BILLINGS CLINIC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: BILLINGS CLINIC (EIN 81-0231784)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-04-28
IRS object ID: 201721189349300617
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-04-28T15:15:42-06:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810231784	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BILLINGS CLINIC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BILL	BusinessNameControlTxt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 TENTH AVENUE SOUTH	AddressLine1Txt
City	Billings	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CONNIE PREWITT	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4062382500	PhoneNum
Signature	2017-04-28	SignatureDt

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	NICHOLAS J WOLTER	PrincipalOfficerNm
Gross Receipts	$1,291,926,031	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BILLINGSCLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1907	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	BILLINGS CLINIC IN A NOT-FOR PROFIT INTEGRATED MULTI-SPECIALTY GROUP PRACTICE WITH A HOSPITAL AND LONG TERM CARE FACILITY SERVING THE COMMUNITIES OF MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC MISSION IS HEALTH CARE, EDUCATON AND RESEARCH	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	4604	TotalEmployeeCnt
Total Volunteers	316	TotalVolunteersCnt
Total Gross UBI	$9,284,184	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,088,989	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,063,534	PYContributionsGrantsAmt
CY Contributions Grants	$6,882,544	CYContributionsGrantsAmt
PY Program Service Revenue	$621,890,549	PYProgramServiceRevenueAmt
CY Program Service Revenue	$644,159,429	CYProgramServiceRevenueAmt
PY Investment Income	$12,341,919	PYInvestmentIncomeAmt
CY Investment Income	$2,653,118	CYInvestmentIncomeAmt
PY Other Revenue	$7,069,276	PYOtherRevenueAmt
CY Other Revenue	$11,330,945	CYOtherRevenueAmt
PY Total Revenue	$648,365,278	PYTotalRevenueAmt
CY Total Revenue	$665,026,036	CYTotalRevenueAmt
PY Grants And Similar Paid	$807,950	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$520,930	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$323,961,290	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$351,210,024	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$280,972,044	PYOtherExpensesAmt
CY Other Expenses	$288,444,620	CYOtherExpensesAmt
PY Total Expenses	$605,741,284	PYTotalExpensesAmt
CY Total Expenses	$640,175,574	CYTotalExpensesAmt
PY Revenues Less Expenses	$42,623,994	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$24,850,462	CYRevenuesLessExpensesAmt
Total Assets BOY	$706,036,383	TotalAssetsBOYAmt
Total Assets EOY	$711,015,080	TotalAssetsEOYAmt
Total Liabilities BOY	$273,015,058	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$276,052,936	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$433,021,325	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$434,962,144	NetAssetsOrFundBalancesEOYAmt
Mission	BILLINGS CLINIC IN A NOT-FOR PROFIT INTEGRATED MULTI-SPECIALTY GROUP PRACTICE WITH A HOSPITAL AND LONG TERM CARE FACILITY SERVING THE COMMUNITIES OF MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC MISSION IS HEALTH CARE, EDUCATON AND RESEARCH	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$242,170,574	ExpenseAmt
Grant	$322,541	GrantAmt
Revenue	$397,448,495	RevenueAmt
Desc	BILLINGS CLINIC HAS A 304 BED HOSPITAL AND TRAUMA CENTER. THE FAMILY BIRTH CENTER CARES FOR OVER 1,200 NEWBORNS EACH YEAR OFFEREING PRIVATE SUITES, FAMILY CENTERED SINGLE ROOM MATERNITY CARE AND A NEONATAL INTENSIVE CARE UNIT (NICU). SURGICAL SERVICES INCLUDE CARDIAC, THORACIC AND VASCULAR SURGERY, GENERAL SURGERY, GYNECOLOGIC ONCOLOGY, NEUROSURGERY, OB/GYN, OPHTHALMOLOGY, ORTHOPEDICS, EAR, NOSE AND THROAT SURGERY, FACIAL PLASTICS AND RECONSTRUCTIVE SURGERY, PODIATRY AND UROLOGY. BILLINGS CLINIC HAS A 44 BED INPATIENT PSYCHIATRIC UNIT THAT OFFERS THE ONLY INPATIENT CARE FOR YOUTH AND ADULTS IN EASTERN MONTANA.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$226,142,566	ExpenseAmt
Grant	$562,694	GrantAmt
Revenue	$238,329,730	RevenueAmt
Desc	BILLINGS CLINIC HAS OVER 400 PHYSICIANS AND ADVANCED PRACTITIONERS OFFERING MORE THAN 50 SPECIALTIES. PRIMARY CARE IS AVAILABLE AT MULTIPLE LOCATIONS INCLUDING BILLINGS CLINIC DOWNTOWN, HEIGHTS, WEST END, CODY WY, MILES CITY AND BOZEMAN. IN ADDITION, BILLINGS CLINIC CONDUCTS SPECIALTY CARE CLINICS FOR MORE THAN 20 REGIONAL LOCATIONS IN MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC OPERATES MONTANAS FIRST INTERNAL MEDICINE RESIDENCY PROGRAM IN SUPPORT OF ITS MISSION OF ADVANCING HEALTH CARE, EDUCATION AND RESEARCH. WOMENS HEALTH SERVICES INCLUDE SPECIALISTS IN OBSTETRICS, GYNECOLOGY, MATERNAL-FETAL MEDICINE, REPRODUCTIVE AND FERTIILTY CARE. CHILDREN SERVICES INCLUDE PEDIATRICS AND PEDIATRIC SPECIALTIES IN CARDIOLOGY, DERMATOLOGY, DIABETES, ONCOLOGY, NEONATOLOGY, NEUROLOGY, OPHTHALMOLOGY, PSYCHOLOGY, PULMONOLOGY, REHABILITATION AND UROLOGY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$26,676,083	ExpenseAmt
Grant	$212,325	GrantAmt
Revenue	$2,547,287	RevenueAmt
Desc	REGIONAL: BILLINGS CLINIC PROVIDES MANAGEMENT, INFORMATION SYSTEM AND ANCILLARY SUPPORT SERVICES TO AREA HOSPITALS AND CLINICS. BILLINGS CLINIC IS HOME TO EASTERN MONTANA TELEMEDICINE NETWORK, A COLLABORATION WITH REGIONAL HEALTH CARE FACILITIES TO PROVIDE HEALTH CARE AND EDUCATION THROUGH PRIVATE VIDEO CONFERENCINGRESEARCH: BILLINGS CLINIC IS DEDICATED TO THE PURSUIT OF NEW MEDICAL KNOWLEDGE WITH RESEARCH THAT BENEFITS CURRENT AND FUTURE PATIENTS WITH DISEASES SUCH AS DIABETES AND CANCER.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$9,220,021	ExpenseAmt
Revenue	$7,805,036	RevenueAmt
Desc	ASPEN MEADOWS IS BILLINGS CLINIC 90 BED SKILLED NURSING AND ASSISTED LIVING FACILITY LOCATED ON THE WEST END OF BILLINGS. THE LONG TERM CARE NURSING FACILITY HAS A TEAM OF CAREGIVERS TO PROVIDE PERSONAL CARE IN ORDER TO REACH AND MAINTAIN THE HIGHEST LEVEL OF INDEPENDENCE AND QUALITY OF LIFE. THE TRANSISTIONAL CARE UNIT OFFERS SKILLED MEDICAL CARE AND THERAPY SERVICES AFTER HOSPITALIZATION FOR SURGERY, INJURY OR ILLNESS AND ALLOW INDIVIDUALS TO FULLY RECUPERATE BEFORE RETURNING HOME. ASSISTED LIVING APARTMENTS ARE AVAILABLE FOR THOSE WHO DESIRE INDEPENDENT LIVING WITH A LITTLE EXTRA ASSISTANCE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$9,220,021	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$7,805,036	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$504,209,244	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	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	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	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	Yes (true)	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	Yes (true)	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	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	141	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4604	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MT	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CONNIE PREWITT	PersonNm
Phone	4062382500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 TENTH AVENUE SOUTH	AddressLine1Txt
City	Billings	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
NICHOLAS J WOLTER
CHIEF EXECUTIVE OFFICER	70.00	5.00	Yes (X)	Yes (X)	$1,184,226	$0	$31,909
DAVID BROWN
CHAIRMAN	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$13,690
JOY OTT
VICE CHAIR	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$7,310
ELIZABETH FULTON
TREASURER	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$6,913
LIL ANDERSON
SECRETARY	5.00	0.00	Yes (X)	Yes (X)	$6,000	$0	$0
PENNI NANCE
BOARD MEMBER	3.00	0.00	Yes (X)		$6,000	$0	$0
AARON SPARBOE
BOARD MEMBER	3.00	0.00	Yes (X)		$0	$0	$6,522
CLAYTON H MCCRACKEN III
PHYSICIAN BOARD MEMBER	70.00	0.00	Yes (X)		$335,091	$0	$46,686
CRAIG BARTHOLOMEW
BOARD MEMBER	3.00	0.00	Yes (X)		$0	$0	$3,011
ROBERT PUERINGER
PHYSICIAN BOARD MEMBER	70.00	0.00	Yes (X)		$319,441	$0	$44,148
CONNIE PREWITT
CHIEF FINANCIAL OFFICER	70.00	5.00		Yes (X)	$559,566	$0	$39,037
JARED J LUND
PHYSICIAN	70.00	0.00			$794,214	$0	$40,393	Yes (X)
MICHAEL A MORONE
PHYSICIAN	70.00	0.00			$892,504	$0	$38,519	Yes (X)
BARRY N SMITH
PHYSICIAN	70.00	0.00			$858,483	$0	$39,936	Yes (X)
ROBERT SCHULTZ
PHYSICIAN	70.00	0.00			$806,271	$0	$32,435	Yes (X)
BRADLEY ZINS
PHYSICIAN	70.00	0.00			$748,313	$0	$39,851	Yes (X)
DARRELL EHRLICK
FORMER BOARD MEMBER	0.00	0.00			$28,497	$0	$0		Yes (X)
LINDA OVERSTREET
FORMER BOARD MEMBER	0.00	0.00			$12,758	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,551,364	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$390,360	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	488	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC
PO BOX 37000	Billings	MT	59107	FOOD SERVICE	$4,267,448
HAYES LOCUMS LLC
6700 N ANDREWS AVE STE 600	Fort Lauderdale	FL	33309	PHYSICIAN SERVICES	$3,984,588
COMMAND HEALTH
PO BOX 847797	Dallas	TX	75284	TRANSCRIPTION	$2,009,616
CBB COLLECTIONS
3318 3RD AVE N STE 100	Billings	MT	591071213	COLLECTION AGENCY	$1,801,604
HEALTHCARE OUTSOURCING NETWORK
621 17TH STREET STE 1800	Denver	CO	80293	EARLY OUT VENDOR	$2,061,321

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	28	CntrctRcvdGreaterThan100KCnt
Related Organizations	$6,882,544	RelatedOrganizationsAmt
Total Contributions	$6,882,544	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621110	$603,369,746	$603,369,746
AIR AMBULANCE	621910	$6,477,169	$6,477,169
LONG TERM CARE	623000	$7,747,760	$7,747,760
REFERENCE LAB	621500	$4,224,226		$4,224,226
OUTPATIENT PHARMACY	621990	$20,222,921	$20,222,921

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,117,607	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,117,607	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$644,159,429	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,045,682	TotalRevenueColumnAmt
Exclusion	$5,045,682	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$274,408	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$198,766	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$75,642	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$75,642	TotalRevenueColumnAmt
Exclusion	$75,642	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$624,308,665	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$626,600,186	SecuritiesAmt
Other	$101,043	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$2,291,521	SecuritiesAmt
Other	-$101,043	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,392,564	TotalRevenueColumnAmt
Exclusion	-$2,392,564	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
REGIONAL IT SERVICES	541519	$3,399,329	$3,399,329
OPTICAL SHOPCOSMETICS	446199	$79,271	$79,271

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,776,703	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,195,345	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,581,358	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,255,303	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$665,026,036	TotalRevenueColumnAmt
Related Or Exempt Func Income	$646,130,548	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,284,184	UnrelatedBusinessRevenueAmt
Exclusion	$2,728,760	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$499,601	TotalAmt
Program Services	$499,601	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$21,329	TotalAmt
Program Services	$21,329	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,955,400	TotalAmt
Program Services	$2,199,520	ProgramServicesAmt
Management And General	$755,880	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$286,881,042	TotalAmt
Program Services	$231,937,441	ProgramServicesAmt
Management And General	$54,943,601	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,354,992	TotalAmt
Program Services	$10,818,819	ProgramServicesAmt
Management And General	$2,536,173	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$30,030,638	TotalAmt
Program Services	$16,538,724	ProgramServicesAmt
Management And General	$13,491,914	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,987,952	TotalAmt
Program Services	$13,541,419	ProgramServicesAmt
Management And General	$4,446,533	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,361,186	TotalAmt
Program Services	$10,923	ProgramServicesAmt
Management And General	$1,350,263	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$191,717	TotalAmt
Program Services	$2,350	ProgramServicesAmt
Management And General	$189,367	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$143,559	TotalAmt
Management And General	$143,559	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,003,214	TotalAmt
Management And General	$1,003,214	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$47,754,348	TotalAmt
Program Services	$22,822,736	ProgramServicesAmt
Management And General	$24,931,612	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,778,004	TotalAmt
Program Services	$37,559	ProgramServicesAmt
Management And General	$1,740,445	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,566,039	TotalAmt
Program Services	$3,849,409	ProgramServicesAmt
Management And General	$5,716,630	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,841,151	TotalAmt
Program Services	$10,604,856	ProgramServicesAmt
Management And General	$3,236,295	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,544,651	TotalAmt
Program Services	$5,555,516	ProgramServicesAmt
Management And General	$989,135	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,770,069	TotalAmt
Program Services	$1,745,350	ProgramServicesAmt
Management And General	$1,024,719	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$177,008	TotalAmt
Program Services	$51,173	ProgramServicesAmt
Management And General	$125,835	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,583,829	TotalAmt
Program Services	$4,900,817	ProgramServicesAmt
Management And General	$1,683,012	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,644,108	TotalAmt
Program Services	$15,543,552	ProgramServicesAmt
Management And General	$8,100,556	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,299,396	TotalAmt
Program Services	$6,622,198	ProgramServicesAmt
Management And General	$1,677,198	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$106,562,938	$106,372,268	$190,670
BAD DEBT	$35,041,530	$35,041,530
REPAIRS & MAINTENANCE	$8,403,981	$6,775,135	$1,628,846
BED TAX	$3,898,114	$3,898,114

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,879,778	TotalAmt
Program Services	$4,818,905	ProgramServicesAmt
Management And General	$6,060,873	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$640,175,574	TotalAmt
Program Services	$504,209,244	ProgramServicesAmt
Management And General	$135,966,330	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,599,632	BOYAmt
EOY	$16,701,241	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,319,358	BOYAmt
EOY	$6,411,982	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$102,564,914	BOYAmt
EOY	$90,707,342	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$443,944	BOYAmt
EOY	$194,177	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,413,795	BOYAmt
EOY	$9,544,802	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,741,004	BOYAmt
EOY	$9,222,003	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$509,338,735	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$277,648,708	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$227,901,140	BOYAmt
EOY	$231,690,027	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$240,376,416	BOYAmt
EOY	$245,865,238	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$18,496,547	BOYAmt
EOY	$18,397,884	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$85,179,633	BOYAmt
EOY	$82,280,384	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$706,036,383	BOYAmt
EOY	$711,015,080	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$58,382,923	BOYAmt
EOY	$59,230,375	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$118,252	BOYAmt
EOY	$29,008	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,175,048	BOYAmt
EOY	$152,171,468	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,607,316	BOYAmt
EOY	$722,468	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,731,519	BOYAmt
EOY	$63,899,617	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$273,015,058	BOYAmt
EOY	$276,052,936	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$394,986,802	BOYAmt
EOY	$395,690,325	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,707,433	BOYAmt
EOY	$15,144,652	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,327,090	BOYAmt
EOY	$24,127,167	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$433,021,325	BOYAmt
EOY	$434,962,144	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$706,036,383	BOYAmt
EOY	$711,015,080	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$24,850,462	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,757,062	NetUnrlzdGainsLossesInvstAmt
Investment Expense	$1,003,214	InvestmentExpenseAmt
Other Changes In Net Assets	-$25,669,919	OtherChangesInNetAssetsAmt
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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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 C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$143,559	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$143,559	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$642,681,515	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$642,825,074	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$219,228	CurrentYearMinus3Amt
Current Year Minus2	$159,612	CurrentYearMinus2Amt
Current Year Minus1	$171,195	CurrentYearMinus1Amt
Current Year	$143,559	CurrentYearAmt
Total	$693,594	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$45,241,517	BeginningYearBalanceAmt
Contributions	$808,522	ContributionsAmt
Investment Earnings Or Losses	$1,194,556	InvestmentEarningsOrLossesAmt
Other Expenditures	$303,870	OtherExpendituresAmt
End Year Balance	$46,940,725	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,855,937	BeginningYearBalanceAmt
Contributions	$17,610,002	ContributionsAmt
Investment Earnings Or Losses	$1,990,724	InvestmentEarningsOrLossesAmt
Other Expenditures	$215,146	OtherExpendituresAmt
End Year Balance	$45,241,517	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,259,946	BeginningYearBalanceAmt
Contributions	$551,706	ContributionsAmt
Investment Earnings Or Losses	$2,064,279	InvestmentEarningsOrLossesAmt
Other Expenditures	$19,994	OtherExpendituresAmt
End Year Balance	$25,855,937	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,981,852	BeginningYearBalanceAmt
Contributions	$415,028	ContributionsAmt
Investment Earnings Or Losses	$1,054,443	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$204,010	GrantsOrScholarshipsAmt
Administrative Expenses	-$12,633	AdministrativeExpensesAmt
End Year Balance	$23,259,946	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,026,911	BeginningYearBalanceAmt
Contributions	$246,728	ContributionsAmt
Investment Earnings Or Losses	$724,344	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$44,349	GrantsOrScholarshipsAmt
Administrative Expenses	-$28,218	AdministrativeExpensesAmt
End Year Balance	$21,981,852	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.39700	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.51400	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.08900	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$4,573,410	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$17,943,001	OtherCostOrOtherBasisAmt
Book Value	$22,516,411	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$188,204,707	OtherCostOrOtherBasisAmt
Depreciation	$80,576,087	DepreciationAmt
Book Value	$107,628,620	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,992,184	OtherCostOrOtherBasisAmt
Depreciation	$1,589,349	DepreciationAmt
Book Value	$402,835	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$274,555,813	OtherCostOrOtherBasisAmt
Depreciation	$185,724,903	DepreciationAmt
Book Value	$88,830,910	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,069,620	OtherCostOrOtherBasisAmt
Depreciation	$9,758,369	DepreciationAmt
Book Value	$12,311,251	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$231,690,027	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	JOINT VENTURES	Desc
Book Value	$18,397,884	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$18,397,884	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM MEDICAREMEDICAID	$5,433,459
DUE FROM FOUNDATION	$184,489
DUE FROM EXPRESS CARE	$3,165,035
INTEREST IN FOUNDATION	$67,828,818
INTEREST IN STILLWATER HOSPITAL	$3,833,955
INTEREST IN MHI	$4,361,012
INTEREST IN EXPRESS CARE	-$2,526,384

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$82,280,384	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
DUE TO MEDICAREMEDICAID	$3,469,761
INTEREST RATE SWAP AGREEMENT	$29,814,264
MHI LIABILITY	$18,696,897
RESERVE FOR FIRST CARE LOANS	$999,571
ABANDONED PROPERTY	$545,966
DEFERRED COMPENSATION	$1,408,136
DUE TO NEW WEST	$8,196,510
RESERVE FOR UNPAID CLAIMS	$467,950
EMPLOYEE FLEX FUNDS	$240,999
DEPOSITS ON ACCOUNT	$59,563

Field	Value	IRS element (for citing)
Total Liability	$63,899,617	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$598,658,117	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,757,062	NetUnrealizedGainsInvstAmt
Other Revenue	-$6,563,940	OtherRevenueAmt
Revenue Not Reported	-$4,806,878	RevenueNotReportedAmt
Revenue Subtotal	$603,464,995	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,003,214	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$60,557,827	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$61,561,041	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$665,026,036	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$602,305,601	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$602,305,601	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,003,214	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$36,866,759	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$37,869,973	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$640,175,574	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Endowment funds intended uses (Part V, line 4)	THE ORGANIZATIONS ENDOWMENT CONSISTS OF APPROXIMATELY 70 INDIVIDUAL FUNDS ESTATBLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE GOVERNING BODY TO FUNCTION AS ENDOWMENTS. ENDOWMENT FUNDS ARE INVESTED AND HELD TO PROVIDE GROWTH OVER THE LONG-TERM.
Other revenues not included on Form 990 (Part XI, line 2d)	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP ($6,563,940)
Other revenues included on Form 990 (Part XI, line 4b)	CHANGE IN INTEREST OF AFFILIATES ($32,406,927)BAD DEBT $35,041,529INTEREST IMPUTED ON INTERCOMPANY RECEIVABLES 79,286MHI INCOME 528,254GAIN (LOSS) ON NEW WEST NOTES 57,394,971TOTAL $60,637,113
Other expenses included on Form 990 (Part XII, line 4b)	BAD DEBT EXPENSE $35,041,529MHI EXPENSE $1,825,228TOTAL $36,866,759
Footnote for uncertain tax position under FIN 48 (Part X)	THE CLINIC HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. ACCORDINGLY, NO PROVISION OF INCOME TAX FOR THESE ENTITIES HAS BEEN MADE. HOWEVER, THE CLINIC IS SUBJECT TO FEDERAL AND STATE INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE CLINIC FILES TAX RETURNS IN THE US FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE CLINIC IS NO LONGER SUBJECT TO US FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2013.

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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
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)
Persons Served	44473	PersonsServedCnt
Total Community Benefit Expns	$11,374,036	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,374,036	NetCommunityBenefitExpnsAmt

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	122895	PersonsServedCnt
Total Community Benefit Expns	$57,868,680	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,610,290	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,258,390	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	167368	PersonsServedCnt
Total Community Benefit Expns	$69,242,716	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,610,290	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,632,426	NetCommunityBenefitExpnsAmt

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	52755	PersonsServedCnt
Total Community Benefit Expns	$3,682,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$538,807	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,143,855	NetCommunityBenefitExpnsAmt

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	3949	PersonsServedCnt
Total Community Benefit Expns	$7,399,001	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,455,950	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,943,051	NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	16308	PersonsServedCnt
Total Community Benefit Expns	$36,857,422	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,309,993	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,547,429	NetCommunityBenefitExpnsAmt

Research ResearchGrp

Field	Value	IRS element (for citing)
Persons Served	7182	PersonsServedCnt
Total Community Benefit Expns	$1,435,698	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,634	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,365,064	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	6551	PersonsServedCnt
Total Community Benefit Expns	$2,801,623	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$575,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,225,712	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	86745	PersonsServedCnt
Total Community Benefit Expns	$52,176,406	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,951,295	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,225,111	NetCommunityBenefitExpnsAmt

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	254113	PersonsServedCnt
Total Community Benefit Expns	$121,419,122	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,561,585	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,857,537	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,396	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,396	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,819	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$247,819	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,090	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,587	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$503	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$310,305	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,587	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$251,718	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$34,841,531	BadDebtExpenseAmt
Reimbursed By Medicare	$191,561,388	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$221,548,657	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$29,987,269	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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	BILINGS CLINIC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 TENTH AVENUE NORTH	AddressLine1Txt
City	Billings	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BILLINGSCLINIC.COM	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BILINGS 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	14	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.BILLINGSCLINIC.COM	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG	OtherWebsiteURLTxt
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	www.healthybydesignyellowstone.orgcommunity-data	StrategyWebsiteURLTxt
Strategy Attached	Yes (true)	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	200.00	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.00	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
Residency Criteria	Yes (X)	ResidencyCriteriaInd
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	WWW.BILLINGSCLINIC.	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BILLINGSCLINIC.	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.BILLINGSCLINIC.	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 Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	Yes (true)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Engaged Legal Judicial Process	Yes (X)	EngagedLegalJudicialProcessInd
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
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Facility Group 1 Part V line 5

KEY INFORMANT FOCUS GROUPS WERE HELD IN THE COMMUNITY, INCLUDING FIVE DIFFERENT GROUPS WITH 8-12 PARTICIPANTS EACH. THE GROUPS REPRESENTED LOCAL SOCIAL SERVICE PROVIDERS, LEGISLATORS, PHYSICIANS AND OTHER HEALTH PROFESSIONALS, EMPLOYERS, EDUCATORS AND LOW-INCOME GROUPS. EMPLOYERS, EDUCATORS AND PUBLIC SERVICE WERE REPRESENTED BY THE FOLLOWING ORGANIZATIONS: LAUREL PUBLIC SCHOOLS, CHAMBER OF COMMERCE, ROCKY MOUNTAIN COLLEGE, BILLINGS GAZETTE, CTA ARCHITECTS, MET TRANSIT & CITY COUNTY PLANNING DEPARTMENT & THE BILLINGS POLICE DEPARTMENT. SOCIAL SERVICE PROVODERS WERE REPRESENTED BY CENTER FOR CHILDREN AND FAMILIES, FAMILY SERVICES, UNITED WAY OF YELLOWSTONE COUNTY, PARENTS LETS UNITE FOR KIDS,ETC

Facility Group 1 Part V line 6a

THE ENTIRE CHNA WAS CONDUCTED BY PROFESSIONAL RESERCH CONSULTANTS (PRC). BILLINGS CLINICS COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN A PRE-EXISTING COMMUNITY HEALTH PARTNERSHIP CALLED THE ALLIANCE WITH ST. VINCENT HEALTHCARE (HOSPITAL ORGANIZATION) AND RIVERSTONE HEALTH (PUBLIC HEALTH DEPARTMENT FOR CITY AND COUNTY). THE ALLIANCE HAD CONDUCTED A CHNA IN 2006, 2011 AND 2014.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
BILLINGS CLINIC NORTH 30TH BLD
1045 N 30TH STREET	Billings	MT	59101	DIABETES ENDOCRINOLOGY
BILLINGS CLINIC MILES CITY
620 SOUTH HAYNES AVENUE	Miles City	MT	59301	PRIMARY CARE PEDIATRICS ONCOLOGY
BILLINGS CLINIC HEIGHTS CLINIC
760 WICKS LANE	Billings	MT	59105	PRIMARY CARE
BOZEMAN OBGYN
925 HIGHLAND BLVD	Bozeman	MT	59715	OBSTETRICS & GYNECOLOGY
BILLINGS CLINIC SURGERY CENTER
2929 TENTH AVENUE NORTH	Billings	MT	59101	OUTPATIENT SURGERY
BILLINGS CLINIC WEST
2675 CENTRAL AVENUE	Billings	MT	59102	PRIMARY CARE OBSTETRICS
BEHAVIORAL HEALTH CENTER
1020 NORTH 27TH STREET 4TH FL	Billings	MT	59101	OUTPATIENT MENTAL HEALTH
ASPEN MEADOWS
3155 AVENUE C	Billings	MT	59102	LONG TERM CARE FACILITY AND ASSISTED LIVING
BILLINGS CLINIC
2800 TENTH AVENUE NORTH	Billings	MT	59101	MULTISPECIALTY PHYSICIAN OUTPATIENT CLINICS
BILLINGS CLINIC CODY CLINIC
201 YELLOWSTONE AVENUE	Cody	WY	82414	PRIMARY CARE ONCOLOGY PEDIATRICS
BILLINGS CLINIC CANCER CENTER
801 NORTH 29TH STREET	Billings	MT	59101	CANCER CARE INFUSION CENTER RADIATION ONCOLOGY
ANTICOAGULATION CLINIC
1020 NORTH 27TH STREET 1ST FL	Billings	MT	59101	ANTICOAGULATION CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
01. Costing methodology explanation (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. BILLINGS CLINIC USED THE SAME COST-TO-CHARGE RATIO THROUGHOUT THE ENTIRE SCHEDULE TO DETERMINE THE COST OF THOSE ACTIVITIES.
02. Debt expense included (Part I, line 7, col(f))	BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT EXCLUDED FOR PURPOSES OF CALCULATING PERCENTAGE IN THIS COLUMN EQUAL $35,041,529
03. Subsidized health services costs (Part I, line 7g)	SUBSIDIZED HEALTH SERVICES INCLUDES VARIOUS PHYSICIAN CLINICS IN ORDER TO BETTER SERVE THE MONTANA AREAS. MANY CRITICAL SERVICES WERE NOT FULLY REIMBURSED SUCH AS BEHAVIORAL HEALTH, PSYCHIATRIC CARE, PEDIATRIC SPECIALTIES, SEXUAL ASSAULT NURSE EXAMINATION AND RURAL OUTREACH CLINICS. PRIMARY CLINICS WERE ONLY INCLUDED IF THEY WERE IN RURAL, UNDERSERVED AREAS OUTSIDE OUR PRIMARY SERVICE AREA.TOTAL COSTS FOR THE PHYSICIAN CLINICS WERE $36,857,422 AND NET COMMUNITY BENEFIT OF THOSE SERVICES WAS DETERMINED TO BE $4,943,051.
04. Part III, line 2	THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS.
05. Bad debt description footnote (Part III, line 4)	SEE PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE.
06. Allowable Medicare costing methodology (Part III, line 8)	WE BELIEVE THAT 34 PERCENT OF BILLINGS CLINICS MEDICARE SHORTFALLS SHOULD BE COUNTED AS COMMUNITY BENEFIT. OUR RATIONALE IS THAT 34 PERCENT IS THE BEST ESTIMATE OF THE PERCENTAGE OF MONTANAS MEDICARE POPULATION (65 AND OLDER) WHO ARE AT OR BELOW 200% OF FEDERAL POVERTY LEVEL, BASED ON U.S. CENSUS DATA. ANOTHER 32 PERCENT WOULD QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE.FOR THE CALCULATION OF THE UNREIMBURESED COST OF MEDICARE A RATIO OF PATIENT COST-TO-CHARGES USING WORKSHEET 2 WAS UTILIZED AND APPLIED TO GROSS MEDICARE CHARGES. WE DO NOT USE THE MEDICARE COST REPORT FOR THIS NUMBER. THE COST REPORT ONLY CAPTURES REVENUE RELATED TO THE FACILITY AND DOESNOT CAPTURE REVENUE/LOSSES RELATED TO CLINICAL PROFESSIONAL SERVICES, WHICH ARE A SUBSTANTIAL PORTION OF MEDICARE SHORTFALLS.
07. Collection practices (Part III, line 9b)	BILLINGS CLINIC HAD A FORMAL, WRITTEN POLICY IN TAX YEAR 2015, (OHA-205 PATIENT FINANCIAL SERVICES). WE DID HAVE A COLLECTION PROCESS, WHICH WAS USED TO SCREEN PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO MAKING PAYMENT ARRANGEMENTS FOR CARE. THE POLICY APPILES EQUALLY TO ALL PATIENTS - INSURED, UNDER-INSURED AND UNINSURED. ONCE A DETERMINATION HAS BEEN MADE AND ADJUSTMENTS APPLIED TO THE ACCOUNT BALANCE, ANY REMAINING BALANCE WOULD FALL INTO THE REGULAR GUIDELINES OF COLLECTION, GIVING PATIENTS FINANCING OPTIONS THAT WILL WORK WITHIN THEIR MONTHLY BUDGET. PATIENTS WHO CANNOT MEET THE REQUIREMENTS OF A PAYMENT ARRANGEMENT SHOULD BE OFFERED THE LOAN PROGRAM AND/OR FINANCIAL ASSISTANCE AS OPTIONS.
08. Patient education (Part VI, line 3)	ALL PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE. INFORMATIONAL BROCHURES WITH ONE PAGE SUMMARY AND APPLICATIONS FORMS ARE AVAILABLE AT REGISTRATION DESKS IN THE CLINIC AND THE HOSPITAL, THE EMERGENCY DEPARTMENT DISCHARGE DESK, AND ON OUR WEBSITE AT WWW.BILLINGSCLINIC.COM. INFORMATION ABOUT FINANCIAL ASSISTANCE IS PRINTED ON THE BACK OF PATIENT BILLS. PATIENTS HOSPITALIZED WITHOUT IDENTIFIYING A THIRD PARTY PAYER SOURCE ARE SCREENED FOR COVERAGE/ASSISTANCE (DISABILITY, MEDICAID, VETERANS ADMINSTRATION, INDIAN HEALTH SERVICES AND WORKERS COMPENSATIONS). APPLICATIONS ARE MAILED TO PATIENTS WHOSE PAYMENT PATTERN INDICATES THAT THEY MAY NEED ASSISTANCE. PATIENT FINANCIAL SERVICES STAFF IS AVAILABLE TO HELP ANY PATIENT NEEDING ASSISTANCE COMPLETING AN APPLICATION.
09. Related organization annual community benefit report (Part I, line 6a)	STILLWATER COMMUNITY HOSPITAL, A RELATED CRITICAL ACCESS HOSPITAL, PREPARES THIER OWN INDEPENDENT COMMUNITY BENEFIT REPORT.
10. Community building activities (Part II)	BILLINGS CLINIC OPERATES INJURY PREVENTION PROGRAMS, INCLUDING PREVENTION OF FALLS, BRAIN/SPINE TRAUMA AND PROMOTION OF SAFE DRIVING. BILLINGS CLINIC OFFERS FREE HEALTH EDUCATION AND SCREENINGS. BILLINGS CLINIC COLLABORATES WITH OTHER COMMUNITY PARTNERS ON HEALTH INITIATIVES, INCLUDING THE SUPPORT OF INSURANCE COVERAGE, COMMUNITY CRISIS CENTER AND MEDICATION ASSISTANCE PROGRAMS. COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE SUPPORT FOR THE ALLIANCE, A PARTNERSHIP BETWEEN CITY-COUNTY PUBLIC HEALTH DEPARTMENT, ST. VINCENT HEALTHCARE AND BILLINGS CLINIC FOR COMMUNITY HEALTH IMPROVEMENT EFFORTS, ADVOCACY FOR COMMUNITY HEALTH AND DISASTER READINESS PREPARATION AND PLANNING.
11. Community information (Part VI, line 4)	BILLINGS CLINIC IS BASED IN BILLINGS, MONTANA AND IS MONTANAS LARGEST HEALTH CARE ORGANIZATION SERVING A VAST REGION COVERING MUCH OF MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC IS ONE OF MONTANAS LARGEST EMPLOYERS WITH APPROXIATELY 4,000 EMPLOYEES INCLUDING MORE THAN 400 PHYSICIANCS AND ADVANCED PRACTITIONERS OFFERING MORE THAN 50 SPECIALTIES.COMMUNITY BENEFIT INCLUDES HEALTH CARE SERVICES PROVIDED AT BILLINGS CLINIC LOCATIONS, INCLUDING THE HOSPITAL, CLINIC, BRANCHES AND OUTREACH CLINICS. BILLINGS CLINIC SPECIALISTS PROVIDE MORE THAN 100 OUTREACH CLINICS PER MONTH AT 22 DIFFERENT REGIONAL LOCATIONS FOR THE RESIDENTS OF MONTANA, WYOMING AND NORTH DAKOTA.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
BILLINGS CLINIC FOUNDATION
2917 TENTH AVENUE N	Billings	MT	59101	810407289	501C3	$143,511	SUPPORT OPERATIONS
COMMUNITY CRISIS CENTER
704 NORTH 30TH STREET	Billings	MT	59101	203231164	501C3	$87,956	SUPPORT OPERATIONS
BOYS AND GIRLS CLUB OF YELLOWSTONE
505 ORCHARD LANE	Billings	MT	59101			$20,000	SUPPORT ADDITION OF NEW LOCATION
RONALD MCDONALD HOUSE
1144 NORTH 30TH STREET	Billings	MT	59101	810400667	501C3	$22,600	SUPPORT OPERATIONS
FAMILY PROMISE
40 10TH STREET WEST	Billings	MT	59102			$5,500	SUPPORT OPERATIONS AND CAPITAL CAMPAIGN
SILVER RUN SKI FOUNDATION
PO BOX 725	Red Lodge	MT	59068			$5,900	SPONSORSHIP
BIG SKY STATE GAMES
BOX 7136	Billings	MT	59103	810431595	501C3	$6,000	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	40	RecipientCnt
Cash Grant	$19,600	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Monitoring procedures (Part I, line 2)	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION AWARDS SCHOLARSHIPS TO INDIVIDUALS WHO EXHIBIT A STRONG DESIRE AND POTENTIAL TO EXCEL IN THE HEALTH CARE FIELD. STUDENTS MUST COMPLETE AN APPLICATION FORM WHICH INCLUDES THEIR MOST RECENT HIGH SCHOOL TRANSCRIPT OR G.E.D AND CURRENT COLLEGE TRANSCRIPT. THE APPLICATION MUST INCLUDE THREE INDIVIDUAL REFERENCES ON USING THE ORGANIZATIONS RECOMMENDATION QUESTIONAIRE. THE ORGANIZATION ALSO PROVIDES GRANTS TO OTHER HEALTH RELATED ORGANIZATIONS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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 (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
NICHOLAS J WOLTER
CHIEF EXECUTIVE OFFICER	$723,548	$460,678	$23,275	$8,634	$1,216,135
CONNIE PREWITT
CHIEF FINANCIAL OFFICER	$398,606	$111,837	$23,275	$15,762	$598,603	$49,123
CLAYTON H MCCRACKEN III MD
PHYSICIAN BOARD MEMBER	$335,091		$28,664	$18,022	$381,777
JARED J LUND MD
PHYSICIAN	$774,214	$20,000	$23,275	$17,118	$834,607
MICHAEL A MORONE MD
PHYSICIAN	$892,504		$21,401	$17,118	$931,023
BARRY N SMITH MD
PHYSICIAN	$830,002	$28,481	$22,818	$17,118	$898,419
ROBERT SCHULTZ MD
PHYSICIAN	$770,302	$35,969	$22,817	$9,618	$838,706
BRADLEY ZINS MD
PHYSICIAN	$748,313		$22,733	$17,118	$788,164
ROBERT PUERINGER MD
PHYSICIAN BOARD MEMBER	$319,441		$27,639	$16,509	$363,589
DARRELL EHRLICK
FORMER BOARD MEMBER	$28,497				$28,497		$28,497
LINDA OVERSTREET
FORMER BOARD MEMBER	$12,758				$12,758		$12,758

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Benefit information (Part I, line 1a)	THE BILLINGS CLINIC PERIODICALLY ARRANGES AND PAYS FOR CHARTER TRAVEL FOR MANAGEMENT AND/OR BOARD MEMBERS ATTENDING GOVERNANCE EDUCATION, STATE LEGISLTATIVE HEARINGS, AND ASSOCIATION MEETINGS. BILLINGS CLINIC ALSO PAYS FOR THE TRAVEL EXPENSE OF SPOUSES OF THE BOARD MEMBERS ATTENDING ORGANIZATIONALLY APPROVED/ARRANGED GOVERNANCE EDUCATION. THIS REIMBURSEMENT IS REPORTED AS INCOME CONSISTENT WITH THE BOARD TRAVEL REIMBURSEMENT POLICY.
Listed persons compensation information (Part I, line 4)	THE BILLINGS CLINIC SUPPLEMENTAL RETIREMENT AGREEMENT FOR SENIOR EXECUTIVES (SERP) IS A NON-ELECTIVE 457(F) AGREEMENT AND PROVIDES FOR ANNUAL DEFERRALS, WHICH BECOME VESTED AND PAYABLE AFTER 4 YEARS. THE FOLLOWING INDIVIDUALS ARE PARTICIPANTS IN THE PLAN AND RECEIVED A DEFERRAL DURING THE 2015 CALENDAR YEAR WHICH IS INCLUDED IN DEFERRED COMPENSATION ON SCHEDULE J, PART II, COLUMN B, iiiCONNIE PREWITT $49,123
Other non-fixed payments (Part I, line 7)	THE BOARD OF DIRECTORS ANNUALLY DETERMINES THE INCENTIVE PLAN AMOUNT FOR THE CEO AND THE SENIOR EXECUTIVE TEAM BASED ON AN EXTERNAL COMPENSATION STUDY. THE AVAILABILITY OF THE INCENTIVE IS TRIGGERED BY THE ORGANIZATION OPERATING MARGIN PERFORMANCE TARGETS. THE INCENTIVE IS AWARDED BASED ON FINANCIAL PERFORMANCE AS WELL AS ORGANIZATIONAL PERFORMANCE MEASUREMENTS IN QUALITY, PATIENT SATISFACTION, EMPLOYEE SATISFACTION AND THEN INDIVIDUAL GOALS SET EACH YEAR IF THE TARGET IS TRIGGERED. THE INCENTIVE IS PAID ONLY IF TRIGGERED FOLLOWING THE FINANCIAL AUDIT PRESENTATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MONTANA FACLITY FINANCE AUTH
A	364615155	612043FL8	2008-05-30	$60,000,000	CAPITAL PROJECTS	Yes (true)	false	false
MONTANA FACLITY FINANCE AUTH
B	364615155	61204MAA5	2011-08-24	$140,000,000	CAPITAL PROJECTS REFUND 2008 BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$34,025,000	$60,000,000	$3,736,041	$1,200,000	$49,976,092	2009	false	false	Yes (true)	Yes (true)
B	$12,360,000	$140,124,100		$858,750	$54,703,676	2014	false	Yes (true)	false	Yes (true)	$84,553,156

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
AARON SPARBOE
LANDLORD	$1,379,397	RENT	false
NEW WEST HEALTH SERVICES
	$16,900,000	CLAIMS PAID	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Officer directors etc family relationship Part VI line 2	NICHOLAS WOLTER, CONNIE PREWITT AND JOY OTT HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS OR OFFICERS OF THE WHOLLY OWNED SUBSIDIARY DISCLOSED ON SCHEDULE R, PART IV
Form 990 governing body review Part VI line 11	THE 990 REVIEW IS COMPLETED BEFORE THE RETURN IS FILED. IT IS REVIEWED BY THE CFO AND THEN THE BOARD OF DIRECTORS.
Conflict of interest policy compliance Part VI line 12c	THE GOVERNANCE AND NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS, ACCORDING TO THEIR CHARTER, REVIEW ANNUALLY THE DISCLOSURE STATEMENTS OF THE BOARD OF DIRECTORS AND SENIOR EXECUTIVES AND TAKE ACTIONS TO RESOLVE CONFLICTS. A CONFLICT OF INTEREST REVIEW PANEL, CHAIRED BY THE COMPLIANCE OFFICER, AS OUTLINED IN THE ORGANIZATIONAL POLICY, IS RESPONSIBLE FOR REVIEWING DISCLOSED CONFLICTS AND APPROVING NECESSARY CONFLICT MANAGEMENT PLANS OF ALL OTHER INTERESTED PERSONS AT BILLINGS CLINIC.
CEO executive director top management comp Part VI line 15a	BILLINGS CLINIC HAS AN EXECUTIVE COMPENSATION PROGRAM ADMINISTERED BY INDEPENDENT TRUSTEES FOLLOWING BEST PRACTICES AND THE HIGHEST REGULATORY STANDARDS EXPECTED OF A NOT-FOR-PROFIT ORGANIZATION. THEY FOLLOW BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY WHICH DEFINES THE MARKET AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. THEY LOOK AT RELEVANT MARKET DATA OF SIMILAR ROLES IN SIMILAR ORGANIZATIONS. ANNUAL DISCLOSURE OF THE COMMITTEES ACTIONS AND DECISIONS TO THE FULL BOARD IS REQUIRED.
Other officer or key employee compensation Part VI line 15b	BILLINGS CLINIC HAS AN EXECUTIVE COMPENSATION PROGRAM ADMINISTERED BY INDEPENDENT TRUSTEES FOLLOWING BEST PRACTICES AND THE HIGHEST REGULATORY STANDARDS EXPECTED OF A NOT-FOR-PROFIT ORGANIZATION. THEY FOLLOW BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY WHICH DEFINES THE MARKET AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. THEY LOOK AT RELEVANT MARKET DATA OF SIMILAR ROLES IN SIMILAR ORGANIZATIONS. ANNUAL DISCLOSURE OF THE COMMITTEES ACTIONS AND DECISIONS TO THE FULL BOARD IS REQUIRED.
Governing documents etc available to public Part VI line 19	BILLINGS CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON AN AS NEEDED BASIS.
Explanation of other changes in net assets or fund balances Part XI line 9	INTEREST ON AFFILIATE LOANS $79,286CHANGE IN FAIR VALUE OF SWAPS (6,563,940)CHANGE IN AFFILATES 38,130,420LOSS ON NEW WEST DEBT (57,394,971TOTAL ($25,749,205)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MONTANA HEALTHCARE INDEMNITY LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 TENTH AVENUE NORTH	AddressLine1Txt
City	Billings	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
EIN	810231784	EIN
Primary Activities	INSURANCE CAPTIVE	PrimaryActivitiesTxt
Legal Domicile State	MT	LegalDomicileStateCd
Total Income	$528,254	TotalIncomeAmt
End Of Year Assets	$15,877,005	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	BILLINGS CLINIC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BILLINGS CLINIC FOUNDATION
2917 TENTH AVENUE NORTH	Billings	MT	59101	810407289	FUNDRAISING	MT	501C3	7	BILLINGS CLINIC	Yes (true)
STILLWATER HOSPITAL ASSOCIATION
710 N 11TH STREET	Columbus	MT	59019	810286525	HOSPTAL	MT	501C3	3	BILLINGS CLINIC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
NEW WEST HEALTH SERVICES
130 NEILL AVENUE	Helena	MT	59601	841418136	INSURANCE SALES	MT	BILLINGS CLINIC	C Corp	$143,842,421	$32,748,976	1.00000	Yes (true)
BILLINGS CLINIC EXPRESS CARE
2800 TENTH AVENUE NORTH	Billings	MT	59101	463355499	OUTPATIENT CLINIC	MT	BILLINGS CLINIC	C Corp	$697,453	$658,272	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	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	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	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 (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
EXPRESS CARE
d	$3,165,035	INTERCOMPANY AMOUNT
BILLINGS CLINIC FOUNDATION
d	$184,489	INTERCOMPANY AMOUNT