BILLINGS CLINIC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: BILLINGS CLINIC (EIN 81-0231784)
Tax period: 2023-07-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202423209349315617
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T13:02:52+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 South Tejon Suite 800	AddressLine1Txt
City	Colorado Springs	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809039848	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810231784	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Billings Clinic	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BILL	BusinessNameControlTxt
Phone	4062382500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 Tenth Avenue North	AddressLine1Txt
City	Billings	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KATHLEEN QUINONES	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2024-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Adam R Smith	PreparerPersonNm
PTIN	P00958966	PTIN
Phone	7194714290	PhoneNum
Preparation	2024-11-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLINT SEGER MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 Tenth Avenue North	AddressLine1Txt
City	Billings	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$983,590,332	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BILLINGSCLINIC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1917	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	BILLINGS CLINIC IS MONTANA'S LARGEST HEALTHCARE ORGANIZATION CONSISTING OF A 336 BED HOSPITAL AND LEVEL 1 TRAUMA CENTER, PRIMARY CARE AND OVER 80 SPECIALTIES.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	6074	TotalEmployeeCnt
Total Volunteers	86	TotalVolunteersCnt
Total Gross UBI	$13,916,593	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,494,840	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,112,553	PYContributionsGrantsAmt
CY Contributions Grants	$1,642,869	CYContributionsGrantsAmt
PY Program Service Revenue	$971,557,398	PYProgramServiceRevenueAmt
CY Program Service Revenue	$508,769,420	CYProgramServiceRevenueAmt
PY Investment Income	$81,683,280	PYInvestmentIncomeAmt
CY Investment Income	$17,671,483	CYInvestmentIncomeAmt
PY Other Revenue	$27,642,818	PYOtherRevenueAmt
CY Other Revenue	$12,322,725	CYOtherRevenueAmt
PY Total Revenue	$1,091,996,049	PYTotalRevenueAmt
CY Total Revenue	$540,406,497	CYTotalRevenueAmt
PY Grants And Similar Paid	$277,725	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$128,328	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$504,893,175	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$250,032,826	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$596,454,984	PYOtherExpensesAmt
CY Other Expenses	$303,035,118	CYOtherExpensesAmt
PY Total Expenses	$1,101,625,884	PYTotalExpensesAmt
CY Total Expenses	$553,196,272	CYTotalExpensesAmt
PY Revenues Less Expenses	-$9,629,835	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$12,789,775	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,374,741,411	TotalAssetsBOYAmt
Total Assets EOY	$1,396,449,787	TotalAssetsEOYAmt
Total Liabilities BOY	$488,326,129	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$496,385,928	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$886,415,282	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$900,063,859	NetAssetsOrFundBalancesEOYAmt
Mission	BILLINGS CLINIC MISSION IS HEALTH CARE, EDUCATION AND RESEARCH. BILLINGS CLINIC WILL PROVIDE THE BEST IN NATION CLINICAL QUALITY, PATIENT SAFETY, SERVICE AND VALUE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$216,481,428	ExpenseAmt
Grant	$60,151	GrantAmt
Revenue	$283,640,168	RevenueAmt
Desc	BILLINGS CLINIC IS A 336 BED HOSPITAL PROVIDING SURGICAL, LABOR AND DELIVERY, PSYCHIATRIC, CANCER CARE, NEONATAL SERVICES AND ACUTE CARE. BILLINGS CLINIC HAD APPROXIMATELY 15,000 ADMISSIONS IN 2023.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$198,835,157	ExpenseAmt
Grant	$55,247	GrantAmt
Revenue	$172,385,061	RevenueAmt
Desc	BILLINGS CLINIC HAS NEARLY 600 PHYSICIANS AND ADVANCED PRACTITIONERS OFFERING MORE THAN 80 SPECIALTIES. PRIMARY CARE IS AVAILABLE AT MULTIPLE LOCATIONS INCLUDING BILLINGS CLINIC DOWNTOWN, HEIGHTS, WEST END, CODY WY, MILES CITY AND A BOZEMAN LOCATION WITH ADDITIONAL SPECIALTIES. IN ADDITION, BILLINGS CLINIC CONDUCTS SPECIALTY CARE CLINICS FOR MORE THAN 20 REGIONAL LOCATIONS IN MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC HAD OVER 880,000 PATIENT VISITS IN 2023.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$46,536,247	ExpenseAmt
Grant	$12,930	GrantAmt
Revenue	$51,199,364	RevenueAmt
Desc	BILLINGS CLINIC SPECIALTY PHARMACY FOCUSES ON THE PHARMACY CARE OF CHRONIC, RARE OR COMPLEX CONDITIONS THAT REQUIRE SPECIALTY MEDICATIONS. SPECIALTY MEDICATIONS TYPICALLY REQUIRE SPECIAL HANDLING, ADMINISTRATION OR MONITORING BEYOND THAT WHICH A TRADITIONAL RETAIL PHARMACY CAN PROVIDE. WE WORK TO ENSURE APPROPRIATE MEDICATION USE AND PROMOTE ADHERENCE. BILLINGS CLINIC SPECIALTY PHARMACY IS PART OF THE LARGEST HEALTH CARE SYSTEM IN THE REGION. OUR STAFF WORKS WITH YOU, YOUR PROVIDER AND YOUR INSURANCE COMPANY TO MAKE SURE YOUR NEEDS ARE MET. OUR GOAL IS TO MAKE BILLINGS CLINIC A ONE-STOP SOLUTION.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$461,852,832	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	234	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6074	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KATHLEEN QUINONES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4064356445	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 TENTH AVENUE NORTH	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KEITH COOK
BOARD CHAIR	5.0	2.0	Yes (X)	Yes (X)	$7,500	$0	$9,000
WAYNE HIRSCH
BOARD TREASURER	5.0	0	Yes (X)	Yes (X)	$0	$0	$6,000
ALICE GORDON
BOARD MEMBER	5.0	1.0	Yes (X)		$4,500	$0	$6,000
AMY CEBULL
BOARD MEMBER	5.0	2.0	Yes (X)		$0	$0	$3,015
CRAIG BARTHOLOMEW
BOARD MEMBER	5.0	1.0	Yes (X)		$0	$0	$10,995
EILEEN MCDONALD
BOARD MEMBER	5.0	3.0	Yes (X)		$0	$0	$6,447
HEIDI DUNCAN MD
PHYSICIAN BOARD MEMBER	60.0	1.0	Yes (X)		$233,914	$0	$61,250
JOHN EDWARDS
BOARD MEMBER	5.0	1.0	Yes (X)		$0	$0	$3,015
KENDRICK TROSTEL MD
PHYSICIAN BOARD MEMBER	5.0	0	Yes (X)		$666,254	$0	$55,471
CLINTON SEGER MD
CEO	60.0	4.0		Yes (X)	$830,292	$0	$132,500
KATHLEEN QUINONES
CFO	60.0	3.0		Yes (X)	$448,591	$0	$102,141
ANTHONY ROCCISANO DO
PHYSICIAN	60.0	0			$1,612,546	$0	$61,354	Yes (X)
CHRISTOPHER STEWART DO
PHYSICIAN	60.0	0			$1,295,248	$0	$48,388	Yes (X)
MARLIN RICHARDSON MD
PHYSICIAN	60.0	0			$1,474,845	$0	$59,472	Yes (X)
MICHAEL MORONE MD
PHYSICIAN	60.0	0			$1,504,067	$0	$56,622	Yes (X)
VANCE FREDRICKSON MD
PHYSICIAN	60.0	0			$2,068,644	$0	$36,971	Yes (X)
SCOTT ELLNER DO
FORMER CEO	60.0	2.0			$982,800	$0	$1,002		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,129,201	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$659,643	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1008	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HAYES LOCUMS LLC
PO BOX 5068	NEW YORK	NY	10087	CONTRACT PHYSICIANS	$38,669,086
VAYA WORKFORCE SOUTIONS LLC
PO BOX 9416	MINNEAPOLIS	MN	55480	CONTRACT LABOR	$33,262,059
BILLINGS ANESTHESIOLOGY PC
2800 10th Ave N	BILLINGS	MT	59101	ANESTHESIOLOGIST SERVICES	$21,468,730
ORACLE AMERICA INC
2300 ORACLE WAY	AUSTIN	TX	78741	IT SERVICES	$10,554,844
AVANT HEALTHCARE PROFESSION
PO BOX 744554	ATLANTA	GA	303744554	CONTRACT NURSING	$5,516,945

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	52	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,642,869	RelatedOrganizationsAmt
Total Contributions	$1,642,869	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621110	$462,376,727	$462,376,727
RETAIL PHARMACY	621110	$38,014,858	$38,014,858
REFERENCE LAB	621500	$3,523,889		$3,523,889
INCOME ON EQUITY INVESTEES	900099	$4,634,114	$4,634,114
CLINICAL TRIAL REVENUE	541900	$219,832	$219,832

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$508,769,420	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,544,290	TotalRevenueColumnAmt
Exclusion	$8,544,290	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$108,491	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$213,952	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$105,461	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$105,461	TotalRevenueColumnAmt
Exclusion	-$105,461	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$452,017,007	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$442,889,814	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$9,127,193	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,127,193	TotalRevenueColumnAmt
Exclusion	$9,127,193	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$258,531	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$80,069	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$178,462	TotalRevenueColumnAmt
Related Or Exempt Func Income	$166,237	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,225	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
REGIONAL PAHRMACY SALES	621110	$7,987,220	$7,987,220
SERVICE TO OTHER HOSPITALS	541519	$1,870,041	$1,870,041
IT CMC	541519	$523,218	$523,218

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,869,245	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,812,825	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$56,420	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,249,724	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$540,406,497	TotalRevenueColumnAmt
Related Or Exempt Func Income	$507,224,593	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$13,916,593	UnrelatedBusinessRevenueAmt
Exclusion	$17,622,442	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$120,507	TotalAmt
Program Services	$120,507	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$7,821	TotalAmt
Program Services	$7,821	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,548,992	TotalAmt
Program Services	$1,162,209	ProgramServicesAmt
Management And General	$386,783	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$2,617,603	TotalAmt
Management And General	$2,617,603	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$208,393,942	TotalAmt
Program Services	$170,870,653	ProgramServicesAmt
Management And General	$37,523,289	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,627,458	TotalAmt
Program Services	$5,686,927	ProgramServicesAmt
Management And General	$940,531	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,972,993	TotalAmt
Program Services	$11,276,440	ProgramServicesAmt
Management And General	$7,696,553	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,871,838	TotalAmt
Program Services	$9,237,477	ProgramServicesAmt
Management And General	$2,634,361	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$27,500	TotalAmt
Management And General	$27,500	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,080,683	TotalAmt
Program Services	$3,674	ProgramServicesAmt
Management And General	$1,077,009	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$337,263	TotalAmt
Management And General	$337,263	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$74,218	TotalAmt
Management And General	$74,218	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$710,621	TotalAmt
Management And General	$710,621	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$81,128,784	TotalAmt
Program Services	$70,080,236	ProgramServicesAmt
Management And General	$11,048,548	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,784,591	TotalAmt
Program Services	$15,704	ProgramServicesAmt
Management And General	$1,768,887	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,621,978	TotalAmt
Program Services	$2,946,118	ProgramServicesAmt
Management And General	$3,675,860	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,153,410	TotalAmt
Program Services	$11,652,972	ProgramServicesAmt
Management And General	$3,500,438	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,831,622	TotalAmt
Program Services	$3,340,408	ProgramServicesAmt
Management And General	$491,214	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,554,110	TotalAmt
Program Services	$1,826,444	ProgramServicesAmt
Management And General	$727,666	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$48,873	TotalAmt
Management And General	$48,873	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,034,096	TotalAmt
Program Services	$4,527,382	ProgramServicesAmt
Management And General	$1,506,714	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,590,622	TotalAmt
Program Services	$13,838,238	ProgramServicesAmt
Management And General	$2,752,384	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,416,058	TotalAmt
Program Services	$1,467,880	ProgramServicesAmt
Management And General	$1,948,178	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$140,637,741	$140,356,466	$281,275
REPAIRS AND MAINTENANCE	$6,256,803	$6,256,803
BED TAX	$4,941,473	$3,833,595	$1,107,878
DUES	$1,871,015	$741,296	$1,129,719

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,933,657	TotalAmt
Program Services	$2,603,582	ProgramServicesAmt
Management And General	$7,330,075	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$553,196,272	TotalAmt
Program Services	$461,852,832	ProgramServicesAmt
Management And General	$91,343,440	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$16,079,651	BOYAmt
EOY	$31,289,949	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$240,857,717	BOYAmt
EOY	$136,439,358	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$147,576,315	BOYAmt
EOY	$207,581,779	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,077,350	BOYAmt
EOY	$1,194,984	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$23,262,216	BOYAmt
EOY	$24,152,113	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,022,494	BOYAmt
EOY	$13,846,413	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$773,472,922	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$413,148,507	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$360,824,889	BOYAmt
EOY	$360,324,415	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$393,528,818	BOYAmt
EOY	$436,077,688	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$38,197,490	BOYAmt
EOY	$30,922,198	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,595,143	BOYAmt
EOY	$2,424,034	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$138,719,328	BOYAmt
EOY	$152,196,856	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,374,741,411	BOYAmt
EOY	$1,396,449,787	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$86,164,548	BOYAmt
EOY	$98,154,128	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$688,976	BOYAmt
EOY	$444,976	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$172,378,620	BOYAmt
EOY	$168,864,918	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$190,130,457	BOYAmt
EOY	$187,181,126	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$38,963,528	BOYAmt
EOY	$41,740,780	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$488,326,129	BOYAmt
EOY	$496,385,928	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$814,969,320	BOYAmt
EOY	$818,532,058	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$71,445,962	BOYAmt
EOY	$81,531,801	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$886,415,282	BOYAmt
EOY	$900,063,859	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,374,741,411	BOYAmt
EOY	$1,396,449,787	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$12,789,775	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,763,358	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$15,674,994	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$124,457	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$124,457	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$553,071,937	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$553,196,394	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Field	Value	IRS element (for citing)
Form4720 Filed	false	Form4720FiledInd

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$165,280	CurrentYearMinus3Amt
Current Year Minus2	$264,515	CurrentYearMinus2Amt
Current Year Minus1	$278,299	CurrentYearMinus1Amt
Current Year	$124,457	CurrentYearAmt
Total	$832,551	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$73,095,797	BeginningYearBalanceAmt
Contributions	$429,886	ContributionsAmt
Investment Earnings Or Losses	$1,995,033	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$78,183	GrantsOrScholarshipsAmt
End Year Balance	$75,442,533	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$73,071,314	BeginningYearBalanceAmt
Contributions	$1,346,174	ContributionsAmt
Investment Earnings Or Losses	$414,941	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,736,632	GrantsOrScholarshipsAmt
End Year Balance	$73,095,797	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$70,534,237	BeginningYearBalanceAmt
Contributions	$1,143,430	ContributionsAmt
Investment Earnings Or Losses	$3,769,220	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,375,573	GrantsOrScholarshipsAmt
End Year Balance	$73,071,314	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$63,959,649	BeginningYearBalanceAmt
Contributions	$427,564	ContributionsAmt
Investment Earnings Or Losses	$6,900,818	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$753,794	GrantsOrScholarshipsAmt
End Year Balance	$70,534,237	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$59,205,624	BeginningYearBalanceAmt
Contributions	$2,802,581	ContributionsAmt
Investment Earnings Or Losses	$2,753,070	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$801,626	GrantsOrScholarshipsAmt
End Year Balance	$63,959,649	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.3705	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.4783	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.1512	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$9,206,385	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$30,671,395	OtherCostOrOtherBasisAmt
Book Value	$39,877,780	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$287,894,811	OtherCostOrOtherBasisAmt
Depreciation	$123,491,535	DepreciationAmt
Book Value	$164,403,276	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,017,777	OtherCostOrOtherBasisAmt
Depreciation	$1,150,073	DepreciationAmt
Book Value	$867,704	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$404,172,894	OtherCostOrOtherBasisAmt
Depreciation	$274,377,367	DepreciationAmt
Book Value	$129,795,527	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,509,660	OtherCostOrOtherBasisAmt
Depreciation	$14,129,532	DepreciationAmt
Book Value	$25,380,128	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$360,324,415	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTY	$4,863,654
DUE FROM JV
INTEREST IN FOUNDATION	$139,180,004
RIGHT-OF-USE-ASSETS OPERATING LEASE	$8,153,198

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$152,196,856	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO MDOR	$359,954
DEPOSITS
INTEREST RATE SWAP AGREEMENT	$3,751,740
ESTIMATED CLAIMS LIABILITY	$11,043,547
ACCRUED INTEREST	$4,126,484
UNEARNED PREMIUMS	$14,238,359
RIGHT-OF-USE LEASE LIABILITIES	$8,220,696

Field	Value	IRS element (for citing)
Total Liability	$41,740,780	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 V, Line 4 Intended uses of endowment funds	THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE GOVERNING BODY TO FUNCTION AS ENDOWMENTS. ENDOWMENT FUNDS ARE INVESTED AND HELD TO PROVIDE GROWTH OVER THE LONG-TERM.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,814,970	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,814,970	NetCommunityBenefitExpnsAmt
Total Expense	0.0158	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,206,805	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,281,942	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,924,863	NetCommunityBenefitExpnsAmt
Total Expense	0.0446	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$76,021,775	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,281,942	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,739,833	NetCommunityBenefitExpnsAmt
Total Expense	0.0604	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,734,982	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$943,058	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,791,924	NetCommunityBenefitExpnsAmt
Total Expense	0.0032	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,808,847	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,301,325	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,507,522	NetCommunityBenefitExpnsAmt
Total Expense	0.0081	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,643,380	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,325,973	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,317,407	NetCommunityBenefitExpnsAmt
Total Expense	0.0167	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,063,588	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,063,588	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,271,828	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,271,828	NetCommunityBenefitExpnsAmt
Total Expense	0.0130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$47,522,625	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,570,356	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,952,269	NetCommunityBenefitExpnsAmt
Total Expense	0.0447	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$123,544,400	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,852,298	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,692,102	NetCommunityBenefitExpnsAmt
Total Expense	0.1051	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,410	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,410	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,685	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$147,685	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$152,095	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$152,095	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$15,207,016	BadDebtExpenseAmt
Reimbursed By Medicare	$146,740,250	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$225,915,950	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$79,175,700	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BILLINGS CLINIC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 TENTH AVE N	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BILLINGSCLINIC.COM	WebsiteAddressTxt
State License	13345	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	1	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.billingsclinic.com/app/files/public/fbf7c4e7-f7ee-456f-8c82-70f785998d10/Report_2023CHNA	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.billingsclinic.com/app/files/public/5d8a9fb2-7968-4e91-9405-d6caa64f123c/CHIP-Community-	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.BILLINGSCLINIC.COM/FINASSIST	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BILLINGSCLINIC.COM/FINASSIST	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.BILLINGSCLINIC.COM/FINASSIST	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility 1, 1	Facility 1, 1 - BILLINGS CLINIC. Billings Clinic conducted the 2020-23 CHNA in collaboration with the city-county health department, Riverstone Health and St. Vincent Healthcare, a hospital located in Billings MT. In 2020, Billings Clinic, RiverStone Health and St. Vincent Healthcare released Yellowstone County's most recent Community Health Needs Assessment with primary, secondary and qualitative research into the health needs in the community. The 2020 CHNA was a follow-up to similar surveys conducted in 2011, 2014, and 2017 which allowed for historical data in addition to solicited input from key informants and community stakeholders. Community stakeholders and key informants are members of organizations from government, education, health care and public health. Underserved and underrepresented populations were represented by key informants including individuals from various populations comprised of various racial and socio-economic backgrounds.
Schedule H, Part V, Section B, Line 6a Facility 1, 1	Facility 1, 1 - BILLINGS CLINIC. BILLINGS CLINIC'S COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN A PRE-EXISTING COMMUNITY HEALTH PARTNERSHIP, THE HEALTHY BY DESIGN ALLIANCE, WITH ST. VINCENT HEALTHCARE (HOSPITAL ORGANIZATION) AND RIVERSTONE HEALTH (PUBLIC HEALTH DEPARTMENT FOR CITY AND COUNTY). THE ALLIANCE ALSO CONDUCTED A CHNA IN 2006, 2011, 2014, 2017 AND 2020.
Schedule H, Part V, Section B, Line 11 Facility 1, 1	Facility 1, 1 - BILLINGS CLINIC. The CHNA identified 11 areas of opportunity after consideration of various criteria, including a comparison with benchmark data and historical trends, analysis of the number of persons affected and significance of findings. These areas of opportunity identified included access to health care, cancer, diabetes, heart disease and stroke, injury and violence, mental health, nutrition and physical activity, potentially disabling conditions, respiratory diseases, sexual health and substance abuse. Prioritization ranked four priorities as the top needs: 1) mental health; 2) substance abuse; 3) access to health care and 4) nutrition, physical activity and weight. Billings Clinic addresses these CHNA-identified needs at the organizational level with efforts to improve awareness and education, as well as to remove barriers to care. Work is done with clinical departments, service lines, nursing and medical education, community relations, population health, care management, city/county health department, and the state and federal government. Billings Clinic is part of several community-wide coalitions to address community health needs in a collaborative way. Access to health care - Billings Clinic participated in improving access to health care through appointment availability, transportation from appointments, cost of prescriptions and increased telemedicine offerings in rural communities. This year, more than 100 Billings Clinic physicians in 28 specialties traveled in excess of 260,000 miles to provide specialty care for residents of rural Montana, Wyoming, and North Dakota. Billings Clinic is the home office of the Eastern Montana Telemedicine Network, which provided thousands of telemedicine appointments with medical specialists, as well as administrative and operational support to people attending education and meetings through 40 partner sites in Montana, western North Dakota, and northern Wyoming. Billings Clinic supports medical careers classes in local high schools, clinical rotations for nursing students, dietary students and pharmacy students each year to help increase students in the healthcare rural workforce pipeline. Billings Clinic provides free transportation for patients who are financially unable to get home from outpatient and inpatient stays, for a total, unreimbursed cost of $38,000. For the last 19 years, Billings Clinic has offered HealthLine, which is a free service available to all community members to ask health-related questions to medical professionals, twenty-four hours a day, seven days a week. From July to December of 2023, Billings Clinic spent $221,000 on HealthLine-related costs to ensure that this service is available to the community. Billings Clinic Medication Assistance Program served thousands of uninsured and underinsured patients with tens of thousands of prescriptions processed in 2023, including financial assistance for necessary medications. The total value of the donated medications was over $1 million. Cancer - Billings Clinic provides financial and in-kind support for the American Cancer Society, Montana Women's Run, cancer research and screenings. Free or low-cost screenings for cancer are coordinated and reported on through the Cancer Committee's community outreach task group. Cancer Care Navigators help with non-clinical needs to impact patient care. Diabetes - Billings Clinic provides financial and in-kind support for Diabetes Camp for Kids in addition to diabetes prevention and self-management education at no or low charge (subsidized). Heart disease and stroke - Billings Clinic makes annual financial donations and provides in-kind leadership, health policy advocacy, special event and committee support for organizations supporting prevention, research and advocacy for many chronic diseases, including the American Heart Association. Billings Clinic also partners with the Alliance for Healthy Montanans to advocate for health policies that benefit persons with chronic diseases, including support for Medicaid expansion. In addition, Billings Clinic offers free community education during Heart Month and throughout the year including awareness for the signs and symptoms of heart attack and through our cardiac rehabilitation program. Infant health - Billings Clinic provides parental education resources and free lactation education and consultations for new moms. Injury and violence - Trauma and Injury Prevention is subsidized at a 0.5 (half time) position in the Emergency and Trauma Center by a registered nurse who provided education for safe driving, falls prevention, brain and spinal cord injury prevention, helmet safety and more. The Sexual Assault Nursing Exam (SANE) program provides subsidized medical treatment and emotional support to children, teens and adults annually who were victims of sexual assault at a cost of more than $121,000. Billings Clinic also subsidized the hours for a physician to serve as the medical director of the SANE program and to provide free follow-up care for children under 18. The SANE staff and volunteers also provide training in the region. Billings Clinic also provides in-kind time support for local organizations and the city to address public safety. Mental health - Billings Clinic is a founding member of the Community Crisis Center which is a point of access for people in our community seeking crisis stabilization services for mental health, substance abuse and/or social service needs regardless of their ability to pay. We support the Community Crisis Center for people with co-occurring disorders of mental health and substance use through financial support, leadership and staffing of mental health workers and social workers, as well as board membership by our Director of Psychiatric Services. The Community Crisis Center serves thousands of individuals with assessments, case management, group therapy, addiction counseling, referrals and stabilization services to people in need 24/7. Billings Clinic provides psychiatric hospital admissions at the only inpatient psychiatric hospital for children, teens and adults in central/eastern Montana and northern Wyoming. Psychiatric services are subsidized at a multi-million-dollar shortfall each year. Over the last six months of 2023, the shortfall totaled $2.3M. Our latest project to increase access to mental health care is Billings Clinic's Psychiatric Residency Program, which started in July 2019 and is the only one of its kind in the surrounding region. In addition, we provide financial donations to several mental health organizations, including the Out of the Darkness Walk for suicide prevention and Rimrock Foundation. Nutrition and weight - Billings Clinic is a founding member of the Healthy By Design Coalition which aims to address issues of underinsured and underserved community members. Billings Clinic in partnership with Healthy By Design, provided access to low-cost fresh fruits and vegetables at the Healthy By Design Gardeners' Market by accepting WIC and SNAP for payment. Billings Clinic provided financial support for major events to encourage thousands of individuals and families to exercise together, including Big Sky State Games, Big Sky Fit Kids, Saturday Live Fun Run, Run Turkey Run, Montana Marathon, Montana Women's Run, and many other run/walk fundraisers for local nonprofit organizations. Billings Clinic also supports local schools in the promotion of physical activity and wellness through the "Superstar Awards" $100 grant awards for 10 teachers per year to encourage physical activity and wellness in their classrooms, for all grades, in partnership with the YMCA. Disabling conditions - Billings Clinic offers support groups for caregivers of persons with disabilities and provides financial support to local nonprofits in advancing health equity for individuals with disabilities. Respiratory diseases - Clinic provides education for adults and teens about the dangers of vaping and tools/information for cessation. In coordination with community health partners, Billings Clinic provides ongoing community education for the prevention and treatment of respiratory illness. Sexual health - Billings Clinic conducts numerous outreach clinics for underserved populations in rural regions in addition to free education focused on sexual health.
Schedule H, Part V, Section B, Line 11 Facility 1, 2	Facility 1, 2 - BILLINGS CLINIC. Substance abuse - Billings Clinic is a member of the Substance Abuse Connect Coalition which focuses its work on prevention, education, and diversion to increase access to resources. Billings Clinic's participation in the coalition allows for coordinated efforts and increased impact. In addition, Project ECHO provided training and support to mental health professionals, nurses and physicians across the region throughout the year in educational sessions for the Department of Corrections, Integrated Addictions and Psychiatry and Pediatric Mental Health at an unreimbursed cost of $5,000. Tobacco use - Billings Clinic provides free education for adults and teens about the dangers of vaping, tobacco cessation screening and reduction in insurance premiums for Billings Clinic employees who don't use tobacco, as well as a free tobacco cessation course. Billings Clinic addresses the social determinants of health through advocacy, in-kind leadership and financial support of a variety of organizations doing work on important issues that affect health, including housing/homelessness, substance abuse, transportation and education. Billings Clinic is a member of several coalitions in Yellowstone County working on social determinants of health, including healthy neighborhoods, built environment and social connections (Healthy By Design Coalition and Age Friendly Billings); transportation (led by Met Transit); and housing (Continuum of Care Coalition, led by United Way and Tumbleweed). Billings Clinic provides board leadership, in-kind and financial support for economic development and security for residents of Yellowstone County and our surrounding region through Big Sky Economic Development and the Chamber of Commerce (Billings and Montana state Chambers of Commerce).

Field	Value	IRS element (for citing)
Facility	17	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
BILLINGS CLINIC
1045 N 30TH ST	BILLINGS	MT	59101	OUTPATIENT CLINIC
BILLINGS CLINIC MILES CITY
620 S HAYNES AVE	MILES CITY	MT	59301	OUTPATIENT CLINIC
BILLINGS CLINIC HEIGHTS
760 WICKS LN	BILLINGS	MT	59105	OUTPATIENT CLINIC
BILLINGS CLINIC OBGYN
925 HIGHLAND BLVD	BOZEMAN	MT	59715	OBSTETRICS AND GYNECOLOGY CLINIC
BILLINGS CLINIC SURGERY CENTER
2929 TENTH AVE N	BILLINGS	MT	59101	OUTPATIENT SURGERY CENTER
BILLINGS CLINIC WEST
2675 CENTRAL AVE	BILLINGS	MT	59102	OUTPATIENT CLINIC
BEHAVIORAL HEALTH CENTER
2800 10TH AVE N	BILLINGS	MT	591010703	OUTPATIENT MENTAL HEALTH CENTER
BILLINGS CLINIC CODY
201 YELLOWSTONE AVE	CODY	WY	92414	OUTPATIENT CLINIC
BILLINGS CLINIC CANCER CENTER
801 N 29TH ST	BILLINGS	MT	59101	CANCER CARE, INFUSION
PSYCHIATRIC CENTER
1020 N 27TH ST	BILLINGS	MT	59101	INPATIENT PSYCHIATRIC CENTER
HOME OXYGEN
1050 S 25TH ST W	BILLINGS	MT	59102	DURABLE MEDICAL EQUIPMENT
BOZEMAN PEDIATRICS
1819 S 22ND ST	BOZEMAN	MT	59715	PEDIATRIC OUTPATIENT CENTER
BILLINGS CLINIC ORTHOPEDICS
2702 8TH AVE N	BILLINGS	MT	59101	ORTHOPEDICS AND SPORTS MEDICINE
BILLINGS CLINIC BOZEMAN
3905 WELLNESS WAY	BOZEMAN	MT	59718	OUTPATIENT CLINIC
BILLINGS CLINIC CODY ORTHOPEDICS
3030 BIG HORN AVE	CODY	MT	82414	ORTHOPEDICS
BILLINGS CLINIC CODY MRI & CT IMAGING
613 YELLOWSTONE AVE	CODY	WY	82414	MRI & CT IMAGING
BILLINGS CLINIC WEST YELLOWSTONE
236 YELLOWSTONE AVE	WEST YELLOWSTONE	WY	59758	OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c DESCRIPTION OF ADDITIONAL CRITERIA TO DETERMINE FINANCIAL ASSISTANCE	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES BILLINGS CLINIC ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.
Schedule H, Part I, Line 6a RELATED ORGANIZATION ANNUAL COMMUNITY BENEFIT REPORT	STILLWATER COMMUNITY HOSPITAL, A RELATED CRITICAL ACCESS HOSPITAL, PREPARES THEIR OWN INDEPENDENT COMMUNITY BENEFIT REPORT.
Schedule H, Part V, Section B, Line 16c DIRECT URL FOR FINANICAL POLICY:	HTTPS://WWW.BILLINGSCLINIC.COM/APP/FILES/PUBLIC/7C016AF9-3E3F-4FA1-A20DB85669557B4C/BCL_FINANCIALASSISTANCEBROCHUREMAY23.PDF
Schedule H, Part I, Line 7g Subsidized Health Services	SUBSIDIZED HEALTH SERVICES INCLUDES VARIOUS PHYSICIAN CLINICS IN ORDER TO BETTER SERVE THE MONTANA AREAS. MANY CRITICAL SERVICES WERE NOT FULLY REIMBURSED SUCH AS BEHAVIORAL HEALTH, PEDIATRIC SPECIALTIES, SEXUAL ASSAULT NURSE EXAMINATION AND RURAL OUTREACH CLINICS. PRIMARY CARE CLINICS WERE ONLY INCLUDED IF THEY WERE IN RURAL, UNDERSERVED AREAS OUTSIDE OUR PRIMARY SERVICE AREA. TOTAL COSTS FOR THE SUBSIDIZED SERVICES WERE $26,643,380 AND NET COMMUNITY BENEFIT OF THOSE SERVICES WAS DETERMINED TO BE $9,317,408.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	0
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. BILLINGS CLINIC USED THE SAME COST-TO-CHARGE RATIO THROUGHOUT THE ENTIRE SCHEDULE TO DETERMINE THE COST OF THOSE ACTIVITIES.
Schedule H, Part II Community Building Activities	COMMUNITY BUILDING ACTIVITIES: BILLINGS CLINIC'S COMMUNITY BUILDING ACTIVITIES INCLUDE COMMUNITY SUPPORT AND ADVOACY FOR PATIENT CARE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	IS THE BEST ESTIMATE OF THE PERCENTAGE OF MONTANA'S MEDICARE POPULATION (65 AND OLDER) WHO ARE AT OR BELOW 200% OF FEDERAL POVERTY LEVEL, BASED ON MEDICARE AND U.S. CENSUS DATA, AND THOSE PATIENTS WOULD QUALIFY FOR FULL FINANCIAL ASSISTANCE. A HIGHER PERCENTAGE WOULD QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE WITH INCOMES FROM 200- 400 PERCENT OF FEDERAL POVERTY LEVEL. FOR THE CALCULATION OF THE UNREIMBURSED COST OF MEDICARE A RATIO OF PATIENT COST-TO CHARGES USING WORKSHEET 2 WAS UTILIZED AND APPLIED TO GROSS MEDICARE CHARGES. WE DO NOT USE THE MEDICARE COST REPORT FOR THIS NUMBER. THE COST REPORT ONLY CAPTURES REVENUE RELATED TO THE FACILITY AND DOES NOT CAPTURE REVENUE/LOSSES RELATED TO CLINICAL PROFESSIONAL SERVICES, WHICH ARE A SUBSTANTIAL PORTION OF MEDICARE SHORTFALLS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ACCOUNTS ARE BILLED WITH INSURANCE INFORMATION SUPPLIED BY THE PATIENT AND WHEN AVAILABLE, VERIFIED BY BILLINGS CLINIC. BILLINGS CLINIC SENDS PATIENT BILLING STATEMENTS THAT INCLUDE THE SUMMARY OF SERVICES PROVIDED, AMOUNTS PENDING INSURANCE AND AMOUNTS OWED BY THE PATIENT. FINANCIAL ASSISTANCE IS OFFERED TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED. BILLINGS CLINIC ASSISTS PATIENTS APPLYING FOR FINANCIAL ASSISTANCE, AND PUBLIC PROGRAMS SUCH AS MEDICAID. BILLINGS CLINIC ALSO ASSISTS PATIENTS WITH PAYMENT PLANS INTEREST FREE FOR 12 MONTHS OR THROUGH AN EXTENDED LOAN OPTION UP TO 60 MONTHS. BILLINGS CLINIC WILL NOT REFER A PATIENT TO COLLECTIONS UNTIL AFTER 120 DAYS OF THE INDIVIDUAL BEING AWARE OF THEIR OPTIONS.
Schedule H, Part V, Section B, Line 16a FAP website	1 - BILLINGS CLINIC: Line 16a URL: WWW.BILLINGSCLINIC.COM/FINASSIST;
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - BILLINGS CLINIC: Line 16b URL: WWW.BILLINGSCLINIC.COM/FINASSIST;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - BILLINGS CLINIC: Line 16c URL: WWW.BILLINGSCLINIC.COM/FINASSIST;
Schedule H, Part VI, Line 2 Needs assessment	SINCE 1994, BILLINGS CLINIC, RIVERSTONE HEALTH AND ST. VINCENT HEALTHCARE HAVE BEEN WORKING TOGETHER AS THE ALLIANCE, CREATING AND SUSTAINING INNOVATIVE PROGRAMS THAT ADDRESS COMPLEX COMMUNITY-WIDE HEALTH ISSUES. RIVERSTONE HEALTH IS THE PUBLIC HEALTH DEPARTMENT FOR THE YELLOWSTONE COUNTY AND ST. VINCENT HEALTHCARE IS A 501(C)(3) HEALTHCARE ENTITY ALSO SERVING THE BILLINGS AREA.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ALL PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE. INFORMATIONAL BROCHURES WITH ONE-PAGE PLAIN LANGUAGE SUMMARY AND APPLICATION FORMS ARE AVAILABLE AT REGISTRATION DESKS IN THE CLINIC AND THE HOSPITAL, THE EMERGENCY DEPARTMENT DISCHARGE DESK, AND ON OUR WEBSITE AT WWW.BILLINGSCLINIC.COM/FINASSIST. OUR WEBPAGE INCLUDES THE FULL FINANCIAL ASSISTANCE POLICY. PATIENTS CAN ALSO CALL A DIRECT LINE TO TALK TO A PATIENT FINANCIAL REPRESENTATIVE. INFORMATION ABOUT FINANCIAL ASSISTANCE IS PRINTED ON THE BACK OF PATIENT BILLS. PATIENTS HOSPITALIZED WITHOUT IDENTIFIYING A THIRD PARTY PAYER SOURCE ARE SCREENED FOR COVERAGE/ASSISTANCE (DISABILITY, MEDICAID, VETERANS ADMINSTRATION, INDIAN HEALTH SERVICES AND WORKERS COMPENSATIONS). APPLICATIONS ARE MAILED TO PATIENTS WHOSE PAYMENT PATTERN INDICATES THAT THEY MAY NEED ASSISTANCE. PATIENT FINANCIAL SERVICES STAFF IS AVAILABLE TO HELP ANY PATIENT NEEDING ASSISTANCE COMPLETING AN APPLICATION. LANGUAGE TRANSLATION SERVICES ARE ALSO AVAILABLE.
Schedule H, Part VI, Line 4 Community information	BILLINGS CLINIC IS BASED IN BILLINGS, MONTANA AND IS MONTANA'S LARGEST HEALTH CARE ORGANIZATION SERVING A VAST REGION COVERING MUCH OF MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC IS ONE OF MONTANA'S LARGEST EMPLOYERS WITH APPROXIATELY 4,500 EMPLOYEES INCLUDING MORE THAN 600 PHYSICIANS AND ADVANCED PRACTITIONERS OFFERING MORE THAN 80 SPECIALTIES. COMMUNITY BENEFIT INCLUDES HEALTH CARE SERVICES PROVIDED AT BILLINGS CLINIC LOCATIONS, INCLUDING THE HOSPITAL, MAIN CLINIC, BRANCH CLINICS AND OUTREACH CLINICS. BILLINGS CLINIC SPECIALISTS PROVIDE 110 OUTREACH CLINICS PER MONTH AT 21 DIFFERENT REGIONAL LOCATIONS FOR THE RESIDENTS OF MONTANA, WYOMING AND NORTH DAKOTA.
Schedule H, Part VI, Line 5 Promotion of community health	AS A NOT-FOR PROFIT COMMUNITY-GOVERNED ORGANIZATION, WORKING WITH OTHER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE HEALTH CARE NEEDS IS AN IMPORTANT PART OF OUR MISSION. BILLINGS CLINIC HAS BEEN INVOLVED IN MEETING THE NEEDS OF INDIVIDUALS AND COMMUNITIES THROUGH COOPERATIVE EFFORTS WITH OTHER ORGANIZATIONS IN YELLOWSTONE COUNTY AND IN OUR REGION. COMMUNITY HEALTH COLLABORATION SINCE 1994, BILLINGS CLINIC, RIVERSTONE HEALTH AND ST. VINCENT HEALTHCARE HAVE BEEN WORKING TOGETHER, CREATING AND SUSTAINING INNOVATIVE PROGRAMS THAT ADDRESS COMPLEX COMMUNITY-WIDE HEALTH ISSUES. THEIR PURPOSE IS TO CREATE SUSTAINED CHANGE IN HOW OUR COMMUNITY RESPONDS TO THE CHALLENGE OF THE HIGH COST OF PRESCRIPTION DRUGS FOR THE UNINSURED AND THE POPULATION LIFESTYLE ISSUES OF OBESITY, POOR NUTRITION AND PHYSICAL ACTIVITY HABITS. THESE ARE EXAMPLES OF THE PAST AND FUTURE SUCCESSES OF THE ALLIANCE'S EFFORTS. COMMUNITY CRISIS CENTER - THE COMMUNITY CRISIS CENTER (CCC), ENHANCES\ACCESS TO BEHAVIORAL HEALTH CARE IN BILLINGS. THE CCC HAS SUCCESSFULLY REDUCED INAPPROPRIATE UTILIZATION OF LOCAL EMERGENCY DEPARTMENTS, DECREASED THE NUMBER OF SHORT-TERM INPATIENT HOSPITAL ADMISSIONS, AND HAS BEEN A DRIVING FORCE IN REDUCING THE INMATE POPULATION AT THE YELLOWSTONE COUNTY DETENTION FACILITY. MEDICATION ASSISTANCE PROGRAM (MAP) - MAP HELPS PATIENTS AFFORD THE PRESCRIPTION DRUGS THEY NEED BY CONNECTING INDIVIDUALS WITH AVAILABLE PATIENT ASSISTANCE PROGRAMS OFFERING DISCOUNTED OR FREE PRESCRIPTION MEDICATION. MAP ASSISTS LOW INCOME, UNINSURED OR UNDER INSURED PEOPLE IN GETTING THE MEDICATIONS THEY NEED, BUT CAN'T AFFORD. HEALTHY BY DESIGN - TO HELP RECOGNIZE ORGANIZATIONS IN YELLOWSTONE COUNTY COMMITTED TO IMPROVING OUR COMMUNITY'S HEALTH, BILLINGS CLINIC, RIVERSTONE HEALTH, AND ST. VINCENT HEALTHCARE LAUNCHED A COMMUNITY HEALTH COALITION CALLED HEALTHY BY DESIGN. HEALTHY BY DESIGN ENCOURAGES, RECOGNIZES, EDUCATES AND CREATES A STANDARD OF EXCELLENCE FOR PROMOTING HEALTHY LIFESTYLES BY ENCOURAGING ACTIVE LIVING AND HEALTHY CHOICES THAT SHAPE THE FUTURE OF THE COMMUNITY. FOR PROMOTING HEALTHY LIFESTYLES BY ENCOURAGING ACTIVE LIVING AND HEALTHY CHOICES THAT SHAPE THE FUTURE OF THE COMMUNITY.
Schedule H, Part VI, Line 6 Affiliated health care system	AFFILIATED HEALTH CARE SYSTEM: BILLINGS CLINIC HAS AN AFFILIATED RELATIONSHIP WITH BEARTOOTH BILLINGS CLINIC, STILLWATER HOSPITAL ASSOCIATION AND BROADWATER HEALTHCARE. EACH HOSPITAL IS A MONTANA NON-PROFIT CORPORATION. BEARTOOTH AND STILLWATER HAVE BEEN AFFILIATES OF BILLINGS CLINIC SINCE 2002 WITH A SHARED MANAGEMENT AGREEMENT. BROADWATER HEALTHCARE BEGAN THEIR AFFILIATION IN 2019. WITHIN THE AGREEMENT BILLINGS CLINIC PROVIDES MANAGEMENT, DIGITAL INFORMATION SYSTEMS, AND ANCILLARY SUPPORT SERVICES TO AREA HOSPITALS AND CLINICS. THE AFFILIATION BRINGS A STRONGER ALIGNMENT WITHIN THE GROUP DUE TO A DESIRE TO STABILIZE AND ENHANCE THE LEVEL AND SCOPE OF HEALTH CARE SERVICES AVAILABLE IN EACH COMMUNITY. THE AFFILIATION ALLOWED THEM TOSTRENGTHEN THEIR COMMITMENT TO QUALITY, PATIENT SAFETY AND SERVICE VALUES.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COMMUNITY CRISIS CENTER
704 NORTH 30TH STREET	BILLINGS	MT	59101	203231164	501(C)(3)	$40,595	SUPPORT OPERATIONS
BILLINGS COMMUNITY FOUNDATION
404 N 30TH ST BILLINGS MT 59101	BILLINGS	MT	59101	204286919	501(C)(3)	$10,000	SUBSTANCE ABUSE PROGRAMS
Rocky Mountain College
1511 Poly Dr	Billings	MT	59102	810235407	501(C)(3)	$5,500	EDUCATION PROGRAMS

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	9	RecipientCnt
Cash Grant	$7,821	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	BILLINGS CLINIC AWARDS SCHOLARSHIPS TO INDIVIDUALS WHO EXHIBIT A STRONG DESIRE AND POTENTIAL TO EXCEL IN THE HEALTHCARE FIELD. BILLINGS CLINIC ALSO PROVIDES GRANTS TO OTHER HEALTH RELATED ORGANIZATIONS. MONTHLY FINANCIAL REPORTS ARE REVIEWED AND SIGNED BY THE GRANT MANAGER, AND THEN SUBMITTED FOR APPROVAL OF THE DRAWING OF FUNDS FOR GRANTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HEIDI DUNCAN MD
PHYSICIAN BOARD MEMBER	$231,799	$0	$0	$0	$2,115	$0	$23,387	$0	$37,863	$0	$295,164	$0	$0	$0
KENDRICK TROSTEL MD
PHYSICIAN BOARD MEMBER	$660,998	$0	$0	$0	$5,256	$0	$30,017	$0	$25,454	$0	$721,725	$0	$0	$0
SCOTT ELLNER DO
FORMER CEO	$18,900	$0	$0	$0	$963,900	$0	$1,002	$0	$0	$0	$983,802	$0	$0	$0
KATHLEEN QUINONES
CFO	$445,263	$0	$0	$0	$3,328	$0	$89,147	$0	$12,994	$0	$550,732	$0	$0	$0
CLINTON SEGER MD
CEO	$770,581	$0	$0	$0	$59,711	$0	$114,630	$0	$17,870	$0	$962,792	$0	$56,104	$0
MICHAEL MORONE MD
PHYSICIAN	$1,500,503	$0	$0	$0	$3,564	$0	$28,150	$0	$28,472	$0	$1,560,689	$0	$0	$0
VANCE FREDRICKSON MD
PHYSICIAN	$2,046,757	$0	$20,000	$0	$1,887	$0	$27,482	$0	$9,489	$0	$2,105,615	$0	$0	$0
MARLIN RICHARDSON MD
PHYSICIAN	$1,472,913	$0	$0	$0	$1,932	$0	$28,150	$0	$31,322	$0	$1,534,317	$0	$0	$0
ANTHONY ROCCISANO DO
PHYSICIAN	$1,610,326	$0	$0	$0	$2,220	$0	$28,150	$0	$33,204	$0	$1,673,900	$0	$0	$0
CHRISTOPHER STEWART DO
PHYSICIAN	$1,273,724	$0	$20,000	$0	$1,524	$0	$19,900	$0	$28,488	$0	$1,343,636	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control payment	SCOTT ELLNER, FORMER BILLINGS CLINIC CEO. THESE PAYMENTS ARE INCLUDED IN THE AMOUNT OF OTHER REPORTABLE COMPENSATION REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II.
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: CLINTON SEGER - 90,002 KATHLEEN QUINONES - 67,367 THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) PLAN AND RECEIVED A PAYMENT REPORTED IN PART II, COLUMN (F) THAT WAS REPORTED AS DEFERRED COMPENSATION BY BILLINGS CLINIC IN A PRIOR YEAR: CLINTON SEGER - 56,104
Schedule J, Part I, Line 7 Non-fixed payments	THE BOARD OF DIRECTORS ANNUALLY DETERMINES THE INCENTIVE PLAN AMOUNT FOR THE CEO AND THE SENIOR EXECUTIVE TEAM BASED ON AN EXTERNAL COMPENSATION STUDY. THE AVAILABILITY OF THE INCENTIVE IS AWARDED BASED ON FINANCIAL PERFORMANCE AS WELL AS ORGANIZATIONAL PERFORMANCE MEASUREMENTS IN QUALITY, PATIENT SATISFACTION, EMPLOYEE SATISFACTION AND THE INDIVIDUAL GOALS SET EACH YEAR IF THE TARGET IS TRIGGERED. THE INCENTIVE IS PAID ONLY IF TRIGGERED FOLLOWING THE FINANCIAL AUDIT PRESENTATION. NO INCENTIVES WERE PAID IN THE PERIOD.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MONTANA FACILITY FINANCE AUTHORITY
A	364615155	61204KLQ2	2018-10-01	$125,786,085	SEE PART VI	Yes (true)	false	false
MONTANA FACILITY FINANCE AUTHORITY
B	364615155		2018-10-01	$56,580,000	SEE PART VI	false	false	false
MONTANA FACILITY FINANCE AUTHORITY
C	364615155	61204KNX5	2022-05-17	$59,605,571	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$73,795,000	$128,688,498	$51,823	$43,367,802	$85,247,023	2022	Yes (true)	false	Yes (true)	Yes (true)
B		$56,585,037	$91	$75,828	$56,509,118	2022	Yes (true)	false	Yes (true)	Yes (true)
C	$1,440,000	$59,736,796			$59,542,495		Yes (true)	false	false	Yes (true)	$194,301

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.002	0.002	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.003	0.003	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	0.002	0.002	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)	Yes (true)
C	false	false	Yes (true)	false	Yes (true)	false	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) Column A	THE BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS, TO REISSUE SERIES 2011A BONDS (ISSUED ON OCTOBER 6, 2014) AND TO CURRENT REFUND SERIES 2008 BONDS (ISSUED ON MAY, 30, 2008).
Schedule K, Part II, Line 3 Column A	The total proceeds shown in Part II, Line 3 differs from the Issue Price shown in Part I, (e) due to interest earnings on invested proceeds.
Schedule K, Part III, Line 7 Column A	As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private security or payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The organization has not undertaken an analysis of the private security or payment test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code.
Schedule K, Part IV, Line 2b Column A	THE REFUNDING PORTION OF THE BONDS HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT.
Schedule K, Part I, Column (f) Column B	THE BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS AND TO REISSUE SERIES 2011B BONDS (ISSUED ON JUNE 28, 2016).
Schedule K, Part II, Line 3 Column B	The total proceeds shown in Part II, Line 3 differs from the Issue Price shown in Part I, (e) due to interest earnings on invested proceeds.
Schedule K, Part III, Line 7 Column B	AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.
Schedule K, Part IV, Line 2b Column B	The refunding and new money portions of the Bonds have met exceptions to the rebate requirement.
Schedule K, Part IV, Line 2c Column B	The most recent 5th year rebate report was prepared on October 11, 2023.
Schedule K, Part I, Column (f) Column C	THE BONDS WERE ISSUED TO CURRENT REFUND THE SERIES 2018C BONDS (ISSUED ON OCTOBER 1, 2018).
Schedule K, Part II, Line 3 Column C	The total proceeds shown in Part II, Line 3 differs from the Issue Price shown in Part I, (e) due to interest earnings on invested proceeds.
Schedule K, Part III, Line 7 Column C	As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private security or payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The organization has not undertaken an analysis of the private security or payment test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code.
Schedule K, Part IV, Line 2b Column C	Bond proceeds have met an exception to the rebate requirement.
Schedule K, Part IV, Line 2c Column A	The most recent 5th year rebate report was prepared on October 25, 2023.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
E JAMES DUNCAN
E. JAMES DUNCAN HAS A FAMILY RELATIONSHIP WITH BOARD MEMBER HEIDI DUNCAN.	$403,760	EMPLOYEE COMPENSATION	false
NADINE SEGER
NADINE SEGER HAS A FAMILY RELATIONSHIP WITH CEO CLINT SEGER.	$206,534	EMPLOYEE COMPENSATION	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 4 Significant changes to organizational documents	Description of Significant Changes to Bylaws: Billings Clinic added a sole member, MTWY Health Inc. and explains the role of MTWY Health INC as the sole member.
Form 990, Part VI, Line 6 Classes of members or stockholders	Description of Members: MTWY Health Inc is Sole member of Billings Clinic. With rights to approve governance decisions.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Description of Governance Decision by Member: MTWY Health INC as the Sole Member approves Amendments to the bylaws, Dissolution, Change in Name, Approval of budgets and strategic plans, Action or inaction in material variance to the Member and any matters required by to be submitted to Member.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE 990 REVIEW IS COMPLETED BEFORE THE RETURN IS FILED. IT IS REVIEWED BY THE CONTROLLER, CFO AND THEN THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE COMPLIANCE OFFICER ALONG WITH THE GOVERNANCE AND NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR MONITORING THE EFFECTIVENESS OF THE CONFLICT OF INTEREST REPORTING AND MANAGEMENT FOR BILLINGS CLINIC. IN ADDITION, BILLINGS CLINIC VICE PRESIDENTS ARE RESPONSIBLE FOR ENSURING THAT THEIR DIRECT REPORTS ARE COMPLYING WITH THIS POLICY.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	BILLINGS CLINIC HAS AN EXECUTIVE COMPENSATION PROGRAM ADMINISTERED ANNUALLY BY INDEPENDENT TRUSTEES FOLLOWING BEST PRACTICES AND THE HIGHEST REGULATORY STANDARDS EXPECTED OF A NOT-FOR PROFIT ORGANIZATION. THEY FOLLOW BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY WHICH DEFINES THE MARKET AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. THEY LOOK AT RELEVANT MARKET DATA OF SIMILAR ROLES IN SIMILAR ORGANIZATIONS. ANNUAL DISCLOSURE OF THE COMMITTEE'S ACTIONS AND DECISIONS TO THE FULL BOARD IS REQUIRED. BILLINGS CLINIC ENGAGES SULLIVAN COTTER TO PERFORM REGULAR COMPENSATION REVIEWS FOR EXECUTIVES, MANAGER AND DIRECTORS. SULLIVAN COTTER PERFORMED EXECUTIVE COMPENSATION REVIEWS IN 2023 AND ON AN AD HOC BASIS AS NEEDED.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	BILLINGS CLINIC HAS AN EXECUTIVE COMPENSATION PROGRAM ADMINISTERED ANNUALLY BY INDEPENDENT TRUSTEES FOLLOWING BEST PRACTICES AND THE HIGHEST REGULATORY STANDARDS EXPECTED OF A NOT-FOR PROFIT ORGANIZATION. THEY FOLLOW BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY WHICH DEFINES THE MARKET AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. THEY LOOK AT RELEVANT MARKET DATA OF SIMILAR ROLES IN SIMILAR ORGANIZATIONS. ANNUAL DISCLOSURE OF THE COMMITTEE'S ACTIONS AND DECISIONS TO THE FULL BOARD IS REQUIRED. BILLINGS CLINIC ENGAGES SULLIVAN COTTER TO PERFORM REGULAR COMPENSATION REVIEWS FOR EXECUTIVES, MANAGER AND DIRECTORS. SULLIVAN COTTER PERFORMED EXECUTIVE COMPENSATION REVIEWS IN 2023 AND ON AN AD HOC BASIS AS NEEDED.
Form 990, Part VI, Line 19 Required documents available to the public	BILLINGS CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON AN AS NEEDED BASIS.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	- Total Revenue: 1869245, Related or Exempt Function Revenue: 1812825, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 56420;
Form 990, Part IX, Line 11g Other Fees	AMBULANCE SERVICES - Total Expense: 103766, Program Service Expense: 103766, Management and General Expenses: , Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 1124286, Program Service Expense: 635671, Management and General Expenses: 488615, Fundraising Expenses: ; COLLECTIONS - Total Expense: 647143, Program Service Expense: 365895, Management and General Expenses: 281248, Fundraising Expenses: ; CONSULTING - Total Expense: 743686, Program Service Expense: 420480, Management and General Expenses: 323206, Fundraising Expenses: ; CONTRACT MANAGEMENT - Total Expense: 26717, Program Service Expense: 15106, Management and General Expenses: 11611, Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 20886186, Program Service Expense: 11809050, Management and General Expenses: 9077136, Fundraising Expenses: ; HEALTH CARE TECH SERVICES - Total Expense: 3834506, Program Service Expense: 3834506, Management and General Expenses: , Fundraising Expenses: ; MEDICAL TEST SERVICES - Total Expense: 3453159, Program Service Expense: 3453159, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 32761255, Program Service Expense: 32761255, Management and General Expenses: , Fundraising Expenses: ; PATIENT CARE SERVICES - Total Expense: 1743475, Program Service Expense: 1743475, Management and General Expenses: , Fundraising Expenses: ; NURSING - Total Expense: 13810283, Program Service Expense: 13810283, Management and General Expenses: , Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 1994322, Program Service Expense: 1127590, Management and General Expenses: 866732, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP - -299253; CHANGE IN INTEREST OF FOUNDATION - 15974247;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	EINEIN
MONTANA HEALTHCARE INDEMNITY LLC
2800 TENTH AVENUE NORTH	BILLINGS	MT	59101	INSUR CAPTIVE	MT	$4,537,699	$30,383,407	BILLINGS CLINIC
SPECIALTY SUPPLIES AND SERVICES LLC
2800 TENTH AVENUE NORTH	BILLINGS	MT	59101	SPEC SUPPLY	MT	$44,475,326	$17,261,379	BILLINGS CLINIC	364871868
BILLINGS CLINIC ONCALL LLC
2800 TENTH AVENUE NORTH	BILLINGS	MT	59101	TELEHEALTH	MT	$3,705	$9,258	BILLINGS CLINIC	873543333

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BILLINGS CLINIC FOUNDATION
2917 TENTH AVENUE NORTH	BILLINGS	MT	59101	810407289	FUNDRAISING	MT	501(c)(3)	7	BILLINGS CLINIC	Yes (true)
STILLWATER HOSPITAL ASSOCIATION
710 N 11TH STREET	COLUMBUS	MT	59019	810286525	HOSPITAL	MT	501(c)(3)	3	BILLINGS CLINIC	Yes (true)
TOWNSEND HEALTH SYSTEMS INC
110 NORTH OAK STREET	TOWNSEND	MT	59644	810398400	HEALTHCARE	MT	501(c)(3)	3	BILLINGS CLINIC	Yes (true)
Billincs Clinic Employee Benefit Trust
2800 10th Ave	North Billings	MT	59107	810391600	Employee Benefits	MT	501(c)(9)		Billings Clinic	Yes (true)
MTWY HEALTH INC
310 Sunnyview Ln	KALISPELL	MT	59901	932584380	Support	MT	501(c)(3)	Type II	NA	false
KALISPELL REGIONAL MEDICAL CENTER
310 SUNNYVIEW LANE	KALISPELL	MT	59901	237293874	ACUTE CARE HOSPITAL	MT	501(c)(3)	3	LOGAN HEALTH	false
KALISPELL REGIONAL HEALTHCARE FOUNDATION
310 SUNNYVIEW LANE	KALISPELL	MT	59901	311703013	SUPPORTING ORGANIZATION	MT	501(c)(3)	Type I	KALISPELL REGIONAL MEDICAL CENTER	false
ASSIST-FLATHEAD VALLEY
310 SUNNYVIEW LANE	KALISPELL	MT	59901	462669324	WELLNESS RESOURCE PROVIDER	MT	501(c)(3)	10	KALISPELL REGIONAL MEDICAL CENTER	false
KALISPELL REGIONAL MEDICAL CENTER VOLUNTEERS
310 SUNNYVIEW LANE	KALISPELL	MT	59901	273866474	SUPPORTING ORGANIZATION	MT	501(c)(3)	10	KALISPELL REGIONAL MEDICAL CENTER	false
LIBERTY COUNTY HOSPITAL AND NURSING HOME INC
315 W MADISON AVE	CHESTER	MT	59522	810515463	PROVIDE ACUTE HOSPITAL CARE	MT	501(c)(3)	3	LOGAN HEALTH	false
LOGAN HEALTH - CONRAD
805 SUNSET BLVD	CONRAD	MT	59425	810232406	PROVIDE ACUTE HOSPITAL CARE	MT	501(c)(3)	3	LOGAN HEALTH	false
LOGAN HEALTH - CUT BANK
226 9TH AVE SE	CUT BANK	MT	59427	810530457	PROVIDE ACUTE HOSPITAL CARE	MT	501(c)(3)	3	LOGAN HEALTH	false
LOGAN HEALTH - SHELBY
640 PARK AVE	SHELBY	MT	59474	862327525	PROVIDE ACUTE HOSPITAL CARE	MT	501(c)(3)	3	LOGAN HEALTH	false
LOGAN HEALTH - WHITEFISH
1600 HOSPITAL WAY	WHITEFISH	MT	59937	810247969	PROVIDE ACUTE HOSPITAL CARE	MT	501(c)(3)	3	LOGAN HEALTH	false
LOGAN HEALTH EMERGENCY MEDICAL SERVICES
310 SUNNYVIEW LANE	KALISPELL	MT	59901	880538346	EMERGENCY SERVICES	MT	501(c)(3)	7	LOGAN HEALTH	false
MONTANA PEDIATRICS
259 W FRONT ST STE B	MISSOULA	MT	59802	854133807	AMBULATORY CARE	MT	501(c)(3)	7	LOGAN HEALTH	false
NORTHWEST HORIZONS INC
310 SUNNYVIEW LANE	KALISPELL	MT	59901	810420653	LONG-TERM AMBULATORY CARE	MT	501(c)(3)	10	LOGAN HEALTH	false
SUMMIT MEDICAL FITNESS CENTER
310 SUNNYVIEW LANE	KALISPELL	MT	59901	203752312	COMMUNITY HEALTH & WELLNESS CENTER	MT	501(c)(3)	10	LOGAN HEALTH	false
NORTH VALLEY HOSPITAL FOUNDATION
1600 HOSPITAL WAY	WHITEFISH	MT	59937	810526541	SUPPORTING ORGANIZATION	MT	501(c)(3)	Type III-FI	LOGAN HEALTH - WHITEFISH	false
LOGAN HEALTH ASSISTED LIVING - SHELBY
111 2ND ST S	SHELBY	MT	59474	862394240	RETIREMENT & ASSISTED LIVING	MT	501(c)(3)	10	NORTHWEST HORIZONS INC	false
LOGAN HEALTH CARE CENTER - SHELBY
630 PARK DRIVE	SHELBY	MT	59474	862346458	LONG-TERM CARE & SKILLED NURSING	MT	501(c)(3)	10	NORTHWEST HORIZONS INC	false
LOGAN HEALTH
310 Sunnyview Ln	Kalispell	MT	59901	810406485	SUPPORT SUBSIARY HEALTH ORGANIZATIONS	MT	501(c)(3)	3	MTWY Health	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BILLINGS CLINIC INNOVATION FERTILITY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	399 KNOLLWOOD ROAD SUITE 303	AddressLine1Txt
City	WHITE PLAINS	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10603	ZIPCd

Field	Value	IRS element (for citing)
EIN	881032699	EIN
Primary Activities	FERTILITY CLINIC	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.4900	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BILLINGS CLINIC FOUNDATION
C	$1,642,869	INTERCOMPANY AMOUNT
BILLINGS CLINIC FOUNDATION
D	$451,797	INTERCOMPANY AMOUNT
STILLWATER HOSPITAL ASSOCIATION
D	$855,019	INTERCOMPANY AMOUNT
TOWNSEND HEALTH SYSTEMS INC
D	$3,641,569	INTERCOMPANY AMOUNT
STILLWATER HOSPITAL ASSOCIATION
Q	$7,417,250	INTERCOMPANY AMOUNT
TOWNSEND HEALTH SYSTEMS INC
Q	$2,218,939	INTERCOMPANY AMOUNT
BILLINGS CLINIC SPECIALTY SUPPLIES AND SERVICES LLC
S	$3,000,000	INTERCOMPANY AMOUNT
STILLWATER HOSPITAL ASSOCIATION
O	$3,735,289	INTERCOMPANY AMOUNT
TOWNSEND HEALTH SYSTEMS INC
O	$2,484,929	INTERCOMPANY AMOUNT