FURP.ORG / PUBLIC DATA EXPLORER

BILLINGS CLINIC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
BILLINGS CLINIC (EIN 81-0231784)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-10
IRS object ID
201601319349302285
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-10T13:24:26-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810231784EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BILLINGS CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBILLBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12800 TENTH AVENUE SOUTHAddressLine1Txt
CityBillingsCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCONNIE PREWITTPersonNm
Person TitleCHIEF FINANCIALPersonTitleTxt
Phone4062382500PhoneNum
Signature2016-05-10SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNICHOLAS J WOLTERPrincipalOfficerNm
Gross Receipts$1,263,711,187GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BILLINGSCLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionBILLINGS CLINIC WILL BE A NATIONAL LEADER IN PROVIDING THE BEST CLINICAL QUALITY, PATIENT SAFETY, SERVICE AND VALUEActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee4384TotalEmployeeCnt
Total Volunteers325TotalVolunteersCnt
Total Gross UBI$9,482,117TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$3,453,003NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,223,188PYContributionsGrantsAmt
CY Contributions Grants$7,063,534CYContributionsGrantsAmt
PY Program Service Revenue$564,854,800PYProgramServiceRevenueAmt
CY Program Service Revenue$621,890,549CYProgramServiceRevenueAmt
PY Investment Income$15,284,806PYInvestmentIncomeAmt
CY Investment Income$12,341,919CYInvestmentIncomeAmt
PY Other Revenue$11,240,694PYOtherRevenueAmt
CY Other Revenue$7,069,276CYOtherRevenueAmt
PY Total Revenue$593,603,488PYTotalRevenueAmt
CY Total Revenue$648,365,278CYTotalRevenueAmt
PY Grants And Similar Paid$759,754PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$807,950CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$302,242,677PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$323,961,290CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$251,656,215PYOtherExpensesAmt
CY Other Expenses$280,972,044CYOtherExpensesAmt
PY Total Expenses$554,658,646PYTotalExpensesAmt
CY Total Expenses$605,741,284CYTotalExpensesAmt
PY Revenues Less Expenses$38,944,842PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$42,623,994CYRevenuesLessExpensesAmt
Total Assets BOY$664,984,296TotalAssetsBOYAmt
Total Assets EOY$706,036,383TotalAssetsEOYAmt
Total Liabilities BOY$262,301,525TotalLiabilitiesBOYAmt
Total Liabilities EOY$273,015,058TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$402,682,771NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$433,021,325NetAssetsOrFundBalancesEOYAmt
MissionBILLINGS CLINIC WILL BE A NATIONAL LEADER IN PROVIDING THE BEST CLINICAL QUALITY, PATIENT SAFETY, SERVICE AND VALUEMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$219,284,636ExpenseAmt
Revenue$217,985,983RevenueAmt
DescCLINIC PATIENT CARE VISITS 789,788Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$218,238,339ExpenseAmt
Revenue$347,807,605RevenueAmt
DescHOSPITAL PATIENT CARE HOSPITAL DAYS 73,302Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$30,544,188ExpenseAmt
Grant$1,331,529GrantAmt
Revenue$46,743,978RevenueAmt
DescREGIONAL, RESEARCH AND OTHER REVENUEDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$9,648,404ExpenseAmt
Revenue$7,757,416RevenueAmt
DescNURSING HOME PATIENT CARE SKILLED AND ASSISTED LIVINGDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$9,648,404TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$7,757,416TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$477,715,567TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document441IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4384EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCONNIE PREWITTPersonNm
Phone4062382500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12800 TENTH AVENUE SOUTHAddressLine1Txt
CityBillingsCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59101ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
NICHOLAS J WOLTER
CHIEF EXECUTIVE OFFICER73.003.00Yes (X)Yes (X)$1,130,701$0$35,721
DAVID BROWN
CHAIRMAN5.000.00Yes (X)Yes (X)$0$0$9,000
JOY OTT
VICE CHAIR5.000.00Yes (X)Yes (X)$0$0$6,000
ELIZABETH FULTON
TREASURER5.000.00Yes (X)Yes (X)$0$0$6,000
LIL ANDERSON
SECRETARY5.000.00Yes (X)Yes (X)$6,000$0$0
PENNI NANCE
BOARD MEMBER3.000.00Yes (X)$6,000$0$0
KEITH COOK
BOARD MEMBER3.000.00Yes (X)$0$0$6,000
AARON SPARBOE
BOARD MEMBER3.000.00Yes (X)$0$0$6,000
MARIA VALANDRA
BOARD MEMBER3.000.00Yes (X)$0$0$3,000
CH MCCRACKEN III MD
PHYSICIAN BOARD MEMBER73.000.00Yes (X)$297,722$0$39,831
J SCOTT MILLIKAN MD
PHYSICAN BOARD MEMBER78.000.00Yes (X)Yes (X)$671,642$0$47,756
CONNIE PREWITT
CHIEF FINANCIAL OFFICER70.001.00Yes (X)$522,989$0$65,862
JARED J LUND MD
PHYSICIAN70.000.00$860,997$0$39,859Yes (X)
MICHAEL A MORONE MD
PHYSICIAN70.000.00$841,045$0$35,565Yes (X)
BARRY N SMITH MD
PHYSICIAN70.000.00$819,258$0$42,387Yes (X)
ROBERT J HANCOCK MD
PHYSICIAN70.000.00$785,330$0$35,689Yes (X)
BRADLEY ZINS MD
PHYSICIAN70.000.00$716,376$0$40,625Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,658,060TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$419,295TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K386IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SODEXO INC
PO BOX 37000BillingsMT59107FOOD SERVICE$5,054,451
HAYES LOCUMS LLC
6700 N ANDREWS AVE STE 600Fort LauderdaleFL33309PHYSICIAN SERVICES$2,533,412
COMMAND HEALTH
PO BOX 847797DallasTX75284TRANSCRIPTION$2,061,514
OPTUMINSIGHT
3436 MOMENTUM PLACEChicagoIL60689DENIAL RECOVERY$2,900,875
HEALTHCARE OUTSOURCING NETWORK
621 17TH STREET STE 1800DenverCO80293EARLY OUT VENDOR$2,009,039
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K58CntrctRcvdGreaterThan100KCnt
Related Organizations$7,063,534RelatedOrganizationsAmt
Noncash Contributions$15,001NoncashContributionsAmt
Total Contributions$7,063,534TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621110$583,793,754$583,793,754
AIR AMBULANCE621910$6,841,933$6,841,933
LONG TERM CARE623000$7,778,926$7,778,926
REFERENCE LAB621500$4,793,424$4,793,424
OUTPATIENT PHARMACY621990$15,258,198$15,258,198

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,424,314TotalRevenueColumnAmt
Related Or Exempt Func Income$3,100,180RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$324,134UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$621,890,549TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,917,932TotalRevenueColumnAmt
Unrelated Business Revenue$931,156UnrelatedBusinessRevenueAmt
Exclusion$5,986,776ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$286,974RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$191,092RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$95,882RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,882TotalRevenueColumnAmt
Exclusion$95,882ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$620,575,062SecuritiesAmt
Other$3,742OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$614,681,248SecuritiesAmt
Other$473,569OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,893,814SecuritiesAmt
Other-$469,827OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,423,987TotalRevenueColumnAmt
Exclusion$5,423,987ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
REGIONAL IT SERVICES541519$2,689,337$2,689,337
OPTICAL SHOPCOSMETICS446199$744,066$744,066

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,539,991TotalRevenueColumnAmt
Related Or Exempt Func Income$3,539,991RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,973,394OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$648,365,278TotalRevenueColumnAmt
Related Or Exempt Func Income$620,312,982RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,482,117UnrelatedBusinessRevenueAmt
Exclusion$11,506,645ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$793,950TotalAmt
Program Services$793,950ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$14,000TotalAmt
Program Services$14,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,790,788TotalAmt
Program Services$2,037,275ProgramServicesAmt
Management And General$753,513ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$266,014,145TotalAmt
Program Services$213,245,286ProgramServicesAmt
Management And General$52,768,859ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,605,528TotalAmt
Program Services$10,206,718ProgramServicesAmt
Management And General$2,398,810ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$26,079,078TotalAmt
Program Services$15,045,175ProgramServicesAmt
Management And General$11,033,903ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,471,751TotalAmt
Program Services$12,502,340ProgramServicesAmt
Management And General$3,969,411ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,340,198TotalAmt
Management And General$1,340,198ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$224,805TotalAmt
Management And General$224,805ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$171,199TotalAmt
Management And General$171,199ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,015,572TotalAmt
Management And General$1,015,572ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$46,973,916TotalAmt
Program Services$19,565,883ProgramServicesAmt
Management And General$27,408,033ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,038,707TotalAmt
Program Services$46,887ProgramServicesAmt
Management And General$1,991,820ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,176,859TotalAmt
Program Services$5,997,551ProgramServicesAmt
Management And General$5,179,308ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,703,337TotalAmt
Program Services$10,310,688ProgramServicesAmt
Management And General$3,392,649ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,591,894TotalAmt
Program Services$5,492,580ProgramServicesAmt
Management And General$1,099,314ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,573,060TotalAmt
Program Services$1,637,648ProgramServicesAmt
Management And General$935,412ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$165,209TotalAmt
Program Services$49,740ProgramServicesAmt
Management And General$115,469ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,696,357TotalAmt
Program Services$4,889,723ProgramServicesAmt
Management And General$1,806,634ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,748,742TotalAmt
Program Services$18,795,122ProgramServicesAmt
Management And General$3,953,620ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,481,987TotalAmt
Program Services$8,565,596ProgramServicesAmt
Management And General$916,391ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$96,564,145$96,169,897$394,248
BAD DEBT$37,678,673$37,678,673
REPAIRS & MAINTENANCE$7,023,049$5,891,956$1,131,093
BED TAX$3,858,210$3,858,210

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,946,125TotalAmt
Program Services$4,920,669ProgramServicesAmt
Management And General$6,025,456ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$605,741,284TotalAmt
Program Services$477,715,567ProgramServicesAmt
Management And General$128,025,717ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,873,647BOYAmt
EOY$11,599,632EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,712,397BOYAmt
EOY$6,319,358EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$87,737,588BOYAmt
EOY$102,564,914EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$242,088BOYAmt
EOY$443,944EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,547,825BOYAmt
EOY$7,413,795EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,467,785BOYAmt
EOY$5,741,004EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$483,717,055LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$255,815,915LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$237,284,132BOYAmt
EOY$227,901,140EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$227,085,235BOYAmt
EOY$240,376,416EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$6,356,131BOYAmt
EOY$18,496,547EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$49,677,468BOYAmt
EOY$85,179,633EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$664,984,296BOYAmt
EOY$706,036,383EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$53,078,163BOYAmt
EOY$58,382,923EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$393,670BOYAmt
EOY$118,252EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$161,900,000BOYAmt
EOY$156,175,048EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,436,275BOYAmt
EOY$1,607,316EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,493,417BOYAmt
EOY$56,731,519EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$262,301,525BOYAmt
EOY$273,015,058EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$366,749,658BOYAmt
EOY$394,986,802EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,980,496BOYAmt
EOY$14,707,433EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,952,617BOYAmt
EOY$23,327,090EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$402,682,771BOYAmt
EOY$433,021,325EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$664,984,296BOYAmt
EOY$706,036,383EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$42,623,994ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,065,546NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$9,219,894OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$171,199FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$171,199FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$605,570,085FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$605,741,284FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$82,631CurrentYearMinus3Amt
Current Year Minus2$219,228CurrentYearMinus2Amt
Current Year Minus1$159,612CurrentYearMinus1Amt
Current Year$171,199CurrentYearAmt
Total$632,670TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,855,937BeginningYearBalanceAmt
Contributions$17,610,002ContributionsAmt
Investment Earnings Or Losses$1,990,724InvestmentEarningsOrLossesAmt
Other Expenditures$215,146OtherExpendituresAmt
End Year Balance$45,241,517EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,259,946BeginningYearBalanceAmt
Contributions$551,706ContributionsAmt
Investment Earnings Or Losses$2,064,279InvestmentEarningsOrLossesAmt
Other Expenditures$19,994OtherExpendituresAmt
End Year Balance$25,855,937EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,981,852BeginningYearBalanceAmt
Contributions$415,028ContributionsAmt
Investment Earnings Or Losses$1,054,443InvestmentEarningsOrLossesAmt
Grants Or Scholarships$204,010GrantsOrScholarshipsAmt
Administrative Expenses-$12,633AdministrativeExpensesAmt
End Year Balance$23,259,946EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,026,911BeginningYearBalanceAmt
Contributions$246,728ContributionsAmt
Investment Earnings Or Losses$724,344InvestmentEarningsOrLossesAmt
Grants Or Scholarships$44,349GrantsOrScholarshipsAmt
Administrative Expenses-$28,218AdministrativeExpensesAmt
End Year Balance$21,981,852EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,640,069BeginningYearBalanceAmt
Contributions$605,720ContributionsAmt
Investment Earnings Or Losses$781,122InvestmentEarningsOrLossesAmt
End Year Balance$21,026,911EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.39900BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.51600PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.08500TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,573,410InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$17,943,001OtherCostOrOtherBasisAmt
Book Value$22,516,411BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$182,066,796OtherCostOrOtherBasisAmt
Depreciation$75,537,179DepreciationAmt
Book Value$106,529,617BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,966,997OtherCostOrOtherBasisAmt
Depreciation$1,474,651DepreciationAmt
Book Value$492,346BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$258,478,805OtherCostOrOtherBasisAmt
Depreciation$169,479,226DepreciationAmt
Book Value$88,999,579BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,688,046OtherCostOrOtherBasisAmt
Depreciation$9,324,859DepreciationAmt
Book Value$9,363,187BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$227,901,140TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescJOINT VENTURESDesc
Book Value$18,496,547BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$18,496,547TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
DUE FROM MEDICAREMEDICAID$4,221,695
DUE FROM FOUNDATION$802,182
DUE FROM EXPRESS CARE$2,161,397
DUE FROM NEW WEST$77,122,870
INTEREST IN FOUNDATION$67,515,721
INTEREST IN NEW WEST-$70,059,763
INTEREST IN STILLWATER HOSPITAL$3,488,035
INTEREST IN MHI$1,324,571
INTEREST IN EXPRESS CARE-$1,397,075
FieldValueIRS element (for citing)
Total Book Value Other Assets$85,179,633TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
DUE TO MEDICAREMEDICAID$1,615,652
DEPOSITS ON ACCOUNT$63,260
EMPLOYEE FLEX FUNDS$427,983
RESERVE FOR FIRST CARE LOANS$961,780
ABANDONED PROPERTY$366,549
MHI LIABILITY$10,421,761
DUE TO NEW WEST$9,596,443
INTEREST RATE SWAP AGREEMENT$23,250,324
RESERVE FOR UNPAID CLAIMS$8,649,205
OTHER$1,378,562
FieldValueIRS element (for citing)
Total Liability$56,731,519TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$590,979,437TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,065,546NetUnrealizedGainsInvstAmt
Other Revenue$167,615OtherRevenueAmt
Revenue Not Reported-$2,897,931RevenueNotReportedAmt
Revenue Subtotal$593,877,368RevenueSubtotalAmt
Investment Expenses Not Incld$1,015,572InvestmentExpensesNotIncldAmt
Other Revenues Not Included$53,472,338OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$54,487,910RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$648,365,278TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$562,742,300TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$562,742,300ExpensesSubtotalAmt
Investment Expenses Not Incld2$1,015,572InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$41,983,412OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$42,998,984ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$605,741,284TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Endowment funds intended uses (Part V, line 4)THE ORGANIZATIONS ENDOWMENT CONSISTS OF APPROXIMATELY 70 INDIVIDUAL FUNDS ESTATBLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE GOVERNING BODY TO FUNCTION AS ENDOWMENTS. ENDOWMENT FUNDS ARE INVESTED AND HELD TO PROVIDE GROWTH OVER THE LONG-TERM.
Other revenues not included on Form 990 (Part XI, line 2d)OTHER REVENUES NOT INCLUDED ON FORM 990, SCH D, PART XICHANGE IN FAIR VALUE OF INTEREST RATE SWAP $167,615
Other revenues included on Form 990 (Part XI, line 4b)OTHER REVENUE INCLUDED ON FORM 990, SCH D, PART XICHANGE IN INTEREST OF AFFILIATES $15,121,881BAD DEBT $37,678,674INTEREST IMPUTED ON INTERCOMPANY RECEIVABLES $931,156MHI LOSS ($259,373)TOTAL $53,472,338
Other expenses included on Form 990 (Part XII, line 4b)OTHER EXPENSES INCLUDED ON FORM 990, SCH D, PART XIIBAD DEBT EXPENSE $37,678,674MHI EXPENSE $4,304,738TOTAL $41,983,412
Footnote for uncertain tax position under FIN 48 (Part X)THE CLINIC HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. ACCORDINGLY, NO PROVISION OF INCOME TAX FOR THESE ENTITIES HAS BEEN MADE. HOWEVER, THE CLINIC IS SUBJECT TO FEDERAL AND STATE INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE CLINIC FILES TAX RETURNS IN THE US FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE CLINIC IS NO LONGER SUBJECT TO US FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served45103PersonsServedCnt
Total Community Benefit Expns$13,050,173TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,050,173NetCommunityBenefitExpnsAmt
Total Expense0.02300TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served108698PersonsServedCnt
Total Community Benefit Expns$43,399,660TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,344,673DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,054,987NetCommunityBenefitExpnsAmt
Total Expense0.01070TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served153801PersonsServedCnt
Total Community Benefit Expns$56,449,833TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,344,673DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,105,160NetCommunityBenefitExpnsAmt
Total Expense0.03370TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served155606PersonsServedCnt
Total Community Benefit Expns$2,969,350TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,969,350NetCommunityBenefitExpnsAmt
Total Expense0.00520TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1557PersonsServedCnt
Total Community Benefit Expns$5,480,366TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,828,573DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,651,793NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served15768PersonsServedCnt
Total Community Benefit Expns$45,958,353TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,152,711DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,805,642NetCommunityBenefitExpnsAmt
Total Expense0.01550TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Persons Served13238PersonsServedCnt
Total Community Benefit Expns$1,315,396TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$649,633DirectOffsettingRevenueAmt
Net Community Benefit Expns$665,763NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served2978PersonsServedCnt
Total Community Benefit Expns$569,741TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,128DirectOffsettingRevenueAmt
Net Community Benefit Expns$555,613NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served189147PersonsServedCnt
Total Community Benefit Expns$56,293,206TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,645,045DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,648,161NetCommunityBenefitExpnsAmt
Total Expense0.02930TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served342948PersonsServedCnt
Total Community Benefit Expns$112,743,039TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,989,718DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,753,321NetCommunityBenefitExpnsAmt
Total Expense0.06300TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,805TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,805NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$936TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$936NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,382TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$135,382NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served415PersonsServedCnt
Total Community Benefit Expns$189,475TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$189,475NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served415PersonsServedCnt
Total Community Benefit Expns$350,598TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$350,598NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$37,678,673BadDebtExpenseAmt
Reimbursed By Medicare$179,656,792ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$208,631,550CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$28,974,758MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BILINGS CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12800 TENTH AVENUE NORTHAddressLine1Txt
CityBillingsCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59101ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BILLINGSCLINIC.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BILINGS CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (true)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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
Information GapsYes (X)InformationGapsInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.BILLINGSCLINIC.COMOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.HEALTHYBYDESIGNYELLOWSTONE.ORGOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.00FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.00FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.BILLINGSCLINIC.FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.BILLINGSCLINIC.FAPSummaryOnWebsiteURLTxt
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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility Group 1 Part V line 5DESCRIBE HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY:KEY INFORMANT FOCUS GROUPS WERE HELD IN THE COMMUNITY, INCLUDING FIVE DIFFERENT GROUPS WITH 8-12 PARTICIPANTS EACH. THE GROUPS REPRESENTED LOCAL SOCIAL SERVICE PROVIDERS, LEGISLATORS, PHYSICIANS AND OTHER HEALTH PROFESSIONALS, EMPLOYERS, EDUCATORS AND LOW-INCOME GROUPS.EMPLOYERS, EDUCATORS AND PUBLIC SERVICE WERE REPRESENTED BY THE FOLLOWING ORGANIZATIONS: LAUREL PUBLIC SCHOOLS, CHAMBER OF COMMERCE, ROCKY MOUNTAIN COLLEGE, BILLINGS GAZETTE, CTA ARCHITECTS, MET TRANSIT & CITY COUNTY PLANNING DEPARTMENT & THE BILLINGS POLICE DEPARTMENTSOCIAL SERVICE PROVODERS WERE REPRESENTED BY CENTER FOR CHILDREN AND FAMILIES, FAMILY SERVICES, UNITED WAY OF YELLOWSTONE COUNTY, PARENTS LETS UNITE FOR KIDS,ETC
Facility Group 1 Part V line 6bOTHER HOSPITALS INCLUDED WITH THE CHNA:THE ENTIRE CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS (PRC). BILLINGS CLINICS COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN A PRE-EXISTING COMMUNITY HEALTH PARTNERSHIP CALLED THE ALLIANCE WITH ST. VINCENT HEALTHCARE (HOSPITAL ORGANIZATION) AND RIVERSTONE HEALTH (PUBLIC HEALTH DEPARTMENT FOR CITY AND COUNTY). THE ALLIANCE HAD CONDUCTED A CHNA IN 2006 AND 2011 AS WELL
Facility Group 1 Part V line 6aTHE ENTIRE CHNA WAS CONDUCTED BY PROFESSIONAL RESERCH CONSULTANTS (PRC). BILLINGS CLINICS COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN A PRE-EXISTING COMMUNITY HEALTH PARTNERSHIP CALLED THE ALLIANCE WITH ST. VINCENT HEALTHCARE (HOSPITAL ORGANIZATION) AND RIVERSTONE HEALTH (PUBLIC HEALTH DEPARTMENT FOR CITY AND COUNTY). THE ALLIANCE HAD CONDUCTED A CHNA IN 2006 & 2011 AS WELL AS 2014.
FieldValueIRS element (for citing)
Facility15FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
BILLINGS CLINIC NORTH 30TH BLD
1045 N 30TH STREETBillingsMT59101DIABETES ENDOCRINOLOGY
BILLINGS CLINIC MILES CITY
620 SOUTH HAYNES AVENUEMiles CityMT59301PRIMARY CARE PEDIATRICS ONCOLOGY
BILLINGS CLINIC HEIGHTS CLINIC
760 WICKS LANEBillingsMT59105PRIMARY CARE
BILLINGS CLINIC WEST
2675 CENTRAL AVENUEBillingsMT59102PRIMARY CARE OBSTETRICS
BILLINGS SPORTS PLEX
5000 SOUTHGATE DRIVEBillingsMT59101SPORTS MEDICINE
BOZEMAN OBGYN
925 HIGHLAND BLVDBozemanMT59715OBSTETRICS & GYNECOLOGY
BILLINGS CLINIC SURGERY CENTER
2929 TENTH AVENUE NORTHBillingsMT59101OUTPATIENT SURGERY
BILLINGS CLINIC CODY CLINIC
201 YELLOWSTONE AVENUECodyWY82414PRIMARY CARE ONCOLOGY PEDIATRICS
LIVINGSTON IMAGING
504 S 13TH STREETLivingstonMT59047MEDICAL IMAGING
ASPEN MEADOWS
3155 AVENUE CBillingsMT59102LONG TERM CARE FACILITY AND ASSISTED LIVING
BILLINGS CLINIC
2800 TENTH AVENUE NORTHBillingsMT59101MULTISPECIALTY PHYSICIAN OUTPATIENT CLINICS
SHERIDAN DIALYSIS
1401 WEST 5TH STREETSheridanWY82801OUTPATIENT DIALYSIS
BILLINGS CLINIC CANCER CENTER
801 NORTH 29TH STREETBillingsMT59101CANCER CARE INFUSION CENTER RADIATION ONCOLOGY
ANTICOAGULATION CLINIC
1020 NORTH 27TH STREET 1ST FLBillingsMT59101ANTIGOAGULATION CLINIC
BEHAVIORAL HEALTH CENTER
1020 NORTH 27TH STREET 4TH FLBillingsMT59101OUTPATIENT MENTAL HEALTH

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
01. Costing methodology explanation (Part I, line 7)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.
02. Debt expense included (Part I, line 7, col(f))BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT EXCLUDED FOR PURPOSES OF CALCULATING PERCENTAGE IN THIS COLUMN EQUAL $37,678,673
03. Subsidized health services costs (Part I, line 7g)SUBSIDIZED HEALTH SERVICES INCLUDES VARIOUS PHYSICIAN CLINICS IN ORDER TO BETTER SERVE THE MONTANA AREAS. TOTAL COSTS FOR THE PHYSICIAN CLINICS WERE $24,048,420
04. Part III, line 2THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS.
05. Bad debt description footnote (Part III, line 4)SEE PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE.
06. Allowable Medicare costing methodology (Part III, line 8)WE BELIEVE THAT 46 PERCENT OF BILLINGS CLINICS MEDICARE SHORTFALLS SHOULD BE COUNTED ASCOMMUNITY BENEFIT. OUR RATIONALE IS THAT 46 PERCENT IS THE BEST ESTIMATE OF THE PERCENTAGE OFMONTANAS MEDICARE POPULATION (65 AND OLDER) WHO ARE AT OR BELOW 400% OF FEDERAL POVERTY LEVEL, BASED ON U.S. CENSUS DATA. THE UPPER LIMIT OF OUR FINANCIAL ASSISTANCE POLICY IS 400%.FOR THE CALCULATION OF THE UNREIMBURESED COST OF MEDICARE A RATIO OF PATIENT COST-TO-CHARGES USING WORKSHEET 2 WAS UTILIZED AND APPLIED TO GROSS MEDICARE CHARGES. WE DO NOT USE THE MEDICARECOST REPORT FOR THIS NUMBER. THE COST REPORT ONLY CAPTURES REVENUE RELATED TO THE FACILITY AND DOESNOT CAPTURE REVENUE/LOSSES RELATED TO CLINICAL PROFESSIONAL SERVICES, WHICH ARE A SUBSTANTIALPORTION OF MEDICARE SHORTFALLS.
07. Collection practices (Part III, line 9b)BILLINGS CLINIC HAD A FORMAL, WRITTEN POLICY IN TAX YEAR 2014, EFFECTIVE 10/5/11 (OHA-205 PATIENT FINANCIAL SERVICES). WE DID HAVE A COLLECTION PROCESS, WHICH WAS USED TO SCREEN PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO MAKING PAYMENT ARRANGEMENTS FOR CARE. THE POLICY APPILES EQUALLY TO ALL PATIENTS - INSURED, UNDER-INSURED AND UNINSURED.ONCE A DETERMINATION HAS BEEN MADE AND ADJUSTMENTS APPLIED TO THE ACCOUNT BALANCE, ANY REMAINING BALANCE WOULD FALL INTO THE REGULAR GUIDELINES OF COLLECTION, GIVING PATIENTS FINANCING OPTIONS THAT WILL WORK WITHIN THEIR MONTHLY BUDGET.PATIENTS WHO CANNOT MEET THE REQUIREMENTS OF A PAYMENT ARRANGEMENT SHOULD BE OFFERED THE LOAN PROGRAM AND/OR FINANCIAL ASSISTANCE AS OPTIONS.
08. Other charity care criteria description (Part I, line 3c)ALL PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE. INFORMATIONAL BROCHURES WITH ONE PAGE SUMMARY AND APPLICATIONS FORMS ARE AVAILABLE AT REGISTRATION DESKS IN THE CLINIC AND THE HOSPITAL, THE EMERGENCY DEPARTMENT DISCHARGE DESK, AND ON OUR WEBSITE AT WWW.BILLINGSCLINIC.COM. INFORMATION ABOUT FINANCIAL ASSISTANCE IS PRINTED ON THE BACK OF PATIENT BILLS.PATIENTS HOSPITALIZED WITHOUT IDENTIFIYING A THIRD PARTY PAYER SOURCE ARE SCREENED FOR COVERAGE/ASSISTANCE (DISABILITY, MEDICAID, VETERANS ADMINSTRATION, INDIAN HEALTH SERVICES AND WORKERS COMPENSATIONS).APPLICATIONS ARE MAILED TO PATIENTS WHOSE PAYMENT PATTERN INDICATES THAT THEY MAY NEED ASSISTANCE.PATIENT FINANCIAL SERVICES STAFF IS AVAILABLE TO HELP ANY PATIENT NEEDING ASSISTANCE COMPLETING AN APPLICATION.
09. Community building activities (Part II)COMMUNITY BUILDING ACTIVITIES: FOR 990, SCH H, PART II*SUBSTANTIAL FINANCIAL ASSISTANCE AND CHARITY CARE WAS PROVIDED TO PATIENTS IN NEED.*CARE WAS PROVIDED TO MEDICARE AND MEDICAID PATIENTS AS WELL AS SCHIP FOR CHILDREN*BILLINGS CLINIC IS A TEACHING HOSPITAL AND SUPPORTS, ALONG WITH RIVERSTONE HEALTH AND ST. VINCENT HEALTHCARE, THE ONLY POST-GRADUATE MEDICAL EDUCATION IN MONTANA (MONTANA FAMILY MEDICINE RESIDENCY PROGRAM). WE PROVIDE ONGOING PRECEPTORSHIPS FOR MEDICAL, NURSING AND PHARMACY STUDENTS. IN 2013, WE CREATED A INTERNAL MEDICINE RESIDENCY PROGRAM. RESIDENTS STARTED THE PROGRAM IN JULY 2014.*BILLINGS CLINIC SERVES A SIGNIFICANTLY DISPROPORTIONATE SHARE OF LOW-INCOME PATIENTS IN THE STATE OF MONTANA. COMMUNITY BUILDING ACTIVITIES - CONTINUED*OUR FULL TIME EMERGENCY DEPARTMENT IS MAINTAINED WHERE NO ONE IS DENIED CARE, WITHIN OUR CAPACITY TO PROVIDE CARE*BILLINGS CLINIC HAS THE ONLY INPATIENT PSYCHIATRIC SERVICES FOR YOUTH AND ADULTS AVAILABLE IN OUR REGION OF CENTRAL AND EASTERN MONTANA AND NORTHERN WYOMING, DESPITE SIGNIFICANT FINANCIAL LOSS. WE ARE COMMITTED TO MENTAL HEALTH CARE AND CONTINUALLY WORK TO FIND WAYS TO REACH THOSE IN NEED IN THE REGION, SUCH AS THROUGH TELEMEDICINE PROGRAMS AND EDUCATION FOR PRIMARY CARE PROVIDERS
10. Related organization annual community benefit report (Part I, line 6a)STILLWATER COMMUNITY HOSPITAL, A RELATED CRITICAL ACCESS HOSPITAL, PREPARES THIER OWN INDEPENDENT COMMUNITY BENEFIT REPORT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
BILLINGS CLINIC FOUNDATION
2917 TENTH AVENUE NBillingsMT59101810407289501C3$227,018SUPPORT OPERATIONS
COMMUNITY CRISIS CENTER
704 NORTH 30TH STREETBillingsMT59101203231164501C3$81,191SUPPORT OPERATIONS
RIVERSTONE HEALTH
123 SOUTH 27TH STREETBillingsMT59101810513538501C3$20,000SUPPORT OPERATIONS
RONALD MCDONALD HOUSE
1144 NORTH 30TH STREETBillingsMT59101810400667501C3$17,000SUPPORT OPERATIONS
FAMILY MEDICINE RESIDENCY OF MT WY
401 WEST RAILROADMissoulaMT59802816001713501C6$213,806SUPPORT OPERATIONS
BILLINGS CATHOLIC SCHOOLS
PO BOX 31158BillingsMT59107$11,000SUPPORT OPERATIONS
MACK PRODUCTIONS
3333 2ND AVENUE NBillingsMT59101$8,000SPONSORSHIP
BIG SKY STATE GAMES
BOX 7136BillingsMT59103810431595501C3$6,000SPONSORSHIP
PROFESSIONAL BULL RIDERS ASSOC
101 W RIVERWALKPuebloCO81003473943248$6,500SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org4TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient14RecipientCnt
Cash Grant$14,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceMonitoring procedures (Part I, line 2)FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION AWARDS SCHOLARSHIPS TO INDIVIDUALS WHO EXHIBIT A STRONG DESIRE AND POTENTIAL TO EXCEL IN THE HEALTH CARE FIELD. STUDENTS MUST COMPLETE AN APPLICATION FORM WHICH INCLUDES THEIR MOST RECENT HIGH SCHOOL TRANSCRIPT OR G.E.D AND CURRENT COLLEGE TRANSCRIPT. THE APPLICATION MUST INCLUDE THREE INDIVIDUAL REFERENCES ON USING THE ORGANIZATIONS RECOMMENDATION QUESTIONAIRE. THE ORGANIZATION ALSO PROVIDES GRANTS TO OTHER HEALTH RELATED ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmt
NICHOLAS J WOLTER
CHIEF EXECUTIVE OFFICER$680,018$450,683$27,025$8,696$1,166,422
CONNIE PREWITT
CHIEF FINANCIAL OFFICER$372,726$100,604$53,799$12,063$588,851$49,659
CH MCCRACKEN III MD
PHYSICIAN BOARD MEMBER$297,722$28,170$11,661$337,553
J SCOTT MILLIKAN MD
PHYSICAN BOARD MEMBER$667,898$35,018$12,738$719,398$3,744
JARED J LUND MD
PHYSICIAN$860,997$25,150$14,709$900,856
MICHAEL A MORONE MD
PHYSICIAN$841,045$22,827$12,738$876,610
BARRY N SMITH MD
PHYSICIAN$819,258$27,900$14,487$861,645
ROBERT J HANCOCK MD
PHYSICIAN$785,330$25,150$10,539$821,019
BRADLEY ZINS MD
PHYSICIAN$716,376$27,887$12,738$757,001

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Benefit information (Part I, line 1a)THE BILLINGS CLINIC PERIODICALLY ARRANGES AND PAYS FOR CHARTER TRAVEL FOR MANAGEMENT AND/OR BOARD MEMBERS ATTENDING GOVERNANCE EDUCATION, STATE LEGISLTATIVE HEARINGS, AND ASSOCIATION MEETINGS. BILLINGS CLINIC ALSO PAYS FOR THE TRAVEL EXPENSE OF SPOUSES OF THE BOARD MEMBERS ATTENDING ORGANIZATIONALLY APPROVED/ARRANGED GOVERNANCE EDUCATION. THIS REIMBURSEMENT IS REPORTED AS INCOME CONSISTENT WITH THE BOARD TRAVEL REIMBURSEMENT POLICY. THERE WAS NO TAXABLE TRAVEL UTILIZED IN FY15.
Listed persons compensation information (Part I, line 4)THE BILLINGS CLINIC SUPPLEMENTAL RETIREMENT AGREEMENT FOR SENIOR EXECUTIVES (SERP) IS A NON-ELECTIVE 457(F) AGREEMENT AND PROVIDES FOR ANNUAL DEFERRALS, WHICH BECOME VESTED AND PAYABLE AFTER 4 YEARS.THE FOLLOWING INDIVIDUALS ARE PARTICIPANTS IN THE PLAN AND RECEIEVED A DEFERRAL DURING THE 2014 CALENDAR YEAR WHICH IS INCLUDED IN DEFERRED COMPENSATION ON SCHEDULE J, PART II, COLUMN CCONNIE PREWITT, $49,659
Other non-fixed payments (Part I, line 7)THE BOARD OF DIRECTORS ANNUALLY DETERMINES THE INCENTIVE PLAN AMOUNT FOR THE CEO AND THE SENIOR EXECUTIVE TEAM BASED ON AN EXTERNAL COMPENSATION STUDY. THE AVAILABILITY OF THE INCENTIVE IS TRIGGERED BY THE ORGANIZATION OPERATING MARGIN PERFORMANCE TARGETS. THE INCENTIVE IS AWARDED BASED ON FINANCIAL PERFORMANCE AS WELL AS ORGANIZATIONAL PERFORMANCE MEASUREMENTS IN QUALITY, PATIENT SATISFACTION, EMPLOYEE SATISFACTION AND THEN INDIVIDUAL GOALS SET EACH YEAR IF THE TARGET IS TRIGGERED. THE INCENTIVE IS PAID ONLY IF TIGGERED FOLLOWING THE FINANCIAL AUDIT PRESENTATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MONTANA FACLITY FINANCE AUTH
A364615155612043FL82008-05-30$60,000,000CAPITAL PROJECTSYes (true)falsefalse
MONTANA FACLITY FINANCE AUTH
B36461515561204MAA52011-08-24$140,000,000CAPITAL PROJECTS REFUND 2008 BONDSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$32,720,000$60,000,000$3,562,295$1,200,000$49,976,0922009falsefalseYes (true)Yes (true)
B$9,510,000$140,124,100$858,750$54,703,6762014falseYes (true)falseYes (true)$84,553,156

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
AARON SPARBOE
LANDLORD$1,257,416RENTfalse
NEW WEST HEALTH SERVICES
$18,099,717CLAIMS PAIDfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Officer directors etc family relationship Part VI line 2NICHOLAS WOLTER, CONNIE PREWITT AND JOY OTT HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS OR OFFICERS OF THE WHOLLY OWNED SUBSIDIARY DISCLOSED ON SCHEDULE R, PART IV
Form 990 governing body review Part VI line 11THE 990 REVIEW IS COMPLETED BEFORE THE RETURN IS FILED. IT IS REVIEWED BY THE CFO AND THEN THE BOARD OF DIRECTORS.
Conflict of interest policy compliance Part VI line 12cTHE GOVERNANCE AND NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS, ACCORDING TO THEIR CHARTER, REVIEW ANNUALLY THE DISCLOSURE STATEMENTS OF THE BOARD OF DIRECTORS AND SENIOR EXECUTIVES AND TAKE ACTIONS TO RESOLVE CONFLICTS. A CONFLICT OF INTEREST REVIEW PANEL, CHAIRED BY THE COMPLIANCE OFFICER, AS OUTLINED IN THE ORGANIZATIONAL POLICY, IS RESPONSIBLE FOR REVIEWING DISCLOSED CONFLICTS AND APPROVING NECESSARY CONFLICT MANAGEMENT PLANS OF ALL OTHER INTERESTED PERSONS AT BILLINGS CLINIC.
CEO executive director top management comp Part VI line 15aBILLINGS CLINIC HAS AN EXECUTIVE COMPENSATION PROGRAM ADMINISTERED BY INDEPENDENT TRUSTEES FOLLOWING BEST PRACTICES AND THE HIGHEST REGULATORY STANDARDS EXPECTED OF A NOT-FOR-PROFIT ORGANIZATION. THEY FOLLOW BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY WHICH DEFINES THE MARKET AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. THEY LOOK AT RELEVANT MARKET DATA OF SIMILAR ROLES IN SIMILAR ORGANIZATIONS. ANNUAL DISCLOSURE OF THE COMMITTEES ACTIONS AND DECISIONS TO THE FULL COARD IS REQUIRED.
Other officer or key employee compensation Part VI line 15bBILLINGS CLINIC HAS AN EXECUTIVE COMPENSATION PROGRAM ADMINISTERED BY INDEPENDENT TRUSTEES FOLLOWING BEST PRACTICES AND THE HIGHEST REGULATORY STANDARDS EXPECTED OF A NOT-FOR-PROFIT ORGANIZATION. THEY FOLLOW BOARD APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY WHICH DEFINES THE MARKET AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. THEY LOOK AT RELEVANT MARKET DATA OF SIMILAR ROLES IN SIMILAR ORGANIZATIONS. ANNUAL DISCLOSURE OF THE COMMITTEES ACTIONS AND DECISIONS TO THE FULL COARD IS REQUIRED.
Governing documents etc available to public Part VI line 19BILLINGS CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON AN AS NEEDED BASIS.
Explanation of other changes in net assets or fund balances Part XI line 9CHANGE IN FAIR VALUE OF INTEREST RATE SWAP: $167,615CHANGE IN INTEREST OF AFFILIATES: ($10,318,665)INTEREST IMPUTED ON INTERCOMPANY RECEIVABLES $931,156TOTAL ($9,219,894)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MONTANA HEALTHCARE INDEMNITY LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12800 TENTH AVENUE NORTHAddressLine1Txt
CityBillingsCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59101ZIPCd
FieldValueIRS element (for citing)
EIN810231784EIN
Primary ActivitiesINSURANCE CAPTIVEPrimaryActivitiesTxt
Legal Domicile StateMTLegalDomicileStateCd
Total Income-$259,373TotalIncomeAmt
End Of Year Assets$12,120,433EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BILLINGS CLINICBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BILLINGS CLINIC FOUNDATION
2917 TENTH AVENUE NORTHBillingsMT59101810407289FUNDRAISINGMT501C37BILLINGS CLINICYes (true)
STILLWATER HOSPITAL ASSOCIATION
710 N 11TH STREETColumbusMT59019810286525HOSPTALMT501C33BILLINGS CLINICYes (true)
STILLATER HOSPITAL FOUNDATION
710 N 11TH STREETColumbusMT59019810748325FUNDRAISINGMT501C37BILLINGS CLINICYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
NEW WEST HEALTH SERVICES
130 NEILL AVENUEHelenaMT59601841418136INSURANCE SALESMTBILLINGS CLINICC Corp$155,950,582$39,137,5171.00000Yes (true)
BILLINGS CLINIC EXPRESS CARE
2800 TENTH AVENUE NORTHBillingsMT59101463355499OUTPATIENT CLINICMTBILLINGS CLINICC Corp$534,903$778,9111.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NEW WEST HEALTH SERVICES
d$67,526,427INTERCOMPANY AMOUNT
EXPRESS CARE
ai$14,977INTEREST ACCRUED
NEW WEST HEALTH SERVICES
ai$916,179INTEREST ACCRUED
EXPRESS CARE LLC
d$2,161,397INTERCOMPANY AMOUNT
BILLINGS CLINIC FOUNDATION
d$802,182INTERCOMPANY AMOUNT