2018-04-27T18:07:04-05:00 2017-06-30 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2016-07-01 810224734 Beartooth Billings Clinic % LINDA E HARRIS BEAR 4064462345 PO Box 590 Red Lodge MT 59068 KELLEY EVANS RN CEO 4064462345 2018-05-15 true Adam R Smith CPA P00958966 7194714290 167.68.126.162 84022720181175000035 2018-04-27 P B98F60208C01E221655A9D02B96D47F177C0D12C AA6FA8707C9102078E5BD6CDC5024E088A5F7D59 2016 2021-01-29 14:40:06Z Kelley Evans RN PO Box 590 Red Lodge MT 59068 16025754 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. 9 9 154 139 0 786610 534773 14222352 14712496 85403 126377 33121 41647 15127486 15415293 34283 33962 0 0 6250407 6735187 0 0 0 9245189 8243945 15529879 15013094 -402393 402199 23704145 23738468 19389406 18900815 4314739 4837653 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 12532742 14712496 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. 12532742 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 false true false false false false false false false false false false false false false false false true true true false true 9 0 154 true false false false false false false false false false false X 9 9 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 LINDA HARRIS DIRECTOR 1.0 0.0 X 0 0 0 SARAH EWALD SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 JIM DUNCAN DIRECTOR 1.0 0.0 X 0 0 0 RICHARD FELLOWS DIRECTOR 1.0 0.75 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 KELLEY EVANS RN CHIEF ADMINISTRATIVE OFFICER 20.0 0.75 X 75208 0 19468 Dr Deborah Agnew MD CHIEF EXECUTIVE OFFICER 14.0 0.75 X 90864 0 14177 SHARON NORBY CHIEF QUALITY OFFICER 40.0 0.0 X 107320 0 16537 Beth Nordstrom Director of IS 40.0 0.0 X 101939 0 8436 Bridgett Chartier RN CNO 40.0 0.0 X 101875 0 5086 477206 0 63704 3 false false false BILLINGS CLINIC 2800 Tenth Avenue North BILLINGS MT 59101 mgmt/staffing svcs 2723654 1 45647 489126 534773 PATIENT SERVICE REVENUE 561110 14274883 14274883 MEANINGFUL USE REVENUE 900099 52309 52309 340B PHARMACY 446440 220536 220536 OTHER PROGRAM REVENUE 900099 137636 137636 PROGRAM RENT 900099 27132 27132 14712496 10603 10603 3488 3488 0 0 0 0 722747 610461 112286 112286 112286 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 41647 41647 41647 15415293 14712496 168024 X 31682 31682 2280 2280 0 0 202477 101239 101238 0 5379859 4357242 1022617 178865 147218 31647 562468 453236 109232 411518 329214 82304 54206 54206 5868 5868 49380 49380 0 0 0 2717034 2388905 328129 87612 70090 17522 387875 310300 77575 196844 157475 39369 0 171960 137568 34392 147467 117974 29493 0 10367 8294 2073 862130 689704 172426 0 1124021 899217 224804 168186 134549 33637 BAD DEBT EXPENSE 941169 941169 MEDICAL SUPPLIES 894401 894401 REPAIRS & MAINTENANCE 161552 129242 32310 DIETARY/FOOD 103223 103223 160650 128520 32130 15013094 12532742 2480352 0 0 221586 4069084 3666589 0 0 2521515 2501739 0 0 0 0 0 0 257831 258662 25710 49298 22421161 8490742 14927704 13930419 1902301 2714092 0 0 0 0 0 0 0 396083 23704145 23738468 1496219 1348633 0 0 0 0 5139187 5038182 0 0 0 0 12754000 12514000 0 0 0 0 19389406 18900815 X 4290239 4813153 24500 24500 0 0 4314739 4837653 23704145 23738468 402199 120715 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 771718 771718 14838996 4247944 10591052 5038000 3360820 1677180 1772447 881978 890469 13930419 15035605 120715 413318 534033 14501572 913721 913721 15415293 14139744 40371 40371 14099373 913721 913721 15013094 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 413,318 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 941,169 CHARITY CARE SHOWN AS EXPENSE ON FINANCIALS, NET WITH NET PATIENT SERVICE REVENUE ON TAX RETURN (27,448) TOTAL 913,721 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 40,371 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 941,169 CHARITY CARE SHOWN AS EXPENSE ON FINANCIALS, NET WITH NET PATIENT SERVICE REVENUE ON TAX RETURN (27,448) TOTAL 913,721 true true X true X 110. true X true true false true true 103869 103869 0.00740 1351035 1264149 86886 0.00620 1454904 1264149 190755 0.01360 69305 151805 76383 76383 0.00540 4800 4800 0.00030 150488 151805 81183 0.00570 1605392 1415954 271938 0.01930 1 1048 1048 335 335 200 335 335 1911 9520 6856 2664 1 2111 11238 6856 4382 true 941169 6079707 4589718 1489989 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 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 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 Significant needs identified in most recent CHNA and how the organization is addressing them. Goal 1: Encourage healthy and safe lifestyle behaviors in the community - Continue organizing/hosting the annual health fair for community members - Continue offering education programs/services, such as the Montana Tobacco Use Prevention Program (MTUPP), diabetes management, and childbirth and pre/post-natal classes for community members - Continue offering youth-specific educational programs/services, such as "Slide Safe, Dress Smart", "Its Your Choice", and CPR/First Aid training - Continue sponsoring injury prevention initiatives, such as school sports physicals, athletic trainers at school sporting events, and concussion management education - Continue supporting the Beartooth Billings Clinic Public Health Department, which provides free immunization clinics, the maternal/child health grant, disease prevention initiatives, and public health monitoring and reporting - Continue to evaluate funding the Beartooth Childrens Center, which provides nutritious meals to needy children utilizing TANF & SNAP programs. - Maintain a comprehensive marketing plan to promote existing programs/services to community members - Development of Care Navigator Program within Patient Centered Medical Home (PCMH) - Complete the Wellness Trail, a pedestrian and bicycle trail which will connect the hospital with the Country Club Estates residential area in Red Lodge as a vital link in the Rocky Fork Trail System master plan. - Share award-winning worksite wellness program with community partners and provide technical assistance to those organizations that want to implement their own worksite wellness programs - Continue to explore potential partnerships with other organizations that want to promote wellness and alternative medicine in the community. In October of 2016 BBC conducted their Annual health Fair. BBC Continued to offer education programs/services, such as the Montana Tobacco Use Prevention Program (MTUPP), Diabetes Self Management, childbirth and pre/post-natal classes for community members. They also held Slide Safe + Dress Smart winter sports helmet safety program presented to regional schools; discounted helmet program offered. Sports Physicals were offered to 14 regional schools, with 120 student participants. Construction began in July 2017 on the Wellness Trail on our campus. BBC Participated in citys Active Transportation Plan committee working toward walkability, safe sidewalks and more; Plan completed May 2017. Goal 2: Serve as a leader in providing access to, and awareness of, affordable health care - Continue education programs/events to increase awareness/knowledge of the insurance marketplace (utilizing the patient navigators) - Offer presentations regarding health insurance and the Affordable Care Act - Promote current partnerships with agencies/organizations which can assist individuals/families in enrolling in various assistance programs (i.e. Office of Public Assistance, TANF, SNAP, etc.) - Provide resources to families utilizing the Beartooth Childrens Center regarding nutrition/financial assistance resource and programs available - Partner with area schools to develop programs specific to young families in the community - Partner with the Red Lodge Area Community Foundation and Red Lodge Fire Rescue to explore the feasibility of a paramedicine program. BBC Continued to offer contracted Public Health services to Carbon County. BBC continued marketing financial assistance, external public assistance programs, and child hunger programs. BBC used Monthly or quarterly statement stuffer promoting financial assistance, prompt pay discount, and other public assistance programs relative to medical costs. BBC Partnered with RLACF in Carbon County Connect services directory for assistance programs for medical, financial, nutrition, mental health etc. services available. Goal 3: Improve both internal and external awareness of available services and resources in the area - Continue implementing a marketing plan (i.e. annual health fair, website, etc.) - Analyze referral patterns and create targeted outreach materials regarding current service lines for providers - Increase internal provider education regarding the facilitys service lines and community benefit activities - Develop materials specific to current services which will be available in the facility and throughout the community - Ongoing participation on boards, panels and in forums relative to this goal. - Continue to work with the RLACF AmeriCorps Healthcare Vista to improve overall public awareness of resources through the PEAK health initiative. BBC had an Ongoing implementation of marketing plan to educate and inform community members of healthy lifestyle choices, affordable and accessible care, financial assistance. Goal 4: Champion access to and utilization of mental health care and services - Establish/build/maintain relationships with existing providers/organizations in the community - Partner with the Red Lodge Area Community Foundation PEAK health program to develop a mental health resource listing for community members - Continue to explore a collaborative relationship with Mental Health Center / RiverStone Health / Rimrock Foundation for needed services - Continue to develop awareness and promote telepsychiatry with Billings Clinic providers/ EAP - Explore Echo program with Billings Clinic Psychiatry. Quarterly Employee Assistance Program sessions were offered with mental health providers; promote EAP access to all staff Goal 5: Continue to provide affordable and accessible early childhood education - Complete staff Preschool credentialing - Continue work to maintain and grow philanthropic support for Beartooth Childrens Center. BBC Continued to operate and subsidize Beartooth Childrens Center; continue to seek supportive funding sources. Needs not addressed and reasons why: Transportation: Beartooth Billings Clinic does not have the resources to address this need; several organizations in the area would be more appropriate for addressing this need. The facility will give consideration to partnering with community organizations specific to this need, if the opportunity arises. Relationship skills: Domestic and Sexual Violence Services (DSVS) provides successful relationship skills training through their "Power Up-Speak Out" program to students in the public schools. Affordable Housing: Beartooth Billings Clinic is aware of our importance as the largest employer in the community; however, it is not the facilitys mission to address this need. There are other organizations in the area who focus on affordable housing opportunities. The facility will consider partnership with community organizations specific to this need if the opportunity arises. Isolation: This is an issue that can play into mental health conditions such as depression and substance abuse. Beartooth does not have the financial resources or staff to address isolation at this time, beyond the regular clinical care our providers give. Other organizations exist in the community that are better suited to address this need, such as the Senior Centers in Red Lodge, Joliet and Bridger. We are optimistic that over the next 3 years we will see the development of the Paramedecine program which we will fully support. The success of this program will directly address many of the issues of isolation. Domestic Violence: DSVS of Montana specifically and adequately addresses domestic and sexual violence prevalence and prevention in Carbon County. If appropriate opportunities arise, Beartooth will consider partnering with DSVS to address this issue. Sustainable Employment: It was unclear if the need identified actually did address sustainable employment, or sustainable jobs; and whether sustainable was used as a synonym of "stableif the term was used to reference environmentally sustainable employment. Regardless, Beartooth Billings Clinic offers higher paying jobs with a desirable benefit package. If opportunities arise to partner with other organizations on sustainable employment initiatives, Beartooth Billings Clinic will consider the alignment of the opportunity with its mission, vision, and strategic path. opportunity with its mission, vision, and strategic path. synonym of "stableif the term was used to reference environmentally sustainable employment. Regardless, Beartooth Billings Clinic offers higher paying jobs with a desirable benefit package. If opportunities arise to partner with other organizations on sustainable employment initiatives, Beartooth Billings Clinic will consider the alignment of the opportunity with its mission, vision, and strategic path. opportunity with its mission, vision, and strategic path. 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 $1,913,775. 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. Other: To help promote physical fitness, the organization built a wellness trail that can be used by members of the community. 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 Description of shortfall: The medicare shortfall was due to sequestration adjustment. Beartooth billings clinic continued to provide care. 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 11 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) 25374 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. A carbon county montana 816001339 140851AA4 2010-02-16 6031020 series 2010 revenue bonds false false false A 992838 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 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 Evaulations. 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 VII CEO And Other Officer COMPENSATION: BEARTOOTH OFFICERS, KELLEY EVANS AND DR. DEB AGNEW WERE COMPENSATED BY BILLINGS CLINIC. BILLINGS CLINIC IS AN AFFILIATED BUT UNRELATED ORGANIZATION FOR 990 PURPOSES. THEIR TIME SPENT OPERATING BEARTOOTH BILLINGS CLINIC WAS REIMBURSED TO BILLINGS CLINIC BY BEARTOOTH BILLINGS CLINIC. THIS COMPENSATION FOR THE FISCAL YEAR IS ALSO INCLUDED ON 990 PART IX, LINE 5. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIANS TOTAL FEES:1063193 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:80669 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT MEDICAL STAFF TOTAL FEES:637988 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT ADMIN STAFF TOTAL FEES:154420 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES MAINTENANCE TOTAL FEES:40837 FORM 990 PART IX LINE 11G DESCRIPTION:MID-LEVEL PROVIDERS/NURSING TOTAL FEES:391746 FORM 990 PART IX LINE 11G DESCRIPTION:RADIOLOGY/IMAGING TOTAL FEES:45165 FORM 990 PART IX LINE 11G DESCRIPTION:THERAPISTS TOTAL FEES:28828 FORM 990 PART IX LINE 11G DESCRIPTION:ANESTHESIOLOGISTS TOTAL FEES:33150 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION/CODING TOTAL FEES:100061 FORM 990 PART IX LINE 11G DESCRIPTION:HOSPICE/HOME HEALTH SERVICES TOTAL FEES:77355 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING TOTAL FEES:7192 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MISC SERVICES TOTAL FEES:56430 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