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X X X true true X X X true X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C FOR UR X X X X X X true X false X X X X true X false false 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 1 BILLINGS CLINIC BROADWATER 110 NORTH OAK STREET TOWNSEND MT 59644 CLINIC 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. X X false false false false false false false false false AMBERLY PAYHUT SR. DIRECTOR OF PHILANTHROPY 0 144565 0 6398 0 0 0 14280 0 23273 0 188516 GARY HAMILTON VICE PRESIDENT 0 121491 0 0 0 0 0 0 0 30178 0 151669 JENNIFER CLOWES CEO 118901 0 5138 0 0 0 9973 0 19778 0 153790 0 JOSE ORTIZ MD - THROUGH 1021 PHYSICIAN/DIRECTOR 0 231691 0 13730 0 1500 0 22403 0 26327 0 295651 PHILIP HESS DIRECTOR - BEGIN 11/2021 130401 0 50250 0 0 0 0 0 2765 0 183416 0 HOLLY HOFFMAN PHYSICIAN 250647 0 20500 0 0 0 10451 0 0 0 281598 0 JILL LEBLANC PHYSICIAN ASSISTANT 129518 0 0 0 0 0 10524 0 16133 0 156175 0 SCHEDULE J, PART I, LINE 3 DESCRIBE HOW CEO COMPENSATION IS DETERMINED: COMPENSATION FOR THE CEO IS PAID BY BILLINGS CLINIC, A RELATED ORGANIZATION. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR HOW CEO COMPENSATION IS DETERMINED. 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 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 false true false false true false false false false false false false true false true true false false true