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BEARTOOTH BILLINGS CLINIC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
BEARTOOTH BILLINGS CLINIC (EIN 81-0224734)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-08
IRS object ID
202601289349303515
Schema version
2024v5.5
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)
Return2026-05-08T15:49:10-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810224734EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMEMOBusinessNameControlTxt
Phone4064460610PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 590AddressLine1Txt
CityRED LODGECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59068ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonABBY LOTZ RNPersonNm
Person TitleCEOPersonTitleTxt
Phone4064460610PhoneNum
Signature2026-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
Preparation2026-05-08PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerABBY LOTZ RNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 590AddressLine1Txt
CityRED LODGECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59068ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,414,929GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BEARTOOTHBILLINGSCLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionTO SAVE LIVES AND PROMOTE HEALTHY LIVING.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee178TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$162,578TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$301,273PYContributionsGrantsAmt
CY Contributions Grants$400,784CYContributionsGrantsAmt
PY Program Service Revenue$20,363,794PYProgramServiceRevenueAmt
CY Program Service Revenue$21,776,271CYProgramServiceRevenueAmt
PY Investment Income$455,899PYInvestmentIncomeAmt
CY Investment Income$826,732CYInvestmentIncomeAmt
PY Other Revenue$43,200PYOtherRevenueAmt
CY Other Revenue$235,278CYOtherRevenueAmt
PY Total Revenue$21,164,166PYTotalRevenueAmt
CY Total Revenue$23,239,065CYTotalRevenueAmt
PY Grants And Similar Paid$467,286PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$27,786CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,544,803PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,694,569CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$57,141CYTotalFundraisingExpenseAmt
PY Other Expenses$12,016,406PYOtherExpensesAmt
CY Other Expenses$12,347,555CYOtherExpensesAmt
PY Total Expenses$21,028,495PYTotalExpensesAmt
CY Total Expenses$22,069,910CYTotalExpensesAmt
PY Revenues Less Expenses$135,671PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,169,155CYRevenuesLessExpensesAmt
Total Assets BOY$30,192,005TotalAssetsBOYAmt
Total Assets EOY$31,466,023TotalAssetsEOYAmt
Total Liabilities BOY$15,790,109TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,486,257TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,401,896NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,979,766NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE ORGANIZATION IS TO SAVE LIVES AND PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE AND INNOVATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,862,303ExpenseAmt
Grant$27,786GrantAmt
Revenue$21,776,271RevenueAmt
DescBEARTOOTH BILLINGS CLINIC IS A CRITICAL ACCESS HOSPITAL PROVIDING ACUTE AND TRANSITIONAL CARE, OUTPATIENT SURGICAL SERVICES, DIAGNOSTIC SERVICES, REHABILITATION, AND HOSPICE/HOME CARE FOR RED LODGE, MONTANA AND THE SURROUNDING AREA PAID FOR THROUGH PATIENT FEES, MEDICARE AND MEDICAID, AND PRIVATE INSURANCE REIMBURSEMENTS.Desc
Total Program Service Expenses$14,862,303TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee178EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL SHUCKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4064460610PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 NORTH BROADWAY AVEAddressLine1Txt
CityRED LODGECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59068ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DEREK STIEGEMEIER
CHIEF OPERATIONS OFFICER40.000.00Yes (X)$164,701$0$19,090
KATE WYMAN
LAB MANAGER40.000.00Yes (X)$163,051$0$20,313
BRIDGETT CHARTIER
CHIEF NURSING OFFICER40.000.00Yes (X)$164,692$0$5,529
STEPHANIE BALDWIN
CHIEF COMPLIANCE OFFICER40.000.00Yes (X)$133,442$0$27,438
LINDA HARRIS CPA
CFO30.0010.00$138,067$0$15,329Yes (X)
AMY HUMMEL
PHYSICAL THERAPHY MANAGER40.000.00Yes (X)$116,340$0$10,649
ABBY LOTZ
CEO39.250.75$0$0$0Yes (X)
KELLY HEATON
PRESIDENT THEN PAST PRESIDENT2.000.00$0$0$0Yes (X)Yes (X)
SARAH EWALD
VICE PRESIDENT THEN PRESIDENT2.000.00$0$0$0Yes (X)Yes (X)
TROY KANE
DIRECTOR THEN VICE PRESIDENT2.000.00$0$0$0Yes (X)Yes (X)
DICK FELLOWS
SECRETARY/TREASURER2.000.00$0$0$0Yes (X)Yes (X)
JIM DUNCAN
PAST PRESIDENT THEN DIRECTOR1.000.00$0$0$0Yes (X)Yes (X)
TODD BUCHANAN
DIRECTOR1.000.00$0$0$0Yes (X)
GEORGE CLOW
DIRECTOR (THROUGH DECEMBER 2024)1.000.00$0$0$0Yes (X)
JOHN CROCKER
DIRECTOR (THROUGH DECEMBER 2024)1.000.00$0$0$0Yes (X)
KATE CROFT
DIRECTOR1.000.00$0$0$0Yes (X)
TARA MASTEL
DIRECTOR1.000.00$0$0$0Yes (X)
STEVE MUTH
DIRECTOR (THROUGH DECEMBER 2024)1.000.00$0$0$0Yes (X)
KIRT NELL
DIRECTOR1.000.00$0$0$0Yes (X)
WILLIAM OLEY MD
DIRECTOR40.000.00$0$0$0Yes (X)
GUY SCHMIDT MD
DIRECTOR1.000.00$0$0$0Yes (X)
STEVE SMITH
DIRECTOR (THROUGH DECEMBER 2024)1.000.00$0$0$0Yes (X)
MARY STENZEL-POORE
DIRECTOR1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$880,293TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$98,348TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BILLINGS CLINIC
PO BOX 37000BILLINGSMT59107MANAGEMENT AND OTHER SERVICES$3,597,255
TW RIDLEY LLC
609 CHARLES STREETBILLINGSMT59101CONSTRUCTION$2,961,430
FOREFRONT HEALTHCARE
22622 HARPER AVENUESAINT CLAIR SHORESMN48008FOOD SERVICES$340,610
MONIDA SHARED IMAGING LLC
1200 S RESERVE SUITE HMISSOULAMT59801MRI PROVIDER$318,896
CUSING TERRELL
PO BOX 30071BILLINGSMT59107ARCHITECT SERVICES$158,680
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$212,363RelatedOrganizationsAmt
Government Grants$188,421GovernmentGrantsAmt
Total Contributions$400,784TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621110$21,065,190$21,065,190
PHARMACY456110$619,528$619,528
OTHER PROGRAM SERVICES900099$91,553$91,553
FieldValueIRS element (for citing)
Total Program Service Revenue$21,776,271TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$555,456TotalRevenueColumnAmt
Exclusion$555,456ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$10,037RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$10,037RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,037TotalRevenueColumnAmt
Exclusion$10,037ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,447,140SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,175,864SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$271,276SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$271,276TotalRevenueColumnAmt
Exclusion$271,276ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CHILDCARE REVENUE624410$224,409$162,578$61,831
MISCELLANEOUS INCOME900099$832$832
FieldValueIRS element (for citing)
Other Revenue Total$225,241OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,239,065TotalRevenueColumnAmt
Related Or Exempt Func Income$21,776,271RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$162,578UnrelatedBusinessRevenueAmt
Exclusion$899,432ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$27,786TotalAmt
Program Services$27,786ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$829,733TotalAmt
Program Services$575,103ProgramServicesAmt
Management And General$231,482ManagementAndGeneralAmt
Fundraising$23,148FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,417,202TotalAmt
Program Services$5,084,186ProgramServicesAmt
Management And General$2,315,118ManagementAndGeneralAmt
Fundraising$17,898FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$248,166TotalAmt
Program Services$51,271ProgramServicesAmt
Management And General$196,895ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$608,713TotalAmt
Program Services$400,052ProgramServicesAmt
Management And General$207,590ManagementAndGeneralAmt
Fundraising$1,071FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$590,755TotalAmt
Program Services$404,018ProgramServicesAmt
Management And General$183,863ManagementAndGeneralAmt
Fundraising$2,874FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,160TotalAmt
Program Services$933ProgramServicesAmt
Management And General$6,227ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$52,882TotalAmt
Management And General$52,882ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,896,815TotalAmt
Program Services$4,238,532ProgramServicesAmt
Management And General$1,656,740ManagementAndGeneralAmt
Fundraising$1,543FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$133,753TotalAmt
Program Services$25,096ProgramServicesAmt
Management And General$103,185ManagementAndGeneralAmt
Fundraising$5,472FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$551,865TotalAmt
Program Services$267,728ProgramServicesAmt
Management And General$281,314ManagementAndGeneralAmt
Fundraising$2,823FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$26,709TotalAmt
Program Services$8,332ProgramServicesAmt
Management And General$18,377ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$468,586TotalAmt
Program Services$258,894ProgramServicesAmt
Management And General$209,692ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$112,689TotalAmt
Program Services$94,947ProgramServicesAmt
Management And General$17,083ManagementAndGeneralAmt
Fundraising$659FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$32,460TotalAmt
Program Services$18,576ProgramServicesAmt
Management And General$13,795ManagementAndGeneralAmt
Fundraising$89FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$401,043TotalAmt
Program Services$6,488ProgramServicesAmt
Management And General$394,555ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,140,583TotalAmt
Program Services$381,983ProgramServicesAmt
Management And General$758,364ManagementAndGeneralAmt
Fundraising$236FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$108,116TotalAmt
Management And General$108,116ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$1,827,035$1,819,368$6,462$1,205
BAD DEBT$1,131,412$1,131,412
BED TAX$268,619$268,619
DIETARY/FOOD$77,980$27,333$50,647

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$109,848TotalAmt
Program Services$40,265ProgramServicesAmt
Management And General$69,460ManagementAndGeneralAmt
Fundraising$123FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,069,910TotalAmt
Program Services$14,862,303ProgramServicesAmt
Management And General$7,150,466ManagementAndGeneralAmt
Fundraising$57,141FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,299,784BOYAmt
EOY$3,007,705EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,472,097BOYAmt
EOY$3,469,041EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$266,804BOYAmt
EOY$339,088EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$83,202BOYAmt
EOY$130,833EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$29,803,285LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,332,968LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,935,289BOYAmt
EOY$12,470,317EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$13,807,503BOYAmt
EOY$11,777,252EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$1,129EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$327,326BOYAmt
EOY$270,658EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,192,005BOYAmt
EOY$31,466,023EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,738,040BOYAmt
EOY$1,970,378EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$22,553BOYAmt
EOY$19,473EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,426,727BOYAmt
EOY$12,821,476EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$602,789BOYAmt
EOY$674,930EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,790,109BOYAmt
EOY$15,486,257EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,377,396BOYAmt
EOY$15,955,266EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,500BOYAmt
EOY$24,500EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,401,896BOYAmt
EOY$15,979,766EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,192,005BOYAmt
EOY$31,466,023EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,169,155ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$408,715NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures$0PoliticalExpendituresAmt
Volunteer Hours0VolunteerHoursCnt
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$18,021OtherActivitiesAmt
Total Lobbying Expenditures$18,021TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF THE DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, AND LEADING AGE BY MEMORIAL HOSPITAL ASSOCIATION WAS ALLOCABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,591,846BeginningYearBalanceAmt
Contributions$7,293ContributionsAmt
Investment Earnings Or Losses$188,289InvestmentEarningsOrLossesAmt
End Year Balance$1,787,428EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,425,886BeginningYearBalanceAmt
Contributions$13,134ContributionsAmt
Investment Earnings Or Losses$152,826InvestmentEarningsOrLossesAmt
End Year Balance$1,591,846EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,608,527BeginningYearBalanceAmt
Contributions$29,871ContributionsAmt
Investment Earnings Or Losses$138,535InvestmentEarningsOrLossesAmt
Other Expenditures$351,047OtherExpendituresAmt
End Year Balance$1,425,886EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,815,903BeginningYearBalanceAmt
Contributions$55,139ContributionsAmt
Investment Earnings Or Losses-$262,515InvestmentEarningsOrLossesAmt
End Year Balance$1,608,527EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,379,415BeginningYearBalanceAmt
Contributions$12,856ContributionsAmt
Investment Earnings Or Losses$423,632InvestmentEarningsOrLossesAmt
End Year Balance$1,815,903EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.04036BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.59162PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.36802TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$771,718OtherCostOrOtherBasisAmt
Book Value$771,718BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,979,093OtherCostOrOtherBasisAmt
Depreciation$10,577,093DepreciationAmt
Book Value$6,402,000BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,342,212OtherCostOrOtherBasisAmt
Depreciation$6,755,875DepreciationAmt
Book Value$1,586,337BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,710,262OtherCostOrOtherBasisAmt
Book Value$3,710,262BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,470,317TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RIGHT-OF-USE LEASE LIABILITIES$285,942
ESTIMATED THIRD-PARTY SETTLEMENT PAYABLES$388,988
FieldValueIRS element (for citing)
Total Liability$674,930TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$23,442,109TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$408,715NetUnrealizedGainsInvstAmt
Other Revenue$925,741OtherRevenueAmt
Revenue Not Reported$1,334,456RevenueNotReportedAmt
Revenue Subtotal$22,107,653RevenueSubtotalAmt
Other Revenues Not Included$1,131,412OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,131,412RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$23,239,065TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$21,212,767TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$274,269OtherExpensesIncludedAmt
Expenses Not Reported$274,269ExpensesNotReportedAmt
Expenses Subtotal$20,938,498ExpensesSubtotalAmt
Other Expenses Not Included$1,131,412OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,131,412ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$22,069,910TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE FOUNDATION'S ENDOWMENT CONSISTS OF NUMEROUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE GOVERNING BODY TO FUNCTION AS ENDOWMENTS (BOARD DESIGNATED ENDOWMENT FUNDS). PERMANENTLY RESTRICTED NET ASSETS CONSIST OF DONOR RESTRICTED CONTRIBUTIONS TO A PERMANENT ENDOWMENT FUND, THE PRINCIPAL OF WHICH IS REQUIRED TO REMAIN IN PERPETUITY. THE INCOME GENERATED FROM PERMANENTLY RESTRICTED ASSETS MAY BE USED TO PERPETUATE AND ASSIST IN SATISFYING OPERATING EXPENSES AND CAPITAL IMPROVEMENTS FOR BEARTOOTH BILLINGS CLINIC.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FOUNDATION REVENUE 984,632. CONSOLIDATING ELIMINATIONS -58,891.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 1,131,412.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FOUNDATION EXPENSES 333,160. CONSOLIDATING ELIMINATIONS -58,891.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 1,131,412.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other110.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served134PersonsServedCnt
Total Community Benefit Expns$249,044TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$249,044NetCommunityBenefitExpnsAmt
Total Expense0.01190TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,819,313TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,942,501DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served134PersonsServedCnt
Total Community Benefit Expns$2,068,357TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,942,501DirectOffsettingRevenueAmt
Net Community Benefit Expns$249,044NetCommunityBenefitExpnsAmt
Total Expense0.01190TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs37ActivitiesOrProgramsCnt
Total Community Benefit Expns$78,200TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,445DirectOffsettingRevenueAmt
Net Community Benefit Expns$66,755NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,022TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$74,022NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,680,395TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,831,619DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,848,776NetCommunityBenefitExpnsAmt
Total Expense0.13610TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs29ActivitiesOrProgramsCnt
Total Community Benefit Expns$23,274TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,274NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs66ActivitiesOrProgramsCnt
Total Community Benefit Expns$7,855,891TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,843,064DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,012,827NetCommunityBenefitExpnsAmt
Total Expense0.14390TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs66ActivitiesOrProgramsCnt
Persons Served134PersonsServedCnt
Total Community Benefit Expns$9,924,248TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,785,565DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,261,871NetCommunityBenefitExpnsAmt
Total Expense0.15580TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$454,994TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$240,722DirectOffsettingRevenueAmt
Net Community Benefit Expns$214,272NetCommunityBenefitExpnsAmt
Total Expense0.01020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$454,994TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$240,722DirectOffsettingRevenueAmt
Net Community Benefit Expns$214,272NetCommunityBenefitExpnsAmt
Total Expense0.01020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,131,412BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$3,688,651ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,645,931CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,957,280MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 590AddressLine1Txt
CityRED LODGECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59068ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BEARTOOTHBILLINGSCLINIC.ORGWebsiteAddressTxt
State License13419StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherCLINICOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE LINE 7DOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE LINE 7DStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care110.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE LINE 16JFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE LINE 16JFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE LINE 16JFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BEARTOOTH BILLINGS CLINICPART V, SECTION B, LINE 5: IN FEBRUARY 2022, A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY CAME TOGETHER TO BEGIN THE COMMUNITY HEALTH NEEDS ASSESSMENT. IN MARCH 2022, SURVEYS WERE SENT TO 800 RANDOMLY SELECTED COMMUNITY MEMBERS, OF WHICH 150 WERE COMPLETED AND SUBMITTED. FINALLY, KEY INFORMANT INTERVIEWS WERE CONDUCTED TO IDENTIFY IMPORTANT LOCAL HEALTHCARE ISSUES, HOW TO IMPROVE THE HEALTH OF THE COMMUNITY, AND GAPS IN HEALTH SERVICES.
BEARTOOTH BILLINGS CLINICPART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT WWW.BEARTOOTHBILLINGSCLINIC.ORG/ABOUT-US-BEARTOOTH-BILLINGS-CLINIC/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/.
BEARTOOTH BILLINGS CLINICPART V, SECTION B, LINE 11: GOAL #1- MENTAL AND BEHAVIORAL HEALTH1. EXPAND BBC'S INTEGRATED BEHAVIORAL HEALTH MODEL IN THE CLINIC SETTING TO MEET THE INCREASING DEMAND AMONG CHILDREN AND YOUNG ADULTS BY HIRING A LICENSED CLINICAL SOCIAL WORKER (LCSW).12/18/2025 - BBC NOW HAS TWO FULL TIME SOCIAL WORKERS SEEING PATIENTS. ONE LCSW SPECIALIZES IN PEDIATRICS AND COMES FROM THE PUBLIC SCHOOL SYSTEM. THERE HAS ALSO BEEN CONNECTION WITH ALL THE COUNTY SCHOOLS TO OFFER SUPPORT.2. FOSTER RELATIONSHIPS WITH SCHOOLS IN THE SERVICE AREA TO ENHANCE ACCESS TO BEHAVIORAL HEALTH SERVICES FOR AREA YOUTH AND ADOLESCENTS. EXPLORE OPPORTUNITIES TO SUPPORT ONE ANOTHER, DISSEMINATE OUTREACH MATERIALS, AND IMPROVE OVERALL AWARENESS OF LOCAL BEHAVIORAL HEALTH RESOURCES. 12/18/2025 - BBC NOW HAS TWO FULL TIME SOCIAL WORKERS SEEING PATIENTS. ONE LCSW SPECIALIZES IN PEDIATRICS AND COMES FROM THE PUBLIC SCHOOL SYSTEM. THERE HAS ALSO BEEN CONNECTION WITH ALL THE COUNTY SCHOOLS TO OFFER SUPPORT.3/17/2025 - OUTREACH TO BELFRY SCHOOL AFTER INCIDENT AT RED LODGE MOUNTAIN RESORT AND DELIVERED UP-TO-DATE INFORMATION TO ALL COUNTY SCHOOLS ON BEHAVIORAL HEALTH ACCESS. IBH TEAM IS ACTIVE WITH CCPH CRISIS COALITION COLLABORATING WITH AND SHADOWING PARTNERS' EFFORTS.3. SUSTAIN BBC'S ACTIVE PARTICIPATION ON THE LOCAL MENTAL HEALTH ADVISORY COUNCIL. PROVIDE REGULAR UPDATES OF THE COUNCIL TO THE LEADERSHIP TEAM.12/18/25 - IN DISCUSSION WITH CCPH, IT SEEMS THAT MENTAL HEALTH ADVISORY COUNCIL IS NOT CURRENTLY ACTIVE. WHEN THIS RESUMES, WE WILL MOST DEFINITELY PARTICIPATE. CURRENTLY ACTIVE ON THE CRISIS COALITION. 4. CONTINUE TO IMPLEMENT SUICIDE SCREENING PROTOCOLS IN THE EMERGENCY DEPARTMENT. REGULARLY TRAIN AND EQUIP BBC STAFF OF ALL LEVELS WITH THE TOOLS AND KNOWLEDGE TO BE PREPARED TO ADEQUATELY RESPOND TO MENTAL AND BEHAVIORAL HEALTH PATIENTS (I.E., PRESENTING IN CRISIS, RESOURCES, ROUTINE CARE, ETC.).12/18/25 - IN CLINIC ALL ADULTS AND ADOLESCENTS ARE SCREENED WITH THE PHQ2 AT ALL PRIMARY CARE VISITS. SDC VISITS ARE EXCLUDED FROM THIS REQUIREMENT. IF THE PHQ2 SCREENS POSITIVE, THE PHQ9 IS REQUIRED. CLINIC STAFF ARE TRAINED IF PATIENTS ANSWER POSITIVELY TO #9 ON THE PHQ9 TO VERBALLY NOTIFY THEIR PROVIDER AHEAD OF THE VISIT. WE HAVE IBH STAFF AVAILABLE EVERY DAY IN CLINIC FOR IMMEDIATE CRISIS INTERVENTION AND REFERRAL IF NECESSARY. IBH AND PROVIDERS HAVE EASY ACCESS TO THE COLUMBIA-SUICIDE SEVERITY RATING SCALE IN OUR BASECAMP FOLDER. WE ALSO HAVE THE BBC PATIENT SAFETY PLAN AVAILABLE ON BASECAMP.5. EXPAND THE EMPLOYEE ASSISTANCE PROGRAM (EAP) FOR EMPLOYEES AND THEIR FAMILIES TO MEET THE INCREASED DEMAND, PROVIDING TIMELY MENTAL HEALTH SERVICES. AS THE AREA'S LARGEST EMPLOYER, IT IS VITAL TO SUSTAIN THIS RESOURCE CONSIDERING THE SOCIOECONOMICS AND RECENT ENVIRONMENTAL IMPACTS OF THE SERVICE AREA.12/19/2025 - EAP IS STAFFED BY BILLINGS CLINIC - AT THIS TIME WE HAVE BEEN UNABLE TO EXPAND BUT WILL DEFINITELY EXPLORE THIS AS A FUTURE OPTION IF RESOURCES ALLOW. WE HAVE IMPLEMENTED ONLINE APPLICATION SUPPORT FOR OUR EMPLOYEES AS PART OF THEIR BENEFITS PACKAGE CALLED RESOURCE LINK. THEY CAN RECEIVE ONLINE SUPPORT AND COUNSELING. THEY ALSO HAVE ACCESS TO OUR IN-HOUSE COUNSELORS AS WELL.GOAL #2 - ACCESS TO HEALTHCARE SERVICES1. EXPLORE THE FEASIBILITY OF EXPANDING DERMATOLOGY SERVICES TO BEING OFFERED MULTIPLE TIMES PER MONTH THROUGH ADDITIONAL SATELLITE CLINCS.12/18/25 - CONTRACTED WITH BILLINGS DERMATOLOGY & AESTHETICS FOR LAINE ELAM, PA, TO COME TO RL ONCE PER MONTH. CAN EXPAND TO ADDITIONAL CLINICS IF DEMAND EXISTS.2. EXPLORE THE FEASIBILITY OF OFFERING SURGICAL SERVICES LOCALLY (I.E., ENDOSCOPY, GENERAL SURGERY, ORTHOPEDIC SURGER, ETC.).12/18/25 - PROFORMAS COMPLETED FOR GENERAL SURGERY EXPANSION, PODIATRY, AND ORTHOPEDICS. WILL ALSO START INTERVENTIONAL PAIN MANAGEMENT PROCEDURES IN SPRING OF 2026 WITH HOLISTIC PAIN MANAGEMENT. STRATEGIC PLANNING AT BBC END OF JANUARY 2026 WILL DEFINE WHICH PARTS OF THE PROFORMA WE MOVE FORWARD WITH.3. CONTINUE TO EXPAND THE OUTPATIENT INFUSION SERVICES THAT ARE OFFERED THROUGH BBC.12/18/2026 - BBC CONDUCTED A PHILANTHROPIC CAMPAIGN TO FULLY FUND A NEW INFUSION SUITE. THE SUITE HAS BEEN COMPLETED, AND BBC HAS EXPANDED SERVICES IN BOTH VOLUMES AND OFFERINGS. CHEMOTHERAPY IS NEXT ON OUR ROADMAP TO BE EXPLORED OVER THE NEXT COUPLE OF YEARS.4. EXPLORE THE FEASIBILITY OF OFFERING ADDITIONAL SPECIALTY SERVICES LOCALLY INCLUDING, BUT NOT LIMITED TO OPHTHALMOLOGY, AUDIOLOGY, ETC.12/18/2025 - FEASIBILITY STUDY UNDERWAY FOR ORTHOPEDIC HAND OUTREACH. FUTURE FEASIBILITY STUDY AROUND DERMATOLOGY EMPLOYMENT. HAVE STARTED PODIATRY OUTREACH, TELE-NEUROLOGY & TELE-PSYCH, AND EXPLORING PSYCH OUTREACH WITH CODY REGIONAL AND POPUP CLINICS WITH SMILES ACROSS MONTANA.5. EXPLORE OPPORTUNITIES TO DEVELOP PROTOCOL FOR LINKING PATIENTS TO COMMUNITY RESOURCES (I.E., LEVERAGE THE EHR TO FACILITATE PRESUMPTIVE ELIGIBILITY STATUS FOR PROGRAMS SUCH AS MEDICAID, MEDICARE, 340B PROGRAM, ETC.). DEVELOP METHODOLOGY AND PROTOCOL TO DISSEMINATE FINANCIAL ASSISTANCE RESOURCES WITH THE COMMUNITY. ENSURE THAT ALL OUTREACH IS DEVELOPED WITH HEALTH LITERACY IN MIND.12/18/25 - HAVE HIRED A CASE MANAGER WHO IS COMPLETING CCM VISITS AND CONNECTING PATIENTS WITH RESOURCES.6. DEVELOP A LOCAL NETWORK OF PARTNERS TO ALIGN AND CHAMPION FUNDING OPPORTUNITIES FOR RESOURCES SUCH AS COMMUNITY HEALTH WORKERS AND COMMUNITY HEALTH INITIATIVES, ETC. 12/18/25 - HAVE NOT STARTED THIS INITIATIVE. DID DISCUSS WITH CCPH THE EXPLORATION OF A CHW PROGRAM CALLED CATALYST THAT COULD BE CONSIDERED FOR THE NEXT IMPLEMENTATION PLAN.7. ENHANCE THE OUTREACH AND AWARENESS CAMPAIGN ASSOCIATED WITH OBSTETRICS/GYNECOLOGICAL (OB/GYN) AND PEDIATRIC SERVICES THAT ARE CURRENTLY AVAILABLE THROUGH BEARTOOTH BILLINGS CLINIC.12/18/25 - HAVE CONDUCTED MULTIPLE OUTREACH AND EDUCATION MARKETING CAMPAIGNS AROUND THE AVAILABILITY OF THESE SERVICES, AS WELL AS HIGHLIGHTED PARTICULAR PROVIDERS WHO ENJOY THIS PRACTICE.GOAL #3 - CHRONIC DISEASE PREVENTION AND MANAGEMENT1. ENHANCE BEARTOOTH BILLINGS CLINIC'S EFFORTS IN CHRONIC CARE MANAGEMENT.12/18/25 - CONTINUING DEVELOPING CHRONIC CARE MANAGEMENT SERVICES IN THE CLINIC. HOPEFULLY WE CAN EXPAND TO A SECOND CASE MANAGER IN THE FUTURE WHEN DEMAND INCREASES FOR THE SERVICES. AT THIS TIME, WE OFFER CHRONIC CARE MANAGEMENT TO MEDICARE AGED PATIENTS AS WELL AS GENERAL CASE MANAGEMENT SERVICES FOR CLINIC PATIENTS. WE HAVE DEVELOPED DIABETES RELATED PROTOCOLS AND PATIENT OUTREACH PROCESSES FOR THIS SPECIFIC DISEASE. WE HOPE TO IMPLEMENT BEHAVIORAL HEALTH CASE MANAGEMENT PROCESSES IN OUR BEHAVIORAL HEALTH PROGRAM. CURRENTLY WE DO OFFER COLLABORATIVE CARE CASE MANAGEMENT IN BEHAVIORAL HEALTH WHICH FOCUSES ON PATIENTS WITH MENTAL HEALTH DIAGNOSES.2. SUSTAIN THE STROKE REHABILITATION SERVICES LOCALLY TO REDUCE PATIENTS NEED TO TRAVEL OUT OF THE AREA, WHICH INCLUDES A FULL COMPLEMENT OF THERAPISTS (PT, OT, SPEECH PATHOLOGIST, DIETICIAN, LCSW, ETC.).12/18/2025 - FULL STROKE STEERING TEAM COORDINATED; GET WITH THE GUIDELINES DATA SUBMISSION TO TRACK PROGRESS, TRENDS AND OPPORTUNITIES; VOLUMES VARY AND HAVE NOT YET REACHED THRESHOLD TO APPLY FOR CERTIFICATION; POST ACUTE STROKE REHABILITATION CERTIFICATION AWARDED; THERAPIST ON STAFF THAT SPECIALIZES IN STROKE RECOVERY.3. DEVELOP AN INTAKE PROCESS FOR THE ACUTE STROKE MANAGEMENT PROGRAM, WITH THE ULTIMATE LONG-TERM GOAL OF WORKING TOWARDS BECOMING AN ACCREDITED STROKE INTAKE FACILITY. SUSTAIN A TASKFORCE TO CHAMPION THIS INTAKE PROCESS.12/18/25 - FULL STROKE STEERING TEAM COORDINATED; GET WITH THE GUIDELINES DATA SUBMISSION TO TRACK PROGRESS, TRENDS AND OPPORTUNITIES; VOLUMES VARY AND HAVE NOT YET REACHED THRESHOLD TO APPLY FOR CERTIFICATION; POST ACUTE STROKE REHABILITATION CERTIFICATION AWARDED; THERAPIST ON STAFF THAT SPECIALIZES IN STROKE RECOVERY.4. EXPLORE ADDING TELE-NEUROLOGY SERVICES LOCALLY.12/18/25 - TELE-PSYCH IMPLEMENTED WITH LOGAN HEALTH FOR ACUTE PATIENTS IN CRISIS - EMERGENCY ROOM CONSULTS AND INPATIENT CONSULTS.5. SUPPORT AND ENGAGE IN COMMUNITY EDUCATION, AWARENESS AND OUTREACH ACTIVITIES RELATING TO STROKE MANAGEMENT AND CARE, THIS INCLUDES PROGRAMMING SUCH AS A STROKE CAMP, WHICH ALLOWS SPACE FOR CAREGIVERS AND SURVIVORS TO CONNECT AND SUPPORT ONE OTHER.12/18/2025 - HAVE HOSTED BLOOD PRESSURE CLINICS, PARTICIPATED IN HEALTH FAIRS, PARTICIPATED IN RED LODGE FIRE RESCUE OPEN HOUSE, COMMUNITY MARKETING CAMPAIGNS FOR STROKE AWARENESS, PRINTED MATERIALS AND GIVEAWAYS.
BEARTOOTH BILLINGS CLINICPART V, SECTION B, LINE 16J: BEARTOOTH BILLINGS CLINIC'S FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE ONLINE AT WWW.BEARTOOTHBILLINGSCLINIC.ORG/FOR-PATIENTS/BILLING-AND-INSURANCE/.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - JOLIET PHYSICAL THERAPYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1209 EAST FRONT STREETAddressLine1Txt
CityJOLIETCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59041ZIPCd
FieldValueIRS element (for citing)
FacilityPHYSICAL THERAPYFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:TO QUALIFY FOR FINANCIAL ASSISTANCE, AN INDIVIDUAL MUST RECEIVE MEDICALLY NECESSARY CARE, COMPLETE A FINANCIAL ASSISTANCE APPLICATION, AND HAVE GROSS INCOME LESS THAN 300% OF FEDERAL INCOME POVERTY GUIDELINES. FINANCIAL ASSISTANCE IS AVAILABLE TO INDIVIDUALS FACING CATASTROPHIC MEDICAL DEBT OR OTHER COMPELLING CIRCUMSTANCES. FINANCIAL ASSISTANCE MAY ALSO BE GRANTED WITHOUT A COMPLETED APPLICATION IF IT CAN BE ESTABLISHED THAT AN INDIVIDUAL IS ELIGIBLE FOR STATE-FUNDED PRESCRIPTION PROGRAMS, IS HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC, PARCIPATES IN THE WIC PROGRAM, IS ELIGIBLE FOR FOOD STAMPS, IS ELIGIBLE FOR THE SUBSIDIZED SCHOOL LUNCH PROGRAM, LIVES IN LOW-INCOME/SUBSIDIZED HOUSING, IS DECEASED WITH NO KNOWN ESTATE, AND/OR IS ELIGIBLE FOR THE ENERGY ASSISTANCE PROGRAM.
PART I, LINE 7G:HEALTH SERVICES WITH COSTS MORE THAN CHARGES: ADULTS & PEDIATRICS, CLINIC, WOUND CARE, OBERVATION BEDS, HOME HEALTH AGENCY.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,131,412.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY SUPPORT INCLUDES THE BEARTOOTH BILLINGS CLINIC CHILDREN'S CENTER.
PART III, LINE 2:THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 3:BEARTOOTH BILLINGS CLINIC ANALYZES OUR HISTORY AND LOOKS FOR TRENDS TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. WE ALSO REVIEW OUR ACCOUNTS RECEIVABLE TO ASSESS PATIENTS THAT COULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER OUR POLICY.
PART III, LINE 4:SEE THE "PATIENT ACCOUNTS RECEIVABLE" PARAGRAPH ON PAGE 12 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR AN EXPLANATION OF BEARTOOTH BILLINGS CLINIC'S BAD DEBT EXPENSE.
PART III, LINE 8:THE MEDICARE REVENUE AND ALLOWABLE COSTS WERE CALCULATED USING THE JUNE 30, 2025 MEDICARE COST REPORT.
PART III, LINE 9B: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, THEY ARE NOT REPORTED AS REVENUE, OR SUBJECT TO COLLECTION. FOR THOSE AMOUNTS THAT ARE STILL OUTSTANDING, THE HOSPITAL WILL SEND A LETTER TO THE PATIENT NOTIFYING OF THEIR DETERMINATION AND IF THEY HAVE AN OUTSTANDING BALANCE, TO CONTACT THE HOSPITAL REGARDING PAYMENT OPTIONS. THE HOSPITAL ROUTINELY REVIEWS PATIENT ACCOUNTS FOR OPPORTUNITIES TO ENCOURAGE PAYMENT BY DISCOUNTING AND OTHER MEANS. IF, AFTER NO LESS THAN 120 DAYS OF NO RESPONSE FROM THE PATIENT/GUARANTOR, THE ACCOUNT IS WRITTEN OFF TO BAD DEBT AND FORWARDED TO A COLLECTIONS AGENCY FOR FURTHER ACTION.
PART VI, LINE 2:PERIODIC COMMUNITY SURVEYS ARE CONDUCTED TO DEFINE THE PHYSICIAN SPECIALTIES THAT ARE NEEDED/REQUESTED AT THE FACILITY.
PART VI, LINE 3:INPATIENTS RECEIVE A VISIT FROM THE PATIENT FINANCIAL SERVICES DEPARTMENT ARE PROVIDED INFORMATION ON ASSISTANCE AND CONTACT INFORMATION OUTPATIENTS ARE ADVISED AT TIME OF REGISTRATION AS TO AVAILABILITY. BEARTOOTH BILLINGS CLINIC ALSO PROVIDES NOTICES IN PATIENT BILLS AND POSTS NOTICES IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, AND PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON THE FACILITY CAMPUS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.
PART VI, LINE 4:BEARTOOTH BILLINGS CLINIC (BEARTOOTH) IS A 10-BED NON PROFIT CRITICAL ACCESS HOSPITAL BASED IN RED LODGE, MONTANA WITH CLINIC AND HOSPITAL SERVICES IN THE SAME FACILITY. BEARTOOTH, THE ONLY HOSPITAL IN CARBON COUNTY, HAS A SERVICE AREA OF APPROXIMATELY 2,000 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO THE COUNTY POPULATION OF APPROXIMATELY 10,000 PEOPLE. CARBON COUNTY, 60 MILES FROM YELLOWSTONE NATIONAL PARK, IS SITUATED ALONG THE MONTANA-WYOMING BORDER IN SOUTH CENTRAL MONTANA.THE PRIMARY SERVICE AREA, BASED ON THE TOP 10 ZIP CODES OF PATIENTS WITH ENCOUNTERS AND OR ADMITS DURING A CALENDAR YEAR INCLUDES THE COMMUNITIES OF RED LODGE, ROBERTS, BRIDGER, JOLIET, BELFRY, BEARCREEK, ROSCOE AND BOYD, MONTANA; AS WELL AS SCATTERING OF PATIENTS FROM LAUREL AND BILLINGS, MONTANA AS WELL AS CODY, WYOMING.
PART VI, LINE 5:THE MAJORITY OF BEARTOOTH'S GOVERNING BODY MEMBERS RESIDE IN THE COMMUNITY. ALL GOVERNING BODY MEMBERS ARE COMMUNITY-MINDED INDIVIDUALS WHO DO NOT RECEIVE COMPENSATION FOR THEIR SERVICES ON THE BEARTOOTH BOARD. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE USED TO MAKE CAPITAL PURCHASES AND UPGRADES TO THE FACILITIES.BEARTOOTH IS THE SOLE ACUTE CARE PROVIDER IN THE PRIMARY SERVICE AREA, AND OPERATES AN EMERGENCY ROOM AND CLINIC WHICH OFFERS WALK IN AS WELL AS SCHEDULED APPOINTMENTS. BEARTOOTH PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO PROVIDING CARE AT REDUCED OR NO COST, THE ORGANIZATION SPONSORS HEALTH FAIRS, CLASSES, AND OTHER EVENTS THROUGHOUT THE YEAR TO PROMOTE BETTER LIVING, NUTRITION AND GOOD HEALTH.OTHER COMMUNITY BENEFIT PROGRAMS PROVIDED ARE: - HEALTH EXCHANGE ENROLLMENT, PROVIDING OUTREACH AND ENROLLMENT BY CERTIFIED HEALTHCARE GUIDES IN THE NEW HEALTH INSURANCE EXCHANGE.- TOBACCO USE PREVENTION AND CONTROL PROVIDING CESSATION AND PREVENTION EDUCATION FOR LOCAL YOUTH.- DISASTER PREPAREDNESS, WHICH WORKS WITH COMMUNITY PARTNERS AND HOSPITAL STAFF TO PREPARE THE HEALTHCARE SYSTEM COMMUNITY FOR COUNTY WIDE PUBLIC HEALTH EMERGENCIES OF ALL TYPES.
PART VI, LINE 6:BEARTOOTH BILLINGS CLINIC (BEARTOOTH) IS AFFILIATED WITH BILLINGS CLINIC, A MONTANA NON PROFIT CORPORATION. BILLINGS CLINIC IS AN INTEGRATED HEALTH CARE ORGANIZATION, COMPRISED OF THE BILLINGS CLINIC AND BILLINGS CLINIC HOSPITAL. SINCE 2002, BEARTOOTH HAS BEEN AN AFFILIATE OF BILLINGS CLINIC WITH A SHARED MANAGEMENT AGREEMENT. WITHIN THIS AGREEMENT, BILLINGS CLINIC PROVIDES MANAGEMENT, DIGITAL INFORMATION SYSTEMS, AND ANCILLARY SUPPORT SERVICES TO AREA HOSPITALS AND CLINICS. AT THAT TIME, BEARTOOTH SOUGHT A STRONGER ALIGNMENT WITH BILLINGS CLINIC DUE TO A DESIRE TO STABILIZE AND ENHANCE THE LEVEL AND SCOPE OF HEALTH CARE SERVICES AVAILABLE IN OUR COMMUNITY, AND TO GROW IN OUR COMMITMENT TO QUALITY, PATIENT SAFETY AND SERVICE VALUES. THIS SHARED DESIRE LED TO A COMMITMENT BY BOTH ORGANIZATIONS TO BUILD A NEW INTEGRATED HOSPITAL AND CLINIC IN RED LODGE, WHICH IS NOW BEARTOOTH BILLINGS CLINIC.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DEREK STIEGEMEIER
CHIEF OPERATIONS OFFICER$164,701$0$0$0$0$0$4,175$0$14,915$0$183,791$0$0$0
KATE WYMAN
LAB MANAGER$163,051$0$0$0$0$0$4,081$0$16,232$0$183,364$0$0$0
BRIDGETT CHARTIER
CHIEF NURSING OFFICER$164,692$0$0$0$0$0$827$0$4,702$0$170,221$0$0$0
STEPHANIE BALDWIN
CHIEF COMPLIANCE OFFICER$133,442$0$0$0$0$0$3,518$0$23,920$0$160,880$0$0$0
LINDA HARRIS CPA
CFO$138,067$0$0$0$0$0$2,728$0$12,601$0$153,396$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationTHE CEO OF BEARTOOTH BILLINGS CLINIC RECEIVES A DISCRETIONARY BONUS THAT IS A NON-FIXED PAYMENT. PRE-DETERMINED STRETCH GOALS ARE ESTABLISHED BY THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE AT THE BEGINNING OF THE EVALUATION PERIOD. FOR BEARTOOTH THIS IS JULY, THE BEGINNING OF THE FISCAL YEAR. THE BONUS IS PRIMARILY IMPACTED BY THE FINANCIAL PERFORMANCE OF THE FACILITY WITH ALL OF THE GOALS BEING REDUCED BY 50% OF POSSIBLE COMPENSATION IF THE FINANCIALS GOALS ARE NOT MET. THE OVERALL AMOUNT HAS BEEN PRIMARILY DETERMINED BY FINANCIAL PERFORMANCE AND REGIONAL/STATE BENCH-MARKING OF COMPARABLE.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MONTANA FACILITY FINANCE AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN364615156BondIssuerEIN
Bond Issued2021-08-31BondIssuedDt
Issue Price$15,102,203IssuePriceAmt
PurposeREFINANCE SERIES 2009 BONDS AND OTHER DEBTSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,180,929RetiredAmt
Total Proceeds$15,102,203TotalProceedsAmt
Issuance Costs From Proceeds$127,355IssuanceCostsFromProceedsAmt
Other Spent Proceeds$14,974,847OtherSpentProceedsAmt
Substantial Completion2021SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3BEARTOOTH BILLINGS CLINIC HIRED BILLINGS CLINIC TO CONDUCT, SUPERVISE, OPERATE AND MANAGE DAY-TO-DAY OPERATIONS OF THE HOSPITAL, ITS DEPARTMENTS, EMPLOYEES AND FINANCIAL ADMINISTRATION. THROUGH THIS SERVICES AGREEMENT, ABBY LOTZ RECEIVED $236,590 OF TAXABLE COMPENSATION AND $77,935 OF NONTAXABLE BENEFITS IN CALENDAR YEAR 2024 FOR HER SERVICES AS CEO AND WILLIAM OLEY, MD, RECEIVED $284,527 OF TAXABLE COMPENSATION AND $87,177 OF NONTAXABLE BENEFITS IN CALENDAR YEAR 2024 FOR HIS MEDICAL SERVICES.
FORM 990, PART VI, SECTION A, LINE 7ABILLINGS CLINIC APPOINTS THREE DIRECTORS OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANT AND PROVIDED TO THE BOARD FOR REVIEW AND APPROVAL PRIOR TO SUBMITTING TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ANNUALLY DISCLOSE IN WRITING ANY CONFLICTS OF INTEREST. THESE ARE REVIEWED BY THE BOARD CHAIR AND CEO. THROUGHOUT THE YEAR, IF ANY CONFLICTS ARISE, THE BOARD CHAIR AND CEO ADDRESS THOSE ISSUES WITH THE INDIVIDUALS INVOLVED. DOCUMENTATION OF THE PROCESS WILL BE MAINTAINED WITH THE BOARD OF DIRECTOR'S RECORDS.
FORM 990, PART VI, SECTION B, LINE 15COMPARATIVE MARKET DATA ARE COLLECTED ANNUALLY AND ANALYZED. EXECUTIVE MANAGEMENT EVALUATES TOP EMPLOYEES ANNUALLY AND PROVIDES WAGE ADJUSTMENTS AFTER REVIEWING COMPARATIVE MARKET DATA. REVIEWS ARE CONDUCTED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD. ANY AND ALL DOCUMENTATION IS KEPT IN HUMAN RESOURCES AND ALSO IN THE EMPLOYEE'S FILE, INCLUDING SIGNED PERSONAL ACTION FORMS, ALONG WITH JUSTIFICATION, PRINCIPALLY FROM EMPLOYEE PERFORMANCE EVALUATIONS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT AND PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,238,532. MANAGEMENT AND GENERAL EXPENSES 1,656,740. FUNDRAISING EXPENSES 1,543. TOTAL EXPENSES 5,896,815.
FORM 990, PART XII, LINE 2C:THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINIC FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1290AddressLine1Txt
CityRED LODGECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59068ZIPCd
FieldValueIRS element (for citing)
EIN810484562EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateMTLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BEARTOOTH BILLINGS CLINIC FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$212,363InvolvedAmt
Method Of Amount DeterminationACTUALMethodOfAmountDeterminationTxt