HSHS St. Joseph's Hospital Highland
Legal name: St Joseph's Hospital of the Hospital Sisters of the Third Order of St Franc Is
Nonprofit profile at a glance
- EIN
- 370663568
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Highland, Illinois, US
- Phone
- 618-651-2600
- Rating
- 74
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
- Affiliation
- Christianity
Reported finances
- Revenue
- $58,430,816
- Expenses
- $45,311,518
- Assets
- $66,480,140
- Liabilities
- $36,000,932
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
20 people listed
Executive titles in this filing
- CHRIS KLAY (PRESIDENT/CEO)
Highest reported compensation
- Michael Scialdone (TREASURER / HSHS SVP & CFO): $912,947 total reported compensation
- PATRICIA ALLEN (CFO - CARE DELIVERY (until 4/30/25)): $649,158 total reported compensation
- CHRIS KLAY (PRESIDENT/CEO): $566,691 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Living out our Franciscan values
What it reported doing in 2024
EMERGENCY DEPARTMENT - The Emergency Department is a continuous operation department that must be staffed and able to receive patients at all hours of the day. The department is comprised of specially trained nurses and physicians who are supported by departments representative of the gamut of our Ministry. This team can rapidly identify, treat, and/or stabilize emergency medical conditions in patients ranging in age from newborns to centenarians and sees an average of 800 patients per month. As a critical access hospital, our Ministry has been able to provide lifesaving care to our community as well as serve as a local, and familiar, entry point into the juggernaut that is the healthcare system. Additionally, the department serves as a community resource for those struggling with substance use disorders, addiction related concerns, and acute mental health crisis through rapid identification of needs and provision of resources or transfer to specialty care facilities.
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 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 - 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 total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 57
- Transparency & Controls: 85
- Accountability: 88
- Sustainability: 65
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 58.3%; rating input score 58
- Program expense ratio: 74.5%; rating input score 75
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 84.6%; rating input score 85; 1st percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Pass
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 77.8%; rating input score 78; 16th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 80%; rating input score 80; 28th 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: 22.5%; rating input score 89; 89th percentile among comparable filings
- Total-asset coverage ratio: 1.47; rating input score 52; 52nd percentile among comparable filings
- Liabilities to assets ratio: 0.54; rating input score 33; 33rd percentile among comparable filings
- Officer compensation ratio: 3.3%; rating input score 33; 33rd percentile among comparable filings
Growth
- Program expense growth: 2.1% per year; rating input score 100; 16th percentile among comparable filings
- Revenue growth: 5.3% per year; rating input score 100; 46th percentile among comparable filings
- Asset growth: 4.8% per year; rating input score 100; 34th percentile among comparable filings
Details
- What they do: 3 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 58.3% of revenue deployed · 74.5% of spending went to programs
- Governance: 8 of 10 board members independent · 9 of 9 filing controls reported
- Programs: 4 filed program accomplishments · $33.8M in reported program spending
- Leadership: top reported pay $913K · 20 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $4M reported
- Consistency: 31 of 33 current checks pass · 2 findings to review
- Schedules: 8 filed schedules · includes major donors, grants, and executive pay
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 7 filed money-flow records
- Related organizations: 33 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.
- Review — Financial Efficiency: Mission deployment rate scored 58/100.
- Review — Sustainability: Total-asset coverage ratio scored 52/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
- Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
- Moderate — Sustainability: Liabilities to assets ratio scored 33/100.
- Moderate — Sustainability: Officer compensation ratio scored 33/100.