St Joseph's Health Services Inc
Nonprofit profile at a glance
- EIN
- 390929538
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024
- Location
- Hillsboro, WI, USA
- Phone
- 6084898000
- Rating
- 71
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $51,148,903
- Expenses
- $45,069,264
- Assets
- $86,310,920
- Liabilities
- $33,194,453
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
21 people listed
Executive titles in this filing
- MICHAEL MCKEE (BOARD OF DIRECTORS, SECRETARY, VICE PRESIDENT)
- TINA LECHNIR (BOARD OF DIRECTORS, VICE PRESIDENT)
- SCOTT RATHGABER MD (CEO)
Highest reported compensation
- SCOTT RATHGABER MD (CEO): $1,397,550 total reported compensation
- JOHN CEELEN (CHIEF FINANCIAL OFFICER): $782,368 total reported compensation
- MICHAEL MCKEE (BOARD OF DIRECTORS, SECRETARY, VICE PRESIDENT): $361,652 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Leading with love, we courageously commit to a future of healthy people and thriving communities.
What it reported doing in 2024
St. Joseph's health services, inc. Provides inpatient, outpatient, and emergency health care services and other financial support through various programs that are designed, among other matters, to enhance the health of the community including the health of low income patients. The organization operates a 25-bed critical access hospital providing acute care services to the hillsboro, Wisconsin area. Inpatient services include acute care for medical, surgical, swing bed, and hospice patients. St. Joseph's health services, inc. Also provides diagnostic services to patients, such as x-ray, lab, and therapy services. The hospital had 3,042 total inpatient days during the fiscal year. Of those patient days 624 were related to acute inpatient services and 2,418 days of care provided to swing bed patients. The hospital's swing bed program provides care to patients needing either skilled nursing or rehabilitative programs in the hospital setting. The swing bed program is a vital service to the community as there currently is no skilled nursing facility in hillsboro, Wisconsin, and this program allows many patients the opportunity to be cared for in their community. St. Joseph's health services also provides various outpatient services including emergency and urgent care services; diagnostic procedures, such as x-rays, ct scans, mri's, and laboratory testing; surgical procedures; and therapy programs including physical, occupational, speech, and respiratory therapy services are among the many services provided by the hospital. St. Joseph's health services, inc. Provides care to patients who meet certain criteria under its financial assistance policy with minimal or no charge. In addition, st. Joseph's is a provider under the Wisconsin medicaid program. Under this program, the organization is legally bound to accept the amount determined by the state as payment in full for each patient's charges. (see additional information on the cost of providing these services included in schedule h of the form 990.) st. Joseph's provides the meals for the senior meal site community members. These meals are delivered to the members home. We offers adult fitness in our rehabilitation gym. St. Joseph's is very involved in the care of the school age children in our service area. Through contracts with the area schools we provide them with nurses, athletic trainers, social worker, and behavioral health therapists. We provide all the training, cme, and education to support these providers in the school system.
Operating model
- Revenue model
- Other-operating. 99% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 96% 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. A relatively small share of voting board members are independent and some filing-based governance responses are negative or unanswered.
Rating breakdown
- Financial Efficiency: 74
- Transparency & Controls: 73
- Accountability: 58
- Sustainability: 64
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 78.7%; rating input score 79
- Program expense ratio: 88.9%; rating input score 89
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
- Pay-setting controls: 1 of 6 controls in place; rating input score 17
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 44.4%; rating input score 44; 12th 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: 11.9%; rating input score 77; 77th percentile among comparable filings
- Total-asset coverage ratio: 1.92; rating input score 62; 62nd percentile among comparable filings
- Liabilities to assets ratio: 0.38; rating input score 47; 47th percentile among comparable filings
- Officer compensation ratio: 3.3%; rating input score 33; 33rd percentile among comparable filings
Growth
- Program expense growth: 8.8% per year; rating input score 100; 69th percentile among comparable filings
- Revenue growth: 7.5% per year; rating input score 100; 63rd percentile among comparable filings
- Asset growth: 16.8% per year; rating input score 100; 89th percentile among comparable filings
Details
- Where the money goes: 78.7% of revenue deployed · 88.9% of spending went to programs
- Governance: 4 of 9 board members independent · 7 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $40.1M in reported program spending
- Leadership: top reported pay $1.4M · 21 people listed · 1 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $2.1M reported
- Consistency: 40 of 41 current checks pass · 1 finding to review
- Schedules: 9 filed schedules · includes grants and executive pay
- Filing history: 13 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 5 filed money-flow records
- Related organizations: 31 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.
- Moderate — Accountability: Independent voting board scored 44/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- Moderate — Sustainability: Officer compensation ratio scored 33/100.
- Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
- Moderate — Sustainability: Liabilities to assets ratio scored 47/100.