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Nonprofiteer
← STILLWATER HOSPITAL ASSOCIATION INC

Form 990 for tax year 2023

Filed by STILLWATER HOSPITAL ASSOCIATION INC.

Totals

Total revenue
$7,114,437
Total expenses
$6,713,185
Contributions and grants received
$49,084
Grants paid
$4,117
Program service revenue
$6,974,539
Investment income
$82,653
Other revenue
$8,161
Total assets, end of year
$19,689,643
Total liabilities, end of year
$11,246,168
Net assets or fund balances, end of year
$8,443,475
Program services expenses (Part IX)
$4,843,335
Management and general expenses
$1,869,850
Fundraising expenses
$0
Program service expenses (Part III)
$4,843,335

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

  • BHARAT ACHARYA

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    3

  • JUSTIN OTT

    Secretary/Treasurer

    Total calculated
    $263,764
    From this org
    $0
    From related orgs
    $207,909
    Other
    $55,855
    Hours/week
    3 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $206,850 related
    Bonus
    $0
    Other
    $0 + $1,059 related
    Deferred
    $0 + $28,379 related
    Nontaxable benefits
    $0 + $27,476 related
    Filer's total
    $0 + $263,764 related

  • TOM CHAMBERLAIN

    PRESIDENT

    Total calculated
    $0
    Hours/week
    3

  • ANN DAVEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • DR DAN VESBACH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • DR DAVID M KANE

    Director/Physician

    Total calculated
    $232,582
    From this org
    $197,788
    From related orgs
    $0
    Other
    $34,794
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $196,973
    Bonus
    $0
    Other
    $815
    Deferred
    $14,780
    Nontaxable benefits
    $20,014
    Filer's total
    $232,582

  • JESSICA COZZENS

    Director

    Total calculated
    $418,080
    From this org
    $0
    From related orgs
    $363,934
    Other
    $54,146
    Hours/week
    3 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $362,327 related
    Bonus
    $0
    Other
    $0 + $1,607 related
    Deferred
    $0 + $22,561 related
    Nontaxable benefits
    $0 + $31,585 related
    Filer's total
    $0 + $418,080 related

  • MARLENE DEIS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • MATTHEW WALLER

    Director

    Total calculated
    $230,341
    From this org
    $0
    From related orgs
    $177,463
    Other
    $52,878
    Hours/week
    3 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $176,852 related
    Bonus
    $0 + $60 related
    Other
    $0 + $551 related
    Deferred
    $0 + $24,936 related
    Nontaxable benefits
    $0 + $27,942 related
    Filer's total
    $0 + $230,341 related

  • LUKE E KOBOLD

    CEO

    Total calculated
    $213,090
    From this org
    $169,740
    From related orgs
    $0
    Other
    $43,350
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,408
    Bonus
    $0
    Other
    $1,332
    Deferred
    $13,501
    Nontaxable benefits
    $29,849
    Filer's total
    $213,090

  • DR CODY G WHITE

    Physician

    Total calculated
    $349,132
    From this org
    $303,426
    From related orgs
    $0
    Other
    $45,706
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $283,185
    Bonus
    $20,000
    Other
    $241
    Deferred
    $20,763
    Nontaxable benefits
    $24,943
    Filer's total
    $349,132

  • EDWIN K SHEILS

    Physician Assistant

    Total calculated
    $220,869
    From this org
    $178,232
    From related orgs
    $0
    Other
    $42,637
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,631
    Bonus
    $0
    Other
    $601
    Deferred
    $13,847
    Nontaxable benefits
    $28,790
    Filer's total
    $220,869

  • LOCKE L MURPHY

    Nurse Practitioner

    Total calculated
    $200,664
    From this org
    $160,576
    From related orgs
    $0
    Other
    $40,088
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,408
    Bonus
    $60
    Other
    $108
    Deferred
    $12,727
    Nontaxable benefits
    $27,361
    Filer's total
    $200,664

  • RICHARD K KLEE

    Physician

    Total calculated
    $231,747
    From this org
    $202,154
    From related orgs
    $0
    Other
    $29,593
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $200,373
    Bonus
    $0
    Other
    $1,781
    Deferred
    $15,635
    Nontaxable benefits
    $13,958
    Filer's total
    $231,747

  • WADE SEE

    Physician

    Total calculated
    $439,400
    From this org
    $406,304
    From related orgs
    $0
    Other
    $33,096
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $383,615
    Bonus
    $20,060
    Other
    $2,629
    Deferred
    $19,900
    Nontaxable benefits
    $13,196
    Filer's total
    $439,400

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, and on a Form 990-PF Part VIII's — 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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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 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

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202433209349308518

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