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BEARTOOTH BILLINGS CLINIC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BEARTOOTH BILLINGS CLINIC (EIN 81-0224734)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349308867
Schema version
2011v1.2
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)
Timestamp2012-11-15T15:05:17-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY MRACHEKName
Phone4062526301Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts10108907GrossReceipts
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 Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees119TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1172267ContributionsGrantsPriorYear
Contributions Grants Current Year142567ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7176684ProgramServiceRevenuePriorYear
Program Service Revenue CY9826765ProgramServiceRevenueCY
Investment Income Prior Year-178854InvestmentIncomePriorYear
Investment Income Current Year39575InvestmentIncomeCurrentYear
Other Revenue Prior Year15248OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8185345TotalRevenuePriorYear
Total Revenue Current Year10008907TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year85314GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4111147SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year24347TotalFundrsngExpCurrentYear
Other Expense Prior Year3153281OtherExpensePriorYear
Other Expenses Current Year10681864OtherExpensesCurrentYear
Total Expenses Prior Year7349742TotalExpensesPriorYear
Total Expenses Current Year10681864TotalExpensesCurrentYear
Revenues Less Expenses Prior Year835603RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-672957RevenuesLessExpensesCY
Total Assets BOY27830394TotalAssetsBOY
Total Assets EOY23479227TotalAssetsEOY
Total Liabilities BOY21864002TotalLiabilitiesBOY
Total Liabilities EOY18190243TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5966392NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5288984NetAssetsOrFundBalancesEOY
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
Expense9233387Expense
Revenue9826765Revenue
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 Expense9233387TotalProgramServiceExpense
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 AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
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 Employees119NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
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 WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
VIRGINIA MOHL MD
Director1.00X000
ANN CHRIST
President2.00X000X
SHIRLEY OVERTON
Director1.00X000
JIM DUNCAN
Director1.00X000
ROBERT HURD MD
Director1.00X000
KELLEY EVANS
CEO40.00X000
KAREN HOINESS
Director1.00X000
RICH BRUNER
Director1.00X000
STEVE MUTH
Vice President1.00X000X
SARAH EWALD
FNDN LIASON1.00X000
JIM NOE
Secty/Treasurer1.00X000X
KEITH BRIGHTON
Director1.00X000
LINDA HARRIS
Director1.00X000
FieldValueIRS element (for citing)
Number Individuals GT100 K0NumberIndividualsGT100K
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 Contributions142567AllOtherContributions
Total Contributions142567TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOSPITAL & NURSING HOMEDescription
Business Code621990BusinessCode
Total Revenue Column9826765TotalRevenueColumn
Related Or Exempt Function Income9826765RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9826765TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5380TotalRevenueColumn
Related Or Exempt Function Income5380RelatedOrExemptFunctionIncome

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

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities134195Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities100000Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities34195Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column34195TotalRevenueColumn
Related Or Exempt Function Income34195RelatedOrExemptFunctionIncome

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 CodeBusinessCode
MISCELLANEOUS
DAY CARE SERVICES624410
CONTRACT INCOME(Loss)621990
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10008907TotalRevenueColumn
Related Or Exempt Function Income9866340RelatedOrExemptFunctionIncome

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)
Total903606Total
Program Services903606ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1363288Total
Program Services1226959ProgramServices
Management And General136329ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
UNCOLLECTIBLE SERVICE FEES766945766945
OTHER PROFESSIONAL SERVICES29762972976297
NURSING SERVICES18117981811798
GENERAL SERVICES593466593466
ADMINISTRATION2266464954316128780124347

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10681864Total
Program Services9233387ProgramServices
Management And General1424130ManagementAndGeneral
Fundraising24347Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY65880EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5988506BOY
EOY820800EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1527742BOY
EOY2227870EOY

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)
BOY787687BOY
EOY227871EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY177463BOY
EOY174550EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY61022BOY
EOY73736EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20643062LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2096344LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19159620BOY
EOY18546718EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY349548EOY

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)
BOY128354BOY
EOY992254EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27830394BOY
EOY23479227EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1732970BOY
EOY841730EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY19990084BOY
EOY17348513EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY140948BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21864002BOY
EOY18190243EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5941892BOY
EOY5264484EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24500BOY
EOY24500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5966392BOY
EOY5288984EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27830394BOY
EOY23479227EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-672957ReconcilationRevenueExpenses
Reconcilation Other Changes-4451ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Basis694875OtherCostOrOtherBasis
Book Value694875BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14498757OtherCostOrOtherBasis
Depreciation671128Depreciation
Book Value13827629BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1270521OtherCostOrOtherBasis
Depreciation136956Depreciation
Book Value1133565BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4178909OtherCostOrOtherBasis
Depreciation1288260Depreciation
Book Value2890649BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18546718TotalOfBookValueLandBuildings
Total Revenue10008907TotalRevenue
Total Expenses10681864TotalExpenses
Excess Or Deficit For Year-672957ExcessOrDeficitForYear
Net Unrealized GL On Investments-4451NetUnrealizedGLOnInvestments
Total Adjustments-4451TotalAdjustments
Excess Or Deficit Per FS-677408ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10004456TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-4451NetUnrealizedGainsInvestments
Revenue Not Rptd F990-4451RevenueNotRptdF990
Revenue Subtotal10008907RevenueSubtotal
Total Revenue Per Form99010008907TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10681864TotExpensesEtcAuditedFinclStmt
Expenses Subtotal10681864ExpensesSubtotal
Total Expenses Per Form99010681864TotalExpensesPerForm990

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 Expense191155TotalCommunityBenefitExpense
Net Community Benefit Expense191155NetCommunityBenefitExpense
Percent Of Total Expense0.01790PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense329278TotalCommunityBenefitExpense
Direct Offsetting Revenue227573DirectOffsettingRevenue
Net Community Benefit Expense101705NetCommunityBenefitExpense
Percent Of Total Expense0.00950PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense520433TotalCommunityBenefitExpense
Direct Offsetting Revenue227573DirectOffsettingRevenue
Net Community Benefit Expense292860NetCommunityBenefitExpense
Percent Of Total Expense0.02740PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Total Community Benefit Expense26830TotalCommunityBenefitExpense
Net Community Benefit Expense26830NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Total Community Benefit Expense10215TotalCommunityBenefitExpense
Net Community Benefit Expense10215NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Total Community Benefit Expense163703TotalCommunityBenefitExpense
Direct Offsetting Revenue77450DirectOffsettingRevenue
Net Community Benefit Expense86253NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Total Community Benefit Expense5824TotalCommunityBenefitExpense
Net Community Benefit Expense5824NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Total Community Benefit Expense206572TotalCommunityBenefitExpense
Direct Offsetting Revenue77450DirectOffsettingRevenue
Net Community Benefit Expense129122NetCommunityBenefitExpense
Percent Of Total Expense0.01210PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs40NumberOfActivitiesOrPrograms
Total Community Benefit Expense727005TotalCommunityBenefitExpense
Direct Offsetting Revenue305023DirectOffsettingRevenue
Net Community Benefit Expense421982NetCommunityBenefitExpense
Percent Of Total Expense0.03950PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense232153TotalCommunityBuildingExpense
Direct Offsetting Revenue179662DirectOffsettingRevenue
Net Community Building Expense52491NetCommunityBuildingExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense637TotalCommunityBuildingExpense
Net Community Building Expense637NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense232790TotalCommunityBuildingExpense
Direct Offsetting Revenue179662DirectOffsettingRevenue
Net Community Building Expense53128NetCommunityBuildingExpense
Percent Of Total Expense0.00500PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$551,270BadDebtExpenseAmount
Amount Attributable To220508AmountAttributableTo
Amount Reimbursed By Medicare4015378AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare4015378CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1Beartooth Health ManagementBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityManagement servicesDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.25000OrganizationProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

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

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent110.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.0000FPGDiscountPercent
Explains BasisfalseExplainsBasis
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit Other ActionsXPermitOtherActions
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 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 21 - Charge Patients Amount Equal Gross Charge for ServicesCHARGE FOR SERVICES RENDERED DO NOT VARY UPON THE BASIS OF INSURANCE STATUS.Number of Hospital Faciltiy - 0
Part V, Line 19d - Other Billing Determination of Individuals Without InsuranceCHARGE FOR SERVICES RENDERED DO NOT VARY UPON TEH BASIS OF INSURANCE STATUS.Number of Hospital Faciltiy - 0
Part V, Line 15e - Other Collection Actions Against a PatientFINANCIAL ASSISTANCE, LOAN PROGRAMS, INDIVIDUAL PUBLIC FUNDING PROGRAMS ASSISTANCENumber of Hospital Faciltiy - 0
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.
Part III, Line 4 - Bad Debt ExpensePatient Accounts Receivable - Patient accounts receivable are stated at unpaid balances, less an allowance for doubtful accounts. The reserve method is used to account for bad debts. Management determines the reserve balance based on historic collection rates and professional judgment.Net Patient Service Revenue - The Hospital has agreements with third-party payers that provide for payments to the Hospital at amounts different from its established rates. Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges, and per diem payments. Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payers, and others for services rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payers. Retroactive adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined.Charity Care - The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeOn Behalf Of IssuerOnBehalfOfIssuer
MEMORIAL HOSPITAL ASSOCIATION
8102247342009-01-081380000CONSTRUCTION OF MEDICAL FACILITYfalse
MEMORIAL HOSPITAL ASSOCIATION
8102247342009-01-084620000CONSTRUCTION OF MEDICAL FACILITYfalse
MEMORIAL HOSPITAL ASSOCIATION
8102247342009-01-087775000CONSTRUCTION OF MEDICAL FACILITYfalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundAmount UnspentAmountUnspent
13800001380000true
46200004620000true
77750002463757true7846934526550
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 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 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 11Form 990, Part VI, Line 11: 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
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