2024-11-15T09:16:19+00:00 2023-12-31 440160260 Forvis Mazars LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2023-07-01 810286525 Stillwater Hospital Association STIL 4063225316 710 N 11TH ST COLUMBUS MT 59019 LUKE KOBOLD CEO 2024-11-15 true true Adam R Smith P00958966 7194714290 2024-11-11 2023 2024-10-15 13:58:12Z LUKE KOBOLD 710 N 11TH ST COLUMBUS MT 59019 7114438 false X http://www.stillwaterbillingsclinic.com X 1914 MT STILLWATER HOSPITAL ASSOCIATION IS A RURAL INTEGRATED HEALTH CARE ORGANIZATION BRINGING TOGETHER A PHYSICIAN CLINIC AND HOSPITAL SVCS TO DELIVER QUALITY COORDINATED CARE. 9 5 102 0 0 0 433032 49084 13304931 6974539 227142 82653 9892 8161 13974997 7114437 2013 4117 0 0 7895673 3811209 0 0 0 5938849 2897859 13836535 6713185 138462 401252 22334260 19689643 14215395 11246168 8118865 8443475 STILLWATER HOSPITAL ASSOCIATION IS A RURAL INTEGRATED HEALTH CARE ORGANIZATION BRINGING TOGETHER A PHYSICIAN CLINIC AND HOSPITAL SERVICES TO DELIVER QUALITY COORDINATED CARE. false false 4843335 4117 6976384 ACUTE CARE HOSPITAL AND RURAL HEALTH CLINIC. 4843335 true true false true false false false false true true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 17 0 102 true false false false false false false false false false false false false X 9 5 false false false false true true true true true false false true true true true true true false false false X KELLEY HARMON 9706574612 2800 TENTH AVENUE N BILLINGS MT 59107 BHARAT ACHARYA VICE PRESIDENT 3.0 0.0 X X 0 0 0 JUSTIN OTT Secretary/Treasurer 3.0 41.0 X X 0 207909 55855 TOM CHAMBERLAIN PRESIDENT 3.0 0.0 X X 0 0 0 ANN DAVEY DIRECTOR 3.0 0.0 X 0 0 0 DR DAN VESBACH DIRECTOR 3.0 0.0 X 0 0 0 DR DAVID M KANE Director/Physician 40.0 0 X 197788 0 34794 JESSICA COZZENS Director 3.0 40.0 X 0 363934 54146 MARLENE DEIS DIRECTOR 3.0 0.0 X 0 0 0 MATTHEW WALLER Director 3.0 40.0 X 0 177463 52878 LUKE E KOBOLD CEO 40.0 0 X 169740 0 43350 DR CODY G WHITE Physician 40.0 0 X 303426 0 45706 EDWIN K SHEILS Physician Assistant 40.0 0 X 178232 0 42637 LOCKE L MURPHY Nurse Practitioner 40.0 0 X 160576 0 40088 RICHARD K KLEE Physician 40.0 0 X 202154 0 29593 WADE SEE Physician 40.0 0 X 406304 0 33096 1618220 749306 432143 11 false true false BILLINGS CLINIC 2800 TENTH AVENUE NORTH BILLINGS MT 59101 INTERCOMPANY SERVICE 3490424 1 29084 20000 49084 PATIENT SERVICE REVENUE 621300 6971931 6971931 MEALS 900099 2608 2608 0 0 0 0 6974539 59169 59169 3708 3708 0 3708 3708 23485 1 23484 0 23484 23484 INCENTIVE PAYMENTS 900099 2537 2537 MISCELLANEOUS INCOME 900099 1916 1916 0 0 0 0 4453 7114437 6976384 0 88969 4117 4117 0 0 245203 215179 30024 2930999 2389618 541381 120881 100683 20198 310083 219184 90899 204043 159586 44457 881000 740040 140960 16500 16500 193 193 390305 257169 133136 0 31555 31555 168193 16801 151392 31425 6307 25118 124683 92218 32465 24846 17786 7060 193704 193704 392871 108158 284713 32217 32217 MEDICAL SUPPLIES 446349 423907 22442 REPAIRS AND MAINTENANCE 102132 89396 12736 DIETARY 40886 1171 39715 OTHER 21000 2015 18985 0 0 0 0 6713185 4843335 1869850 0 7216638 5279928 1988312 1988482 1482884 955164 0 0 0 0 61077 73457 216471 191239 20484286 10549751 10169490 9934535 1053741 1115551 0 0 145647 151287 22334260 19689643 598135 564367 0 0 10096852 9826768 3520408 855033 14215395 11246168 X 8098865 8443475 20000 8118865 8443475 22334260 19689643 401252 26822 -103464 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 193 193 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION BY STILLWATER HOSPITAL ASSOCIATION WAS ALLOCABLE TO LOBBYING ACTIVITIES. 20000 230 230 20000 20000 235 235 20000 20000 10 10 20000 20000 14 14 20000 20000 115 115 20000 0.0 1.0 0.0 false true true 597537 597537 13488516 5791093 7697423 5284111 3879257 1404854 1114122 879401 234721 9934535 DUE TO RELATED PARTY 855033 855033 7161221 26822 19962 46784 7114437 0 0 7114437 6718825 5627 5627 6713198 0 0 6713198 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 true true X true X true X true true true false false 214407 214407 0.0319 496236 492393 3843 0.0006 0 0.0 0 0 710643 492393 218250 0.0325 0 0.0 0 0.0 0 0.0 0 0.0 3700 3700 0.0006 0 0 3700 0 3700 0.0006 0 0 714343 492393 221950 0.0331 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 275641 1747180 1598166 149014 X true true 1 1 STILLWATER HOSPITAL ASSOCIATION 710 N 11TH ST COLUMBUS MT 59019 STILLWATERBILLINGSCLINIC.COM 13418 X X X X X PHYSICIAN CLINIC 1 1 1 false false true X X X X X X X X X 23 true false false true X https://stillwaterbillingsclinic.com/wp-content/uploads/Columbus_2023_CHNA-Report-FINAL.pdf X true 23 true https://stillwaterbillingsclinic.com/wp-content/uploads/SBC_Implementation%20Plan%20Report%202020-20 false true X 200.0 400.0 X X X X true true X X X true X www.billingsclinic.com/patients-visitors/billing-insurance-financial-options/financial-assistance X www.billingsclinic.com/patients-visitors/billing-insurance-financial-options/financial-assistance X www.billingsclinic.com/patients-visitors/billing-insurance-financial-options/financial-assistance X X X X X X true X false X X X X true X false false 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. 0 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. false true false false false false false false false JUSTIN OTT Secretary/Treasurer 0 206850 0 0 0 1059 0 28379 0 27476 0 263764 0 12839 JESSICA COZZENS Director 0 362327 0 0 0 1607 0 22561 0 31585 0 418080 0 0 DR DAVID M KANE Director/Physician 196973 0 0 0 815 0 14780 0 20014 0 232582 0 0 0 MATTHEW WALLER Director 0 176852 0 60 0 551 0 24936 0 27942 0 230341 0 11070 LUKE E KOBOLD CEO 168408 0 0 0 1332 0 13501 0 29849 0 213090 0 0 0 WADE SEE Physician 383615 0 20060 0 2629 0 19900 0 13196 0 439400 0 0 0 DR CODY G WHITE Physician 283185 0 20000 0 241 0 20763 0 24943 0 349132 0 0 0 RICHARD K KLEE Physician 200373 0 0 0 1781 0 15635 0 13958 0 231747 0 0 0 EDWIN K SHEILS Physician Assistant 177631 0 0 0 601 0 13847 0 28790 0 220869 0 0 0 LOCKE L MURPHY Nurse Practitioner 160408 0 60 0 108 0 12727 0 27361 0 200664 0 0 0 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 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. 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 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 BILLINGS CLINIC INNOVATION FERTILITY 399 KNOLLWOOD ROAD STE 303 White Plains NY 10603 881032699 FERTILITY CLINIC NY NA N/A false false false true true false false false false false false false true true true true true false false STILLWATER COMMUNITY HEALTHCARE FOUNDATION D 134196 INTERCOMPANY AMOUNT