Civic Intelligence

Townsend Health Systems Inc

EIN 81-0398400 • 501(c)3 • Townsend, MT

Profile

The delivery of healthcare services, the conduct of medical research, the furtherance of health education and the promotion of general health in townsend and the surrounding area.

110 North Oak StreetTownsend, MT 59644

billingsclinic.com/BILLINGS-CLINIC-BROADWATER

Siviq Scores

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

Liabilities / Assets

63rd percentile

0.31x

Higher debt load relative to assets than 63% of similar nonprofits.

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

Liabilities / Revenue

59th percentile

0.32x

Higher debt load relative to revenue than 59% of similar nonprofits.

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

Net Margin

39th percentile

1.0%

Higher net margin than 39% of similar nonprofits.

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

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

40th percentile

2.2%

Faster asset growth than 40% of similar nonprofits.

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

Revenue Growth

71st percentile

19%

Faster revenue growth than 71% of similar nonprofits.

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

Assets

Down

$12,100,772

Down $943,334 (-7.2%) from 2023

Liabilities

Down

$3,734,557

Down $1,060,343 (-22%) from 2023

Net Assets

Up

$8,366,215

Up $117,009 (+1.4%) from 2023

Revenue

Up

$11,649,255

Up $5,737,161 (+97%) from 2023

Expenses

Up

$11,532,246

Up $6,298,169 (+120%) from 2023

Net Income

Down

$117,009

Down $561,008 (-83%) from 2023

Trend Graphs

Balance Sheet Trend

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

$15M$10M$5.0M$0Assets 2010: $927,252Liabilities 2010: $544,922Net Assets 2010: $382,3302010Assets 2011: $1,043,514Liabilities 2011: $408,477Net Assets 2011: $635,0372011Assets 2012: $2,588,558Liabilities 2012: $1,845,459Net Assets 2012: $743,0992012Assets 2013: $2,638,028Liabilities 2013: $2,398,165Net Assets 2013: $239,8632013Assets 2014: $3,203,422Liabilities 2014: $2,008,490Net Assets 2014: $1,194,9322014Assets 2015: $2,693,492Liabilities 2015: $1,716,708Net Assets 2015: $976,7842015Assets 2016: $3,078,727Liabilities 2016: $1,911,902Net Assets 2016: $1,166,8252016Assets 2017: $2,249,220Liabilities 2017: $1,452,969Net Assets 2017: $796,2512017Assets 2018: $3,508,404Liabilities 2018: $2,203,663Net Assets 2018: $1,304,7412018Assets 2019: $3,342,923Liabilities 2019: $1,987,169Net Assets 2019: $1,355,7542019Assets 2020: $6,884,127Liabilities 2020: $5,868,408Net Assets 2020: $1,015,7192020Assets 2021: $11,281,591Liabilities 2021: $6,401,805Net Assets 2021: $4,879,7862021Assets 2022: $11,654,094Liabilities 2022: $3,318,495Net Assets 2022: $8,335,5992022Assets 2023: $13,044,106Liabilities 2023: $4,794,900Net Assets 2023: $8,249,2062023Assets 2024: $12,100,772Liabilities 2024: $3,734,557Net Assets 2024: $8,366,2152024

Highlighted filing

2024

Assets$12,100,772
Liabilities$3,734,557
Net Assets$8,366,215

Operations Trend

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

$15M$10M$5.0M$0-$5.0MExpenses 2010: $3,718,2502010Revenue 2011: $4,131,853Expenses 2011: $3,879,146Net Income 2011: $252,7072011Expenses 2012: $4,409,6482012Expenses 2013: $3,995,0572013Revenue 2014: $6,408,567Expenses 2014: $5,453,498Net Income 2014: $955,0692014Revenue 2015: $6,031,744Expenses 2015: $6,249,891Net Income 2015: -$218,1472015Revenue 2016: $6,477,790Expenses 2016: $6,287,749Net Income 2016: $190,0412016Revenue 2017: $6,097,002Expenses 2017: $6,467,576Net Income 2017: -$370,5742017Revenue 2018: $6,965,957Expenses 2018: $6,544,169Net Income 2018: $421,7882018Revenue 2019: $6,443,684Expenses 2019: $6,765,818Net Income 2019: -$322,1342019Revenue 2020: $6,927,488Expenses 2020: $7,361,905Net Income 2020: -$434,4172020Revenue 2021: $11,888,926Expenses 2021: $8,024,859Net Income 2021: $3,864,0672021Revenue 2022: $14,089,058Expenses 2022: $10,633,245Net Income 2022: $3,455,8132022Revenue 2023: $5,912,094Expenses 2023: $5,234,077Net Income 2023: $678,0172023Revenue 2024: $11,649,255Expenses 2024: $11,532,246Net Income 2024: $117,0092024

Highlighted filing

2024

Revenue$11,649,255
Expenses$11,532,246
Net Income$117,009

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.1$3.73$8.37$11.6$11.5$0.12
2023Detailed filing. Detailed filing data is available for this year.$13.0$4.79$8.25$5.91$5.23$0.68
2022Detailed filing. Detailed filing data is available for this year.$11.7$3.32$8.34$14.1$10.6$3.46
2021Detailed filing. Detailed filing data is available for this year.$11.3$6.40$4.88$11.9$8.02$3.86
2020Detailed filing. Detailed filing data is available for this year.$6.88$5.87$1.02$6.93$7.36$0.43
2019Detailed filing. Detailed filing data is available for this year.$3.34$1.99$1.36$6.44$6.77$0.32
2018Detailed filing. Detailed filing data is available for this year.$3.51$2.20$1.30$6.97$6.54$0.42
2017Detailed filing. Detailed filing data is available for this year.$2.25$1.45$0.80$6.10$6.47$0.37
2016Detailed filing. Detailed filing data is available for this year.$3.08$1.91$1.17$6.48$6.29$0.19
2015Detailed filing. Detailed filing data is available for this year.$2.69$1.72$0.98$6.03$6.25$0.22
2014Detailed filing. Detailed filing data is available for this year.$3.20$2.01$1.19$6.41$5.45$0.96
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.64$2.40$0.24$4.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.59$1.85$0.74$4.41
2011Summary only. Only limited summary data is available for this year.$1.04$0.41$0.64$4.13$3.88$0.25
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.93$0.54$0.38$3.72
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 11, 2025
Return Version
2024v5.2
Gross Receipts
$11,649,255
Mission and Program Overview

Mission

Broadwater health center operates a 9 bed critical access hospital, a skilled nursing facility, a clinic, and an ambulance service. Services provided include acute care, swing bed care, inpatient and outpatient services, emergency services, and the related ancillary services.

Billings clinic broadwater is dedicated to improving the health of our community, our patients, and ourselves.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$8,188,563$7,752,889▼ $435,674
Cash and Non-Interest-Bearing Accounts$3,236,344$2,201,562▼ $1,034,782
Accounts Receivable$1,534,647$1,603,547▲ $68,900
Inventories for Sale or Use$53,105$61,292▲ $8,187
Prepaid Expenses and Deferred Charges$31,447$46,117▲ $14,670
Total Assets$13,044,106$12,100,772▼ $943,334
Other Assets Total$0$435,365▲ $435,365
Liabilities
Other Liabilities$1,112,071$3,107,755▲ $1,995,684
Accounts Payable and Accrued Expenses$3,602,829$586,802▼ $3,016,027
Unsecured Notes Loans Payable$80,000$40,000▼ $40,000
Total Liabilities$4,794,900$3,734,557▼ $1,060,343
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,249,206$8,366,215▲ $117,009
Total Net Assets Fund Balance$8,249,206$8,366,215▲ $117,009
Total Liabilities and Net Assets / Fund Balance$13,044,106$12,100,772▼ $943,334

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,107,222$5,159,357$8,266,579
Buildings$3,893,035$928,289$4,821,324
Other Land Buildings$528,361$86,811$615,172
Land$224,271-$224,271
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Casey SchanzPhysician AssistantFT$169,367$40,520$209,887
Elizabeth TerwilligerNurse PractitionerFT$186,803$8,243$195,046
Derek WeissNurse PractitionerFT$145,849$36,630$182,479
Paul Engstrom MdPhysicianFT$121,638$56,525$178,163
Holly Hoffman MdPhysicianFT$142,571$33,281$175,852
Justin TiffanyCEOFT$130,754$14,452$145,206
Kelley EvansBoard Member--$32,080$32,080

Board Members and Trustees

NameTitle
Kathy BlairChair
Jeff KirkseyVice Chair
Amberly PahutBoard Member
Hansjorg SchwertzBoard Member
William UpthegroveBoard Member
Philip HessMedical Director
Ellen LaytonCAO
Kathleen QuinonesCFO
Justin OttCIO
William GibsonCLO
Michelle BarstadSecretary
Craig Lambrecht MdSystem CEO (until 3/11/2024)
Clinton Seger MdSystem Co-CEO
Kevin AbelSystem Co-CEO

Highest Paid Contractors

ContractorServicesLocationCompensation
Vaya Workforce Solutions LLCContractor LaborPO BOX 713247, Chicago, IL 60677-4327$462,334
Avel E Care LcTelemedicine ProviderPO BOX 950505, St Louis, MO 63195-0505$108,930
Revenue and Support

Revenue Composition

Contributions and Grants
$508,734
Program Service Revenue
$11,050,836
Investment Income
$47
Other Revenue
$89,638
All Other Contributions
$508,734
Change in Net Assets
$117,009
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,452,090
Other Expenses$5,080,156
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,326,367$1,035,971-$5,362,338
Fees for Services Management$697,640$697,639-$1,395,279
Fees for Services Other$538,355$187,986-$726,341
Depreciation Depletion$191,429$426,084-$617,513
Other Employee Benefits$361,407$167,121-$528,528
Payroll Taxes$272,086$86,944-$359,030
Office Expenses$82,159$138,461-$220,620
Occupancy$99,982$108,313-$208,295
Pension Plan Contributions$154,775$47,419-$202,194
All Other Expenses$543$179,779-$180,322
Other Expenses$121,798$87,124-$87,124
Insurance-$83,766-$83,766
Information Technology-$69,788-$69,788
Fees for Services Accounting-$54,898-$54,898
Travel$24,119$10,351-$34,470
Advertising-$17,279-$17,279
Fees for Services Legal-$8,110-$8,110
Interest-$2,400-$2,400
Fees for Services Lobbying-$91-$91
Total Functional Expenses$8,054,008$3,478,238$0$11,532,246
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$2,594,135
Due to Third Parties$513,620
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
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

Billings clinic is the sole member of townsend health systems inc.

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

The sole member has authority to recommend, approve and reject nominations of board members.

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

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 or by the organization.

Form 990, Part VI, Section B, Line 11B

The organization has a cpa firm prepare its form 990. The return is completed in draft form and reviewed by management of the organization. The return is then finalized and the board is provided a copy of the form 990 to review before it is filed.

Form 990, Part VI, Section B, Line 12C

The organization annually requires its board members, officers and key employees to fill out a conflicts of interest form. The compliance officer reviews them, identifies potential conflicts, and forwards to the administrative team if a potential conflict exists, as outlined in the organizational policy. During board meetings, if an interested party has a conflict, he or she recuses themselves from voting.

Form 990, Part VI, Section B, Line 15

The organization's ceo, officers, and key employees are paid by billings clinic and logan health. Billings clinic and logan health have an executive compensation program administered annually by independent trustees following best practices and the highest regulatory standards expected of a not-for profit organization. Salary and benefits for the chief executive officer are determined by the board of directors. The board reviews base and total compensation data from an array of compensation surveys of hospitals similar in size and complexity to logan health and billings clinic. The board considers these reports and determines the status of the base salary, benefits, and total compensation for the ceo. Additionally, the ceo utilizes the market information provided to determine recommendations for other senior executives and engages in a rigorous analysis through use of independent survey results. The board reviews benefit levels and total compensation to ensure appropriateness in the not-for-profit health care sector.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy and financial statements available to the public on an as needed basis.

Filing and Contact Details

Filer

Filer Name
Townsend Health Systems Inc
EIN
81-0398400
Phone
4062663186
Address
110 NORTH OAK STREET, TOWNSEND, MT 59644
Doing Business As
Billings Clinic Broadwater

Signing Officer

Name
Patti Pilgrim
Title
CFO
Phone
4062663186
Signed
2025-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Clint Seger Md
Formed
1980
Legal Domicile
Mt
Voting Board Members
8
Independent Board Members
5
Employees
105
Volunteers
5

Preparer

Firm
Baker Tilly Advisory Group Lp
Address
20 STANWIX STREET, PITTSBURGH, PA 15222
Preparer
Kelly a Brocious
Phone
4126976400
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

The corporation files income tax returns with the u.s. Federal government, various states and local jurisdictions. The corporation is no longer subject to examination primarily for tax years before 2021 based upon the various statutes of limitations and is not currently under examination. The corporation has no uncertain tax positions at december 31, 2024.

Raw XML AppendixShowing 400 of 1,220 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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