Civic Intelligence

Mtwy Health

EIN 93-2584380 • 501(c)3 • Kalispell, MT

Profile

Mtwy health was formed to serve as an independent, integrated healthcare delivery system based in montana. Mtwy health provides strategic leadership, oversight, and centralized support services for its subsidiary hospitals and healthcare facilities.

310 Sunnyview LnKalispell, MT 59901

n/A

Siviq Scores

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

Liabilities / Assets

99th percentile

2.08x

Higher debt load relative to assets than 99% of similar nonprofits.

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

Liabilities / Revenue

64th percentile

0.40x

Higher debt load relative to revenue than 64% of similar nonprofits.

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

Net Margin

36th percentile

0.0%

Higher net margin than 36% of similar nonprofits.

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

Top Officer Pay

99th percentile

$1,953,756

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 11.7% of source-year revenue.

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

Asset Growth

99th percentile

707%

Faster asset growth than 99% of similar nonprofits.

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

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Assets

Up

$3,236,937

Up $2,835,928 (+707%) from 2023

Liabilities

Up

$6,725,801

Up $2,835,928 (+73%) from 2023

Net Assets

Flat

-$3,488,864

Flat from 2023

Revenue

Up

$16,737,729

Up $16,737,729 from 2023

Expenses

Up

$16,737,729

Up $13,248,865 (+380%) from 2023

Net Income

Up

$0

Up $3,488,864 (+100%) from 2023

Trend Graphs

Balance Sheet Trend

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

$10M$5.0M$0-$5.0MAssets 2023: $401,009Liabilities 2023: $3,889,873Net Assets 2023: -$3,488,8642023Assets 2024: $3,236,937Liabilities 2024: $6,725,801Net Assets 2024: -$3,488,8642024

Highlighted filing

2024

Assets$3,236,937
Liabilities$6,725,801
Net Assets-$3,488,864

Operations Trend

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

$20M$10M$0-$10MRevenue 2023: $0Expenses 2023: $3,488,864Net Income 2023: -$3,488,8642023Revenue 2024: $16,737,729Expenses 2024: $16,737,729Net Income 2024: $02024

Highlighted filing

2024

Revenue$16,737,729
Expenses$16,737,729
Net Income$0

Filings

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
$16,737,729
Mission and Program Overview

Mission

On Sept. 1, 2023, Billings Clinic and Logan Health united to create one health care system, serving patients in Montana and Wyoming with quality care for all, reimagining healthcare through connection, service, and innovation.

Mtwy health was formed to serve as an independent, integrated healthcare delivery system based in montana. Mtwy health provides strategic leadership, oversight, and centralized support services for its subsidiary hospitals and healthcare facilities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Prepaid Expenses and Deferred Charges$401,009$3,236,937▲ $2,835,928
Total Assets$401,009$3,236,937▲ $2,835,928
Liabilities
Other Liabilities$3,889,873$6,370,363▲ $2,480,490
Accounts Payable and Accrued Expenses-$355,438-
Total Liabilities$3,889,873$6,725,801▲ $2,835,928
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-3,488,864$-3,488,864→ $0
Total Net Assets Fund Balance$-3,488,864$-3,488,864→ $0
Total Liabilities and Net Assets / Fund Balance$401,009$3,236,937▲ $2,835,928
Compensation and Service Providers

Employees

NameTitleOtherTotal
Alice GordonBoard Member$6,000$6,000
Keith CookBoard Member/treasurer$6,000$6,000

Board Members and Trustees

NameTitle
Craig BartholomewBoard Member/chair
Michael GoguenBoard Member/vice Chair
Heidi Duncan MdBoard Member
Jane KarasBoard Member
Melissa Kaptanian MdBoard Member
Michelle HarrisBoard Member
Ellen LaytonCAO
Justin OttCIO
William GibsonCLO/secretary
Craig Lambrecht MdSystem CEO (until 3/11/2024)
Cole TurnerSystem CFO (until 4/26/2024)
Clinton Seger MdSystem Co-CEO
Kevin AbelSystem Co-CEO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$16,737,729
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$11,324,848
Salaries, Compensation, and Employee Benefits$5,412,881
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,893,792--$4,893,792
Fees for Services Other$1,921,046$155-$1,921,201
Insurance-$1,413,997-$1,413,997
Information Technology$952,884--$952,884
Fees for Services Legal-$521,612-$521,612
Payroll Taxes$216,430--$216,430
Other Employee Benefits$168,038--$168,038
Pension Plan Contributions$134,621--$134,621
Fees for Services Accounting-$85,955-$85,955
Other Expenses$83,311--$83,311
All Other Expenses$65,315--$65,315
Travel-$28,363-$28,363
Office Expenses$311--$311
Total Functional Expenses$14,687,647$2,050,082$0$16,737,729
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
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Logan Health$4,068,819
Due to Billings Clinic$2,301,544
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
No
Management duties delegated
No

Governance Explanations

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
Mtwy Health
EIN
93-2584380
Phone
4064356445
Address
310 SUNNYVIEW LN, KALISPELL, MT 59901
Doing Business As
Billings Clinic - Logan Health

Signing Officer

Name
Patti Pilgrim
Title
CFO
Phone
4064356445
Signed
2025-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kevin Abel
Formed
2023
Legal Domicile
Mt
Voting Board Members
11
Independent Board Members
6
Employees
0
Volunteers
6

Preparer

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

Additional Explanations

Form 990, Part IX, Line 11G

Other consulting fees: program service expenses 1,921,046. Management and general expenses 155. Fundraising expenses 0. Total expenses 1,921,201.

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.

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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0MTWY HEALTH SHARES GOVERNANCE AND MANAGEMENT WITH ITS SUPPORTED ORGANIZATIONS.
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt40
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt50
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