BEARTOOTH BILLINGS CLINIC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- BEARTOOTH BILLINGS CLINIC (EIN 81-0224734)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-07-11
- IRS object ID
- 202001939349300225
- Schema version
- 2018v3.3
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-11T13:22:53-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | 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 | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810224734 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEARTOOTH BILLINGS CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % LINDA E HARRIS | InCareOfNm |
| Business Name Control | BEAR | BusinessNameControlTxt |
| Phone | 4064462345 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 590 | AddressLine1Txt |
| City | RED LODGE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59068 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KELLEY EVANS RN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4064462345 | PhoneNum |
| Signature | 2019-05-15 | 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 |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 84022720201935000015 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-07-11 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | CD6B840677BC4526C93E8E31BDECD29D6A11F8AD | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AC2BF1E6A8FFD47615D918FE76D18C6E44D837B5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KELLEY EVANS RN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 590 | AddressLine1Txt |
| City | RED LODGE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59068 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,213,953 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BEARTOOTHBILLINGSCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF BBC IS TO SAVE LIVES & PROMOTE HEALTHY LIVING. THE ORGANIZATION VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE & INNOVATION | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 175 | TotalEmployeeCnt |
| Total Volunteers | 139 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $799,497 | PYContributionsGrantsAmt |
| CY Contributions Grants | $618,736 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,841,285 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,083,165 | CYProgramServiceRevenueAmt |
| PY Investment Income | $188,656 | PYInvestmentIncomeAmt |
| CY Investment Income | $262,026 | CYInvestmentIncomeAmt |
| PY Other Revenue | $82,398 | PYOtherRevenueAmt |
| CY Other Revenue | $37,883 | CYOtherRevenueAmt |
| PY Total Revenue | $16,911,836 | PYTotalRevenueAmt |
| CY Total Revenue | $16,001,810 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $35,233 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $44,140 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,236,348 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,502,234 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $148,250 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,184,937 | PYOtherExpensesAmt |
| CY Other Expenses | $7,578,681 | CYOtherExpensesAmt |
| PY Total Expenses | $15,456,518 | PYTotalExpensesAmt |
| CY Total Expenses | $15,125,055 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,455,318 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $876,755 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,083,257 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,011,071 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,809,584 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,787,895 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,273,673 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,223,176 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF THE ORGANIZATION IS TO SAVE LIVES AND PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE AND INNOVATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,812,515 | ExpenseAmt |
| Grant | $19,143 | GrantAmt |
| Revenue | $15,083,165 | RevenueAmt |
| Desc | COMMUNITY-OWNED CRITICAL ACCESS HOSPITAL PROVIDING ACUTE AND TRANSITIONAL CARE, OUTPATIENT SURGICAL SERVICES, DIAGNOSTIC SERVICES, REHABILITATION, AND HOSPICE/HOME CARE FOR RED LODGE, MT AND THE SURROUNDING AREA PAID FOR THROUGH PATIENT FEES, MEDICARE AND MEDICAID, AND PRIVATE INSURANCE REIMBURSEMENTS. | Desc |
| Total Program Service Expenses | $8,812,515 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | 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 | false | 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 | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | 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 | 26 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 175 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA E HARRIS | PersonNm |
| Phone | 4064462345 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 N BROADWAY | AddressLine1Txt |
| City | RED LODGE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59068 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| GEORGE CLOW | ||||||||
| IMMEDIATE PAST PRESIDENT | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SARAH EWALD | ||||||||
| VICE PRESIDENT | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JIM DUNCAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD FELLOWS | ||||||||
| SECRETARY/TREASURER | 1.0 | 0.75 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MITZI VORACHECK | ||||||||
| PRESIDENT | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR WILLIAM OLEY MD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| STEVE MUTH | ||||||||
| PAST PRESIDENT | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| GUY SCHMIDT MD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KELLY HEATON | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RANDY DRAGON | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| STEVE SMITH | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KELLEY EVANS RN | ||||||||
| CHIEF ExecutivE OFFICER | 39.25 | 0.75 | Yes (X) | $148,009 | $3,020 | $30,877 | ||
| SHARON NORBY | ||||||||
| CHIEF QUALITY OFFICER | 40.0 | 0.0 | $112,971 | $0 | $18,040 | Yes (X) | ||
| BETH NORDSTROM | ||||||||
| DIRECTOR OF IS | 40.0 | 0.0 | $116,393 | $0 | $22,091 | Yes (X) | ||
| BRIDGETT CHARTIER RN | ||||||||
| CNO | 40.0 | 0.0 | $123,643 | $0 | $9,074 | Yes (X) | ||
| DEREK STIEGEMEIER | ||||||||
| DIRECTOR OF PT | 40.0 | 0.0 | $102,753 | $0 | $14,475 | Yes (X) | ||
| KATE WYMAN | ||||||||
| LAB MANAGER | 40.0 | 0.0 | $106,117 | $0 | $15,626 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $709,886 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,020 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $110,183 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BILLINGS CLINIC | PersonNm |
Contractor Address ContractorAddress
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) |
|---|---|---|
| Services | mgmt/staffing svcs | ServicesDesc |
| Compensation | $2,157,000 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $139,861 | RelatedOrganizationsAmt |
| Government Grants | $122,791 | GovernmentGrantsAmt |
| All Other Contributions | $356,084 | AllOtherContributionsAmt |
| Total Contributions | $618,736 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 561110 | $14,718,808 | $14,718,808 |
| Meaningful Use Revenue | 900099 | $3,210 | $3,210 |
| 340B Pharmacy | 446440 | $300,133 | $300,133 |
| Other Program Revenue | 900099 | $35,103 | $35,103 |
| Program Rent | 900099 | $25,911 | $25,911 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,083,165 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,386 | TotalRevenueColumnAmt |
| Exclusion | $19,386 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,237 | TotalRevenueColumnAmt |
| Exclusion | $24,237 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,400,000 | SecuritiesAmt |
| Other | $30,546 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,208,745 | SecuritiesAmt |
| Other | $3,398 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $191,255 | SecuritiesAmt |
| Other | $27,148 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $218,403 | TotalRevenueColumnAmt |
| Exclusion | $218,403 | 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 | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $37,883 | TotalRevenueColumnAmt |
| Exclusion | $37,883 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $37,883 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,001,810 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,083,165 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $299,909 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,140 | TotalAmt |
| Program Services | $44,140 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,217,768 | TotalAmt |
| Program Services | $4,338,137 | ProgramServicesAmt |
| Management And General | $1,857,869 | ManagementAndGeneralAmt |
| Fundraising | $21,762 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,767 | TotalAmt |
| Program Services | $108,663 | ProgramServicesAmt |
| Management And General | $142,626 | ManagementAndGeneralAmt |
| Fundraising | $478 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $561,804 | TotalAmt |
| Program Services | $242,475 | ProgramServicesAmt |
| Management And General | $318,262 | ManagementAndGeneralAmt |
| Fundraising | $1,067 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,895 | TotalAmt |
| Program Services | $203,238 | ProgramServicesAmt |
| Management And General | $266,762 | ManagementAndGeneralAmt |
| Fundraising | $895 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,000 | TotalAmt |
| Management And General | $54,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,007 | TotalAmt |
| Management And General | $1,007 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,450 | TotalAmt |
| Management And General | $39,450 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,627,255 | TotalAmt |
| Program Services | $1,757,370 | ProgramServicesAmt |
| Management And General | $864,628 | ManagementAndGeneralAmt |
| Fundraising | $5,257 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,417 | TotalAmt |
| Program Services | $42,479 | ProgramServicesAmt |
| Management And General | $22,187 | ManagementAndGeneralAmt |
| Fundraising | $2,751 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,081 | TotalAmt |
| Program Services | $239,064 | ProgramServicesAmt |
| Management And General | $137,919 | ManagementAndGeneralAmt |
| Fundraising | $17,098 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,097 | TotalAmt |
| Program Services | $183,420 | ProgramServicesAmt |
| Management And General | $95,800 | ManagementAndGeneralAmt |
| Fundraising | $11,877 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,591 | TotalAmt |
| Program Services | $114,420 | ProgramServicesAmt |
| Management And General | $59,762 | ManagementAndGeneralAmt |
| Fundraising | $7,409 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,195 | TotalAmt |
| Program Services | $112,281 | ProgramServicesAmt |
| Management And General | $58,644 | ManagementAndGeneralAmt |
| Fundraising | $7,270 | FundraisingAmt |
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 | $17,622 | TotalAmt |
| Program Services | $11,104 | ProgramServicesAmt |
| Management And General | $5,799 | ManagementAndGeneralAmt |
| Fundraising | $719 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $827,119 | TotalAmt |
| Management And General | $827,119 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,151,793 | TotalAmt |
| Program Services | $314,324 | ProgramServicesAmt |
| Management And General | $837,123 | ManagementAndGeneralAmt |
| Fundraising | $346 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,236 | TotalAmt |
| Program Services | $107,266 | ProgramServicesAmt |
| Management And General | $56,025 | ManagementAndGeneralAmt |
| Fundraising | $6,945 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $992,434 | $625,333 | $326,610 | $40,491 |
| Repairs & Maintenance | $237,509 | $149,654 | $78,164 | $9,691 |
| Dietary/Food | $110,186 | $69,428 | $36,262 | $4,496 |
| Bed Tax | $58,364 | $36,775 | $19,208 | $2,381 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,325 | TotalAmt |
| Program Services | $112,993 | ProgramServicesAmt |
| Management And General | $59,015 | ManagementAndGeneralAmt |
| Fundraising | $7,317 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,125,055 | TotalAmt |
| Program Services | $8,812,564 | ProgramServicesAmt |
| Management And General | $6,164,241 | ManagementAndGeneralAmt |
| Fundraising | $148,250 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,849 | BOYAmt |
| EOY | $269,182 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,680,190 | BOYAmt |
| EOY | $3,627,716 | 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 | $2,714,428 | BOYAmt |
| EOY | $3,482,427 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,317 | BOYAmt |
| EOY | $324,974 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,430 | BOYAmt |
| EOY | $28,231 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,872,032 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,376,348 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,273,807 | BOYAmt |
| EOY | $12,495,684 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,478,396 | BOYAmt |
| EOY | $5,442,665 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $367,840 | BOYAmt |
| EOY | $340,192 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,083,257 | BOYAmt |
| EOY | $26,011,071 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,618,398 | BOYAmt |
| EOY | $1,975,699 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,931,186 | BOYAmt |
| EOY | $4,707,000 | 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 | $12,260,000 | BOYAmt |
| EOY | $12,105,196 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,809,584 | BOYAmt |
| EOY | $18,787,895 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,249,173 | BOYAmt |
| EOY | $7,198,676 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,500 | BOYAmt |
| EOY | $24,500 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,273,673 | BOYAmt |
| EOY | $7,223,176 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,083,257 | BOYAmt |
| EOY | $26,011,071 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $876,755 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $72,748 | NetUnrlzdGainsLossesInvstAmt |
| 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 | false | FederalGrantAuditRequiredInd |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $771,718 | OtherCostOrOtherBasisAmt |
| Book Value | $771,718 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,864,959 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,542,152 | DepreciationAmt |
| Book Value | $9,322,807 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,381,693 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,694,981 | DepreciationAmt |
| Book Value | $1,686,712 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,853,662 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,139,215 | DepreciationAmt |
| Book Value | $714,447 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,495,684 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $16,095,834 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $72,748 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $21,276 | OtherRevenueAmt |
| Revenue Not Reported | $94,024 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,001,810 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $16,001,810 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,146,331 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $21,276 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $21,276 | ExpensesNotReportedAmt |
| Expenses Subtotal | $15,125,055 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $15,125,055 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | REVENUE ON BOOKS, NOT ON RETURN: 21,276 - CHARITY CARE SHOWN AS EXPENSE ON FINANCIALS, NET WITH NET PATIENT SERVICE REVENUE ON TAX RETURN |
| SCHEDULE D, PART XII, LINE 2D | EXPENSE ON BOOKS, NOT ON RETURN: 21,276 - CHARITY CARE SHOWN AS EXPENSE ON FINANCIALS, NET WITH NET PATIENT SERVICE REVENUE ON TAX RETURN |
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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 110. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | $100,248 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,248 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,834,576 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,721,427 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $101,149 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,934,824 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,721,427 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $201,397 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01390 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,200 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $319,598 | DirectOffsettingRevenueAmt |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $381,028 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $381,028 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02520 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,915 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,660 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,255 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,682 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,682 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $457,825 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $325,258 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $385,965 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02550 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,392,649 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,046,685 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $587,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03940 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 600 | PersonsServedCnt |
| Total Community Benefit Expns | $821 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $821 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 600 | PersonsServedCnt |
| Total Community Benefit Expns | $821 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $821 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $870,441 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $548,950 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,466,082 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,098,075 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,368,007 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| 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 | BEARTOOTH BILLINGS CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 590 | AddressLine1Txt |
| City | RED LODGE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59068 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | BEARTOOTHBILLINGSCLINIC..ORG | WebsiteAddressTxt |
| State License | 13419 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | CLINIC | OtherDesc |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEARTOOTH BILLINGS CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | 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 |
| 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 | 110. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | 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 |
| 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 | SEE PART V, SECTION C FOR URL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C FOR URL | 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 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | MEMBERS OF OUR VARIED COMMUNITY HEALTH PARTNER ORGANIZATIONS, PUBLIC AGENCIES, MENTAL HEALTH PROVIDERS, SCHOOL OFFICIALS, CHILD CARE PROVIDERS AND PUBLIC HEALTH OFFICIALS WERE INVITED TO PARTICIPATE IN OUR PROCESS VIA A COMMUNITY PANEL. THE COMMUNITY PANEL CONSISTED OF THE FOLLOWING GROUPS: DPHHS PUBLIC ASSISTANCE MENTAL HEALTH CENTER CEDAR WOOD HEALTHCARE COMMUNITY RIVERSTONE HEALTH CARBON CO BETA JAIL ALTERNATIVES MESSIAH LUTHERAN CHURCH RED LODGE SCHOOLS TOBACCO PREVENTION RL AREA FOOD PARTNERSHIP CARBON CO COMMISSIONER HEAD START INC. MARY FITZGERALD INSURANCE DSVS RED LODGE EMS RL AREA COMMUNITY FOUNDATION RL AREA CHAMBER OF COMMERCE CARBON CO PUBLIC HEALTH CARBON CO SCHOOL SUPERINTENDENT'S OFFICE BEARTOOTH BC NAVIGATOR JOLIET COMMUNITY CENTER BEARTOOTH CHILDREN'S CENTER BEARTOOTH BILLINGS CLINIC BRIDGER SCHOOL SUPERINTENDENT CARBON COUNTY COUNSELING, LLC JOLIET SCHOOL COUNSELOR THE ORGANIZATION ALSO HELD THREE COMMUNITY DIALOGUE MEETINGS TO GATHER COMMUNITY CONCERNS RELATIVE TO HEALTH ISSUES IN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. |
| SCHEDULE H, PART V, SECTION B, LINE 7 | We include a link to all Community Health Needs Assessments in the About Us tab found at the top of our homepage or via this link: https://www.beartoothbillingsclinic.org/about-us/community-health-needs assessments/ |
| SCHEDULE H, PART V, SECTION B, LINE 10A | We include a link to all Community Health Needs Assessments in the About Us tab found at the top of our homepage or via this link: https://www.beartoothbillingsclinic.org/about-us/community-health-needs-as sessments/ |
| SCHEDULE H, PART V, SECTION B, LINE 11 | BEARTOOTH BILLINGS CLINIC APPROVED ITS MOST RECENT IMPLEMENTATION PLAN ON OCTOBER 22, 2019. THE PLAN PRIORITIZED THE FOLLOWING HEALTH ISSUES: 1) BEHAVIORAL HEALTH 2) ACCESS TO CARE AND 3) CHRONIC DISEASE PREVENTION AND MANAGEMENT. GOAL 1: ENHANCE BEHAVIORAL HEALTH SERVICES IN CARBON COUNTY BY IMPLEMENTING AN INTEGRATED BEHAVIORAL HEALTH MODEL IN CLINIC, EMPLOY SUICIDE PREVENTION SCREENING PROTOCOLS IN THE ED, PARTICIPATE IN LOCAL MENTAL HEALTH ADVISORY COUNCIL, AND CONTINUE TO OFFER EMPLOYEE ASSISTANCE PROGRAM TO STAFF. ENHANCE EFFORTS IN SUBSTANCE ABUSE PREVENTION AND TREATMENT THROUGH PAIN MANAGEMENT SERVICES AND EDUCATION. GOAL 2: IMPROVE ACCESS TO HEALTHCARE SERVICES IN CARBON COUNTY BY EXPLORING BARRIERS, COLLABORATING WITH COMMUNITY PARTNERS TO DEVELOP OPPORTUNITIES, AND ENHANCE AWARENESS OF AVAILABLE SERVICES IN OUR COMMUNITIES. GOAL 3: IMPROVE CHRONIC DISEASE PREVENTION AND MANAGEMENT IN CARBON COUNTY BY DEVELOPING AND IMPLEMENTING PROGRAMS TO PROVIDE SERVICES AND EDUCATIONAL PROGRAMS. BEartooth Billings Clinic is not addressing the need for an Audiologist and an Ophthalmologists as we do not have the resources and that these services are available in both Cody and Billings approxiametly 60 minutes from Beartooth. |
| SCHEDULE H, PART V, SECTION B, LINE 16A | The financial assistance policy can be found by going to the organization's home page, under patient information, Billing and Insurance. A link to the financial assistance policy is also listed below. https://www.beartoothbillingsclinic.org/media/1768/financial-assistance-po licy-full.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 16B | The financial assistance application form can be found by going to the organization's home page, under patient information, Billing and Insurance, and there is a link to the application. A link to the application is also listed below. https://www.beartoothbillingsclinic.org/media/1702/4059884_bc-financial-as sistance-app-rev-4-13.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 16C | The plain language summary can be found by going to the organization's home page, under patient information, Billing and Insurance. A link to the plain language summary is also listed below. https://www.beartoothbillingsclinic.org/media/1769/financial-assistance-po licy-summary.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 16I | TRANSLATION OF THE FAP, APPLICATION, AND PLAIN LANGUAGE SUMMARY OF THE FAP POLICY HAS BEEN CONSIDERED FOR LEP GROUPS. HOWEVER AT THIS TIME NONE MEET THE THRESHOLD TO REQUIRE TRANSLATION. BEARTOOTH BILLINGS CLINIC CONTINUES TO MONITOR THE NEEDS OF LEP GROUPS AND ONCE IT BECOMES NECESSARY THE FAP AND OTHER FORMS WILL BE TRANSLATED AS NEEDED. |
| SCHEDULE H, PART V, SECTION B, LINE 22B | BEARTOOTH BILLINGS CLINIC WILL NOT CHARGE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE MORE FOR EMERGENCY CARE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS. AGB IS CALCULATED USING THE LOOK-BACK METHOD BASED ON CLAIMS SENT TO MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE COMMERCIAL INSURERS FOR EMERGENCY AND MEDICALLY NECESSARY CARE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOLIET PHYSICAL THERAPY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 209 EAST FRONT STREET | AddressLine1Txt |
| City | JOLIET | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59041 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | PHYSICAL THERAPY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A and 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. |
| SCHEDULE H, Part II | Coalition Building includes Our involvement in planning and implementing the community Fun Run with the Red Lodge Area Community Foundation, a fun run/walk that promotes healthy lifestyle activities; participation in the LEPC Local Emergency Planning Commission area law enforcement, EMS, medical and others collaborate to improve area safety and emergency response; and a few other miscellaneous collaborative efforts with the community to address health and safety issues. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS |
| SCHEDULE H, PART III, SECTION A, LINE 3 | BEARTOOTH BILLINGS CLINIC ANALYZES OUR HISTORY AND LOOKS FOR TRENDS TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. WE ALSO REVIEW OUR ACCOUNTS RECEIVABLE TO ASSESS PATIENTS THAT COULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER OUR POLICY. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2019. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY, THEY ARE NOT REPORTED AS REVENUE, OR SUBJECT TO COLLECTION. FOR THOSE AMOUNTS THAT ARE STILL OUTSTANDING, THE HOSPITAL WILL SEND A LETTER TO THE PATIENT NOTIFYING OF THEIR DETERMINATION AND IF THEY HAVE AN OUTSTANDING BALANCE, TO CONTACT THE HOSPITAL REGARDING PAYMENT OPTIONS. THE HOSPITAL ROUTINELY REVIEWS PATIENT ACCOUNTS FOR OPPORTUNITIES TO ENCOURAGE PAYMENT BY DISCOUNTING AND OTHER MEANS. IF, AFTER NO LESS THAN 120 DAYS OF NO RESPONSE FROM THE PATIENT/GUARANTOR, THE ACCOUNT IS WRITTEN OFF TO BAD DEBT AND FORWARDED TO A COLLECTIONS AGENCY FOR FURTHER ACTION. |
| SCHEDULE H, PART VI, LINE 2 | PERIODIC COMMUNITY SURVEYS ARE CONDUCTED TO DEFINE THE PHYSICIAN SPECIALTIES THAT ARE NEEDED/REQUESTED AT THE FACILITY. |
| SCHEDULE H, PART VI, LINE 3 | INPATIENTS RECEIVE A VISIT FROM THE PATIENT FINANCIAL SERVICES DEPARTMENT AND PROVIDED INFORMATION ON ASSISTANCE AND CONTACT INFO. OUTPATIENTS ARE ADVISED AT TIME OF REGISTRATION AS TO AVAILABILITY. BEARTOOTH BILLINGS CLINIC ALSO PROVIDES NOTICES IN PATIENT BILLS AND POSTS NOTICES IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, AND PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON THE FACILITY CAMPUS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. |
| SCHEDULE H, PART VI, LINE 4 | BEARTOOTH BILLINGS CLINIC (BEARTOOTH) IS A 10-BED NON PROFIT CRITICAL ACCESS HOSPITAL BASED IN RED LODGE, MONTANA WITH CLINIC AND HOSPITAL SERVICES IN THE SAME FACILITY. BEARTOOTH, THE ONLY HOSPITAL IN CARBON COUNTY, HAS A SERVICE AREA OF APPROXIMATELY 2,000 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO THE COUNTY POPULATION OF APPROXIMATELY 10,000 PEOPLE. CARBON COUNTY, 60 MILES FROM YELLOWSTONE NATIONAL PARK, IS SITUATED ALONG THE MONTANA-WYOMING BORDER IN SOUTH CENTRAL MONTANA. THE PRIMARY SERVICE AREA, BASED ON THE TOP 10 ZIP CODES OF PATIENTS WITH ENCOUNTERS AND OR ADMITS DURING A CALENDAR YEAR INCLUDES THE COMMUNITIES OF RED LODGE, ROBERTS, BRIDGER, JOLIET, BELFRY, BEARCREEK, ROSCOE AND BOYD, MONTANA; AS WELL AS SCATTERING OF PATIENTS FROM LAUREL AND BILLINGS, MONTANA AS WELL AS CODY, WYOMING |
| SCHEDULE H, PART VI, LINE 5 | THE MAJORITY OF BEARTOOTH'S GOVERNING BODY MEMBERS RESIDE IN THE COMMUNITY. ALL GOVERNING BODY MEMBERS ARE COMMUNITY-MINDED INDIVIDUALS WHO DO NOT RECEIVE COMPENSATION FOR THEIR SERVICES ON THE BEARTOOTH BOARD. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE USED TO MAKE CAPITAL PURCHASES AND UPGRADES TO THE FACILITIES. BEARTOOTH IS THE SOLE ACUTE CARE PROVIDER IN THE PRIMARY SERVICE AREA, AND OPERATES AN EMERGENCY ROOM AND CLINIC WHICH OFFERS WALK INS AS WELL AS SCHEDULED APPOINTMENTS. BEARTOOTH PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO PROVIDING CARE AT REDUCED OR NO COST, THE ORGANIZATION SPONSORS HEALTH FAIRS, CLASSES, AND OTHER EVENTS THROUGHOUT THE YEAR TO PROMOTE BETTER LIVING, NUTRITION AND GOOD HEALTH. OTHER COMMUNITY BENEFIT PROGRAMS PROVIDED ARE: - HEALTH EXCHANGE ENROLLMENT, PROVIDING OUTREACH AND ENROLLMENT BY CERTIFIED HEALTHCARE GUIDES IN THE NEW HEALTH INSURANCE EXCHANGE. - TOBACCO USE PREVENTION AND CONTROL PROVIDING CESSATION AND PREVENTION EDUCATION FOR LOCAL YOUTH. -DISASTER PREPAREDNESS, WHICH WORKS WITH COMMUNITY PARTNERS AND HOSPITAL STAFF TO PREPARE THE HEALTHCARE SYSTEM COMMUNITY FOR COUNTY WIDE PUBLIC HEALTH EMERGENCIES OF ALL TYPES. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: BEARTOOTH BILLINGS CLINIC (BEARTOOTH) IS AFFILIATED WITH BILLINGS CLINIC, A MONTANA NON PROFIT CORPORATION. BILLINGS CLINIC IS AN INTEGRATED HEALTH CARE ORGANIZATION, COMPRISED OF THE BILLINGS CLINIC AND BILLINGS CLINIC HOSPITAL. SINCE 2002, BEARTOOTH HAS BEEN AN AFFILIATE OF BILLINGS CLINIC WITH A SHARED MANAGEMENT AGREEMENT. WITHIN THIS AGREEMENT, BILLINGS CLINIC PROVIDES MANAGEMENT, DIGITAL INFORMATION SYSTEMS, AND ANCILLARY SUPPORT SERVICES TO AREA HOSPITALS AND CLINICS. AT THAT TIME, BEARTOOTH SOUGHT A STRONGER ALIGNMENT WITH BILLINGS CLINIC DUE TO A DESIRE TO STABILIZE AND ENHANCE THE LEVEL AND SCOPE OF HEALTH CARE SERVICES AVAILABLE IN OUR COMMUNITY, AND TO GROW IN OUR COMMITMENT TO QUALITY, PATIENT SAFETY AND SERVICE VALUES. THIS SHARED DESIRE LED TO A COMMITMENT BY BOTH ORGANIZATIONS TO BUILD A NEW INTEGRATED HOSPITAL AND CLINIC IN RED LODGE, WHICH IS NOW BEARTOOTH BILLINGS CLINIC. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: A COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF MONTANA. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEARTOOTH BILLINGS CLINIC FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1290 | AddressLine1Txt |
| City | RED LODGE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59068 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 810484562 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $44,140 | CashGrantAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: BEARTOOTH BILLINGS CLINIC REIMBURSES THE BEARTOOTH BILLINGS CLINIC FOUNDATION TO COVER THE COST OF VARIOUS EXPENSES. BOTH ORGANIZATIONS HAVE A CLOSE WORKING RELATIONSHIP AS THE CLINIC IS THE SOLE MEMBER OF THE FOUNDATION, ENSURING FUNDS ARE USED FOR THEIR INTENDED PURPOSE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KELLEY EVANS RN | PersonNm |
| Title | CHIEF ExecutivE OFFICER | TitleTxt |
| Base Compensation Filing Org | $122,231 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $3,020 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $25,778 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $15,297 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $15,580 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $178,886 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $3,020 | TotalCompensationRltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF NON-FIXED PAYMENT: THE CEO OF BEARTOOTH BILLINGS CLINIC RECEIVES A DISCRETIONARY BONUS THAT IS A NON-FIXED PAYMENT. PRE-DETERMINED STRETCH GOALS ARE ESTABLISHED BY THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE AT THE BEGINNING OF THE EVALUATION PERIOD. FOR BEARTOOTH THIS IS JULY, THE BEGINNING OF THE FISCAL YEAR. THE BONUS IS PRIMARILY IMPACTED BY THE FINANCIAL PERFORMANCE OF THE FACILITY WITH ALL OF THE GOALS BEING REDUCED BY 50% OF POSSIBLE COMPENSATION IF THE FINANCIALS GOALS ARE NOT MET. THE OVERALL AMOUNT HAS BEEN PRIMARILY DETERMINED BY FINANCIAL PERFORMANCE AND REGIONAL /STATE BENCH-MARKING OF COMPARABLE. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARBON COUNTY MONTANA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 816001339 | BondIssuerEIN |
| CUSIP | 140851AA4 | CUSIPNum |
| Bond Issued | 2010-02-16 | BondIssuedDt |
| Issue Price | $6,031,020 | IssuePriceAmt |
| Purpose | SERIES 2010 REVENUE BONDS | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,324,020 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $6,031,020 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $78,125 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $64,500 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $5,888,395 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | false | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | Yes (true) | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | Describe Delegation of Control: DELEGATION OF CONTROL TO A MANAGEMENT COMPANY OR OTHER PERSON: BEARTOOTH BILLINGS CLINIC HIRED BILLINGS CLINIC TO CONDUCT, SUPERVISE, OPERATE AND MANAGE DAY-TO-DAY OPERATIONS OF THE HOSPITAL, ITS DEPARTMENTS, EMPLOYEES AND FINANCIAL ADMINISTRATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS: THE ORGANIZATION HAS TWO CLASSES OF MEMBERS, CLASS A AND CLASS B. CLASS A SHALL CONSIST OF THOSE PERSONS WHO ARE AT LEAST EIGHTEEN YEARS OF AGE, AND WHO HAVE INDICATED THEIR INTEREST IN THE MAINTENANCE OF ADEQUATE MEDICAL FACILITIES AND HIGH STANDARDS OF MEDICAL CARE IN THE AREA. CLASS B MEMBERS SHALL BE LIMITED SOLELY TO THE BILLINGS CLINIC, A 501(C)(3) NON PROFIT HOSPITAL LOCATED AT 2800 10TH AVENUE NORTH, BILLINGS, MONTANA 59101. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: CLASS A MEMBERS SHALL BE ENTITLED TO ELECT NINE BOARD MEMBERS. CLASS B MEMBERS SHALL BE ENTITLED TO APPOINT THREE BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS: THE VOTING POWER OF BOTH CLASSES OF MEMBERSHIP ARE LIMITED TO THE FOLLOWING ACTIONS: THE ELECTION AND REMOVAL OF DIRECTORS; ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR THESE BYLAWS THAT WOULD TERMINATE ALL MEMBERS OR ANY CLASS OF MEMBERS OR REDEEM OR CANCEL ALL MEMBERSHIPS OR ANY CLASS OF MEMBERSHIPS; ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS WHICH RELATES TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED; THE MERGER OF THE CORPORATION WITH ANOTHER BUSINESS ENTITY; THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S PROPERTY; THE DISSOLUTION OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANT AND PROVIDED TO THE BOARD FOR REVIEW AND APPROVAL PRIOR TO SUBMITTING TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: BOARD MEMBERS ANNUALLY DISCLOSE IN WRITING ANY CONFLICTS OF INTEREST. THESE ARE REVIEWED BY THE BOARD CHAIR AND CEO. THROUGHOUT THE YEAR, IF ANY CONFLICTS ARISE, THE BOARD CHAIR AND CEO ADDRESS THOSE ISSUES WITH THE INDIVIDUALS INVOLVED. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15b | DESCRIBE PROCESS FOR DETERMINING COMPENSATION: THE BOARD OF DIRECTORS IS RESPONSIBLE FOR DETERMINING AND APPROVING COMPENSATION FOR THE CEO AND ALL OTHER OFFICERS AND KEY EMPLOYEES. COMPARATIVE MARKET DATA IS COLLECTED ANNUALLY AND ANALYZED. EXECUTIVE MANAGEMENT EVALUATES KEY EMPLOYEES ANNUALLY AND PROVIDES WAGE ADJUSTMENTS AFTER REVIEWING COMPARATIVE MARKET DATA. REVIEWS ARE CONDUCTED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD. ANY AND ALL DOCUMENTATION IS KEPT IN HUMAN RESOURCES AND ALSO IN EMPLOYEE'S FILE, INCLUDING SIGNED PERSONAL ACTION FORMS, ALONG WITH JUSTIFICATION, PRINCIPALLY FROM EMPLOYEE PERFORMANCE EVALUATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DESCRIBE HOW GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE ON THEIR WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE UPON REQUEST. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIANS TOTAL FEES:1070375 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING TOTAL FEES:350893 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT MEDICAL STAFF TOTAL FEES:49497 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT ADMIN STAFF TOTAL FEES:118400 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES - MAINT TOTAL FEES:49887 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MID-LEVEL PROVIDERS/NURSING TOTAL FEES:503003 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:RADIOLOGY/IMAGING TOTAL FEES:59429 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:THERAPISTS TOTAL FEES:11594 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ANESTHESIOLOGISTS TOTAL FEES:36400 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TRANSCRIPTION/CODING TOTAL FEES:86272 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:HOSPICE/HOME HEALTH SERVICES TOTAL FEES:33219 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CLEANING TOTAL FEES:2540 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER MISCELLANEOUS SERVICES TOTAL FEES:147085 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:UNKNOWN TOTAL FEES:108661 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEARTOOTH BILLINGS CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 590 | AddressLine1Txt |
| City | RED LODGE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59068 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810484562 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 3 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEARTOOTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | 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 | false | 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 | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEARTOOTH BILLINGS CLINIC FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $139,861 | InvolvedAmt |
| Method Of Amount Determination | INTERCO AMOUNT | MethodOfAmountDeterminationTxt |