2017-04-28T15:15:42-06:00 2016-06-30 990 2015-07-01 810231784 BILLINGS CLINIC BILL 2800 TENTH AVENUE SOUTH Billings MT 59101 CONNIE PREWITT CFO 4062382500 2017-04-28 2015 2021-01-29 14:40:06Z NICHOLAS J WOLTER 1291926031 false X WWW.BILLINGSCLINIC.ORG X 1907 MT 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 11 8 4604 316 9284184 2088989 7063534 6882544 621890549 644159429 12341919 2653118 7069276 11330945 648365278 665026036 807950 520930 0 323961290 351210024 0 0 280972044 288444620 605741284 640175574 42623994 24850462 706036383 711015080 273015058 276052936 433021325 434962144 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 false false 242170574 322541 397448495 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. 226142566 562694 238329730 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. 26676083 212325 2547287 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. 9220021 7805036 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. 9220021 7805036 504209244 true true false true false false false false false true true false false true true true true true false false false false false false false false true true true true true true false false false false false false false true false false false false false false true true true true false false true 141 0 true 4604 true true true false false false false false false false false false X 11 8 true false false false false false false true true false false true true true true true true true true true false MT X CONNIE PREWITT 4062382500 2800 TENTH AVENUE SOUTH Billings MT 59101 NICHOLAS J WOLTER CHIEF EXECUTIVE OFFICER 70.00 5.00 X X 1184226 0 31909 DAVID BROWN CHAIRMAN 5.00 0.00 X X 0 0 13690 JOY OTT VICE CHAIR 5.00 0.00 X X 0 0 7310 ELIZABETH FULTON TREASURER 5.00 0.00 X X 0 0 6913 LIL ANDERSON SECRETARY 5.00 0.00 X X 6000 0 0 PENNI NANCE BOARD MEMBER 3.00 0.00 X 6000 0 0 AARON SPARBOE BOARD MEMBER 3.00 0.00 X 0 0 6522 CLAYTON H MCCRACKEN III PHYSICIAN BOARD MEMBER 70.00 0.00 X 335091 0 46686 CRAIG BARTHOLOMEW BOARD MEMBER 3.00 0.00 X 0 0 3011 ROBERT PUERINGER PHYSICIAN BOARD MEMBER 70.00 0.00 X 319441 0 44148 CONNIE PREWITT CHIEF FINANCIAL OFFICER 70.00 5.00 X 559566 0 39037 JARED J LUND PHYSICIAN 70.00 0.00 X 794214 0 40393 MICHAEL A MORONE PHYSICIAN 70.00 0.00 X 892504 0 38519 BARRY N SMITH PHYSICIAN 70.00 0.00 X 858483 0 39936 ROBERT SCHULTZ PHYSICIAN 70.00 0.00 X 806271 0 32435 BRADLEY ZINS PHYSICIAN 70.00 0.00 X 748313 0 39851 DARRELL EHRLICK FORMER BOARD MEMBER 0.00 0.00 X 28497 0 0 LINDA OVERSTREET FORMER BOARD MEMBER 0.00 0.00 X 12758 0 0 6551364 0 390360 488 true true false SODEXO INC PO BOX 37000 Billings MT 59107 FOOD SERVICE 4267448 HAYES LOCUMS LLC 6700 N ANDREWS AVE STE 600 Fort Lauderdale FL 33309 PHYSICIAN SERVICES 3984588 COMMAND HEALTH PO BOX 847797 Dallas TX 75284 TRANSCRIPTION 2009616 CBB COLLECTIONS 3318 3RD AVE N STE 100 Billings MT 591071213 COLLECTION AGENCY 1801604 HEALTHCARE OUTSOURCING NETWORK 621 17TH STREET STE 1800 Denver CO 80293 EARLY OUT VENDOR 2061321 28 6882544 6882544 PATIENT SERVICE REVENUE 621110 603369746 603369746 AIR AMBULANCE 621910 6477169 6477169 LONG TERM CARE 623000 7747760 7747760 REFERENCE LAB 621500 4224226 4224226 OUTPATIENT PHARMACY 621990 20222921 20222921 2117607 2117607 644159429 5045682 5045682 274408 198766 75642 75642 75642 624308665 626600186 101043 -2291521 -101043 -2392564 -2392564 REGIONAL IT SERVICES 541519 3399329 3399329 OPTICAL SHOPCOSMETICS 446199 79271 79271 7776703 6195345 1581358 11255303 665026036 646130548 9284184 2728760 499601 499601 21329 21329 2955400 2199520 755880 286881042 231937441 54943601 13354992 10818819 2536173 30030638 16538724 13491914 17987952 13541419 4446533 1361186 10923 1350263 191717 2350 189367 143559 143559 1003214 1003214 47754348 22822736 24931612 1778004 37559 1740445 9566039 3849409 5716630 13841151 10604856 3236295 6544651 5555516 989135 2770069 1745350 1024719 177008 51173 125835 6583829 4900817 1683012 23644108 15543552 8100556 8299396 6622198 1677198 MEDICAL SUPPLIES 106562938 106372268 190670 BAD DEBT 35041530 35041530 REPAIRS & MAINTENANCE 8403981 6775135 1628846 BED TAX 3898114 3898114 10879778 4818905 6060873 640175574 504209244 135966330 0 11599632 16701241 6319358 6411982 102564914 90707342 443944 194177 7413795 9544802 5741004 9222003 509338735 277648708 227901140 231690027 240376416 245865238 18496547 18397884 85179633 82280384 706036383 711015080 58382923 59230375 118252 29008 156175048 152171468 1607316 722468 56731519 63899617 273015058 276052936 X 394986802 395690325 14707433 15144652 23327090 24127167 433021325 434962144 706036383 711015080 X 24850462 1757062 1003214 -25669919 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 143559 143559 642681515 642825074 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 219228 159612 171195 143559 693594 250000 250000 250000 250000 1000000 1500000 45241517 808522 1194556 303870 46940725 25855937 17610002 1990724 215146 45241517 23259946 551706 2064279 19994 25855937 21981852 415028 1054443 204010 -12633 23259946 21026911 246728 724344 44349 -28218 21981852 0.39700 0.51400 0.08900 false true true 4573410 17943001 22516411 188204707 80576087 107628620 1992184 1589349 402835 274555813 185724903 88830910 22069620 9758369 12311251 231690027 JOINT VENTURES 18397884 C 18397884 DUE FROM MEDICAREMEDICAID 5433459 DUE FROM FOUNDATION 184489 DUE FROM EXPRESS CARE 3165035 INTEREST IN FOUNDATION 67828818 INTEREST IN STILLWATER HOSPITAL 3833955 INTEREST IN MHI 4361012 INTEREST IN EXPRESS CARE -2526384 82280384 DUE TO MEDICAREMEDICAID 3469761 INTEREST RATE SWAP AGREEMENT 29814264 MHI LIABILITY 18696897 RESERVE FOR FIRST CARE LOANS 999571 ABANDONED PROPERTY 545966 DEFERRED COMPENSATION 1408136 DUE TO NEW WEST 8196510 RESERVE FOR UNPAID CLAIMS 467950 EMPLOYEE FLEX FUNDS 240999 DEPOSITS ON ACCOUNT 59563 63899617 X 598658117 1757062 -6563940 -4806878 603464995 1003214 60557827 61561041 665026036 602305601 602305601 1003214 36866759 37869973 640175574 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. true true X true X true X true true false true true 44473 11374036 11374036 122895 57868680 44610290 13258390 167368 69242716 44610290 24632426 52755 3682662 538807 3143855 3949 7399001 2455950 4943051 16308 36857422 28309993 8547429 7182 1435698 70634 1365064 6551 2801623 575911 2225712 86745 52176406 31951295 20225111 254113 121419122 76561585 44857537 3396 3396 247819 247819 59090 58587 503 310305 58587 251718 false 34841531 191561388 221548657 -29987269 X true true 1 1 BILINGS CLINIC 2800 TENTH AVENUE NORTH Billings MT 59101 WWW.BILLINGSCLINIC.COM X X X X X 1 BILINGS CLINIC 1 false false true X X X X X X X X X 14 true true true true X WWW.BILLINGSCLINIC.COM X WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG X true 15 true www.healthybydesignyellowstone.orgcommunity-data true false true X 200.00 400.00 X X X X X true true X X X X true X WWW.BILLINGSCLINIC. X WWW.BILLINGSCLINIC. X WWW.BILLINGSCLINIC. X X X true X true X X X X X X true X false false 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. 12 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 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. true BILLINGS CLINIC FOUNDATION 2917 TENTH AVENUE N Billings MT 59101 810407289 501C3 143511 SUPPORT OPERATIONS COMMUNITY CRISIS CENTER 704 NORTH 30TH STREET Billings MT 59101 203231164 501C3 87956 SUPPORT OPERATIONS BOYS AND GIRLS CLUB OF YELLOWSTONE 505 ORCHARD LANE Billings MT 59101 20000 SUPPORT ADDITION OF NEW LOCATION RONALD MCDONALD HOUSE 1144 NORTH 30TH STREET Billings MT 59101 810400667 501C3 22600 SUPPORT OPERATIONS FAMILY PROMISE 40 10TH STREET WEST Billings MT 59102 5500 SUPPORT OPERATIONS AND CAPITAL CAMPAIGN SILVER RUN SKI FOUNDATION PO BOX 725 Red Lodge MT 59068 5900 SPONSORSHIP BIG SKY STATE GAMES BOX 7136 Billings MT 59103 810431595 501C3 6000 SPONSORSHIP 4 3 SCHOLARSHIPS 40 19600 Monitoring procedures (Part I, line 2) 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. X X true true X X X X X X false true false false false false false true false NICHOLAS J WOLTER CHIEF EXECUTIVE OFFICER 723548 460678 23275 8634 1216135 CONNIE PREWITT CHIEF FINANCIAL OFFICER 398606 111837 49123 23275 15762 598603 CLAYTON H MCCRACKEN III MD PHYSICIAN BOARD MEMBER 335091 28664 18022 381777 JARED J LUND MD PHYSICIAN 774214 20000 23275 17118 834607 MICHAEL A MORONE MD PHYSICIAN 892504 21401 17118 931023 BARRY N SMITH MD PHYSICIAN 830002 28481 22818 17118 898419 ROBERT SCHULTZ MD PHYSICIAN 770302 35969 22817 9618 838706 BRADLEY ZINS MD PHYSICIAN 748313 22733 17118 788164 ROBERT PUERINGER MD PHYSICIAN BOARD MEMBER 319441 27639 16509 363589 DARRELL EHRLICK FORMER BOARD MEMBER 28497 28497 28497 LINDA OVERSTREET FORMER BOARD MEMBER 12758 12758 12758 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. A MONTANA FACLITY FINANCE AUTH 364615155 612043FL8 2008-05-30 60000000 CAPITAL PROJECTS true false false B MONTANA FACLITY FINANCE AUTH 364615155 61204MAA5 2011-08-24 140000000 CAPITAL PROJECTS REFUND 2008 BONDS false false false A 34025000 60000000 3736041 1200000 49976092 2009 false false true true B 12360000 140124100 858750 54703676 84553156 2014 false true false true AARON SPARBOE LANDLORD 1379397 RENT false NEW WEST HEALTH SERVICES 16900000 CLAIMS PAID false 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) MONTANA HEALTHCARE INDEMNITY LLC 2800 TENTH AVENUE NORTH Billings MT 59101 810231784 INSURANCE CAPTIVE MT 528254 15877005 BILLINGS CLINIC BILLINGS CLINIC FOUNDATION 2917 TENTH AVENUE NORTH Billings MT 59101 810407289 FUNDRAISING MT 501C3 7 BILLINGS CLINIC true STILLWATER HOSPITAL ASSOCIATION 710 N 11TH STREET Columbus MT 59019 810286525 HOSPTAL MT 501C3 3 BILLINGS CLINIC true NEW WEST HEALTH SERVICES 130 NEILL AVENUE Helena MT 59601 841418136 INSURANCE SALES MT BILLINGS CLINIC C Corp 143842421 32748976 1.00000 true BILLINGS CLINIC EXPRESS CARE 2800 TENTH AVENUE NORTH Billings MT 59101 463355499 OUTPATIENT CLINIC MT BILLINGS CLINIC C Corp 697453 658272 1.00000 true false false true true false false false false false false false false false false false false false false false EXPRESS CARE d 3165035 INTERCOMPANY AMOUNT BILLINGS CLINIC FOUNDATION d 184489 INTERCOMPANY AMOUNT