STILLWATER HOSPITAL ASSOCIATION INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- STILLWATER HOSPITAL ASSOCIATION INC (EIN 81-0286525)
- Tax period
- 2023-07-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202433209349308518
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T09:16:19+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1Txt |
| City | Colorado Springs | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 809039848 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810286525 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stillwater Hospital Association | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STIL | BusinessNameControlTxt |
| Phone | 4063225316 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 710 N 11TH ST | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59019 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LUKE KOBOLD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2024-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Adam R Smith | PreparerPersonNm |
| PTIN | P00958966 | PTIN |
| Phone | 7194714290 | PhoneNum |
| Preparation | 2024-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUKE KOBOLD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 710 N 11TH ST | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59019 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,114,438 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.stillwaterbillingsclinic.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1914 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | STILLWATER HOSPITAL ASSOCIATION IS A RURAL INTEGRATED HEALTH CARE ORGANIZATION BRINGING TOGETHER A PHYSICIAN CLINIC AND HOSPITAL SVCS TO DELIVER QUALITY COORDINATED CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 102 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $433,032 | PYContributionsGrantsAmt |
| CY Contributions Grants | $49,084 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,304,931 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,974,539 | CYProgramServiceRevenueAmt |
| PY Investment Income | $227,142 | PYInvestmentIncomeAmt |
| CY Investment Income | $82,653 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,892 | PYOtherRevenueAmt |
| CY Other Revenue | $8,161 | CYOtherRevenueAmt |
| PY Total Revenue | $13,974,997 | PYTotalRevenueAmt |
| CY Total Revenue | $7,114,437 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,013 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,117 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,895,673 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,811,209 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,938,849 | PYOtherExpensesAmt |
| CY Other Expenses | $2,897,859 | CYOtherExpensesAmt |
| PY Total Expenses | $13,836,535 | PYTotalExpensesAmt |
| CY Total Expenses | $6,713,185 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $138,462 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $401,252 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,334,260 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,689,643 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,215,395 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,246,168 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,118,865 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,443,475 | NetAssetsOrFundBalancesEOYAmt |
| Mission | STILLWATER HOSPITAL ASSOCIATION IS A RURAL INTEGRATED HEALTH CARE ORGANIZATION BRINGING TOGETHER A PHYSICIAN CLINIC AND HOSPITAL SERVICES TO DELIVER QUALITY COORDINATED CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,843,335 | ExpenseAmt |
| Grant | $4,117 | GrantAmt |
| Revenue | $6,976,384 | RevenueAmt |
| Desc | ACUTE CARE HOSPITAL AND RURAL HEALTH CLINIC. | Desc |
| Total Program Service Expenses | $4,843,335 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 102 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KELLEY HARMON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9706574612 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 TENTH AVENUE N | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59107 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BHARAT ACHARYA | |||||||||
| VICE PRESIDENT | 3.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JUSTIN OTT | |||||||||
| Secretary/Treasurer | 3.0 | 41.0 | Yes (X) | Yes (X) | $0 | $207,909 | $55,855 | ||
| TOM CHAMBERLAIN | |||||||||
| PRESIDENT | 3.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANN DAVEY | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DR DAN VESBACH | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DR DAVID M KANE | |||||||||
| Director/Physician | 40.0 | 0 | Yes (X) | $197,788 | $0 | $34,794 | |||
| JESSICA COZZENS | |||||||||
| Director | 3.0 | 40.0 | Yes (X) | $0 | $363,934 | $54,146 | |||
| MARLENE DEIS | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW WALLER | |||||||||
| Director | 3.0 | 40.0 | Yes (X) | $0 | $177,463 | $52,878 | |||
| LUKE E KOBOLD | |||||||||
| CEO | 40.0 | 0 | $169,740 | $0 | $43,350 | Yes (X) | |||
| DR CODY G WHITE | |||||||||
| Physician | 40.0 | 0 | $303,426 | $0 | $45,706 | Yes (X) | |||
| EDWIN K SHEILS | |||||||||
| Physician Assistant | 40.0 | 0 | $178,232 | $0 | $42,637 | Yes (X) | |||
| LOCKE L MURPHY | |||||||||
| Nurse Practitioner | 40.0 | 0 | $160,576 | $0 | $40,088 | Yes (X) | |||
| RICHARD K KLEE | |||||||||
| Physician | 40.0 | 0 | $202,154 | $0 | $29,593 | Yes (X) | |||
| WADE SEE | |||||||||
| Physician | 40.0 | 0 | $406,304 | $0 | $33,096 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,618,220 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $749,306 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $432,143 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BILLINGS CLINIC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 TENTH AVENUE NORTH | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | INTERCOMPANY SERVICE | ServicesDesc |
| Compensation | $3,490,424 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $29,084 | GovernmentGrantsAmt |
| All Other Contributions | $20,000 | AllOtherContributionsAmt |
| Total Contributions | $49,084 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621300 | $6,971,931 | $6,971,931 | |
| MEALS | 900099 | $2,608 | $2,608 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,974,539 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,169 | TotalRevenueColumnAmt |
| Exclusion | $59,169 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,708 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,708 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,708 | TotalRevenueColumnAmt |
| Exclusion | $3,708 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,485 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,484 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,484 | TotalRevenueColumnAmt |
| Exclusion | $23,484 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INCENTIVE PAYMENTS | 900099 | $2,537 | $2,537 |
| MISCELLANEOUS INCOME | 900099 | $1,916 | $1,916 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,453 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,114,437 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,976,384 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $88,969 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,117 | TotalAmt |
| Program Services | $4,117 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,203 | TotalAmt |
| Program Services | $215,179 | ProgramServicesAmt |
| Management And General | $30,024 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,930,999 | TotalAmt |
| Program Services | $2,389,618 | ProgramServicesAmt |
| Management And General | $541,381 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,881 | TotalAmt |
| Program Services | $100,683 | ProgramServicesAmt |
| Management And General | $20,198 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,083 | TotalAmt |
| Program Services | $219,184 | ProgramServicesAmt |
| Management And General | $90,899 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,043 | TotalAmt |
| Program Services | $159,586 | ProgramServicesAmt |
| Management And General | $44,457 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $881,000 | TotalAmt |
| Program Services | $740,040 | ProgramServicesAmt |
| Management And General | $140,960 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,500 | TotalAmt |
| Management And General | $16,500 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193 | TotalAmt |
| Management And General | $193 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390,305 | TotalAmt |
| Program Services | $257,169 | ProgramServicesAmt |
| Management And General | $133,136 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,555 | TotalAmt |
| Management And General | $31,555 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,193 | TotalAmt |
| Program Services | $16,801 | ProgramServicesAmt |
| Management And General | $151,392 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,425 | TotalAmt |
| Program Services | $6,307 | ProgramServicesAmt |
| Management And General | $25,118 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,683 | TotalAmt |
| Program Services | $92,218 | ProgramServicesAmt |
| Management And General | $32,465 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,846 | TotalAmt |
| Program Services | $17,786 | ProgramServicesAmt |
| Management And General | $7,060 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,704 | TotalAmt |
| Management And General | $193,704 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,871 | TotalAmt |
| Program Services | $108,158 | ProgramServicesAmt |
| Management And General | $284,713 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,217 | TotalAmt |
| Management And General | $32,217 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $446,349 | $423,907 | $22,442 |
| REPAIRS AND MAINTENANCE | $102,132 | $89,396 | $12,736 |
| DIETARY | $40,886 | $1,171 | $39,715 |
| OTHER | $21,000 | $2,015 | $18,985 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,713,185 | TotalAmt |
| Program Services | $4,843,335 | ProgramServicesAmt |
| Management And General | $1,869,850 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,216,638 | BOYAmt |
| EOY | $5,279,928 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,988,312 | BOYAmt |
| EOY | $1,988,482 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,482,884 | BOYAmt |
| EOY | $955,164 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,077 | BOYAmt |
| EOY | $73,457 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,471 | BOYAmt |
| EOY | $191,239 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,484,286 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,549,751 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,169,490 | BOYAmt |
| EOY | $9,934,535 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,053,741 | BOYAmt |
| EOY | $1,115,551 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,647 | BOYAmt |
| EOY | $151,287 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,334,260 | BOYAmt |
| EOY | $19,689,643 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $598,135 | BOYAmt |
| EOY | $564,367 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,096,852 | BOYAmt |
| EOY | $9,826,768 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,520,408 | BOYAmt |
| EOY | $855,033 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,215,395 | BOYAmt |
| EOY | $11,246,168 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,098,865 | BOYAmt |
| EOY | $8,443,475 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,118,865 | BOYAmt |
| EOY | $8,443,475 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,334,260 | BOYAmt |
| EOY | $19,689,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $401,252 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $26,822 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$103,464 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $193 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $193 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION BY STILLWATER HOSPITAL ASSOCIATION WAS ALLOCABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $230 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $230 | OtherExpendituresAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $235 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $235 | OtherExpendituresAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $10 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $10 | OtherExpendituresAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $14 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14 | OtherExpendituresAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $115 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $115 | OtherExpendituresAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $597,537 | OtherCostOrOtherBasisAmt |
| Book Value | $597,537 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,488,516 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,791,093 | DepreciationAmt |
| Book Value | $7,697,423 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,284,111 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,879,257 | DepreciationAmt |
| Book Value | $1,404,854 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,114,122 | OtherCostOrOtherBasisAmt |
| Depreciation | $879,401 | DepreciationAmt |
| Book Value | $234,721 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,934,535 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTY | Desc |
| Amt | $855,033 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $855,033 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $7,161,221 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $26,822 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $19,962 | OtherRevenueAmt |
| Revenue Not Reported | $46,784 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,114,437 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,114,437 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,718,825 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $5,627 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $5,627 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,713,198 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,713,198 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| Schedule D, Part V, Line 4 Intended uses of endowment funds | THE ENDOWMENT INCLUDES DONOR RESTRICTED ENDOWMENT FUNDS. AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (GAAP), NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | ACTIVITY OF STILLWATER FOUNDATION CONSOLIDATED IN FINANCIALS, EXCLUDED FOR TAX RETURN - 19962 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | ACTIVITY OF STILLWATER FOUNDATION CONSOLIDATED IN FINANCIALS, EXCLUDED FOR TAX RETURN - 5627 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $214,407 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $214,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0319 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $496,236 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $492,393 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,843 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $710,643 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $492,393 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $218,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0325 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,700 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $714,343 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $492,393 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $221,950 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0331 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $275,641 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $1,747,180 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,598,166 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $149,014 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STILLWATER HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 710 N 11TH ST | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59019 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | STILLWATERBILLINGSCLINIC.COM | WebsiteAddressTxt |
| State License | 13418 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
| Other | PHYSICIAN CLINIC | OtherDesc |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://stillwaterbillingsclinic.com/wp-content/uploads/Columbus_2023_CHNA-Report-FINAL.pdf | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://stillwaterbillingsclinic.com/wp-content/uploads/SBC_Implementation%20Plan%20Report%202020-20 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.billingsclinic.com/patients-visitors/billing-insurance-financial-options/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.billingsclinic.com/patients-visitors/billing-insurance-financial-options/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.billingsclinic.com/patients-visitors/billing-insurance-financial-options/financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility 1, 1 | Facility 1, 1 - STILLWATER HOSPITAL ASSOCIATION. A STEERING COMMITTEE WAS FORMED WHICH INCLUDED A DIVERSE GROUP OF COMMUNITY MEMBERS (PUBLIC HEALTH, ELDERLY, UNINSURED, BUSINESS OWNERS AND HOSPITAL STAFF) INCLUDING: 1. STILLWATER BILLINGS CLINIC CEO 2. STILLWATER BILLINGS CLINIC OUTPATIENT RN 3. STILLWATER BILLINGS CLINIC QUALITY IMPROVEMENT COORDINATOR 4. STILLWATER BILLINGS CLINIC DIRECTOR OF NURSING, PUBLIC HEALTH DIRECTOR 5. COMMUNITY MEMBER 6. STILLWATER COUNTY SHERIFF'S OFFICE 7. STILLWATER COUNTY PARAMEDIC 8. STILLWATER BILLINGS CLINIC PUBLIC HEALTH RN 9. STILLWATER BILLINGS CLINIC NURSING INFORMATICIST 10. STILLWATER BILLINGS CLINIC DIRECTOR OF CLINIC AND ANCILLARY SERVICES THE STEERING COMMITTEE DETERMINED THE MOST IMPORTANT HEALTH NEEDS TO BE ADDRESSED BY REVIEWING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SECONDARY DATA, COMMUNITY DEMOGRAPHICS, AND INPUT FROM REPRESENTATIVES REPRESENTING THE BROAD INTEREST OF THE COMMUNITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE. THE STEERING COMMITTEE MET TWICE BEGINNING APRIL 2023 DURING THE COMMUNITY HEALTH SERVICES DEVELOPMENT (CHSD) PROCESS, FIRST TO DISCUSS HEALTH CONCERNS IN THE COMMUNITY AND AGAIN TO REVIEW THE RESULTS OF THE SURVEY AND FOCUS GROUPS AND TO ASSIST IN THE PRIORITIZATION OF HEALTH NEEDS TO ADDRESS. |
| Schedule H, Part V, Section B, Line 11 Facility 1, 1 | Facility 1, 1 - STILLWATER COMMUNITY HOSPITAL. STILLWATER COMMUNITY HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA BY IDENTIFYING THE TOP 4 GOALS ALONG WITH CORRESPONDING STRATEGIES AND ACTIVITIES, PERSONS RESPONSIBLE AND TIMELINE FOR ADAPTATION. THE TOP FOUR GOALS AND CORRESPONDING STRATEGIES ARE AS FOLLOWS: GOAL 1: IMPROVE AWARENESS OF RESOURCES AND SERVICES IN STILLWATER COUNTY THROUGH ENHANCED COMMUNITY OUTREACH AND EDUCATION. STRATEGY: EXPLORE OPPORTUNITIES TO ENHANCE COUNTY-WIDE HEALTH EDUCATION AND PARTNERSHIPS IN COMMUNITY EVENTS. ACTIVITIES: Continue to partner with local school to support and co-sponsor health education and promotion events in Columbus and Absarokee. Expand outreach to Park City, Reed Point, and Rapelje. develop County outreach materials to improve knowledge and access to local services and resources (i.e., information booth materials, handouts for community events). Explore opportunities to support/grow area health fairs/wellness events with new community partners (i.e., Stillwater Mine). Enhancing opportunities to share educational materials and provide various outreach and/or screening services for free or nominal cost. Develop and publish community 'patient experience' stories in local newspaper and through social media to help enhance community knowledge of services available. GOAL 2: IMPROVE OVERALL HEALTH IN STILLWATER COUNTY THROUGH INCREASED ACCESS TO HEALTH AND WELLNESS OPPORTUNITIES. STRATEGY: ENGAGE WITH COMMUNITY PARTNERS TO IMPROVE AND EXPAND HEALTH AND WELLNESS RESOURCES IN THE COUNTY. ACTIVITIES: Continue to develop a walking trail on campus to improve access to fitness opportunities in Stillwater County. Expand current community coalition to a County wide wellness coalition-stakeholder group. Meeting at least twice a year to determine goals and project awareness. With coalition, conduct an environmental scan of current projects, and research new potential projects, funding, and sustainability strategies. Develop programs at SBC that address fitness, nutrition, wellness (ex. Diabetes prevention program). Develop new education/outreach on chronic disease, communicable disease, fall prevention and monthly health topics. GOAL 3: IMPROVE ACCESS TO MENTAL HEALTH AND BEHAVIORAL HEALTH SERVICES THROUGHOUT STILLWATER COUNTY. STRATEGY 3.1: CONTINUE TO COLLABORATE WITH COMMUNITY PARTNERS TO ENHANCE EFFORTS ADDRESSING MENTAL AND BEHAVIORAL HEALTH NEEDS IN STILLWATER COUNTY. ACTIVITIES: Continue to foster relationship and collaboration with local mental health center to enhance care collaboration and referrals. Continue to send staff to participate in Local Mental Health Advisory Council which helps to coordinate mental health resources in Stillwater County. Work with community partners/LAC to explore available/new trainings and education for mental health and substance abuse. STRATEGY 3.2: ENHANCE ACCESS TO BEHAVIORAL HEALTH SERVICES: ACTIVITIES: Continue to participate in Billings Clinic Behavioral Health grant to enhance access to mental health services provided in the area. Develop and implement Integrated Behavioral Health protocol to improve referral process to psychiatric care and expand mental health workforce in community. Implement new Integrated Behavioral Health program and create marketing and outreach materials to educate community and providers on new resources. Create tools to assess and evaluate program process and success of new Integrated Behavioral Health program. STRATEGY 3.3: CONTINUE TO ENHANCE MENTAL HEALTH OUTREACH AND EDUCATION FOR AREA RESIDENTS: ACTIVITIES: Meet with local schools to develop mental health, suicide risk, and substance abuse education programs in the schools. Partner with local schools to implement the PAX good behavior game. Offer community Mental health First Aid (Adopt and modify education for community members as appropriate). Continue to catalogue local mental health/substance use resources, services, and programs available, and educate community. GOAL 4: IMPROVE ACCESS TO HEALTHCARE SERVICES IN STILLWATER COUNTY. STRATEGY 4.1: COLLABORATE WITH COUNTY PARTNERS ON TRANSPORTATION NEEDS IN STILLWATER COUNTY. ACTIVITIES: Determine community stakeholder group working on transportation needs in Stillwater County. Convene stakeholder group to discuss and identify transportation needs and opportunities. Research community models and best practices for transportation in communities/counties of similar size. Continue to explore grant opportunities. Develop patient transportation protocol for SBC staff when assisting patients and community members. STRATEGY 4.2: EXPAND ACCESS TO SPECIALTY SERVICES IN STILLWATER COUNTY. ACTIVITIES: Explore feasibility to expand available specialty services such as cardiology, psychiatry, OB/GYN and dermatology. Continue growth of telehealth services (i.e., Clinic, counseling, Avera E-emergency, nutrition, pharmacy, physical, occupational, speech therapies, home health, and transitional care). Develop outreach campaign for new services and providers to increase knowledge and access to services. STRATEGY 4.3: EXPLORE EXPANDING AVAILABLE HOURS OF VARIOUS SERVICES. ACTIVITIES: Determine feasibility to expand hours of various services (ex. Physical, occupational, and speech therapies) to improve availability and enhance access. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c DESCRIPTION OF ADDITIONAL CRITERIA TO DETERMINE FINANCIAL ASSISTANCE | IN ADDITION TO THE FEDERAL POVERTY GUIDELINES BILLINGS CLINIC ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | STILLWATER BILLINGS CLINIC ESTIMATES THAT 45% OF STILLWATER BILLINGS CLINIC'S MEDICARE SHORTFALLS SHOULD BE COUNTED AS COMMUNITY BENEFIT. OUR RATIONALE IS THAT 45% IS THE BEST ESTIMATE OF THE PERCENTAGE OF MONTANA'S MEDICARE POPULATION (AGED 65 AND OLDER) WHO ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. BASED ON MEDICARE AND U.S. CENSUS DATA, THOSE PATIENTS WOULD QUALIFY FOR FULL FINANCIAL ASSISTANCE. A HIGHER PERCENTAGE WOULD QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE WITH INCOMES FROM 100%-300% OF THE FEDERAL POVERTY LEVEL. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | PATIENTS ARE SCREENED BY THE ORGANIZATION'S FINANCIAL COUNSELORS TO SEE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE. IF THEY QUALIFY, THEIR ACCOUNT BALANCES ARE ADJUSTED ACCORDINGLY. IF THERE IS A BALANCE AFTER THE ADJUSTMENT, THE ORGANIZATION FOLLOWS THE NORMAL DEBT COLLECTION PRACTICE. IN UNUSUAL SITUATIONS WHERE THE PATIENT'S CIRCUMSTANCES HAVE CHANGED, THE CEO HAS THE AUTHORITY TO GRANT EXCEPTIONS TO THE POLICY. |
| Schedule H, Part V, Section B, Line 16a FAP website | 1 - STILLWATER HOSPITAL ASSOCIATION: Line 16a URL: www.billingsclinic.com/patients-visitors/billing-insurance-financial-options/financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | 1 - STILLWATER HOSPITAL ASSOCIATION: Line 16b URL: www.billingsclinic.com/patients-visitors/billing-insurance-financial-options/financial-assistance; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | 1 - STILLWATER HOSPITAL ASSOCIATION: Line 16c URL: www.billingsclinic.com/patients-visitors/billing-insurance-financial-options/financial-assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH DAY TO DAY PATIENT CARE AND THE WORK OF THE COMMUNITY HEALTH SERVICES DEPARTMENT. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | THE ORGANIZATION EMPLOYS A BUSINESS OFFICE LEAD WHO IS RESPONSIBLE FOR ADMINISTERING THE FINANCIAL ASSISTANCE PROGRAM, ASSURING THE DETERMINATION FOR FINANCIAL ASSISTANCE MEETS THE REQUIREMENTS OF THE POLICY, AND NOTIFYING THE PATIENT AND/OR RESPONSIBLE PARTY OF THE FINAL DETERMINATION OF AMOUNTS APPROVED UNDER THE POLICY. PATIENT REPRESENTATIVES WORK WITH THE PATIENTS IN COMPLETING APPLICATIONS THAT DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. INFORMATION IS ALSO IN PRINTED FORM ON PATIENT BILLS. |
| Schedule H, Part VI, Line 4 Community information | STILLWATER COUNTY STRETCHES 75 MILES OF TWO LANE ROADS FROM NORTH TO SOUTH CONNECTING MOUNTAIN RANGES TO THE LAKE BASINS, COULEES, AND ROLLING PLAINS. INTERSTATE 90 PASSES THROUGH THE COUNTY AT COLUMBUS. COUNTY HAS A POPULATION OF 9,801 WITH 6 UNINCORPORATED COMMUNITIES AND 1 INCORPORATED COMMUNITY OF COLUMBUS WHERE THE HOSPITAL RESIDES. COUNTY HAS A VAST ARRAY OF OUTDOOR RECREATIONAL OPPORTUNITIES. |
| Schedule H, Part VI, Line 5 Promotion of community health | STILLWATER HOSPITAL ASSOCIATION'S COMMUNITY HEALTH SERVICES DEPARTMENT STRIVES TO PROVIDE BROAD-BASED COMMUNITY HEALTH INFORMATION AND SERVICES TO THE RESIDENTS, FACILITIES AND GUESTS OF STILLWATER COUNTY. THE BOARD HAS COMMUNITY MEMBERS SERVING. |
| Schedule H, Part VI, Line 6 Affiliated health care system | STILLWATER BILLINGS CLINIC IS MANAGED BY BILLINGS CLINIC AND WORKS CLOSELY WITH BILLINGS CLINIC AND OTHER HOSPITALS ALSO MANAGED BY BILLINGS CLINIC TO PROVIDE HIGH QUALITY PATIENT CARE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JUSTIN OTT | ||||||||||||||
| Secretary/Treasurer | $0 | $206,850 | $0 | $0 | $0 | $1,059 | $0 | $28,379 | $0 | $27,476 | $0 | $263,764 | $0 | $12,839 |
| JESSICA COZZENS | ||||||||||||||
| Director | $0 | $362,327 | $0 | $0 | $0 | $1,607 | $0 | $22,561 | $0 | $31,585 | $0 | $418,080 | $0 | $0 |
| DR DAVID M KANE | ||||||||||||||
| Director/Physician | $196,973 | $0 | $0 | $0 | $815 | $0 | $14,780 | $0 | $20,014 | $0 | $232,582 | $0 | $0 | $0 |
| MATTHEW WALLER | ||||||||||||||
| Director | $0 | $176,852 | $0 | $60 | $0 | $551 | $0 | $24,936 | $0 | $27,942 | $0 | $230,341 | $0 | $11,070 |
| LUKE E KOBOLD | ||||||||||||||
| CEO | $168,408 | $0 | $0 | $0 | $1,332 | $0 | $13,501 | $0 | $29,849 | $0 | $213,090 | $0 | $0 | $0 |
| WADE SEE | ||||||||||||||
| Physician | $383,615 | $0 | $20,060 | $0 | $2,629 | $0 | $19,900 | $0 | $13,196 | $0 | $439,400 | $0 | $0 | $0 |
| DR CODY G WHITE | ||||||||||||||
| Physician | $283,185 | $0 | $20,000 | $0 | $241 | $0 | $20,763 | $0 | $24,943 | $0 | $349,132 | $0 | $0 | $0 |
| RICHARD K KLEE | ||||||||||||||
| Physician | $200,373 | $0 | $0 | $0 | $1,781 | $0 | $15,635 | $0 | $13,958 | $0 | $231,747 | $0 | $0 | $0 |
| EDWIN K SHEILS | ||||||||||||||
| Physician Assistant | $177,631 | $0 | $0 | $0 | $601 | $0 | $13,847 | $0 | $28,790 | $0 | $220,869 | $0 | $0 | $0 |
| LOCKE L MURPHY | ||||||||||||||
| Nurse Practitioner | $160,408 | $0 | $60 | $0 | $108 | $0 | $12,727 | $0 | $27,361 | $0 | $200,664 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | COMPENSATION FOR THE CEO IS PAID BY BILLINGS CLINIC, A RELATED ORGANIZATION. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR HOW CEO COMPENSATION IS DETERMINED. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | THE BILLINGS CLINIC SUPPLEMENTAL RETIREMENT AGREEMENT FOR SENIOR EXECUTIVES (SERP) IS A NON-ELECTIVE 457(F) AGREEMENT AND PROVIDES FOR ANNUAL DEFERRALS, WHICH BECOME VESTED AND PAYABLE AFTER 4 YEARS. THE FOLLOWING INDIVIDUALS ARE PARTICIPANTS IN THE PLAN DURING THE 2023 CALENDAR YEAR WHICH IS INCLUDED IN DEFERRED COMPENSATION ON SCHEDULE J, PART II, COLUMN C: Justin Ott - $12,839 Matthew Waller - $11,070 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15b DESCRIBE PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS | OTHER OFFICER COMPENSATION IS PAID THROUGH BILLINGS CLINIC, THE SOLE MEMBER. SALARIES FOR THE OTHER KEY OFFICERS/LEADERS IN THE ORGANIZATION ARE REVIEWED FOR COMPARISON TO OTHER SIMILAR SIZE ORGANIZATIONS THROUGH USE OF EXTERNAL SALARY SURVEY SOURCES SUCH AS MHA AND ASSOCIATED EMPLOYERS. THIS REVIEW IS CONDUCTED BY STILLWATER'S HR GENERALIST AND THE CEO. BUDGET RECOMMENDATIONS ARE FORMULATED FOR REVIEW AND APPROVAL BY THE VP OF REGIONAL SERVICES AND FOR FINAL APPROVAL BY THE BOARD OF DIRECTORS/FINANCE COMMITTEE. |
| Form 990, Part VI, Line 15a DESCRIBE PROCESS FOR DETERMINING CEO/EXECUTIVE COMPENSATION | COMPENSATION IS PAID THROUGH BILLINGS CLINIC, THE SOLE MEMBER. COMPENSATION IS DETERMINED BY AN ANNUAL REVIEW OF EXTERNAL MARKET DATA FOR SIMILAR SIZE ORGANIZATIONS THROUGH USE OF SURVEY DATA WITH MHA AND YAFFEE & COMPANY, AND RURAL CRITICAL ACCESS HOSPITAL FACILITIES. COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AS RECOMMENDED BY THE VP OF REGIONAL SERVICES. THE REVIEW IS DONE AT THE TIME OF THE CEO'S ANNUAL PERFORMANCE REVIEW. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | BILLINGS CLINIC IS THE SOLE MEMBER OF STILLWATER HOSPITAL ASSOCIATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE SOLE MEMBER HAS AUTHORITY TO RECOMMEND, APPROVE AND REJECT NOMINATIONS OF BOARD MEMBERS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE FOLLOWING ARE GOVERNANCE DECISIONS OF THE ORGANIZATION WHICH ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER: - AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION, BYLAWS, OR NAME; - DISSOLUTION, MERGERS, OR CONSOLIDATIONS WITH OR INTO ANOTHER ENTITY; - SALE, LEASE, EXCHANGE OR DISPOSITIONS OF PROPERTY OF THE ORGANIZATION; - APPROVAL OF BUDGETS; - INCURRENCE OF DEBT AND PURCHASES MADE BY THE ORGANIZATION IN AMOUNTS EXCEEDING $100,000; - SELECTION, HIRING, PRIMARY SUPERVISION, DISCIPLINE AND TERMINATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER; - ADDITION OR DISCONTINUANCE OF ANY SERVICE OFFERED TO BY THE ORGANIZATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS PREPARED BY A THIRD PARTY AND REVIEW IS PERFORMED BY THE BOARD OF DIRECTORS. ANY CHANGES AND COMMENTS ARE PROVIDED BACK TO THE PREPARER AND THE FINAL FORM 990 IS PROVIDED TO THE FULL BOARD PRIOR TO FILING. THE ORGANIZATION WAS PROVIDED AN EFILE SUBMISSION FORM WITH THE COMPLETED RETURN WHICH WAS SIGNED AND SUBMITTED FOR ERO PROCESSING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ALL DIRECTORS, OFFICERS, EMPLOYEES, AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND MUST PROVIDE AN ANNUAL STATEMENT INDICATING THEY HAVE REVIEWED AND ARE IN COMPLIANCE WITH THE POLICY. THE BOARD IS CHARGED WITH PERIODICALLY REVIEWING AND MONITORING THE POLICY TO ENSURE THE ORGANIZATION ACTS IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WILL INVESTIGATE ANY ALTERNATIVES AND DETERMINATIONS AS TO WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND WILL ESTABLISH PROCEDURES FOR VIOLATIONS OF THE POLICY. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BILLINGS CLINIC | ||||||||||
| 2800 TENTH AVENUE NORTH | BILLINGS | MT | 59101 | 810231784 | HOSPITAL | MT | 501(c)(3) | 3 | MTWY Health Inc | false |
| BILLINGS CLINIC FOUNDATION | ||||||||||
| 2917 TENTH AVENUE NORTH | BILLINGS | MT | 59101 | 810407289 | FUNDRAISING | MT | 501(c)(3) | 7 | BILLINGS CLINIC | false |
| STILLWATER COMMUNITY HEALTHCARE FOUNDATION | ||||||||||
| 710 N 11TH ST | COLUMBUS | MT | 59019 | 200748325 | FUNDRAISING | MT | 501(c)(3) | 7 | STILLWATER | Yes (true) |
| TOWNSEND HEALTH SYSTEMS INC | ||||||||||
| 110 NORTH OAK STREET | TOWNSEND | MT | 59644 | 810398400 | HEALTHCARE | MT | 501(c)(3) | 3 | BILLINGS CLINIC | false |
| Billincs Clinic Employee Benefit Trust | ||||||||||
| 2800 10th Ave | North Billings | MT | 59107 | 810391600 | Employee Benefits | MT | 501(c)(9) | Billings Clinic | false | |
| MTWY HEALTH INC | ||||||||||
| 310 Sunnyview Ln | KALISPELL | MT | 59901 | 932584380 | Support | MT | 501(c)(3) | Type II | NA | false |
| KALISPELL REGIONAL MEDICAL CENTER | ||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 237293874 | ACUTE CARE HOSPITAL | MT | 501(c)(3) | 3 | LOGAN HEALTH | false |
| KALISPELL REGIONAL HEALTHCARE FOUNDATION | ||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 311703013 | SUPPORTING ORGANIZATION | MT | 501(c)(3) | Type I | KALISPELL REGIONAL MEDICAL CENTER | false |
| ASSIST-FLATHEAD VALLEY | ||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 462669324 | WELLNESS RESOURCE PROVIDER | MT | 501(c)(3) | 10 | KALISPELL REGIONAL MEDICAL CENTER | false |
| KALISPELL REGIONAL MEDICAL CENTER VOLUNTEERS | ||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 273866474 | SUPPORTING ORGANIZATION | MT | 501(c)(3) | 10 | KALISPELL REGIONAL MEDICAL CENTER | false |
| LIBERTY COUNTY HOSPITAL AND NURSING HOME INC | ||||||||||
| 315 W MADISON AVE | CHESTER | MT | 59522 | 810515463 | PROVIDE ACUTE HOSPITAL CARE | MT | 501(c)(3) | 3 | LOGAN HEALTH | false |
| LOGAN HEALTH - CONRAD | ||||||||||
| 805 SUNSET BLVD | CONRAD | MT | 59425 | 810232406 | PROVIDE ACUTE HOSPITAL CARE | MT | 501(c)(3) | 3 | LOGAN HEALTH | false |
| LOGAN HEALTH - CUT BANK | ||||||||||
| 226 9TH AVE SE | CUT BANK | MT | 59427 | 810530457 | PROVIDE ACUTE HOSPITAL CARE | MT | 501(c)(3) | 3 | LOGAN HEALTH | false |
| LOGAN HEALTH - SHELBY | ||||||||||
| 640 PARK AVE | SHELBY | MT | 59474 | 862327525 | PROVIDE ACUTE HOSPITAL CARE | MT | 501(c)(3) | 3 | LOGAN HEALTH | false |
| LOGAN HEALTH - WHITEFISH | ||||||||||
| 1600 HOSPITAL WAY | WHITEFISH | MT | 59937 | 810247969 | PROVIDE ACUTE HOSPITAL CARE | MT | 501(c)(3) | 3 | LOGAN HEALTH | false |
| LOGAN HEALTH EMERGENCY MEDICAL SERVICES | ||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 880538346 | EMERGENCY SERVICES | MT | 501(c)(3) | 7 | LOGAN HEALTH | false |
| MONTANA PEDIATRICS | ||||||||||
| 259 W FRONT ST STE B | MISSOULA | MT | 59802 | 854133807 | AMBULATORY CARE | MT | 501(c)(3) | 7 | LOGAN HEALTH | false |
| NORTHWEST HORIZONS INC | ||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 810420653 | LONG-TERM AMBULATORY CARE | MT | 501(c)(3) | 10 | LOGAN HEALTH | false |
| SUMMIT MEDICAL FITNESS CENTER | ||||||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 203752312 | COMMUNITY HEALTH & WELLNESS CENTER | MT | 501(c)(3) | 10 | LOGAN HEALTH | false |
| NORTH VALLEY HOSPITAL FOUNDATION | ||||||||||
| 1600 HOSPITAL WAY | WHITEFISH | MT | 59937 | 810526541 | SUPPORTING ORGANIZATION | MT | 501(c)(3) | Type III-FI | LOGAN HEALTH - WHITEFISH | false |
| LOGAN HEALTH ASSISTED LIVING - SHELBY | ||||||||||
| 111 2ND ST S | SHELBY | MT | 59474 | 862394240 | RETIREMENT & ASSISTED LIVING | MT | 501(c)(3) | 10 | NORTHWEST HORIZONS INC | false |
| LOGAN HEALTH CARE CENTER - SHELBY | ||||||||||
| 630 PARK DRIVE | SHELBY | MT | 59474 | 862346458 | LONG-TERM CARE & SKILLED NURSING | MT | 501(c)(3) | 10 | NORTHWEST HORIZONS INC | false |
| LOGAN HEALTH | ||||||||||
| 310 Sunnyview Ln | Kalispell | MT | 59901 | 810406485 | SUPPORT SUBSIARY HEALTH ORGANIZATIONS | MT | 501(c)(3) | 3 | MTWY Health Inc | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BILLINGS CLINIC INNOVATION FERTILITY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 399 KNOLLWOOD ROAD | AddressLine1Txt |
| Address Line2 | STE 303 | AddressLine2Txt |
| City | White Plains | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10603 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 881032699 | EIN |
| Primary Activities | FERTILITY CLINIC | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STILLWATER COMMUNITY HEALTHCARE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionTypeTxt |
| Involved | $134,196 | InvolvedAmt |
| Method Of Amount Determination | INTERCOMPANY AMOUNT | MethodOfAmountDeterminationTxt |