TOWNSEND HEALTH SYSTEMS INC BROADWATER COMMUNITY HOSPITAL: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- TOWNSEND HEALTH SYSTEMS INC BROADWATER COMMUNITY HOSPITAL (EIN 81-0398400)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-03
- IRS object ID
- 202331239349301558
- Schema version
- 2021v4.2
- 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 J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-03T09:27:16-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS 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 | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810398400 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOWNSEND HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JENNY CLOWES | InCareOfNm |
| Business Name Control | TOWN | BusinessNameControlTxt |
| Phone | 4062663186 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 NORTH OAK STREET | AddressLine1Txt |
| City | TOWNSEND | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59644 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNY CLOWES | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4062663186 | PhoneNum |
| Signature | 2023-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JENNY | PersonFirstNm |
| Person Last | CLOWES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Adam R Smith CPA | PreparerPersonNm |
| PTIN | P00958966 | PTIN |
| Phone | 7194714290 | PhoneNum |
| Preparation | 2023-04-27 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BILLINGS CLINIC BROADWATER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNY CLOWES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 NORTH OAK STREET | AddressLine1Txt |
| City | TOWNSEND | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59644 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,089,058 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | BILLINGSCLINIC.COM/BILLINGS-CLINIC-BROADWATER | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | BILLINGS CLINIC BROADWATER IS DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY, OUR PATIENTS, AND OURSELVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 98 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,118,135 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,224,715 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,970,276 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,689,400 | CYProgramServiceRevenueAmt |
| PY Investment Income | $53 | PYInvestmentIncomeAmt |
| CY Investment Income | $21 | CYInvestmentIncomeAmt |
| PY Other Revenue | $800,462 | PYOtherRevenueAmt |
| CY Other Revenue | $174,922 | CYOtherRevenueAmt |
| PY Total Revenue | $11,888,926 | PYTotalRevenueAmt |
| CY Total Revenue | $14,089,058 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,786,682 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,292,086 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,238,177 | PYOtherExpensesAmt |
| CY Other Expenses | $5,341,159 | CYOtherExpensesAmt |
| PY Total Expenses | $8,024,859 | PYTotalExpensesAmt |
| CY Total Expenses | $10,633,245 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,864,067 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,455,813 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,281,591 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,654,094 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,401,805 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,318,495 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,879,786 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,335,599 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE DELIVERY OF HEALTHCARE SERVICES, THE CONDUCT OF MEDICAL RESEARCH, THE FURTHERANCE OF HEALTH EDUCATION AND THE PROMOTION OF GENERAL HEALTH IN TOWNSEND AND THE SURROUNDING AREA | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,058,778 | ExpenseAmt |
| Revenue | $8,864,068 | RevenueAmt |
| Desc | TO PROVIDE QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX NATIONAL ORIGIN, HANDICAP, OR ABILITY TO PAY AND SERVE THE SURROUNDING AREA BY PROVIDING HEALTHCARE SERVICES AND EDUCATION TO ALL COMMUNITY MEMBERS. | Desc |
| Total Program Service Expenses | $7,058,778 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | false | 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 | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 98 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | 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 | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNY CLOWES | PersonNm |
| Phone | 4062663186 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 NORTH OAK | AddressLine1Txt |
| City | TOWNSEND | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59644 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| JOSE ORTIZ MD - THROUGH 1021 | ||||||||
| PHYSICIAN/DIRECTOR | 5.0 | 40.0 | Yes (X) | $0 | $246,921 | $48,730 | ||
| HOLLY HOFFMAN | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $271,147 | $0 | $10,451 | Yes (X) | ||
| AMBERLY PAYHUT | ||||||||
| SR. DIRECTOR OF PHILANTHROPY | 1.0 | 40.0 | Yes (X) | $0 | $150,963 | $37,553 | ||
| PHILIP HESS | ||||||||
| DIRECTOR - BEGIN 11/2021 | 40.0 | 1.0 | Yes (X) | $180,651 | $0 | $2,765 | ||
| JILL LEBLANC | ||||||||
| PHYSICIAN ASSISTANT | 40.0 | 0.0 | $129,518 | $0 | $26,657 | Yes (X) | ||
| JENNIFER CLOWES | ||||||||
| CEO | 55.0 | 0.0 | $124,039 | $0 | $29,751 | Yes (X) | ||
| GARY HAMILTON | ||||||||
| VICE PRESIDENT | 1.0 | 0.0 | Yes (X) | $0 | $121,491 | $30,178 | Yes (X) | |
| WILLIAM UPTHEGROVE | ||||||||
| PRESIDENT | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BRAD CAMPBELL | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JORJA MUNNS | ||||||||
| SECRETARY/TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KATHY BLAIR | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KELLEY EVANS | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE BARSTAD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $705,355 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $519,375 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $186,085 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VAYA WORKFORCE SOLUTIONS LLC | |||||
| DEPT CH 18001 | PALENTINE | IL | 60055 | CONTRACT LABOR | $1,468,770 |
| MONTANA HEALTH NETWORK | |||||
| 519 PLEASANT STREET | MILES CITY | MT | 59301 | CONTRACT LABOR | $150,092 |
| WAPITI MEDICAL STAFFING | |||||
| 107 FLYNN DRIVE SUITE 600 | MILBANK | SD | 57252 | CONTRACT LABOR | $190,525 |
| Billings Clinic | |||||
| 2800 TENTH AVENUE NORTH | BILLINGS | MT | 59101 | MANAGMENT SERVICES | $496,362 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,795,362 | RelatedOrganizationsAmt |
| All Other Contributions | $429,353 | AllOtherContributionsAmt |
| Total Contributions | $5,224,715 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $8,390,587 | $8,390,587 |
| EHR/MEANINGFUL USE PAYMENTS | 900099 | $1,151 | $1,151 |
| OTHER PROGRAM REVENUE | 900099 | $297,662 | $297,662 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,689,400 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21 | TotalRevenueColumnAmt |
| Exclusion | $21 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| MEALS | 722310 | $254 | $254 | |
| MISCELLANEOUS INCOME | 900099 | $174,668 | $174,668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $174,922 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,089,058 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,864,068 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $275 | 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 | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,408 | TotalAmt |
| Program Services | $370,013 | ProgramServicesAmt |
| Management And General | $117,395 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,961,615 | TotalAmt |
| Program Services | $2,689,300 | ProgramServicesAmt |
| Management And General | $1,272,315 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,881 | TotalAmt |
| Program Services | $81,714 | ProgramServicesAmt |
| Management And General | $35,167 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,401 | TotalAmt |
| Program Services | $260,105 | ProgramServicesAmt |
| Management And General | $180,296 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,781 | TotalAmt |
| Program Services | $195,335 | ProgramServicesAmt |
| Management And General | $90,446 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $622,328 | TotalAmt |
| Program Services | $311,164 | ProgramServicesAmt |
| Management And General | $311,164 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,469 | TotalAmt |
| Management And General | $7,469 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,292 | TotalAmt |
| Management And General | $55,292 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1 | TotalAmt |
| Management And General | $1 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,348,062 | TotalAmt |
| Program Services | $2,088,436 | ProgramServicesAmt |
| Management And General | $259,626 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,854 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $22,854 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,175 | TotalAmt |
| Program Services | $97,932 | ProgramServicesAmt |
| Management And General | $187,243 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,509 | TotalAmt |
| Program Services | $1,265 | ProgramServicesAmt |
| Management And General | $202,244 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,380 | TotalAmt |
| Program Services | $82,999 | ProgramServicesAmt |
| Management And General | $99,381 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,579 | TotalAmt |
| Program Services | $15,625 | ProgramServicesAmt |
| Management And General | $27,954 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000 | TotalAmt |
| Management And General | $6,000 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,791 | TotalAmt |
| Program Services | $121,003 | ProgramServicesAmt |
| Management And General | $299,788 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,681 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $57,681 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $555,708 | $538,758 | $16,950 |
| DIETARY | $100,636 | $0 | $100,636 |
| REPAIRS & MAINTENANCE | $86,025 | $33,395 | $52,630 |
| OTHER | $343,669 | $171,734 | $171,935 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,633,245 | TotalAmt |
| Program Services | $7,058,778 | ProgramServicesAmt |
| Management And General | $3,574,467 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,371,788 | BOYAmt |
| EOY | $2,448,252 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,244 | BOYAmt |
| EOY | $8,264 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,988,663 | BOYAmt |
| EOY | $1,028,563 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,155 | BOYAmt |
| EOY | $28,500 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,950 | BOYAmt |
| EOY | $22,017 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,823,548 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,705,050 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,869,791 | BOYAmt |
| EOY | $8,118,498 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,281,591 | BOYAmt |
| EOY | $11,654,094 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,443,956 | BOYAmt |
| EOY | $1,548,985 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,000 | BOYAmt |
| EOY | $120,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,797,849 | BOYAmt |
| EOY | $1,649,510 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,401,805 | BOYAmt |
| EOY | $3,318,495 | 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 | $4,879,786 | BOYAmt |
| EOY | $8,335,599 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,879,786 | BOYAmt |
| EOY | $8,335,599 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,281,591 | BOYAmt |
| EOY | $11,654,094 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,455,813 | ReconcilationRevenueExpnssAmt |
| 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 | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1i | FormAndLineReferenceDesc |
| Explanation | Lobbying: A portion of the dues paid to the Montana Hospital Association were allocable to lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $224,271 | OtherCostOrOtherBasisAmt |
| Book Value | $224,271 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,442,181 | OtherCostOrOtherBasisAmt |
| Depreciation | $580,945 | DepreciationAmt |
| Book Value | $3,861,236 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,573,912 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,114,385 | DepreciationAmt |
| Book Value | $3,459,527 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $583,184 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,720 | DepreciationAmt |
| Book Value | $573,464 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,118,498 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTY | Desc |
| Amt | $1,649,510 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,649,510 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
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 | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $91,679 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $91,679 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00860 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $815,527 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $726,768 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $88,759 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $907,206 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $726,768 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $180,438 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01690 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,424,749 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,059,163 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $365,586 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03430 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,424,749 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,059,163 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $365,586 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03430 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,331,955 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,785,931 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $546,024 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $166,113 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $3,882,198 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,887,220 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,022 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| 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 | TOWNSEND HEALTH SYSTEMS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 NORTH OAK STREET | AddressLine1Txt |
| City | TOWNSEND | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59644 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BILLINGSCLINIC.COM/BILLINGS-CLINIC-B | WebsiteAddressTxt |
| State License | 13408 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| 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 | TOWNSEND HEALTH SYSTEMS INC | 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 | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | X SEE PART V, SECTION C FOR URL | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, SECTION C FOR URL | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C FOR URL | 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. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C FOR URL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C FOR URL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C FOR UR | 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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | DESCRIBE HOW THE HOSPITAL TOOK INTO ACCOUNT PERSONS WHO REPRESENT THE COMMUNITY: IN MARCH 2019, A STEERING COMMITTEE WAS CONVENED TO ASSIST IN CONDUCTING THE CHNA ASSESSMENT PROCESS. A DIVERSE GROUP OF COMMUNITY MEMBERS INCLUDING REPRESENTATIVES OF THE HEALTH CENTER, LOCAL PUBLIC HEALTH, ELDERLY, LOW INCOME/UNDERINSURED, YOUTH, VETERANS AND OTHER COMMUNITY MEMBERS MET AT THE BEGINNING OF THE PROCESS TO DISCUSS HEALTH CONCERNS IN THE COMMUNITY AND OFFER THEIR PERSPECTIVES IN DESIGNING THE SURVEY INSTRUMENT. THEY MET AGAIN TO REVIEW THE RESULTS OF THE SURVEY AND KEY INFORMANT INTERVIEWS AND TO ASSIST IN THE PRIORITIZATION OF HEALTH NEEDS TO ADDRESS. IN APRIL 2019, A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 800 RESIDENTS IN THE SERVICE AREA TO SOLICIT THEIR INPUT. SURVEY RESPONDENTS HAD THE ABILITY TO COMPLETE THE SURVEY MAILED TO THEM OR VIA AN ONLINE SURVEY HOSTED AT MONTANA STATE UNIVERSITY'S HELPS LAB WEB PORTAL. 124 SURVEYS WERE RETURNED. ADDITIONALLY, KEY INFORMANT INTERVIEWS WERE CONDUCTED TO IDENTIFY IMPORTANT LOCAL HEALTHCARE ISSUES, HOW TO IMPROVE THE HEALTH OF THE COMMUNITY, AND GAPS IN HEALTH SERVICES. THE CHNA WAS ADMINISTERED BY THE MONTANA OFFICE OF RURAL HEALTH. |
| SCHEDULE H, PART V, SECTION B, LINE 7a | DIRECT URL WHERE CHNA REPORT IS MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE: https://www.billingsclinic.com/app/files/public/423e70c2-8036-4066-a7e1-1c c06edf1519/BHC_%20CHNA%20Report_2019.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 7B | Direct URl for CHNA on other Website: https://drive.google.com/drive/folders/1WExAQL3CwJXVoQ1ftVxsdO9Ve75p-2k7?f |
| SCHEDULE H, PART V, SECTION B, LINE 10A | DIRECT URL WHERE IMPLEMENTATION PLAN IS MADE WIDELY AVAILABLE: https://www.billingsclinic.com/app/files/public/6fa8cc66-5e41-408a-95dc-8b 784056eb41/Billings-Clinic-Broadwater_CHNA_Implementation-Plan-Report_2019 -2022.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 11 | TOWNSEND HEALTH SYSTEMS PRIORITIZED THREE HEALTH NEEDS DETERMINED BY THE ASSESSMENT PROCESS ARE ACCESS TO HEALTHCARE SERVICES, BEHAVIORAL HEALTH, HEALTH, AND COMMUNITY OUTREACH AND ENGAGEMENT. THESE PRIORITIZED HEALTH NEEDS WILL BE ADDRESSED BY THE FOLLOWING GOALS AND STRATEGIES. TOWNSEND HEALTH SYSTEMS SHIFTED IN FYE 6/30/2021 TO HELP MANAGE COVID. TOWNSEND HEALTH SYSTEMS MEET THE IMMEDIATE NEEDS OF THE COMMUNITY AND HOSTED COVID VACCINCATION CLINICS, OFFERED VIRTUAL PUBLIC EDUCATION SESSIONS, COVID HOTLINES AND MOBILE TESTING SITES THE FIRST GOAL IS TO IMPROVE ACCESS TO HEALTHCARE SERVICES IN BROADWATER COUNTY THROUGH THESE FOUR STRATEGIES. 1. ENHANCE ACCESS TO PRIMARY CARE SERVICES BY CONTINUING TO RECRUIT PRIMARY CARE PROVIDERS TO EXPAND APPOINTMENT AVAILABILITY, CONDUCTING AN ASSESSMENT TO ANALYZE STAFFING MODELS TO BEST MEET COMMUNITY NEEDS, CONVENING AREA PRIMARY CARE PROVIDERS TO DISCUSS COMMUNITY ACCESS ISSUES, GAPS, AND OPPORTUNITIES. 2. ENHANCE ACCESS TO SPECIALTY CARE SERVICES BY EXPLORING OPPORTUNITIES TO EXPAND ON-SITE SERVICES OR VIA TELEHEALTH. 3. IMPROVE ACCESS TO HEALTHCARE SERVICES THROUGH ENHANCED COMMUNITY EDUCATION BY MEETING WITH PUBLIC HEALTH TO ASSESS AND CREATE OUTREACH MATERIALS RELATED TO FINANCIAL ASSISTANCE PROGRAMS LOCALLY AND STATE-BASED, CREATING A MARKETING AND OUTREACH PLAN INTERNALLY AND WITH COMMUNITY PARTNERS TO DISSEMINATE NEW FINANCIAL ASSISTANCE RESOURCE MATERIALS, EXPLORING OPTIONS/BILLING STATEMENTS TO ENHANCE COMMUNITY UNDERSTANDING OF HOSPITAL SERVICES AND BILLING TRANSPARENCY, AND CONTINUING TO OFFER THE NAVIGATOR PROGRAM TO ASSIST THE COMMUNITY IN ACCESSING AND UNDERSTANDING HEALTHCARE SERVICES. 4. EXPLORE OPPORTUNITIES TO SUPPORT EFFORTS RELATED TO ACCESS IN BROADWATER COUNTY BY ENGAGING WITH COMMUNITY PARTNERS TO EXPLORE THE FEASIBILITY OF ENHANCING TRANSPORTATION SERVICES IN THE AREA. THE SECOND GOAL IS TO ENHANCE ACCESS TO BEHAVIORAL HEALTH RESOURCES SERVICES IN BROADWATER COUNTY THROUGH THESE TWO STRATEGIES. 1. ENHANCE COMMUNITY KNOWLEDGE OF BEHAVIORAL HEALTH RESOURCES AND SERVICES BY CONTINUING TO PARTICIPATE IN THE LOCAL MENTAL HEALTH ADVISORY COUNCIL, ENGAGING WITH LOCAL SCHOOLS TO EXPLORE OPPORTUNITIES TO EXPAND EDUCATION INCLUDING SUICIDE PREVENTION, MENTAL HEALTH FIRST AID, AND OTHERS, AND UPDATING AND DISSEMINATING A NEW BEHAVIORAL HEALTH RESOURCE VIA CREATING A MARKETING AND EDUCATION PLAN FOR THE RESOURCE. 2. DEVELOP NEW BEHAVIORAL HEALTH RESOURCES AT BCB THROUGH CONVENING WITH COMMUNITY PARTNERS TO EXPLORE DEVELOPING AN ALANON SUPPORT GROUP, AND EXPLORING THE FEASIBILITY OF OFFERING LICENSED ADDICTION COUNSELING SERVICES ON-SITE. THE THIRD GOAL IS TO IMPROVE BCB'S OUTREACH, EDUCATION AND ENGAGEMENT IN BROADWATER COUNTY THROUGH THESE TWO STRATEGIES. 1. ENHANCE KNOWLEDGE AND EDUCATION OF AVAILABLE SERVICES IN BROADWATER COUNTY THROUGH MEETING WITH COMMUNITY PARTNERS TO DEVELOP A COMMUNITY HEALTH FAIR, ENHANCING BCB'S WEBSITE TO IMPROVE COMMUNITY KNOWLEDGE OF AVAILABLE SERVICES AND RESOURCES, AND PARTNERING WITH THE LOCAL CHAMBER OF COMMERCE TO PROMOTE AND DISSEMINATE A LOCAL SERVICE RESOURCE BOOKLET. 2. DEVELOP NEW PROGRAMS, SERVICES AND EDUCATIONAL OPPORTUNITIES TO BETTER ENGAGE WITH THE BCB COMMUNITY THROUGH CONTINUING TO EXPLORE OPPORTUNITIES TO ENGAGE WITH THE LOCAL SCHOOLS/YOUTH VIA ACTIVITIES LIKE REACH CAMP, JOB SHADOWING, ETC., EXPLORING OPPORTUNITIES TO PROVIDE HEALTH EDUCATION TO LOCAL ORGANIZATIONS/GROUPS SUCH AS THE SENIOR CENTER, COFFEE CLUBS, SOCIAL SERVICE ORGANIZATIONS, ETC., AND EXPLORING CREATING A COMMUNITY WELLNESS/HEALTH PROMOTION EVENT OR PROGRAM LIKE A STEPS CHALLENGE, WALK WITH A DOC, TRAILS RX, ETC. FOUR NEEDS WERE IDENTIFIED THAT BILLINGS CLINIC BROADWATER DETERMINED IT IS UNABLE TO ADDRESS WHICH ARE: CANCER TREATMENTS, INADEQUATE AND UNAFFORDABLE HOUSING, HIGHER THAN STATE AVERAGE PERTUSSIS RATE, AND HIGHER THAN STATE AVERAGE UNINTENTIONAL INJURY DEATH. BCB HAS BEEN WORKING WITH ONCOLOGISTS VIA TELEMEDICINE AND PROVIDED INFUSIONS/RE-HYDRATION FOR PATIENTS RECEIVING CANCER CARE IN BROADWATER COUNTY. BCB WILL CONTINUE TO PROVIDE COMMUNITY EDUCATION REGARDING TOBACCO USE AND PREVENTION. CONFLICTING PRIORITIES PREVENTED GREATER EFFORT. BCB PROVIDED SUPPORT BY TESTIMONY FOR THE NEED OF ADDITIONAL HOUSING, BUT WAS REJECTED BY THE GOVERNING AUTHORITY. BCB WILL CONTINUE TO ADVOCATE FOR HOUSING AND HOW LACK OF ADEQUATE HOUSING AFFECTS POPULATION HEALTH. BCB WILL CONTINUE TO PARTNER WITH PUBLIC HEALTH AND LOCAL PHYSICIANS TO TRACK AND MONITOR PERTUSSIS IN THE COMMUNITY. BHC HAS BEEN WORKING TO CONVENE A COMMUNITY MEETING TO DISCUSS AND PROVIDE EDUCATION FOR WORK SAFETY INJURY PREVENTION. AT THIS TIME, BCB HAS HELD OFF ON HOSTING THE MEETING DUE TO FUNDING LIMITATIONS. BCB WILL CONTINUE TO WORK WITH COMMUNITY PARTNERS TO PROMOTE WORKSITE SAFETY. |
| SCHEDULE H, PART V, SECTION B, LINE 16A | DIRECT URL FOR FINANCIAL ASSISTANCE POLICY: IN 2020 TOWNSEND HEALTH SYSTEMS WHO IS RELATED TO BILLINGS CLINIC ADOPTED BILLINGS CLINIC FINANCIAL POLICIES. THERE IS A LINK ON TOWNSEND HEALTH SYSTEMS WEBSITE THA IS A DIRECT LINK TO BILLINGS CLINIC FINANCIAL POLICY. TO NAVIGATE THERE START AT TOWNSEND'S WEBSITE: HTTPS://WWW.BILLINGSCLINIC.COM/BILLINGS-CLINIC-BROADWATER/ CLICK ON PATIENT FINANCIAL ASSISTANCE & PRICING TRANSPARENCY THE DIRECT LINK IS: https://www.billingsclinic.com/app/files/public/27b7c436-3f74-434d-b8cb-0d fadb4c3ec1/Broadwater%20Financial%20Assistance%20Policy.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 16B | DIRECT URL FOR FINANCIAL ASSISTANCE POLICY APPLICATION: IN 2020 TOWNSEND HEALTH SYSTEMS WHO IS RELATED TO BILLINGS CLINIC ADOPTED BILLINGS CLINIC FINANCIAL POLICIES. THERE IS A LINK ON TOWNSEND HEALTH SYSTEMS WEBSITE THAT IS A DIRECT LINK TO BILLINGS CLINIC FINANCIAL POLICY. TO NAVIGATE THERE START AT TOWNSEND'S WEBSITE: HTTPS://WWW.BILLINGSCLINIC.COM/BILLINGS-CLINIC-BROADWATER/ CLICK ON PATIEN CLICK ON FINANCIAL ASSISTANCE & PRICING TRANSPARENCY THE DIRECT LINK IS: https://www.billingsclinic.com/app/files/public/1283a2ed-f51a-446f-b7fb-0c |
| SCHEDULE H, PART V, SECTION B, LINE 16C | DIRECT URL FOR FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY: IN 2020 TOWNSEND HEALTH SYSTEMS WHO IS RELATED TO BILLINGS CLINIC ADOPTEd BILLINGS CLINIC FINANCIAL POLICIES. THERE IS A LINK ON TOWNSEND HEALTH SYSTEMS WEBSITE THAT IS A DIRECT LINK TO BILLINGS CLINIC FINANCIAL POLICY. TO NAVIGATE THERE START AT TOWNSEND'S WEBSITE: HTTPS://WWW.BILLINGSCLINIC.COM/BILLINGS-CLINIC-BROADWATER/ CLICK ON PATIENT INFORMATION THEN CLICK ON FINANCIAL ASSISTANCE & PRICING TRANSPARENCY THE DIRECT LINK IS: https://www.billingsclinic.com/app/files/public/cd4c0dcd-11d5-40c5-bd7e-23 3ad5dc7c9c/BCLBCBFinancialAssistanceBrochureJan22.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BILLINGS CLINIC BROADWATER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 NORTH OAK STREET | AddressLine1Txt |
| City | TOWNSEND | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59644 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (10 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 TOWNSEND HEALTH SYSTEMS ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| SCHEDULE H, PART I, LINE 7 | 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 |
| SCHEDULE H, PART III, SECTION A, LINE 2 | THE FACILITY RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINACNIALLY RESPONISBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF BAD DEBT EXPENSE FOR EACH YEAR IS DISCLOSED ON THE FACILITY'S STATEMENT OF OPERATIONS. BAD DEBT EXPENSES WAS CALCULATED BY APPLYING THE FACILITY'S ADJUSTED COST TO CHARGE RATIO TO THE CHARGES FOREGONE. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | 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, SECTION C, LINE 9B | PATIENTS ARE SCREENED BY THE ORGANIZATION'S FINANCIAL COUNSELORS TO SEE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE.IF THEY QUALIFY, THEIR ACCOUNT BALANCES ARE ADJUSTED ACCORDINGLY. IF THERE IS A BALANCE AFTER THE ADJUSTMENT, THE ORGANIZATION FOLLOWS THE NORMAL DEBT COLLECTION PRACTICE. IN UNUSUAL SITUATIONS WHERE THE PATIENT'S CIRCUMSTANCES HAVE CHANGED, THE CEO HAS THE AUTHORITY TO GRANT EXCEPTIONS TO THE POLICY |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH COMMUNITY INVOLVEMENT VIA COMMUNITY SURVEYS, FORUMS, HEALTH SEMINARS, AND EDUCATION. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS WITHOUT INSURANCE ARE INFORMED AT TIME OF SERVICE AND A PATIENT ASSISTANCE FORM IS OFFERED TO THEM. ADDITIONALLY, INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS INCLUDED WITH THEIR BILLING INFORMATION. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION IS ALSO AVAILABLE ON THE WEBSITE. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: TOWNSEND HEALTH SYSTEMS INC SERVES BROADWATER COUNTY OF APPROXIMATELY 1,600 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO A SERVICE POPULATION OF APPROXIMATELY 6,000 PEOPLE. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: FACILITY DONATES EMERGENCY SERVICES AT LOCAL HIGH SCHOOL SPORTING EVENTS, RODEO, AND 4-H ACTIVITIES. IT ALSO PROVIDES A COMMUNITY VAN THAT TRAVELS TO A LARGER TOWN TWO TIMES A MONTH. COMMUNITY MEMBERS MAY RIDE THE VAN FOR MEDICAL APPOINTMENTS, DENTAL APPOINTMENTS, OR FOR SHOPPING. THE FACILITY HAS A LARGE MEETING ROOM THAT IS USED BY COMMUNITY ORGANIZATIONS FOR THEIR ACTIVITIES AT NO CHARGE. IT PROVIDES FREE WALK-IN BLOOD PRESSURE CHECKS FOR CITIZENS, QUIT SMOKING SUPPORT, AND NUTRITION SERVICES. IT ALSO HAS FORMED ALLIANCES WITH A LARGER, REGIONAL HOSPITAL TO PROVIDE SPECIFIC SERVICES AND CONTINUES TO PROACTIVELY PROVIDE EDUCATION TO THE COMMUNITY THROUGH MONTHLY NEWSLETTERS, COMMUNITY MEETINGS, NEWS ARTICLES, AND THE OFFERING OF DISCOUNTED WELLNESS DAYS TO THE PUBLIC OFFERED IN PARTNERSHIP WITH LOCAL BUSINESS PROGRAMS. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: TOWNSEND HEALTH SYSTEMES INC IS MANAGED BY BILLINGS CLINIC AND WORKS CLOSELY WITH BILLINGS CLINIC AND OTHER HOSPITALS ALSO MANAGED BY BILLINGS CLINIC TO PROVIDE HIGH QUALITY PATIENT CARE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMBERLY PAYHUT | ||||||||||||
| SR. DIRECTOR OF PHILANTHROPY | $0 | $144,565 | $0 | $6,398 | $0 | $0 | $0 | $14,280 | $0 | $23,273 | $0 | $188,516 |
| GARY HAMILTON | ||||||||||||
| VICE PRESIDENT | $0 | $121,491 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,178 | $0 | $151,669 |
| JENNIFER CLOWES | ||||||||||||
| CEO | $118,901 | $0 | $5,138 | $0 | $0 | $0 | $9,973 | $0 | $19,778 | $0 | $153,790 | $0 |
| JOSE ORTIZ MD - THROUGH 1021 | ||||||||||||
| PHYSICIAN/DIRECTOR | $0 | $231,691 | $0 | $13,730 | $0 | $1,500 | $0 | $22,403 | $0 | $26,327 | $0 | $295,651 |
| PHILIP HESS | ||||||||||||
| DIRECTOR - BEGIN 11/2021 | $130,401 | $0 | $50,250 | $0 | $0 | $0 | $0 | $0 | $2,765 | $0 | $183,416 | $0 |
| HOLLY HOFFMAN | ||||||||||||
| PHYSICIAN | $250,647 | $0 | $20,500 | $0 | $0 | $0 | $10,451 | $0 | $0 | $0 | $281,598 | $0 |
| JILL LEBLANC | ||||||||||||
| PHYSICIAN ASSISTANT | $129,518 | $0 | $0 | $0 | $0 | $0 | $10,524 | $0 | $16,133 | $0 | $156,175 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | DESCRIBE HOW CEO COMPENSATION IS DETERMINED: COMPENSATION FOR THE CEO IS PAID BY BILLINGS CLINIC, A RELATED ORGANIZATION. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR HOW CEO COMPENSATION IS DETERMINED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS: BILLINGS CLINIC IS THE SOLE MEMBER OF TOWNSEND HEALTH SYSTEMS INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: THE SOLE MEMBER HAS AUTHORITY TO RECOMMEND, APPROVE AND REJECT NOMINATIONS OF BOARD MEMBERS |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS: THE FOLLOWING ARE GOVERNANCE DECISIONS OF THE ORGANIZATION WHICH ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER: - AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION, BYLAWS, OR NAME; - DISSOLUTION, MERGERS, OR CONSOLIDATIONS WITH OR INTO ANOTHER ENTITY; - SALE, LEASE, EXCHANGE OR DISPOSITIONS OF PROPERTY OF THE ORGANIZATION; - APPROVAL OF BUDGETS; - INCURRENCE OF DEBT AND PURCHASES MADE BY THE ORGANIZATION IN AMOUNTS EXCEEDING $100,000; - SELECTION, HIRING, PRIMARY SUPERVISION, DISCIPLINE AND TERMINATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER; - ADDITION OR DISCONTINUANCE OF ANY SERVICE OFFERED TO OR BY THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW FORM 990: FORM 990 IS REVIEWED BY FINANCIAL DELEGATE AND CEO. CEO DISTRIBUTES TO THE BOARD MEMBERS. IT IS AVAILABLE FOR THE PUBLIC TO REVIEW IN THE ADMINISTRATIVE OFFICE |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT-OF-INTEREST POLICY: ALL DIRECTORS, OFFICERS, EMPLOYEES, AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS ARE COVERED BY THE CONFLICT-OF-INTEREST POLICY AND MUST PROVIDE AN ANNUAL STATEMENT INDICATING THEY HAVE REVIEWED AND ARE IN COMPLIANCE WITH THE POLICY. THE BOARD IS CHARGED WITH PERIODICALLY REVIEWING AND MONITORING THE POLICY TO ENSURE THE ORGANIZATION ACTS IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WILL INVESTIGATE ANY ALTERNATIVES AND DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND WILL ESTABLISH PROCEDURES FOR VIOLATIONS OF THE POLICY. IF THERE IS A VIOLATION OF THE CONFLICTS OF INTEREST POLICY BY FAILING TO DISCLOSE POTENTIAL OR ACTUAL CONFLICTS OF INTEREST, A MEMBER OF THE COMPLIANCE, HR, OR LEGAL DEPARTMENT WILL INVESTIGATE AND TAKE APPROPRIATE ACTION. |
| FORM 990, PART VI, SECTION B, LINE 15A | DESCRIBE PROCESS FOR DETERMINING CEO/EXECUTIVE COMPENSATION: COMPENSATION IS PAID THROUGH BILLINGS CLINIC, THE SOLE MEMBER. COMPENSATION IS DETERMINED BY AN ANNUAL REVIEW OF EXTERNAL MARKET DATA FOR SIMILAR SIZE ORGANIZATIONS THROUGH USE OF SURVEY DATA WITH MHA AND YAFFEE AND COMPANY, AND RURAL CRITICAL ACCESS HOSPITAL FACILITIES. COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AS RECOMMENDED BY THE VP OF REGIONAL SERVICES. THE REVIEW IS DONE AT THE TIME OF THE CEO'S ANNUAL PERFORMANCE REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 15B | DESCRIBE PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS: OTHER OFFICER COMPENSATION IS PAID THROUGH BILLINGS CLINIC, THE SOLE MEMBER. SALARIES FOR THE OTHER KEY OFFICERS/LEADERS IN THE ORGANIZATION ARE REVIEWED FOR COMPARISON TO OTHER SIMILAR SIZE ORGANIZATIONS THROUGH USE OF EXTERNAL SALARY SURVEY SOURCES SUCH AS MHA AND ASSOCIATED EMPLOYERS. THIS REVIEW IS CONDUCTED BY TOWNSEND HEALTH SYSTEMS' HR GENERALIST AND THE CEO. BUDGET RECOMMENDATIONS ARE FORMULATED FOR REVIEW AND APPROVAL BY THE VP OF REGIONAL SERVICES AND FOR FINAL APPROVAL BY THE BOARD OF DIRECTORS/FINANCE COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:81716 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MANAGEMENT SERVICES TOTAL FEES:93804 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:NURSING SERVICES TOTAL FEES:935815 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:NON-PHYSICIAN SERVICES TOTAL FEES:168991 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PATIENT CARE SERVICES TOTAL FEES:501576 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:HEALTH CARE TECH SERVICES TOTAL FEES:216678 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTIONS TOTAL FEES:16326 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:41148 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT SERVICES TOTAL FEES:261019 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL TEST SERVICES TOTAL FEES:30989 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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 (MT) | ||||||||||
| 2800 TENTH AVENUE NORTH | BILLINGS | MT | 59101 | 810231784 | HOSPITAL | MT | 501 (C) (3) | 3 | NA | false |
| BILLINGS CLINIC FOUNDATION | ||||||||||
| 2917 TENTH AVENUE NORTH | BILLINGS | MT | 59101 | 810407289 | FUNDRAISING | MT | 501 (C) (3) | 7 | BC | false |
| STILLWATER HOSPITAL ASSOCIATION | ||||||||||
| 710 N 11TH STREET | COLUMBUS | MT | 59019 | 810286525 | HOSPITAL | MT | 501 (C) (3) | 3 | BC | false |
| 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 | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | 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 | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |