St John's Lutheran Hospital Inc
Nonprofit profile at a glance
- EIN
- 810241755
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024
- Location
- Libby, MT, USA
- Phone
- 4062837000
- Rating
- 74
- Verdict
- SUPPORTED
- Rating confidence
- Standard
- Sector
- Hospitals and Related Primary Medical Care Facilities
- Affiliation
- Christianity
Reported finances
- Revenue
- $57,575,676
- Expenses
- $54,775,641
- Assets
- $76,714,144
- Liabilities
- $23,427,276
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
19 people listed
Executive titles in this filing
- Tadd Greenfield (CEO)
Highest reported compensation
- Julienne Lippe (Orthopedic Surgeon): $637,929 total reported compensation
- Darrren Brockie MD (Trustee (Apr-Jan)): $510,768 total reported compensation
- Mark Serra (Emergency Medicine Physician): $484,650 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Committed to quality, compassionate care.
What it reported doing in 2024
Cabinet Peaks Medical Center operates a 25-bed critical access hospital providing medical services to the residents of Lincoln County. Due to the remote location of Lincoln County, Cabinet Peaks serves a critical role in caring for the medical needs of its community, as the next closest emergency room is over 50 miles away and the nearest regional hospital is 90 miles away. As such Cabinet Peaks makes it a priority to provide an Intensive Care Unit, 24/7 Emergency Services, Birthing Services, and extensive Surgery Services. Cabinet Peaks also offers a complement of outpatient services, including primary care and OB/GYN services, a variety of rehab and therapy services, infusion and chemotherapy, imaging, and lab. (Continued on Schedule O)Patients often do not have the luxury of time or money or the physical strength necessary to make the 90-mile trip to Kalispell to receive these services, which is why Cabinet Peaks recognizes the value of providing these services close to home. In fiscal year 2025, Cabinet Peaks Medical Center provided services to 11,117 unique patients amounting to a total of 24,537 adjusted patient days. 2,084 surgical cases were performed. Additionally, Cabinet Peaks Medical Center delivered 115 babies during fiscal year 2025. As Lincoln County consistently has one of the top unemployment rates in the State and is an economically depressed area, many of Cabinet Peaks' patients are uninsured or underinsured, meaning Cabinet Peaks provides a significant amount of uncompensated care. The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. The amounts of charges forgone, based on established rates, were $899,404 and $827,737 during the years ended March 31, 2025, and 2024, respectively. The estimated cost of providing these services was approximately $495,000 and $456,000 for the years ended March 31, 2025 and 2024, respectively, calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients.
Operating model
- Revenue model
- Other-operating. 97% of the money available for current operations came from other operating 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.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and fundraising costs are high for each dollar raised.
Rating breakdown
- Financial Efficiency: 72
- Transparency & Controls: 75
- Accountability: 74
- Sustainability: 49
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 79.9%; rating input score 80
- Program expense ratio: 82.4%; rating input score 82
- Fundraising efficiency: $1.94 raised per $1 spent on fundraising; rating input score 5; 5th percentile among comparable filings
Transparency & Controls
- Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
- Pay-setting controls: 2 of 6 controls in place; rating input score 33
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 55.6%; rating input score 56; 15th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 4.9%; rating input score 56; 56th percentile among comparable filings
- Total-asset coverage ratio: 1.4; rating input score 51; 51st percentile among comparable filings
- Liabilities to assets ratio: 0.31; rating input score 55; 55th percentile among comparable filings
- Officer compensation ratio: 7.4%; rating input score 6; 6th percentile among comparable filings
Growth
- Program expense growth: 5.8% per year; rating input score 100; 47th percentile among comparable filings
- Revenue growth: 5.1% per year; rating input score 100; 43rd percentile among comparable filings
- Asset growth: 7% per year; rating input score 100; 52nd percentile among comparable filings
Details
- Where the money goes: 79.9% of revenue deployed · 82.4% of spending went to programs
- Governance: 5 of 9 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $45.1M in reported program spending
- Leadership: top reported pay $638K · 19 people listed · 2 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $5.9M reported
- Consistency: 36 of 37 current checks pass · 1 finding to review
- Schedules: 10 filed schedules · includes major donors and executive pay
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 10 filed money-flow records
- Related organizations: 2 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.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Review — Accountability: Independent voting board scored 56/100.
- High — Financial Efficiency: Fundraising efficiency scored 5/100.
- Review — Sustainability: Operating margin scored 56/100.
- Review — Sustainability: Total-asset coverage ratio scored 51/100.
- High — Sustainability: Officer compensation ratio scored 6/100.
- Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
- Review — Sustainability: Liabilities to assets ratio scored 55/100.