2019-05-13T17:47:14-05:00 2018-06-30 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2017-07-01 810224734 Beartooth Billings Clinic % LINDA E HARRIS BEAR 4064462345 PO Box 590 Red Lodge MT 59068 KELLEY EVANS RN CEO 4064462345 2019-05-15 true Adam R Smith CPA P00958966 7194714290 167.68.126.162 84022720191335000003 2019-05-13 P 19466AA61A357D31F4873695DF4DFE6460C1305A 19466AA61A357D31F4873695DF4DFE6460C1305A 2017 2019-02-21 02:37:17Z Kelley Evans RN PO Box 590 Red Lodge MT 59068 19424116 false X www.beartoothbillingsclinic.org X 1948 MT THE MISSION OF THE ORGANIZATION IS TO SAVE LIVES & PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES include ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE & INNOVATION. 12 12 165 139 0 534773 799497 14712496 15841285 126377 188656 41647 82398 15415293 16911836 33962 35233 0 0 6735187 7236348 0 0 0 8243945 8184937 15013094 15456518 402199 1455318 23738468 25083257 18900815 18809584 4837653 6273673 THE MISSION OF THE ORGANIZATION IS TO SAVE LIVES & PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE & INNOVATION. false false 9744189 35233 15841285 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. 9744189 true true false false false false false false false false true false false false false false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false true 18 0 165 true false false false false false false false false false false X 12 12 false true false false true true true true true false false true true true true true true true true false X LINDA E HARRIS 4064462345 2525 N BROADWAY RED LODGE MT 59068 X GEORGE CLOW PRESIDENT 1.0 0.0 X X 0 0 0 SARAH EWALD Director 1.0 0.0 X 0 0 0 JIM DUNCAN DIRECTOR 1.0 0.0 X 0 0 0 RICHARD FELLOWS Secretary/Treasurer 1.0 0.75 X X 0 0 0 MIKE SHUCK DIRECTOR 1.0 0.0 X 0 0 0 MITZI VORACHEcK VICE PRESIDENT 1.0 0.0 X X 0 0 0 Dr William George MD Director 1.0 0.0 X 0 0 0 Steve Muth Past President 1.0 0.0 X 0 0 0 Guy Schmidt MD Director 1.0 0.0 X 0 0 0 Kelly Heaton Director 1.0 0.0 X 0 0 0 Randy Dragon Director 1.0 0.0 X 0 0 0 Steve Smith Director 1.0 0.0 X 0 0 0 KELLEY EVANS RN CHIEF ADMINISTRATIVE OFFICER 39.25 0.75 X 191181 0 37209 SHARON NORBY CHIEF QUALITY OFFICER 40.0 0.0 X 112971 0 6644 Beth Nordstrom Director of IS 40.0 0.0 X 116393 0 10899 Bridgett Chartier RN CNO 40.0 0.0 X 123643 0 5368 Derek Stiegemeier Director of PT 40.0 0.0 X 102753 0 3606 kate Wyman LAb Manager 40.0 0.0 X 106117 0 5305 753058 0 69031 6 false true false BILLINGS CLINIC 2800 Tenth Avenue North BILLINGS MT 59101 mgmt/staffing svcs 2410940 1 218885 152978 427634 799497 PATIENT SERVICE REVENUE 561110 15482280 15482280 MEANINGFUL USE REVENUE 900099 392 392 340B PHARMACY 446440 251626 251626 OTHER PROGRAM REVENUE 900099 87079 87079 PROGRAM RENT 900099 19908 19908 15841285 14191 14191 12541 12541 0 0 0 0 2674204 2512280 161924 161924 161924 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 82398 82398 82398 16911836 15841285 271054 X 35233 35233 0 0 0 211170 105585 105585 0 5824430 3617706 2206724 198524 51808 146716 556958 301508 255450 445266 281092 164174 49770 49770 3752 3752 41284 41284 0 0 0 2695661 2182337 513324 91516 10764 80752 346789 66881 279908 246128 7362 238766 0 174093 32486 141607 171837 114525 57312 0 15632 5835 9797 844943 667505 177438 0 1128064 263473 864591 154798 34123 120675 BAD DEBT EXPENSE 752596 752596 MEDICAL SUPPLIES 950342 948067 2275 REPAIRS & MAINTENANCE 240504 189375 51129 DIETARY/FOOD 105168 165 105003 172060 75763 96297 15456518 9744189 5712329 0 221586 244849 3666589 3680190 0 0 2501739 2714428 0 0 0 0 0 0 258662 287317 49298 36430 22754088 9480281 13930419 13273807 2714092 4478396 0 0 0 0 0 0 396083 367840 23738468 25083257 1348633 1618398 0 0 0 0 5038182 4931186 0 0 0 0 12514000 12260000 0 0 0 0 18900815 18809584 X 4813153 6249173 24500 24500 0 0 4837653 6273673 23738468 25083257 1455318 -19298 X false true X true false X 771718 771718 14857168 4906126 9951042 5227596 3559040 1668556 1897606 1015115 882491 13273807 16248768 -19298 82709 63411 16185357 726479 726479 16911836 14811504 81465 81465 14730039 726479 726479 15456518 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: REVENUE OF BEARTOOTH BILLINGS CLINIC FOUNDATION INCLUDED ON FINANCIALS, EXCLUDED ON TAX RETURN 82,709 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 752,296 CHARITY CARE SHOWN AS EXPENSE ON FINANCIALS, NET WITH NET PATIENT SERVICE REVENUE ON TAX RETURN (26,117) TOTAL 726,479 SCHEDULE D, PART XII, LINE 2D EXPENSE ON BOOKS, NOT ON RETURN: EXPENSE OF BEARTOOTH BILLINGS CLINIC FOUNDATION INCLUDED ON FINANCIALS, EXCLUDED FOR TAX RETURN 81,465 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 752,596 CHARITY CARE SHOWN AS EXPENSE ON FINANCIALS, NET WITH NET PATIENT SERVICE REVENUE ON TAX RETURN (26,117) TOTAL 726,479 true true X true X 110. true X true true true false true true 97319 97319 0.00660 1879968 2292512 1977287 2292512 97319 0.00660 72706 273051 93187 93187 0.00630 5907 5660 247 0.00000 3730 3730 0.00030 175530 278711 97164 0.00660 2152817 2571223 194483 0.01320 1 346 346 1 1000 1266 1266 2 1000 1612 1612 true 752665 451599 6557379 4957875 1599504 X true true 1 1 BEARTOOTH BILLINGS CLINIC PO BOX 590 RED LODGE MT 59068 http://www.beartoothbillingsclinic.org 13419 X X X X CLINIC 1 BEARTOOTH BILLINGS CLINIC 1 false false true X X X X X X X X X 15 true false false true X SEE PART V, SECTION C FOR URL X true 16 true SEE PART V, SECTION C FOR URL false true X 110. 300. X X X X true true X X X X true X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C FOR URL X SEE PART V SECTION C FOR URL X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 MEMBERS OF OUR VARIED COMMUNITY HEALTH PARTNER ORGANIZATIONS, PUBLIC AGENCIES, MENTAL HEALTH PROVIDERS, SCHOOL OFFICIALS, CHILD CARE PROVIDERS AND PUBLIC HEALTH OFFICIALS WERE INVITED TO PARTICIPATE IN OUR PROCESS VIA A COMMUNITY PANEL. THE COMMUNITY PANEL CONSISTED OF THE FOLLOWING GROUPS: DPHHS PUBLIC ASSISTANCE MENTAL HEALTH CENTER CEDAR WOOD HEALTHCARE COMMUNITY RIVERSTONE HEALTH CARBON CO BETA JAIL ALTERNATIVES MESSIAH LUTHERAN CHURCH RED LODGE SCHOOLS TOBACCO PREVENTION RL AREA FOOD PARTNERSHIP CARBON CO COMMISSIONER HEAD START INC. MARY FITZGERALD INSURANCE DSVS RED LODGE EMS RL AREA COMMUNITY FOUNDATION RL AREA CHAMBER OF COMMERCE CARBON CO PUBLIC HEALTH CARBON CO SCHOOL SUPERINTENDENTS OFFICE BEARTOOTH BC NAVIGATOR JOLIET COMMUNITY CENTER BEARTOOTH CHILDRENS 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 THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CAN BE FOUND ON THE ORGANIZATION'S HOME PAGE, UNDER THE QUICK LINKS. THE DIRECT URL IS ALSO LISTED BELOW: http://www.beartoothbillingsclinic.org/Portals/0/PDF/FINAL%20CHNA%20Report %20062316.pdf SCHEDULE H, PART V, SECTION B, LINE 10A THE BOARD APPROVED IMPLEMENTATION PLAN CAN BE FOUND BY CLICKING ON THE "COMMUNITY HEALTH NEEDS ASSESSMENT" LINK FOUND ON THE ORGANIZATION'S HOME PAGE. THE DIRECT URL IS ALSO LISTED BELOW. http://www.beartoothbillingsclinic.org/Portals/0/PDF/ADOPTED%20Implementat ion%20Plan.pdf SCHEDULE H, PART V, SECTION B, LINE 11 Beartooth Billings Clinic approved its previous implementation plan on October 25, 2016. The plan prioritized the following health issues: - Healthy and safe lifestyle behaviors - Affordable health care - Awareness of available services & resources - Mental Health - Early childhood education Goal 1: Encourage healthy and safe lifestyle behaviors in the community. Beartooth Billings Clinic, along with community partners, was able to complete most of the objectives and meet this goal. - The Annual Health Fair continues to grow, with at least a 10% increase in attendees in the past 2 years. The Red Lodge Area Community Foundation is now hosting the event in the Roosevelt Center to allow broader county wide participation in the Fair located in a larger venue. - LifeStyle Balance classes were offered at capacity for 2018 and 2019. Other programs include Montana Tobacco Use Prevention Program and Diabetes Self-Management. - Injury prevention programs such as "Slide Safe and Dress Smart" have reduced student injuries, as noted in evaluation reports from school administrators. - Public Health has partnered with our Foundation to offer mothers who complete the Childbirth Education class series a new infant car seat at no cost. - The Annual Quit Cold Turkey Trot, hosted by Beartooth Billings Clinics Tobacco Prevention program, has seen a 5-10% increase in participants, with the exception of years when single digit temperatures were a factor. - Experienced an 8% increase in influenza vaccines via Public Health. - Installed the Wellness Trail walking path for public use on campus. - Partnered with private entity Well Approach Fitness to offer employees discounted membership rates with 16 staff /family members utilizing this program. A second private fitness center will offer the discounts in 2019. - Member of Red Lodge Area Community Foundations Transportation Advisory Committee seeking to bring a transportation system to Carbon County funded through grants, offered at no- or low-cost to riders. - One objective of Goal 1 was not met in this reporting period. Progress on the Care Navigator program has been slow, primarily due to technical difficulties. Chronic care management visits are scheduled to begin in the near future. Goal 2: Serve as a leader in providing access to, and awareness of, affordable health care This goal was met. - According to DPHHS, Carbon County experienced a 40% increase in Medicaid enrollment from January 2017 to December 2018 (532 members to 748 members). - Due to a lack of resources, and the Certified Navigator program ending, we were not able to offer educational programs to increase awareness of the health insurance marketplace. We did promote awareness via social media. - We promoted agencies/organizations which can assist individuals/families in enrolling in various assistance programs, including TANF, SNAP, despite the closure of our local Office of Public Assistance. Disseminated information on nutrition and financial assistance to patients as well as families with children enrolled in Beartooth Childrens Center, a department of Beartooth Billings Clinic. - Fulfilled the School NUrse Contract; sponsored "It's in the Bag" weekend nutrition program for school aged children. - Continue to work with area schools through Public Health immunization, screenings, and school staff education on chronic disease management. Goal 3: Improve both internal and external awareness of available services and resources in the area. This Goal was met-although true success will be based upon results of the CHNA Survey. - An aggressive communications plan was implemented utilizing a variety of mediums to inform patients as well as providers of available services at Beartooth as well as throughout Carbon County. - Targeted outreach materials addressing both service lines as well as community resources, financial assistance, mental health and free screenings were distributed. - Through participation in the Carbon County Connect (CCC) project, a useful online and in-hand tool was created that has been widely successful in the area. Beartooths Home Health department is the biggest distributor of this guide, and demand has been high. A second edition will be printed in summer 2019. According to the Red Lodge Area Community Foundation, the top online search topics for this CCC site are mental health, health clinics, senior citizen services, wellness, addiction services, animals and housing. - Although the Red Lodge Area Community Foundation (RLACF) lost funding for a health Vista, Beartooth continued to work with RLACF paid staff to see this project through. - Every parent of a child enrolled at Beartooth Childrens Center receives community resource information upon enrollment. Goal 4: Champion access to -- and utilization of -- mental health care and services. Goal 4 ties in with Goal 3. This goal was met. - As mentioned above in Goal 3, we partnered with RLACF for the CCC guide, which provides information to the community on available mental health resources serving our area. - Beartooths Public Health staff participated in/served on County DUI Task Force, Mental Health Board, County Board of Health, Child and Adult Protection Team, and RLACF focus groups. - Beartooths social worker and case manager have both served on panels in community wide forums focusing on mental health. - Beartooth staff is provided access to a free Employee Assistance Program, utilized by approximately 10% of staff. - Suicide prevention training offered to all staff; approximately 25% of staff participated. - Telepsychiatry offered for clinic patients via Billings Clinic; as well as through Avera to emergency department team members. Goal 5:Continue to provide affordable and accessible early childhood education. This goal was met through continued operation of the Beartooth Childrens Center through fiscal year 2019. - Beartooth Childrens Center (BCC) received the 2017 governors STARS grant, a 2 year pilot pre-k education program providing funding for staff salaries, benefits, curriculum, materials and supplies. This program provided preschool for the school year at no charge to the student families. - All full time BCC staff received credentialing in pre-kindergarten education. - Private scholarship funding sources maintained. - Served on the community foundations Early Childhood Committee. 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, patient financial services. A link to the financial assistance policy is also listed below. http://www.beartoothbillingsclinic.org/PatientInformation/PatientFinancial Services.aspx 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, patient financial services, and there is a link to the application. A link to the application is also listed below. http://www.beartoothbillingsclinic.org/Portals/0/PDF/Financial%20Assistanc e%20Application%204_13%20(2)%20Fillable.pdf SCHEDULE H, PART V, SECTION B, LINE 16i Translation of the FAP, Application, and Plain Language SUmmary of the FAP policy has been considered for LEP groups. However at this time none meet the threshold to require translation. Beartooth Billings Clinic continues to monitor the needs of LEP groups and once it becomes necessary the FAP and other forms will be translated as needed. SCHEDULE H, PART V, SECTION B, LINE 22B BEARTOOTH BILLINGS CLINIC WILL NOT CHARGE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE MORE FOR EMERGENCY CARE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS. AGB IS CALCULATED USING THE LOOK-BACK METHOD BASED ON CLAIMS SENT TO MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE COMMERCIAL INSURERS FOR EMERGENCY AND MEDICALLY NECESSARY CARE. 1 JOLIET PHYSICAL THERAPY 209 East Front Street Joliet MT 59041 PHYSICAL THERAPY SCHEDULE H, PART I, LINE 7 THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A and 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. SCHEDULE H, Part 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 $752,665. 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 collaborating to improve area safety and emergency response; and a few other miscellaneous collaborative efforts with the community to address health and safety issues. Community Health Improvement Advocacy: Lids Save Lives and Slide Safe and Dress Smart programs promoting health and safety, as well as participation in the Active Transportation Group, a collaborative effort to improve transportation in our community; and other programs to safeguard or improve access to health care services, housing, the environment, and transportation. 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 Bad Debt as Community Benefit: 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 footnote to the organization's financial statements that describes bad debt expenses is located in footnote 1 on page 9 of the attached financial statements. 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 NEEDS ASSESSMENT: PERIODIC COMMUNITY SURVEYS ARE CONDUCTED TO DEFINE THE PHYSICIAN SPECIALTIES THAT ARE NEEDED/REQUESTED AT THE FACILITY. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: 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 COMMUNITY INFORMATION: 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 PROMOTION OF COMMUNITY HEALTH: THE MAJORITY OF BEARTOOTH'S GOVERNING BODY MEMBERS RESIDE IN THE COMMUNITY. ALL GOVERNING BODY MEMBERS ARE COMMUNITY-MINDED INDIVIDUALS WHO DO NOT RECEIVE COMPENSATION FOR THEIR SERVICES ON THE BEARTOOTH BOARD. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE USED TO MAKE CAPITAL PURCHASES AND UPGRADES TO THE FACILITIES. BEARTOOTH IS THE SOLE ACUTE CARE PROVIDER IN THE PRIMARY SERVICE AREA, AND OPERATES AN EMERGENCY ROOM AND CLINIC WHICH OFFERS WALK INS AS WELL AS SCHEDULED APPOINTMENTS. BEARTOOTH PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO PROVIDING CARE AT REDUCED OR NO COST, THE ORGANIZATION SPONSORS HEALTH FAIRS, CLASSES, AND OTHER EVENTS THROUGHOUT THE YEAR TO PROMOTE BETTER LIVING, NUTRITION AND GOOD HEALTH. OTHER COMMUNITY BENEFIT PROGRAMS PROVIDED ARE: - HEALTH EXCHANGE ENROLLMENT, PROVIDING OUTREACH AND ENROLLMENT BY CERTIFIED HEALTHCARE GUIDES IN THE NEW HEALTH INSURANCE EXCHANGE. - TOBACCO USE PREVENTION AND CONTROL PROVIDING CESSATION AND PREVENTION EDUCATION FOR LOCAL YOUTH. -DISASTER PREPAREDNESS, WHICH WORKS WITH COMMUNITY PARTNERS AND HOSPITAL STAFF TO PREPARE THE HEALTHCARE SYSTEM COMMUNITY FOR COUNTY WIDE PUBLIC HEALTH EMERGENCIES OF ALL TYPES. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: BEARTOOTH BILLINGS CLINIC (BEARTOOTH) IS AFFILIATED WITH BILLINGS CLINIC, A MONTANA NON PROFIT CORPORATION. BILLINGS CLINIC IS AN INTEGRATED HEALTH CARE ORGANIZATION, COMPRISED OF THE BILLINGS CLINIC AND BILLINGS CLINIC HOSPITAL. SINCE 2002, BEARTOOTH HAS BEEN AN AFFILIATE OF BILLINGS CLINIC WITH A SHARED MANAGEMENT AGREEMENT. WITHIN THIS AGREEMENT, BILLINGS CLINIC PROVIDES MANAGEMENT, DIGITAL INFORMATION SYSTEMS, AND ANCILLARY SUPPORT SERVICES TO AREA HOSPITALS AND CLINICS. AT THAT TIME, BEARTOOTH SOUGHT A STRONGER ALIGNMENT WITH BILLINGS CLINIC DUE TO A DESIRE TO STABILIZE AND ENHANCE THE LEVEL AND SCOPE OF HEALTH CARE SERVICES AVAILABLE IN OUR COMMUNITY, AND TO GROW IN OUR COMMITMENT TO QUALITY, PATIENT SAFETY AND SERVICE VALUES. THIS SHARED DESIRE LED TO A COMMITMENT BY BOTH ORGANIZATIONS TO BUILD A NEW INTEGRATED HOSPITAL AND CLINIC IN RED LODGE, WHICH IS NOW BEARTOOTH BILLINGS CLINIC. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: A COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF MONTANA. true BEARTOOTH BILLINGS CLINIC FOUNDATION PO BOX 1290 RED LODGE MT 59068 810484562 501(C)(3) 27393 1 Schedule I, Part I, Line 2 Organization's procedures for monitoring the use of grant funds: Beartooth billings clinic reimburses the beartooth billings clinic foundation to cover the cost of various expenses. Both organizations have a close working relationship as the Clinic is the sole member of the Foundation, ensuring funds are used for their intended purpose. X X false false false false false false false true false KELLEY EVANS RN CHIEF ADMINISTRATIVE OFFICER 155377 34357 1447 15179 22030 228390 Schedule J, Line 7 Description of Non-Fixed Payment: The CEO of Beartooth Billings Clinic receives a discretionary Bonus that is a non-fixed payment. Pre-determined stretch goals are established by the Board of Directors Executive Committee at the beginning of the evaluation period, for Beartooth this is in July, the beginning of the fiscal year. The bonus is primarily impacted by the financial performance of the facility with all other goals being reduced by 50% of possible compensation if the financial goals are not met. The overall amount has varied over the past three years; determined at the time of the evaluation in July. Bonus amount has been primarily determined by financial performance and regional/state benchmarking of comparables. A carbon county montana 816001339 140851AA4 2010-02-16 6031020 series 2010 revenue bonds false false false A 1099834 0 6031020 0 78125 0 64500 0 5888395 0 0 0 2011 false false true true A false false false false 0 false false false true A false false false true false false 0 false 0 false true A true FORM 990, PART VI, SECTION A, LINE 3 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 EMPLOYEES 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:1033978 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:287298 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT MEDICAL STAFF TOTAL FEES:372552 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT ADMIN STAFF TOTAL FEES:113845 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE TOTAL FEES:45589 FORM 990 PART IX LINE 11G DESCRIPTION:MID-LEVEL PROVIDERS/NURSING TOTAL FEES:458297 FORM 990 PART IX LINE 11G DESCRIPTION:RADIOLOGY/IMAGING TOTAL FEES:35950 FORM 990 PART IX LINE 11G DESCRIPTION:THERAPISTS TOTAL FEES:11264 FORM 990 PART IX LINE 11G DESCRIPTION:ANESTHESIOLOGISTS TOTAL FEES:38838 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION/CODING TOTAL FEES:82517 FORM 990 PART IX LINE 11G DESCRIPTION:HOSPICE/HOME HEALTH SERVICE TOTAL FEES:137803 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING TOTAL FEES:1337 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MISC SERVICES TOTAL FEES:76393 BEARTOOTH BILLINGS CLINIC FOUNDATION PO BOX 1290 RED LODGE MT 59068 810484562 FUNDRAISING MT 501(C)(3) line 7 Beartooth true false true true false false false false false false false false true true true true false false false false BEARTOOTH BILLINGS CLINIC FOUNDATION C 218885 INTERCO AMOUNT