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BEARTOOTH BILLINGS CLINIC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BEARTOOTH BILLINGS CLINIC (EIN 81-0224734)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201313179349303531
Schema version
2012v2.0
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T14:44:23-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Mrachek Popp & Associates PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1404 North 31st Suite 400AddressLine1
CityBillingsCity
StateMTState
ZIP Code59101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN810224734EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBEARNameControl
Phone4064462345Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 590AddressLine1
CityRED LODGECity
StateMTState
ZIP Code59068ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKELLEY EVANSName
TitleCEOTitle
Date Signed2013-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY MRACHEKName
PTINP00629076PTIN
Phone4062526301Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts12356827GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.beartoothbillingsclinic.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1948YearFormation
State Legal DomicileMTStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE ORGANIZATION IS TO SAVE LIVES AND PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE, AND INNOVATIONActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees113TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year142567ContributionsGrantsPriorYear
Contributions Grants Current Year529881ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9826765ProgramServiceRevenuePriorYear
Program Service Revenue CY11600971ProgramServiceRevenueCY
Investment Income Prior Year39575InvestmentIncomePriorYear
Investment Income Current Year1709InvestmentIncomeCurrentYear
Other Revenue Current Year224266OtherRevenueCurrentYear
Total Revenue Prior Year10008907TotalRevenuePriorYear
Total Revenue Current Year12356827TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10681864OtherExpensePriorYear
Other Expenses Current Year12295850OtherExpensesCurrentYear
Total Expenses Prior Year10681864TotalExpensesPriorYear
Total Expenses Current Year12295850TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-672957RevenuesLessExpensesPriorYear
Revenues Less Expenses CY60977RevenuesLessExpensesCY
Total Assets BOY23479227TotalAssetsBOY
Total Assets EOY23505114TotalAssetsEOY
Total Liabilities BOY18190243TotalLiabilitiesBOY
Total Liabilities EOY18150007TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5288984NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5355107NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE ORGANIZATION IS TO SAVE LIVES AND PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE, AND INNOVATIONMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10779441Expense
Revenue11600971Revenue
DescriptionCOMMUNITY-OWNED CRITICAL ACCESS HOSPITAL PROVIDING ACUTE AND TRANSITIONAL CARE, OUTPATIENT SURGICAL SERVICES, DIAGNOSTIC SERVICES, REHABILITATION, AND HOSPICE/HOME CARE FOR RED LODGE, MT AND SURROUNDING AREA PAID FOR THROUGH PATIENT FEES, MEDICARE AND MEDICAID, AND PRIVATE INSURANCE REIMBURSEMENTS.Description
Total Program Service Expense10779441TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees113NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonANNE MARIE KLOPPELNamePerson
Telephone Number4066573801TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 37000AddressLine1
CityBILLINGSCity
StateMTState
ZIP Code59107ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
VIRGINIA MOHL MD
Director1.000.00X000
MIKE SHUCK
Director2.000.00X000
GEORGE CLOW
Director1.000.00X000X
JIM DUNCAN
Director1.000.00X000
KELLEY EVANS
CEO40.000.00X000
KAREN HOINESS
Vice President1.000.00X000X
DICK FELLOWS
Director1.000.00X000
STEVE MUTH
President1.000.00X000X
SARAH EWALD
FNDN LIASON1.000.00X000
JIM NOE
Director1.000.00X000
CLAY CUMMINS
Director1.000.00X000
LINDA HARRIS
Director1.000.00X000
SHARON NORBY
40.000.0010051500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org100515TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BILLINGS CLINICBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 37000AddressLine1
CityBILLINGSCity
StateMTState
ZIP Code59107ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesMANAGEMENT SERVICESDescriptionOfServices
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions529881AllOtherContributions
Total Contributions529881TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPRIMARY CARE HOSP/CLINICDescription
Business Code621990BusinessCode
Total Revenue Column11600971TotalRevenueColumn
Related Or Exempt Function Income11600971RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11600971TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1709TotalRevenueColumn
Related Or Exempt Function Income1709RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS
GAIN ON INVESTMENTS6219902048620486
DAY CARE SERVICES624410203780203780
FieldValueIRS element (for citing)
Total Other Revenue224266TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12356827TotalRevenueColumn
Related Or Exempt Function Income11826946RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total905357Total
Program Services905357ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1360549Total
Program Services1224494ProgramServices
Management And General136055ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
UNCOLLECTIBLE SERVICE FEES11344461134446
NURSING SERVICES19535891953589
ADMINISTRATION241486210345081380354
OTHER PROFESSIONAL SERVICES36746933674693

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total852354Total
Program Services852354ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12295850Total
Program Services10779441ProgramServices
Management And General1516409ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY65880BOY
EOY321110EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY820800BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2227870BOY
EOY2980925EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY227871BOY
EOY24640EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY174550BOY
EOY230402EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY73736BOY
EOY100491EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20892009LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3476529LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18546718BOY
EOY17415480EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY349548BOY
EOY372924EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY992254BOY
EOY2059142EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23479227BOY
EOY23505114EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY841730BOY
EOY779528EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY17348513BOY
EOY17370479EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18190243BOY
EOY18150007EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5264484BOY
EOY5330607EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24500BOY
EOY24500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5288984BOY
EOY5355107EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23479227BOY
EOY23505114EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses60977ReconcilationRevenueExpenses
Reconciliation Unrealized Invest5146ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis774520OtherCostOrOtherBasis
Book Value774520BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14541158OtherCostOrOtherBasis
Depreciation1298079Depreciation
Book Value13243079BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1347859OtherCostOrOtherBasis
Depreciation263428Depreciation
Book Value1084431BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4228472OtherCostOrOtherBasis
Depreciation1915022Depreciation
Book Value2313450BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17415480TotalOfBookValueLandBuildings
Total Book Value Other Assets2059142TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt12090415TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments5146NetUnrealizedGainsInvestments
Other Revenues-271558OtherRevenues
Revenue Not Rptd F990-266412RevenueNotRptdF990
Revenue Subtotal12356827RevenueSubtotal
Total Revenue Per Form99012356827TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12024292TotExpensesEtcAuditedFinclStmt
Other Expenses Included-271558OtherExpensesIncluded
Expenses Not Rptd F990-271558ExpensesNotRptdF990
Expenses Subtotal12295850ExpensesSubtotal
Total Expenses Per Form99012295850TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage110.000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense313085TotalCommunityBenefitExpense
Net Community Benefit Expense313085NetCommunityBenefitExpense
Percent Of Total Expense0.02550PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense345460TotalCommunityBenefitExpense
Direct Offsetting Revenue321389DirectOffsettingRevenue
Net Community Benefit Expense24071NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense658545TotalCommunityBenefitExpense
Direct Offsetting Revenue321389DirectOffsettingRevenue
Net Community Benefit Expense337156NetCommunityBenefitExpense
Percent Of Total Expense0.02750PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Total Community Benefit Expense40352TotalCommunityBenefitExpense
Net Community Benefit Expense40352NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Total Community Benefit Expense3085TotalCommunityBenefitExpense
Net Community Benefit Expense3085NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Total Community Benefit Expense376513TotalCommunityBenefitExpense
Direct Offsetting Revenue282425DirectOffsettingRevenue
Net Community Benefit Expense94088NetCommunityBenefitExpense
Percent Of Total Expense0.00770PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Total Community Benefit Expense9783TotalCommunityBenefitExpense
Net Community Benefit Expense9783NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Total Community Benefit Expense429733TotalCommunityBenefitExpense
Direct Offsetting Revenue282425DirectOffsettingRevenue
Net Community Benefit Expense147308NetCommunityBenefitExpense
Percent Of Total Expense0.01210PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs40NumberOfActivitiesOrPrograms
Total Community Benefit Expense1088278TotalCommunityBenefitExpense
Direct Offsetting Revenue603814DirectOffsettingRevenue
Net Community Benefit Expense484464NetCommunityBenefitExpense
Percent Of Total Expense0.03960PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense272833TotalCommunityBuildingExpense
Direct Offsetting Revenue204053DirectOffsettingRevenue
Net Community Building Expense68780NetCommunityBuildingExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense1423TotalCommunityBuildingExpense
Net Community Building Expense1423NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense6639TotalCommunityBuildingExpense
Net Community Building Expense6639NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2242TotalCommunityBuildingExpense
Net Community Building Expense2242NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense283137TotalCommunityBuildingExpense
Direct Offsetting Revenue204053DirectOffsettingRevenue
Net Community Building Expense79084NetCommunityBuildingExpense
Percent Of Total Expense0.00640PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$789,940BadDebtExpenseAmount
Amount Attributable To315976AmountAttributableTo
Amount Reimbursed By Medicare5100110AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare5100110CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINICBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12525 N BROADWAYAddressLine1
CityRED LODGECity
StateMTState
ZIP Code59068ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours
OtherCLINICOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

FieldValueIRS element (for citing)
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent110.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application MethodfalseExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notified All PatientsXNotifiedAllPatients
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part V - Explanation of Number of Facility TypePART 1 6A - FACILITY PUBLISHES AN ANNUAL REPORT EACH YEAR THAT IS DISTRIBUTED AT THE ANNUAL ASSOCIATION MEETING AND AVAIALABLE TO THE PUBLIC. THE REPORT CONTAINS FINANCIAL PERFORMANCE RESULTS AND CHARITY CARE OUTCOMES.PART III SECTION C 9B - POLICY STATES UP FRON THAT ADMISSIONS REPRESENTATIVE IS TO GIVE FINANCIAL ASSISTANCE PAPERWORK WITH INFORMAION ON CHARITY CARE AT THE TIME OF ADMISSION. FOLLOW UP CONSULTATION IS DONE LATER TO INCLUDE FINANCIAL ASSISTANCE DISCUSSIONS WITH PATIENT.
Part VI - Community Building ActivitiesTHE FACILITY COORDINATES TRAUMA FOR ALL COUNTY TRAUMA PROVIDERS. THIS PROVIDES THE MOST EFFICIENT RESPONSE TIMES AS WELL AS COORDINATED EDUCATION.
Part VI - Needs AssessmentPERIODIC COMMUNITY SURVEYS ARE CONDUCTED TO DEFINE THE PHYSICIAN SPECIALTIES THAT ARE NEEDED/REQUESTED AT THE FACILITY.
Part V, Line 22 - Charge Patients Amount Equal Gross Charge for ServicesFAP-ELIGIBLE INDIVIDUALS ARE ALL CHARGED EQUALLY, AND ARE CHARGED AT GROSS CHARGES.FAP-ELIGIBLE INDIVIDUALS ARE ALL CHARGED EQUALLY, AND ARE CHARGED AT GROSS CHARGES.Number of Hospital Faciltiy - 1
Part V, Line 20d - Other Billing Determination of Individuals Without InsuranceFAP-ELIGIBLE INDIVIDUALS ARE ALL CHARGED EQUALLY, AND ARE CHARGED AT GROSS CHARGES.Number of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsTHE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIAL UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY, THEY ARE NOT REPORTED AS REVENUE, OR SUBJECT TO COLLECTION.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeOn Behalf Of IssuerOnBehalfOfIssuer
MEMORIAL HOSPITAL ASSOCIATION
C8102247342009-01-081380000CONSTRUCTION OF MEDICAL FACILITYfalse
MEMORIAL HOSPITAL ASSOCIATION
B8102247342009-01-084620000CONSTRUCTION OF MEDICAL FACILITYfalse
MEMORIAL HOSPITAL ASSOCIATION
A8102247342009-01-087775000CONSTRUCTION OF MEDICAL FACILITYfalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundAmount UnspentAmountUnspent
C13800001380000true
B46200004620000true
A77750002463757true7846934526550

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesEXECUTIVE MANAGEMENT PREPARES AN ANNUAL EVALUATION OF KEY EMPLOYEE POSTIONS PERFORMANCE AND PROVIDE WAGE ADJUSTMENTS CONSISTENT WITH MARKET VALUE FOR SERVICES RENDERED.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementBOARD OF DIRECTORS PREPARE AN ANNUAL EVALUATION OF EXECUTIVE MANAGMENT PERFORMANCE AND PROVIDE WAGE ADJUSTMENTS CONSISTENT WITH MARKET VALUE FOR SERVICES RENDERED.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBoard members annually disclose in writing their professional and personal alliances. These are reviewed by the Board Chair and CEO. Throughout the year, if changes occur, the Board Chair and CEO address those items with the individuals involved.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessTHE ORGANIZATION WAS PROVIDED WITH A COPY OF THE INFORMATIONAL TAX RETURN ALONG WITH FORM 8879 REQUESTING THAT, UPON APPROVAL OF THE RETURN, THE FORM 8879 BE RETURNED WITH SIGNATURES ATTACHED, AT WHICH TIME THE TAX RETURN WOULD BE ELECTRONICALLY FILED.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderTHE COMMUNITY-OWNED HOSPITAL IS OWNED BY THE MEMORIAL HOSPITAL ASSOCIATION, A MEMBER ORGANIZATION RECOGNIZED 501(C)(3)THAT HAS SUBROGATED THE MANAGEMENT RESPONSIBILITY AND FINANCIAL ACCOUNTABILITY TO A BOARD OF DIRECTORS
Form 990, Part VI, Line 3Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyBeartooth Billings Clinic hired Beartooth Health Management, LLC (a related party of which the Hospital has a 50% ownership interest) to conduct, supervise, operate and manage day-to-day operations of the Hospital, its departments, employees and financial administration. The LLC hired management personnel through another organization and is billed for those services. The Hospital reimburses the LLC for expenses for management services.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BHHC FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1290AddressLine1
CityRED LODGECity
StateMTState
ZIP Code59068ZIPCode
FieldValueIRS element (for citing)
EIN810484562EIN
Primary ActivitiesFUNDRAISING ACTIVITIESPrimaryActivities
Legal Domicile StateMTLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH HEALTH MANAGEMENT LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 590AddressLine1
CityRED LODGECity
StateMTState
ZIP Code59068ZIPCode
FieldValueIRS element (for citing)
EIN810544854EIN
Primary ActivityMGMT COPrimaryActivity
Legal Domicile StateMTLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnertrueGeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg