BEARTOOTH BILLINGS CLINIC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: BEARTOOTH BILLINGS CLINIC (EIN 81-0224734)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-11
IRS object ID: 201711319349302026
Schema version: 2015v3.0
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	2017-05-11T10:41:17-05:00	ReturnTs
Tax Period End	2016-06-30	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	2015-07-01	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	% ANNE MARIE KLOPPEL	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	DR DEBORAH AGNEW MD	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	4064462345	PhoneNum
Signature	2017-05-15	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

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DR DEBORAH AGNEW MD	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	$15,339,736	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 THE ORGANIZATION IS TO SAVE LIVES & PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INLCUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE & INNOVATION.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	155	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$143,439	PYContributionsGrantsAmt
CY Contributions Grants	$786,610	CYContributionsGrantsAmt
PY Program Service Revenue	$6,418,092	PYProgramServiceRevenueAmt
CY Program Service Revenue	$14,222,352	CYProgramServiceRevenueAmt
PY Investment Income	$54,585	PYInvestmentIncomeAmt
CY Investment Income	$85,403	CYInvestmentIncomeAmt
PY Other Revenue	$310,141	PYOtherRevenueAmt
CY Other Revenue	$33,121	CYOtherRevenueAmt
PY Total Revenue	$6,926,257	PYTotalRevenueAmt
CY Total Revenue	$15,127,486	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$34,283	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,687,054	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$6,250,407	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,519,641	PYOtherExpensesAmt
CY Other Expenses	$9,245,189	CYOtherExpensesAmt
PY Total Expenses	$6,206,695	PYTotalExpensesAmt
CY Total Expenses	$15,529,879	CYTotalExpensesAmt
PY Revenues Less Expenses	$719,562	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$402,393	CYRevenuesLessExpensesAmt
Total Assets BOY	$24,398,227	TotalAssetsBOYAmt
Total Assets EOY	$23,704,145	TotalAssetsEOYAmt
Total Liabilities BOY	$19,630,359	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$19,389,406	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,767,868	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,314,739	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF THE ORGANIZATION IS TO SAVE LIVES & PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INLCUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE & INNOVATION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$13,044,456	ExpenseAmt
Grant	$34,283	GrantAmt
Revenue	$14,222,352	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	$13,044,456	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
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	9	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	155	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	ANNE MARIE KLOPPEL	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 (14 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
STEVE MUTH
PAST PRESIDENT	1.0	0.0	Yes (X)	$0	$0	$0
KAREN NEFF
PRESIDENT	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
SHANN SCOTT
DIRECTOR THROUGH 03/2016	1.0	0.0	Yes (X)	$0	$0	$0
GEORGE CLOW
VICE PRESIDENT, PRESIDENT	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
LINDA HARRIS
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
VIRGINIA MOHL
DIRECTOR THROUGH 04/2016	1.0	0.0	Yes (X)	$0	$0	$0
SARAH EWALD
SECRETARY/TREASURER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JIM DUNCAN
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD FELLOWS
DIRECTOR	1.0	2.0	Yes (X)	$0	$0	$0
MIKE SHUCK
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
MITZI VORACHEK
VICE PRESIDENT	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
KELLEY EVANS
CHIEF ADMINISTRATIVE OFFICER	38.0	2.0		$162,795	$0	$27,061	Yes (X)
Dr Deborah Agnew MD
CHIEF EXECUTIVE OFFICER	38.0	2.0		$261,358	$0	$37,205	Yes (X)
SHARON NORBY
CHIEF QUALITY OFFICER	40.0	0.0		$106,041	$0	$22,907		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$530,194	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$87,173	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3	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 Avernue North	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Services	management services	ServicesDesc
Compensation	$2,560,766	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Related Organizations	$60,975	RelatedOrganizationsAmt
All Other Contributions	$725,635	AllOtherContributionsAmt
Total Contributions	$786,610	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	561110	$14,072,719	$14,072,719
MEANINGFUL USE REVENUE	900099	$28,041	$28,041
340B PHARMACY	446440	$7,526	$7,526
OTHER PROGRAM REVENUE	900099	$85,076	$85,076
PROGRAM RENT	900099	$28,990	$28,990

Field	Value	IRS element (for citing)
Total Program Service Revenue	$14,222,352	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,837	TotalRevenueColumnAmt
Exclusion	$5,837	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,032	TotalRevenueColumnAmt
Exclusion	$1,032	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	$258,906	SecuritiesAmt
Other	$31,878	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$209,448	SecuritiesAmt
Other	$2,802	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$49,458	SecuritiesAmt
Other	$29,076	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$78,534	TotalRevenueColumnAmt
Exclusion	$78,534	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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	$33,121	TotalRevenueColumnAmt
Exclusion	$33,121	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$33,121	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,127,486	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,222,352	RelatedOrExemptFuncIncomeAmt
Exclusion	$118,524	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	$32,558	TotalAmt
Program Services	$32,558	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,725	TotalAmt
Program Services	$1,725	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$185,582	TotalAmt
Program Services	$92,791	ProgramServicesAmt
Management And General	$92,791	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$5,008,968	TotalAmt
Program Services	$4,007,174	ProgramServicesAmt
Management And General	$1,001,794	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$188,928	TotalAmt
Program Services	$151,142	ProgramServicesAmt
Management And General	$37,786	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$482,052	TotalAmt
Program Services	$385,642	ProgramServicesAmt
Management And General	$96,410	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$384,877	TotalAmt
Program Services	$307,902	ProgramServicesAmt
Management And General	$76,975	ManagementAndGeneralAmt

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	$5,427	TotalAmt
Management And General	$5,427	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$27,317	TotalAmt
Management And General	$27,317	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	$2,705,331	TotalAmt
Program Services	$2,348,150	ProgramServicesAmt
Management And General	$357,181	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$83,477	TotalAmt
Program Services	$66,782	ProgramServicesAmt
Management And General	$16,695	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$408,805	TotalAmt
Program Services	$327,044	ProgramServicesAmt
Management And General	$81,761	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$185,889	TotalAmt
Program Services	$148,711	ProgramServicesAmt
Management And General	$37,178	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$151,884	TotalAmt
Program Services	$121,507	ProgramServicesAmt
Management And General	$30,377	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$142,017	TotalAmt
Program Services	$113,614	ProgramServicesAmt
Management And General	$28,403	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$39,256	TotalAmt
Program Services	$31,405	ProgramServicesAmt
Management And General	$7,851	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$847,730	TotalAmt
Program Services	$678,184	ProgramServicesAmt
Management And General	$169,546	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,145,190	TotalAmt
Program Services	$916,152	ProgramServicesAmt
Management And General	$229,038	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$279,795	TotalAmt
Program Services	$223,836	ProgramServicesAmt
Management And General	$55,959	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$1,913,775	$1,913,775
MEDICAL SUPPLIES	$758,801	$758,801
REPAIRS & MAINTENANCE	$241,442	$193,154	$48,288
DIETARY/FOOD	$101,821	$101,821

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$153,232	TotalAmt
Program Services	$122,586	ProgramServicesAmt
Management And General	$30,646	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,529,879	TotalAmt
Program Services	$13,044,456	ProgramServicesAmt
Management And General	$2,485,423	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,420,112	BOYAmt
EOY	$4,069,084	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	$3,056,835	BOYAmt
EOY	$2,521,515	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	$311,499	BOYAmt
EOY	$257,831	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$86,629	BOYAmt
EOY	$25,710	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$22,809,544	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$7,881,840	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$15,757,922	BOYAmt
EOY	$14,927,704	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,765,230	BOYAmt
EOY	$1,902,301	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	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,398,227	BOYAmt
EOY	$23,704,145	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,398,881	BOYAmt
EOY	$1,496,219	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	$5,237,491	BOYAmt
EOY	$5,139,187	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	$12,993,987	BOYAmt
EOY	$12,754,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,630,359	BOYAmt
EOY	$19,389,406	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,743,368	BOYAmt
EOY	$4,290,239	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	$4,767,868	BOYAmt
EOY	$4,314,739	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$24,398,227	BOYAmt
EOY	$23,704,145	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$402,393	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$50,736	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	$15,316,792	OtherCostOrOtherBasisAmt
Depreciation	$3,670,760	DepreciationAmt
Book Value	$11,646,032	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,988,493	OtherCostOrOtherBasisAmt
Depreciation	$3,453,428	DepreciationAmt
Book Value	$1,535,065	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,732,541	OtherCostOrOtherBasisAmt
Depreciation	$757,652	DepreciationAmt
Book Value	$974,889	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$14,927,704	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$13,468,643	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$50,736	NetUnrealizedGainsInvstAmt
Other Revenue	$256,573	OtherRevenueAmt
Revenue Not Reported	$205,837	RevenueNotReportedAmt
Revenue Subtotal	$13,262,806	RevenueSubtotalAmt
Other Revenues Not Included	$1,864,680	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,864,680	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$15,127,486	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$13,830,721	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$165,522	OtherExpensesIncludedAmt
Expenses Not Reported	$165,522	ExpensesNotReportedAmt
Expenses Subtotal	$13,665,199	ExpensesSubtotalAmt
Other Expenses Not Included	$1,864,680	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,864,680	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$15,529,879	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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: REVENUE OF BEARTOOTH BILLINGS CLINIC FOUNDATION INCLUDED ON FINANCIALS, EXCLUDED ON TAX RETURN 256,573
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 1,913,775 CHARITY CARE SHOWN AS EXPENSE ON FINANCIALS, NET WITH NET PATIENT SERVICE REVENUE ON TAX RETURN (49,095) TOTAL 1,864,680
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 165,522
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 1,913,775 CHARITY CARE SHOWN AS EXPENSE ON FINANCIALS, NET WITH NET PATIENT SERVICE REVENUE ON TAX RETURN (49,095) TOTAL 1,864,680

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	false	ExpensesExceedBudgetInd
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	$201,349	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$201,349	NetCommunityBenefitExpnsAmt
Total Expense	0.01480	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$704,852	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$643,121	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,731	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$906,201	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$643,121	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$263,080	NetCommunityBenefitExpnsAmt
Total Expense	0.01930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,739	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$47,739	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$234,202	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$234,202	NetCommunityBenefitExpnsAmt
Total Expense	0.01720	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,488	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,488	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$294,429	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$294,429	NetCommunityBenefitExpnsAmt
Total Expense	0.02160	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,200,630	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$643,121	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$557,509	NetCommunityBenefitExpnsAmt
Total Expense	0.04090	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,233	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,233	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,367	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,367	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,678	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,678	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,278	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,278	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,913,775	BadDebtExpenseAmt
Reimbursed By Medicare	$6,452,258	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,408,425	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,043,833	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	http://www.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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	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	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C FOR URL	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 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 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 ORGANIZATIONS 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 ORGANIZATIONS 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. 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. 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. 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. 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. 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.
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 16C	The plain language summary can be found by going to the organization's home page, under patient information, patient financial services. A link to the plain language summary is also listed below. http://www.beartoothbillingsclinic.org/PatientInformation/PatientFinancial Services.aspx
SCHEDULE H, PART V, SECTION B, LINE 22D	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 (11 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 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: This was primarily our ACA Navigator which assists community members in enrollment in the ACA; 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 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.

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	$27,354	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 (2 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KELLEY EVANS
CHIEF ADMINISTRATIVE OFFICER	$141,178	$0	$20,000	$0	$1,617	$0	$13,504	$0	$13,557	$0	$189,856	$0	$0	$0
Dr Deborah Agnew MD
CHIEF EXECUTIVE OFFICER	$258,503	$0	$0	$0	$2,855	$0	$22,453	$0	$14,752	$0	$298,563	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, line 7	FormAndLineReferenceDesc
Explanation	Non-Fixed paytments: Kelley evans received a $20,000 bonus during the year. The bonus was based on performance of the hospital as well as individual goals set during the prior year. the board has discretion on whether the bonus will be paid.	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	$891,833	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
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
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	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
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	Yes (true)	Form8038TFiledInd
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 (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 corporations 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 OF 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 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 COMPENSATION: BEARTOOTH BILLINGS CLINIC CHIEF EXECUTIVE OFFICER DR. DEB AGNEW WAS COMPENSATED BY THE BILLINGS CLINIC IN THE FORM OF WAGES. BILLINGS CLINIC IS AN AFFILIATED, BUT UNRELATED ORGANIZATION FOR 990 PURPOSES. HER TIME WAS SPENT OPERATING BEARTOOTH BILLINGS CLINIC WHICH IN TURN PAID A MANAGEMENT FEE TO THE BILLINGS CLINIC FOR HER SERVICES AND OTHER SERVICES PERFORMED DURING THE YEAR.
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIANS TOTAL FEES:1047820
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:122311
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT - MEDICAL TOTAL FEES:743799
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT - ADMIN TOTAL FEES:145256
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES MAINTENANCE TOTAL FEES:41735
FORM 990 PART IX LINE 11G	DESCRIPTION:MID-LEVEL PROVIDERS/NURSING TOTAL FEES:325335
FORM 990 PART IX LINE 11G	DESCRIPTION:RADIOLOGY/IMAGING TOTAL FEES:18873
FORM 990 PART IX LINE 11G	DESCRIPTION:THERAPISTS TOTAL FEES:16522
FORM 990 PART IX LINE 11G	DESCRIPTION:ANESTHESIOLOGISTS TOTAL FEES:33400
FORM 990 PART IX LINE 11G	DESCRIPTION:TRANSCRIPTION/CODING TOTAL FEES:96786
FORM 990 PART IX LINE 11G	DESCRIPTION:HOSPICE/HOME HEALTH TOTAL FEES:74114
FORM 990 PART IX LINE 11G	DESCRIPTION:CLEANING TOTAL FEES:14953
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER SERVICES TOTAL FEES:24427

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 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)
EIN	810484562	EIN
Primary Activities	FUNDRAISING	PrimaryActivitiesTxt
Legal Domicile State	MT	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	line 7	PublicCharityStatusTxt
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	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	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	$60,975	InvolvedAmt
Method Of Amount Determination	cash amount	MethodOfAmountDeterminationTxt