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BENEFIS HOSPITALS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BENEFIS HOSPITALS INC (EIN 81-0232122)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202223159349307217
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-11T16:38:45-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1805 SW BROADWAY SUITE 1200AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810232122EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENEFIS HOSPITALS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBENEBusinessNameControlTxt
Phone4064552563PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 26TH STREET SOUTHAddressLine1Txt
CityGREAT FALLSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59405ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREGORY TIERNEY MDPersonNm
Person TitleCHIEF MEDICAL OFFICERPersonTitleTxt
Phone4064552563PhoneNum
Signature2022-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGREGORYPersonFirstNm
Person LastTIERNEY MDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY CAMPOSPreparerPersonNm
PTINP00448102PTIN
Phone5032421447PhoneNum
Preparation2022-11-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGREGORY TIERNEY MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 26TH STREET SOUTHAddressLine1Txt
CityGREAT FALLSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59405ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$565,235,600GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BENEFIS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1897FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionBENEFIS HOSPITALS, INC. IS A 569 BED HOSPITAL, PROVIDING INPATIENT, OUTPATIENT AND SENIOR SERVICES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee3111TotalEmployeeCnt
Total Volunteers561TotalVolunteersCnt
Total Gross UBI$1,502,637TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,355,248PYContributionsGrantsAmt
CY Contributions Grants$14,512,291CYContributionsGrantsAmt
PY Program Service Revenue$491,029,347PYProgramServiceRevenueAmt
CY Program Service Revenue$545,795,345CYProgramServiceRevenueAmt
PY Investment Income$453,302PYInvestmentIncomeAmt
CY Investment Income$1,021,897CYInvestmentIncomeAmt
PY Other Revenue$1,605,750PYOtherRevenueAmt
CY Other Revenue$2,829,343CYOtherRevenueAmt
PY Total Revenue$500,443,647PYTotalRevenueAmt
CY Total Revenue$564,158,876CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$140,423,471PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$157,920,192CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$297,448,211PYOtherExpensesAmt
CY Other Expenses$355,838,861CYOtherExpensesAmt
PY Total Expenses$437,871,682PYTotalExpensesAmt
CY Total Expenses$513,759,053CYTotalExpensesAmt
PY Revenues Less Expenses$62,571,965PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$50,399,823CYRevenuesLessExpensesAmt
Total Assets BOY$926,167,704TotalAssetsBOYAmt
Total Assets EOY$1,107,455,974TotalAssetsEOYAmt
Total Liabilities BOY$679,796,760TotalLiabilitiesBOYAmt
Total Liabilities EOY$811,118,390TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$246,370,944NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$296,337,584NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE PROVIDE EXCELLENT CARE FOR ALL, HEALING BODY, MIND AND SPIRIT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$364,325,956ExpenseAmt
Grant$0GrantAmt
Revenue$542,803,756RevenueAmt
DescBENEFIS HOSPITALS, INC. OPERATES A 569 LICENSED BED, TWO-CAMPUS FACILITY PROVIDING ACUTE CARE, REHABILITATION SERVICES, AND PSYCHIATRIC HEALTH SERVICES TO THE PUBLIC REGARDLESS OF ABILITY TO PAY. THE ORGANIZATION PROVIDES OUTPATIENT MEDICAL AND SURGICAL SERVICES TO THE PUBLIC REGARDLESS OF ABILITY TO PAY. THE ORGANIZATION PROVIDES LONG TERM CARE SERVICES. THE HOSPITAL ALSO PROVIDES PRIMARY CARE TO GREAT FALLS AND THE SURROUNDING REGION THROUGH A FAMILY PRACTICE DEPARTMENT. THE FAMILY PRACTICE DEPARTMENT SEES PATIENTS OF ALL AGES, FROM NEWBORN TO THE ELDERLY. ALSO PROVIDES SPECIALTY CARE TO GREAT FALLS AND THE SURROUNDING REGION THROUGH OUR INTERNAL MEDICINE AND SPECIALTY CARE DEPARTMENTS. THESE DEPARTMENTS INCLUDE: INTERNAL MEDICINE, NEUROLOGY, NEUROSCIENCES, OBSTETRICS, GYNECOLOGY AND INFERTILITY, PAIN MANAGEMENT, PEDIATRICS, PLASTICS AND RECONSTRUCTIVE SURGERY, PULMONARY AND CRITICAL CARE MEDICINE, RHEUMATOLOGY, MEDICAL ONCOLOGY, RADIATION ONCOLOGY, UROLOGY, WOUND CARE, ANESTHESIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, GERIATRICS, HEART AND VASCULAR, SPORTS MEDICINE, MED SPA AND VEIN CENTER. ALSO PROVIDES HOSPICE AND SENIOR CARE SERVICES TO THE PUBLIC REGARDLESS OF ABILITY TO PAY.Desc
Total Program Service Expenses$364,325,956TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document106IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3111EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FORREST EHLINGERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4064555479PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 26TH STREET SOUTHAddressLine1Txt
CityGREAT FALLSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59405ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
GREGORY TIERNEY MD
DIRECTOR & CHIEF MEDICAL OFFICER20.0040.00Yes (X)Yes (X)$0$732,552$188,198
MARILYN K ROSE
CHAIR (THRU 2/21), DIRECTOR2.00Yes (X)Yes (X)$0$0$0
BILL FERRIN
VICE CHAIR (THRU 2/21), CHAIR2.00Yes (X)Yes (X)$0$0$0
BRIAN LOUCKS
DIRECTOR (THRU 2/21), VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
VARGHESE PARAMBI MD
DIRECTOR (FROM 1/21)2.0048.00Yes (X)$0$666,456$34,266
JEFFREY BAKER MD
DIRECTOR2.0048.00Yes (X)$0$538,827$27,578
JUDY BORLAND MD
DIRECTOR2.0020.00Yes (X)$0$112,170$7,324
MELCHISEDEK MARGARIS MD
DIRECTOR2.00Yes (X)$0$0$9,234
SENATOR LLEW JONES
DIRECTOR2.00Yes (X)$0$0$0
TAMMY LACEY
DIRECTOR2.00Yes (X)$0$0$0
DAVE RICHARDS
DIRECTOR & SYSTEM BOARD LIAISON2.004.00Yes (X)$0$0$0
FORREST EHLINGER
CHIEF FINANCIAL OFFICER26.0034.00Yes (X)$0$702,554$157,806
RAYN GINNATY
CHIEF NURSING OFFICER48.002.00$384,838$0$49,132Yes (X)
KATHY HILL
CHIEF OPERATING OFFICER50.00$253,473$0$50,906Yes (X)
JAMIE LEONARD
DIRECTOR OF PHARMACY48.002.00$207,291$0$31,290Yes (X)
ADAM ELLIOT
MEDICAL PHYSICIST50.00$202,408$0$29,482Yes (X)
GUNNAR VANDERMARS
DIRECTOR OF FACILITIES50.00$172,897$0$27,569Yes (X)
DEBRA VANCE
DIRECTOR OF NURSING50.00$178,568$0$18,647Yes (X)
KEVIN LANGKIET
DIRECTOR EMERGENCY SERVICES50.00$169,914$0$27,297Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,569,389TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,752,559TotReportableCompRltdOrgAmt
Total Other Compensation$658,729TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K126IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NUWEST GROUP HOLDINGS LLC
PO BOX 940ROSEVILLECA95661CONTRACTED MEDICAL STAFF$17,205,728
THOMAS CUISINE MANAGEMENT
770 E FRANKLIN RDMERIDIANID83642CONTRACTED FOOD SERVICES$4,297,240
MAYO COLLABORATIVE SERVICES
PO BOX 9146MINNEAPOLISMN554809146LABORATORY SERVICES$1,955,942
BARTON ASSOCIATES INC
PO BOX 417844BOSTONMA022417844LOCUMS$1,932,279
NTHRIVE INC
PO BOX 733492DALLASTX753733492MEDICAL RECORDS SERVICES$1,748,975
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K31CntrctRcvdGreaterThan100KCnt
Related Organizations$164,334RelatedOrganizationsAmt
Government Grants$13,968,994GovernmentGrantsAmt
All Other Contributions$378,963AllOtherContributionsAmt
Total Contributions$14,512,291TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT SERVICES621990$529,297,909$529,297,909
OTHER OPERATIONS621990$14,438,192$13,505,847$932,345
CAFETERIA722513$2,059,244$2,059,244
FieldValueIRS element (for citing)
Total Program Service Revenue$545,795,345TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$526,542TotalRevenueColumnAmt
Exclusion$526,542ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,500RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,500RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,500TotalRevenueColumnAmt
Exclusion$1,500ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$558,300OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$62,945OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$495,355OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$495,355TotalRevenueColumnAmt
Exclusion$495,355ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$1,887,607GrossSalesOfInventoryAmt
Cost Of Goods Sold$1,013,779CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$873,828TotalRevenueColumnAmt
Unrelated Business Revenue$570,292UnrelatedBusinessRevenueAmt
Exclusion$303,536ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER INCOME900099$1,182,861$1,182,861
VENDOR REBATE/DISCOUNT900099$771,154$771,154
FieldValueIRS element (for citing)
Other Revenue Total$1,954,015OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$564,158,876TotalRevenueColumnAmt
Related Or Exempt Func Income$542,803,756RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,502,637UnrelatedBusinessRevenueAmt
Exclusion$5,340,192ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$738,349TotalAmt
Program Services$623,721ProgramServicesAmt
Management And General$114,628ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$34,416TotalAmt
Program Services$29,073ProgramServicesAmt
Management And General$5,343ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$128,426,016TotalAmt
Program Services$108,488,030ProgramServicesAmt
Management And General$19,937,986ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,415,104TotalAmt
Program Services$3,629,528ProgramServicesAmt
Management And General$785,576ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,955,074TotalAmt
Program Services$12,266,317ProgramServicesAmt
Management And General$2,688,757ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,351,233TotalAmt
Program Services$7,687,375ProgramServicesAmt
Management And General$1,663,858ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$68,286,263TotalAmt
Management And General$68,286,263ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$39,364,362TotalAmt
Program Services$10,300,285ProgramServicesAmt
Management And General$29,064,077ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$37,619TotalAmt
Program Services$25,343ProgramServicesAmt
Management And General$12,276ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,131,295TotalAmt
Program Services$2,901,685ProgramServicesAmt
Management And General$229,610ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,692TotalAmt
Program Services$2,248ProgramServicesAmt
Management And General$8,444ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,605,374TotalAmt
Program Services$1,395,927ProgramServicesAmt
Management And General$3,209,447ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$337,683TotalAmt
Program Services$225,055ProgramServicesAmt
Management And General$112,628ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,544,176TotalAmt
Management And General$4,544,176ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,804,330TotalAmt
Program Services$8,112,654ProgramServicesAmt
Management And General$1,691,676ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,282TotalAmt
Program Services$1,393ProgramServicesAmt
Management And General$1,889ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$95,725,034$92,897,381$2,827,653
PROVIDER CONT. SERVICES$85,671,825$81,415,310$4,256,515
BAD DEBT$18,426,323$18,426,323

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$25,890,603TotalAmt
Program Services$15,898,308ProgramServicesAmt
Management And General$9,992,295ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$513,759,053TotalAmt
Program Services$364,325,956ProgramServicesAmt
Management And General$149,433,097ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$3,691,128BOYAmt
EOY-$5,091,957EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$849,264,091BOYAmt
EOY$1,001,721,329EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,943,193BOYAmt
EOY$11,363,605EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$371,028BOYAmt
EOY$633,307EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$240,666,290LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$151,989,043LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$68,747,281BOYAmt
EOY$88,677,247EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$533,239BOYAmt
EOY$10,152,443EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$926,167,704BOYAmt
EOY$1,107,455,974EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$668,592,099BOYAmt
EOY$783,888,090EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,039,593BOYAmt
EOY$8,897,101EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,165,068BOYAmt
EOY$18,333,199EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$679,796,760BOYAmt
EOY$811,118,390EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$246,370,944BOYAmt
EOY$296,337,584EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$246,370,944BOYAmt
EOY$296,337,584EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$926,167,704BOYAmt
EOY$1,107,455,974EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$50,399,823ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$433,183OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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 D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Revenues Included$0RevenuesIncludedAmt
Assets Included$179,972AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets Sale0SolicitedAssetsSaleInd
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$36,059BeginningBalanceAmt
Additions During Year$123,895AdditionsDuringYearAmt
Distributions During Year$124,799DistributionsDuringYearAmt
Ending Balance$35,155EndingBalanceAmt
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,019,853OtherCostOrOtherBasisAmt
Depreciation$19,161,589DepreciationAmt
Book Value$43,858,264BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,403,855OtherCostOrOtherBasisAmt
Depreciation$2,347,943DepreciationAmt
Book Value$7,055,912BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$166,998,404OtherCostOrOtherBasisAmt
Depreciation$129,442,639DepreciationAmt
Book Value$37,555,765BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,244,178OtherCostOrOtherBasisAmt
Depreciation$1,036,872DepreciationAmt
Book Value$207,306BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$88,677,247TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
THIRD-PARTY SETTLEMENTS$7,495,956
CAPITAL LEASES$10,837,243
FieldValueIRS element (for citing)
Total Liability$18,333,199TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4:THE ORGANIZATION'S COLLECTION IS ARTWORK THAT IS DISPLAYED IN SEVERAL LOCATIONS AND PROVIDES AN ENVIRONMENT THAT IS BENEFICIAL TO PATIENTS.
PART IV, LINE 1B:THE ORGANIZATION MAINTAINS TRUST ACCOUNTS FOR PATIENTS LIVING IN THE ONSITE NURSING HOME.
PART X, LINE 2:THE ORGANIZATION COMPRISES SEVERAL CORPORATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515, AND SEVERAL LIMITED LIABILITY COMPANIES. THE ORGANIZATION HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS, WHICH IS AN ACCOUNTING STANDARD THAT PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2021 OR 2020.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,519,684TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,519,684NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,519,684TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,519,684NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$474,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$474,018NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,668,494TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,668,494NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,238,437TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,238,437NetCommunityBenefitExpnsAmt
Total Expense0.03680TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,357TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$95,357NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,483,980TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,483,980NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,960,286TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,960,286NetCommunityBenefitExpnsAmt
Total Expense0.04640TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,479,970TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,479,970NetCommunityBenefitExpnsAmt
Total Expense0.04950TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,725TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38,725NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,225TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,225NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$18,426,323BadDebtExpenseAmt
Reimbursed By Medicare$103,959,742ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$101,103,694CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,856,048MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
BENEFIS HOSPITALS INC EAST CAMPUS
11101 26TH STREET SOUTHGREAT FALLSMT59405Yes (X)Yes (X)Yes (X)A
BENEFIS HOSPITALS INC WEST CAMPUS
2500 15TH AVENUE SOUTHGREAT FALLSMT59405Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BENEFIS HOSPITALS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)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 (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCEFAPSummaryOnWebsiteURLTxt
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 (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
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 (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: BENEFIS HOSPITALS, INC. EAST CAMPUS, - FACILITY 2: BENEFIS HOSPITALS, INC. WEST CAMPUS
BENEFIS HOSPITALS, INC. PART V, SECTION B, LINE 5:BENEFIS HOSPITALS PROVIDED LEADERSHIP, IN CONJUNCTION WITH ALLUVION HEALTH (FORMERLY KNOWN AS THE CASCADE COUNTY CITY-COUNTY HEALTH DEPARTMENT), BENEFIS HEALTH SYSTEM, CCHD, THE UNITEDWAY OF CASCADE COUNTY AND THE HEALTHY LIVES, VIBRANT FUTURE COALITION. (1) A COMMUNITY HEALTH SURVEY WAS SENT OUT TO A RANDOM SAMPLE OF 1,500 HOUSEHOLDS IN THE COMMUNITY AS A MEANS OF OBTAINING COMMUNITY RESIDENTS' INPUT ON AREAS OF GREATEST CONCERN, ACCESS TO HEALTHCARE, AND OTHER ISSUES. 223 SURVEY RESPONSES WERE RETURNED. THE SURVEY WAS ALSO DISSEMINATED THROUGH SOCIAL MEDIA GARNERING AN ADDITIONAL 337RESPONSES. (3) ON JANUARY 17, 2019, A SYMPOSIUM WAS CONDUCTED IN WHICH LOCAL STAKEHOLDERS FROM THE PUBLIC AND A VARIETY OF AGENCIES CONVENED TO REVIEW THE RESULTS OF THE SURVEY AND OFFER FEEDBACK.(4) REPORT DATA, INCLUDING THE COUNTY HEALTH RANKINGS AND ROADMAPS SYSTEM, DEVELOPED BY THE UNIVERSITY OF WISCONSIN'S POPULATION HEALTH INSTITUTE, IN COLLABORATION WITH THE ROBERT WOOD JOHNSON FOUNDATION, AND THE COMMUNITY NEEDS INDEX WAS USED.
BENEFIS HOSPITALS, INC. PART V, SECTION B, LINE 6B:ALLIANCE FOR YOUTHALLUVION HEALTHTHE BENEFIS HEALTH SYSTEM FOUNDATIONCASA (COURT-APPOINTED SPECIAL ADVOCATES)CASCADE CITY-COUNTY HEALTH DEPARTMENTCASCADE COUNTY BOARD OF HEALTHALCOHOLICS ANONYMOUS AND NARCOTICS ANONYMOUSCASCADE COUNTY COMMISSIONERSCASCADE COUNTY JUVENILE PROBATIONCENTER FOR MENTAL HEALTHCHILD AND FAMILY SERVICES DIVISION OF DPHHSCOMMUNITY MEMBERSDANDELION FOUNDATIONFAMILY CONNECTIONSFAMILY PROMISEGET FIT GREAT FALLSGREAT FALLS COLLEGE MSUGREAT FALLS PUBLIC SCHOOLSINDIAN FAMILY HEALTH CLINICMALMSTROM AIRFORCE BASEMONTANA STATE UNIVERSITY COLLEGE OF NURSING, BOZEMANMONTANA STATE UNIVERSITY COLLEGE OF NURSING, GREAT FALLSNEIGHBORWORKS GREAT FALLSNORTH CENTRAL INDEPENDENT LIVING SERVICES, INC.OPPORTUNITIES INC.PLANNED PARENTHOOD ROCKY MOUNTAIN TREATMENT CENTERSPECIAL OLYMPICS MONTANASTATE OF MONTANATHE PEAK HEALTH & WELLNESS UNITED WAY OF CASCADE COUNTYUNIVERSITY OF GREAT FALLSYWCA GREAT FALLS
BENEFIS HOSPITALS, INC. PART V, SECTION B, LINE 11:THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT THAT DROVE THE MOST RECENT CASCADE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IDENTIFIED FOUR PRIORITIES, WHICH ARE THE SAME PRIORITIES AS IDENTIFIED IN 2016. THOSE PRIORITIES INCLUDE:- ACCESS TO CARE IMPROVE CASCADE COUNTY RESIDENTS' ABILITY TO ACCESS APPROPRIATE HEALTHCARE.- SUBSTANCE MISUSE REDUCE THE IMPROPER USE OF ALCOHOL, TOBACCO, AND LEGAL/ILLEGAL DRUGS.- HEALTHY WEIGHT INCREASE THE PERCENTAGE OF CASCADE COUNTY RESIDENTS AT A HEALTHY WEIGHT.- CHILD ABUSE DECREASE THE NUMBER OF CHILD ABUSE AND NEGLECT CASES IN OUR REGION.IN ADDRESSING THE ACCESS TO CARE PRIORITY, OUR GOALS ARE TO IMPROVE ACCESS TO PREVENTATIVE MEDICAL CARE, DENTAL SERVICES AND IMPROVE BEHAVIORAL HEALTHCARE FOR CASCADE COUNTY RESIDENTS. OUR PLANS TO REACH THESE GOALS INCLUDE:- STREAMLINING PRE-ACCESS- FOCUSING ON AFFORDABILITY- TRAINING OUR FUTURE WORKFORCE- FACILITATING CARE CONVENIENCE- IMPROVING BEHAVIORAL HEALTHCARE- DEFINING CARE COORDINATION- CONTINUING OUR REGIONAL FOCUS- BUILDING OUR SCREENING PROGRAMSTO ADDRESS SUBSTANCE MISUSE, OUR FOCUS IS ON MAINTAINING COALITION CAPACITY AND CORE COMPETENCY, REDUCING SUBSTANCE ABUSE AMONG MIDDLE AND HIGH SCHOOL-AGED YOUTH AND REDUCE SUBSTANCE USE DISORDERS IN CASCADE COUNTY.THE HEALTHY WEIGHT PRIORITY WILL BE ADDRESSED THROUGH CONTINUED SUPPORT OF GET FIT GREAT FALLS. THIS PROGRAM WILL IMPROVE ORGANIZATIONAL INFRASTRUCTURE AND SUSTAINABILITY, LEASE AND SUPPORT EFFORTS TO BUILD AN ACTIVE COMMUNITY AND INCREASE VEGETABLE INTAKE AMONG GREAT FALLS RESIDENTS.OUR FOCUS ON DECREASING CHILD ABUSE AND NEGLECT INCLUDES EXPANDING COMMUNITY OUTREACH AND EDUCATION, EQUIP NEW FAMILIES AND OBSTETRIC/PEDIATRIC PROVIDERS WITH PREVENTION TOOLS AND PREVENT REPETITION OF CHILD ABUSE AND NEGLECT.
BENEFIS HOSPITALS, INC. PART V, SECTION B, LINE 13H:- HOMELESS- DECEASED WITH NO ESTATE- MENTALLY INCAPACITATED WITH NO ONE TO ACT ON HIS OR HER BEHALF- MEDICAID ELIGIBLE, BUT NOT ON THE DATE OF SERVICE OR FOR NON-COVERED SERVICES- ENROLLED IN ONE OR MORE GOVERNMENTAL PROGRAMS FOR LOW-INCOME INDIVIDUALS HAVING ELIGIBILITY CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES - INCARCERATION IN A PENAL INSTITUTION
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - BENEFIS NORTHWEST
25 14TH AVENUE NWGREAT FALLSMT59405OUTPATIENT URGENT CARE & PRIMARY CARE SERVICES
2 - BENEFIS FOOT AND ANKLE CLINIC OF MT
1301 11TH AVENUE S SUITE 6GREAT FALLSMT59405OUTPATIENT PODIATRY SERVICES
3 - GRANDVIEW AT BENEFIS
3015 18TH AVENUE SOUTHGREAT FALLSMT59405ASSISTED LIVING FACILITY
4 - BENEFIS SLETTEN CANCER INSTITUTE
1117 29TH STREET SOUTHGREAT FALLSMT59405OUTPATIENT ONCOLOGY SERVICES
5 - BENEFIS ORTHOPEDIC CENTER OF MONTANA
1401 25TH STREET SOUTHGREAT FALLSMT59405COMPREHENSIVE ORTHOPEDIC SERVICES
6 - BENEFIS MED SPA
400 13TH AVE SOUTHGREAT FALLSMT59405DAY SPA SERVICES
7 - BENEFIS HELENA NORTHEAST
2960 NORTH WASHINGTON STREETHELENAMT59602URGENT CARE SERVICES
8 - BENEFIS HELENA IMAGING
3510 PTARMIGAN LANEHELENAMT59602MRI SERVICES
9 - BENEFIS HELENA IMAGING
25 MEDICAL PARK DRIVEHELENAMT59601IMAGING CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE COST TO CHARGE RATIO IS USED TO CALCULATE THE TOTAL COMMUNITY BENEFIT EXPENSE.
PART I, LINE 7G:THE ORGANIZATION AS PART OF ITS COMMUNITY BENEFIT INCLUDES THE COST OF SUBSIDIZED HEALTH SERVICES ATTRIBUTABLE TO SERVICES IT OFFERS THAT ARE SOLE COMMUNITY RESOURCES AND IF ABSENT WOULD NOT BE OFFERED IN THE SERVICE AREA. THE ORGANIZATION ONLY REPORTS THE SERVICES IF THEY ARE SUBSIDIZED.
PART I, LN 7 COL(F):BAD DEBT OF $18,426,323 ARE INCLUDED ON FORM 990 PART IX, LINE 24(C) BUT ARE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
PART I, LINE 7I, COLUMN (C):BENEFIS HOSPITALS, INC. HAS A RELATED ORGANIZATION, BENEFIS HEALTH SYSTEM FOUNDATION, INC., THAT CONDUCTS FUNDRAISING EFFORTS FOR COMMUNITY PROGRAMS ON ITS BEHALF. THE COST OF THE FOUNDATION'S FUNDRAISING DIRECTLY ASSOCIATED WITH THE HOSPITAL'S COMMUNITY PROGRAMS IS INCLUDED IN THE TOTAL COMMUNITY BENEFIT EXPENSE.
PART III, LINE 2:THE METHODOLOGY UTILIZED TO CALCULATE THE COST OF THE ORGANIZATION'S BAD DEBT EXPENSE IS A COST TO CHARGE RATIO.
PART III, LINE 4:SEE NOTE 2 ON PAGE 12 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:THE ORGANIZATION DOES NOT BELIEVE THAT ANY SHORTFALL REPORTED IN LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. THE ORGANIZATION USED ITS COST TO CHARGE RATIO TO OBTAIN THE MEDICARE ALLOWABLE COST REPORTED IN PART III, SECTION B. THE ORGANIZATION HAS A CONSIDERABLE POPULATION OF MEDICARE PATIENTS AND IS PAID SUBSTANTIALLY LESS THAN ITS TOTAL COSTS. TOTAL COSTS INCLUDE COSTS THAT ARE EXCLUDED BY MEDICARE'S REIMBURSEMENT METHODOLOGY.AS THE FOLLOWING RECONCILIATION OF MEDICARE COST REPORT TO TOTAL MEDICARE REVENUE AND EXPENSES DEMONSTRATES, THE TOTAL MEDICARE SHORTFALL IS $47,056,629: $103,959,742 MEDICARE NET REVENUE AS REPORTED ON PART III, SECTION B, LINE 5 $60,916,977 MEDICARE CLAIMS PAID BUT EXCLUDED FROM COST REPORT (OUTPATIENT FEE SCHEDULE, PHYSICIANS & OTHER MISCELLANEOUS) $164,876,719 TOTAL MEDICARE NET REVENUE $101,103,694 MEDICARE ALLOWABLE COSTS AS REPORTED ON PART III, SECTION B, LINE 6 $49,403,729 MEDICARE COST DEPARTMENTS EXCLUDED FROM COST REPORT (OUTPATIENT FEE SCHEDULE, PHYSICIANS & OTHER MISCELLANEOUS) $61,425,925 MEDICARE COST REPORT REVENUE AND EXPENSE ADJUSTMENTS $211,933,348 TOTAL MEDICARE COSTS ($47,056,629) TOTAL SHORTFALL ON MEDICARE
PART III, LINE 9B:PERSONS DETERMINED TO BE ELIGIBLE FOR 100 % CHARITY CARE SHALL NOT RECEIVE A BILL FOR SERVICES OR BE SUBJECT TO COLLECTION PROCEDURES. PERSONS DETERMINED TO BE ELIGIBLE FOR A REDUCTION OF A PERCENTAGE OF CHARGES UNDER THE CHARITY CARE PROGRAM LESS THAN 100% SHALL NOT BE BILLED OR SUBJECT TO COLLECTION PROCEDURES FOR THE PORTION OF THE BILL THAT IS REDUCED UNDER THE SLIDING FEE SCALE, ONLY THE OUT OF POCKET RESPONSIBILITY.
PART VI, LINE 2:HISTORICALLY, BENEFIS HOSPITALS, INC. HAS ASSESSED THE HEALTH NEEDS OF THE COMMUNITIES WITHIN ITS SERVICE AREA THROUGH DIRECT OBSERVATION AND EXPERIENCE, AS WELL AS THROUGH THE USE OF CERTAIN SECONDARY DATA COMPILED BY INDEPENDENT SOURCES. IN 2019, THE HOSPITAL ASSEMBLED A TEAM OF HEALTH CARE PROVIDERS, COMMUNITY AGENCIES, CLINICS, LOCAL HEALTH DEPARTMENTS, AND OTHER PUBLIC HEALTH PROFESSIONALS WHO CONDUCTED A COMMUNITY NEEDS ASSESSMENT, AS CONTEMPLATED BY IRC SECTION 501(R).
PART VI, LINE 3:THE ORGANIZATION HAS POSTED IN REGISTRATION AREAS, EMERGENCY ROOMS, AND FINANCIAL ASSISTANCE AREAS A SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY ALONG WITH BROCHURES THAT DEFINE THE POLICY. THE POLICY AND APPLICATION IS AVAILABLE ONLINE AND A COMMUNICATION OF FINANCIAL ASSISTANCE IS STATED ON EACH BILLING STATEMENT.
PART VI, LINE 4:THE ORGANIZATION'S SERVICE AREA IS 42,000 SQUARE MILES AND HAS A POPULATION OF APPROXIMATELY 239,000, WITH AN AVERAGE POPULATION DENSITY OF 5.5 PER SQUARE MILE. THE SERVICE AREA IS APPROXIMATELY 49.6% FEMALE AND 50.4 % MALE. APPROXIMATELY 23.4% OF THE POPULATION IS UNDER 18 YEARS OF AGE AND APPROXIMATELY 21.2% OF THE POPULATION IS OVER THE AGE OF 65. THE SERVICE AREA IS 84.6% WHITE, 12.2% NATIVE AMERICAN, WITH THE REMAINDER AFRICAN-AMERICAN OR OTHER RACES. THE AVERAGE HOUSEHOLD SIZE IS 2.5 PEOPLE, WITH APPROXIMATELY 68.6% OF ALL HOUSING UNITS BEING OWNER OCCUPIED. THE AVERAGE PER CAPITA INCOME IS $28,779 WITH THE MEDIAN HOUSEHOLD INCOME BEING $49,753; 16.4% OF THE POPULATION LIVES IN POVERTY. DATA IS BASED ON U.S. CENSUS BUREAU 2021 ESTIMATES.
PART VI, LINE 5:THE ORGANIZATION HELPS DEVELOP THE COMMUNITY THROUGH PARTICIPATION IN COMMUNITY LEADERSHIP ACTIVITIES, IMPROVED HEALTH ADVOCACY WITH COMMUNITY CLINICS, HEALTH FAIRS AND SUPPORT OF GENERAL HEALTH CLINICS. THE ORGANIZATION PROVIDES SUPPORT TO INDIAN HEALTH FACILITY CLINICS. BENEFIS HOSPITALS, INC. PROMOTES THE HEALTH OF PERSONS RESIDING THROUGHOUT ITS SERVICE AREA. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO ABILITY TO PAY, AND PARTICIPATES IN GOVERNMENT SPONSORED HEALTHCARE PAYMENT PROGRAMS. THE HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION, AND RESEARCH PROGRAMS. THE HOSPITAL'S BOARD OF DIRECTORS (AND THAT OF BENEFIS HEALTH SYSTEM, ITS SOLE CORPORATE MEMBER) CONSISTS PRIMARILY OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTHCARE PROFESSIONALS, AS SET FORTH IN THE MEDICAL STAFF BYLAWS, RULES, AND REGULATIONS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY AND THEREFORE FULFILLS CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3).
PART VI, LINE 6:THE ORGANIZATION IS PART OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM AND AS SUCH COORDINATES EFFORTS BETWEEN ALL SYSTEM ENTITIES TO REDUCE DUPLICATION AND PROMOTE THE BROADEST OFFERING OF SERVICES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GREGORY TIERNEY MD
DIRECTOR & CHIEF MEDICAL OFFICER$0$561,289$0$146,937$0$24,326$0$173,105$0$15,093$0$920,750$0$23,326
VARGHESE PARAMBI MD
DIRECTOR (FROM 1/21)$0$278,257$0$387,199$0$1,000$0$14,490$0$19,776$0$700,722$0$0
JEFFREY BAKER MD
DIRECTOR$0$358,844$0$178,183$0$1,800$0$14,500$0$13,078$0$566,405$0$0
FORREST EHLINGER
CHIEF FINANCIAL OFFICER$0$469,972$0$136,775$0$95,807$0$142,915$0$14,891$0$860,360$0$88,807
RAYN GINNATY
CHIEF NURSING OFFICER$301,384$0$60,046$0$23,408$0$47,841$0$1,291$0$433,970$0$21,723$0
KATHY HILL
CHIEF OPERATING OFFICER$199,946$0$52,527$0$1,000$0$36,741$0$14,165$0$304,379$0$0$0
JAMIE LEONARD
DIRECTOR OF PHARMACY$171,794$0$34,497$0$1,000$0$12,588$0$18,702$0$238,581$0$0$0
ADAM ELLIOT
MEDICAL PHYSICIST$201,408$0$0$0$1,000$0$10,493$0$18,989$0$231,890$0$0$0
GUNNAR VANDERMARS
DIRECTOR OF FACILITIES$148,549$0$23,348$0$1,000$0$8,656$0$18,913$0$200,466$0$0$0
DEBRA VANCE
DIRECTOR OF NURSING$157,657$0$19,911$0$1,000$0$11,275$0$7,372$0$197,215$0$0$0
KEVIN LANGKIET
DIRECTOR EMERGENCY SERVICES$153,489$0$15,425$0$1,000$0$8,307$0$18,990$0$197,211$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BLINE 4B: BENEFIS HEALTH SYSTEM, INC PROVIDES A SECTION 457F NONQUALIFIED DEFERRED COMPENSATION PLAN FOR DR. TIERNEY, MS. GINNATY, MS. HILL, AND MR. EHLINGER, WHO MEET THE REQUIREMENTS OF THE PLAN. DR. TIERNEY, MS. GINNATY, AND MR. EHLINGER RECEIVED PAYOUTS FROM THE PLAN IN 2021.
PART I, LINE 7BENEFIS HEALTH SYSTEM, INC. AND ITS AFFILIATES (INCLUDING THE ORGANIZATION) MAINTAIN AN INCENTIVE COMPENSATION PLAN THAT INCORPORATES BOTH SHARED AND INDIVIDUAL GOALS FOR MEMBERS OF THE EXECUTIVE AND MANAGEMENT LEADERSHIP TEAMS. PAYMENTS PURSUANT TO THE INCENTIVE PLAN ARE SUBJECT TO A PRECONDITION THAT THE SYSTEM MUST ACHIEVE BUDGETED OPERATING PERFORMANCE. THE SYSTEM HAS ADOPTED SHARED PERFORMANCE OBJECTIVES INCLUDING SYSTEM GROWTH AS WELL AS MEASURES TIED TO WORKFORCE, PATIENT EXPERIENCE, PATIENT SAFETY, CLINICAL QUALITY, AND FINANCE/OPERATIONS. THE INDIVIDUAL PERFORMANCE OBJECTIVES ADOPTED ARE BASED ON AN ARRAY OF QUALITY, FINANCIAL, OPERATIONAL AND STRATEGIC INITIATIVES. INCENTIVE OPPORTUNITY LEVELS ARE CALCULATED BASED ON PREDETERMINED PERCENTAGES OF EACH EXECUTIVE'S AND MANAGER'S BASE SALARY, AND VARY BASED ON THE ACHIEVEMENT OF THRESHOLD, TARGET OR STRETCH LEVELS AS TO EACH PERFORMANCE OBJECTIVE. THE SYSTEM ALSO MAINTAINS A LONG-TERM INCENTIVE PLAN DIRECTED AT RECRUITING AND RETAINING EXECUTIVE LEADERSHIP. PAYMENTS UNDER THE LONG-TERM INCENTIVE PLAN ARE CONDITIONED ON AN EXECUTIVE REMAINING EMPLOYED BY THE SYSTEM AND MAINTAINING SATISFACTORY OVERALL PERFORMANCE. INCENTIVE OPPORTUNITIES UNDER THE LONG-TERM PLAN ARE APPROVED IN ADVANCE BY THE BENEFIS HEALTH SYSTEM, INC. COMPENSATION COMMITTEE, WITH LATER PAYOUTS APPROVED BY THE COMMITTEE BASED ON ACTUAL PERFORMANCE RESULTS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonBRYCE EHLINGERPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF FORREST EHLINGER, OFFICERRelationshipDescriptionTxt
Transaction$34,416TransactionAmt
TransactionCOMPENSATIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A, LINE 1B:THE ORGANIZATION IS AN AFFILIATE OF BENEFIS HEALTH SYSTEM, INC. (BHS), A TAX EXEMPT MONTANA NONPROFIT CORPORATION SERVING AS THE PARENT ENTITY OF AN INTEGRATED SYSTEM OF PROVIDER ORGANIZATIONS ADDRESSING THE HEALTH NEEDS OF PERSONS THROUGHOUT NORTH CENTRAL MONTANA. AS THE CORPORATE MEMBER OF THE ORGANIZATION, BHS HOLDS VARIOUS RESERVED POWERS IN RELATION TO THE ORGANIZATION, INCLUDING THE AUTHORITY TO APPROVE THE ELECTION OF INDIVIDUALS TO ITS BOARD OF DIRECTORS. THE BOARD OF DIRECTORS OF THE ORGANIZATION INCLUDES CERTAIN INDIVIDUALS WHO ARE EMPLOYED BY THE ORGANIZATION OR ITS AFFILIATES, AND WHO MAY NOT BE CONSIDERED "INDEPENDENT" FOR PURPOSES OF FORM 990. HOWEVER, AS ACKNOWLEDGED BY THE IRS IN ITS "CPE TEXT FOR FISCAL YEAR 1997", IN A MULTI-ENTITY HOSPITAL SYSTEM, THE BOARD OF A SUBSIDIARY NON-PROFIT HEALTH CARE ORGANIZATION IS CONSIDERED TO BE COMPRISED OF INDEPENDENT COMMUNITY MEMBERS IF IT IS CONTROLLED BY AN EXEMPT ORGANIZATION WHOSE OWN BOARD IS COMPRISED OF A MAJORITY OF VOTING MEMBERS WHO ARE INDEPENDENT COMMUNITY MEMBERS. THE ORGANIZATION MEETS THIS STANDARD BECAUSE IT IS A CONTROLLED SUBSIDIARY OF BHS, AND BHS'S OWN GOVERNING BOARD INCLUDES INDEPENDENT COMMUNITY MEMBERS AS A MAJORITY THEREOF.
FORM 990, PART VI, SECTION A, LINE 2CERTAIN OFFICERS AND DIRECTORS LISTED IN PART VII ALSO HOLD OFFICER AND/OR DIRECTOR POSITIONS IN RELATION TO THE ORGANIZATION'S AFFILIATES (AS IDENTIFIED IN SCHEDULE R) AND, IN THAT REGARD, MAY BE CONSIDERED TO HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER. SUCH BUSINESS RELATIONSHIPS ARE UNDERTAKEN IN THE ORDINARY COURSE OF BUSINESS.
FORM 990, PART VI, SECTION A, LINE 3PURSUANT TO A CONTRACTUAL ARRANGEMENT, THE ORGANIZATION OBTAINS CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES FROM ITS PARENT ENTITY, BENEFIS HEALTH SYSTEM, INC. (BHS). BHS, AS THE PARENT AND SYSTEM ENTITY, PROVIDES THE SERVICES TO ITS SUBSIDIARY TAX-EXEMPT NON-PROFIT CORPORATE ENTITIES ON A CENTRALIZED BASIS. THE SERVICES INCLUDE THE FOLLOWING: - MANAGEMENT OF HUMAN RESOURCES INCLUDING POLICIES AND PRACTICES AND BENEFITS - MANAGEMENT, PLANNING, BUDGETING, AND REPORTING OF FINANCIAL OPERATIONS - MANAGEMENT OF BILLING AND COLLECTIONS POLICIES AND FUNCTIONS - MANAGEMENT OF INFORMATION TECHNOLOGY SERVICES - OVERSIGHT OF QUALITY STANDARDS, COMPLIANCE AND RISK MANAGEMENT - MANAGEMENT OF REGIONAL, COMMUNITY AND GOVERNMENT RELATIONS AND MARKETING - MANAGEMENT OF GRANTS DEVELOPMENT THE FOLLOWING PERSONS LISTED IN PART VII WERE COMPENSATED BY BHS: FORREST EHLINGER - $860,360 (COMPENSATION FOR SERVICES AS OFFICER OF BHS) GREGORY TIERNEY - $752,380 (COMPENSATION FOR SERVICES AS KEY EMPLOYEE OF BHS AND AS AN OFFICER OF BMG)
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS BENEFIS HEALTH SYSTEM, INC., A MONTANA NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION THAT HAS BEEN RECOGNIZED BY THE IRS AS DESCRIBED IN IRC SECTION 501(C)(3).
FORM 990, PART VI, SECTION A, LINE 7AAS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, BENEFIS HEALTH SYSTEM, INC. (ACTING THROUGH ITS OWN GOVERNING BODY) ELECTS THE BOARD OF DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BAS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, BENEFIS HEALTH SYSTEM, INC. RETAINS CERTAIN RESERVED POWERS WITH RESPECT TO THE ORGANIZATION, INCLUDING AUTHORITY OVER MATTERS SUCH AS (WITHOUT LIMITATION) THE ORGANIZATION'S MISSION AND VISION STATEMENTS, STRATEGIC AND LONG-TERM PLANS, ELECTION OF ITS DIRECTORS AND OFFICERS, ANNUAL CAPITAL AND OPERATING BUDGETS, CHARITY CARE AND COMMUNITY BENEFIT POLICIES, AND ANY AMENDMENTS TO ITS ARTICLES OF INCORPORATION AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11BTHIS FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT PERSONNEL OF BENEFIS HEALTH SYSTEM, INC. IN COLLABORATION WITH ITS ACCOUNTING FIRM. PRIOR TO FILING, A COPY OF THIS FORM 990 WAS PRESENTED TO THE BENEFIS HEALTH SYSTEM, INC. BOARD BY THE ACCOUNTING FIRM.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ANNUALLY COMPLETE A FORM TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. IN ADDITION, AT THE START OF EACH BOARD MEETING, MEMBERS ARE ASKED TO INDICATE WHETHER THEY HAVE A CONFLICT OF INTEREST WITH RESPECT TO ANY ITEMS ON THE AGENDA FOR THE MEETING. CONSISTENT WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY, BOARD MEMBERS ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND VOTING ON ANY MATTERS AS TO WHICH THEY HAVE A CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE SENIOR EXECUTIVE TEAM WAS SET BY THE INDEPENDENT COMPENSATION COMMITTEE OF BENEFIS HEALTH SYSTEM, INC., WHICH IS CHARGED WITH ADMINISTERING THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY, POLICIES, AND PROGRAMS IN THE MANNER SET FORTH IN THE COMMITTEE'S WRITTEN CHARTER. THE COMMITTEE'S RESPONSIBILITIES INCLUDE (I) DETERMINING APPROPRIATE COMPENSATION FOR ALL EXECUTIVES AND OTHER KEY EMPLOYEES, (II) EVALUATING AND ADOPTING EXECUTIVE COMPENSATION PLANS, POLICIES, AND PROGRAMS, (III) REVIEWING AND APPROVING EXECUTIVE BENEFIT PLANS, AND (IV) VERIFYING THAT COMPENSATION IS APPROPRIATELY AND FULLY DISCLOSED AND REPORTED. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IN ENSURING THAT AMOUNTS PAID TO THE SYSTEM'S EXECUTIVES ARE CONSISTENT WITH REASONABLE, FAIR-MARKET LEVELS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. THE COMPENSATION OF THE ORGANIZATION'S KEY EMPLOYEES AND MANAGERS WAS SET BY THEIR RESPECTIVE SUPERVISORY EXECUTIVES IN CONSULTATION WITH BENEFIS HEALTH SYSTEM, INC.'S HUMAN RESOURCES DEPARTMENT AND EXECUTIVE LEADERSHIP, BASED ON A REVIEW OF INDEPENDENT DATA AS TO AMOUNTS PAID BY SIMILAR SITUATED ORGANIZATIONS FOR PERSONS PERFORMING COMPARABLE SERVICES.
FORM 990, PART VI, SECTION C, LINE 19BENEFIS HOSPITALS, INC. PROVIDES COPIES OF AUDITED FINANCIAL STATEMENTS AND FORM 990 TO THE PUBLIC UPON REQUEST DURING NORMAL BUSINESS HOURS.
FORM 990, PART XI, LINE 9:TAX VS. BOOK INCOME FROM NORTH CENTRAL MONTANA PHYSICIANS TAX VS. BOOK INCOME FROM NORTH CENTRAL MONTANA HOSPITALS RETURN OF UNSPENT GRANT FUNDS -433,183.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BENEFIS HEALTH SYSTEM FOUNDATION PROPERTIES LLC
PO BOX 7008GREAT FALLSMT59406272514629HOLDS REAL PROPERTY DONATED TO FOUNDATIONMTBENEFIS HEALTH SYSTEM FOUNDATION INC
WALK IN EXPRESS LLC
1101 26TH STREET SOUTHGREAT FALLSMT59405320481028OUTPATIENT CLINICMTBENEFIS HEALTH SYSTEM INC
BENEFIS CASCADE RIDGE LLC
1101 26TH STREET SOUTHGREAT FALLSMT59405274602798REAL ESTATEMTBENEFIS HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BENEFIS HEALTH SYSTEM FOUNDATION INC
PO BOX 7008GREAT FALLSMT59406810480587FOUNDATIONMT501(C)(3)LINE 7BENEFIS HEALTH SYSTEM INC0
BENEFIS HEALTH SYSTEM INC
1101 26TH STREET SOUTHGREAT FALLSMT59405263538104MANAGEMENT AND SUPPORT SERVICESMT501(C)(3)LINE 12C, III-FI0N/A
BENEFIS HEALTHCARE EES HEALTH PLAN AND TRUST
1101 26TH STREET SOUTHGREAT FALLSMT59405363386166BENEFIT PLANMT501(C)(9)BENEFIS HEALTH SYSTEM INC0
BENEFIS MEDICAL GROUP INC
1101 26TH STREET SOUTHGREAT FALLSMT59405263538192PHYSICIAN SERVICESMT501(C)(3)LINE 3BENEFIS HEALTH SYSTEM INC0
BENEFIS COMMUNITY CARE INC
1411 9TH STREET SOUTHGREAT FALLSMT59405810431871HOME HEALTH AND RELATED PRODUCTSMT501(C)(3)LINE 10BENEFIS HEALTH SYSTEM INC0
BENEFIS COMMUNITY HOSPITALS INC
1101 26TH STREET SOUTHGREAT FALLSMT59405473448483CRITICAL ACCESS HOSPITALMT501(C)(3)LINE 3BENEFIS HEALTH SYSTEM INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
GREAT FALLS ATHLETIC CLUB LLC
1800 BENEFIS COURTGREAT FALLSMT59405912081505FITNESS CLUBMTN/A00
TREASURE STATE HEALTHCARE NETWORK LLC
500 15TH AVENUE SOUTHGREAT FALLSMT59405810534714HEALTHCARE SERVICESMTN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BHS 2017 TRUSTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 HOWARD STREETAddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
EIN306559361EIN
Primary ActivitiesINVESTMENT TRUSTPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeTEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd