2017-05-11T10:41:17-05:00 2016-06-30 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2015-07-01 810224734 Beartooth Billings Clinic % ANNE MARIE KLOPPEL BEAR 4064462345 PO Box 590 Red Lodge MT 59068 DR DEBORAH AGNEW MD CEO 4064462345 2017-05-15 true Adam R Smith CPA P00958966 7194714290 2015 2021-01-29 14:40:06Z DR DEBORAH AGNEW MD PO Box 590 Red Lodge MT 59068 15339736 false X www.beartoothbillingsclinic.org X 1948 MT THE MISSION OF THE ORGANIZATION IS TO SAVE LIVES & PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INLCUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE & INNOVATION. 9 9 155 15 0 143439 786610 6418092 14222352 54585 85403 310141 33121 6926257 15127486 0 34283 0 0 2687054 6250407 0 0 0 3519641 9245189 6206695 15529879 719562 -402393 24398227 23704145 19630359 19389406 4767868 4314739 THE MISSION OF THE ORGANIZATION IS TO SAVE LIVES & PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INLCUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE & INNOVATION. false false 13044456 34283 14222352 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. 13044456 true true false false false false false false false false true false false false false false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true false true 9 0 true 155 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 ANNE MARIE KLOPPEL 4064462345 2525 N BROADWAY RED LODGE MT 59068 X STEVE MUTH PAST PRESIDENT 1.0 0.0 X 0 0 0 KAREN NEFF PRESIDENT 1.0 0.0 X X 0 0 0 SHANN SCOTT DIRECTOR THROUGH 03/2016 1.0 0.0 X 0 0 0 GEORGE CLOW VICE PRESIDENT, PRESIDENT 1.0 0.0 X X 0 0 0 LINDA HARRIS DIRECTOR 1.0 0.0 X 0 0 0 VIRGINIA MOHL DIRECTOR THROUGH 04/2016 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 2.0 X 0 0 0 MIKE SHUCK DIRECTOR 1.0 0.0 X 0 0 0 MITZI VORACHEK VICE PRESIDENT 1.0 0.0 X X 0 0 0 KELLEY EVANS CHIEF ADMINISTRATIVE OFFICER 38.0 2.0 X 162795 0 27061 Dr Deborah Agnew MD CHIEF EXECUTIVE OFFICER 38.0 2.0 X 261358 0 37205 SHARON NORBY CHIEF QUALITY OFFICER 40.0 0.0 X 106041 0 22907 530194 0 87173 3 false true false BILLINGS CLINIC 2800 Tenth Avernue North BILLINGS MT 59101 management services 2560766 1 60975 725635 786610 PATIENT SERVICE REVENUE 561110 14072719 14072719 MEANINGFUL USE REVENUE 900099 28041 28041 340B PHARMACY 446440 7526 7526 OTHER PROGRAM REVENUE 900099 85076 85076 PROGRAM RENT 900099 28990 28990 14222352 5837 5837 1032 1032 0 0 0 0 258906 31878 209448 2802 49458 29076 78534 78534 0 0 0 MISCELLANEOUS REVENUE 900099 33121 33121 33121 15127486 14222352 118524 X 32558 32558 1725 1725 0 0 185582 92791 92791 0 0 0 0 5008968 4007174 1001794 188928 151142 37786 482052 385642 96410 384877 307902 76975 54000 54000 5427 5427 27317 27317 0 0 0 2705331 2348150 357181 83477 66782 16695 408805 327044 81761 185889 148711 37178 0 151884 121507 30377 142017 113614 28403 0 39256 31405 7851 847730 678184 169546 0 1145190 916152 229038 279795 223836 55959 BAD DEBT EXPENSE 1913775 1913775 MEDICAL SUPPLIES 758801 758801 REPAIRS & MAINTENANCE 241442 193154 48288 DIETARY/FOOD 101821 101821 153232 122586 30646 15529879 13044456 2485423 0 0 0 3420112 4069084 0 0 3056835 2521515 0 0 0 0 0 0 311499 257831 86629 25710 22809544 7881840 15757922 14927704 1765230 1902301 0 0 0 0 0 0 0 0 24398227 23704145 1398881 1496219 0 0 0 0 5237491 5139187 0 0 0 0 12993987 12754000 0 0 0 0 19630359 19389406 X 4743368 4290239 24500 24500 0 0 4767868 4314739 24398227 23704145 -402393 -50736 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 771718 771718 15316792 3670760 11646032 4988493 3453428 1535065 1732541 757652 974889 14927704 13468643 -50736 256573 205837 13262806 1864680 1864680 15127486 13830721 165522 165522 13665199 1864680 1864680 15529879 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 true true X true X 110. true X true true false true true 201349 201349 0.01480 704852 643121 61731 0.00450 906201 643121 263080 0.01930 47739 47739 0.00350 234202 234202 0.01720 12488 12488 0.00090 294429 294429 0.02160 1200630 643121 557509 0.04090 1233 1233 0.00010 9367 9367 0.00070 1678 1678 0.00010 12278 12278 0.00090 true 1913775 6452258 5408425 1043833 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 15 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 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 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. 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: 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. true BEARTOOTH BILLINGS CLINIC FOUNDATION PO BOX 1290 RED LODGE MT 59068 810484562 501(C)(3) 27354 1 Schedule I, Part I, Line 2 Organization's procedures for monitoring the use of grant funds: Beartooth billings clinic reimburses the beartooth billings clinic foundation to cover the cost of various expenses. Both organizations have a close working relationship as the Clinic is the sole member of the Foundation, ensuring funds are used for their intended purpose. X X false false false false false false false true false KELLEY EVANS CHIEF ADMINISTRATIVE OFFICER 141178 0 20000 0 1617 0 13504 0 13557 0 189856 0 0 0 Dr Deborah Agnew MD CHIEF EXECUTIVE OFFICER 258503 0 0 0 2855 0 22453 0 14752 0 298563 0 0 0 Schedule J, Part I, line 7 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. A carbon county montana 816001339 140851AA4 2010-02-16 6031020 series 2010 revenue bonds false false false A 891833 0 6031020 0 78125 0 64500 0 5888395 0 0 0 2011 false false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 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 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 BEARTOOTH BILLINGS CLINIC FOUNDATION PO BOX 1290 RED LODGE MT 59068 810484562 FUNDRAISING MT 501(C)(3) line 7 true false true true false false false false false false false false false false true true false false false false BEARTOOTH BILLINGS CLINIC FOUNDATION C 60975 cash amount