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Nonprofiteer
← STILLWATER HOSPITAL ASSOCIATION INC

Form 990 for tax year 2022

Filed by STILLWATER HOSPITAL ASSOCIATION INC.

Totals

Total revenue
$13,974,997
Total expenses
$13,836,535
Contributions and grants received
$433,032
Grants paid
$2,013
Program services expenses (Part IX)
$9,972,563
Management and general expenses
$3,863,972
Fundraising expenses
$0
Program service expenses (Part III)
$9,972,563

Program services were 72.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Jessica Cozzens

    Director

    Total calculated
    $411,015
    From this org
    $0
    From related orgs
    $354,206
    Other
    $56,809
    Hours/week
    3 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $351,771 related
    Bonus
    not reported + $410 related
    Other
    not reported + $2,025 related
    Deferred
    not reported + $26,275 related
    Nontaxable benefits
    not reported + $30,534 related
    Filer's total
    not reported + $411,015 related

  • Wade See

    Physician

    Total calculated
    $395,761
    From this org
    $362,796
    From related orgs
    $0
    Other
    $32,965
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $339,874
    Bonus
    $20,000
    Other
    $2,922
    Deferred
    $23,177
    Nontaxable benefits
    $9,788
    Filer's total
    $395,761

  • Richard Klee

    Physician

    Total calculated
    $385,163
    From this org
    $339,512
    From related orgs
    $0
    Other
    $45,651
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $337,000
    Bonus
    $0
    Other
    $2,512
    Deferred
    $26,275
    Nontaxable benefits
    $19,376
    Filer's total
    $385,163

  • Dr Cody White

    PHYSICIAN

    Total calculated
    $355,892
    From this org
    $304,906
    From related orgs
    $0
    Other
    $50,986
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $284,592
    Bonus
    $20,075
    Other
    $239
    Deferred
    $26,275
    Nontaxable benefits
    $24,711
    Filer's total
    $355,892

  • Justin Ott

    SECRETARY/TREASURER

    Total calculated
    $265,135
    From this org
    $0
    From related orgs
    $208,022
    Other
    $57,113
    Hours/week
    3 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $207,349 related
    Bonus
    not reported
    Other
    not reported + $673 related
    Deferred
    not reported + $32,262 related
    Nontaxable benefits
    not reported + $24,851 related
    Filer's total
    not reported + $265,135 related

  • Dr David Kane

    DIRECTOR/PHYSICIAN

    Total calculated
    $244,052
    From this org
    $0
    From related orgs
    $198,193
    Other
    $45,859
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $195,098 related
    Bonus
    $0
    Other
    $0 + $3,095 related
    Deferred
    $0 + $18,622 related
    Nontaxable benefits
    $0 + $27,237 related
    Filer's total
    $0 + $244,052 related

  • Matthew Waller

    Director

    Total calculated
    $232,863
    From this org
    $0
    From related orgs
    $177,647
    Other
    $55,216
    Hours/week
    3 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $177,110 related
    Bonus
    not reported
    Other
    not reported + $537 related
    Deferred
    not reported + $28,294 related
    Nontaxable benefits
    not reported + $26,922 related
    Filer's total
    not reported + $232,863 related

  • Luke Kobold

    CEO

    Total calculated
    $222,839
    From this org
    $177,069
    From related orgs
    $0
    Other
    $45,770
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,139
    Bonus
    $11,669
    Other
    $1,261
    Deferred
    $17,240
    Nontaxable benefits
    $28,530
    Filer's total
    $222,839

  • Edwin Sheils

    PHYSICIAN ASSISTANT

    Total calculated
    $217,898
    From this org
    $175,396
    From related orgs
    $0
    Other
    $42,502
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,771
    Bonus
    $1,859
    Other
    $766
    Deferred
    $16,795
    Nontaxable benefits
    $25,707
    Filer's total
    $217,898

  • Locke Murphy

    Nurse Practitioner

    Total calculated
    $197,434
    From this org
    $155,955
    From related orgs
    $0
    Other
    $41,479
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,872
    Bonus
    $1,984
    Other
    $99
    Deferred
    $15,001
    Nontaxable benefits
    $26,478
    Filer's total
    $197,434

  • Tom Chamberlain

    President

    Total calculated
    $0
    Hours/week
    3

  • Bharat Acharya

    Vice President

    Total calculated
    $0
    Hours/week
    3

  • Dr Dan Vesbach

    Director

    Total calculated
    $0
    Hours/week
    3

  • Ann Davey

    Director

    Total calculated
    $0
    Hours/week
    3

  • Marlene Deis

    Director

    Total calculated
    $0
    Hours/week
    3

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3
DESCRIBE HOW CEO COMPENSATION IS DETERMINED: 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202401359349308750

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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