TOWNSEND HEALTH SYSTEMS INC BROADWATER COMMUNITY HOSPITAL: Form 990, tax year 2023
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- Organization
- TOWNSEND HEALTH SYSTEMS INC BROADWATER COMMUNITY HOSPITAL (EIN 81-0398400)
- Tax period
- 2023-07-01 to 2023-12-31
- Filed
- 2024-10-25
- IRS object ID
- 202412999349301331
- Schema version
- 2023v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-10-25T13:09:20+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1Txt |
| City | Colorado Springs | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 809039848 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810398400 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOWNSEND HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TOWN | BusinessNameControlTxt |
| Phone | 4062663186 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 NORTH OAK STREET | AddressLine1Txt |
| City | TOWNSEND | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59644 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Justin Tiffany | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4062663186 | PhoneNum |
| Signature | 2024-10-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Adam R Smith | PreparerPersonNm |
| PTIN | P00958966 | PTIN |
| Phone | 7194714290 | PhoneNum |
| Preparation | 2024-10-25 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BILLINGS CLINIC BROADWATER | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JUSTIN TIFFANY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 NORTH OAK STREET | AddressLine1Txt |
| City | TOWNSEND | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59644 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,912,094 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | BILLINGSCLINIC.COM/BILLINGS-CLINIC-BROADWATER | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | BILLINGS CLINIC BROADWATER IS DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY, OUR PATIENTS, AND OURSELVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 102 | TotalEmployeeCnt |
| Total Volunteers | 4 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $167,136 | PYContributionsGrantsAmt |
| CY Contributions Grants | $107,868 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,533,846 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,790,560 | CYProgramServiceRevenueAmt |
| PY Investment Income | $38 | PYInvestmentIncomeAmt |
| CY Investment Income | $211 | CYInvestmentIncomeAmt |
| PY Other Revenue | $81,223 | PYOtherRevenueAmt |
| CY Other Revenue | $13,455 | CYOtherRevenueAmt |
| PY Total Revenue | $9,782,243 | PYTotalRevenueAmt |
| CY Total Revenue | $5,912,094 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,272,576 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,018,890 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,274,077 | PYOtherExpensesAmt |
| CY Other Expenses | $2,215,187 | CYOtherExpensesAmt |
| PY Total Expenses | $10,546,653 | PYTotalExpensesAmt |
| CY Total Expenses | $5,234,077 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$764,410 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $678,017 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,843,486 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,044,106 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,272,297 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,794,900 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,571,189 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,249,206 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE DELIVERY OF HEALTHCARE SERVICES, THE CONDUCT OF MEDICAL RESEARCH, THE FURTHERANCE OF HEALTH EDUCATION AND THE PROMOTION OF GENERAL HEALTH IN TOWNSEND AND THE SURROUNDING AREA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,498,814 | ExpenseAmt |
| Revenue | $5,803,987 | RevenueAmt |
| Desc | TO PROVIDE QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR ABILITY TO PAY AND SERVE THE SURROUNDING AREA BY PROVIDING HEALTHCARE SERVICES AND EDUCATION TO ALL COMMUNITY MEMBERS. | Desc |
| Total Program Service Expenses | $3,498,814 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 102 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Justin Tiffany | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4062663186 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 NORTH OAK | AddressLine1Txt |
| City | TOWNSEND | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59644 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| AMBERLY PAHUT | ||||||||
| SECRETARY/ TREASURER | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JEFF KIRKSEY | ||||||||
| VICE CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HANSJORG SCHWERTZ | ||||||||
| Board Member | 1.0 | 40.0 | Yes (X) | $0 | $250,365 | $52,995 | ||
| KATHY BLAIR | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KELLEY EVANS | ||||||||
| Board Member | 1.0 | 40.0 | Yes (X) | $0 | $212,597 | $33,582 | ||
| MICHELLE BARSTAD | ||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| PHILIP HESS | ||||||||
| MEDICAL DIRECTOR | 40.0 | 1.0 | Yes (X) | $235,610 | $0 | $26,399 | ||
| WILLIAM UPTHEGROVE | ||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JENNY CLOWES | ||||||||
| CEO | 55.0 | 0.0 | Yes (X) | $114,568 | $0 | $29,912 | ||
| CASEY SCHANZ | ||||||||
| PHYSICIAN ASSISTANT | 40.0 | 0.0 | $160,347 | $0 | $46,812 | Yes (X) | ||
| DEREK WEISS | ||||||||
| ED NONPHYSICIAN | 40.0 | 0.0 | $129,835 | $0 | $37,637 | Yes (X) | ||
| HOLLY HOFFMAN | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $195,881 | $0 | $15,773 | Yes (X) | ||
| RAELENE SCHOTT | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | $139,224 | $0 | $18,602 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $975,465 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $462,962 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $261,712 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BILLINGS CLINIC | |||||
| 2800 TENTH AVENUE NORTH | BILLINGS | MT | 59101 | MANAGMENT SERVICES | $598,384 |
| VAYA WORKFORCE SOLUTIONS LLC | |||||
| DEPT CH 18001 | PALENTINE | IL | 60055 | CONTRACT LABOR | $385,588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $107,868 | AllOtherContributionsAmt |
| Total Contributions | $107,868 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $5,644,119 | $5,644,119 |
| OTHER PROGRAM REVENUE | 900099 | $146,263 | $146,263 |
| EHR/MEANINGFUL USE PAYMENTS | 900099 | $178 | $178 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,790,560 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $211 | TotalRevenueColumnAmt |
| Exclusion | $211 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $13,427 | $13,427 | |
| MEALS | 722310 | $28 | $28 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $13,455 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,912,094 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,803,987 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $239 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,489 | TotalAmt |
| Program Services | $309,981 | ProgramServicesAmt |
| Management And General | $96,508 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,236,449 | TotalAmt |
| Program Services | $1,737,326 | ProgramServicesAmt |
| Management And General | $499,123 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,468 | TotalAmt |
| Program Services | $27,036 | ProgramServicesAmt |
| Management And General | $8,432 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,552 | TotalAmt |
| Program Services | $105,939 | ProgramServicesAmt |
| Management And General | $86,613 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,932 | TotalAmt |
| Program Services | $100,047 | ProgramServicesAmt |
| Management And General | $47,885 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $598,384 | TotalAmt |
| Program Services | $299,192 | ProgramServicesAmt |
| Management And General | $299,192 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $54 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,240 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $3,240 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $5 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,412 | TotalAmt |
| Program Services | $204,873 | ProgramServicesAmt |
| Management And General | $64,539 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,039 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $3,039 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,626 | TotalAmt |
| Program Services | $17,261 | ProgramServicesAmt |
| Management And General | $86,365 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,474 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $34,474 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,025 | TotalAmt |
| Program Services | $48,794 | ProgramServicesAmt |
| Management And General | $54,231 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,981 | TotalAmt |
| Program Services | $6,829 | ProgramServicesAmt |
| Management And General | $4,152 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,200 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,200 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,324 | TotalAmt |
| Program Services | $91,037 | ProgramServicesAmt |
| Management And General | $207,287 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,261 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $31,261 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL | $566,029 | $488,404 | $77,625 | $0 |
| OTHER | $106,097 | $43,727 | $62,370 | $0 |
| DIETARY | $46,844 | $0 | $46,844 | $0 |
| R&M | $39,192 | $18,368 | $20,824 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,234,077 | TotalAmt |
| Program Services | $3,498,814 | ProgramServicesAmt |
| Management And General | $1,735,263 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,187,718 | BOYAmt |
| EOY | $3,236,344 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,281 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,072,866 | BOYAmt |
| EOY | $1,534,647 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,494 | BOYAmt |
| EOY | $53,105 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,900 | BOYAmt |
| EOY | $31,447 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,745,506 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,556,943 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,483,227 | BOYAmt |
| EOY | $8,188,563 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,843,486 | BOYAmt |
| EOY | $13,044,106 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,955,987 | BOYAmt |
| EOY | $3,602,829 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,000 | BOYAmt |
| EOY | $80,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,236,310 | BOYAmt |
| EOY | $1,112,071 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,272,297 | BOYAmt |
| EOY | $4,794,900 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,571,189 | BOYAmt |
| EOY | $8,249,206 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,571,189 | BOYAmt |
| EOY | $8,249,206 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,843,486 | BOYAmt |
| EOY | $13,044,106 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $678,017 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION WERE ALLOCABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $224,271 | OtherCostOrOtherBasisAmt |
| Book Value | $224,271 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,821,324 | OtherCostOrOtherBasisAmt |
| Depreciation | $784,870 | DepreciationAmt |
| Book Value | $4,036,454 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,084,739 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,716,175 | DepreciationAmt |
| Book Value | $3,368,564 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $615,172 | OtherCostOrOtherBasisAmt |
| Depreciation | $55,898 | DepreciationAmt |
| Book Value | $559,274 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,188,563 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTY | Desc |
| Amt | $1,112,071 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,112,071 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $119,068 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $88,280 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,788 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0059 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $321,727 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $274,842 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,885 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0090 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $440,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $363,122 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $77,673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0148 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $440,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $363,122 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $77,673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0148 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,024 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $1,900,455 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,929,406 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$28,951 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOWNSEND HEALTH SYSTEMS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 NORTH OAK STREET | AddressLine1Txt |
| City | TOWNSEND | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59644 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BILLINGSCLINIC.COM/BILLINGS-CLINIC-B | WebsiteAddressTxt |
| State License | 13408 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.billingsclinic.com/app/files/public/cf924573-701b-475c-918a-295efa4d3b7f/BCB-2022-CHNA-R | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | chronicdiseasedata.org/authorizedfiles/localplans/admin/cha/2022_BillingsClinicBroadwater_CHNA.pdf | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.billingsclinic.com/app/files/public/826bcac4-803c-4ab7-b3c4-18c562697cce/BCBroadwater-Im | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility 1, 1 | Facility 1, 1 - TOWNSEND HEALTH SYSTEMS INC. A STEERING COMMITTEE WAS CONVENED TO ASSIST BILLINGS CLINIC BROADWATER IN CONDUCTING CHNA. A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY (INCLUDING PUBLIC HEALTH, ELDERLY, LOW INCOME/UNINSURED, CLERGY AND OTHER COMMUNITY MEMBERS) CAME TOGETHER IN APRIL 2022. THE STEERING COMMITTEE MET TWICE DURING THE CHNA PROCESS; FIRST TO DISCUSS HEALTH CONCERNS IN THE COMMUNITY AND OFFER THEIR PERSPECTIVE IN DESIGNING THE SURVEY INSTRUMENT, AND AGAIN TO REVIEW RESULTS OF THE CHNA AND TO ASSIST IN THE PRIORITIZATION OF HEALTH NEEDS. OVER THE MONTHS OF MAY AND JUNE 2022, BILLINGS CLINIC BROADWATER'S SERVICE AREA WAS SURVEYED ABOUT ITS HEALTHCARE SYSTEM. A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 800 RESIDENTS IN THE SERVICE AREA TO SOLICIT THEIR INPUT. SURVEY RESPONDENTS HAD THE ABILITY TO COMPLETE THE SURVEY MAILED TO THEM, OR VIA AN ONLINE SURVEY HOSTED AT MONTANA STATE UNIVERSITY'S HELPS LAB WEB PORTAL. 117 SURVEYS WERE RETURNED. ADDITIONALLY, KEY INFORMANT INTERVIEWS WERE CONDUCTED TO IDENTIFY IMPORTANT LOCAL HEALTHCARE ISSUES, HOW TO IMPROVE THE HEALTH OF THE COMMUNITY, AND GAPS IN HEALTH SERVICES. THE CHNA WAS ADMINISTERED BY THE MONTANA OFFICE OF RURAL HEALTH. |
| Schedule H, Part V, Section B, Line 11 Facility 1, 1 | Facility 1, 1 - TOWNSEND HEALTH SYSTEMS INC. TOWNSEND HEALTH SYSTEMS, INC. D/B/A BILLINGS CLINIC BROADWATER HAS PRIORITIZED THREE AREAS DETERMINED BY THE ASSESSMENT PROCESS ARE IMPROVED ACCESS TO HEALTHCARE SERVICES, IMPROVING BILLINGS CLINIC BROADWATER'S COMMUNITY OUTREACH AND ENGAGEMENT IN BROADWATER COUNTY, AND ADVANCING POPULATION HEALTH PROGRAMMING THROUGHOUT THE COUNTY. THESE PRIORITIZED HEALTH NEEDS WILL BE ADDRESSED BY THE FOLLOWING GOALS AND STRATEGIES. THE FIRST GOAL IS TO IMPROVE ACCESS TO HEALTHCARE SERVICES IN BROADWATER COUNTY THROUGH THESE THREE STRATEGIES. 1. ENHANCE ACCESS TO PRIMARY CARE SERVICES BY CREATING AN OUTREACH PLAN FOR NEWLY HIRED PRIMARY CARE PROVIDERS TO HELP BUILD THEIR PRACTICE, BUILDING AND IMPLEMENTING ONLINE SELF-SCHEDULING FOR PRIMARY CARE, EXPANDING PRIMARY CARE ACCESS VIA TELEHEALTH, EXPLORING ADDITIONAL OPPORTUNITIES FOR OUTREACH AND AWARENESS OF PRIMARY CARE SERVICES, DEVELOPING A SYSTEM FOR PATIENTS IN THE EMERGENCY ROOM TO BE REFERRED FOR FOLLOW-UP WITH PRIMARY CARE PROVIDER, AND THE RECRUITMENT OF A REGISTERED DIETICIAN CERTIFIED TO SUPPORT DIABETES CARE AND EDUCATION. 2. ENHANCE ACCESS TO SPECIALTY CARE SERVICES BY EXPLORING OPPORTUNITIES TO EXPAND ON-SITE SERVICES OR VIA TELEHEALTH, CONTINUING TO EXPLORE FEASIBILITY OF OFFERING ADDITIONAL IMAGING SERVICES LIKE ULTRASOUND AND MRI, AND BECOMING A CERTIFIED TRAUMA RECEIVING FACILITY THROUGH STATE DESIGNATION. 3. IMPROVE ACCESS TO HEALTHCARE SERVICES THROUGH ENHANCED COMMUNITY EDUCATION BY MEETING WITH PUBLIC HEALTH TO ASSESS AND CREATE OUTREACH MATERIALS RELATED TO FINANCIAL ASSISTANCE PROGRAMS LOCALLY AND STATE-BASED, IMPROVE UPON BILLINGS CLINIC'S NAVIGATOR PROGRAM TO ASSIST THE COMMUNITY IN ACCESSING AND UNDERSTANDING HEALTHCARE SERVICES, PARTNERING WITH PUBLIC HEALTH TO DEVELOP AND IMPLEMENT A SUSTAINABLE TRANSPORTATION PROGRAM, AND EXPLORING OPPORTUNITIES TO RAISE AWARENESS OF BILLINGS CLINIC BROADWATER'S REHABILITATION PROGRAM THROUGH LOCAL SCHOOLS AND SENIOR SERVICES. THE SECOND GOAL IS TO IMPROVE BILLINGS CLINIC BROADWATER'S COMMUNITY OUTREACH AND ENGAGEMENT THROUGH A STRATEGY OF ENHANCING KNOWLEDGE AND EDUCATION OF AVAILABLE SERVICES IN BROADWATER COUNTY. 1. TO ENHANCE COMMUNITY KNOWLEDGE AND EDUCATION AROUND SERVICES AVAILABLE BY MEETING WITH COMMUNITY PARTNERS TO DEVELOP AND COLLABORATE ON COMMUNITY EVENTS, WORK WITH BILLINGS CLINIC TO IMPROVE WEBSITE ACCESS AND CLARITY, EXPLORE CONSISTENT OPPORTUNITIES TO PROVIDE HEALTH EDUCATION TO LOCAL ORGANIZATIONS OR GROUPS, CREATING AND/OR PARTNERING ON A COMMUNITY WELLNESS OR HEALTH PROMOTION EVENT OR PROGRAM, DISSEMINATE QUARTERLY NEWSLETTER AND NEWSPAPER ARTICLES WITH TIMELY PREVENTATIVE HEALTH EDUCATION, AND LOOK AT OPPORTUNITIES TO COLLABORATE AND ADVANCE THE CONVERSATION AROUND HOUSING AFFORDABILITY LOCALLY AND STATEWIDE. THE THIRD GOAL IS TO ADVANCE POPULATION HEALTH PROGRAMMING THROUGHOUT BROADWATER COUNTY WITH A STRATEGY OF CHAMPIONING INITIATIVES AIMED AT ADDRESSING HEALTH DISPARITIES AND ADVANCING HEALTH EQUITY THROUGHOUT THE SERVICE AREA. 1. TO CHAMPION INITIATIVES AIMED AT ADDRESSING HEALTH DISPARITIES BY DEVELOPING A SUSTAINABLE COMMUNITY INTEGRATED HEALTH (CIH)/COMMUNITY PARAMEDICINE PROGRAM, DEVELOPING A SUSTAINABLE COMMUNITY HEALTH WORKER (CHW) PROGRAM THAT INCLUDES BUILDING SUPPORT GROUPS, PATIENT EDUCATION, AND HELPING TO FACILITATE ACCESS TO SOCIAL SERVICES AND LOCAL RESOURCES, AND EXPANDING BEHAVIORAL HEALTH PROGRAMMING AT BILLINGS CLINIC BROADWATER BY RECRUITING AN ONSITE LICENSED CLINICAL SOCIAL WORKER (LCSW). |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BILLINGS CLINIC BROADWATER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 NORTH OAK STREET | AddressLine1Txt |
| City | TOWNSEND | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59644 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c DESCRIPTION OF ADDITIONAL CRITERIA TO DETERMINE FINANCIAL ASSISTANCE | IN ADDITION TO THE FEDERAL POVERTY GUIDELINES TOWNSEND HEALTH SYSTEMS ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE FACILITY RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF BAD DEBT EXPENSE FOR EACH YEAR IS DISCLOSED ON THE FACILITY'S STATEMENT OF OPERATIONS. BAD DEBT EXPENSES WAS CALCULATED BY APPLYING THE FACILITY'S ADJUSTED COST TO CHARGE RATIO TO THE CHARGES FOREGONE. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | PATIENTS ARE SCREENED BY THE ORGANIZATION'S FINANCIAL COUNSELORS TO SEE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE. IF THEY QUALIFY, THEIR ACCOUNT BALANCES ARE ADJUSTED ACCORDINGLY. IF THERE IS A BALANCE AFTER THE ADJUSTMENT, THE ORGANIZATION FOLLOWS THE NORMAL DEBT COLLECTION PRACTICE. IN UNUSUAL SITUATIONS WHERE THE PATIENT'S CIRCUMSTANCES HAVE CHANGED, THE CEO HAS THE AUTHORITY TO GRANT EXCEPTIONS TO THE POLICY. |
| Schedule H, Part V, Section B, Line 16a FAP website | 1 - TOWNSEND HEALTH SYSTEMS INC: Line 16a URL: https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | 1 - TOWNSEND HEALTH SYSTEMS INC: Line 16b URL: https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | 1 - TOWNSEND HEALTH SYSTEMS INC: Line 16c URL: https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/; |
| Schedule H, Part VI, Line 2 Needs assessment | THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH COMMUNITY INVOLVEMENT VIA COMMUNITY SURVEYS, FORUMS, HEALTH SEMINARS, AND EDUCATION. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | PATIENTS WITHOUT INSURANCE ARE INFORMED AT TIME OF SERVICE AND A PATIENT ASSISTANCE FORM IS OFFERED TO THEM. ADDITIONALLY, INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS INCLUDED WITH THEIR BILLING INFORMATION. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION IS ALSO AVAILABLE ON THE WEBSITE. |
| Schedule H, Part VI, Line 4 Community information | TOWNSEND HEALTH SYSTEMS INC SERVES BROADWATER COUNTY OF APPROXIMATELY 1,600 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO A SERVICE POPULATION OF APPROXIMATELY 6,000 PEOPLE. |
| Schedule H, Part VI, Line 5 Promotion of community health | FACILITY DONATES EMERGENCY SERVICES AT LOCAL HIGH SCHOOL SPORTING EVENTS, RODEO, AND 4-H ACTIVITIES. IT ALSO PROVIDES A COMMUNITY VAN THAT TRAVELS TO A LARGER TOWN TWO TIMES A MONTH. COMMUNITY MEMBERS MAY RIDE THE VAN FOR MEDICAL APPOINTMENTS, DENTAL APPOINTMENTS, OR FOR SHOPPING. THE FACILITY HAS A LARGE MEETING ROOM THAT IS USED BY COMMUNITY ORGANIZATIONS FOR THEIR ACTIVITIES AT NO CHARGE. IT PROVIDES FREE WALK-IN BLOOD PRESSURE CHECKS FOR CITIZENS, QUIT SMOKING SUPPORT, AND NUTRITION SERVICES. IT ALSO HAS FORMED ALLIANCES WITH A LARGER, REGIONAL HOSPITAL TO PROVIDE SPECIFIC SERVICES AND CONTINUES TO PROACTIVELY PROVIDE EDUCATION TO THE COMMUNITY THROUGH MONTHLY NEWSLETTERS, COMMUNITY MEETINGS, NEWS ARTICLES, AND THE OFFERING OF DISCOUNTED WELLNESS DAYS TO THE PUBLIC OFFERED IN PARTNERSHIP WITH LOCAL BUSINESS PROGRAMS. |
| Schedule H, Part VI, Line 6 Affiliated health care system | TOWNSEND HEALTH SYSTEMS INC IS MANAGED BY BILLINGS CLINIC AND WORKS CLOSELY WITH BILLINGS CLINIC AND OTHER HOSPITALS ALSO MANAGED BY BILLINGS CLINIC TO PROVIDE HIGH QUALITY PATIENT CARE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HANSJORG SCHWERTZ | ||||||||||||||
| Board Member | $0 | $250,365 | $0 | $0 | $0 | $0 | $0 | $18,225 | $0 | $34,770 | $0 | $303,360 | $0 | $0 |
| KELLEY EVANS | ||||||||||||||
| Board Member | $0 | $177,749 | $0 | $34,848 | $0 | $0 | $0 | $15,573 | $0 | $18,009 | $0 | $246,179 | $0 | $0 |
| PHILIP HESS | ||||||||||||||
| MEDICAL DIRECTOR | $232,525 | $0 | $3,085 | $0 | $0 | $0 | $16,666 | $0 | $9,733 | $0 | $262,009 | $0 | $0 | $0 |
| CASEY SCHANZ | ||||||||||||||
| PHYSICIAN ASSISTANT | $160,347 | $0 | $0 | $0 | $0 | $0 | $13,157 | $0 | $33,655 | $0 | $207,159 | $0 | $0 | $0 |
| DEREK WEISS | ||||||||||||||
| ED NONPHYSICIAN | $120,835 | $0 | $9,000 | $0 | $0 | $0 | $8,184 | $0 | $29,453 | $0 | $167,472 | $0 | $0 | $0 |
| HOLLY HOFFMAN | ||||||||||||||
| PHYSICIAN | $174,535 | $0 | $21,346 | $0 | $0 | $0 | $15,240 | $0 | $533 | $0 | $211,654 | $0 | $0 | $0 |
| RAELENE SCHOTT | ||||||||||||||
| NURSE PRACTITIONER | $129,224 | $0 | $10,000 | $0 | $0 | $0 | $6,258 | $0 | $12,344 | $0 | $157,826 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3 DESCRIBE HOW CEO COMPENSATION IS DETERMINED | FormAndLineReferenceDesc |
| Explanation | COMPENSATION FOR THE CEO IS PAID BY BILLINGS CLINIC, A RELATED ORGANIZATION. TOWNSEND HEALTH SYSTEMS REIMBURSES BILLINGS CLINIC FOR THE CEO'S COMPENSATION. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR HOW CEO COMPENSATION IS DETERMINED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | BILLINGS CLINIC IS THE SOLE MEMBER OF TOWNSEND HEALTH SYSTEMS INC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE SOLE MEMBER HAS AUTHORITY TO RECOMMEND, APPROVE AND REJECT NOMINATIONS OF BOARD MEMBERS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE FOLLOWING ARE GOVERNANCE DECISIONS OF THE ORGANIZATION WHICH ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER: - AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION, BYLAWS, OR NAME; - DISSOLUTION, MERGERS, OR CONSOLIDATIONS WITH OR INTO ANOTHER ENTITY; - SALE, LEASE, EXCHANGE OR DISPOSITIONS OF PROPERTY OF THE ORGANIZATION; - APPROVAL OF BUDGETS; - INCURRENCE OF DEBT AND PURCHASES MADE BY THE ORGANIZATION IN AMOUNTS EXCEEDING $100,000; - SELECTION, HIRING, PRIMARY SUPERVISION, DISCIPLINE AND TERMINATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER; - ADDITION OR DISCONTINUANCE OF ANY SERVICE OFFERED TO OR BY THE ORGANIZATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | FORM 990 IS REVIEWED BY FINANCIAL DELEGATE AND CEO. CEO DISTRIBUTES TO THE BOARD MEMBERS. IT IS AVAILABLE FOR THE PUBLIC TO REVIEW IN THE ADMINISTRATIVE OFFICE. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ALL DIRECTORS, OFFICERS, EMPLOYEES, AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS ARE COVERED BY THE CONFLICT-OF-INTEREST POLICY AND MUST PROVIDE AN ANNUAL STATEMENT INDICATING THEY HAVE REVIEWED AND ARE IN COMPLIANCE WITH THE POLICY. THE BOARD IS CHARGED WITH PERIODICALLY REVIEWING AND MONITORING THE POLICY TO ENSURE THE ORGANIZATION ACTS IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WILL INVESTIGATE ANY ALTERNATIVES AND DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND WILL ESTABLISH PROCEDURES FOR VIOLATIONS OF THE POLICY. IF THERE IS A VIOLATION OF THE CONFLICTS OF INTEREST POLICY BY FAILING TO DISCLOSE POTENTIAL OR ACTUAL CONFLICTS OF INTEREST, A MEMBER OF THE COMPLIANCE, HR, OR LEGAL DEPARTMENT WILL INVESTIGATE AND TAKE APPROPRIATE ACTION. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | COMPENSATION IS PAID THROUGH BILLINGS CLINIC, THE SOLE MEMBER. COMPENSATION IS DETERMINED BY AN ANNUAL REVIEW OF EXTERNAL MARKET DATA FOR SIMILAR SIZE ORGANIZATIONS THROUGH USE OF SURVEY DATA WITH MHA AND YAFFEE AND COMPANY, AND RURAL CRITICAL ACCESS HOSPITAL FACILITIES. COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AS RECOMMENDED BY THE VP OF REGIONAL SERVICES. THE REVIEW IS DONE AT THE TIME OF THE CEO'S ANNUAL PERFORMANCE REVIEW. TOWNSEND HEALTH SYSTEMS REIMBURSES BILLINGS CLINIC FOR THE CEO'S COMPENSATION. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | OTHER OFFICER COMPENSATION IS PAID THROUGH BILLINGS CLINIC, THE SOLE MEMBER. SALARIES FOR THE OTHER KEY OFFICERS/LEADERS IN THE ORGANIZATION ARE REVIEWED FOR COMPARISON TO OTHER SIMILAR SIZE ORGANIZATIONS THROUGH USE OF EXTERNAL SALARY SURVEY SOURCES SUCH AS MHA AND ASSOCIATED EMPLOYERS. THIS REVIEW IS CONDUCTED BY TOWNSEND HEALTH SYSTEMS' HR GENERALIST AND THE CEO. BUDGET RECOMMENDATIONS ARE FORMULATED FOR REVIEW AND APPROVAL BY THE VP OF REGIONAL SERVICES AND FOR FINAL APPROVAL BY THE BOARD OF DIRECTORS/FINANCE COMMITTEE. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BILLINGS CLINIC (MT) | ||||||||||
| 2800 TENTH AVENUE NORTH | BILLINGS | MT | 59101 | 810231784 | HOSPITAL | MT | 501(c)(3) | 3 | NA | false |
| BILLINGS CLINIC FOUNDATION | ||||||||||
| 2917 TENTH AVENUE NORTH | BILLINGS | MT | 59101 | 810407289 | FUNDRAISING | MT | 501(c)(3) | 7 | BC | false |
| STILLWATER HOSPITAL ASSOCIATION | ||||||||||
| 710 N 11TH STREET | COLUMBUS | MT | 59019 | 810286525 | HOSPITAL | MT | 501(c)(3) | 3 | BC | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BILLINGS CLINIC INNOVATION FERTILITY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 399 KNOLLWOOD ROAD | AddressLine1Txt |
| Address Line2 | STE 303 WH | AddressLine2Txt |
| City | WHITE PLAINS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10603 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 881032699 | EIN |
| Primary Activities | FERTILITY CLINIC | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
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