St. Mary's Health & Clearwater Valley Health
Legal name: St Mary's Hospital Inc
Nonprofit profile at a glance
- EIN
- 820226453
- IRS 990 coverage
- 2009–2025
- Official website data refreshed
- Aug 2026
- Forms available
- Form 990 2025
- Location
- Cottonwood, ID, US
- Phone
- 208.962.3251
- Rating
- 76
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $31,657,064
- Expenses
- $32,205,573
- Assets
- $33,838,230
- Liabilities
- $7,958,391
Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.
Leadership & pay
20 people listed
Executive titles in this filing
- LENNE BONNER (CEO)
Highest reported compensation
- MICHELE BOUIT (DIRECTOR/KH CFO): $792,331 total reported compensation
- DR NICHOLAS HENRIE (PHYSICIAN): $512,422 total reported compensation
- DR THOMAS WONDERLICH (PHYSICIAN): $467,186 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To provide quality, compassionate healthcare to all people in the communities we serve.
What it reported doing in 2025
St mary's hospital (smh) is created and organized to own, maintain, operate and conduct, directly or indirectly, and to assist and coordinate activities of facilities for health care, education, care for the aged and social services in accordance with the charitable works tradition of the roman catholic church. In keeping with this specific purpose, all works shall be carried out in accordance with the charism of the benedictine sisters of st. Scholastica monastery. Smh operates a 25-bed critical access hospital and primary care clinics that provide general medical and surgical care for inpatient, outpatient, and emergency room patients in cottonwood and the surrounding areas of kamiah, grangeville, nezperce, craigmont and elk city.the hospital provided 688 hospital patient days, 27,014 outpatient visits, 2,143 er visits, and 27,029 clinic encounters during the year. The hospital provides care to persons covered by governmental programs at below cost and to individuals who are unable to pay. The unreimbursed value of providing care to these patients was $31,920 for charity care, $4,896,437 for medicare, $2,888,753 for medicaid, and $5,253,116 for other third-party payors for the year.
Operating model
- Revenue model
- Earned-program. 97% 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. Expenses are high relative to revenue and some related-organization disclosures are missing.
Rating breakdown
- Financial Efficiency: 72
- Transparency & Controls: 77
- Accountability: 90
- Sustainability: 26
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 80.5%; rating input score 81
- Program expense ratio: 80.2%; rating input score 80
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 85.7%; rating input score 86; 1st percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- 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: No; rating input score 0
Accountability
- Independent voting board: 83.3%; rating input score 83; 14th 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: -1.7%; rating input score 16; 16th percentile among comparable filings
- Total-asset coverage ratio: 1.05; rating input score 30; 30th percentile among comparable filings
- Liabilities to assets ratio: 0.24; rating input score 47; 47th percentile among comparable filings
- Officer compensation ratio: 7.5%; rating input score 39; 39th percentile among comparable filings
Growth
- Program expense growth: 2.7% per year; rating input score 100; 23rd percentile among comparable filings
- Revenue growth: 2.8% per year; rating input score 100; 21st percentile among comparable filings
- Asset growth: 5.2% per year; rating input score 100; 35th percentile among comparable filings
Details
- What they do: 6 programs and campaigns described on the official site · 8 operating locations identified
- Where the money goes: 80.5% of revenue deployed · 80.2% of spending went to programs
- Governance: 10 of 12 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $25.8M in reported program spending
- Leadership: top reported pay $792K · 20 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $1.4M reported
- Consistency: 32 of 33 current checks pass · 1 finding to review
- Schedules: 8 filed schedules · includes major donors and executive pay
- Filing history: 16 filing years from 2009 to 2025
- Contacts: How to reach this organization
- Money network: 5 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.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Operating margin scored 16/100.
- High — Transparency & Controls: Related-party transparency scored 0/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 30/100.
- Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
- Moderate — Sustainability: Officer compensation ratio scored 39/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 47/100.