St. Luke Community Healthcare
Legal name: St Luke Community Hospital
Nonprofit profile at a glance
- EIN
- 810221486
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Ronan, MT, USA
- Phone
- (406) 528-5262
- Rating
- 77
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $54,861,224
- Expenses
- $49,614,185
- Assets
- $115,256,386
- Liabilities
- $16,808,237
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
16 people listed
Executive titles in this filing
- STEVEN TODD (CEO/DIRECTOR)
Highest reported compensation
- ZACHARY HOVORKA (PHYSICIAN): $601,721 total reported compensation
- STEVEN TODD (CEO/DIRECTOR): $396,094 total reported compensation
- ADRIAN DAVIS (PHYSICIAN): $326,176 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To provide quality healthcare in a dignified manner that values our patients, clients, and residents who are the very reason for our existence.
What it reported doing in 2024
The clinics provide services in three communities within 15 miles of the hospital. There is one rural and three provider-based clinics. This year there were approximately 33,037 office visits and 5,073 emergency cases in 2024.
Operating model
- Revenue model
- Earned-program. 91% of the money available for current operations came from fees and other program 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 - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and reported officer compensation is a large share of total spending, which may reflect staffing concentration.
Rating breakdown
- Financial Efficiency: 74
- Transparency & Controls: 79
- Accountability: 78
- Sustainability: 65
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 70.5%; rating input score 70
- Program expense ratio: 83.4%; rating input score 83
- Fundraising efficiency: $33.68 raised per $1 spent on fundraising; rating input score 68; 68th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Compensation committee: Pass
- 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: 70%; rating input score 70; 21st percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- 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: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 9.6%; rating input score 72; 72nd percentile among comparable filings
- Total-asset coverage ratio: 2.32; rating input score 68; 68th percentile among comparable filings
- Liabilities to assets ratio: 0.15; rating input score 76; 76th percentile among comparable filings
- Officer compensation ratio: 5.2%; rating input score 15; 15th percentile among comparable filings
Growth
- Program expense growth: 0.7% per year; rating input score 100; 9th percentile among comparable filings
- Revenue growth: 0.3% per year; rating input score 100; 6th percentile among comparable filings
- Asset growth: 5.8% per year; rating input score 100; 43rd percentile among comparable filings
Details
- What they do: 3 operating locations identified
- Where the money goes: 70.5% of revenue deployed · 83.4% of spending went to programs
- Governance: 7 of 10 board members independent · 8 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $41.4M in reported program spending
- Leadership: top reported pay $602K · 16 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $1.6M reported
- Consistency: 32 of 32 current checks pass
- Schedules: 9 filed schedules · includes major donors and executive pay
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 9 filed money-flow records
- Related organizations: 1 filed related-organization link
- 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.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- Review — Accountability: Governance controls: Form 990 shared with the board not reported.
- High — Sustainability: Officer compensation ratio scored 15/100.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.