BILLINGS CLINIC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: BILLINGS CLINIC (EIN 81-0231784)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-03
IRS object ID: 202131239349300838
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-03T12:09:57-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 South Tejon Suite 800	AddressLine1Txt
City	Colorado Springs	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809039848	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810231784	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BILLINGS CLINIC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% PRISCILLA NEEDHAM	InCareOfNm
Business Name Control	BILL	BusinessNameControlTxt
Phone	4062382500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 TENTH AVENUE NORTH	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PRISCILLA NEEDHAM	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4062382500	PhoneNum
Signature	2021-05-05	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Adam R Smith CPA	PreparerPersonNm
PTIN	P00958966	PTIN
Phone	7194714290	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SCOTT ELLNER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 TENTH AVENUE NORTH	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,220,892,995	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BILLINGSCLINIC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1917	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	BILLINGS CLINIC IS MONTANA'S LARGEST HEALTHCARE ORGANIZATION CONSISTING OF A 304 BED HOSPITAL, PRIMARY CARE AND OVER 50 MULTI SPECIALTY CLINICS.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	5071	TotalEmployeeCnt
Total Volunteers	200	TotalVolunteersCnt
Total Gross UBI	$19,568,342	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$9,630,394	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,823,440	PYContributionsGrantsAmt
CY Contributions Grants	$19,789,953	CYContributionsGrantsAmt
PY Program Service Revenue	$756,822,281	PYProgramServiceRevenueAmt
CY Program Service Revenue	$770,932,547	CYProgramServiceRevenueAmt
PY Investment Income	$17,946,646	PYInvestmentIncomeAmt
CY Investment Income	$23,568,521	CYInvestmentIncomeAmt
PY Other Revenue	$18,733,224	PYOtherRevenueAmt
CY Other Revenue	$20,883,012	CYOtherRevenueAmt
PY Total Revenue	$797,325,591	PYTotalRevenueAmt
CY Total Revenue	$835,174,033	CYTotalRevenueAmt
PY Grants And Similar Paid	$410,918	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$282,583	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$394,056,994	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$410,159,852	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$328,929,259	PYOtherExpensesAmt
CY Other Expenses	$368,442,561	CYOtherExpensesAmt
PY Total Expenses	$723,397,171	PYTotalExpensesAmt
CY Total Expenses	$778,884,996	CYTotalExpensesAmt
PY Revenues Less Expenses	$73,928,420	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$56,289,037	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,051,858,268	TotalAssetsBOYAmt
Total Assets EOY	$1,116,696,008	TotalAssetsEOYAmt
Total Liabilities BOY	$336,321,091	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$350,999,223	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$715,537,177	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$765,696,785	NetAssetsOrFundBalancesEOYAmt
Mission	BILLINGS CLINIC MISSION IS HEALTH CARE, EDUCATION AND RESEARCH. BILLINGS CLINIC WILL PROVIDE BEST IN NATION CLINICAL QUALITY, PATIENT SAFETY, SERVICE AND VALUE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$266,723,690	ExpenseAmt
Grant	$121,511	GrantAmt
Revenue	$370,592,771	RevenueAmt
Desc	BILLINGS CLINIC IS A 304 BED HOSPITAL PROVIDING SURGICAL, LABOR AND DELIVERY, PSYCHIATRIC, CANCER CARE, NEONATAL SERVICES AND ACUTE CARE. BILLINGS CLINIC HAD OVER 13,700 ADMISSIONS IN FY20.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$285,332,320	ExpenseAmt
Grant	$129,988	GrantAmt
Revenue	$285,665,261	RevenueAmt
Desc	BILLINGS CLINIC HAS OVER 450 PHYSICIANS AND ADVANCED PRACTITIONERS OFFERING MORE THAN 50 SPECIALTIES. PRIMARY CARE IS AVAILABLE AT MULTIPLE LOCATIONS INCLUDING BILLINGS CLINIC DOWNTOWN, HEIGHTS, WEST END, CODY WY, MILES CITY AND BOZEMAN. IN ADDITION, BILLINGS CLINIC CONDUCTS SPECIALTY CARE CLINICS FOR MORE THAN 20 REGIONAL LOCATIONS IN MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC HAD OVER 774,000 PATIENT VISITS IN FY20.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$68,231,642	ExpenseAmt
Grant	$31,084	GrantAmt
Revenue	$115,810,241	RevenueAmt
Desc	BILLINGS CLINIC SPECIALTY PHARMACY FOCUSES ON THE PHARMACY CARE OF CHRONIC, RARE OR COMPLEX CONDITIONS THAT REQUIRE SPECIALTY MEDICATIONS. SPECIALTY MEDICATIONS TYPICALLY REQUIRE SPECIAL HANDLING, ADMINISTRATION OR MONITORING BEYOND THAT WHICH A TRADITIONAL RETAIL PHARMACY CAN PROVIDE. WE WORK TO ENSURE APPROPRIATE MEDICATION USE AND PROMOTE ADHERENCE. BILLINGS CLINIC SPECIALTY PHARMACY IS PART OF THE LARGEST HEALTH CARE SYSTEM IN THE REGION. OUR STAFF WORKS WITH YOU, YOUR PROVIDER AND YOUR INSURANCE COMPANY TO MAKE SURE YOUR NEEDS ARE MET. OUR GOAL IS TO MAKE BILLINGS CLINIC A ONE-STOP SOLUTION.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$620,287,652	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	201	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5071	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PRISCILLA NEEDHAM	PersonNm
Phone	4062382134	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 TENTH AVENUE NORTH	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Per Sommer MD
Physician	60.0	0.0	Yes (X)	$1,007,583	$0	$50,545
Michael A Morone MD
Physician	60.0	0.0	Yes (X)	$1,005,196	$0	$50,804
Marlin D Richardson MD
Physician	60.0	0.0	Yes (X)	$987,678	$0	$53,524
Brian R Rah MD
Physician	60.0	0.0	Yes (X)	$981,195	$0	$49,183
Zachary M Bland MD
Physician	60.0	0.0	Yes (X)	$991,533	$0	$33,341
John Schallenkamp MD
Interim CEO	60.0	0.0		$779,709	$0	$60,119	Yes (X)	Yes (X)
Connie F Prewitt
Chief Financial Officer	60.0	0.0		$674,961	$0	$55,595		Yes (X)
Robert Pueringer MD
Physician Board MEmber	60.0	0.0		$400,682	$0	$57,551	Yes (X)
Randall Gibb MD
Former CEO	60.0	1.0		$408,835	$0	$34,133	Yes (X)	Yes (X)
David Brown
Former Board Member	5.0	0.0		$21,730	$0	$4,163			Yes (X)
Joy Ott
Board Chairperson	5.0	0.0		$0	$0	$14,303	Yes (X)	Yes (X)
Penni Nance
Board Vice Chair	5.0	0.0		$7,500	$0	$6,000	Yes (X)	Yes (X)
Lillian Anderson
Board Secretary	5.0	0.0		$7,500	$0	$6,000	Yes (X)	Yes (X)
Keith Cook
Board Member	5.0	1.0		$7,500	$0	$6,000	Yes (X)
Wayne Hirsch
Board Member	5.0	0.0		$6,041	$0	$6,041	Yes (X)
Elizabeth Fulton
Board Treasurer	5.0	0.0		$0	$0	$7,487	Yes (X)	Yes (X)
Craig Bartholomew
Board Member	5.0	0.0		$0	$0	$6,599	Yes (X)
Chelsea Bodnar MD
Board Member	5.0	0.0		$0	$0	$3,009	Yes (X)
Scott Ellner
CEO - Beginning January 2020	60.0	1.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,287,643	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$504,397	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	580	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HAyes Locums
6700 N Andrews Ave STE 600	FORT LAUDERDALE	FL	33309	Physicians Services	$12,128,298
Medefis Consolidated
PO Box 5068	NEW YORK	NY	100875068	Contract Labor	$10,273,576
Sodexo
PO BOX 360170	PITTSBURG	PA	15251	Food Service	$4,630,455
Cushing Terrell
303 E 17th Ave 105	DENVER	CO	80203	Construction Design	$1,773,565
AE Architects
124 N 28th St STE 100	BILLINGS	MT	59101	Const. Planning	$1,593,998

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	56	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,534,037	RelatedOrganizationsAmt
Government Grants	$15,255,745	GovernmentGrantsAmt
All Other Contributions	$171	AllOtherContributionsAmt
Noncash Contributions	$71,345	NoncashContributionsAmt
Total Contributions	$19,789,953	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Revenue	621110	$690,702,151	$690,702,151
RETAIL PHARMACY	621110	$58,443,553	$58,443,553
REFERENCE LAB	621500	$9,636,904		$9,636,904
Income on Equity Investees	900099	$11,737,576	$6,837,658	$4,899,918
Clinical trial Revenue	541900	$412,363	$412,363

Field	Value	IRS element (for citing)
Total Program Service Revenue	$770,932,547	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,634,912	TotalRevenueColumnAmt
Unrelated Business Revenue	$116,362	UnrelatedBusinessRevenueAmt
Exclusion	$6,518,550	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$264,275	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$121,584	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$142,691	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$142,691	TotalRevenueColumnAmt
Exclusion	$142,691	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,402,177,513	SecuritiesAmt
Other	$16,500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,385,074,834	SecuritiesAmt
Other	$185,570	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$17,102,679	SecuritiesAmt
Other	-$169,070	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,933,609	TotalRevenueColumnAmt
Exclusion	$16,933,609	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$670,466	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$336,974	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$333,492	TotalRevenueColumnAmt
Related Or Exempt Func Income	$312,019	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$21,473	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Service to Other Hospitals	541519	$2,928,925	$2,928,925
IT CMC	541519	$1,207,802	$1,207,802
COSMETICS	446199	$469,876	$469,876

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,800,226	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,360,529	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$287,082	UnrelatedBusinessRevenueAmt
Exclusion	$152,615	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$20,406,829	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$835,174,033	TotalRevenueColumnAmt
Related Or Exempt Func Income	$772,068,273	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$19,568,342	UnrelatedBusinessRevenueAmt
Exclusion	$23,747,465	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$255,303	TotalAmt
Program Services	$255,303	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$27,280	TotalAmt
Program Services	$27,280	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,466,719	TotalAmt
Program Services	$1,850,779	ProgramServicesAmt
Management And General	$615,940	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$4,184	TotalAmt
Management And General	$4,184	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$337,228,831	TotalAmt
Program Services	$273,291,997	ProgramServicesAmt
Management And General	$63,936,834	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,883,902	TotalAmt
Program Services	$12,580,204	ProgramServicesAmt
Management And General	$2,303,698	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$34,162,620	TotalAmt
Program Services	$20,234,204	ProgramServicesAmt
Management And General	$13,928,416	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,413,596	TotalAmt
Program Services	$16,661,919	ProgramServicesAmt
Management And General	$4,751,677	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,597,076	TotalAmt
Program Services	$8,830	ProgramServicesAmt
Management And General	$2,588,246	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$324,100	TotalAmt
Management And General	$324,100	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$158,719	TotalAmt
Management And General	$158,719	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,467,804	TotalAmt
Management And General	$1,467,804	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$64,572,871	TotalAmt
Program Services	$36,509,501	ProgramServicesAmt
Management And General	$28,063,370	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,485,436	TotalAmt
Program Services	$21,872	ProgramServicesAmt
Management And General	$2,463,564	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,844,129	TotalAmt
Program Services	$3,044,953	ProgramServicesAmt
Management And General	$3,799,176	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$22,739,516	TotalAmt
Program Services	$17,486,688	ProgramServicesAmt
Management And General	$5,252,828	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,127,212	TotalAmt
Program Services	$6,213,503	ProgramServicesAmt
Management And General	$913,709	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,687,273	TotalAmt
Program Services	$2,636,769	ProgramServicesAmt
Management And General	$1,050,504	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$59,145	TotalAmt
Management And General	$59,145	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,848,104	TotalAmt
Program Services	$6,638,732	ProgramServicesAmt
Management And General	$2,209,372	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,566,043	TotalAmt
Program Services	$19,656,436	ProgramServicesAmt
Management And General	$3,909,607	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,787,908	TotalAmt
Program Services	$2,057,364	ProgramServicesAmt
Management And General	$2,730,544	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$176,921,777	$176,567,933	$353,844
Repairs and Maintenace	$10,619,179	$10,619,179
Bed Tax	$10,696,587	$8,298,412	$2,398,175
Dues	$3,852,220	$1,526,250	$2,325,970

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,087,462	TotalAmt
Program Services	$4,099,544	ProgramServicesAmt
Management And General	$12,987,918	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$778,884,996	TotalAmt
Program Services	$620,287,652	ProgramServicesAmt
Management And General	$158,597,344	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$31,863,933	BOYAmt
EOY	$46,394,067	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$91,428,424	BOYAmt
EOY	$105,567,623	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$93,831,239	BOYAmt
EOY	$97,526,684	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$38,956	BOYAmt
EOY	$93,263	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,123,424	BOYAmt
EOY	$10,776,951	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,469,833	BOYAmt
EOY	$8,491,795	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$593,086,429	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$346,003,301	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$232,794,523	BOYAmt
EOY	$247,083,128	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$452,467,617	BOYAmt
EOY	$467,298,945	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$27,997,283	BOYAmt
EOY	$30,060,299	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$102,843,036	BOYAmt
EOY	$103,403,253	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,051,858,268	BOYAmt
EOY	$1,116,696,008	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$69,780,360	BOYAmt
EOY	$76,019,615	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$274,269	BOYAmt
EOY	$4,794,456	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$180,322,247	BOYAmt
EOY	$177,650,178	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$42,210,000	BOYAmt
EOY	$41,160,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$43,734,215	BOYAmt
EOY	$51,374,974	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$336,321,091	BOYAmt
EOY	$350,999,223	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$665,970,480	BOYAmt
EOY	$714,828,874	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$49,566,697	BOYAmt
EOY	$50,867,911	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$715,537,177	BOYAmt
EOY	$765,696,785	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,051,858,268	BOYAmt
EOY	$1,116,696,008	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$56,289,037	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,581,610	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$9,711,039	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$158,719	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$158,719	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$778,726,277	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$778,884,996	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Form4720 Filed	false	Form4720FiledInd

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$161,509	CurrentYearMinus3Amt
Current Year Minus2	$161,410	CurrentYearMinus2Amt
Current Year Minus1	$710,510	CurrentYearMinus1Amt
Current Year	$158,719	CurrentYearAmt
Total	$1,192,148	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$59,225,624	BeginningYearBalanceAmt
Contributions	$2,802,581	ContributionsAmt
Investment Earnings Or Losses	$2,753,070	InvestmentEarningsOrLossesAmt
Other Expenditures	$801,626	OtherExpendituresAmt
End Year Balance	$63,979,649	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,349,816	BeginningYearBalanceAmt
Contributions	$1,912,723	ContributionsAmt
Investment Earnings Or Losses	$3,092,661	InvestmentEarningsOrLossesAmt
Other Expenditures	$129,576	OtherExpendituresAmt
End Year Balance	$59,225,624	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,884,176	BeginningYearBalanceAmt
Contributions	$1,721,868	ContributionsAmt
Investment Earnings Or Losses	$3,130,495	InvestmentEarningsOrLossesAmt
Other Expenditures	$386,723	OtherExpendituresAmt
End Year Balance	$54,349,816	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,940,725	BeginningYearBalanceAmt
Contributions	$1,430,705	ContributionsAmt
Investment Earnings Or Losses	$1,962,519	InvestmentEarningsOrLossesAmt
Other Expenditures	$449,773	OtherExpendituresAmt
End Year Balance	$49,884,176	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$45,241,517	BeginningYearBalanceAmt
Contributions	$808,522	ContributionsAmt
Investment Earnings Or Losses	$1,194,556	InvestmentEarningsOrLossesAmt
Other Expenditures	$303,870	OtherExpendituresAmt
End Year Balance	$46,940,725	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.36825	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.51582	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.11593	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$9,897,742	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$24,470,095	OtherCostOrOtherBasisAmt
Book Value	$34,367,837	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$204,209,044	OtherCostOrOtherBasisAmt
Depreciation	$99,106,248	DepreciationAmt
Book Value	$105,102,796	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,620,848	OtherCostOrOtherBasisAmt
Depreciation	$886,807	DepreciationAmt
Book Value	$734,041	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$315,713,169	OtherCostOrOtherBasisAmt
Depreciation	$234,552,213	DepreciationAmt
Book Value	$81,160,956	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,175,531	OtherCostOrOtherBasisAmt
Depreciation	$11,458,033	DepreciationAmt
Book Value	$25,717,498	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$247,083,128	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
Notes Receivable from new west	$46,131,808
Due from related party	$9,923,852
DUE FROM JV'S	$851,792
INTEREST IN FOUNDATION	$91,117,391
INTEREST IN NEW WEST	-$45,725,570
INTEREST IN STILLWATER	$5,288,009
INTEREST IN EXPRESSCARE	-$5,199,748
INTEREST IN BROADWATER	$1,015,719

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$103,403,253	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Due to MDOR	$621,770
Deposits	$7,890
Interest rate Swap Agreement	$23,839,997
Estimated Claims Liability	$11,478,106
Accrued Interest	$1,927,621
Unearned Premiums	$13,499,590

Field	Value	IRS element (for citing)
Total Liability	$51,374,974	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE ORGANIZATION'S ENDOWMENT CONSISTS OF APPROXIMATELY 82 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE GOVERNING BODY TO FUNCTION AS ENDOWMENTS. ENDOWMENT FUNDS ARE INVESTED AND HELD TO PROVIDE GROWTH OVER THE LONG-TERM.
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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,469,457	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,469,457	NetCommunityBenefitExpnsAmt
Total Expense	0.02360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$119,780,652	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,326,228	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,454,424	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$138,250,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,326,228	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,923,881	NetCommunityBenefitExpnsAmt
Total Expense	0.03060	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,595,942	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$468,206	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,127,736	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,036,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,985,008	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,051,053	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,212,290	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,754,966	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,457,324	NetCommunityBenefitExpnsAmt
Total Expense	0.01470	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,257,693	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$426,664	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$831,029	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,027,866	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,361,563	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$666,303	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,129,852	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,996,407	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,133,445	NetCommunityBenefitExpnsAmt
Total Expense	0.02460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$187,379,961	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$144,322,635	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,057,326	NetCommunityBenefitExpnsAmt
Total Expense	0.05520	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$12,039,339	BadDebtExpenseAmt
Reimbursed By Medicare	$237,161,452	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$302,399,829	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$65,238,377	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BILLINGS CLINIC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 TENTH AVENUE NORTH	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BILLINGSCLINIC.COM	WebsiteAddressTxt
State License	13345	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BILLINGS CLINIC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C FOR URL	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C FOR URL	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.BILLINGSCLINIC.COM/FINASSIST	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BILLINGSCLINIC.COM/FINASSIST	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V,Section C for URL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	THE 2019-20 COMMUNITY HEALTH NEEDS ASSESSMENT FOR YELLOWSTONE COUNTY IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF OUR POPULATION. SUBSEQUENTLY, THIS INFORMATION MAY BE USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS. THERE ARE THREE COMPONENTS THAT ARE ESSENTIAL IN RENDERING A COMPLETE PICTURE OF THE HEALTH OF YELLOWSTONE COUNTY: (1) THE COMMUNITY HEALTH SURVEY [PRIMARY QUANTITATIVE DATA]; (2) EXISTING DATA [SECONDARY QUANTITATIVE DATA]; AND (3) ONLINE KEY INFORMANT DATA [PRIMARY QUALITATIVE DATA]. THE COMMUNITY HEALTH SURVEY DEVELOPED FOR THIS STUDY GIVES US A COMPLETE AND TIMELY VIEW OF THE HEALTH STATUS AND BEHAVIORS OF AREA RESIDENTS THROUGH A RANDOMIZED TELEPHONE SURVEY OF 400 YELLOWSTONE COUNTY ADULTS. ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION AND DATA ANALYSIS WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). THE SAMPLE DRAWN FOR THIS SURVEY IS REPRESENTATIVE OF THE ADULT YELLOWSTONE COUNTY POPULATION IN TERMS OF DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS, AS WELL AS GEOGRAPHICAL LOCATION. THE MAXIMUM ERROR RATE ASSOCIATED WITH THE TOTAL SAMPLE OF 400 IS 4.9% AT THE 95 PERCENT LEVEL OF CONFIDENCE. EXISTING VITAL STATISTICS AND OTHER DATA ARE INCORPORATED INTO THIS ASSESSMENT FOR YELLOWSTONE COUNTY. COMPARISONS ARE ALSO MADE, WHERE AVAILABLE, TO STATE AND NATIONAL BENCHMARKS. FURTHERMORE, WHEREVER POSSIBLE, HEALTH PROMOTION GOALS OUTLINED IN HEALTHY PEOPLE 2020 ARE INCLUDED. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. 154 PARTICIPANTS INCLUDED HEALTHCARE PROVIDERS, PUBLIC HEALTH REPRESENTATIVES, GOVERNMENT REPRESENTATIVES, EDUCATORS, BUSINESS LEADERS, AND A VARIETY OF OTHER COMMUNITY LEADERS AND COMMUNITY MEMBERS. INPUT FROM THE GENERAL PUBLIC WAS OBTAINED BY USING A WEB-BASED PLATFORM THAT WAS OPEN TO THE GENERAL PUBLIC. 120 USER ACCESSED THE PLATFORM SUBMITTING 428 COMMENTS.
SCHEDULE H, PART V, SECTION B, LINE 6A & 6b	BILLINGS CLINIC'S COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN A PRE-EXISTING COMMUNITY HEALTH PARTNERSHIP, THE ALLIANCE, WITH ST. VINCENT HEALTHCARE (HOSPITAL ORGANIZATION) AND RIVERSTONE HEALTH (PUBLIC HEALTH DEPARTMENT FOR CITY AND COUNTY). THE ALLIANCE ALSO CONDUCTED A CHNA IN 2006, 2011, 2014, 2017 AND 2020
SCHEDULE H, PART V, SECTION B, LINE 7A	Direct URL for the CHNA: https://www.billingsclinic.com/app/files/public/befdd423-98fd-482e-a94b-54 c2f65e2c19/2019-2020-Community-Needs-Health-Assessment-Report.pdf
SCHEDULE H, PART V, SECTION B, LINE 10a	Direct URL for Implementation Strategy: https://www.billingsclinic.com/app/files/public/5d8a9fb2-7968-4e91-9405-d6 caa64f123c/CHIP-Community-Benefit-2020-2023.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	BILLINGS CLINIC HAS BEEN ADDRESSING THE NEEDS THAT WE HAVE THE RESOURCES TO ADDRESS, BASED ON STRATEGIES TO ALIGN, ENHANCE AND DEVELOP PROGRAMS BASED ON A SET OF CRITERIA ESTABLISHED BY OUR COMMUNITY HEALTH IMPROVEMENT TASK FORCE. WE ARE FOLLOWING OUR 2017-2020 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). A NEW CHNA PROCESS BEGAN IN THE SPRING OF 2019 AND WILL BE COMPLETED AND RELEASED IN EARLY 2020. THE COUNTY-WIDE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT THAT WE PARTICIPATED IN IDENTIFIED THE FOLLOWING COMMUNITY HEALTH AREAS OF OPPORTUNITY: - ACCESS TO HEALTH CARE SERVICES: COST OF PRESCRIPTIONS, APPOINTMENT AVAILABILITY, FIND A PHYSICIAN - CANCER: CANCER DEATHS (PROSTATE AND COLORECTAL); CANCER INCIDENCE; FEMALE BREAST CANCER SCREENING; CERVICAL CANCER SCREENING. - DEMENTIA, INCLUDING ALZHEIMER'S DISEASE: DEATHS - DIABETES: PREVALENCE OR BORDERLINE/PRE-DIABETES - HEART DISEASE AND STROKE: DEATHS AND PREVALENCE OF HIGH BLOOD PRESSURE - INFANT HEALTH AND FAMILY PLANNING: LOW-WEIGHT BIRTHS AND INFANT MORTALITY - INJURY AND VIOLENCE: MOTOR VEHICLE CRASH DEATHS, SEATBELT USAGE, FIREARM-RELATED DEATHS, FIREARM STORAGE AND SAFETY - MENTAL HEALTH: FAIR/POOR MENTAL HEALTH, DIAGNOSED DEPRESSION, SUICIDE DEATHS, SUICIDE IDEATION - NUTRITION, PHYSICAL ACTIVITY AND WEIGHT: ADULT OBESITY - POTENTIALLY-DISABLING CONDITIONS: ACTIVITY LIMITATIONS; BACK PAIN PREVALENCE; BLINDNESS/VISION - RESPIRATORY DISEASES: CHRONIC LOWER RESPIRATORY DISEASE; PNEUMONIA/INFLUENZA DEATHS - SUBSTANCE ABUSE: CIRRHOSIS/LIVER DISEASE DEATHS; DRUG-INDUCED DEATHS; PERSONAL IMPACT OF SUBSTANCE ABUSE - TOBACCO USE: CIGARETTE SMOKING PREVALENCE BILLINGS CLINIC ADDRESSES THESE NEEDS AT THE ORGANIZATIONAL LEVEL WITH EFFORTS TO IMPROVE AWARENESS AND EDUCATION, AS WELL AS TO REMOVE BARRIERS TO CARE. WORK IS DONE WITH CLINICAL DEPARTMENTS, SERVICE LINES, NURSING AND MEDICAL EDUCATION, COMMUNITY RELATIONS, POPULATION HEALTH, CARE MANAGEMENT, CITY/COUNTY HEALTH DEPARTMENT, AND THE STATE AND FEDERAL GOVERNMENT. AT THIS TIME, BILLINGS CLINIC DOES NOT HAVE THE RESOURCES NECESSARY TO ADDRESS ALL NEEDS, ALTHOUGH WE ARE PART OF SEVERAL COMMUNITY-WIDE COALITION TO ADDRESS THESE IN A COLLABORATIVE WAY. THE NEEDS WE ARE UNABLE TO DIRECTLY ADDRESS INCLUDE LACK OF TRANSPORTATION AS A BARRIER TO ACCESS (MEMBER OF BILLINGS TRANSPORTATION COALITION) AND ACCESS TO DENTAL CARE (WE DO NOT OFFER DENTAL SERVICES). IN SOME AREAS WE DON'T OFFER ANY SERVICES, BUT WE DO ADVOCATE ON POLICY SUCH AS SEAT BELT USAGE, FIREARM SAFETY, AND EXPANDING HEALTH INSURANCE COVERAGE. OUR CHNA WAS FOCUSED ON THE YELLOWSTONE COUNTY, OUR PRIMARY SERVICE AREA WHERE THE MAJORITY OF OUR PATIENTS COME FROM. CHNA PRIORITIZATION MEETINGS, WITH MORE THAN 100 COMMUNITY MEMBERS ATTENDING, RESULTED IN A PRIORITY OF HEALTHY WEIGHT BASED ON 1. THE SCOPE AND SEVERITY AND 2. THE ABILITY TO IMPACT. HEALTHY WEIGHT INCLUDES THE COMPONENTS OF PHYSICAL ACTIVITY, NUTRITION AND SOCIAL CONNECTION. THESE THREE TOPICS CAN BENEFIT MANY OF THE COMMUNITY HEALTH OPPORTUNITIES, INCLUDING CHRONIC DISEASES SUCH AS DIABETES AND HEART DISEASE, MENTAL HEALTH, AND ADULT OBESITY, AS WELL AS PRIMARY PREVENTION EFFORTS TARGETED AT KIDS AND TEENS. THE YELLOWSTONE COUNTY CHNA PROCESS INCLUDED PRIORITIZING HEALTHY WEIGHT AT THE COUNTY LEVEL FOR WORK BASED ON THE MODEL OF COLLECTIVE IMPACT, WORKING TOGETHER TOWARDS A COMMON GOAL WITH SHARED RESOURCES. WE BASED OUR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ON THAT PRIORITY, WITH THREE STRATEGIES THAT BILLINGS CLINIC SUPPORTS WITHIN OUR ORGANIZATION AND ACROSS ALL OF YELLOWSTONE COUNTY. OVERVIEW: STRATEGY 1 - HEALTHY FOOD RETAIL AND HEALTHY FOOD PROCUREMENT CURRENT SITUATION: WHILE AN INDIVIDUAL CAN AVOID PHYSICAL ACTIVITY BY SIMPLY NOT DOING IT, DAILY CONSUMPTION OF FOOD IS A NECESSARY PART OF SURVIVAL. HOWEVER, YELLOWSTONE COUNTY RESIDENTS EXPERIENCE SEVERAL BARRIERS TO CONSUMING HEALTHY FOODS, INCLUDING AFFORDABILITY AND AVAILABILITY. WHAT IF YOUR MORNING LATTE CAME WITH A SIDE OF FRESH FRUIT OR A SIMPLE SALAD? ONE KEY STRATEGY FOR INCREASING ACCESS TO HEALTHY FOODS, SUCH AS FRUITS AND VEGETABLES, IS TO ENCOURAGE OUR LOCAL FOOD RETAILERS AND INSTITUTIONS TO STOCK AND PROMOTE THESE ITEMS. ACTIVITIES SELECTED BELOW AIM TO INCREASE THE PREVALENCE OF HEALTHY FOODS THROUGHOUT OUR DAILY LIVES, SO THAT THE HEALTHY CHOICE IS THE EASY CHOICE. STRATEGY DESCRIPTION: THERE IS STRONG EVIDENCE THAT A STRATEGY FOCUSED ON HEALTHY FOOD RETAIL AND HEALTHY FOOD PROCUREMENT METHODS IS AN EFFECTIVE APPROACH TO IMPROVE HEALTHY WEIGHT AND INCREASED CONSUMPTION OF NUTRITIONAL FOODS. RETAIL ENVIRONMENTS AND INSTITUTIONAL MEAL OFFERINGS, INCLUDING SCHOOLS, WORKPLACES, NEIGHBORHOOD CONVENIENCE STORES, AND COFFEE SHOPS, CAN EACH PLAY A SIGNIFICANT ROLE IN CONSUMER FOOD CHOICES, FOR BETTER OR WORSE. THIS IS ESPECIALLY TRUE FOR RESIDENTS OF NEIGHBORHOODS THAT LACK ACCESS TO FULL-SERVICE GROCERY STORES, WHO OTHERWISE MAY FIND IT EASIER TO FIND JUNK FOOD THAN FRUITS AND VEGETABLES. EXAMPLES OF PROVEN ACTIVITIES RELATED TO THIS STRATEGY INCLUDE INCREASING RETAIL OFFERINGS TO INCLUDE NUTRITIOUS OPTIONS, INTENTIONAL PRODUCT PLACEMENT AND MARKETING OF THESE FOODS, WHILE DE-EMPHASIZING UNHEALTHY PRODUCTS SUCH AS TOBACCO, ALCOHOL, SUGARY DRINKS AND OTHER JUNK FOODS. SOURCES: CHANGELAB SOLUTIONS, US SURGEON GENERAL, CDC WINNABLE BATTLES, PROCUREMENT - CITY HEALTH OVERVIEW: STRATEGY 2 - CREATING AND IMPROVING ACCESS TO PLACES, PARKS, AND PLAYGROUNDS FOR PHYSICAL ACTIVITY AND CREATING AND MAINTAINING SAFE NEIGHBORHOODS CURRENT SITUATION: YELLOWSTONE COUNTY AND BILLINGS HAVE SEVERAL BEAUTIFUL PARKS AND PLACES FOR RECREATION. HOWEVER, THE ABILITY TO ACCESS THESE DESTINATIONS WITHOUT A CAR, AND SAFETY CONCERNS RELATED TO SOME OF THESE DESTINATIONS ARE BARRIERS TO THEIR ENJOYMENT. ONE KEY STRATEGY FOR PROMOTING USE OF EXISTING FACILITIES, INCLUDING PARKS AND BIKEWAYS, IS TO NORMALIZE THEIR USE. ACTIVITIES SELECTED BELOW PROMOTE THE NORMALIZATION OF ACTIVE TRANSPORTATION AND PARKS TO INCREASE PHYSICAL ACTIVITY. THE MORE THIS INFRASTRUCTURE IS UTILIZED, THE SAFER AND POPULAR IT BECOMES. STRATEGY DESCRIPTION: THERE IS STRONG EVIDENCE THAT A STRATEGY FOCUSED ON CREATING AND IMPROVING ACCESS TO PLACES FOR PHYSICAL ACTIVITY, MAINTAINING SAFE NEIGHBORHOODS, AND IMPROVING ACCESS TO PARKS AND PLAYGROUNDS IS AN EFFECTIVE APPROACH TO IMPROVE HEALTHY WEIGHT AND PHYSICAL ACTIVITY. EXAMPLES OF PROVEN ACTIVITIES RELATED TO THIS STRATEGY INCLUDE INCREASED ACCESS TO FACILITIES SUCH AS WALKING TRAILS AND EXERCISE SPACES, JOINT AND SHARED USE AGREEMENTS, COMPLETE STREETS POLICIES, COMPLETE PARKS, SAFE ROUTES TO SCHOOL AND PARKS, AND ZONING THAT PROMOTES ACCESSIBILITY AND ACTIVITY. OVERVIEW: STRATEGY 3 - PROVIDE SPACE FOR ORGANIZED ACTIVITIES THAT Encourage Social Participation and Inclusion Current Situation: Overweight and obese adults are more likely to report a number of adverse health conditions, including fair/poor overall health and fair/poor mental health. Yellowstone County residents are increasingly active; however, disparities persist among lower-income residents and seniors. Key informants noted a lack of supportive built environment that does not always support healthy living as a significant concern. Local senior service and mental health representatives believe identification and development of community gathering places would be beneficial to their respective clients as social isolation and inactivity are often interwoven. A key strategy to promote activity and social engagement is to enhance or create spaces that are welcoming and accessible to all, with organized activities and opportunities for social engagement. Strategy Description: The evidence states this is an effective strategy for improved weight and increased physical activity by creating safe, attractive opportunities for all residents to be active and engaged. Research shows that perceptions of poor safety, unwelcoming spaces, and inaccessibility are all barriers to activity and that social engagement is associated with better health outcomes.
Schedule H, Part V, Section B, Line 16c	DIRECT URL FOR PLAIN LANGUAGE SUMMARY: https://www.billingsclinic.com/app/files/public/61391694-7adb-4551-9b3c-39 cf4c9c9150/Financial-Assistance-Policy-Summary.pdf SUMMARY.PDF
Schedule H, Part V, Section B, Line 16i	TRANSLATION OF FAP FOR LEP POPULATIONS: BILLINGS CLINIC HAS CONSIDERED THE NEED FOR A PLAIN LANGUAGE SUMMARY FOR THOSE WITH LIMITED ENGLISH PROFICIENCY. WE HAVE TRANSLATION OF MOST LANGUAGES AVAILABLE TO PATIENTS THROUGH OUR MARTTI TRANSLATION SERVICES, ONLINE OR BY PHONE TRANSLATION FOR DISCUSSING AND TRANSLATING FINANCIAL ASSISTANCE MATERIALS.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
BILLINGS CLINIC
1045 N 30TH STREET	BILLINGS	MT	59101	OUTPATIENT CLINIC
BILLINGS CLINIC MILES CITY
620 SOUTH HAYNES AVENUE	MILES CITY	MT	59301	OUTPATIENT CLINIC
BILLINGS CLINIC HEIGHTS
760 WICKS LANE	BILLINGS	MT	59105	OUTPATIENT CLINIC
BOZEMAN OBGYN
925 HIGHLAND BLVD	BOZEMAN	MT	59715	OBSTETRICS AND GYNECOLOGY CLIN
BILLINGS CLINIC SURGERY CENTER
2929 TENTH AVENUE NORTH	BILLINGS	MT	59101	OUTPATIENT SURGERY CENTER
BILLINGS CLINIC WEST
2675 CENTRAL AVENUE	BILLINGS	MT	59102	OUTPATIENT CLINIC
BEHAVIORAL HEALTH CENTER
1020 NORTH 27TH STREET 4TH FL	BILLINGS	MT	59101	OUTPATIENT MENTAL HEALTH Center
BILLINGS CLINIC CODY
201 YELLOWSTONE AVENUE	CODY	WY	92414	OUTPATIENT CLINIC
BILLINGS CLINIC CANCER CENTER
801 NORTH 29TH STREET	BILLINGS	MT	59101	CANCER CARE, INFUSION,
PSYCHIATRIC CENTER
1020 NORTH 27TH STREET	BILLINGS	MT	59101	INPATIENT PSYCHIATRIC CENTER
HOME OXYGEN
801 N 27TH STREET	BILLINGS	MT	59101	DURABLE MEDICAL EQUIPMENT
BOZEMAN PEDIATRICS
1819 S 22ND STREET	BOZEMAN	MT	59715	PEDIATRIC OUTPATIENT CENTER Medicine
BILLINGS CLINIC ORTHOPEDICS
2702 8TH AVENUE NORTH	BILLINGS	MT	59101	ORTHOPEDICS AND SPORTS

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	DESCRIPTION OF ADDITIONAL CRITERIA TO DETERMINE FINANCIAL ASSISTANCE: IN ADDITION TO THE FEDERAL POVERTY GUIDELINES BILLINGS CLINIC ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART I, LINE 6A	RELATED ORGANIZATION ANNUAL COMMUNITY BENEFIT REPORT: STILLWATER COMMUNITY HOSPITAL, A RELATED CRITICAL ACCESS HOSPITAL, PREPARES THEIR OWN INDEPENDENT COMMUNITY BENEFIT REPORT.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY: 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. BILLINGS CLINIC USED THE SAME COST-TO-CHARGE RATIO THROUGHOUT THE ENTIRE SCHEDULE TO DETERMINE THE COST OF THOSE ACTIVITIES.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED HEALTH SERVICE COSTS: SUBSIDIZED HEALTH SERVICES INCLUDES VARIOUS PHYSICIAN CLINICS IN ORDER TO BETTER SERVE THE MONTANA AREAS. MANY CRITICAL SERVICES WERE NOT FULLY REIMBURSED SUCH AS BEHAVIORAL HEALTH, PEDIATRIC SPECIALTIES, SEXUAL ASSAULT NURSE EXAMINATION AND RURAL OUTREACH CLINICS. PRIMARY CARE CLINICS WERE ONLY INCLUDED IF THEY WERE IN RURAL, UNDERSERVED AREAS OUTSIDE OUR PRIMARY SERVICE AREA. TOTAL COSTS FOR THE SUBSIDIZED SERVICES WERE $34,212,290 AND NET COMMUNITY BENEFIT OF THOSE SERVICES WAS DETERMINED TO BE $11,457,324.
SCHEDULE H, PART III, SECTION A, LINE 2	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 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 A, LINE 3	BAD DEBT AS COMMUNITY BENEFIT: THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, SECTION B, LINE 8	ALLOWABLE MEDICARE COSTING METHODOLOGY: BILLINGS CLINIC ESTIMATES THAT 45 PERCENT OF BILLINGS CLINIC'S MEDICARE SHORTFALLS SHOULD BE COUNTED AS COMMUNITY BENEFIT. OUR RATIONALE IS THAT 45 PERCENT IS THE BEST ESTIMATE OF THE PERCENTAGE OF MONTANA'S MEDICARE POPULATION (65 AND OLDER) WHO ARE AT OR BELOW 200% OF FEDERAL POVERTY LEVEL, BASED ON MEDICARE AND U.S. CENSUS DATA, AND THOSE PATIENTS WOULD QUALIFY FOR FULL FINANCIAL ASSISTANCE. A HIGHER PERCENTAGE WOULD QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE WITH INCOMES FROM 200- 400 PERCENT OF FEDERAL POVERTY LEVEL. FOR THE CALCULATION OF THE UNREIMBURSED COST OF MEDICARE A RATIO OF PATIENT COST-TO CHARGES USING WORKSHEET 2 WAS UTILIZED AND APPLIED TO GROSS MEDICARE CHARGES. WE DO NOT USE THE MEDICARE COST REPORT FOR THIS NUMBER. THE COST REPORT ONLY CAPTURES REVENUE RELATED TO THE FACILITY AND DOES NOT CAPTURE REVENUE/LOSSES RELATED TO CLINICAL PROFESSIONAL SERVICES, WHICH ARE A SUBSTANTIAL PORTION OF MEDICARE SHORTFALLS.
SCHEDULE H, PART III, SECTION C, LINE 9B	Collection Practices: ACCOUNTS ARE BILLED WITH INSURANCE INFORMATION SUPPLIED BY THE PATIENT AND WHEN AVAILABLE, VERIFIED BY BILLINGS CLINIC. BILLINGS CLINIC SENDS PATIENT BILLING STATEMENTS THAT INCLUDE THE SUMMARY OF SERVICES PROVIDED, AMOUNTS PENDING INSURANCE AND AMOUNTS OWED BY THE PATIENT. FINANCIAL ASSISTANCE IS OFFERED TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED. BILLINGS CLINIC ASSISTS PATIENTS APPLYING FOR FINANCIAL ASSISTANCE, AND PUBLIC PROGRAMS SUCH AS MEDICAID. BILLINGS CLINIC ALSO ASSISTS PATIENTS WITH PAYMENT PLANS INTEREST FREE FOR 12 MONTHS OR THROUGH AN EXTENDED LOAN OPTION UP TO 60 MONTHS. BILLINGS CLINIC WILL NOT REFER A PATIENT TO COLLECTIONS UNTIL AFTER 120 DAYS OF THE INDIVIDUAL BEING AWARE OF THEIR OPTIONS.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: SINCE 1994, BILLINGS CLINIC, RIVERSTONE HEALTH AND ST. VINCENT HEALTHCARE HAVE BEEN WORKING TOGETHER AS THE ALLIANCE, CREATING AND SUSTAINING INNOVATIVE PROGRAMS THAT ADDRESS COMPLEX COMMUNITY-WIDE HEALTH ISSUES. RIVERSTONE HEALTH IS THE PUBLIC HEALTH DEPARTMENT FOR THE YELLOWSTONE COUNTY AND ST. VINCENT HEALTHCARE IS A 501(C)(3) HEALTHCARE ENTITY ALSO SERVING THE BILLINGS AREA.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY ASSISTANCE: ALL PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE. INFORMATIONAL BROCHURES WITH ONE-PAGE PLAIN LANGUAGE SUMMARY AND APPLICATION FORMS ARE AVAILABLE AT REGISTRATION DESKS IN THE CLINIC AND THE HOSPITAL, THE EMERGENCY DEPARTMENT DISCHARGE DESK, AND ON OUR WEBSITE AT WWW.BILLINGSCLINIC.COM/FINASSIST. OUR WEBPAGE INCLUDES THE FULL FINANCIAL ASSISTANCE POLICY. PATIENTS CAN ALSO CALL A DIRECT LINE TO TALK TO A PATIENT FINANCIAL REPRESENTATIVE. INFORMATION ABOUT FINANCIAL ASSISTANCE IS PRINTED ON THE BACK OF PATIENT BILLS. PATIENTS HOSPITALIZED WITHOUT IDENTIFIYING A THIRD PARTY PAYER SOURCE ARE SCREENED FOR COVERAGE/ASSISTANCE (DISABILITY, MEDICAID, VETERANS ADMINSTRATION, INDIAN HEALTH SERVICES AND WORKERS COMPENSATIONS). APPLICATIONS ARE MAILED TO PATIENTS WHOSE PAYMENT PATTERN INDICATES THAT THEY MAY NEED ASSISTANCE. PATIENT FINANCIAL SERVICES STAFF IS AVAILABLE TO HELP ANY PATIENT NEEDING ASSISTANCE COMPLETING AN APPLICATION. LANGUAGE TRANSLATION SERVICES ARE ALSO AVAILABLE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: BILLINGS CLINIC IS BASED IN BILLINGS, MONTANA AND IS MONTANA'S LARGEST HEALTH CARE ORGANIZATION SERVING A VAST REGION COVERING MUCH OF MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC IS ONE OF MONTANA'S LARGEST EMPLOYERS WITH APPROXIATELY 4,300 EMPLOYEES INCLUDING MORE THAN 450 PHYSICIANS AND ADVANCED PRACTITIONERS OFFERING MORE THAN 50 SPECIALTIES. COMMUNITY BENEFIT INCLUDES HEALTH CARE SERVICES PROVIDED AT BILLINGS CLINIC LOCATIONS, INCLUDING THE HOSPITAL, MAIN CLINIC, BRANCH CLINICS AND OUTREACH CLINICS. BILLINGS CLINIC SPECIALISTS PROVIDE 122 OUTREACH CLINICS PER MONTH AT 20 DIFFERENT REGIONAL LOCATIONS FOR THE RESIDENTS OF MONTANA, WYOMING AND NORTH DAKOTA.
Schedule H, Part Vi, Line 5	PROMOTION OF COMMUNITY HEALTH: AS A NOT-FOR PROFIT COMMUNITY-GOVERNED ORGANIZATION, WORKING WITH OTHER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE HEALTH CARE NEEDS IS AN IMPORTANT PART OF OUR MISSION. BILLINGS CLINIC HAS BEEN INVOLVED IN MEETING THE NEEDS OF INDIVIDUALS AND COMMUNITIES THROUGH COOPERATIVE EFFORTS WITH OTHER ORGANIZATIONS IN YELLOWSTONE COUNTY AND IN OUR REGION. COMMUNITY HEALTH COLLABORATION SINCE 1994, BILLINGS CLINIC, RIVERSTONE HEALTH AND ST. VINCENT HEALTHCARE HAVE BEEN WORKING TOGETHER, CREATING AND SUSTAINING INNOVATIVE PROGRAMS THAT ADDRESS COMPLEX COMMUNITY-WIDE HEALTH ISSUES. THEIR PURPOSE IS TO CREATE SUSTAINED CHANGE IN HOW OUR COMMUNITY RESPONDS TO THE CHALLENGE OF THE HIGH COST OF PRESCRIPTION DRUGS FOR THE UNINSURED AND THE POPULATION LIFESTYLE ISSUES OF OBESITY, POOR NUTRITION AND PHYSICAL ACTIVITY HABITS. THESE ARE EXAMPLES OF THE PAST AND FUTURE SUCCESSES OF THE ALLIANCE'S EFFORTS. COMMUNITY CRISIS CENTER - THE COMMUNITY CRISIS CENTER (CCC), ENHANCES\ACCESS TO BEHAVIORAL HEALTH CARE IN BILLINGS. THE CCC HAS SUCCESSFULLY REDUCED INAPPROPRIATE UTILIZATION OF LOCAL EMERGENCY DEPARTMENTS, DECREASED THE NUMBER OF SHORT-TERM INPATIENT HOSPITAL ADMISSIONS, AND HAS BEEN A DRIVING FORCE IN REDUCING THE INMATE POPULATION AT THE YELLOWSTONE COUNTY DETENTION FACILITY. MEDICATION ASSISTANCE PROGRAM (MAP) - MAP HELPS PATIENTS AFFORD THE PRESCRIPTION DRUGS THEY NEED BY CONNECTING INDIVIDUALS WITH AVAILABLE PATIENT ASSISTANCE PROGRAMS OFFERING DISCOUNTED OR FREE PRESCRIPTION MEDICATION. MAP ASSISTS LOW INCOME, UNINSURED OR UNDER INSURED PEOPLE IN GETTING THE MEDICATIONS THEY NEED, BUT CAN'T AFFORD. HEALTHY BY DESIGN - TO HELP RECOGNIZE ORGANIZATIONS IN YELLOWSTONE COUNTY COMMITTED TO IMPROVING OUR COMMUNITY'S HEALTH, BILLINGS CLINIC, RIVERSTONE HEALTH, AND ST. VINCENT HEALTHCARE LAUNCHED A COMMUNITY HEALTH COALITION CALLED HEALTHY BY DESIGN. HEALTHY BY DESIGN ENCOURAGES, RECOGNIZES, EDUCATES AND CREATES A STANDARD OF EXCELLENCE FOR PROMOTING HEALTHY LIFESTYLES BY ENCOURAGING ACTIVE LIVING AND HEALTHY CHOICES THAT SHAPE THE FUTURE OF THE COMMUNITY.
Schedule H, Part VI, Line 6	AFFILIATED HEALTH CARE SYSTEM: BILLINGS CLINIC HAS AN AFFILIATED RELATIONSHIP WITH BEARTOOTH BILLINGS CLINIC, STILLWATER HOSPITAL ASSOCIATION and Broadwater Healthcare. EACH HOSPITAL IS A MONTANA NON-PROFIT CORPORATION. BEARTOOTH AND STILLWATER HAVE BEEN AFFILIATES OF BILLINGS CLINIC SINCE 2002 WITH A SHARED MANAGEMENT AGREEMENT. Broadwater Healthcare began their affiliation in 2019. WITHIN THE AGREEMENT BILLINGS CLINIC PROVIDES MANAGEMENT, DIGITAL INFORMATION SYSTEMS, AND ANCILLARY SUPPORT SERVICES TO AREA HOSPITALS AND CLINICS. THE AFFILIATION BRINGS A STRONGER ALIGNMENT WITHIN THE GROUP DUE TO A DESIRE TO STABILIZE AND ENHANCE THE LEVEL AND SCOPE OF HEALTH CARE SERVICES AVAILABLE IN EACH COMMUNITY. THE AFFILIATION ALLOWED THEM TO STRENGTHEN THEIR COMMITMENT TO QUALITY, PATIENT SAFETY AND SERVICE VALUES.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COMMUNITY CRISIS CENTER
704 NORTH 30TH STREET	BILLINGS	MT	59101	203231164	501(C)(3)	$81,191	SUPPORT OPERATIONS
TUMBLEWEED
505 N 24TH STREET	BILLINGS	MT	59101	363343886	501(C)(3)	$50,000	CNA Nursing Program
ST JOHNS UNITED
2429 MISSION WAY	BILLINGS	MT	59102	810485182	501(C)(3)	$25,000	Support Nursing Program
ALBERTA BAIR THEATRE
2801 3RD AVENUE NORTH	BILLINGS	MT	59101	810406157	501(C)(3)	$8,500	Handicap Accessibility
BIG HORN HOSPITAL
17 N MILES AVENUE	HARDIN	MT	59034	810384618	501(C)(3)	$7,500	Hospital Expansion
Billings Clinic Foundation
2917 Tenth Avenue North	Billings	MT	59101	810407289	501(c)(3)	$21,100	Support PRogram

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Scholarships	GrantTypeTxt
Recipient	76	RecipientCnt
Cash Grant	$27,280	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF MONITORING PROCESS FOR SCHOLARSHIPS AND GRANTS: BILLINGS CLINIC AWARDS SCHOLARSHIPS TO INDIVIDUALS WHO EXHIBIT A STRONG DESIRE AND POTENTIAL TO EXCEL IN THE HEALTHCARE FIELD. BILLINGS CLINIC ALSO PROVIDES GRANTS TO OTHER HEALTH RELATED ORGANIZATIONS. MONTHLY FINANCIAL REPORTS ARE REVIEWED AND SIGNED BY THE GRANT MANAGER, AND THEN SUBMITTED FOR APPROVAL OF THE DRAWING OF FUNDS FOR GRANTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Connie F Prewitt
Chief Financial Officer	$551,580	$0	$110,212	$0	$13,169	$0	$24,400	$0	$31,195	$0	$730,556	$0	$40,589
Randall Gibb MD
Former CEO	$403,825	$0	$0	$0	$5,010	$0	$24,400	$0	$9,733	$0	$442,968	$0
Robert Pueringer MD
Physician Board MEmber	$396,233	$0	$275	$0	$4,174	$0	$30,999	$0	$26,552	$0	$458,233	$0
John Schallenkamp MD
Interim CEO	$647,951	$0	$128,567	$0	$3,191	$0	$30,527	$0	$29,592	$0	$839,828	$0
Per Sommer MD
Physician	$1,004,787	$0	$0	$0	$2,796	$0	$24,400	$0	$26,145	$0	$1,058,128	$0
Michael A Morone MD
Physician	$1,002,874	$0	$0	$0	$2,322	$0	$24,400	$0	$26,404	$0	$1,056,000	$0
Marlin D Richardson MD
Physician	$984,864	$0	$0	$0	$2,814	$0	$24,400	$0	$29,124	$0	$1,041,202	$0
Zachary M Bland MD
Physician	$983,564	$0	$5,125	$0	$2,844	$0	$22,703	$0	$10,638	$0	$1,024,874	$0
Brian R Rah MD
Physician	$977,933	$0	$100	$0	$3,162	$0	$24,400	$0	$24,783	$0	$1,030,378	$0
David Brown
Former Board Member	$0	$0	$0	$0	$21,730	$0	$4,163	$0	$0	$0	$25,893	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4b

DESCRIPTION OF NON-QUALIFIED RETIREMENT PLAN: THE BILLINGS CLINIC SUPPLEMENTAL RETIREMENT AGREEMENT FOR SENIOR EXECUTIVES (SERP) IS A NON-ELECTIVE 457(F) AGREEMENT AND PROVIDES FOR ANNUAL DEFERRALS, WHICH BECOME VESTED AND PAYABLE AFTER 4 YEARS. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT DURING THE 2019 CALENDAR YEAR WHICH IS INCLUDED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J, PART II, COLUMN B: CONNIE PREWITT - 40,589

Schedule J, Part I, Line 7

DESCRIPTION OF NON-FIXED PAYMENTS: THE BOARD OF DIRECTORS ANNUALLY DETERMINES THE INCENTIVE PLAN AMOUNT FOR THE CEO AND THE SENIOR EXECUTIVE TEAM BASED ON AN EXTERNAL COMPENSATION STUDY. THE AVAILABILITY OF THE INCENTIVE IS AWARDED BASED ON FINANCIAL PERFORMANCE AS WELL AS ORGANIZATIONAL PERFORMANCE MEASUREMENTS IN QUALITY, PATIENT SATISFACTION, EMPLOYEE SATISFACTION AND THE INDIVIDUAL GOALS SET EACH YEAR IF THE TARGET IS TRIGGERED. THE INCENTIVE IS PAID ONLY IF TRIGGERED FOLLOWING THE FINANCIAL AUDIT PRESENTATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
MONTANA FACILITY FINANCE AUTHORITY
A	364615155	2018-10-01	$56,580,000	Refund 2011 Bonds	false	false	false
Montana Facility Finance Authority
B	364615155	2018-10-01	$125,786,085	REFUND 2008/2011 Issue	false	false	false	61204KLQ2

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$56,580,000	$0	$0	$0	$0	$0	$0	$0	$56,580,000	$0	2019	Yes (true)	false	false	Yes (true)
B	$2,931,022	$0	$125,786,085	$33,707,574	$0	$0	$0	$0	$0	$0	$8,769,336	$83,309,175		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd
0
A	false	Yes (true)	false	false	Yes (true)	false	false	0	Yes (true)
0
B	false	Yes (true)	false	false	Yes (true)	false	Yes (true)	Beyerische Landesban	Yes (true)	2.875	Yes (true)	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	CRAIG BARTHOLOMEW	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$1,629,650	TransactionAmt
Transaction	PURCHASE OF OFFICE SUPPLIES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV	FormAndLineReferenceDesc
Explanation	Relationship Between Interested Person & the Organization: Line 1, Column B - Craig Bartholomew, is a board member of Billings Clinic and owns an office supply company. Billings clinic purchased office supplies from the company. Transactions were conducted at arm's length for fair value with the knowledge and approval of the board.	ExplanationTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$7,600	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$475	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$10,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	33	ContributionCnt
Noncash Contributions Rpt F990	$15,513	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Gift Cards	10	$7,444	FMV
Yes (X)	Furniture	3	$3,250	FMV
Yes (X)	Daycare Supplies	8	$1,749	FMV
Yes (X)	Masks	19	$25,314	FMV

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, PArt I, Column (B)	FormAndLineReferenceDesc
Explanation	EXPLANATION FOR NUMBER OF CONTRIBUTIONS REPORTED: THE NUMBER OF CONTRIBUTIONS REPORTED IS THE NUMBER OF CONTRIBUTIONS RECEIVED, NOT THE NUMBER OF INDIVIDUAL ITEMS DONATED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS OR FAMILY TRANSACTION: CONNIE PREWITT, JOY OTT, AND SCOTT ELLNER HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS OR OFFICERS OF THE SUBSIDIARY NEW WEST DISCLOSED ON SCHEDULE R, PART IV.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW 990: THE 990 REVIEW IS COMPLETED BEFORE THE RETURN IS FILED. IT IS REVIEWED BY THE CFO AND THEN THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR CONFLICT OF INTEREST POLICY: THE COMPLIANCE OFFICER ALONG WITH THE GOVERNANCE AND NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR MONITORING THE EFFECTIVENESS OF THE CONFLICT OF INTEREST REPORTING AND MANAGEMENT FOR BILLINGS CLINIC. IN ADDITION, BILLINGS CLINIC VICE PRESIDENTS ARE RESPONSIBLE FOR ENSURING THAT THEIR DIRECT REPORTS ARE COMPLYING WITH THIS POLICY.
FORM 990, PART VI, SECTION B, LINE 15A & 15b	PROCESS TO DETERMINE CEO COMPENSATION: BILLINGS CLINIC HAS AN EXECUTIVE COMPENSATION PROGRAM ADMINISTERED ANNUALY BY INDEPENDENT TRUSTEES FOLLOWING BEST PRACTICES AND THE HIGHEST REGULATORY STANDARDS EXPECTED OF A NOT-FOR PROFIT ORGANIZATION. THEY FOLLOW BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY WHICH DEFINES THE MARKET AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. THEY LOOK AT RELEVANT MARKET DATA OF SIMILAR ROLES IN SIMILAR ORGANIZATIONS. ANNUAL DISCLOSURE OF THE COMMITTEE'S ACTIONS AND DECISIONS TO THE FULL BOARD IS REQUIRED. BILLINGS CLINIC ENGAGES SULLIVAN COTTER TO PERFORM REGULAR COMPENSATION REVIEWS FOR EXECUTIVES, MANAGER AND DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19	BILLINGS CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON AN AS NEEDED BASIS.
Form 990, Part XI, Line 9	Other Changes in Net Assets: (5,556,500) - Change in Fair Value of Interest Rate Swap 2,642,857 - Change in Interest of Foundation (6,797,396) - Change in Interest of Affiliates (9,711,039) - Total

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	EINEIN
MONTANA HEALTHCARE INDEMNITY LLC
2800 TENTH AVENUE NORTH	BILLINGS	MT	59101	INSUR CAPTIVE	MT	$6,148,022	$18,620,464	BILLINGS CLI
SPECIALTY SUPPLIES AND SERVICES LLC
2800 TENTH AVENUE NORTH	BILLINGS	MT	59101	SPEC. SUPPLY	MT	$51,394,030	$8,448,989	BILLINGS CLI	364871868

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BILLINGS CLINIC FOUNDATION
2917 TENTH AVENUE NORTH	BILLINGS	MT	59101	810407289	FUNDRAISING	MT	501(C)(3)	7	BILLINGS CLI	Yes (true)
STILLWATER HOSPITAL ASSOCIATION
710 N 11TH STREET	COLUMBUS	MT	59019	810286525	HOSPITAL	MT	501(C)(3)	3	BILLINGS CLI	Yes (true)
Townsend Health Systems Inc
110 NORTH OAK STREET	TOWNSEND	MT	59644	810398400	HEALTHCARE	MT	501(C)(3)	3	BILLINGS CLI	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt
NEW WEST HEALTH SERVICES
130 NEILL AVENUE	HELENA	MT	59601	841418136	INSURANCE SAL	MT	BILLINGS CLINIC	C CORP	$3,613,330	0.65000	Yes (true)
BILLINGS CLINIC EXPRESS CARE
2800 TENTH AVENUE NORTH	BILLINGS	MT	59101	463355499	OUTPATIENT CL	MT	BILLINGS CLINIC	C CORP	$366,260	1.00000	Yes (true)	$902,458

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Billings Clinic Express Care
A	$116,362	InterCo Amount
Billings Clinic Foundation
C	$4,534,037	INTERCO AMOUNT
New West Health Services
D	$46,131,808	Interco Amount
Billings Clinic FOundation
D	$258,834	InterCo Amount
Stillwater Hospital Association
D	$1,737,759	Interco Amount
Billings Clinic Express Care
D	$5,558,933	Interco Amount
Townsend Health Systems Inc
D	$2,508,670	Interco Amount
Stillwater Hospital Association
L	$1,928,252	InterCo Amount
Stillwater Hospital Association
Q	$6,817,882	INterCo Amount
Townsend Health Systems Inc
Q	$397,847	Interco Amount
Billings Clinic Express Care
R	$250,000	INterco Amount
Townsend Health Systems INc
R	$559,193	Interco Amount