Civic Intelligence

Stillwater Hospital Association

EIN 81-0286525 • 501(c)3 • Columbus, MT

Profile

Stillwater hospital association is a rural integrated health care organization bringing together a physician clinic & hospital services to deliver quality coordinated care.

710 N 11th StColumbus, MT 59019

www.stillwaterbillingsclinic.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

79th percentile

0.56x

Higher debt load relative to assets than 79% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

76th percentile

0.74x

Higher debt load relative to revenue than 76% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

50th percentile

4.4%

Higher net margin than 50% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

98th percentile

$1,740,052

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 11.2% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

14th percentile

-7.7%

Faster asset growth than 14% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

58th percentile

11%

Faster revenue growth than 58% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$20,620,891

Down $1,713,369 (-7.7%) from 2023

Liabilities

Down

$11,565,714

Down $2,649,681 (-19%) from 2023

Net Assets

Up

$9,055,177

Up $936,312 (+12%) from 2023

Revenue

Up

$15,556,704

Up $1,581,707 (+11%) from 2023

Expenses

Up

$14,865,392

Up $1,028,857 (+7.4%) from 2023

Net Income

Up

$691,312

Up $552,850 (+399%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2010: $4,712,064Liabilities 2010: $1,792,359Net Assets 2010: $2,919,7052010Assets 2011: $5,947,914Liabilities 2011: $2,104,063Net Assets 2011: $3,843,8512011Assets 2012: $16,351,611Liabilities 2012: $13,426,469Net Assets 2012: $2,925,1422012Assets 2013: $18,153,672Liabilities 2013: $15,216,903Net Assets 2013: $2,936,7692013Assets 2014: $17,294,868Liabilities 2014: $14,836,193Net Assets 2014: $2,458,6752014Assets 2015: $17,570,478Liabilities 2015: $14,374,429Net Assets 2015: $3,196,0492015Assets 2016: $17,610,146Liabilities 2016: $14,072,199Net Assets 2016: $3,537,9472016Assets 2017: $17,273,240Liabilities 2017: $13,710,728Net Assets 2017: $3,562,5122017Assets 2018: $17,185,307Liabilities 2018: $13,251,379Net Assets 2018: $3,933,9282018Assets 2019: $18,867,215Liabilities 2019: $13,742,094Net Assets 2019: $5,125,1212019Assets 2020: $22,496,845Liabilities 2020: $17,541,184Net Assets 2020: $4,955,6612020Assets 2021: $22,881,313Liabilities 2021: $15,634,010Net Assets 2021: $7,247,3032021Assets 2022: $23,303,348Liabilities 2022: $15,264,448Net Assets 2022: $8,038,9002022Assets 2023: $22,334,260Liabilities 2023: $14,215,395Net Assets 2023: $8,118,8652023Assets 2024: $20,620,891Liabilities 2024: $11,565,714Net Assets 2024: $9,055,1772024

Highlighted filing

2024

Assets$20,620,891
Liabilities$11,565,714
Net Assets$9,055,177

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $4,534,2792010Expenses 2011: $5,021,9832011Expenses 2012: $5,501,9562012Revenue 2013: $5,748,631Expenses 2013: $5,774,812Net Income 2013: -$26,1812013Revenue 2014: $8,168,859Expenses 2014: $8,710,847Net Income 2014: -$541,9882014Revenue 2015: $9,560,773Expenses 2015: $8,793,796Net Income 2015: $766,9772015Revenue 2016: $9,945,271Expenses 2016: $9,562,277Net Income 2016: $382,9942016Revenue 2017: $10,735,616Expenses 2017: $10,728,503Net Income 2017: $7,1132017Revenue 2018: $12,288,270Expenses 2018: $11,977,585Net Income 2018: $310,6852018Revenue 2019: $12,379,766Expenses 2019: $11,201,451Net Income 2019: $1,178,3152019Revenue 2020: $12,660,246Expenses 2020: $12,833,759Net Income 2020: -$173,5132020Revenue 2021: $15,310,009Expenses 2021: $13,134,778Net Income 2021: $2,175,2312021Revenue 2022: $15,902,003Expenses 2022: $14,986,489Net Income 2022: $915,5142022Revenue 2023: $13,974,997Expenses 2023: $13,836,535Net Income 2023: $138,4622023Revenue 2024: $15,556,704Expenses 2024: $14,865,392Net Income 2024: $691,3122024

Highlighted filing

2024

Revenue$15,556,704
Expenses$14,865,392
Net Income$691,312

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.6$11.6$9.06$15.6$14.9$0.69
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.3$14.2$8.12$14.0$13.8$0.14
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$23.3$15.3$8.04$15.9$15.0$0.92
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.9$15.6$7.25$15.3$13.1$2.18
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.5$17.5$4.96$12.7$12.8$0.17
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.9$13.7$5.13$12.4$11.2$1.18
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.2$13.3$3.93$12.3$12.0$0.31
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.3$13.7$3.56$10.7$10.7$0.01
2016Detailed filing. Detailed filing data is available for this year.$17.6$14.1$3.54$9.95$9.56$0.38
2015Detailed filing. Detailed filing data is available for this year.$17.6$14.4$3.20$9.56$8.79$0.77
2014Detailed filing. Detailed filing data is available for this year.$17.3$14.8$2.46$8.17$8.71$0.54
2013Summary only. Only limited summary data is available for this year.$18.2$15.2$2.94$5.75$5.77$0.03
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.4$13.4$2.93$5.50
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.95$2.10$3.84$5.02
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.71$1.79$2.92$4.53
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2018 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 15, 2019
Return Version
2017v2.3
Gross Receipts
$14,493,105
Mission and Program Overview

Mission

Stillwater hospital association is a rural integrated health care organization bringing together a physician clinic and hospital services to deliver quality coordinated care.

Stillwater Hospital Association is a rural integrated health care organization bringing together a physician clinic & hospital svcs to deliver quality coordinated care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$11,285,550$10,918,353▼ $367,197
Cash and Non-Interest-Bearing Accounts$2,365,749$2,076,697▼ $289,052
Accounts Receivable$1,668,242$1,557,809▼ $110,433
Savings and Temporary Cash Investments$1,501,606$1,478,880▼ $22,726
Investments in Publicly Traded Securities$0$716,992▲ $716,992
Inventories for Sale or Use$218,038$213,934▼ $4,104
Prepaid Expenses and Deferred Charges$182,046$139,340▼ $42,706
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$17,273,240$17,185,307▼ $87,933
Other Assets Total$52,009$83,302▲ $31,293
Liabilities
Mortgage Notes Payable Secured by Investment Property$12,961,992$12,528,532▼ $433,460
Accounts Payable and Accrued Expenses$467,802$451,325▼ $16,477
Other Liabilities$280,934$271,522▼ $9,412
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$13,710,728$13,251,379▼ $459,349
Net Assets / Fund Balance
Unrestricted Net Assets$3,521,112$3,913,928▲ $392,816
Temporarily Rstr Net Assets$21,400$0▼ $21,400
Permanently Rstr Net Assets$20,000$20,000→ $0
Total Net Assets Fund Balance$3,562,512$3,933,928▲ $371,416
Total Liabilities and Net Assets / Fund Balance$17,273,240$17,185,307▼ $87,933

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,973,220$3,141,470$12,114,690
Equipment$1,004,392$2,294,570$3,298,962
Other Land Buildings$382,547$530,187$912,734
Land$558,194-$558,194

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$20,000-▲ $117$117$20,000
2016$29,176-▲ $50$9,226$20,000
2015$29,088-▲ $88-$29,176
2014$29,001-▲ $87-$29,088
2013$28,914-▲ $87-$29,001
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Luke KoboldVice President-$303,093$53,469$356,562
Dr Camilla ReeseDirector-$236,222$81,616$317,838
Dr Richard Klee - thru 1217Director/physicianFT$151,071$36,263$187,334
Dr David KaneDirector/PhysicianFT$153,507$21,275$174,782
Mike FollettInterim CEO - Through 6/1/18FT$129,297$23,747$153,044
David RyerseCEOFT-$136,067$136,067
Dr Cody WhitePhysicianFT$117,166$1,875$119,041
Sonya BlenknerSbcFT$101,202$7,154$108,356

Board Members and Trustees

NameTitle
Michael MatovichPresident
Bharat AcharyaDirector
Dr Dan VesbachDirector
Tom ChamberlainDirector
Quinten LundbyLaboratory Supervisor
Edwin SheilsPhysician
Susan IvankovichPhysician Assistant
Ron MartinezSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Billings Clinicmgmt/staff services2800 Tenth Avenue North, Billings, MT 59101$781,731
Eide Bailly Tech ConSultingCoding SupportPO BOX 2545, Fargo, ND 58108$103,181
Revenue and Support

Revenue Composition

Contributions and Grants
$75,202
Program Service Revenue
$12,172,290
Investment Income
$36,478
Other Revenue
$4,300
All Other Contributions
$49,245
Change in Net Assets
$310,685

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,618,581
Revenue Not Reported on Financial Statements
$669,689
Revenue Not Reported on Form 990
$109,275
Other Revenue Adjustments
$666,897
Total Revenue per Audited Statements
$11,727,856
Total Revenue per Form 990
$12,288,270
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,396,830
Other Expenses$5,577,715
Grants and Similar Amounts Paid$3,040
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,722,605$883,463-$4,606,068
Fees for Services Other$738,742$192,976-$931,718
Depreciation Depletion$159,130$679,849-$838,979
All Other Expenses$3,974$691,135-$695,109
Current Officers, Directors, Trustees, and Key Employees$574,952$115,498-$690,450
Interest$478,976$127,323-$606,299
Other Employee Benefits$324,027$230,778-$554,805
Payroll Taxes$282,952$74,267-$357,219
Office Expenses$102,910$241,601-$344,511
Fees for Services Management$175,148$34,337-$209,485
Pension Plan Contributions$153,130$35,158-$188,288
Occupancy-$186,982-$186,982
Other Expenses$60,600$44,121-$104,721
Insurance$22,988$79,355-$102,343
Information Technology$32,264$47,599-$79,863
Travel$37,119$28,075-$65,194
Advertising-$19,434-$19,434
Fees for Services Accounting-$15,440-$15,440
Fees for Services Legal-$5,576-$5,576
Grants to Domestic Orgs$3,040--$3,040
Fees for Service Investment Mgmnt Fees-$2,792-$2,792
Total Functional Expenses$7,845,066$4,132,519$0$11,977,585

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$11,977,585
Total Expenses per Audited Statements$11,339,189
Expenses per Audited Statements$11,307,896
Expenses Not Reported on Financial Statements$669,689
Other Expense Adjustments$666,897
Expenses Not Reported on Form 990$31,293
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Michael MatovichSee PArt vPharmacy PurchasesNo$243,130

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Organization$271,522
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Describe circumstances for having members: billings clinic is the sole member of stillwater hospital association.

Form 990, Part VI, Section A, Line 7A

Members who can elect members of the governing body: the sole member has authority to recommend, approve and reject nominations of board members.

Form 990, Part VI, Section A, Line 7B

Decisions of governing body subject to approval by members: 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, Section B, line 11B

Process to review the form 990: 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, Section B, line 12C

Process for monitoring compliance with 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, Section B, 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, Section B, 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, Section C, line 19

Describe how documents are made available to the public: the organization's governing documents, conflict of interest policy, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Stillwater Hospital Association
EIN
81-0286525
In Care Of
% KELLEY HARMON
Phone
4063225316
Address
710 N 11th St, Columbus, MT 59019
Doing Business As
Stillwater Billings Clinic

Signing Officer

Name
David Ryerse
Title
CEO
Phone
4063225316
Signed
2019-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David Ryerse
Formed
1914
Legal Domicile
Mt
Voting Board Members
8
Independent Board Members
5
Employees
96
Volunteers
5

Preparer

Firm
Bkd Llp
Address
111 South Tejon Suite 800, Colorado Springs, CO 80903-9848
Preparer
Adam R Smith CPA
Phone
7194714290
Supplemental Narrative

Financial Statement Notes

Schedule D, Part V, line 4

Describe intended use of the organization's 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 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 XI, Line 2D

Revenue on books, not on return: activity of stillwater foundation consolidated in financials, excluded for tax return 48,544

Schedule D, Part XI, Line 4B

Revenue on return, not on books: bad debt net with revenue on financials, treated as expense on tax return 666,897

Schedule D, Part XII, Line 2D

Expense on books, not on return: activity of stillwater foundation consolidated in financials, excluded for tax return 31,293

Schedule D, Part XII, Line 4B

Expense on return, not on books: bad debt net with revenue on financials, treated as expense on tax return 666,897

Raw XML AppendixShowing 400 of 935 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm6Bharat Acharya
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IRS990/ProgramServiceRevenueGrp/Desc1MEALS
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