2024-05-01T19:31:45-05:00 2023-06-30 FORVIS LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2022-07-01 810398400 TOWNSEND HEALTH SYSTEMS INC % JENNY CLOWES TOWN 4062663186 110 NORTH OAK STREET TOWNSEND MT 59644 JUSTIN TIFFANY CEO 4062663186 2024-05-15 true JUSTIN TIFFANY 999009999 Adam R Smith CPA P00958966 7194714290 2024-05-15 2 2022 2023-04-26 12:10:37Z BILLINGS CLINIC BROADWATER JUSTIN TIFFANY 110 NORTH OAK STREET TOWNSEND MT 59644 9782243 false X BILLINGSCLINIC.COM/BILLINGS-CLINIC-BROADWATER X 1980 MT BILLINGS CLINIC BROADWATER IS DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY, OUR PATIENTS, AND OURSELVES. 9 6 92 6 0 5224715 167136 8689400 9533846 21 38 174922 81223 14089058 9782243 0 0 0 0 5292086 5272576 0 0 0 5341159 5274077 10633245 10546653 3455813 -764410 11654094 11843486 3318495 4272297 8335599 7571189 THE DELIVERY OF HEALTHCARE SERVICES, THE CONDUCT OF MEDICAL RESEARCH, THE FURTHERANCE OF HEALTH EDUCATION AND THE PROMOTION OF GENERAL HEALTH IN TOWNSEND AND THE SURROUNDING AREA. false false 6846598 9614589 TO PROVIDE QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX NATIONAL ORIGIN, HANDICAP, OR ABILITY TO PAY AND SERVE THE SURROUNDING AREA BY PROVIDING HEALTHCARE SERVICES AND EDUCATION TO ALL COMMUNITY MEMBERS. 6846598 true true false true false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false true 12 0 92 true false false false false false false false false false false false false X 9 6 false false false false true true true true true false false true true true true true true true true false X JENNY CLOWES 4062663186 110 NORTH OAK TOWNSEND MT 59644 X PHILIP HESS MEDICAL DIRECTOR 40.0 1.0 X 282842 0 9750 HOLLY HOFFMAN PHYSICIAN 40.0 0.0 X 257219 0 23524 KELLEY EVANS DIRECTOR 1.0 0.0 X 0 194347 35802 JENNY CLOWES CEO 55.0 0.0 X 130782 0 32753 DEREK WEISS ED NONPHYSICIAN 40.0 0.0 X 114964 0 25939 KRISTY BOESE ED NONPHYSICIAN 40.0 0.0 X 134017 0 6850 CASEY SCHANZ PHYSICIAN ASSISTANT 40.0 0.0 X 127111 0 11358 JOAN MCMAHON PHYSICIAN 40.0 0.0 X 129780 0 0 GARY HAMILTON VICE PRESIDENT 1.0 40.0 X X 0 88223 26553 AMBERLY PAHUT DIRECTOR 1.0 40.0 X 0 28353 3168 BRAD CAMPBELL DIRECTOR 1.0 0.0 X 0 0 0 JORJA MUNNS SECRETARY/ TREASURER 1.0 0.0 X X 0 0 0 KATHY BLAIR DIRECTOR 1.0 0.0 X 0 0 0 MICHELLE BARSTAD DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM UPTHEGROVE PRESIDENT 1.0 0.0 X X 0 0 0 1176715 310923 175697 9 false true false VAYA WORKFORCE SOLUTIONS LLC DEPT CH 18001 PALENTINE IL 60055 CONTRACT LABOR 821101 MONTANA HEALTH NETWORK 519 PLEASANT STREET MILES CITY MT 59301 CONTRACT LABOR 149734 BILLINGS CLINIC 2800 TENTH AVENUE NORTH BILLINGS MT 59101 MANAGMENT SERVICES 829848 3 167136 167136 PATIENT SERVICE REVENUE 621110 9302858 9302858 EHR/MEANINGFUL USE PAYMENTS 900099 2921 2921 OTHER PROGRAM REVENUE 900099 228067 228067 9533846 38 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MEALS 722310 480 480 MISCELLANEOUS INCOME 900099 80743 80743 81223 9782243 9614589 518 0 0 0 0 449687 342712 106975 0 3982874 2827615 1155259 120820 90072 30748 428442 222730 205712 290753 210996 79757 976968 488484 488484 11674 11674 27219 27219 9 9 0 0 1649654 1489441 160213 64904 64904 253092 47998 205094 201441 1235 200206 0 239894 110769 129125 43318 12668 30650 0 0 2400 2400 0 551500 137855 413645 48336 48336 MEDICAL SUPPLIES 731687 713089 18598 REPAIRS & MAINTENANCE 100320 37234 63086 DIETARY 88513 88513 OTHER 283148 113700 169448 10546653 6846598 3700055 0 2448252 2187718 8264 8281 0 0 1028563 1072866 0 0 0 0 0 0 28500 40494 22017 50900 13741846 5258619 8118498 8483227 0 0 0 0 0 0 0 0 0 0 11654094 11843486 1548985 2955987 0 0 0 0 0 0 0 0 0 0 0 0 120000 80000 1649510 1236310 3318495 4272297 X 8335599 7571189 0 0 8335599 7571189 11654094 11843486 -764410 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 9 9 false Schedule C, Part II-B, Line 1i Lobbying: A portion of the dues paid to the Montana Hospital Association were allocable to lobbying activities. 224271 224271 4821324 713711 4107613 8081079 4504403 3576676 615172 40505 574667 8483227 0 DUE TO RELATED PARTY 1236310 1236310 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true false false 143979 143979 0.01370 703481 602971 100510 0.00960 847460 602971 244489 0.02330 847460 602971 244489 0.02330 true 189380 4665159 4807824 -142665 X true true 1 1 TOWNSEND HEALTH SYSTEMS INC 110 NORTH OAK STREET TOWNSEND MT 59644 WWW.BILLINGSCLINIC.COM/BILLINGS-CLINIC-B 13408 X X X X 1 TOWNSEND HEALTH SYSTEMS INC 1 false false true X X X X X X X X X 22 true false false true X X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C FOR URL X true 22 true SEE PART V, SECTION C FOR URL false true X 200. 400. X X X true true X X X true X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C FOR UR X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 DESCRIBE HOW THE HOSPITAL TOOK INTO ACCOUNT PERSONS WHO REPRESENT THE COMMUNITY: A steering committee was convened to assist Billings Clinic Broadwater in conducting CHNA. A diverse group of community members representing various organizations and populations within the community (including public health, elderly, low income/uninsured, clergy and other community members) came together in April 2022. The Steering Committee met twice during the CHNA process; first to discuss health concerns in the community and offer their perspective in designing the survey instrument, and again to review results of the CHNA and to assist in the prioritization of health needs. Over the months of May and June 2022, Billings Clinic Broadwater's service area was surveyed about its healthcare system. A survey was mailed to a randomly chosen sample of 800 residents in the service area to solicit their input. Survey respondents had the ability to complete the survey mailed to them, or via an online survey hosted at Montana State University's HELPS Lab web portal. 117 surveys were returned. Additionally, key informant interviews were conducted to identify important local healthcare issues, how to improve the health of the community, and gaps in health services. The CHNA was administered by the Montana Office of Rural Health. SCHEDULE H, PART V, SECTION B, LINE 7A DIRECT URL WHERE CHNA REPORT IS MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE: https://www.billingsclinic.com/app/files/public/cf924573-701b-475c-918a- 295efa4d3b7f/BCB-2022-CHNA-Report-WebRes.pdf SCHEDULE H, PART V, SECTION B, LINE 7B Direct URl for CHNA on other Website: https://drive.google.com/drive/folders/1WExAQL3CwJXVoQ1ftVxsdO9Ve75p-2k7?f SCHEDULE H, PART V, SECTION B, LINE 10A DIRECT URL WHERE IMPLEMENTATION PLAN IS MADE WIDELY AVAILABLE: https://www.billingsclinic.com/app/files/public/826bcac4-803c-4ab7-b3c4- 18c562697cce/BCBroadwater-Implementation-Plan-Report-2022.pdf SCHEDULE H, PART V, SECTION B, LINE 11 Townsend Health Systems, Inc. d/b/a Billings Clinic Broadwater has prioritized three areas determined by the assessment process are improved access to healthcare services, improving Billings Clinic Broadwater's community outreach and engagement in Broadwater County, and advancing population health programming throughout the county. These prioritized health needs will be addressed by the following goals and strategies. The first goal is to improve access to healthcare services in Broadwater County through these three strategies. 1. Enhance access to primary care services by creating an outreach plan for newly hired primary care providers to help build their practice, building and implementing online self-scheduling for primary care, expanding primary care access via telehealth, exploring additional opportunities for outreach and awareness of primary care services, developing a system for patients in the emergency room to be referred for follow-up with primary care provider, and the recruitment of a registered dietician certified to support diabetes care and education. 2. Enhance access to specialty care services by exploring opportunities to expand on-site services or via telehealth, continuing to explore feasibility of offering additional imaging services like ultrasound and MRI, and becoming a certified trauma receiving facility through state designation. 3. Improve access to healthcare services through enhanced community education by meeting with public health to assess and create outreach materials related to financial assistance programs locally and state-based, improve upon Billings Clinic's navigator program to assist the community in accessing and understanding healthcare services, partnering with public health to develop and implement a sustainable transportation program, and exploring opportunities to raise awareness of Billings Clinic Broadwater's rehabilitation program through local schools and senior services. The second goal is to improve Billings Clinic Broadwater's community outreach and engagement through a strategy of enhancing knowledge and education of available services in Broadwater County. 1. To enhance community knowledge and education around services available by meeting with community partners to develop and collaborate on community events, work with Billings Clinic to improve website access and clarity, explore consistent opportunities to provide health education to local organizations or groups, creating and/or partnering on a community wellenss or health promotion event or program, disseminate quarterly newsletter and newspaper articles with timely preventative health education, and look at opportunities to collaborate and advance the conversation around housing affordability locally and statewide. The third goal is to advance population health programming throughout Broadwater County with a strategy of championing initiatives aimed at addressing health disparities and advancing health equity throughout the service area. 1. To champion initiatives aimed at addressing health disparities by developing a sustainable Community Integrated Health (CIH)/community paramedicine program, developing a sustainable Community Health Worker (CHW) program that includes building support groups, patient education, and helping to facilitate access to social services and local resources, and expanding behavioral health programming at Billings Clinic Broadwater by recruiting an onsite Licensed Clinical Social Worker (LCSW). SCHEDULE H, PART V, SECTION B, LINE 16A DIRECT URL FOR FINANCIAL ASSISTANCE POLICY: IN 2020 TOWNSEND HEALTH SYSTEMS WHO IS RELATED TO BILLINGS CLINIC ADOPTED BILLINGS CLINIC FINANCIAL POLICIES. THERE IS A LINK ON TOWNSEND HEALTH SYSTEMS WEBSITE THA IS A DIRECT LINK TO BILLINGS CLINIC FINANCIAL POLICY. TO NAVIGATE THERE START AT TOWNSEND'S WEBSITE: HTTPS://WWW.BILLINGSCLINIC.COM/BILLINGS-CLINIC-BROADWATER/ CLICK ON PATIENT FINANCIAL ASSISTANCE & PRICING TRANSPARENCY THE DIRECT LINK IS: https://www.billingsclinic.com/app/files/public/795e0c20-71a0-4d84-a8b5- 9b2c100c99c4/O-136%20Financial%20Assistance%20Program%20and%20Emergency%20 Medical%20Care%20Policy%2012.20.2023.pdf SCHEDULE H, PART V, SECTION B, LINE 16B DIRECT URL FOR FINANCIAL ASSISTANCE POLICY APPLICATION: IN 2020 TOWNSEND HEALTH SYSTEMS WHO IS RELATED TO BILLINGS CLINIC ADOPTED BILLINGS CLINIC FINANCIAL POLICIES. THERE IS A LINK ON TOWNSEND HEALTH SYSTEMS WEBSITE THAT IS A DIRECT LINK TO BILLINGS CLINIC FINANCIAL POLICY. TO NAVIGATE THERE START AT TOWNSEND'S WEBSITE: HTTPS://WWW.BILLINGSCLINIC.COM/BILLINGS-CLINIC-BROADWATER/ CLICK ON PATIENT CLICK ON FINANCIAL ASSISTANCE & PRICING TRANSPARENCY THE DIRECT LINK IS: https://www.billingsclinic.com/app/files/public/82e59601-7cf3-419f-9085- 71e2331670a3/BC%20Financial%20Assistance%20Application%2012-20-2023.pdf SCHEDULE H, PART V, SECTION B, LINE 16C DIRECT URL FOR FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY: IN 2020 TOWNSEND HEALTH SYSTEMS WHO IS RELATED TO BILLINGS CLINIC ADOPTED BILLINGS CLINIC FINANCIAL POLICIES. THERE IS A LINK ON TOWNSEND HEALTH SYSTEMS WEBSITE THAT IS A DIRECT LINK TO BILLINGS CLINIC FINANCIAL POLICY. TO NAVIGATE THERE START AT TOWNSEND'S WEBSITE: HTTPS://WWW.BILLINGSCLINIC.COM/BILLINGS-CLINIC-BROADWATER/ CLICK ON PATIENT INFORMATION THEN CLICK ON FINANCIAL ASSISTANCE & PRICING TRANSPARENCY THE DIRECT LINK IS: https://www.billingsclinic.com/app/files/public/7c016af9-3e3f-4fa1-a20d- b85669557b4c/BCL_FinancialAssistanceBrochureMay23.pdf 1 BILLINGS CLINIC BROADWATER 110 NORTH OAK STREET TOWNSEND MT 59644 CLINIC SCHEDULE H, PART I, LINE 3C DESCRIPTION OF ADDITIONAL CRITERIA TO DETERMINE FINANCIAL ASSISTANCE: IN ADDITION TO THE FEDERAL POVERTY GUIDELINES TOWNSEND HEALTH SYSTEMS ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART I, LINE 7 THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. SCHEDULE H, PART III, SECTION A, LINE 2 THE FACILITY RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINACNIALLY RESPONISBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF BAD DEBT EXPENSE FOR EACH YEAR IS DISCLOSED ON THE FACILITY'S STATEMENT OF OPERATIONS. BAD DEBT EXPENSES WAS CALCULATED BY APPLYING THE FACILITY'S ADJUSTED COST TO CHARGE RATIO TO THE CHARGES FOREGONE. SCHEDULE H, PART III, SECTION A, LINE 3 THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART III, SECTION C, LINE 9B PATIENTS ARE SCREENED BY THE ORGANIZATION'S FINANCIAL COUNSELORS TO SEE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE. IF THEY QUALIFY, THEIR ACCOUNT BALANCES ARE ADJUSTED ACCORDINGLY. IF THERE IS A BALANCE AFTER THE ADJUSTMENT, THE ORGANIZATION FOLLOWS THE NORMAL DEBT COLLECTION PRACTICE. IN UNUSUAL SITUATIONS WHERE THE PATIENT'S CIRCUMSTANCES HAVE CHANGED, THE CEO HAS THE AUTHORITY TO GRANT EXCEPTIONS TO THE POLICY. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH COMMUNITY INVOLVEMENT VIA COMMUNITY SURVEYS, FORUMS, HEALTH SEMINARS, AND EDUCATION. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS WITHOUT INSURANCE ARE INFORMED AT TIME OF SERVICE AND A PATIENT ASSISTANCE FORM IS OFFERED TO THEM. ADDITIONALLY, INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS INCLUDED WITH THEIR BILLING INFORMATION. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION IS ALSO AVAILABLE ON THE WEBSITE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: TOWNSEND HEALTH SYSTEMS INC SERVES BROADWATER COUNTY OF APPROXIMATELY 1,600 SQUARE MILES AND PROVIDES MEDICAL SERVICES TO A SERVICE POPULATION OF APPROXIMATELY 6,000 PEOPLE. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: FACILITY DONATES EMERGENCY SERVICES AT LOCAL HIGH SCHOOL SPORTING EVENTS, RODEO, AND 4-H ACTIVITIES. IT ALSO PROVIDES A COMMUNITY VAN THAT TRAVELS TO A LARGER TOWN TWO TIMES A MONTH. COMMUNITY MEMBERS MAY RIDE THE VAN FOR MEDICAL APPOINTMENTS, DENTAL APPOINTMENTS, OR FOR SHOPPING. THE FACILITY HAS A LARGE MEETING ROOM THAT IS USED BY COMMUNITY ORGANIZATIONS FOR THEIR ACTIVITIES AT NO CHARGE. IT PROVIDES FREE WALK-IN BLOOD PRESSURE CHECKS FOR CITIZENS, QUIT SMOKING SUPPORT, AND NUTRITION SERVICES. IT ALSO HAS FORMED ALLIANCES WITH A LARGER, REGIONAL HOSPITAL TO PROVIDE SPECIFIC SERVICES AND CONTINUES TO PROACTIVELY PROVIDE EDUCATION TO THE COMMUNITY THROUGH MONTHLY NEWSLETTERS, COMMUNITY MEETINGS, NEWS ARTICLES, AND THE OFFERING OF DISCOUNTED WELLNESS DAYS TO THE PUBLIC OFFERED IN PARTNERSHIP WITH LOCAL BUSINESS PROGRAMS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: TOWNSEND HEALTH SYSTEMES INC IS MANAGED BY BILLINGS CLINIC AND WORKS CLOSELY WITH BILLINGS CLINIC AND OTHER HOSPITALS ALSO MANAGED BY BILLINGS CLINIC TO PROVIDE HIGH QUALITY PATIENT CARE. X X false false false false false false false false false KELLEY EVANS DIRECTOR 0 185886 0 0 0 8461 0 17651 0 18151 0 230149 PHILIP HESS MEDICAL DIRECTOR 280695 0 0 0 2147 0 0 0 9750 0 292592 0 HOLLY HOFFMAN PHYSICIAN 236422 0 20000 0 797 0 22632 0 892 0 280743 0 JENNY CLOWES CEO 123033 0 7312 0 437 0 11083 0 21670 0 163535 0 SCHEDULE J, PART I, LINE 3 DESCRIBE HOW CEO COMPENSATION IS DETERMINED: COMPENSATION FOR THE CEO IS PAID BY BILLINGS CLINIC, A RELATED ORGANIZATION. TOWNSEND HEALTH SYSTEMS REMIBURSES BILLINGS CLINIC FOR THE CEO'S COMPENSATION. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR HOW CEO COMPENSATION IS DETERMINED. FORM 990, PART VI, SECTION A, LINE 6 DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS: BILLINGS CLINIC IS THE SOLE MEMBER OF TOWNSEND HEALTH SYSTEMS INC. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: THE SOLE MEMBER HAS AUTHORITY TO RECOMMEND, APPROVE AND REJECT NOMINATIONS OF BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS: THE FOLLOWING ARE GOVERNANCE DECISIONS OF THE ORGANIZATION WHICH ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER: - AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION, BYLAWS, OR NAME; - DISSOLUTION, MERGERS, OR CONSOLIDATIONS WITH OR INTO ANOTHER ENTITY; - SALE, LEASE, EXCHANGE OR DISPOSITIONS OF PROPERTY OF THE ORGANIZATION; - APPROVAL OF BUDGETS; - INCURRENCE OF DEBT AND PURCHASES MADE BY THE ORGANIZATION IN AMOUNTS EXCEEDING $100,000; - SELECTION, HIRING, PRIMARY SUPERVISION, DISCIPLINE AND TERMINATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER; - ADDITION OR DISCONTINUANCE OF ANY SERVICE OFFERED TO OR BY THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990: FORM 990 IS REVIEWED BY FINANCIAL DELEGATE AND CEO. CEO DISTRIBUTES TO THE BOARD MEMBERS. IT IS AVAILABLE FOR THE PUBLIC TO REVIEW IN THE ADMINISTRATIVE OFFICE. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT-OF-INTEREST POLICY: ALL DIRECTORS, OFFICERS, EMPLOYEES, AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS ARE COVERED BY THE CONFLICT-OF-INTEREST POLICY AND MUST PROVIDE AN ANNUAL STATEMENT INDICATING THEY HAVE REVIEWED AND ARE IN COMPLIANCE WITH THE POLICY. THE BOARD IS CHARGED WITH PERIODICALLY REVIEWING AND MONITORING THE POLICY TO ENSURE THE ORGANIZATION ACTS IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WILL INVESTIGATE ANY ALTERNATIVES AND DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND WILL ESTABLISH PROCEDURES FOR VIOLATIONS OF THE POLICY. IF THERE IS A VIOLATION OF THE CONFLICTS OF INTEREST POLICY BY FAILING TO DISCLOSE POTENTIAL OR ACTUAL CONFLICTS OF INTEREST, A MEMBER OF THE COMPLIANCE, HR, OR LEGAL DEPARTMENT WILL INVESTIGATE AND TAKE APPROPRIATE ACTION. FORM 990, PART VI, SECTION B, LINE 15A DESCRIBE PROCESS FOR DETERMINING CEO/EXECUTIVE COMPENSATION: COMPENSATION IS PAID THROUGH BILLINGS CLINIC, THE SOLE MEMBER. COMPENSATION IS DETERMINED BY AN ANNUAL REVIEW OF EXTERNAL MARKET DATA FOR SIMILAR SIZE ORGANIZATIONS THROUGH USE OF SURVEY DATA WITH MHA AND YAFFEE AND COMPANY, AND RURAL CRITICAL ACCESS HOSPITAL FACILITIES. COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AS RECOMMENDED BY THE VP OF REGIONAL SERVICES. THE REVIEW IS DONE AT THE TIME OF THE CEO'S ANNUAL PERFORMANCE REVIEW. TOWNSEND HEALTH SYSTEMS REMIBURSES BILLINGS CLINIC FOR THE CEO'S COMPENSATION. FORM 990, PART VI, SECTION B, LINE 15B DESCRIBE PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS: OTHER OFFICER COMPENSATION IS PAID THROUGH BILLINGS CLINIC, THE SOLE MEMBER. SALARIES FOR THE OTHER KEY OFFICERS/LEADERS IN THE ORGANIZATION ARE REVIEWED FOR COMPARISON TO OTHER SIMILAR SIZE ORGANIZATIONS THROUGH USE OF EXTERNAL SALARY SURVEY SOURCES SUCH AS MHA AND ASSOCIATED EMPLOYERS. THIS REVIEW IS CONDUCTED BY TOWNSEND HEALTH SYSTEMS' HR GENERALIST AND THE CEO. BUDGET RECOMMENDATIONS ARE FORMULATED FOR REVIEW AND APPROVAL BY THE VP OF REGIONAL SERVICES AND FOR FINAL APPROVAL BY THE BOARD OF DIRECTORS/FINANCE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:NURSING SERVICES TOTAL FEES:721835 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:446577 FORM 990 PART IX LINE 11G DESCRIPTION:PATIENT CARE SERVICES TOTAL FEES:193219 FORM 990 PART IX LINE 11G DESCRIPTION:HEALTH CARE TECH SERVICES TOTAL FEES:84859 FORM 990 PART IX LINE 11G DESCRIPTION:NON PHYSICIAN SERVICES TOTAL FEES:84101 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL TEST SERVICES TOTAL FEES:41513 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:37680 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:32633 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTIONS TOTAL FEES:7237 BILLINGS CLINIC (MT) 2800 TENTH AVENUE NORTH BILLINGS MT 59101 810231784 HOSPITAL MT 501 (C) (3) 3 NA false BILLINGS CLINIC FOUNDATION 2917 TENTH AVENUE NORTH BILLINGS MT 59101 810407289 FUNDRAISING MT 501 (C) (3) 7 BC false STILLWATER HOSPITAL ASSOCIATION 710 N 11TH STREET COLUMBUS MT 59019 810286525 HOSPITAL MT 501 (C) (3) 3 BC false BILLINGS CLINIC INNOVATION FERTILITY LL 399 KNOLLWOOD ROAD STE 303 WHITE PLAINS NY 10603 881032699 FERTILITY CLINIC NY NA N/A BILLINGS CLINIC EXPRESS CARE 2800 TENTH AVENUE NORTH BILLINGS MT 59101 463355499 OUTPATIENT CLINIC MT NA C-CORPORATION false true false false true false false false false false false false true false true true false false true