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BEARTOOTH BILLINGS CLINIC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
BEARTOOTH BILLINGS CLINIC (EIN 81-0224734)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-06
IRS object ID
202231269349303263
Schema version
2020v4.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-06T18:14:42-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Tejon Suite 800AddressLine1Txt
CityColorado SpringsCityNm
State AbbreviationCOStateAbbreviationCd
ZIP809039848ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810224734EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% LINDA E HARRISInCareOfNm
Business Name ControlMEMOBusinessNameControlTxt
Phone4064462345PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 590AddressLine1Txt
CityRED LODGECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59068ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonABBY LOTZPersonNm
Person TitleCEOPersonTitleTxt
Phone4064462345PhoneNum
Signature2022-05-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstABBYPersonFirstNm
Person LastLOTZPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAdam R Smith CPAPreparerPersonNm
PTINP00958966PTIN
Phone7194714290PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerABBY LOTZ RN CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 590AddressLine1Txt
CityRED LODGECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59068ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,721,717GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BEARTOOTHBILLINGSCLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionTHE MISSION OF BBC IS TO SAVE LIVES AND PROMOTE HEALTHY LIVING. THE ORGANIZATION VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION, EXCELLENCE, LOVE AND INNOVATIONActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee178TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$507,431PYContributionsGrantsAmt
CY Contributions Grants$1,838,637CYContributionsGrantsAmt
PY Program Service Revenue$15,882,787PYProgramServiceRevenueAmt
CY Program Service Revenue$17,640,728CYProgramServiceRevenueAmt
PY Investment Income-$37,002PYInvestmentIncomeAmt
CY Investment Income-$239,287CYInvestmentIncomeAmt
PY Other Revenue$9,534PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$16,362,750PYTotalRevenueAmt
CY Total Revenue$19,240,078CYTotalRevenueAmt
PY Grants And Similar Paid$57,460PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$19,768CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,862,847PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,260,696CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$64,627CYTotalFundraisingExpenseAmt
PY Other Expenses$7,975,059PYOtherExpensesAmt
CY Other Expenses$8,706,768CYOtherExpensesAmt
PY Total Expenses$15,895,366PYTotalExpensesAmt
CY Total Expenses$16,987,232CYTotalExpensesAmt
PY Revenues Less Expenses$467,384PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,252,846CYRevenuesLessExpensesAmt
Total Assets BOY$31,697,344TotalAssetsBOYAmt
Total Assets EOY$33,779,980TotalAssetsEOYAmt
Total Liabilities BOY$23,681,239TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,665,231TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,016,105NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,114,749NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE ORGANIZATION IS TO SAVE LIVES AND PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE AND INNOVATION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$10,463,402ExpenseAmt
Grant$8,313GrantAmt
Revenue$17,700,519RevenueAmt
DescCOMMUNITY-OWNED CRITICAL ACCESS HOSPITAL PROVIDING ACUTE AND TRANSITIONAL CARE, OUTPATIENT SURGICAL SERVICES, DIAGNOSTIC SERVICES, REHABILITATION, AND HOSPICE/HOME CARE FOR RED LODGE, MT AND THE SURROUNDING AREA PAID FOR THROUGH PATIENT FEES, MEDICARE AND MEDICAID, AND PRIVATE INSURANCE REIMBURSEMENTS.Desc
Total Program Service Expenses$10,463,402TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee178EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLINDA E HARRISPersonNm
Phone4064462345PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 N BROADWAYAddressLine1Txt
CityRED LODGECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59068ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DR WILLIAM OLEY MD
DIRECTOR1.00.0Yes (X)$279,987$0$52,448
KELLEY EVANS RN
CHIEF EXECUTIVE OFFICER39.250.75$221,859$0$32,156Yes (X)
DEREK STIEGEMEIER
DIRECTOR OF ANCILLARY SERVICES40.00.0$133,243$0$17,051Yes (X)
KATE WYMAN
LAB MANAGER40.00.0$121,623$0$15,064Yes (X)
SHARON NORBY
CHIEF QUALITY OFFICER40.00.0$120,281$0$15,648Yes (X)
BRIDGETT CHARTIER
DIRECTOR OF NURSING40.00.0$125,126$0$8,626Yes (X)
BRANDI MAINS
DIRECTOR OF IS40.00.0$107,244$0$24,662Yes (X)
LINDA HARRIS
DIR. OF FOUNDATION AND FINANCE30.010.0$112,846$0$16,747Yes (X)
GEORGE CLOW
IMMEDIATE PAST PRESIDENT1.00.0Yes (X)$0$0$0Yes (X)
GUY SCHMIDT MD
DIRECTOR1.00.0Yes (X)$0$0$0
JIM DUNCAN
DIRECTOR1.00.0Yes (X)$0$0$0
KELLY HEATON
DIRECTOR1.00.0Yes (X)$0$0$0
MITZI VORACHEK
PRESIDENT1.00.0Yes (X)$0$0$0Yes (X)
RANDY DRAGON
DIRECTOR1.00.0Yes (X)$0$0$0
DICK FELLOWS
SECRETARY/TREASURER1.00.75Yes (X)$0$0$0Yes (X)
SARAH EWALD
VICE PRESIDENT1.00.0Yes (X)$0$0$0Yes (X)
STEVE MUTH
DIRECTOR1.00.0Yes (X)$0$0$0
STEVE SMITH
DIRECTOR1.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,222,209TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$182,402TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonBILLINGS CLINICPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line12800 TENTH AVENUE NAddressLine1Txt
CityBILLINGSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59101ZIPCd
FieldValueIRS element (for citing)
ServicesMANAGEMENT SERVICESServicesDesc
Compensation$112,774CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$62,507RelatedOrganizationsAmt
Government Grants$1,776,080GovernmentGrantsAmt
All Other Contributions$50AllOtherContributionsAmt
Total Contributions$1,838,637TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue561110$16,862,697$16,862,697
Other Program Revenue900099$4,553$4,553
Program Rent531190$773,478$773,478
FieldValueIRS element (for citing)
Total Program Service Revenue$17,640,728TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,955TotalRevenueColumnAmt
Exclusion$14,955ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,227,397SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,481,639SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$254,242SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$254,242TotalRevenueColumnAmt
Exclusion-$254,242ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,240,078TotalRevenueColumnAmt
Related Or Exempt Func Income$17,640,728RelatedOrExemptFuncIncomeAmt
Exclusion-$239,287ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$19,768TotalAmt
Program Services$19,768ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$754,186TotalAmt
Program Services$519,519ProgramServicesAmt
Management And General$213,334ManagementAndGeneralAmt
Fundraising$21,333FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,251,586TotalAmt
Program Services$4,334,660ProgramServicesAmt
Management And General$1,890,039ManagementAndGeneralAmt
Fundraising$26,887FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$184,492TotalAmt
Program Services$92,079ProgramServicesAmt
Management And General$91,162ManagementAndGeneralAmt
Fundraising$1,251FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$576,314TotalAmt
Program Services$303,131ProgramServicesAmt
Management And General$272,047ManagementAndGeneralAmt
Fundraising$1,136FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$494,118TotalAmt
Program Services$265,094ProgramServicesAmt
Management And General$226,553ManagementAndGeneralAmt
Fundraising$2,471FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$108,274TotalAmt
Management And General$108,274ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,493TotalAmt
Management And General$4,493ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,430TotalAmt
Management And General$27,430ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$542TotalAmt
Management And General$542ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,824,571TotalAmt
Program Services$2,755,222ProgramServicesAmt
Management And General$1,063,229ManagementAndGeneralAmt
Fundraising$6,120FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$97,399TotalAmt
Program Services$62,540ProgramServicesAmt
Management And General$34,684ManagementAndGeneralAmt
Fundraising$175FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$581,048TotalAmt
Program Services$373,091ProgramServicesAmt
Management And General$206,911ManagementAndGeneralAmt
Fundraising$1,046FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$81,688TotalAmt
Program Services$52,452ProgramServicesAmt
Management And General$29,089ManagementAndGeneralAmt
Fundraising$147FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$195,073TotalAmt
Program Services$125,256ProgramServicesAmt
Management And General$69,465ManagementAndGeneralAmt
Fundraising$352FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$131,235TotalAmt
Program Services$84,266ProgramServicesAmt
Management And General$46,733ManagementAndGeneralAmt
Fundraising$236FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$761,621TotalAmt
Management And General$761,621ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,140,567TotalAmt
Program Services$341,828ProgramServicesAmt
Management And General$798,397ManagementAndGeneralAmt
Fundraising$342FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$115,001TotalAmt
Program Services$82,847ProgramServicesAmt
Management And General$31,970ManagementAndGeneralAmt
Fundraising$184FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$1,023,130$656,952$364,337$1,841
Repairs & Maintenance$189,008$121,362$67,306$340
Dietary/Food$112,527$72,254$40,071$202
Bed Tax$147,714$94,847$52,601$266

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$165,447TotalAmt
Program Services$106,234ProgramServicesAmt
Management And General$58,915ManagementAndGeneralAmt
Fundraising$298FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,987,232TotalAmt
Program Services$10,463,402ProgramServicesAmt
Management And General$6,459,203ManagementAndGeneralAmt
Fundraising$64,627FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,841,676BOYAmt
EOY$9,181,239EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,997,832BOYAmt
EOY$3,561,254EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$358,705BOYAmt
EOY$374,204EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$58,509BOYAmt
EOY$15,746EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$24,517,592LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,703,709LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,727,272BOYAmt
EOY$11,813,883EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,400,145BOYAmt
EOY$8,833,654EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$313,205BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,697,344BOYAmt
EOY$33,779,980EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,792,179BOYAmt
EOY$2,181,010EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,768,977BOYAmt
EOY$3,831,611EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,707,053BOYAmt
EOY$4,588,468EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,682,000BOYAmt
EOY$11,064,142EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,731,030BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,681,239BOYAmt
EOY$21,665,231EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,991,605BOYAmt
EOY$6,771,008EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,500BOYAmt
EOY$5,343,741EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,016,105BOYAmt
EOY$12,114,749EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,697,344BOYAmt
EOY$33,779,980EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,252,846ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,473,675NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$372,123PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$542OtherActivitiesAmt
Total Lobbying Expenditures$542TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1iFormAndLineReferenceDesc
ExplanationLobbying: A portion of the dues paid to the Montana Hospital Association by Memorial Hospital Association was allocable to lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$771,718OtherCostOrOtherBasisAmt
Book Value$771,718BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,864,959OtherCostOrOtherBasisAmt
Depreciation$6,737,686DepreciationAmt
Book Value$8,127,273BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,438,985OtherCostOrOtherBasisAmt
Depreciation$4,609,615DepreciationAmt
Book Value$1,829,370BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,441,930OtherCostOrOtherBasisAmt
Depreciation$1,356,408DepreciationAmt
Book Value$1,085,522BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,813,883TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationUNCERTAIN 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other110.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$147,714TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$147,714NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,204,349TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$711,325DirectOffsettingRevenueAmt
Net Community Benefit Expns$493,024NetCommunityBenefitExpnsAmt
Total Expense0.02900TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,352,063TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$711,325DirectOffsettingRevenueAmt
Net Community Benefit Expns$640,738NetCommunityBenefitExpnsAmt
Total Expense0.03770TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,012TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,576DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,436NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$98,750TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$98,750NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,950TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,950NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$127,712TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,576DirectOffsettingRevenueAmt
Net Community Benefit Expns$113,136NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,479,775TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$725,901DirectOffsettingRevenueAmt
Net Community Benefit Expns$753,874NetCommunityBenefitExpnsAmt
Total Expense0.04440TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$368,462TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$248,627DirectOffsettingRevenueAmt
Net Community Benefit Expns$119,835NetCommunityBenefitExpnsAmt
Total Expense0.00710TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$368,462TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$248,627DirectOffsettingRevenueAmt
Net Community Benefit Expns$119,835NetCommunityBenefitExpnsAmt
Total Expense0.00710TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$760,638BadDebtExpenseAmt
Bad Debt Expense Attributable$470,814BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,434,440ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,366,407CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$3,068,033MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 590AddressLine1Txt
CityRED LODGECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59068ZIPCd
FieldValueIRS element (for citing)
Website AddressBEARTOOTHBILLINGSCLINIC..ORGWebsiteAddressTxt
State License13419StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherCLINICOtherDesc
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION C FOR URLOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION C FOR URLStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care110.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION C FOR URLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION C FOR URLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V SECTION C FOR URLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5MEMBERS OF OUR VARIED COMMUNITY HEALTH PARTNER ORGANIZATIONS, PUBLIC AGENCIES, MENTAL HEALTH PROVIDERS, SCHOOL OFFICIALS, CHILD CARE PROVIDERS AND PUBLIC HEALTH OFFICIALS WERE INVITED TO PARTICIPATE IN OUR PROCESS VIA A COMMUNITY PANEL. THE COMMUNITY PANEL CONSISTED OF THE FOLLOWING GROUPS: DPHHS PUBLIC ASSISTANCE MENTAL HEALTH CENTER CEDAR WOOD HEALTHCARE COMMUNITY RIVERSTONE HEALTH CARBON CO BETA JAIL ALTERNATIVES MESSIAH LUTHERAN CHURCH RED LODGE SCHOOLS TOBACCO PREVENTION RL AREA FOOD PARTNERSHIP CARBON CO COMMISSIONER HEAD START INC. MARY FITZGERALD INSURANCE DSVS RED LODGE EMS RL AREA COMMUNITY FOUNDATION RL AREA CHAMBER OF COMMERCE CARBON CO PUBLIC HEALTH CARBON CO SCHOOL SUPERINTENDENT'S OFFICE BEARTOOTH BC NAVIGATOR JOLIET COMMUNITY CENTER BEARTOOTH CHILDREN'S CENTER BEARTOOTH BILLINGS CLINIC BRIDGER SCHOOL SUPERINTENDENT CARBON COUNTY COUNSELING, LLC JOLIET SCHOOL COUNSELOR THE ORGANIZATION ALSO HELD THREE COMMUNITY DIALOGUE MEETINGS TO GATHER COMMUNITY CONCERNS RELATIVE TO HEALTH ISSUES IN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY.
SCHEDULE H, PART V, SECTION B, LINE 7AWE INCLUDE A LINK TO ALL COMMUNITY HEALTH NEEDS ASSESSMENTS IN THE "ABOUT US" TAB FOUND AT THE TOP OF OUR HOMEPAGE OR VIA THIS LINK: https://www.beartoothbillingsclinic.org/about-us-beartooth-billings-clinic /community-health-needs-assessments/
SCHEDULE H, PART V, SECTION B, LINE 10AWe include a link to all Community Health Needs Assessments in the "About Us" tab found at the top of our homepage or via this link: https://www.beartoothbillingsclinic.org/about-us-beartooth-billings-clinic /community-health-needs-assessments/
SCHEDULE H, PART V, SECTION B, LINE 11BEARTOOTH BILLINGS CLINIC APPROVED ITS MOST RECENT IMPLEMENTATION PLAN ON OCTOBER 22, 2019. THE PLAN PRIORITIZED THE FOLLOWING HEALTH ISSUES: 1) BEHAVIORAL HEALTH 2) ACCESS TO CARE AND 3) CHRONIC DISEASE PREVENTION AND MANAGEMENT. GOAL 1: ENHANCE BEHAVIORAL HEALTH SERVICES IN CARBON COUNTY BY IMPLEMENTING AN INTEGRATED BEHAVIORAL HEALTH MODEL IN CLINIC, EMPLOY SUICIDE PREVENTION SCREENING PROTOCOLS IN THE ED, PARTICIPATE IN LOCAL MENTAL HEALTH ADVISORY COUNCIL, AND CONTINUE TO OFFER EMPLOYEE ASSISTANCE PROGRAM TO STAFF. ENHANCE EFFORTS IN SUBSTANCE ABUSE PREVENTION AND TREATMENT THROUGH PAIN MANAGEMENT SERVICES AND EDUCATION. INTEGRATED BEHAVIORAL HEALTH HAS BEEN OFFERED THROUGH OUR PRIMARY CARE CLINIC IN OUR FACILITY SINCE JANUARY OF 2020. THROUGH THIS PROGRAM WE HAVE GROWN FROM PROVIDING 30 AVERAGE MONTHLY VISITS TO 85 AVERAGE MONTHLY VISITS CURRENTLY. THIS PROGRAM OFFERS DIRECT COUNSELING WITH A LICENSED CLINICAL SOCIAL WORKER IN OUR CLINIC SETTING. PATIENTS MUST HAVE A PRIMARY CARE PROVIDER IN OUR CLINIC, SO THAT THEIR CARE CAN BE COORDINATED WITH THEIR OVERALL HEALTH. AS PART OF THIS PROGRAM, OUR LCSW HAS THE ABILITY TO CONSULT WITH A PSYCHIATRIST ONCE WEEKLY, TO REVIEW PATIENT CASES WHERE OUR TEAM FEELS LIKE THEY MAY NEED GUIDANCE ON FURTHER TREATMENT PLANS FOR THE PATIENT. THE PSYCHIATRIST THEN PROVIDES SEVERAL OPTIONS FOR OUR LOCAL PROVIDER AS RECOMMENDED TREATMENT PLANS, FROM THERE OUR PROVIDER MEETS WITH THE PATIENT AND THEY DETERMINE WHAT BEST SUITS THEIR PERSONAL COURSE OF CARE. THROUGH THIS PROGRAM WE HAVE SEEN SIGNIFICANT DECREASES IN PATIENT DEPRESSION AND ANXIETY. GOAL 2: IMPROVE ACCESS TO HEALTHCARE SERVICES IN CARBON COUNTY BY EXPLORING BARRIERS, COLLABORATING WITH COMMUNITY PARTNERS TO DEVELOP OPPORTUNITIES, AND ENHANCE AWARENESS OF AVAILABLE SERVICES IN OUR COMMUNITIES. IN 2021 BEARTOOTH BILLINGS CLINIC CONTINUED TO IMPROVE ACCESS TO HEALTHCARE SERVICES IN CARBON COUNTY BY ASSESSING BARRIERS, COLLABORATING WITH CART (CARBON COUNTY AREA RIDE & TRANSIT) AND OTHER COMMUNITY PARTNERS TO DEVELOP ACCESS AND AWARENESS. GOAL 3: IMPROVE CHRONIC DISEASE PREVENTION AND MANAGEMENT IN CARBON COUNTY BY DEVELOPING AND IMPLEMENTING PROGRAMS TO PROVIDE SERVICES AND EDUCATIONAL PROGRAMS. THE CLINIC TEAM HAS A CHRONIC CARE MANAGEMENT TEAM THAT IS WORKING ON A PROCESS OF INVIGORATING THIS WORK. Beartooth Billings Clinic is not addressing the need for an Audiologist and an Ophthalmologists as we do not have the resources and that these services are available in both Cody and Billings approximately 60 minutes from Beartooth.
SCHEDULE H, PART V, SECTION B, LINE 16AThe financial assistance policy can be found by going to the organization's home page, under patient information, Billing and Insurance. A link to the financial assistance policy is also listed below. https://www.beartoothbillingsclinic.org/wp-content/uploads/2021/02/financi al-assistance-policy-full.pdf
SCHEDULE H, PART V, SECTION B, LINE 16BThe financial assistance application form can be found by going to the organization's home page, under patient information, Billing and Insurance, and there is a link to the application. A link to the application is also listed below. https://www.beartoothbillingsclinic.org/wp-content/uploads/2021/02/4059884 _bc-financial-assistance-app-rev-4-13.pdf
SCHEDULE H, PART V, SECTION B, LINE 16CThe plain language summary can be found by going to the organization's home page, under patient information, Billing and Insurance. A link to the plain language summary is also listed below. https://www.beartoothbillingsclinic.org/wp-content/uploads/2021/02/financi al-assistance-policy-summary.pdf
SCHEDULE H, PART V, SECTION B, LINE 16ITRANSLATION OF THE FAP, APPLICATION, AND PLAIN LANGUAGE SUMMARY OF THE FAP POLICY HAS BEEN CONSIDERED FOR LEP GROUPS. HOWEVER AT THIS TIME NONE MEET THE THRESHOLD TO REQUIRE TRANSLATION. BEARTOOTH BILLINGS CLINIC CONTINUES TO MONITOR THE NEEDS OF LEP GROUPS AND ONCE IT BECOMES NECESSARY THE FAP AND OTHER FORMS WILL BE TRANSLATED AS NEEDED.
SCHEDULE H, PART V, SECTION B, LINE 22BBEARTOOTH BILLINGS CLINIC WILL NOT CHARGE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE MORE FOR EMERGENCY CARE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS. AGB IS CALCULATED USING THE LOOK-BACK METHOD BASED ON CLAIMS SENT TO MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE COMMERCIAL INSURERS FOR EMERGENCY AND MEDICALLY NECESSARY CARE.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOLIET PHYSICAL THERAPYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1209 EAST FRONT STREETAddressLine1Txt
CityJOLIETCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59041ZIPCd
FieldValueIRS element (for citing)
FacilityPHYSICAL THERAPYFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7THE 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. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
SCHEDULE H, PART IICOMMUNITY SUPPORT INCLUDES THE BEARTOOTH BILLINGS CLINIC CHILDREN'S CENTER.
SCHEDULE H, PART III, SECTION A, LINE 2THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS
SCHEDULE H, PART III, SECTION A, LINE 3BEARTOOTH BILLINGS CLINIC ANALYZES OUR HISTORY AND LOOKS FOR TRENDS TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. WE ALSO REVIEW OUR ACCOUNTS RECEIVABLE TO ASSESS PATIENTS THAT COULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER OUR POLICY.
SCHEDULE H, PART III, SECTION A, LINE 4THE 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 FOR THE YEAR ENDED JUNE 30, 2020. 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, SECTION C, LINE 9BTHE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY, THEY ARE NOT REPORTED AS REVENUE, OR SUBJECT TO COLLECTION. FOR THOSE AMOUNTS THAT ARE STILL OUTSTANDING, THE HOSPITAL WILL SEND A LETTER TO THE PATIENT NOTIFYING OF THEIR DETERMINATION AND IF THEY HAVE AN OUTSTANDING BALANCE, TO CONTACT THE HOSPITAL REGARDING PAYMENT OPTIONS. THE HOSPITAL ROUTINELY REVIEWS PATIENT ACCOUNTS FOR OPPORTUNITIES TO ENCOURAGE PAYMENT BY DISCOUNTING AND OTHER MEANS. IF, AFTER NO LESS THAN 120 DAYS OF NO RESPONSE FROM THE PATIENT/GUARANTOR, THE ACCOUNT IS WRITTEN OFF TO BAD DEBT AND FORWARDED TO A COLLECTIONS AGENCY FOR FURTHER ACTION.
SCHEDULE H, PART VI, LINE 2PERIODIC COMMUNITY SURVEYS ARE CONDUCTED TO DEFINE THE PHYSICIAN SPECIALTIES THAT ARE NEEDED/REQUESTED AT THE FACILITY.
SCHEDULE H, PART VI, LINE 3INPATIENTS RECEIVE A VISIT FROM THE PATIENT FINANCIAL SERVICES DEPARTMENT AND PROVIDED INFORMATION ON ASSISTANCE AND CONTACT INFO. OUTPATIENTS ARE ADVISED AT TIME OF REGISTRATION AS TO AVAILABILITY. BEARTOOTH BILLINGS CLINIC ALSO PROVIDES NOTICES IN PATIENT BILLS AND POSTS NOTICES IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, AND PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON THE FACILITY CAMPUS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4BEARTOOTH BILLINGS CLINIC (BEARTOOTH) IS A 10-BED NON PROFIT CRITICAL ACCESS HOSPITAL BASED IN RED LODGE, MONTANA WITH CLINIC AND HOSPITAL SERVICES IN THE SAME FACILITY. BEARTOOTH, THE ONLY HOSPITAL IN CARBON COUNTY, HAS A SERVICE AREA OF APPROXIMATELY 2,000 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO THE COUNTY POPULATION OF APPROXIMATELY 10,000 PEOPLE. CARBON COUNTY, 60 MILES FROM YELLOWSTONE NATIONAL PARK, IS SITUATED ALONG THE MONTANA-WYOMING BORDER IN SOUTH CENTRAL MONTANA. THE PRIMARY SERVICE AREA, BASED ON THE TOP 10 ZIP CODES OF PATIENTS WITH ENCOUNTERS AND OR ADMITS DURING A CALENDAR YEAR INCLUDES THE COMMUNITIES OF RED LODGE, ROBERTS, BRIDGER, JOLIET, BELFRY, BEARCREEK, ROSCOE AND BOYD, MONTANA; AS WELL AS SCATTERING OF PATIENTS FROM LAUREL AND BILLINGS, MONTANA AS WELL AS CODY, WYOMING
SCHEDULE H, PART VI, LINE 5THE MAJORITY OF BEARTOOTH'S GOVERNING BODY MEMBERS RESIDE IN THE COMMUNITY. ALL GOVERNING BODY MEMBERS ARE COMMUNITY-MINDED INDIVIDUALS WHO DO NOT RECEIVE COMPENSATION FOR THEIR SERVICES ON THE BEARTOOTH BOARD. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE USED TO MAKE CAPITAL PURCHASES AND UPGRADES TO THE FACILITIES. BEARTOOTH IS THE SOLE ACUTE CARE PROVIDER IN THE PRIMARY SERVICE AREA, AND OPERATES AN EMERGENCY ROOM AND CLINIC WHICH OFFERS WALK INS AS WELL AS SCHEDULED APPOINTMENTS. BEARTOOTH PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO PROVIDING CARE AT REDUCED OR NO COST, THE ORGANIZATION SPONSORS HEALTH FAIRS, CLASSES, AND OTHER EVENTS THROUGHOUT THE YEAR TO PROMOTE BETTER LIVING, NUTRITION AND GOOD HEALTH. OTHER COMMUNITY BENEFIT PROGRAMS PROVIDED ARE: - HEALTH EXCHANGE ENROLLMENT, PROVIDING OUTREACH AND ENROLLMENT BY CERTIFIED HEALTHCARE GUIDES IN THE NEW HEALTH INSURANCE EXCHANGE. - TOBACCO USE PREVENTION AND CONTROL PROVIDING CESSATION AND PREVENTION EDUCATION FOR LOCAL YOUTH. -DISASTER PREPAREDNESS, WHICH WORKS WITH COMMUNITY PARTNERS AND HOSPITAL STAFF TO PREPARE THE HEALTHCARE SYSTEM COMMUNITY FOR COUNTY WIDE PUBLIC HEALTH EMERGENCIES OF ALL TYPES.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: BEARTOOTH BILLINGS CLINIC (BEARTOOTH) IS AFFILIATED WITH BILLINGS CLINIC, A MONTANA NON PROFIT CORPORATION. BILLINGS CLINIC IS AN INTEGRATED HEALTH CARE ORGANIZATION, COMPRISED OF THE BILLINGS CLINIC AND BILLINGS CLINIC HOSPITAL. SINCE 2002, BEARTOOTH HAS BEEN AN AFFILIATE OF BILLINGS CLINIC WITH A SHARED MANAGEMENT AGREEMENT. WITHIN THIS AGREEMENT, BILLINGS CLINIC PROVIDES MANAGEMENT, DIGITAL INFORMATION SYSTEMS, AND ANCILLARY SUPPORT SERVICES TO AREA HOSPITALS AND CLINICS. AT THAT TIME, BEARTOOTH SOUGHT A STRONGER ALIGNMENT WITH BILLINGS CLINIC DUE TO A DESIRE TO STABILIZE AND ENHANCE THE LEVEL AND SCOPE OF HEALTH CARE SERVICES AVAILABLE IN OUR COMMUNITY, AND TO GROW IN OUR COMMITMENT TO QUALITY, PATIENT SAFETY AND SERVICE VALUES. THIS SHARED DESIRE LED TO A COMMITMENT BY BOTH ORGANIZATIONS TO BUILD A NEW INTEGRATED HOSPITAL AND CLINIC IN RED LODGE, WHICH IS NOW BEARTOOTH BILLINGS CLINIC.
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: A COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF MONTANA.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINIC FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1290AddressLine1Txt
CityRED LODGECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59068ZIPCd
FieldValueIRS element (for citing)
Recipient EIN810484562RecipientEIN
IRC Section501(C)3IRCSectionDesc
Cash Grant$11,455CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: BEARTOOTH BILLINGS CLINIC REIMBURSES THE BEARTOOTH BILLINGS CLINIC FOUNDATION TO COVER THE COST OF VARIOUS EXPENSES. BOTH ORGANIZATIONS HAVE A CLOSE WORKING RELATIONSHIP AS THE CLINIC IS THE SOLE MEMBER OF THE FOUNDATION, ENSURING FUNDS ARE USED FOR THEIR INTENDED PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
DR WILLIAM OLEY MD
DIRECTOR$279,560$0$0$0$427$0$22,679$0$29,769$0$332,435$0
KELLEY EVANS RN
CHIEF EXECUTIVE OFFICER$180,287$0$40,500$0$1,072$0$16,204$0$15,952$0$254,015$0
DEREK STIEGEMEIER
DIRECTOR OF ANCILLARY SERVICES$124,743$0$8,500$0$0$0$6,718$0$10,333$0$150,294$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 7FormAndLineReferenceDesc
ExplanationDESCRIPTION OF NON-FIXED PAYMENT: THE CEO OF BEARTOOTH BILLINGS CLINIC RECEIVES A DISCRETIONARY BONUS THAT IS A NON-FIXED PAYMENT. PRE-DETERMINED STRETCH GOALS ARE ESTABLISHED BY THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE AT THE BEGINNING OF THE EVALUATION PERIOD. FOR BEARTOOTH THIS IS JULY, THE BEGINNING OF THE FISCAL YEAR. THE BONUS IS PRIMARILY IMPACTED BY THE FINANCIAL PERFORMANCE OF THE FACILITY WITH ALL OF THE GOALS BEING REDUCED BY 50% OF POSSIBLE COMPENSATION IF THE FINANCIALS GOALS ARE NOT MET. THE OVERALL AMOUNT HAS BEEN PRIMARILY DETERMINED BY FINANCIAL PERFORMANCE AND REGIONAL /STATE BENCH-MARKING OF COMPARABLE.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CARBON COUNTY MONTANABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN816001339BondIssuerEIN
CUSIP140851AA4CUSIPNum
Bond Issued2010-02-16BondIssuedDt
Issue Price$6,031,020IssuePriceAmt
PurposeSERIES 2010 REVENUE BONDSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,442,552RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$6,031,020TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$78,125CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$64,500IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$5,888,395WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2011SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, LINE 2CFormAndLineReferenceDesc
ExplanationTHERE IS NO REBATE DUE BECAUSE THE TAX EXEMPT LIABILITY IS A USDA LOAN THAT IS NOT SUBJECT TO THE ARBRITRAGE RULES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (27 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, LINE 20BMEMORIAL HOSPITAL ASSOCIATION AUDITED FINANCIAL STATEMENTS WERE NOT COMPLETE FOR THE FYE 6/30/2021 BEFORE THE TIME OF THIS FILING. THE MOST RECENT AUDITED FINANCIAL STATEMENTS WERE FOR THE FYE 6/30/2020 AND HAVE BEEN ATTACHED TO THIS RETURN.
FORM 990, PART VI, SECTION A, LINE 3DESCRIBE DELEGATION OF CONTROL: DELEGATION OF CONTROL TO A MANAGEMENT COMPANY OR OTHER PERSONS: BEARTOOTH BILLINGS CLINIC HIRED BILLINGS CLINIC TO CONDUCT, SUPERVISE, OPERATE AND MANAGE DAY-TO-DAY OPERATIONS OF THE HOSPITAL, ITS DEPARTMENTS, EMPLOYEES AND FINANCIAL ADMINISTRATION.
FORM 990, PART VI, SECTION A, LINE 6DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS: THE ORGANIZATION HAS TWO CLASSES OF MEMBERS, CLASS A AND CLASS B. CLASS A SHALL CONSIST OF THOSE PERSONS WHO ARE AT LEAST EIGHTEEN YEARS OF AGE, AND WHO HAVE INDICATED THEIR INTEREST IN THE MAINTENANCE OF ADEQUATE MEDICAL FACILITIES AND HIGH STANDARDS OF MEDICAL CARE IN THE AREA. CLASS B MEMBERS SHALL BE LIMITED SOLELY TO THE BILLINGS CLINIC, A 501(C)(3) NON PROFIT HOSPITAL LOCATED AT 2800 10TH AVENUE NORTH, BILLINGS, MONTANA 59101.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: CLASS A MEMBERS SHALL BE ENTITLED TO ELECT NINE BOARD MEMBERS. CLASS B MEMBERS SHALL BE ENTITLED TO APPOINT THREE BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS: THE VOTING POWER OF BOTH CLASSES OF MEMBERSHIP ARE LIMITED TO THE FOLLOWING ACTIONS: THE ELECTION AND REMOVAL OF DIRECTORS; ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR THESE BYLAWS THAT WOULD TERMINATE ALL MEMBERS OR ANY CLASS OF MEMBERS OR REDEEM OR CANCEL ALL MEMBERSHIPS OR ANY CLASS OF MEMBERSHIPS; ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS WHICH RELATES TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED; THE MERGER OF THE CORPORATION WITH ANOTHER BUSINESS ENTITY; THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S PROPERTY; THE DISSOLUTION OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANT AND PROVIDED TO THE BOARD FOR REVIEW AND APPROVAL PRIOR TO SUBMITTING TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: BOARD MEMBERS ANNUALLY DISCLOSE IN WRITING ANY CONFLICTS OF INTEREST. THESE ARE REVIEWED BY THE BOARD CHAIR AND CEO. THROUGHOUT THE YEAR, IF ANY CONFLICTS ARISE, THE BOARD CHAIR AND CEO ADDRESS THOSE ISSUES WITH THE INDIVIDUALS INVOLVED.
FORM 990, PART VI, SECTION B, LINE 15A & 15BDESCRIBE PROCESS FOR DETERMINING COMPENSATION: COMPARATIVE MARKET DATA IS COLLECTED ANNUALLY AND ANALYZED. EXECUTIVE MANAGEMENT EVALUATES TOP EMPLOYEES ANNUALLY AND PROVIDES WAGE ADJUSTMENTS AFTER REVIEWING COMPARATIVE MARKET DATA. REVIEWS ARE CONDUCTED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD. ANY AND ALL DOCUMENTATION IS KEPT IN HUMAN RESOURCES AND ALSO IN EMPLOYEE'S FILE, INCLUDING SIGNED PERSONAL ACTION FORMS, ALONG WITH JUSTIFICATION, PRINCIPALLY FROM EMPLOYEE PERFORMANCE EVALUATIONS.
FORM 990, PART VI, SECTION C, LINE 19DESCRIBE HOW GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE ON THEIR WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE UPON REQUEST.
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIANS TOTAL FEES:1565816
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED SERVICES TOTAL FEES:483538
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT MEDICAL STAFF TOTAL FEES:770894
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT OTHER STAFF TOTAL FEES:142951
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTIONS TOTAL FEES:100515
FORM 990 PART IX LINE 11GDESCRIPTION:MID-LEVEL PROVIDERS/NURSING TOTAL FEES:16566
FORM 990 PART IX LINE 11GDESCRIPTION:RADIOLOGY/IMAGING TOTAL FEES:253981
FORM 990 PART IX LINE 11GDESCRIPTION:ANESTHESIOLOGISTS TOTAL FEES:17489
FORM 990 PART IX LINE 11GDESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:2774
FORM 990 PART IX LINE 11GDESCRIPTION:CLEANING SERVICES TOTAL FEES:11314
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING TOTAL FEES:2368
FORM 990 PART IX LINE 11GDESCRIPTION:DATA SERVICES TOTAL FEES:19199
FORM 990 PART IX LINE 11GDESCRIPTION:DIETICIAN SERVICES TOTAL FEES:44660
FORM 990 PART IX LINE 11GDESCRIPTION:LABORATORY SERVICES TOTAL FEES:8946
FORM 990 PART IX LINE 11GDESCRIPTION:PHARMACY SERVICES TOTAL FEES:59314
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED-SERVICES-MAINTENANCE TOTAL FEES:3191
FORM 990 PART IX LINE 11GDESCRIPTION:VERIFICATION SERVICES TOTAL FEES:23975
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER MISCELLANEOUS SERVICES TOTAL FEES:297080

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINIC FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 590AddressLine1Txt
CityRED LODGECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59068ZIPCd
FieldValueIRS element (for citing)
EIN810484562EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateMTLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINIC FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$62,507InvolvedAmt
Method Of Amount DeterminationINTERCO AMOUNTMethodOfAmountDeterminationTxt