2016-05-10T13:24:26-06:00 2015-06-30 990 2014-07-01 810231784 BILLINGS CLINIC BILL 2800 TENTH AVENUE SOUTH Billings MT 59101 CONNIE PREWITT CHIEF FINANCIAL 4062382500 2016-05-10 2014 2016-08-17 19:52:53Z NICHOLAS J WOLTER 1263711187 false X WWW.BILLINGSCLINIC.ORG X 1907 MT BILLINGS CLINIC WILL BE A NATIONAL LEADER IN PROVIDING THE BEST CLINICAL QUALITY, PATIENT SAFETY, SERVICE AND VALUE 11 8 4384 325 9482117 3453003 2223188 7063534 564854800 621890549 15284806 12341919 11240694 7069276 593603488 648365278 759754 807950 0 302242677 323961290 0 0 251656215 280972044 554658646 605741284 38944842 42623994 664984296 706036383 262301525 273015058 402682771 433021325 BILLINGS CLINIC WILL BE A NATIONAL LEADER IN PROVIDING THE BEST CLINICAL QUALITY, PATIENT SAFETY, SERVICE AND VALUE false false 219284636 217985983 CLINIC PATIENT CARE VISITS 789,788 218238339 347807605 HOSPITAL PATIENT CARE HOSPITAL DAYS 73,302 30544188 1331529 46743978 REGIONAL, RESEARCH AND OTHER REVENUE 9648404 7757416 NURSING HOME PATIENT CARE SKILLED AND ASSISTED LIVING 9648404 7757416 477715567 true true false true false false false false false true true false false true true true true true false false false false false false false false true true true true true true false false false false false false false true false false false false false false true true true true false false true 441 0 4384 true true true false false false false false false false false false X 11 8 true false false false false false false true true false false true true true true true true true true true true MT X CONNIE PREWITT 4062382500 2800 TENTH AVENUE SOUTH Billings MT 59101 NICHOLAS J WOLTER CHIEF EXECUTIVE OFFICER 73.00 3.00 X X 1130701 0 35721 DAVID BROWN CHAIRMAN 5.00 0.00 X X 0 0 9000 JOY OTT VICE CHAIR 5.00 0.00 X X 0 0 6000 ELIZABETH FULTON TREASURER 5.00 0.00 X X 0 0 6000 LIL ANDERSON SECRETARY 5.00 0.00 X X 6000 0 0 PENNI NANCE BOARD MEMBER 3.00 0.00 X 6000 0 0 KEITH COOK BOARD MEMBER 3.00 0.00 X 0 0 6000 AARON SPARBOE BOARD MEMBER 3.00 0.00 X 0 0 6000 MARIA VALANDRA BOARD MEMBER 3.00 0.00 X 0 0 3000 CH MCCRACKEN III MD PHYSICIAN BOARD MEMBER 73.00 0.00 X 297722 0 39831 J SCOTT MILLIKAN MD PHYSICAN BOARD MEMBER 78.00 0.00 X X 671642 0 47756 CONNIE PREWITT CHIEF FINANCIAL OFFICER 70.00 1.00 X 522989 0 65862 JARED J LUND MD PHYSICIAN 70.00 0.00 X 860997 0 39859 MICHAEL A MORONE MD PHYSICIAN 70.00 0.00 X 841045 0 35565 BARRY N SMITH MD PHYSICIAN 70.00 0.00 X 819258 0 42387 ROBERT J HANCOCK MD PHYSICIAN 70.00 0.00 X 785330 0 35689 BRADLEY ZINS MD PHYSICIAN 70.00 0.00 X 716376 0 40625 6658060 0 419295 386 false true false SODEXO INC PO BOX 37000 Billings MT 59107 FOOD SERVICE 5054451 HAYES LOCUMS LLC 6700 N ANDREWS AVE STE 600 Fort Lauderdale FL 33309 PHYSICIAN SERVICES 2533412 COMMAND HEALTH PO BOX 847797 Dallas TX 75284 TRANSCRIPTION 2061514 OPTUMINSIGHT 3436 MOMENTUM PLACE Chicago IL 60689 DENIAL RECOVERY 2900875 HEALTHCARE OUTSOURCING NETWORK 621 17TH STREET STE 1800 Denver CO 80293 EARLY OUT VENDOR 2009039 58 7063534 15001 7063534 PATIENT SERVICE REVENUE 621110 583793754 583793754 AIR AMBULANCE 621910 6841933 6841933 LONG TERM CARE 623000 7778926 7778926 REFERENCE LAB 621500 4793424 4793424 OUTPATIENT PHARMACY 621990 15258198 15258198 3424314 3100180 324134 621890549 6917932 931156 5986776 286974 191092 95882 95882 95882 620575062 3742 614681248 473569 5893814 -469827 5423987 5423987 REGIONAL IT SERVICES 541519 2689337 2689337 OPTICAL SHOPCOSMETICS 446199 744066 744066 3539991 3539991 6973394 648365278 620312982 9482117 11506645 793950 793950 14000 14000 2790788 2037275 753513 266014145 213245286 52768859 12605528 10206718 2398810 26079078 15045175 11033903 16471751 12502340 3969411 1340198 1340198 224805 224805 171199 171199 1015572 1015572 46973916 19565883 27408033 2038707 46887 1991820 11176859 5997551 5179308 13703337 10310688 3392649 6591894 5492580 1099314 2573060 1637648 935412 165209 49740 115469 6696357 4889723 1806634 22748742 18795122 3953620 9481987 8565596 916391 MEDICAL SUPPLIES 96564145 96169897 394248 BAD DEBT 37678673 37678673 REPAIRS & MAINTENANCE 7023049 5891956 1131093 BED TAX 3858210 3858210 10946125 4920669 6025456 605741284 477715567 128025717 0 20873647 11599632 22712397 6319358 87737588 102564914 242088 443944 7547825 7413795 5467785 5741004 483717055 255815915 237284132 227901140 227085235 240376416 6356131 18496547 49677468 85179633 664984296 706036383 53078163 58382923 393670 118252 161900000 156175048 2436275 1607316 44493417 56731519 262301525 273015058 X 366749658 394986802 13980496 14707433 21952617 23327090 402682771 433021325 664984296 706036383 X 42623994 -3065546 -9219894 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 171199 171199 605570085 605741284 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 82631 219228 159612 171199 632670 250000 250000 250000 250000 1000000 1500000 25855937 17610002 1990724 215146 45241517 23259946 551706 2064279 19994 25855937 21981852 415028 1054443 204010 -12633 23259946 21026911 246728 724344 44349 -28218 21981852 19640069 605720 781122 21026911 0.39900 0.51600 0.08500 false true true 4573410 17943001 22516411 182066796 75537179 106529617 1966997 1474651 492346 258478805 169479226 88999579 18688046 9324859 9363187 227901140 JOINT VENTURES 18496547 C 18496547 DUE FROM MEDICAREMEDICAID 4221695 DUE FROM FOUNDATION 802182 DUE FROM EXPRESS CARE 2161397 DUE FROM NEW WEST 77122870 INTEREST IN FOUNDATION 67515721 INTEREST IN NEW WEST -70059763 INTEREST IN STILLWATER HOSPITAL 3488035 INTEREST IN MHI 1324571 INTEREST IN EXPRESS CARE -1397075 85179633 DUE TO MEDICAREMEDICAID 1615652 DEPOSITS ON ACCOUNT 63260 EMPLOYEE FLEX FUNDS 427983 RESERVE FOR FIRST CARE LOANS 961780 ABANDONED PROPERTY 366549 MHI LIABILITY 10421761 DUE TO NEW WEST 9596443 INTEREST RATE SWAP AGREEMENT 23250324 RESERVE FOR UNPAID CLAIMS 8649205 OTHER 1378562 56731519 X 590979437 -3065546 167615 -2897931 593877368 1015572 53472338 54487910 648365278 562742300 562742300 1015572 41983412 42998984 605741284 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. true true X true X true X true true false true true 45103 13050173 13050173 0.02300 108698 43399660 37344673 6054987 0.01070 153801 56449833 37344673 19105160 0.03370 155606 2969350 2969350 0.00520 1557 5480366 1828573 3651793 0.00640 15768 45958353 37152711 8805642 0.01550 13238 1315396 649633 665763 0.00120 2978 569741 14128 555613 0.00100 189147 56293206 39645045 16648161 0.02930 342948 112743039 76989718 35753321 0.06300 24805 24805 936 936 135382 135382 0.00020 415 189475 189475 0.00030 415 350598 350598 0.00050 false 37678673 179656792 208631550 -28974758 X true true 1 1 BILINGS CLINIC 2800 TENTH AVENUE NORTH Billings MT 59101 WWW.BILLINGSCLINIC.COM X X X X X 1 BILINGS CLINIC 1 true false true X X X X X X X X X 14 true true true true X WWW.BILLINGSCLINIC.COM X WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG X true 14 false true false true X 200.00 400.00 X X X X X true true X X X X true X WWW.BILLINGSCLINIC. X WWW.BILLINGSCLINIC. X X X X X true false X X X X true X false false Facility Group 1 Part V line 5 DESCRIBE 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 6b OTHER 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 6a THE 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. 15 BILLINGS CLINIC NORTH 30TH BLD 1045 N 30TH STREET Billings MT 59101 DIABETES ENDOCRINOLOGY BILLINGS CLINIC MILES CITY 620 SOUTH HAYNES AVENUE Miles City MT 59301 PRIMARY CARE PEDIATRICS ONCOLOGY BILLINGS CLINIC HEIGHTS CLINIC 760 WICKS LANE Billings MT 59105 PRIMARY CARE BILLINGS CLINIC WEST 2675 CENTRAL AVENUE Billings MT 59102 PRIMARY CARE OBSTETRICS BILLINGS SPORTS PLEX 5000 SOUTHGATE DRIVE Billings MT 59101 SPORTS MEDICINE BOZEMAN OBGYN 925 HIGHLAND BLVD Bozeman MT 59715 OBSTETRICS & GYNECOLOGY BILLINGS CLINIC SURGERY CENTER 2929 TENTH AVENUE NORTH Billings MT 59101 OUTPATIENT SURGERY BILLINGS CLINIC CODY CLINIC 201 YELLOWSTONE AVENUE Cody WY 82414 PRIMARY CARE ONCOLOGY PEDIATRICS LIVINGSTON IMAGING 504 S 13TH STREET Livingston MT 59047 MEDICAL IMAGING ASPEN MEADOWS 3155 AVENUE C Billings MT 59102 LONG TERM CARE FACILITY AND ASSISTED LIVING BILLINGS CLINIC 2800 TENTH AVENUE NORTH Billings MT 59101 MULTISPECIALTY PHYSICIAN OUTPATIENT CLINICS SHERIDAN DIALYSIS 1401 WEST 5TH STREET Sheridan WY 82801 OUTPATIENT DIALYSIS BILLINGS CLINIC CANCER CENTER 801 NORTH 29TH STREET Billings MT 59101 CANCER CARE INFUSION CENTER RADIATION ONCOLOGY ANTICOAGULATION CLINIC 1020 NORTH 27TH STREET 1ST FL Billings MT 59101 ANTIGOAGULATION CLINIC BEHAVIORAL HEALTH CENTER 1020 NORTH 27TH STREET 4TH FL Billings MT 59101 OUTPATIENT MENTAL HEALTH 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 2 THE 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. true BILLINGS CLINIC FOUNDATION 2917 TENTH AVENUE N Billings MT 59101 810407289 501C3 227018 SUPPORT OPERATIONS COMMUNITY CRISIS CENTER 704 NORTH 30TH STREET Billings MT 59101 203231164 501C3 81191 SUPPORT OPERATIONS RIVERSTONE HEALTH 123 SOUTH 27TH STREET Billings MT 59101 810513538 501C3 20000 SUPPORT OPERATIONS RONALD MCDONALD HOUSE 1144 NORTH 30TH STREET Billings MT 59101 810400667 501C3 17000 SUPPORT OPERATIONS FAMILY MEDICINE RESIDENCY OF MT WY 401 WEST RAILROAD Missoula MT 59802 816001713 501C6 213806 SUPPORT OPERATIONS BILLINGS CATHOLIC SCHOOLS PO BOX 31158 Billings MT 59107 11000 SUPPORT OPERATIONS MACK PRODUCTIONS 3333 2ND AVENUE N Billings MT 59101 8000 SPONSORSHIP BIG SKY STATE GAMES BOX 7136 Billings MT 59103 810431595 501C3 6000 SPONSORSHIP PROFESSIONAL BULL RIDERS ASSOC 101 W RIVERWALK Pueblo CO 81003 473943248 6500 SPONSORSHIP 5 4 SCHOLARSHIPS 14 14000 Monitoring procedures (Part I, line 2) THE 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. X X true true X X X X X X false true false false false false false true false NICHOLAS J WOLTER CHIEF EXECUTIVE OFFICER 680018 450683 27025 8696 1166422 CONNIE PREWITT CHIEF FINANCIAL OFFICER 372726 100604 49659 53799 12063 588851 CH MCCRACKEN III MD PHYSICIAN BOARD MEMBER 297722 28170 11661 337553 J SCOTT MILLIKAN MD PHYSICAN BOARD MEMBER 667898 3744 35018 12738 719398 JARED J LUND MD PHYSICIAN 860997 25150 14709 900856 MICHAEL A MORONE MD PHYSICIAN 841045 22827 12738 876610 BARRY N SMITH MD PHYSICIAN 819258 27900 14487 861645 ROBERT J HANCOCK MD PHYSICIAN 785330 25150 10539 821019 BRADLEY ZINS MD PHYSICIAN 716376 27887 12738 757001 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. A MONTANA FACLITY FINANCE AUTH 364615155 612043FL8 2008-05-30 60000000 CAPITAL PROJECTS true false false B MONTANA FACLITY FINANCE AUTH 364615155 61204MAA5 2011-08-24 140000000 CAPITAL PROJECTS REFUND 2008 BONDS false false false A 32720000 60000000 3562295 1200000 49976092 2009 false false true true B 9510000 140124100 858750 54703676 84553156 2014 false true false true AARON SPARBOE LANDLORD 1257416 RENT false NEW WEST HEALTH SERVICES 18099717 CLAIMS PAID false Officer directors etc family relationship Part VI line 2 NICHOLAS 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 11 THE 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 12c THE 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 15a BILLINGS 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 15b BILLINGS 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 19 BILLINGS 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 9 CHANGE 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) MONTANA HEALTHCARE INDEMNITY LLC 2800 TENTH AVENUE NORTH Billings MT 59101 810231784 INSURANCE CAPTIVE MT -259373 12120433 BILLINGS CLINIC BILLINGS CLINIC FOUNDATION 2917 TENTH AVENUE NORTH Billings MT 59101 810407289 FUNDRAISING MT 501C3 7 BILLINGS CLINIC true STILLWATER HOSPITAL ASSOCIATION 710 N 11TH STREET Columbus MT 59019 810286525 HOSPTAL MT 501C3 3 BILLINGS CLINIC true STILLATER HOSPITAL FOUNDATION 710 N 11TH STREET Columbus MT 59019 810748325 FUNDRAISING MT 501C3 7 BILLINGS CLINIC true NEW WEST HEALTH SERVICES 130 NEILL AVENUE Helena MT 59601 841418136 INSURANCE SALES MT BILLINGS CLINIC C Corp 155950582 39137517 1.00000 true BILLINGS CLINIC EXPRESS CARE 2800 TENTH AVENUE NORTH Billings MT 59101 463355499 OUTPATIENT CLINIC MT BILLINGS CLINIC C Corp 534903 778911 1.00000 true true true true true false false false false false false false true true true true false true false false NEW WEST HEALTH SERVICES d 67526427 INTERCOMPANY AMOUNT EXPRESS CARE ai 14977 INTEREST ACCRUED NEW WEST HEALTH SERVICES ai 916179 INTEREST ACCRUED EXPRESS CARE LLC d 2161397 INTERCOMPANY AMOUNT BILLINGS CLINIC FOUNDATION d 802182 INTERCOMPANY AMOUNT