2012-11-15T15:05:17-08:00 2011-12-31 Mrachek Popp & Associates PC 404 North 31st Suite 400 Billings MT 59101 990 2011-01-01 810224734 BEARTOOTH BILLINGS CLINIC BEAR 4064462345 PO BOX 590 RED LODGE MT 59068 KELLEY EVANS 2012-11-15 true JEFFREY MRACHEK 4062526301 2011 2016-02-24 21:20:13Z 10108907 false false X www.beartoothbillingsclinic.org X 1948 MT THE MISSION OF THE ORGANIZATION IS TO SAVE LIVES AND PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE, AND INNOVATION 13 11 119 150 0 1172267 142567 7176684 9826765 -178854 39575 15248 0 8185345 10008907 85314 0 0 4111147 0 0 24347 3153281 10681864 7349742 10681864 835603 -672957 27830394 23479227 21864002 18190243 5966392 5288984 THE MISSION OF THE ORGANIZATION IS TO SAVE LIVES AND PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE, AND INNOVATION false false 9233387 9826765 COMMUNITY-OWNED CRITICAL ACCESS HOSPITAL PROVIDING ACUTE AND TRANSITIONAL CARE, OUTPATIENT SURGICAL SERVICES, DIAGNOSTIC SERVICES, REHABILITATION, AND HOSPICE/HOME CARE FOR RED LODGE, MT AND SURROUNDING AREA PAID FOR THROUGH PATIENT FEES, MEDICARE AND MEDICAID, AND PRIVATE INSURANCE REIMBURSEMENTS. 9233387 true true false false false false false false false false true false false false false false true true false false false false false false false false true true false false false true false false false false false false false false false false false false false false false true false false false false false 0 0 false 119 true false false false false false false false false false false false 0 false false false false false false false false false false false X 13 11 false true false false true true false true true false false false true true true true true true true true false false X ANNE MARIE KLOPPEL 4066573801 PO BOX 37000 BILLINGS MT 59107 X VIRGINIA MOHL MD 1.00 X 0 0 0 ANN CHRIST 2.00 X X 0 0 0 SHIRLEY OVERTON 1.00 X 0 0 0 JIM DUNCAN 1.00 X 0 0 0 ROBERT HURD MD 1.00 X 0 0 0 KELLEY EVANS 40.00 X 0 0 0 KAREN HOINESS 1.00 X 0 0 0 RICH BRUNER 1.00 X 0 0 0 STEVE MUTH 1.00 X X 0 0 0 SARAH EWALD 1.00 X 0 0 0 JIM NOE 1.00 X X 0 0 0 KEITH BRIGHTON 1.00 X 0 0 0 LINDA HARRIS 1.00 X 0 0 0 0 false false false BILLINGS CLINIC PO BOX 37000 BILLINGS MT 59107 MANAGEMENT SERVICES 0 142567 142567 HOSPITAL & NURSING HOME 621990 9826765 9826765 9826765 5380 5380 0 0 0 134195 100000 34195 34195 34195 0 0 0 MISCELLANEOUS DAY CARE SERVICES 624410 CONTRACT INCOME(Loss) 621990 0 10008907 9866340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 903606 903606 0 1363288 1226959 136329 0 UNCOLLECTIBLE SERVICE FEES 766945 766945 OTHER PROFESSIONAL SERVICES 2976297 2976297 NURSING SERVICES 1811798 1811798 GENERAL SERVICES 593466 593466 ADMINISTRATION 2266464 954316 1287801 24347 0 10681864 9233387 1424130 24347 65880 5988506 820800 0 1527742 2227870 0 0 787687 227871 177463 174550 61022 73736 20643062 2096344 19159620 18546718 349548 0 0 0 128354 992254 27830394 23479227 1732970 841730 19990084 17348513 140948 21864002 18190243 X 5941892 5264484 24500 24500 5966392 5288984 27830394 23479227 X -672957 -4451 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 694875 694875 14498757 671128 13827629 1270521 136956 1133565 4178909 1288260 2890649 18546718 10008907 10681864 -672957 -4451 -4451 -677408 10004456 -4451 -4451 10008907 10008907 10681864 10681864 10681864 true true X true X 110.000000000 true X true true true false true true 1 191155 191155 0.01790 1 329278 227573 101705 0.00950 2 520433 227573 292860 0.02740 14 26830 26830 0.00250 6 10215 10215 0.00100 6 163703 77450 86253 0.00810 12 5824 5824 0.00050 38 206572 77450 129122 0.01210 40 727005 305023 421982 0.03950 1 232153 179662 52491 0.00490 1 637 637 0.00010 2 232790 179662 53128 0.00500 true 551270 220508 4015378 4015378 X true true Beartooth Health Management Management services 0.25000 1 0 BEARTOOTH BILLINGS CLINIC

2525 N BROADWAY RED LODGE MT 59068

X X X X CLINIC BEARTOOTH BILLINGS CLINIC 1 false true true 110.0000 true 300.0000 false true true X true X X true X X X true X false true Part V - Explanation of Number of Facility Type PART 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 Activities THE FACILITY COORDINATES TRAUMA FOR ALL COUNTY TRAUMA PROVIDERS. THIS PROVIDES THE MOST EFFICIENT RESPONSE TIMES AS WELL AS COORDINATED EDUCATION. Part VI - Needs Assessment PERIODIC COMMUNITY SURVEYS ARE CONDUCTED TO DEFINE THE PHYSICIAN SPECIALTIES THAT ARE NEEDED/REQUESTED AT THE FACILITY. Number of Hospital Faciltiy - 0 Part V, Line 21 - Charge Patients Amount Equal Gross Charge for Services CHARGE 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 Insurance CHARGE 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 Patient FINANCIAL ASSISTANCE, LOAN PROGRAMS, INDIVIDUAL PUBLIC FUNDING PROGRAMS ASSISTANCE Part III, Line 9b - Provisions On Collection Practices For Qualified Patients THE 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 Expense Patient 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. MEMORIAL HOSPITAL ASSOCIATION 810224734 2009-01-08 1380000 CONSTRUCTION OF MEDICAL FACILITY false MEMORIAL HOSPITAL ASSOCIATION 810224734 2009-01-08 4620000 CONSTRUCTION OF MEDICAL FACILITY false MEMORIAL HOSPITAL ASSOCIATION 810224734 2009-01-08 7775000 CONSTRUCTION OF MEDICAL FACILITY false 1380000 1380000 true 4620000 4620000 true 7775000 784693 2463757 4526550 true X Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available No documents available to the public. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees EXECUTIVE 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 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Board 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 11 Form 990, Part VI, Line 11: Form 990 Review Process THE 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 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder THE 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 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company Beartooth 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. BHHC FOUNDATION PO BOX 1290 RED LODGE MT 59068 810484562 FUNDRAISING ACTIVITIES MT 501(C)(3) 509(A) N/A false BEARTOOTH HEALTH MANAGEMENT LLC PO BOX 590 RED LODGE MT 59068 810544854 MGMT CO MT NA false true false false false false false false false false false false false false false false false false false false