2019-05-10T14:09:19-05:00 2018-06-30 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2017-07-01 810286525 Stillwater Hospital Association % KELLEY HARMON STIL 4063225316 710 N 11th St Columbus MT 59019 DAVID RYERSE CEO 4063225316 2019-05-15 true Adam R Smith CPA P00958966 7194714290 167.68.126.162 84022720191305000005 2019-05-10 P 19466AA61A357D31F4873695DF4DFE6460C1305A 19466AA61A357D31F4873695DF4DFE6460C1305A 2017 2019-02-21 02:37:17Z Stillwater Billings Clinic David Ryerse 710 N 11th St Columbus MT 59019 14493105 false X www.stillwaterbillingsclinic.com X 1914 MT Stillwater Hospital Association is a rural integrated health care organization bringing together a physician clinic & hospital svcs to deliver quality coordinated care. 8 5 96 5 0 487491 75202 10189255 12172290 55968 36478 2902 4300 10735616 12288270 6088 3040 0 0 4892661 6396830 0 0 0 5829754 5577715 10728503 11977585 7113 310685 17273240 17185307 13710728 13251379 3562512 3933928 STILLWATER HOSPITAL ASSOCIATION IS A RURAL INTEGRATED HEALTH CARE ORGANIZATION BRINGING TOGETHER A PHYSICIAN CLINIC & HOSPITAL SERVICES TO DELIVER QUALITY COORDINATED CARE. false false 7845066 3040 12172246 ACUTE CARE HOSPITAL AND RURAL HEALTH CLINIC 7845066 true true false false false false false false false true true false false false true false false true false false false false false false false false true true false false true false false false false false true false true false false false false false true false false true 12 0 96 true false false false false false false false false false false X 8 5 false false false false true true true true true false false true true true true true true false false false X KELLEY HARMON 9706574612 2800 TENTH AVENUE N Billings MT 59107 Michael Matovich President 3.0 1.0 X X 0 0 0 Luke Kobold Vice President 3.0 40.0 X X 0 148506 35543 Ron Martinez Secretary/Treasurer 3.0 0.0 X X 0 0 0 Dr Camilla Reese Director 3.0 40.0 X 0 377403 34411 Dr Richard Klee - thru 1217 Director/physician 40.0 1.0 X 321309 0 35253 Mike Follett Interim CEO - Through 6/1/18 40.0 3.0 X X 0 205019 18704 Bharat Acharya Director 3.0 0.0 X 0 0 0 Dr Dan Vesbach Director 3.0 0.0 X 0 0 0 Dr David Kane Director/Physician 40.0 0.0 X 274409 0 43429 Tom Chamberlain Director 3.0 0.0 X 0 0 0 David Ryerse CEO 40.0 1.0 X 0 110661 25406 Susan Ivankovich Physician Assistant 40.0 0.0 X 153171 0 34163 Quinten Lundby Laboratory Supervisor 40.0 0.0 X 129697 0 23347 Dr Cody White Physician 40.0 0.0 X 117166 0 1875 Edwin Sheils Physician 40.0 0.0 X 156407 0 18375 Sonya Blenkner SBC 39.0 1.0 X 101202 0 7154 1253361 841589 277660 7 false true false BILLINGS CLINIC 2800 Tenth Avenue North BILLINGS MT 59101 mgmt/staff services 781731 Eide Bailly Tech ConSulting PO BOX 2545 FARGO ND 58108 Coding Support 103181 2 25957 49245 75202 PATIENT SERVICE REVENUE 621300 12167920 12167920 MEALS 900099 4344 4344 MEANINGFUL USE REVENUE 621110 26 26 12172290 28864 28864 0 0 0 0 0 2212449 2204835 7614 7614 7614 0 0 0 0 0 0 0 0 0 MISCELLANEOUS INCOME 900099 4300 4300 4300 12288270 12172246 40822 3040 3040 0 0 0 690450 574952 115498 0 4606068 3722605 883463 188288 153130 35158 554805 324027 230778 357219 282952 74267 209485 175148 34337 5576 5576 15440 15440 0 0 2792 2792 931718 738742 192976 19434 19434 344511 102910 241601 79863 32264 47599 0 186982 186982 65194 37119 28075 0 0 606299 478976 127323 0 838979 159130 679849 102343 22988 79355 PROVISION FOR BAD DEBT 666897 666897 MEDICAL SUPPLIES 661040 266647 394393 DIETARY 41332 38965 2367 REPAIRS & MAINTENANCE 104721 60600 44121 695109 3974 691135 11977585 7845066 4132519 0 2365749 2076697 1501606 1478880 0 0 1668242 1557809 0 0 0 0 0 0 218038 213934 182046 139340 16884580 5966227 11285550 10918353 0 716992 0 0 0 0 0 0 52009 83302 17273240 17185307 467802 451325 0 0 0 0 0 0 0 0 0 0 12961992 12528532 0 0 280934 271522 13710728 13251379 X 3521112 3913928 21400 0 20000 20000 3562512 3933928 17273240 17185307 310685 60731 X false true X true true true X 20000 117 117 20000 29176 50 9226 20000 29088 88 29176 29001 87 29088 28914 87 29001 1.00000 false false 558194 558194 12114690 3141470 8973220 3298962 2294570 1004392 912734 530187 382547 10918353 0 DUE TO RELATED ORGANIZATION 271522 271522 11727856 60731 48544 109275 11618581 2792 666897 669689 12288270 11339189 31293 31293 11307896 2792 666897 669689 11977585 Schedule D, Part V, line 4 DESCRIBE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ENDOWMENT INCLUDES DONOR RESTRICTED ENDOWMENT FUNDS. AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (GAAP), NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. 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: ACTIVITY OF STILLWATER FOUNDATION CONSOLIDATED IN FINANCIALS, EXCLUDED FOR TAX RETURN 48,544 SCHEDULE D, PART XI, LINE 4B REVENUE ON RETURN, NOT ON BOOKS: BAD DEBT NET WITH REVENUE ON FINANCIALS, TREATED AS EXPENSE ON TAX RETURN 666,897 SCHEDULE D, PART XII, LINE 2D EXPENSE ON BOOKS, NOT ON RETURN: ACTIVITY OF STILLWATER FOUNDATION CONSOLIDATED IN FINANCIALS, EXCLUDED FOR TAX RETURN 31,293 SCHEDULE D, PART XII, LINE 4B EXPENSE ON RETURN, NOT ON BOOKS: BAD DEBT NET WITH REVENUE ON FINANCIALS, TREATED AS EXPENSE ON TAX RETURN 666,897 true true X true X true X true true true false false 91687 91687 0.00810 809444 541756 267688 0.02370 901131 541756 359375 0.03180 3040 3040 0.00030 3040 3040 0.00030 904171 541756 362415 0.03210 true 666897 2891247 2875071 16176 X true true 1 1 Stillwater Hospital Association 710 N 11th St Columbus MT 59019 stillwaterbillingsclinic.com 13418 X X X X X PHYSICIAN CLINIC 1 Stillwater Hospital Association false false true X X X X X X X X X 17 true false false true X See part V, Section C for URL true 17 true See part V, Section C for URL true true 50000 true X 200. 400. X X X X true true X X X true X See PArt V Section C for URL X see part v section c for URL X See part V Section C for URL X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Describe how the Hospital took into account persons who represent the community: A STEERING COMMITTEE WAS FORMED WHICH INCLUDED A DIVERSE GROUP OF COMMUNITY MEMBERS (public health, elderly, uninsured, business owners and hospital staff) INCLUDING: 1. STILLWATER COUNTY PUBLIC HEALTH NURSE 2. STILLWATER BILLINGS CLINIC DIRECTOR OF QUALITY 3. STILLWATER COUNTY BUSINESS OWNER 4. STILLWATER COUNTY ECONOMIC DEVELOPMENT 5. PARAMEDIC STILLWATER EMS 6. RETIRED CITIZEN COLUMBUS 7. COUNTY CITIZEN 8. REED POINT COUNTY CITIZEN 9. STILLWATER COUNTY SHERIFFS OFFICE 10. ABSAROKEE ST. VINCENTS CLINIC 11. STILLWATER BILLINGS CLINIC CEO The Steering Committee determined the most important health needs to be addressed by reviewing the Community Health Needs Assessment (CHNA), secondary data, community demographics, and input from representatives representing the broad interest of the community, including those with public health expertise. The Steering Committee met twice between March 2017 and November 2017 during the Community Health Services Development (CHSD) process, first to discuss health concerns in the community and again to review the results of the survey and focus groups and to assist in the prioritization of health needs to address. Schedule H, part V, Section B, Line 7a Direct URL where CHNA report is made widely available on the Organization's website: https://stillwaterbillingsclinic.com/wp-content/uploads/Community-Health-N eeds_2017.pdf Schedule H, part V, section B, Line 10a Direct URL where implementation plan is made widely available: https://stillwaterbillingsclinic.com/wp-content/uploads/Community-Health-N eeds_2017.pdf Schedule H, Part V, Section B, Line 11 STILLWATER COMMUNITY HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA BY IDENTIFYING THE TOP 5 GOALS ALONG WITH CORRESPONDING STRATEGIES AND ACTIVITIES, PERSONS RESPONSIBLE AND TIMELINE FOR ADAPTATION. The top five goals and corresponding strategies are as follows: 1)Goal - Improve awareness of services through enhanced community outreach and education Strategies and Outcomes - Explore opportunities to enhance SBC community engagement and partnership in community events by partnering with the local athletic department to co-sponsor events-SBC partnered with Columbus Public Schools and Absarokee Public Schools to contract for sports medicine and advertising in schools starting the 2019 School year; developing community outreach materials to market services-materials have been purchased for community events such as the Swap-n-Shop, 4H fair, School Activities, and Mental Health Center Run (major sponsor). Will continue to work with marketing for specific materials for department needs (Allevant, Occupational Health); sponsor community dinners before football games-this activity has not yet been met, but will review this with the Sports Medicine contracts and individual schools closer to fall sporting events; booster club participation-we continue to have sponsorship within the Booster Club and attend local events, as well as giveaway promotional items and advertising opportunities within the club. Will continue to work on increasing involvement within the club; host a health fair and health education with new community partners-we have met with community partners regarding health fair and health education. At this time, no community partners had an immediate need for health fairs, but are open to discussion for fall months; patient experience stories in newspaper and on social media- this activity has not yet been met, but we will continue to work on this with the Allevant group to encourage growth and outreach; enhance website features and develop social media marketing presence by developing a social media campaign- Working with BC marketing for a Facebook page that has been up and updated with local events. Will continue to work on management of the page and more frequent updates with marketing/SBC; designating staff to be responsible for marketing and outreach- Billings Clinic Marketing and Stillwater Billings Clinic marketing individuals identified and have key share in the outreach and marketing for the area; determining feasibility of adding online clinic scheduling to website- the Clinical Director is working on this with her newest provider; adding current events scrolling banner to website-the activity has not been met and there is uncertainty as to whether it is hopeful to work towards; improve community knowledge of available health services in Stillwater County by researching community events, programs and resources-events are gathered through social media and local marketing by other agencies. Things that we have participated in include: Swap and Shop, Mental Health Center's run, the 4H fair, and Granite Peak Playground; developing list of community resources and marketing campaign- will continue to develop resource lists for a marketing campaign with the development of Allevant and the other upcoming programs at SBC; meet and partner with schools to develop health and wellness resource page - this activity has not yet been met; and hosting an open house- we have begun discussion on when to hold the open house that is best for the public. We will work on a September open house to help accommodate this. 2)Goal - Improve communitys access to transportation in and around Stillwater County Strategies and Outcomes Collaborate with community partners on transportation needs in Stillwater County by determining a community stakeholder group- a stakeholder group was formed and attended the BACI institute. A coalition has been formed with key stakeholders and we continue to meet on a monthly basis; identifying transportation needs and opportunities- Columbus Building Active Communities Coalition was formed 5/2018 and continues to meet monthly, as described above; researching community models and best practices- met with BACI and similar town information provided at the summit; exploring grant opportunities- a grant was applied for and approved for BACI. Will continue to collaborate with grants and planning throughout the city/county; and developing patient transportation protocol for staff if/when assisting patients-due to time constraints this strategy has not yet been started. 3)Goal Enhance health and wellness opportunities in Stillwater County Strategies and Outcomes Explore creating a Stillwater County Recreation Coalition by determining a community stakeholder group to discuss resources and needs for potential projects- we have developed the Columbus Building Active Communities Coalition and would like to expand to surrounding areas once established. Will continue to explore more individuals for this coalition; explore developing a walking trail around hospital campus - plans are in the development phase. Grant funding has been secured and planning for the path was started in April 2018; and engage with MT BACI program to explore feasibility of BACI program in Stillwater County- Columbus BACI team formed and went to training in May 2018. Columbus Coalition formed and meets on a monthly basis to continue to work towards "Building an Active Community." 4)Goal Improve access to mental health services in Stillwater County Strategies and Outcomes Improve access and education of mental health resources for community and SBC staff by exploring available training and education for mental health and substance abuse- training available through project ECHO as well as through BC Psych. Will be working on a large scale collaboration to incorporate mental health into the behavioral health setting, starting in March 2018 until established (calendar year ending 2019); determining staff responsible to deliver mental health education for staff and community- Public Health will be provided by SBC PCP staff for individualized patients, and local outreach to the 3 counselors has been established and provided; developing suicide risk assessment protocol for all staff at Stillwater Billings Clinic- will be part of the Regional Suicide Prevention Initiative by BC utilizing VOI software for apps for individuals aged 18 and older; adopting and modifying education for community members as appropriate- Ryan Leaf Community presentation at Politics and Eggs. Will continue to promote activities and education on an ongoing basis. QPR training was provided in the fall of 2018 for members of community and schools; and meeting with local schools to develop mental health, suicide risk, and substance abuse resource page for teachers and counselors plan to meet with local schools, but has not yet taken place. 5)Goal Improve access to specialty services at Stillwater Billings Clinic Strategies and Outcomes - Explore opportunities to expand specialty services at SBC by exploring feasibility of offering dermatology and optometry visiting specialists- dermatology will be starting a telemed program with hopeful outreach and will continue to work on getting optometry specialists onsite; expanding telemedicine at SBC (i.e. tele-phsychiatry)- Initial phases for implementation of tele-psych was to investigate outside agencies that could provide the telepsych. At this time, it is not financially feasible. Billings Clinic main campus is working on a psych specific telemed program and we will work closely to collaborate and utilize that program; and create marketing campaign for new services and providers a billboard up on interstate I-90 to introduce Cody White, DO. Will continue to work with marketing for new service lines (Allevant) and any new providers. Stillwater Billings Clinic will determine which needs or opportunities could be addressed considering SBCs parameters of resources and limitations. The committee will prioritize the needs/opportunities using the additional parameters of the organizational vision, mission, and/or values, as well as existing and potential community partners. The participants will create goals to achieve through strategies and activities, as well as the general approach to meeting the stated goal (i.e. staff member responsibilities, timeline, potential community partners, anticipated impact(s), and performance/evaluation measures). This plan will be documented and posted along with the CHSD assessment report. THERE WERE THREE NEEDS THAT HAVE BEEN IDENTIFIED AS UNABLE TO ADDRESS: 1) One need Identified during the process was for more physicians MORE PRIMARY PROVIDERS-A PA-C AND A PHYSICIAN WERE added while the survey was still being performed the survey indicates that this is still a need but was meet during the process; 2) DESIRE FOR SPECIALISTS INCLUDING CARDIOLOGIST, OB/GYN AND SLEEP STUDIES - FINANCIALLY UNMANAGEA SCHEDULE H, PART V, SECTION B, LINE 16a Direct URL for Financial assistance policy: In 2017 Stillwater Hospital Association who is related to Billings Clinic adopted Billings Clinic Financial policies. There is a link on Stillwater hospital's website that is a direct link to billings Clinic Financial policy. TO Navigate there start at Stillwater's website: http://stillwaterbillingsclinic.com/ Click on Patient Info, then Financial Assistance. The direct link is: https://www.billingsclinic.com/app/files/public/2227/Financial-Assistance- Policy.pdf SCHEDULE H, PART V, SECTION B, LINE 16b Direct URl for Financial assistance policy Application: In 2017 Stillwater Hospital Association who is related to Billings Clinic adopted Billings Clinic Financial policies. There is a link on Stillwater hospital's website that is a direct link to billings Clinic Financial policy. TO Navigate there start at Stillwater's website: http://stillwaterbillingsclinic.com/ Click on Patient Info, then Financial Assistance. The direct link is: https://www.billingsclinic.com/app/files/public/114/Financial-Assistance-A pplication.pdf Schedule H, part V, Section B, Line 16c Direct URl for Financial assistance policy Plain Language Summary: In 2017 Stillwater Hospital Association who is related to Billings Clinic adopted Billings Clinic Financial policies. There is a link on Stillwater hospital's website that is a direct link to billings Clinic Financial policy. TO Navigate there start at Stillwater's website: http://stillwaterbillingsclinic.com/ Click on Patient Info, then Financial Assistance. The direct link is: https://www.billingsclinic.com/app/files/public/113/Financial-Assistance.p df 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 I, LINE 7, Column (f) Bad debt expense included on Form 990, part IX, line 25 but excluded for purposes of calculating percentages in this column equal $666,897 SCHEDULE H, PART III, Section A, LINE 2 Bad debt is estimated by actual write offs plus a reserve calculated using different percentages based on aging category of receivables. SCHEDULE H, PART III, Section A, LINE 3 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 A, LINE 4 See page 12 and 13 of the attached audited financial statements for the footnote that describes bad debt expense. SCHEDULE H, PART III, Section C, LINE 9b Patients are screened by the organization's financial counselors to see if they qualify for financial assistance. If they qualify, their account balances are adjusted accordingly. If there is a balance after the adjustment, the organization follows the normal debt collection practice. In unusual situations where the patient's circumstances have changed, the CEO has the authority to grant exceptions to the policy. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: The organization assesses the health care needs of the communities it serves through day to day patient care and the work of the community health services department. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: The Organization employs a Business office lead who is responsible for administering the Financial Assistance Program, assuring the determination for financial assistance meets the requirements of the policy, and notifying the patient and/or responsible party of the final determination of amounts approved under the policy. Patient representatives work with the patients in completing applications that determine eligibility for financial assistance under the hospital's financial assistance policy. Information is also in printed form on patient bills. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: Stillwater County stretches 75 miles of two lane roads from north to south connecting mountain ranges to the lake basins, coulees, and rolling plains. Interstate 90 passes through the County at Columbus. County has population of 9,185 with 6 unincorporated communities and 1 incorporated community of Columbus where the hospital resides. County has a vast array of outdoor recreational opportunities. SCHEDULE H, PART VI, LINE 5 Promotion of community health: Stillwater Hospital Association's Community health services department strives to provide broad-based community health information and services to the residents, facilities and guests of Stillwater County. The board has community members serving. SCHEDULE H, PART VI, LINE 6 Affiliated health care system: Stillwater Billings Clinic is managed by Billings Clinic and works closely with Billings Clinic and other hospitals also managed by Billings Clinic to provide high quality patient care. false false false false false false false Luke Kobold Vice President 139575 8931 13849 21694 184049 Dr Camilla Reese Director 296798 29325 51280 23650 10761 411814 Dr Richard Klee - thru 1217 Director/physician 303093 11369 6847 23272 11981 356562 Mike Follett Interim CEO - Through 6/1/18 161314 21337 22368 16377 2327 223723 Dr David Kane Director/Physician 236222 9500 28687 23650 19779 317838 Susan Ivankovich Physician Assistant 151071 400 1700 10731 23432 187334 Quinten Lundby Laboratory Supervisor 129297 400 10391 12956 153044 Edwin Sheils Physician 153507 2900 18375 174782 SCHEDULE J, PART I, LINE 3 DESCRIBE HOW CEO COMPENSATION IS DETERMINED: COMPENSATION FOR THE CEO IS PAID BY BILLINGS CLINIC, A RELATED ORGANIZATION. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR HOW CEO COMPENSATION IS DETERMINED. Michael Matovich See PArt v 243130 Pharmacy Purchases false Schedule L, Part IV, Line 1 Desciption of Business Transaction Involving Interested Persons: Michael Matovich owns 100% of Stillwater Family Pharmacy. Stillwater Hospital Association uses Stillwater Family PHarmacy for their 340B program. Additional purchases are also made when the Hospital needs additional medicine. Form 990, Part VI, Section A, Line 6 DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS: BILLINGS CLINIC IS THE SOLE MEMBER OF STILLWATER HOSPITAL ASSOCIATION. Form 990, Part VI, Section A, Line 7a MEMBERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: THE SOLE MEMBER HAS AUTHORITY TO RECOMMEND, APPROVE AND REJECT NOMINATIONS OF BOARD MEMBERS. Form 990, Part VI, Section A, Line 7b DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS: THE FOLLOWING ARE GOVERNANCE DECISIONS OF THE ORGANIZATION WHICH ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER: - AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION, BYLAWS, OR NAME; - DISSOLUTION, MERGERS, OR CONSOLIDATIONS WITH OR INTO ANOTHER ENTITY; - SALE, LEASE, EXCHANGE OR DISPOSITIONS OF PROPERTY OF THE ORGANIZATION; - APPROVAL OF BUDGETS; - INCURRENCE OF DEBT AND PURCHASES MADE BY THE ORGANIZATION IN AMOUNTS EXCEEDING $100,000; - SELECTION, HIRING, PRIMARY SUPERVISION, DISCIPLINE AND TERMINATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER; - ADDITION OR DISCONTINUANCE OF ANY SERVICE OFFERED TO BY THE ORGANIZATION. Form 990, Part VI, Section B, line 11b PROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY A THIRD PARTY AND REVIEW IS PERFORMED BY THE BOARD OF DIRECTORS. ANY CHANGES AND COMMENTS ARE PROVIDED BACK TO THE PREPARER AND THE FINAL FORM 990 IS PROVIDED TO THE FULL BOARD PRIOR TO FILING. THE ORGANIZATION WAS PROVIDED AN EFILE SUBMISSION FORM WITH THE COMPLETED RETURN WHICH WAS SIGNED AND SUBMITTED FOR ERO PROCESSING. Form 990, Part VI, Section B, line 12c PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL DIRECTORS, OFFICERS, EMPLOYEES, AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND MUST PROVIDE AN ANNUAL STATEMENT INDICATING THEY HAVE REVIEWED AND ARE IN COMPLIANCE WITH THE POLICY. THE BOARD IS CHARGED WITH PERIODICALLY REVIEWING AND MONITORING THE POLICY TO ENSURE THE ORGANIZATION ACTS IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WILL INVESTIGATE ANY ALTERNATIVES AND DETERMINATIONS AS TO WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND WILL ESTABLISH PROCEDURES FOR VIOLATIONS OF THE POLICY. Form 990, Part VI, Section B, line 15a Describe process for determining CEO/Executive compensation: Compensation is paid through Billings Clinic, the sole member. Compensation is determined by an annual review of external market data for similar size organizations through use of survey data with MHA and Yaffee & Company, and Rural Critical Access Hospital facilities. Compensation is reviewed and approved by the Board of Directors as recommended by the VP of Regional Services. The review is done at the time of the CEO's annual performance review. Form 990, Part VI, Section B, line 15b DESCRIBE PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS: Other officer Compensation is paid through Billings Clinic, the sole member. Salaries for the other key officers/leaders in the organization are reviewed for comparison to other similar size organizations through use of external salary survey sources such as MHA and Associated Employers. This review is conducted by Stillwater's HR Generalist and the CEO. Budget recommendations are formulated for review and approval by the VP of Regional Services and for final approval by the Board of Directors/Finance Committee. Form 990, Part VI, Section C, line 19 DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Billings Clinic (BC) 2800 Tenth Avenue North Billings MT 59101 810231784 HOSPITAL MT 501(c)(3) LINE 3 NA false Billing Clinic Foundation 2917 Tenth Avenue North Billings MT 59101 810407289 FUNDRAISING MT 501(c)(3) LINE 7 BC false STILLWATER COMMUNITY HEALTHCARE FDN 710 N 11TH ST COLUMBUS MT 59019 200748325 fundraising MT 501(c)(3) Line 7 stillwater true New West Health Services 130 Neill Avenue Helena MT 59601 841418136 Insurance Sal MT Billings Clinic C-Corporation false Billings Clinic Express Care LLC 2800 10th Avenue north Bilings MT 59101 463355499 Outpatient Cl MT Billings Clinic C-Corporation false false false true true true false false false false false false false true true true true true false false stillwater community healthcare FDN d 83302 Interco Amount