HSHS St. Mary's Hospital
Legal name: St Mary's Hospital Decatur of the Hospital Sisters of the Third Order of St Francis
Nonprofit profile at a glance
- EIN
- 370661244
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Decatur, IL, USA
- Phone
- 2174642966
- Rating
- 75
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
- Affiliation
- Christianity
Reported finances
- Revenue
- $119,948,484
- Expenses
- $131,681,769
- Assets
- $114,979,966
- Liabilities
- $330,093,678
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
25 people listed
Executive titles in this filing
- Chad Markham (Interim President & CEO (began 8/1/24))
- Matthew FRY (PRESIDENT/CEO (until 7/31/24))
- THERESA J RUTHERFORD (Former PRESIDENT/CEO)
Highest reported compensation
- Michael Scialdone (Treasurer / HSHS SVP & CFO): $912,947 total reported compensation
- Kimberly Hodgkinson (Former CFO/Foundation Treasurer): $728,157 total reported compensation
- PATRICIA ALLEN (CFO - CARE DELIVERY (until 4/30/25)): $649,158 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 reveal and embody Christ’s healing love for all people through our high-quality Franciscan health care ministry. These principles are the basis for HSHS to provide high-quality, cost-effective and compassionate health care for millions of people in Illinois and Wisconsin. Our health care ministry consists of 13 hospitals and a network of physician partners committed to continuing the healing ministry of Jesus Christ. Young female nurse comforting woman in wheelchair Our Mission & Vision. Provided doctors, nurses, medical staff, volunteers and family caregivers with the tools necessary to provide healing, hope, and joy to people who live in areas where poverty and disease are rampant. Equipped 530 medical mission organizations with medical supplies and equipment. Saved and redistributed 10 million pounds of surplus medical equipment and supplies valued at over $85 million that...
What it reported doing in 2024
EMERGENCY - St. Mary's Emergency Department is classified as a Comprehensive Emergency Department by the Illinois Department of Public Health and will offer emergency care twenty-four (24) hours a day, seven days a week. Treatment will always be provided by at least one physician or Midlevel Provider (PA or APRN) on duty. A dedicated staff of Registered Nurses (RN) on duty each shift oversees the direct care of children and adults in the emergency department. With leading edge technology at our fingertips, we can process x-rays, CT scans and other diagnostic tests accurately and quickly, allowing faster diagnosis and treatment in a wide range of areas, including but not limited to stroke, heart attack, shortness of breath, motor vehicle and other accidents, broken bones, abdominal pain, lacerations, mental health issues. Emergency assessment will be done by Emergency Department Providers and Registered Professional Nurses and appropriate services/treatment provided to any person who presents themselves to St. Mary's Hospital Emergency Department. We have access to a wide range of specialists either in-house or through advanced telemedicine to help diagnose and provide treatment for those requiring a higher level of care. For the FY25 the St. Mary's Emergency Department saw 22,316 patients. Of that number 8% (approximately 1750) patients were admitted or placed in observation for St. Mary's. With our access to higher levels of care, 6% (approximately 1339) patients were transferred to the appropriate facility to continue their care.
Operating model
- Revenue model
- Other-operating. 100% 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 - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing does not identify recipients for some grant dollars and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 72
- Transparency & Controls: 74
- Accountability: 94
- Sustainability: 20
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 84%; rating input score 84
- Program expense ratio: 76.9%; rating input score 77
- 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: 25.8%; rating input score 26; 8th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 90%; rating input score 90; 38th 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: -9.8%; rating input score 8; 8th percentile among comparable filings
- Total-asset coverage ratio: 0.87; rating input score 35; 35th percentile among comparable filings
- Liabilities to assets ratio: 2.87; rating input score 1; 1st percentile among comparable filings
- Officer compensation ratio: 2.1%; rating input score 53; 53rd percentile among comparable filings
Growth
- Program expense growth: 5.2% per year; rating input score 100; 42nd percentile among comparable filings
- Revenue growth: 0.3% per year; rating input score 100; 6th percentile among comparable filings
- Asset growth: -1.4% per year; rating input score 0; 5th percentile among comparable filings
Details
- What they do: 1 programs and campaigns described on the official site · 2 operating locations identified
- Where the money goes: 84% of revenue deployed · 76.9% of spending went to programs
- Governance: 9 of 10 board members independent · 9 of 9 filing controls reported
- Programs: 4 filed program accomplishments · $101.3M in reported program spending
- Leadership: top reported pay $913K · 25 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $12.9M reported
- Consistency: 32 of 34 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: 10 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.
- High — Transparency & Controls: Grant itemization coverage scored 26/100.
- High — Sustainability: Operating margin scored 8/100.
- High — Growth: Asset growth scored 0/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 35/100.
- High — Sustainability: Liabilities to assets ratio scored 1/100.
- 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.
- Review — Sustainability: Officer compensation ratio scored 53/100.