2021-05-12T18:18:53-05:00 2020-06-30 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2019-07-01 810224734 Memorial Hospital Association % LINDA E HARRIS MEMO 4064462345 PO BOX 590 RED LODGE MT 59068 KELLEY EVANS CEO 4064462345 2020-11-15 true Adam R Smith CPA P00958966 7194714290 2019 2022-09-23 18:48:47Z BEARTOOTH BILLINGS CLINIC KELLEY EVANS RN PO BOX 590 RED LODGE MT 59068 18510664 false X WWW.BEARTOOTHBILLINGSCLINIC.ORG X 1948 MT THE MISSION OF BBC IS TO SAVE LIVES & PROMOTE HEALTHY LIVING. THE ORGANIZATION VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE & Innovation 11 11 158 130 0 618736 507431 15083165 15882787 262026 -37002 37883 9534 16001810 16362750 44140 57460 0 0 7502234 7862847 0 0 56596 7578681 7975059 15125055 15895366 876755 467384 26011071 31697344 18787895 23681239 7223176 8016105 THE MISSION OF THE ORGANIZATION IS TO SAVE LIVES AND PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE AND INNOVATION. false false 9515286 57460 15882787 COMMUNITY-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. 9515286 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 34 0 158 true false false false false false false false false false false false false X 11 11 false true false false true true true true true false false true true true true true true true true false X LINDA E HARRIS 4064462345 2525 N BROADWAY RED LODGE MT 59068 X KELLEY EVANS RN CHIEF EXECUTIVE OFFICER 39.25 0.75 X 191837 0 28559 SHARON NORBY CHIEF QUALITY OFFICER 40.0 0.0 X 116186 0 20159 DEREK STIEGEMEIER DIRECTOR OF ANCILLARY SERVICES 40.0 0.0 X 116218 0 18631 KATE WYMAN LAB MANAGER 40.0 0.0 X 112559 0 16546 BRIDGETT CHARTIER DIRECTOR OF NURSING 40.0 0.0 X 118165 0 7132 Linda Harris Dir. of Foundation & Finance 0.75 39.25 X 101937 0 19818 BETH NORDSTROM DIRECTOR OF IS 40.0 0.0 X 102082 0 8972 DR WILLIAM OLEY MD DIRECTOR 1.0 0.0 X 0 0 0 GEORGE CLOW IMMEDIATE PAST PRESIDENT 1.0 0.0 X X 0 0 0 GUY SCHMIDT MD DIRECTOR 1.0 0.0 X 0 0 0 JIM DUNCAN DIRECTOR 1.0 0.0 X 0 0 0 KELLY HEATON DIRECTOR 1.0 0.0 X 0 0 0 MITZI VORACHEK PRESIDENT 1.0 0.0 X X 0 0 0 RANDY DRAGON DIRECTOR 1.0 0.0 X 0 0 0 DICK FELLOWS SECRETARY/TREASURER 1.0 0.75 X X 0 0 0 SARAH EWALD VICE PRESIDENT 1.0 0.0 X X 0 0 0 STEVE MUTH DIRECTOR 1.0 0.0 X 0 0 0 STEVE SMITH DIRECTOR 1.0 0.0 X 0 0 0 KIM GILLIAN DIRECTOR THRU 09/2019 1.0 0.0 X 0 0 0 858984 0 119817 7 false true false BILLINGS CLINIC 2800 TENTH AVENUE N BILLINGS MT 59101 MANAGEMENT SERVICES 292715 1 126297 109167 271967 507431 Patient Service Revenue 561110 15422413 15422413 Meaningful Use Revenue 900099 19624 19624 340B Pharmacy 446440 328513 328513 Other Program Revenue 900099 88932 88932 Program Rent 531190 23305 23305 15882787 31870 31870 0 0 0 0 0 2079042 2147914 -68872 -68872 -68872 0 0 0 0 0 0 0 0 0 Miscellaneous Revenue 900099 9534 9534 9534 16362750 15882787 -27468 57460 57460 0 0 0 350968 111669 239299 0 6189177 4294670 1854896 39611 226246 121381 103734 1131 607015 325664 278317 3034 489441 262585 224409 2447 54000 54000 675 675 40420 40420 526 526 0 0 2865585 2064748 796253 4584 57746 37079 20563 104 426677 258998 166835 844 315445 202547 112330 568 0 191021 122655 68023 343 144719 92924 51534 261 0 14998 9630 5341 27 833512 833512 0 1184987 355141 829491 355 173967 125326 48363 278 Medical Supplies 958013 615140 341148 1725 Repairs & Maintenance 202893 130278 72250 365 Dietary/Food 122329 78547 43561 221 Bed Tax 141528 90875 50398 255 246018 157969 87606 443 15895366 9515286 6323484 56596 269182 0 3627716 10841676 0 0 3482427 1997832 0 0 0 0 0 0 324974 358705 28231 58509 23290127 11562855 12495684 11727272 5442665 6400145 0 0 0 0 0 0 340192 313205 26011071 31697344 1975699 1792179 0 0 0 3768977 4707000 4707053 0 0 0 0 12105196 11682000 0 0 0 1731030 18787895 23681239 X 7198676 7991605 24500 24500 7223176 8016105 26011071 31697344 467384 325545 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 526 526 false false Schedule C, Part II-B, Line 1i Lobbying: A portion of the dues paid to the Montana Hospital Association by Memorial Hospital Association was allocable to lobbying activities. 771718 771718 14864959 6176844 8688115 5753948 4128311 1625637 1899502 1257700 641802 11727272 0 PPP LOAN ADVANCE 1731030 1731030 16700702 325545 12407 337952 16362750 16362750 15907773 12407 12407 15895366 15895366 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D REVENUE ON BOOKS, NOT ON RETURN: 12,407 - CHARITY CARE SHOWN AS EXPENSE ON FINANCIALS, NET WITH NET PATIENT SERVICE REVENUE ON TAX RETURN SCHEDULE D, PART XII, LINE 2D EXPENSE ON BOOKS, NOT ON RETURN: 12,407 - CHARITY CARE SHOWN AS EXPENSE ON FINANCIALS, NET WITH NET PATIENT SERVICE REVENUE ON TAX RETURN true true X true X 110. true X true true false true true 80386 80386 0.00510 1769271 1636238 133033 0.00840 1849657 1636238 213419 0.01350 36575 330643 0 0.00000 264129 264129 0.01660 350 350 0.00000 301054 330643 264479 0.01660 2150711 1966881 477898 0.03010 2 301 830 830 0.00010 2 301 830 830 0.00010 true 925248 595364 7149378 5683186 1466192 X true true 1 1 BEARTOOTH BILLINGS CLINIC PO BOX 590 RED LODGE MT 59068 BEARTOOTHBILLINGSCLINIC..ORG 13419 X X X X CLINIC 1 BEARTOOTH BILLINGS CLINIC 1 false false true X X X X X X X X X 19 true false false true X SEE PART V, SECTION C FOR URL X true 19 true SEE PART V, SECTION C FOR URL false true X 110. 300. X X X X true true X X X X true X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C FOR URL X SEE PART V SECTION C FOR URL X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 MEMBERS 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 7 We 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/community-health-needs assessments/ SCHEDULE H, PART V, SECTION B, LINE 10A We 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/community-health-needs-as sessments/ SCHEDULE H, PART V, SECTION B, LINE 11 BEARTOOTH 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. 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. GOAL 3: IMPROVE CHRONIC DISEASE PREVENTION AND MANAGEMENT IN CARBON COUNTY BY DEVELOPING AND IMPLEMENTING PROGRAMS TO PROVIDE SERVICES AND EDUCATIONAL PROGRAMS. 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 16A The 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/media/1768/financial-assistance-po licy-full.pdf SCHEDULE H, PART V, SECTION B, LINE 16B The 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/media/1702/4059884_bc-financial-as sistance-app-rev-4-13.pdf SCHEDULE H, PART V, SECTION B, LINE 16C The 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/media/1769/financial-assistance-po licy-summary.pdf SCHEDULE H, PART V, SECTION B, LINE 16I TRANSLATION 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 22B BEARTOOTH 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. 1 JOLIET PHYSICAL THERAPY 209 EAST FRONT STREET JOLIET MT 59041 PHYSICAL THERAPY SCHEDULE H, PART I, LINE 7 THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A and 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. 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 II Coalition Building includes Our involvement in planning and implementing the community Fun Run with the Red Lodge Area Community Foundation, a fun run/walk that promotes healthy lifestyle activities; participation in the LEPC Local Emergency Planning Commission area law enforcement, EMS, medical and others collaborate to improve area safety and emergency response; and a few other miscellaneous collaborative efforts with the community to address health and safety issues. SCHEDULE H, PART III, SECTION A, LINE 2 THE 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 3 BEARTOOTH 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 4 THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS 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 9B THE 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 2 PERIODIC COMMUNITY SURVEYS ARE CONDUCTED TO DEFINE THE PHYSICIAN SPECIALTIES THAT ARE NEEDED/REQUESTED AT THE FACILITY. SCHEDULE H, PART VI, LINE 3 INPATIENTS 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 4 BEARTOOTH 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 5 THE 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 6 AFFILIATED 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 7 STATE FILING OF COMMUNITY BENEFIT REPORT: A COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF MONTANA. true Beartooth Billings Clinic Foundation PO Box 1290 RED LODGE MT 59068 810484562 501(C)3 57460 Operations 1 SCHEDULE I, PART I, LINE 2 ORGANIZATION'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. X X false false false false false false false true false KELLEY EVANS RN CHIEF EXECUTIVE OFFICER 170291 20590 956 15212 13347 220396 SCHEDULE J, PART I, LINE 7 DESCRIPTION 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. A CARBON COUNTY MONTANA 816001339 140851AA4 2010-02-16 6031020 SERIES 2010 REVENUE BONDS false false false A 1323967 0 6031020 0 78125 0 64500 0 5888395 0 0 0 2011 false false true true A false false false false 0 false false false true A false false false true false false 0 false 0 false true A true FORM 990, PART VI, SECTION A, LINE 3 Describe 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 6 Describe 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 7A MEMBERS 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 7B DECISIONS 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 11B Process 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 12C Process 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 & 15b Describe 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 19 Describe 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 11G DESCRIPTION:PHYSICIANS TOTAL FEES:1369700 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:443684 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT MEDICAL STAFF TOTAL FEES:91715 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT ADMIN STAFF TOTAL FEES:184250 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES-MAINTENANCE TOTAL FEES:69651 FORM 990 PART IX LINE 11G DESCRIPTION:MID-LEVEL PROVIDERS/NURSING TOTAL FEES:398824 FORM 990 PART IX LINE 11G DESCRIPTION:RADIOLOGY/IMAGING TOTAL FEES:117212 FORM 990 PART IX LINE 11G DESCRIPTION:THERAPISTS TOTAL FEES:706 FORM 990 PART IX LINE 11G DESCRIPTION:ANESTHESIOLOGISTS TOTAL FEES:26275 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION/CODING TOTAL FEES:34061 FORM 990 PART IX LINE 11G DESCRIPTION:HOSPICE/HOME HEALTH SERVICES TOTAL FEES:19927 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING TOTAL FEES:6032 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MISC SERVICES TOTAL FEES:103548 BEARTOOTH BILLINGS CLINIC FOUNDATION PO BOX 590 RED LODGE MT 59068 810484562 FUNDRAISING MT 501(C)(3) 7 BEARTOOTH true false true true false false false false false false false false true true true true false false false false BEARTOOTH BILLINGS CLINIC FOUNDATION B 57460 INTERCO AMOUNT BEARTOOTH BILLINGS CLINIC FOUNDATION C 126297 INTERCO AMOUNT