.cancer center fund - dollars go to the cancer center for patient a
Operating model
- Revenue model
- Mixed. Its operating money came from several sources; no one source provided a clear majority.
- Distribution model
- Grant intermediary. The nonprofit sent 91% of its reported program spending out as grants.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.
Rating breakdown
- Financial Efficiency: 34
- Transparency & Controls: 76
- Accountability: 90
- Sustainability: 45
- Growth: 60
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 29.4%; rating input score 29
- Program expense ratio: 48.3%; rating input score 48
- Fundraising efficiency: $5.31 raised per $1 spent on fundraising; rating input score 17; 17th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 63rd 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: 99.9%; rating input score 100; 55th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
- Governance controls: 6 of 8 controls in place; rating input score 75
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: NotApplicable
- Form 990 shared with the board: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 53.4%; rating input score 92; 92nd percentile among comparable filings
- Total-asset coverage ratio: 0; rating input score 1; 1st percentile among comparable filings
- Liabilities to assets ratio: Limited
- Officer compensation ratio: 26.3%; rating input score 10; 10th percentile among comparable filings
Growth
- Program expense growth: -7.2% per year; rating input score 0; 6th percentile among comparable filings
- Revenue growth: 4.5% per year; rating input score 100; 34th percentile among comparable filings
- Asset growth: 7.5% per year; rating input score 100; 46th percentile among comparable filings
Details
- Where the money goes: 29.4% of revenue deployed · 48.3% of spending went to programs
- Governance: 6 of 6 board members independent · 6 of 8 filing controls reported
- Programs: 1 filed program accomplishment · $176K in reported program spending
- Leadership: top reported pay $280K · 8 people listed · 0 of 6 pay-setting controls reported
- Consistency: 25 of 25 current checks pass
- Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 15 filing years from 2010 to 2025
- Contacts: How to reach this organization
- Money network: 2 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 — Financial Efficiency: Mission deployment rate scored 29/100.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Moderate — Financial Efficiency: Program expense ratio scored 48/100.
- High — Financial Efficiency: Fundraising efficiency scored 17/100.
- Review — Accountability: Governance controls: 2 of 8 not reported.
- High — Growth: Program expense growth scored 0/100.
- High — Sustainability: Total-asset coverage ratio scored 1/100.
- High — Sustainability: Officer compensation ratio scored 10/100.