2025-11-14T08:22:53-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 20 STANWIX STREET PITTSBURGH PA 15222 990 2024-01-01 810231784 BILLINGS CLINIC BILL 4062382500 2800 TENTH AVENUE NORTH BILLINGS MT 59101 PATTI PILGRIM CFO 4062382500 2025-11-11 1 1 KELLY A BROCIOUS P01254262 4126976400 2025-11-11 2024 2025-03-06 01:10:19Z CLINT SEGER MD 2800 TENTH AVENUE NORTH BILLINGS MT 59101 1225852264 0 X WWW.BILLINGSCLINIC.COM X 1917 MT BILLINGS CLINIC IS MONTANA'S LARGEST HEALTHCARE ORGANIZATION CONSISTING OF A 336 BED HOSPITAL AND LEVEL 1 TRAUMA CENTER, PRIMARY CARE AND OVER 80 SPECIALTIES. 11 8 5486 96 27755490 8291730 1642869 2142076 508769420 1152227526 17671483 58494453 12322725 12753545 540406497 1225617600 128328 1125223 0 0 250032826 569976890 0 0 0 303035118 673065292 553196272 1244167405 -12789775 -18549805 1396449787 1395798536 496385928 490387916 900063859 905410620 BILLINGS CLINIC'S MISSION IS QUALITY, COMPASSIONATE CRE FOR ALL, WITH A VISION OF REIMAGINING HEALTH CARE THROUGH CONNECTION, SERVICE AND INNOVATION. 0 0 497111027 1125223 630630806 BILLINGS CLINIC IS A 336 BED HOSPITAL PROVIDING SURGICAL, LABOR AND DELIVERY, PSYCHIATRIC, CANCER CARE, NEONATAL SERVICES, ACUTE CARE AND A LEVEL 1 TRAUMA CENTER. BILLINGS CLINIC HAD OVER 16,000 ADMISSIONS IN 2024. 375873603 375427215 BILLINGS CLINIC HAS NEARLY 600 PHYSICIANS AND ADVANCED PRACTITIONERS OFFERING MORE THAN 80 SPECIALTIES. PRIMARY CARE IS AVAILABLE AT MULTIPLE LOCATIONS INCLUDING BILLINGS (DOWNTOWN, HEIGHTS AND WEST), BOZEMAN, MILES CITY, AND WEST YELLOWSTONE, MONTANA; AND CODY, WYOMING. IN ADDITION, BILLINGS CLINIC CONDUCTS 145 MONTHLY SPECIALTY CLINIC SERVICES FOR MORE THAN 20 REGIONAL LOCATIONS IN MONTANA, WYOMING AND NORTH DAKOTA. 94644396 130850840 BILLINGS CLINIC SPECIALTY PHARMACY FOCUSES ON THE PHARMACY CARE OF CHRONIC, RARE OR COMPLEX CONDITIONS THAT REQUIRE SPECIALTY MEDICATIONS. SPECIALTY MEDICATIONS TYPICALLY REQUIRE SPECIAL HANDLING, ADMINISTRATION OR MONITORING BEYOND THAT WHICH A TRADITIONAL RETAIL PHARMACY CAN PROVIDE. WE WORK TO ENSURE APPROPRIATE MEDICATION USE AND PROMOTE ADHERENCE. BILLINGS CLINIC SPECIALTY PHARMACY IS PART OF THE LARGEST HEALTH CARE SYSTEM IN THE REGION. OUR STAFF WORKS WITHYOU, YOUR PROVIDER AND YOUR INSURANCE COMPANY TO MAKE SURE YOUR NEEDS ARE MET. OUR GOAL IS TO MAKE BILLINGS CLINIC A ONE-STOP SOLUTION. 967629026 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 217 0 5486 1 1 1 0 0 0 0 0 0 0 1 0 X 11 8 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X ERIKA WRIGHT 4064356445 2800 TENTH AVENUE NORTH BILLINGS MT 59101 CRAIG BARTHOLOMEW CHAIR 5.00 6.00 X X 0 0 14829 KEITH COOK IMMEDIATE PAST CHAIR 2.00 4.00 X 6000 0 0 KENDRICK TROSTEL MD PHYSICIAN/VICE CHAIR 49.00 1.00 X X 756619 0 52436 AMY CEBULL TREASURER 5.00 3.00 X X 0 0 6239 EILEEN MCDONALD SECRETARY 5.00 4.00 X X 0 0 6809 HEIDI DUNCAN MD PHYSICIAN/BOARD MEMBER 48.00 2.00 X 269240 0 37002 ALICE GORDON BOARD MEMBER 2.00 3.00 X 6000 0 0 WAYNE HIRSCH BOARD MEMBER 5.00 1.00 X 6000 0 0 JOHN EDWARDS BOARD MEMBER 5.00 2.00 X 0 0 6239 BLAKE UNDERRINER BOARD MEMBER 5.00 1.00 X 0 0 3052 GORDON RIHA MD BOARD MEMBER 47.00 3.00 X 1129562 0 51614 CLINTON SEGER MD CEO 22.00 38.00 X 1163598 0 43294 KATHLEEN QUINONES CFO 55.00 5.00 X 579324 0 38096 KEVIN ABEL SYSTEM CO-CEO 10.00 50.00 X 0 986351 38583 CRAIG LAMBRECHT MD SYSTEM CEO (UNTIL 3/11/2024) 10.00 50.00 X 0 1715469 24583 WILLIAM GIBSON CLO 10.00 50.00 X 0 801222 38623 JUSTIN OTT CIO 10.00 40.00 X 441312 0 47594 ELLEN LAYTON CAO 25.00 35.00 X 770823 0 51195 DEAN SUKIN MD PHYSICIAN 50.00 X 1882634 0 44827 VANCE FREDRICKSON MD PHYSICIAN 50.00 X 2196195 0 37931 ANTHONY ROCCISANO DO PHYSICIAN 50.00 X 1808826 0 44766 SHERVIN DASHTI MD PHYSICIAN 50.00 X 1798191 0 23496 ANTHONY RUSSO MD PHYSICIAN 50.00 X 2208231 0 18601 SCOTT ELLNER DO FORMER CEO 0.00 X 597240 0 0 15619795 3503042 629809 1085 1 1 0 GRANITE PEAK ANESTHESIOLOGY 350 RYMAN STREET MISSOULA MT 59802 ANESTHESIOLOGIST SERVICES 16026570 BILLINGS ANESTHESIOLOGY PC PO BOX 1155 BILLINGS MT 59103 ANESTHESIOLOGIST SERVICES 7643348 JOBOT LLC PO BOX 31001-2434 PASADENA CA 91110 LOCUM PROVIDERS 4644617 MAYO COLLABORATIVE SERV INC PO BOX 9146 MINNEAPOLIS MN 55905 LAB SERVICE PROVIDERS 4540557 HOSPITAL LAUNDRY SERVICES 45 SOUTH 7TH ST WEST BILLINGS MT 59102 LINENS/LAUNDRY PROVIDERS 1675604 40 2140744 1332 2142076 PATIENT SERVICE REVENUE 621110 987968172 987968172 RETAIL PHARMACY 621110 136484123 136484123 INCOME ON EQUITY INVESTEES 900099 9979773 797493 9182280 PREMIUM REVENUE 900099 9863623 9863623 REFERENCE LAB 621500 7522258 7522258 409577 409577 1152227526 17998260 17998260 394226 77506 316720 316720 316720 40348003 148190 0 0 40348003 148190 40496193 40496193 609317 157158 452159 410846 41313 IT CMC 541519 5626837 5626837 SERVICE TO OTHER HOSPITALS 541519 3455221 3455221 REGIONAL PHARMACY SALES 621110 1927581 1927581 975027 975027 11984666 1225617600 1136908861 27755490 58811173 X 939166 939166 186057 186057 3536850 2915798 621052 472053316 389163266 82890050 20192958 14226682 5966276 46215651 32583708 13631943 27978115 19729916 8248199 1210835 619032 591803 775461 775461 156277 156277 1919501 1919501 156101007 123562483 32538524 2127877 572382 1555495 2995672 850488 2145184 964973 273961 691012 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250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 264515 278299 124457 176425 843696 250000 250000 250000 250000 1000000 1500000 75442533 3865589 3242317 211153 82339286 73095797 429886 1995033 78183 75442533 73071314 1346174 414941 1736632 73095797 70534237 1143430 3769220 2375573 73071314 63959649 427564 6900818 753794 70534237 0.36320 0.50730 0.12951 0 1 1 9206385 30461628 39668013 292403139 131292152 161110987 2017777 1330962 686815 428885580 293662045 135223535 34827045 15206538 19620507 356309857 INTEREST IN FOUNDATION 159942665 RIGHT-OF-USE-ASSETS OPERATING LEASE 6391844 DUE FROM THIRD PARTIES 48702183 DUE FROM AFFILIATES 6092052 221128744 DUE TO MDOR 440969 INTEREST RATE SWAP AGREEMENT 3105889 ESTIMATED CLAIMS LIABILITY 9650209 ACCRUED INTEREST 4057289 UNEARNED PREMIUMS 13695997 RIGHT-OF-USE LEASE LIABILITIES 6312795 DUE TO THIRD PARTIES 3847911 LEASE LIABILITIES 96984 41208043 X PART V, LINE 4: 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. PART X, LINE 2: THE CORPORATION FILES INCOME TAX RETURNS WITH THE U.S. FEDERAL GOVERNMENT, VARIOUS STATES AND LOCAL JURISDICTIONS. THE CORPORATION IS NO LONGER SUBJECT TO EXAMINATION PRIMARILY FOR TAX YEARS BEFORE 2021 BASED UPON THE VARIOUS STATUTES OF LIMITATIONS AND IS NOT CURRENTLY UNDER EXAMINATION. THE CORPORATION HAS NO UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2024. 1 1 X 1 X 1 X 1 1 1 0 1 1 29654615 29654615 0.02430 157259937 139585771 17674166 0.01450 186914552 139585771 47328781 0.03880 4786985 1238442 3548543 0.00290 14240713 3504122 10736591 0.00880 59024454 40335658 18688796 0.01530 4099271 627050 3472221 0.00280 14778199 14778199 0.01210 96929622 45705272 51224350 0.04190 283844174 185291043 98553131 0.08070 5631 5631 0.00000 195466 195466 0.00020 201097 201097 0.00020 0 23485281 287240873 497786501 -210545628 X 1 1 1 1 BILLINGS CLINIC 2800 TENTH AVE N BILLINGS MT 59101 WWW.BILLINGSCLINIC.COM 13345 X X X X X BILLINGS CLINIC 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X SEE PART VI FOR URL X WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG X 1 23 1 SEE PART VI FOR URL 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE PART VI FOR URL X SEE PART VI FOR URL X SEE PART VI FOR URL X X X X X X 1 X 0 X X X X 1 X 0 0 BILLINGS CLINIC PART V, SECTION B, LINE 5: BILLINGS CLINIC CONDUCTED THE 2023-2025 CHNA IN COLLABORATION WITH THE CITY-COUNTY HEALTH DEPARTMENT, RIVERSTONE HEALTH AND ST. VINCENT HEALTHCARE, A HOSPITAL LOCATED IN BILLINGS MT. IN 2023, BILLINGS CLINIC, RIVERSTONE HEALTH AND ST. VINCENT HEALTHCARE RELEASED YELLOWSTONE COUNTY'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WITH PRIMARY, SECONDARY AND QUALITATIVE RESEARCH INTO THE HEALTH NEEDS IN THE COMMUNITY. THE 2023 CHNA WAS A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED IN 2011, 2014, 2017 AND 2020, WHICH ALLOWED FOR HISTORICAL DATA IN ADDITION TO SOLICITED INPUT FROM KEY INFORMANTS AND COMMUNITY STAKEHOLDERS. COMMUNITY STAKEHOLDERS AND KEY INFORMANTS ARE MEMBERS OF ORGANIZATIONS FROM GOVERNMENT, EDUCATION, HEALTH CARE AND PUBLIC HEALTH. UNDERSERVED AND UNDERREPRESENTED POPULATIONS WERE REPRESENTED BY KEY INFORMANTS INCLUDING INDIVIDUALS FROM VARIOUS POPULATIONS COMPRISED OF VARIOUS RACIAL AND SOCIO-ECONOMIC BACKGROUNDS. BILLINGS CLINIC PART V, SECTION B, LINE 6A: BILLINGS CLINIC'S COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN A PRE-EXISTING COMMUNITY HEALTH PARTNERSHIP, THE HEALTHY BY DESIGN ALLIANCE, WITH INTERMOUNTAIN HEALTH ST. VINCENT REGIONAL HOSPITAL (HOSPITAL ORGANIZATION) AND RIVERSTONE HEALTH (PUBLIC HEALTH DEPARTMENT FOR CITY AND COUNTY). THE ALLIANCE ALSO CONDUCTED A CHNA IN 2006, 2011, 2014, 2017, 2020 AND 2023. BILLINGS CLINIC PART V, SECTION B, LINE 6B: THE HEALTHY BY DESIGN COALITION AND RIVERSTONE HEALTH BILLINGS CLINIC PART V, SECTION B, LINE 7D: TO FURTHER DISTRIBUTE AND PUBLICIZE THE CHNA, PRINTED COPIES OF THE CHNA REPORT WERE DISTRIBUTED TO COMMUNITY MEMBERS, MEDIA AND LOCAL NON-PROFIT ORGANIZATIONS. THE CHNA IS ALSO AVAILABLE ELECTRONICALLY ON THE HEALTHY BY DESIGN COALITION WEBSITE: HTTP://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG. BILLINGS CLINIC PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED 11 AREAS OF OPPORTUNITY AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING A COMPARISON WITH BENCHMARK DATA AND HISTORICAL TRENDS, ANALYSIS OF THE NUMBER OF PERSONS AFFECTED AND SIGNIFICANCE OF FINDINGS. THESE AREAS OF OPPORTUNITY IDENTIFIED INCLUDED ACCESS TO HEALTH CARE, CANCER, DIABETES, HEART DISEASE AND STROKE, INJURY AND VIOLENCE, MENTAL HEALTH, NUTRITION AND PHYSICAL ACTIVITY, POTENTIALLY DISABLING CONDITIONS, RESPIRATORY DISEASES, SEXUAL HEALTH AND SUBSTANCE ABUSE. PRIORITIZATION RANKED FOUR PRIORITIES AS THE TOP NEEDS: 1) MENTAL HEALTH; 2) SUBSTANCE ABUSE; 3) ACCESS TO HEALTH CARE AND 4) NUTRITION, PHYSICAL ACTIVITY AND WEIGHT. BILLINGS CLINIC ADDRESSES THESE CHNA-IDENTIFIED NEEDS AT THE ORGANIZATIONAL LEVEL WITH EFFORTS TO IMPROVE AWARENESS AND EDUCATION, AS WELL AS TO REMOVE BARRIERS TO CARE. WORK IS DONE WITH CLINICAL DEPARTMENTS, SERVICE LINES, NURSING AND MEDICAL EDUCATION, COMMUNITY RELATIONS, POPULATION HEALTH, CARE MANAGEMENT, CITY/COUNTY HEALTH DEPARTMENT, COMMUNITY PARTNERS AND THE STATE AND FEDERAL GOVERNMENT. BILLINGS CLINIC IS PART OF SEVERAL COMMUNITY-WIDE COALITIONS TO ADDRESS COMMUNITY HEALTH NEEDS IN A COLLABORATIVE WAY. ACCESS TO HEALTH CARE - BILLINGS CLINIC PARTICIPATED IN IMPROVING ACCESS TO HEALTH CARE THROUGH APPOINTMENT AVAILABILITY, TRANSPORTATION FROM APPOINTMENTS, COST OF PRESCRIPTIONS AND INCREASED TELEMEDICINE OFFERINGS IN RURAL COMMUNITIES. THIS YEAR, MORE THAN 100 BILLINGS CLINIC PHYSICIANS IN 28 SPECIALTIES TRAVELED IN EXCESS OF 260,000 MILES TO PROVIDE SPECIALTY CARE FOR RESIDENTS OF RURAL MONTANA, WYOMING, AND NORTH DAKOTA. BILLINGS CLINIC IS THE HOME OFFICE OF THE EASTERN MONTANA TELEMEDICINE NETWORK, WHICH PROVIDED THOUSANDS OF TELEMEDICINE APPOINTMENTS WITH MEDICAL SPECIALISTS, AS WELL AS ADMINISTRATIVE AND OPERATIONAL SUPPORT TO PEOPLE ATTENDING EDUCATION AND MEETINGS THROUGH 40 PARTNER SITES IN MONTANA, WESTERN NORTH DAKOTA, AND NORTHERN WYOMING. BILLINGS CLINIC SUPPORTS MEDICAL CAREERS CLASSES IN LOCAL HIGH SCHOOLS, CLINICAL ROTATIONS FOR NURSING STUDENTS, DIETARY STUDENTS AND PHARMACY STUDENTS EACH YEAR TO HELP INCREASE STUDENTS IN THE HEALTHCARE RURAL WORKFORCE PIPELINE. AT ITS OWN EXPENSE, BILLINGS CLINIC PROVIDES FREE TRANSPORTATION FOR MANY PATIENTS WHO ARE FINANCIALLY UNABLE TO GET HOME FROM OUTPATIENT AND INPATIENT STAYS. FOR MORE THAN 20 YEARS, BILLINGS CLINIC HAS OFFERED HEALTHLINE, WHICH IS A FREE SERVICE AVAILABLE TO ALL COMMUNITY MEMBERS TO ASK HEALTH-RELATED QUESTIONS TO MEDICAL PROFESSIONALS, 24 HOURS A DAY, SEVEN DAYS A WEEK. IN 2024, BILLINGS CLINIC SPENT $221,000 ON HEALTHLINE-RELATED COSTS TO ENSURE THAT THIS SERVICE IS AVAILABLE TO THE COMMUNITY. THE BILLINGS CLINIC MEDICATION ASSISTANCE PROGRAM SERVED THOUSANDS OF UNINSURED AND UNDERINSURED PATIENTS WITH TENS OF THOUSANDS OF PRESCRIPTIONS PROCESSED IN 2024, INCLUDING FINANCIAL ASSISTANCE FOR NECESSARY MEDICATIONS. THE TOTAL VALUE OF THE DONATED MEDICATIONS WAS OVER $1 MILLION. CANCER - BILLINGS CLINIC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR THE AMERICAN CANCER SOCIETY, MONTANA WOMEN'S RUN, CANCER RESEARCH AND SCREENINGS. FREE OR LOW-COST SCREENINGS FOR CANCER ARE COORDINATED AND REPORTED ON THROUGH THE CANCER COMMITTEE'S COMMUNITY OUTREACH TASK GROUP. CANCER CARE NAVIGATORS HELP WITH NON-CLINICAL NEEDS TO IMPACT PATIENT CARE. ADDITIONALLY, BILLINGS CLINIC PROVIDES FREE BREAST CANCER SCREENINGS TO PATIENTS THROUGH ITS WOMEN'S WELLNESS FUND.DIABETES - BILLINGS CLINIC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR DIABETES CAMP FOR KIDS IN ADDITION TO DIABETES PREVENTION AND SELF-MANAGEMENT EDUCATION AT NO OR LOW CHARGE (SUBSIDIZED). HEART DISEASE AND STROKE - BILLINGS CLINIC MAKES ANNUAL FINANCIAL DONATIONS AND PROVIDES IN-KIND LEADERSHIP, HEALTH POLICY ADVOCACY, SPECIAL EVENT AND COMMITTEE SUPPORT FOR ORGANIZATIONS SUPPORTING PREVENTION, RESEARCH AND ADVOCACY FOR MANY CHRONIC DISEASES, INCLUDING THE AMERICAN HEART ASSOCIATION. BILLINGS CLINIC ALSO PARTNERS WITH THE ALLIANCE FOR HEALTHY MONTANANS TO ADVOCATE FOR HEALTH POLICIES THAT BENEFIT PERSONS WITH CHRONIC DISEASES, INCLUDING SUPPORT FOR MEDICAID EXPANSION. IN ADDITION, BILLINGS CLINIC OFFERS FREE COMMUNITY EDUCATION DURING HEART MONTH AND THROUGHOUT THE YEAR INCLUDING AWARENESS FOR THE SIGNS AND SYMPTOMS OF HEART ATTACK AND THROUGH OUR CARDIAC REHABILITATION PROGRAM. INFANT HEALTH- BILLINGS CLINIC PROVIDES PARENTAL EDUCATION RESOURCES AND FREE LACTATION EDUCATION AND CONSULTATIONS FOR NEW MOMS.INJURY AND VIOLENCE - TRAUMA AND INJURY PREVENTION IS SUBSIDIZED AT A 0.5 (HALF TIME) POSITION IN THE EMERGENCY AND TRAUMA CENTER BY A REGISTERED NURSE WHO PROVIDED EDUCATION FOR SAFE DRIVING, FALLS PREVENTION, BRAIN AND SPINAL CORD INJURY PREVENTION, HELMET SAFETY AND MORE. THE SEXUAL ASSAULT NURSING EXAM (SANE) PROGRAM PROVIDES SUBSIDIZED MEDICAL TREATMENT AND EMOTIONAL SUPPORT TO CHILDREN, TEENS AND ADULTS ANNUALLY WHO WERE VICTIMS OF SEXUAL ASSAULT AT A COST OF MORE THAN $330,000. BILLINGS CLINIC ALSO SUBSIDIZED THE HOURS FOR A PHYSICIAN TO SERVE AS THE MEDICAL DIRECTOR OF THE SANE PROGRAM AND TO PROVIDE FREE FOLLOW-UP CARE FOR CHILDREN UNDER 18. THE SANE STAFF AND VOLUNTEERS ALSO PROVIDE TRAINING IN THE REGION. BILLINGS CLINIC ALSO PROVIDES IN-KIND TIME SUPPORT FOR LOCAL ORGANIZATIONS AND THE CITY TO ADDRESS PUBLIC SAFETY. MENTAL HEALTH BILLINGS CLINIC IS A FOUNDING MEMBER OF THE COMMUNITY CRISIS CENTER WHICH IS A POINT OF ACCESS FOR PEOPLE IN OUR COMMUNITY SEEKING CRISIS STABILIZATION SERVICES FOR MENTAL HEALTH, SUBSTANCE ABUSE AND/OR SOCIAL SERVICE NEEDS REGARDLESS OF THEIR ABILITY TO PAY. WE SUPPORT THE COMMUNITY CRISIS CENTER FOR PEOPLE WITH CO-OCCURRING DISORDERS OF MENTAL HEALTH AND SUBSTANCE USE THROUGH FINANCIAL SUPPORT, LEADERSHIP AND STAFFING OF MENTAL HEALTH WORKERS AND SOCIAL WORKERS, AS WELL AS BOARD MEMBERSHIP BY OUR DIRECTOR OF PSYCHIATRIC SERVICES. THE COMMUNITY CRISIS CENTER SERVES THOUSANDS OF INDIVIDUALS WITH ASSESSMENTS, CASE MANAGEMENT, GROUP THERAPY, ADDICTION COUNSELING, REFERRALS AND STABILIZATION SERVICES TO PEOPLE IN NEED 24/7. BILLINGS CLINIC PROVIDES PSYCHIATRIC HOSPITAL ADMISSIONS AT THE ONLY INPATIENT PSYCHIATRIC HOSPITAL FOR CHILDREN, TEENS AND ADULTS IN CENTRAL/EASTERN MONTANA AND NORTHERN WYOMING. PSYCHIATRIC SERVICES ARE SUBSIDIZED AT A SIGNIFICANT SHORTFALL EACH YEAR. IN 2024, THE SHORTFALL TOTALED $5 MILLION. ADDITIONALLY, IN ORDER TO INCREASE ACCESS TO MENTAL HEALTH CARE, BILLINGS CLINIC'S PSYCHIATRIC RESIDENCY PROGRAM STARTED IN JULY 2019 AND IS THE ONLY ONE OF ITS KIND IN THE SURROUNDING REGION. IN ADDITION, WE PROVIDE FINANCIAL DONATIONS TO MULTIPLE MENTAL HEALTH ORGANIZATIONS, INCLUDING THE NATIONAL ALLIANCE ON MENTAL ILLNESS, THE OUT OF THE DARKNESS WALK FOR SUICIDE PREVENTION AND RIMROCK FOUNDATION. NUTRITION AND WEIGHT BILLINGS CLINIC IS A FOUNDING MEMBER OF THE HEALTHY BY DESIGN COALITION WHICH AIMS TO ADDRESS ISSUES OF UNDERINSURED AND UNDERSERVED COMMUNITY MEMBERS. BILLINGS CLINIC IN PARTNERSHIP WITH HEALTHY BY DESIGN, PROVIDED ACCESS TO LOW-COST FRESH FRUITS AND VEGETABLES AT THE HEALTHY BY DESIGN GARDENERS' MARKET BY ACCEPTING WIC AND SNAP FOR PAYMENT. BILLINGS CLINIC PROVIDED FINANCIAL SUPPORT FOR MAJOR EVENTS TO ENCOURAGE THOUSANDS OF INDIVIDUALS AND FAMILIES TO EXERCISE TOGETHER, INCLUDING BIG SKY STATE GAMES, BIG SKY FIT KIDS, SATURDAY LIVE FUN RUN, RUN TURKEY RUN, MONTANA MARATHON, MONTANA WOMEN'S RUN, AND MANY OTHER RUN/WALK FUNDRAISERS FOR LOCAL NONPROFIT ORGANIZATIONS. BILLINGS CLINIC ALSO SUPPORTS LOCAL SCHOOLS IN THE PROMOTION OF PHYSICAL ACTIVITY AND WELLNESS THROUGH THE "SUPERSTAR AWARDS" $100 GRANT AWARDS FOR 10 TEACHERS PER YEAR TO ENCOURAGE PHYSICAL ACTIVITY AND WELLNESS IN THEIR CLASSROOMS, FOR ALL GRADES, IN PARTNERSHIP WITH THE YMCA. DISABLING CONDITIONS- BILLINGS CLINIC OFFERS SUPPORT GROUPS FOR CAREGIVERS OF PERSONS WITH DISABILITIES AND PROVIDES FINANCIAL SUPPORT TO LOCAL NONPROFITS IN ADVANCING HEALTH EQUITY FOR INDIVIDUALS WITH DISABILITIES. RESPIRATORY DISEASES - BILLINGS CLINIC PROVIDES EDUCATION FOR ADULTS AND TEENS ABOUT THE DANGERS OF VAPING AND TOOLS/INFORMATION FOR CESSATION. IN COORDINATION WITH COMMUNITY HEALTH PARTNERS, BILLINGS CLINIC PROVIDES ONGOING COMMUNITY EDUCATION FOR THE PREVENTION AND TREATMENT OF RESPIRATORY ILLNESS. SEXUAL HEALTH- BILLINGS CLINIC CONDUCTS NUMEROUS OUTREACH CLINICS FOR UNDERSERVED POPULATIONS IN RURAL REGIONS IN ADDITION TO FREE EDUCATION FOCUSED ON SEXUAL HEALTH. PART V, SECTION B, LINE 11 SUBSTANCE ABUSE BILLINGS CLINIC IS A MEMBER OF THE SUBSTANCE ABUSE CONNECT COALITION WHICH FOCUSES ITS WORK ON PREVENTION, EDUCATION, AND DIVERSION TO INCREASE ACCESS TO RESOURCES. BILLINGS CLINIC'S PARTICIPATION IN THE COALITION ALLOWS FOR COORDINATED EFFORTS AND INCREASED IMPACT. IN ADDITION, PROJECT ECHO PROVIDED TRAINING AND SUPPORT TO MENTAL HEALTH PROFESSIONALS, NURSES AND PHYSICIANS ACROSS THE REGION THROUGHOUT THE YEAR IN EDUCATIONAL SESSIONS FOR THE DEPARTMENT OF CORRECTIONS, INTEGRATED ADDICTIONS AND PSYCHIATRY AND PEDIATRIC MENTAL HEALTH AT UNREIMBURSED COST. TOBACCO USE - BILLINGS CLINIC PROVIDES FREE EDUCATION FOR ADULTS AND TEENS ABOUT THE DANGERS OF VAPING, TOBACCO CESSATION SCREENING AND REDUCTION IN INSURANCE PREMIUMS FOR BILLINGS CLINIC EMPLOYEES WHO DON'T USE TOBACCO, AS WELL AS A FREE TOBACCO CESSATION COURSE.BILLINGS CLINIC ADDRESSES THE SOCIAL DETERMINANTS OF HEALTH THROUGH ADVOCACY, IN-KIND LEADERSHIP AND FINANCIAL SUPPORT OF A VARIETY OF ORGANIZATIONS DOING WORK ON IMPORTANT ISSUES THAT AFFECT HEALTH, INCLUDING HOUSING/HOMELESSNESS, SUBSTANCE ABUSE, TRANSPORTATION AND EDUCATION. BILLINGS CLINIC IS A MEMBER OF SEVERAL COALITIONS IN YELLOWSTONE COUNTY WORKING ON SOCIAL DETERMINANTS OF HEALTH, INCLUDING HEALTHY NEIGHBORHOODS, BUILT ENVIRONMENT AND SOCIAL CONNECTIONS (HEALTHY BY DESIGN COALITION AND AGE FRIENDLY BILLINGS); TRANSPORTATION (LED BY MET TRANSIT); AND HOUSING (CONTINUUM OF CARE COALITION, LED BY UNITED WAY AND TUMBLEWEED). BILLINGS CLINIC PROVIDES BOARD LEADERSHIP, IN-KIND AND FINANCIAL SUPPORT FOR ECONOMIC DEVELOPMENT AND SECURITY FOR RESIDENTS OF YELLOWSTONE COUNTY AND OUR SURROUNDING REGION THROUGH BIG SKY ECONOMIC DEVELOPMENT AND THE CHAMBER OF COMMERCE (BILLINGS AND MONTANA STATE CHAMBERS OF COMMERCE). SCHEDULE H, PART V SECTION B, LINE 16A, 16B AND 16C HTTPS://WWW.BILLINGSCLINIC.COM/CARE-AT-BILLINGS-CLINIC/YOUR-VISIT/BILLING-INSURANCE--FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V SECTION B, LINE 7A AND LINE 10A HTTPS://WWW.BILLINGSCLINIC.COM/APP/FILES/PUBLIC/1B3E2B5E-CDA6-444F-A14C-8F0A1EE09F54/REPORT_2023CHNA_EXECUTIVESUMMARY_FINAL_20230103-WEB.PDFHTTPS://WWW.BILLINGSCLINIC.COM/APP/FILES/PUBLIC/894CEA1A-AFED-44C6-A7CB-1399F5C4D73E/PLAN_2023-2026YELLOWSTONECOUNTYCHIP_FINAL_063023-WEBRES.PDF 17 1 - BILLINGS CLINIC 1045 N 30TH ST BILLINGS MT 59101 OUTPATIENT CLINIC 2 - BILLINGS CLINIC MILES CITY 620 S HAYNES AVE MILES CITY MT 59301 OUTPATIENT CLINIC 3 - BILLINGS CLINIC HEIGHTS 760 WICKS LN BILLINGS MT 59105 OUTPATIENT CLINIC 4 - BILLINGS CLINIC SURGERY CENTER 2929 TENTH AVE N BILLINGS MT 59101 OUTPATIENT SURGERY CENTER 5 - BILLINGS CLINIC WEST 2675 CENTRAL AVE BILLINGS MT 59102 OUTPATIENT CLINIC 6 - BEHAVIORAL HEALTH CENTER 2800 10TH AVE N BILLINGS MT 591010703 OUTPATIENT MENTAL HEALTH CENTER 7 - BILLINGS CLINIC CODY 201 YELLOWSTONE AVE CODY WY 92414 OUTPATIENT CLINIC 8 - BILLINGS CLINIC CANCER CENTER 801 N 29TH ST BILLINGS MT 59101 CANCER CARE, INFUSION 9 - PSYCHIATRIC CENTER 1020 N 27TH ST BILLINGS MT 59101 INPATIENT PSYCHIATRIC CENTER 10 - HOME OXYGEN 1050 S 25TH ST W BILLINGS MT 59102 DURABLE MEDICAL EQUIPMENT 11 - BOZEMAN PEDIATRICS 1819 S 22ND ST BOZEMAN MT 59715 PEDIATRIC OUTPATIENT CENTER 12 - BILLINGS CLINIC ORTHOPEDICS 2702 8TH AVE N BILLINGS MT 59101 ORTHOPEDICS AND SPORTS MEDICINE 13 - BILLINGS CLINIC BOZEMAN 3905 WELLNESS WAY BOZEMAN MT 59718 OUTPATIENT CLINIC 14 - BILLINGS CLINIC CODY ORTHOPEDICS 3030 BIG HORN AVE CODY MT 82414 ORTHOPEDICS 15 - BILLINGS CLINIC CODY MRI & CT IMAGING 613 YELLOWSTONE AVE CODY WY 82414 MRI & CT IMAGING 16 - BILLINGS CLINIC WEST YELLOWSTONE 236 YELLOWSTONE AVE WEST YELLOWSTONE WY 59758 OUTPATIENT CLINIC 17 - BILLINGS CLINIC OBGYN 925 HIGHLAND BLVD BOZEMAN MT 59715 OBSTETRICS AND GYNECOLOGY CLINIC PART I, LINE 3C: IN ADDITION TO THE FEDERAL POVERTY GUIDELINES BILLINGS CLINIC ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART I, LINE 6A: STILLWATER COMMUNITY HOSPITAL, A RELATED CRITICAL ACCESS HOSPITAL, PREPARES THEIR OWN INDEPENDENT COMMUNITY BENEFIT REPORT. 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. BILLINGS CLINIC USES THE SAME COST-TO-CHARGE RATIO THROUGHOUT THE ENTIRE SCHEDULE H TO DETERMINE THE COST OF THOSE ACTIVITIES. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES VARIOUS PHYSICIAN CLINICS IN ORDER TO BETTER SERVE THE MONTANA AREAS. MANY CRITICAL SERVICES WERE NOT FULLY REIMBURSED SUCH AS BEHAVIORAL HEALTH, PEDIATRIC SPECIALTIES, SEXUAL ASSAULT NURSE EXAMINATION AND RURAL OUTREACH CLINICS. PRIMARY CARE CLINICS WERE ONLY INCLUDED IF THEY WERE IN RURAL, UNDERSERVED AREAS OUTSIDE OUR PRIMARY SERVICE AREA. TOTAL COSTS FOR THE SUBSIDIZED SERVICES WERE $59,024,454 AND NET COMMUNITY BENEFIT OF THOSE SERVICES WAS DETERMINED TO BE $18,688,796. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 23,485,281. PART II, COMMUNITY BUILDING ACTIVITIES: BILLINGS CLINIC'S COMMUNITY BUILDING ACTIVITIES INCLUDE COMMUNITY SUPPORT AND ADVOCACY FOR PATIENT CARE. PART III, LINE 2: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014- 09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. PART III, 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. PART III, LINE 8: IS THE BEST ESTIMATE OF THE PERCENTAGE OF MONTANA'S MEDICARE POPULATION (65 AND OLDER) WHO ARE AT OR BELOW 200% OF FEDERAL POVERTY LEVEL, BASED ON MEDICARE AND U.S. CENSUS DATA, AND THOSE PATIENTS WOULD QUALIFY FOR FULL FINANCIAL ASSISTANCE. A HIGHER PERCENTAGE WOULD QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE WITH INCOMES FROM 200- 400 PERCENT OF FEDERAL POVERTY LEVEL. FOR THE CALCULATION OF THE UNREIMBURSED 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 MEDICARE COST REPORT FOR THIS NUMBER. THE COST REPORT ONLY CAPTURES REVENUE RELATED TO THE FACILITY AND DOES NOT CAPTURE REVENUE/LOSSES RELATED TO CLINICAL PROFESSIONAL SERVICES, WHICH ARE A SUBSTANTIAL PORTION OF MEDICARE SHORTFALLS. PART III, LINE 9B: ACCOUNTS ARE BILLED WITH INSURANCE INFORMATION SUPPLIED BY THE PATIENT AND WHEN AVAILABLE, VERIFIED BY BILLINGS CLINIC. BILLINGS CLINIC SENDS PATIENT BILLING STATEMENTS THAT INCLUDE THE SUMMARY OF SERVICES PROVIDED, AMOUNTS PENDING INSURANCE AND AMOUNTS OWED BY THE PATIENT. FINANCIAL ASSISTANCE IS OFFERED TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED. BILLINGS CLINIC ASSISTS PATIENTS APPLYING FOR FINANCIAL ASSISTANCE, AND PUBLIC PROGRAMS SUCH AS MEDICAID. BILLINGS CLINIC ALSO ASSISTS PATIENTS WITH PAYMENT PLANS INTEREST FREE FOR 12 MONTHS OR THROUGH AN EXTENDED LOAN OPTION UP TO 60 MONTHS. BILLINGS CLINIC WILL NOT REFER A PATIENT TO COLLECTIONS UNTIL AFTER 120 DAYS OF THE INDIVIDUAL BEING AWARE OF THEIR OPTIONS. PART VI, LINE 2: SINCE 1994, BILLINGS CLINIC, RIVERSTONE HEALTH AND ST. VINCENT HEALTHCARE HAVE BEEN WORKING TOGETHER AS THE ALLIANCE, CREATING AND SUSTAINING INNOVATIVE PROGRAMS THAT ADDRESS COMPLEX COMMUNITY-WIDE HEALTH ISSUES. RIVERSTONE HEALTH IS THE PUBLIC HEALTH DEPARTMENT FOR THE YELLOWSTONE COUNTY AND ST. VINCENT HEALTHCARE IS A 501(C)(3) HEALTHCARE ENTITY ALSO SERVING THE BILLINGS AREA. PART VI, LINE 3: ALL PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE. INFORMATIONAL BROCHURES WITH ONE-PAGE PLAIN LANGUAGE SUMMARY AND APPLICATION 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/FINASSIST. OUR WEBPAGE INCLUDES THE FULL FINANCIAL ASSISTANCE POLICY. PATIENTS CAN ALSO CALL A DIRECT LINE TO TALK TO A PATIENT FINANCIAL REPRESENTATIVE.INFORMATION ABOUT FINANCIAL ASSISTANCE IS PRINTED ON THE BACK OF PATIENT BILLS. PATIENTS HOSPITALIZED WITHOUT IDENTIFYING A THIRD PARTY PAYER SOURCE ARE SCREENED FOR COVERAGE ASSISTANCE (DISABILITY, MEDICAID, VETERANS ADMINISTRATION, 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. LANGUAGE TRANSLATION SERVICES ARE ALSO AVAILABLE. PART VI, LINE 4: BILLINGS CLINIC IS BASED IN BILLINGS, MONTANA AND IS MONTANA'S LARGEST HEALTH CARE ORGANIZATION SERVING A VAST REGION COVERING MUCH OF MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC IS ONE OF MONTANA'S LARGEST EMPLOYERS WITH APPROXIMATELY 4,500 EMPLOYEES INCLUDING MORE THAN 600 PHYSICIANS AND ADVANCED PRACTITIONERS OFFERING MORE THAN 80 SPECIALTIES. COMMUNITY BENEFIT INCLUDES HEALTH CARE SERVICES PROVIDED AT BILLINGS CLINIC LOCATIONS, INCLUDING THE HOSPITAL, MAIN CLINIC, BRANCH CLINICS AND OUTREACH CLINICS. BILLINGS CLINIC SPECIALISTS PROVIDE 110 OUTREACH CLINICS PER MONTH AT 21 DIFFERENT REGIONAL LOCATIONS FOR THE RESIDENTS OF MONTANA, WYOMING AND NORTH DAKOTA. PART VI, LINE 5: AS A NOT-FOR PROFIT COMMUNITY-GOVERNED ORGANIZATION, WORKING WITH OTHER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE HEALTH CARE NEEDS IS AN IMPORTANT PART OF OUR MISSION. BILLINGS CLINIC HAS BEEN INVOLVED IN MEETING THE NEEDS OF INDIVIDUALS AND COMMUNITIES THROUGH COOPERATIVE EFFORTS WITH OTHER ORGANIZATIONS IN YELLOWSTONE COUNTY AND IN OUR REGION.COMMUNITY HEALTH COLLABORATION SINCE 1994, BILLINGS CLINIC, RIVERSTONE HEALTH AND ST. VINCENT HEALTHCARE HAVE BEEN WORKING TOGETHER, CREATING AND SUSTAINING INNOVATIVE PROGRAMS THAT ADDRESS COMPLEX COMMUNITY-WIDE HEALTH ISSUES. THEIR PURPOSE IS TO CREATE SUSTAINED CHANGE IN HOW OUR COMMUNITY RESPONDS TO THE CHALLENGE OF THE HIGH COST OF PRESCRIPTION DRUGS FOR THE UNINSURED AND THE POPULATION LIFESTYLE ISSUES OF OBESITY, POOR NUTRITION AND PHYSICAL ACTIVITY HABITS. THESE ARE EXAMPLES OF THE PAST AND FUTURE SUCCESSES OF THE ALLIANCE'S EFFORTS. COMMUNITY CRISIS CENTER - THE COMMUNITY CRISIS CENTER (CCC), ENHANCES\ACCESS TO BEHAVIORAL HEALTH CARE IN BILLINGS. THE CCC HAS SUCCESSFULLY REDUCED INAPPROPRIATE UTILIZATION OF LOCAL EMERGENCY DEPARTMENTS, DECREASED THE NUMBER OF SHORT-TERM INPATIENT HOSPITAL ADMISSIONS, AND HAS BEEN A DRIVING FORCE IN REDUCING THE INMATE POPULATION AT THE YELLOWSTONE COUNTY DETENTION FACILITY. MEDICATION ASSISTANCE PROGRAM (MAP) - MAP HELPS PATIENTS AFFORD THE PRESCRIPTION DRUGS THEY NEED BY CONNECTING INDIVIDUALS WITH AVAILABLE PATIENT ASSISTANCE PROGRAMS OFFERING DISCOUNTED OR FREE PRESCRIPTION MEDICATION. MAP ASSISTS LOW INCOME, UNINSURED OR UNDER INSURED PEOPLE IN GETTING THE MEDICATIONS THEY NEED, BUT CAN'T AFFORD.HEALTHY BY DESIGN - TO HELP RECOGNIZE ORGANIZATIONS IN YELLOWSTONE COUNTY COMMITTED TO IMPROVING OUR COMMUNITY'S HEALTH, BILLINGS CLINIC, RIVERSTONE HEALTH, AND ST. VINCENT HEALTHCARE LAUNCHED A COMMUNITY HEALTH COALITION CALLED HEALTHY BY DESIGN. HEALTHY BY DESIGN ENCOURAGES, RECOGNIZES, EDUCATES AND CREATES A STANDARD OF EXCELLENCE FOR PROMOTING HEALTHY LIFESTYLES BY ENCOURAGING ACTIVE LIVING AND HEALTHY CHOICES THAT SHAPE THE FUTURE OF THE COMMUNITY. FOR PROMOTING HEALTHY LIFESTYLES BY ENCOURAGING ACTIVE LIVING AND HEALTHY CHOICES THAT SHAPE THE FUTURE OF THE COMMUNITY. PART VI, LINE 6: MTWY HEALTH (MTWY) IS A MONTANA NONPROFIT ORGANIZATION THAT IS THE SOLE MEMBER OF BOTH BILLINGS CLINIC AND LOGAN HEALTH EFFECTIVE ON SEPTEMBER 1, 2023. THE ORGANIZATIONS BELIEVE THAT THE COMBINED, INDEPENDENT HEALTH SYSTEM WILL BE BETTER EQUIPPED TO SUSTAIN AND GROW SERVICES TO MEET THE PATIENT NEEDS IN MONTANA AND WYOMING.BELOW IS A LIST OF ORGANIZATIONS THAT ARE PART OF MTWY HEALTH. BILLINGS CLINIC (BC) IS A MONTANA NONPROFIT ORGANIZATION, WHICH IS STRUCTURED AS A MEDICAL FOUNDATION. BC OPERATES A 336-LICENSED-BED ACUTE CARE HOSPITAL LOCATED IN BILLINGS, MONTANA; A MULTI-SPECIALTY PHYSICIAN GROUP, INCLUDING MORE THAN 500 PHYSICIANS AND ADVANCED PRACTITIONERS BASED IN BILLINGS WITH BRANCH CLINICS IN MILES CITY AND BOZEMAN, MONTANA AND CODY, WYOMING. BC ALSO MANAGES A NUMBER OF CRITICAL ACCESS HOSPITALS IN MONTANA AND WYOMING.BILLINGS CLINIC FOUNDATION (THE FOUNDATION), WHOSE PRINCIPAL ACTIVITY IS THE SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC FOR BC AND THE NONPROFIT AFFILIATES OF BC. THE OPERATIONS OF THE FOUNDATION ARE FINANCED PRINCIPALLY FROM CONTRIBUTIONS AND INVESTMENT INCOME. MONTANA HEALTHCARE INDEMNITY, LLC (MHI), WHOSE PRINCIPAL ACTIVITY IS TO ACT AS A CAPTIVE INSURANCE COMPANY FOR GENERAL AND PROFESSIONAL LIABILITY COVERAGE FOR BC, LOGAN HEALTH AND OTHER AFFILIATED HEALTHCARE FACILITIES LOCATED IN MONTANA AND WYOMING. STILLWATER HOSPITAL ASSOCIATION, INC., WHICH OWNS AND OPERATES STILLWATER BILLINGS CLINIC (SBC). SBC IS A NONPROFIT ACUTE CARE HOSPITAL LOCATED IN COLUMBUS, MONTANA. THE FACILITY HAS 16 ACUTE CARE AND SWING BEDS AND HAS BEEN GRANTED CRITICAL ACCESS STATUS FOR MEDICARE REPORTING PURPOSES.BILLINGS CLINIC SPECIALTY SUPPLIES AND SERVICES, LLC (SPECIALTY SERVICES) IS LICENSED BY THE STATE OF MONTANA AS A SINGLE MEMBER LIMITED LIABILITY COMPANY AND ITS INCOME IS INCLUDED IN THE TAX RETURN OF BC. SPECIALTY SERVICES FOCUSES ON PROVIDING PHARMACY CARE FOR CHRONIC, RARE OR COMPLEX CONDITIONS THAT REQUIRE SPECIALTY MEDICATION. IT ALSO PROVIDES PHARMACY SERVICES TO RESIDENTS IN A VARIETY OF POST-ACUTE CARE SETTINGS. TOWNSEND HEALTH SYSTEMS, INC., WHICH OWNS AND OPERATES BROADWATER HEALTH CENTER, D/B/A BILLINGS CLINIC BROADWATER (BCB). BCB IS A NONPROFIT CRITICAL ACCESS HOSPITAL LOCATED IN TOWNSEND, MONTANA. THE FACILITY HAS 25 LICENSED ACUTE CARE AND SWING BEDS AND HAS BEEN GRANTED CRITICAL ACCESS STATUS FOR MEDICARE REPORTING PURPOSES. BILLINGS CLINIC ONCALL, LLC (ONCALL) IS LICENSED BY THE STATE OF MONTANA AS A SINGLE MEMBER LIMITED LIABILITY COMPANY WHICH IS TAXED AT THE ENTITY LEVEL. ONCALL PROVIDES TELEHEALTH SERVICES.LOGAN HEALTH (LH), A MONTANA NONPROFIT ORGANIZATION, WAS FORMED IN MAY 1982 AND BEGAN OPERATIONS IN APRIL 1983. THE PRIMARY PURPOSE OF LH IS TO ACT FOR THE BENEFIT OF, AND ON BEHALF OF, ITS SUBSIDIARIES. KALISPELL REGIONAL MEDICAL CENTER, INC. D/B/A LOGAN HEALTH MEDICAL CENTER (LHMC): A MONTANA NONPROFIT ORGANIZATION THAT PROVIDES ACUTE HEALTH CARE SERVICES. LOGAN HEALTH FOUNDATION (THE LH FOUNDATION) IS A MONTANA NONPROFIT ORGANIZATION WHOSE PURPOSE IS TO PROMOTE THE CHARITABLE OBJECTIVES OF LH. ASSIST - FLATHEAD VALLEY (ASSIST) IS A NONPROFIT ORGANIZATION LOCATED IN KALISPELL, MONTANA, WHOSE PRIMARY PURPOSE IS TO IMPROVE THE QUALITY OF LIFE FOR RESIDENTS IN FLATHEAD VALLEY. APPLIED HEALTH SERVICES, INC. (AHS) IS A MONTANA TAXABLE ORGANIZATION THAT OPERATES A DURABLE MEDICAL EQUIPMENT RENTAL OPERATION, TWO RETAIL PHARMACIES AND OTHER SERVICES. SUMMIT MEDICAL FITNESS CENTER, D/B/A LOGAN HEALTH FITNESS CENTER, INC. (LHFC) IS A MONTANA NONPROFIT ORGANIZATION THAT WAS FORMED IN 2006 AND BEGAN OPERATIONS IN APRIL 2007 AS A HEALTH/MEDICAL FITNESS CENTER PROMOTING THE HEALTH OF THE COMMUNITY THROUGH EDUCATION, TRAINING AND RECREATION.MONTANA PEDIATRICS IS A MONTANA NONPROFIT ORGANIZATION THAT PROVIDES TELEHEALTH ALTERNATIVES TO PARENTS REQUIRING PEDIATRIC CARE AFTER HOURS OR IN CIRCUMSTANCES WHERE IN PERSON OFFICE VISITS ARE INCONVENIENT/ UNREALISTIC. LOGAN HEALTH EMERGENCY MEDICAL SERVICES (EMS) IS A MONTANA NONPROFIT ORGANIZATION THAT OPERATES REGIONAL EMS SERVICES.LOGAN HEALTH WHITEFISH (WHITEFISH) IS A MONTANA NONPROFIT CORPORATION THAT PROVIDES ACUTE-CARE GENERAL SERVICES AND BECAME PART OF LH ON MAY 1, 2016 AND IS LOCATED IN WHITEFISH, MONTANA. LOGAN HEALTH SHELBY (SHELBY) IS A MONTANA NONPROFIT ORGANIZATION THAT PROVIDES ACUTE-CARE GENERAL SERVICES AND BECAME PART OF LH ON MAY 6, 2021. SHELBY IS A CRITICAL ACCESS HOSPITAL LOCATED IN SHELBY, MONTANA.LOGAN HEALTH CONRAD (CONRAD) IS A MONTANA NONPROFIT ORGANIZATION THAT PROVIDES ACUTE-CARE GENERAL SERVICES AND BECAME PART OF LH ON JUNE 1, 2021. CONRAD IS A CRITICAL ACCESS HOSPITAL, NURSING FACILITY, AND A RURAL HEALTH CLINIC LOCATED IN CONRAD, MONTANA. LOGAN HEALTH CUT BANK (CUT BANK) IS A MONTANA NONPROFIT ORGANIZATION THAT PROVIDES ACUTE-CARE GENERAL SERVICES AND BECAME PART OF LH ON JUNE 1, 2021. CUT BANK IS A CRITICAL ACCESS HOSPITAL, AND A RURAL HEALTH CLINIC LOCATED IN CUT BANK, MONTANA. LOGAN HEALTH CHESTER (CHESTER) IS A MONTANA NONPROFIT ORGANIZATION THAT PROVIDES ACUTE-CARE GENERAL SERVICES AND BECAME PART OF LH ON JULY 1, 2022. CHESTER IS A CRITICAL ACCESS HOSPITAL AND ASSISTED LIVING FACILITY LOCATED IN CHESTER, MONTANA. NORTHWEST HORIZONS, INC. (NWH) IS A MONTANA NONPROFIT ORGANIZATION ORGANIZED TO ESTABLISH AND ENHANCE INSTITUTIONAL AND NONINSTITUTIONAL HEALTH CARE SERVICES FOR THE AGED. FLATHEAD HOSPITAL DEVELOPMENT COMPANY, LLC (FHDC) IS A MONTANA LIMITED LIABILITY COMPANY. THE PURPOSE OF FHDC IS TO OWN AND LEASE REAL ESTATE ON WHICH IMPROVEMENTS ARE OR WILL BE BUILT AND TO LEASE THAT REAL ESTATE TO THIRD PARTIES. CURRENTLY, THE FHDC OWNS AND LEASES AN ACUTE-CARE GENERAL HOSPITAL FACILITY IN KALISPELL, MONTANA, AND MEDICAL OFFICE BUILDINGS, IN KALISPELL, COLUMBIA FALLS, WHITEFISH, AND POLSON, MONTANA. FHDC IS JOINTLY OWNED 64.2% BY NWH, A SUBSIDIARY OF LH, AND 35.8% BY INDIVIDUAL PHYSICIANS. LOGAN HEALTH ASSISTED LIVING SHELBY (LHAL - SHELBY) IS A NONPROFIT ORGANIZATION THAT PROVIDES ASSISTED LIVING SERVICES AND BECAME A PART OF NWH ON MAY 1, 2018. LHAL - SHELBY IS LOCATED ADJACENT TO SHELBY IN SHELBY, MONTANA.LOGAN HEALTH CARE CENTER - SHELBY (LHLT - SHELBY) IS A NONPROFIT ORGANIZATION THAT PROVIDES SKILLED NURSING SERVICES AND BECAME A PART OF NWH ON MAY 6, 2021. LHLT - SHELBY IS LOCATED ADJACENT TO SHELBY IN SHELBY, MONTANA. 1 COMMUNITY CRISIS CENTER 704 NORTH 30TH STREET BILLINGS MT 59101 203231164 501(C)(3) 81191 0 OPERATIONS SUPPORT BILLINGS CLINIC FOUNDATION 2917 TENTH AVE NORTH PO BOX 31031 BILLINGS MT 59101 810407289 501(C)(3) 5500 0 SUPPORT OPERATIONS AMERICAN CANCER SOCIETY PO BOX 20893 BILLINGS MT 59104 501(C)(3) 12500 0 RELAY FOR LIFE BILLINGS PUBLIC SCHOOLS EDUCATION FOUNDATION 415 N 30TH STREET BILLINGS MT 59101 810452904 501(C)(3) 9000 0 EDUCATION PROGRAMS MONTANA STATE UNIVERSITY 121 MONTANA HALL BOZEMAN MT 59717 501(C)(3) 316000 0 LAND FOR NURSING SCHOOL BUILDING 5 SCHOLARSHIPS 47 10194 HEALTHCARE EDUCATION SCHOLARHIPS CARE AND COMPASSION 343 175863 PATIENT CARE AND STAY ASSISTANCE PART I, LINE 2: BILLINGS CLINIC AWARDS SCHOLARSHIPS TO INDIVIDUALS WHO EXHIBIT A STRONG DESIRE AND POTENTIAL TO EXCEL IN THE HEALTHCARE FIELD. BILLINGS CLINIC ALSO PROVIDES GRANTS TO OTHER HEALTH RELATED ORGANIZATIONS. MONTHLY FINANCIAL REPORTS ARE REVIEWED AND SIGNED BY THE GRANT MANAGER, AND THEN SUBMITTED FOR APPROVAL OF THE DRAWING OF FUNDS FOR GRANTS. X X X X X 1 1 0 0 0 0 0 1 0 VANCE FREDRICKSON MD PHYSICIAN 2174455 0 20000 0 1740 0 29275 0 8656 0 2234126 0 0 0 ANTHONY RUSSO MD PHYSICIAN 1207062 0 30 0 1001139 0 0 0 18601 0 2226832 0 0 0 DEAN SUKIN MD PHYSICIAN 882634 0 0 0 1000000 0 29275 0 15552 0 1927461 0 0 0 ANTHONY ROCCISANO DO PHYSICIAN 1806693 0 60 0 2073 0 21564 0 23202 0 1853592 0 0 0 SHERVIN DASHTI MD PHYSICIAN 1795841 0 30 0 2320 0 0 0 23496 0 1821687 0 0 0 CRAIG LAMBRECHT MD SYSTEM CEO (UNTIL 3/11/2024) 0 332474 0 263881 0 1119114 0 20102 0 4481 0 1740052 0 0 CLINTON SEGER MD CEO 1095076 0 62909 0 5613 0 29275 0 14019 0 1206892 0 0 0 GORDON RIHA MD BOARD MEMBER 1128038 0 150 0 1374 0 29275 0 22339 0 1181176 0 0 0 KEVIN ABEL SYSTEM CO-CEO 0 921367 0 62103 0 2881 0 20700 0 17883 0 1024934 0 0 WILLIAM GIBSON CLO 0 689757 0 108695 0 2770 0 20700 0 17923 0 839845 0 0 ELLEN LAYTON CAO 689644 0 71017 0 10162 0 29275 0 21920 0 822018 0 0 0 KENDRICK TROSTEL MD PHYSICIAN/VICE CHAIR 747666 0 3444 0 5509 0 29275 0 23161 0 809055 0 0 0 KATHLEEN QUINONES CFO 573714 0 60 0 5550 0 29275 0 8821 0 617420 0 0 0 SCOTT ELLNER DO FORMER CEO 0 0 0 0 597240 0 0 0 0 0 597240 0 0 0 JUSTIN OTT CIO 434799 0 0 0 6513 0 25674 0 21920 0 488906 0 0 0 HEIDI DUNCAN MD PHYSICIAN/BOARD MEMBER 264322 0 2194 0 2724 0 22993 0 14009 0 306242 0 0 0 PART I, LINES 4A-B CONTRACTUAL PAYMENTS: CRAIG LAMBRECHT - $1,116,784 457(F) CONTRIBUTIONS: CLINTON SEGER - $165,001 KATHLEEN QUINONES - $67,367 JUSTIN OTT - $57,877 WILLIAM GIBSON - $30,500 KEVIN ABEL - $23,000 ELLEN LAYTON - $84,000 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 AWARDED BASED ON FINANCIAL PERFORMANCE AS WELL AS ORGANIZATIONAL PERFORMANCE MEASUREMENTS IN QUALITY, PATIENT SATISFACTION, EMPLOYEE SATISFACTION AND THE INDIVIDUAL GOALS SET EACH YEAR IF THE TARGET IS TRIGGERED. THE INCENTIVE IS PAID ONLY IF TRIGGERED FOLLOWING THE FINANCIAL AUDIT PRESENTATION. NO INCENTIVES WERE PAID IN THE PERIOD. A MONTANA FACILITY FINANCE AUTHORITY 364615155 61204KLQ2 2018-10-01 125786085 SEE PART VI 1 0 0 B MONTANA FACILITY FINANCE AUTHORITY 364615155 2018-10-01 56580000 SEE PART VI 0 0 0 C MONTANA FACILITY FINANCE AUTHORITY 364615155 61204KNX5 2022-05-17 59605577 SEE PART VI 0 0 0 A 77945000 128666648 51823 43367802 85247023 2022 1 0 1 1 B 56585037 91 75828 56509118 2022 1 0 1 1 C 2635000 59736796 194301 59542495 1 0 0 1 A 0 0 1 1 0 0.00200 0.00200 0 0 1 B 0 0 1 1 0 0.00300 0.00300 0 0 1 C 0 0 1 1 0 0.00200 0.00200 0 0 1 A 0 0 1 1 1 0 0 1 1 B 0 0 1 1 1 0 0 1 1 C 0 1 1 0 1 0 0 1 1 A 1 B 1 C 1 PART I(F) - COLUMN A THE BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS, TO REISSUE SERIES 2011A BONDS (REISSUED ON OCTOBER 6, 2014), AND TO CURRENT REFUND SERIES 2008 BONDS (ISSUED ON MAY 30, 2008). PART I(F) - COLUMN B THE BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS AND TO REISSUE SERIES 2011B BONDS (REISSUED ON JUNE 28, 2016). PART I(F) - COLUMN C THE BONDS WERE ISSUED TO CURRENT REFUND THE SERIES 2018C BONDS (ISSUED ON OCTOBER 1, 2018). PART II, LINE 3 - COLUMN A THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART II, LINE 3 - COLUMN B THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART II, LINE 3 - COLUMN C THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7 - COLUMN A AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART III, LINE 7 - COLUMN B AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART III, LINE 7 - COLUMN C AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(B) - COLUMN A THE REFUNDING PORTION OF THE BONDS HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT. PART IV, LINE 2(B) - COLUMN B THE REFUNDING AND NEW MONEY PORTIONS OF THE BONDS HAVE MET EXCEPTIONS TO THE REBATE REQUIREMENT. PART IV, LINE 2(B) - COLUMN C BOND PROCEEDS HAVE MET AN EXCEPTION TO THE REBATE REQUIREMENT. PART IV, LINE 2(C) - COLUMN A THE MOST RECENT 5TH YEAR REBATE REPORT WAS PREPARED ON OCTOBER 25, 2023. PART IV, LINE 2(C) - COLUMN B THE MOST RECENT 5TH YEAR REBATE REPORT WAS PREPARED ON OCTOBER 11, 2023. E JAMES DUNCAN E. JAMES DUNCAN HAS A FAMILY RELATIONSHIP WITH BOARD MEMBER HEIDI DUNCAN 424027 EMPLOYEE COMPENSATION 0 NADINE SEGER NADINE SEGER HAS A FAMILY RELATIONSHIP WITH CEO CLINT SEGER 418004 EMPLOYEE COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 6 MTWY HEALTH INC IS SOLE MEMBER OF BILLINGS CLINIC. WITH RIGHTS TO APPROVE GOVERNANCE DECISIONS. FORM 990, PART VI, SECTION A, LINE 7B MTWY HEALTH INC AS THE SOLE MEMBER APPROVES AMENDMENTS TO THE BYLAWS, DISSOLUTION, CHANGE IN NAME, APPROVAL OF BUDGETS AND STRATEGIC PLANS, ACTION OR INACTION IN MATERIAL VARIANCE TO THE MEMBER AND ANY MATTERS REQUIRED BY TO BE SUBMITTED TO MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES TO FILL OUT A CONFLICTS OF INTEREST FORM. THE COMPLIANCE OFFICER REVIEWS THEM, IDENTIFIES POTENTIAL CONFLICTS, AND FORWARDS TO THE ADMINISTRATIVE TEAM IF A POTENTIAL CONFLICT EXISTS, AS OUTLINED IN THE ORGANIZATIONAL POLICY. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S CEO, OFFICERS, AND KEY EMPLOYEES ARE PAID BY BILLINGS CLINIC AND LOGAN HEALTH. BILLINGS CLINIC AND LOGAN HEALTH HAVE AN EXECUTIVE COMPENSATION PROGRAM ADMINISTERED ANNUALLY BY INDEPENDENT TRUSTEES FOLLOWING BEST PRACTICES AND THE HIGHEST REGULATORY STANDARDS EXPECTED OF A NOT-FOR PROFIT ORGANIZATION. SALARY AND BENEFITS FOR THE CHIEF EXECUTIVE OFFICER ARE DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD REVIEWS BASE AND TOTAL COMPENSATION DATA FROM AN ARRAY OF COMPENSATION SURVEYS OF HOSPITALS SIMILAR IN SIZE AND COMPLEXITY TO LOGAN HEALTH AND BILLINGS CLINIC. THE BOARD CONSIDERS THESE REPORTS AND DETERMINES THE STATUS OF THE BASE SALARY, BENEFITS, AND TOTAL COMPENSATION FOR THE CEO. ADDITIONALLY, THE CEO UTILIZES THE MARKET INFORMATION PROVIDED TO DETERMINE RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES AND ENGAGES IN A RIGOROUS ANALYSIS THROUGH USE OF INDEPENDENT SURVEY RESULTS. THE BOARD REVIEWS BENEFIT LEVELS AND TOTAL COMPENSATION TO ENSURE APPROPRIATENESS IN THE NOT-FOR-PROFIT HEALTH CARE SECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON AN AS NEEDED BASIS. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 25,030,536. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,030,536. LOCUM PROVIDERS: PROGRAM SERVICE EXPENSES 64,496,269. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,496,269. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,645,497. MANAGEMENT AND GENERAL EXPENSES 2,529,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,174,624. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 31,390,181. MANAGEMENT AND GENERAL EXPENSES 30,009,397. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,399,578. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 645,851. NET ASSETS RELEASED FROM RESTRICTION 2,512,659. RESTRICTED CONTRIBUTIONS 15,344,242. EQUITY INTEREST IN FOUNDATION 12,572,745. MONTANA HEALTHCARE INDEMNITY LLC 2800 TENTH AVENUE NORTH BILLINGS MT 59101 INSUR CAPTIVE MT 10445434 42106404 BILLINGS CLINIC SPECIALTY SUPPLIES AND SERVICES LLC 2800 TENTH AVENUE NORTH BILLINGS MT 59101 364871868 SPEC SUPPLY MT 130850840 21411865 BILLINGS CLINIC BILLINGS CLINIC ONCALL LLC 2800 TENTH AVENUE NORTH BILLINGS MT 59101 873543333 TELEHEALTH MT 6783 13961 BILLINGS CLINIC ASSIST-FLATHEAD VALLEY 310 SUNNYVIEW LANE KALISPELL MT 59901 462669324 WELLNESS RESOURCE PROVIDER MT 501(C)(3) LINE 10 KALISPELL REGIONAL MEDICAL CENTER 0 BILLINCS CLINIC EMPLOYEE BENEFIT TRUST 2800 TENTH AVENUE NORTH BILLINGS MT 59101 810391600 EMPLOYEE BENEFITS MT 501(C)(9) BILLINGS CLINIC 1 BILLINGS CLINIC FOUNDATION 2917 TENTH AVENUE NORTH BILLINGS MT 59101 810407289 FUNDRAISING MT 501(C)(3) LINE 7 BILLINGS CLINIC 1 KALISPELL REGIONAL HEALTHCARE FOUNDATION 310 SUNNYVIEW LANE KALISPELL MT 59901 311703013 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12A, I KALISPELL REGIONAL MEDICAL CENTER 0 KALISPELL REGIONAL MEDICAL CENTER 310 SUNNYVIEW LANE KALISPELL MT 59901 237293874 ACUTE HOSPITAL CARE MT 501(C)(3) LINE 3 LOGAN HEALTH 0 KALISPELL REGIONAL MEDICAL CENTER VOLUNTEERS 310 SUNNYVIEW LANE KALISPELL MT 59901 273866474 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 10 KALISPELL REGIONAL MEDICAL CENTER 0 LIBERTY COUNTY HOSPITAL AND NURSING HOME INC 315 W MADISON AVE CHESTER MT 59522 810515463 PROVIDE ACUTE HOSPITAL CARE MT 501(C)(3) LINE 3 LOGAN HEALTH 0 LOGAN HEALTH 310 SUNNYVIEW LANE KALISPELL MT 59901 810406485 SUPPORT SUBSIDIARY HEALTH ORGANIZATIONS MT 501(C)(3) LINE 3 MTWY HEALTH INC 0 LOGAN HEALTH - CONRAD 805 SUNSET BLVD CONRAD MT 59425 810232406 PROVIDE ACUTE HOSPITAL CARE MT 501(C)(3) LINE 3 LOGAN HEALTH 0 LOGAN HEALTH - CUT BANK 226 9TH AVE SE CUT BANK MT 59427 810530457 PROVIDE ACUTE HOSPITAL CARE MT 501(C)(3) LINE 3 LOGAN HEALTH 0 LOGAN HEALTH - SHELBY 640 PARK AVE SHELBY MT 59474 862327525 PROVIDE ACUTE HOSPITAL CARE MT 501(C)(3) LINE 3 LOGAN HEALTH 0 LOGAN HEALTH - WHITEFISH 1600 HOSPITAL WAY WHITEFISH MT 59937 810247969 PROVIDE ACUTE HOSPITAL CARE MT 501(C)(3) LINE 3 LOGAN HEALTH 0 LOGAN HEALTH ASSISTED LIVING - SHELBY 111 2ND ST S SHELBY MT 59474 862394240 RETIREMENT & ASSISTED LIVING MT 501(C)(3) LINE 10 NORTHWEST HORIZONS INC 0 LOGAN HEALTH CARE CENTER - SHELBY 630 PARK DRIVE SHELBY MT 59474 862346458 LONG-TERM CARE & SKILLED NURSING MT 501(C)(3) LINE 10 NORTHWEST HORIZONS INC 0 LOGAN HEALTH EMERGENCY MEDICAL SERVICES 310 SUNNYVIEW LANE KALISPELL MT 59901 880538346 EMERGENCY SERVICES MT 501(C)(3) LINE 7 LOGAN HEALTH 0 MONTANA PEDIATRICS 259 W FRONT ST STE B MISSOULA MT 59802 854133807 AMBULATORY CARE MT 501(C)(3) LINE 7 LOGAN HEALTH 0 MTWY HEALTH INC 310 SUNNYVIEW LN KALISPELL MT 59901 932584380 SUPPORT MT 501(C)(3) LINE 12B, II N/A 0 NORTH VALLEY HOSPITAL FOUNDATION 1600 HOSPITAL WAY WHITEFISH MT 59937 810526541 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12A, I LOGAN HEALTH - WHITEFISH 0 NORTHWEST HORIZONS INC 310 SUNNYVIEW LANE KALISPELL MT 59901 810420653 LONG-TERM AMBULATORY CARE MT 501(C)(3) LINE 10 LOGAN HEALTH 0 STILLWATER HOSPITAL ASSOCIATION 710 N 11TH STREET COLUMBUS MT 59019 810286525 HOSPITAL MT 501(C)(3) LINE 3 BILLINGS CLINIC 1 SUMMIT MEDICAL FITNESS CENTER 310 SUNNYVIEW LANE KALISPELL MT 59901 203752312 COMMUNITY HEALTH & WELLNESS CENTER MT 501(C)(3) LINE 10 LOGAN HEALTH 0 TOWNSEND HEALTH SYSTEMS INC 110 NORTH OAK STREET TOWNSEND MT 59644 810398400 HEALTHCARE MT 501(C)(3) LINE 3 BILLINGS CLINIC 1 0 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 1 BILLINGS CLINIC FOUNDATION D 221140 INTERCOMPANY AMOUNT STILLWATER HOSPITAL ASSOCIATION D 1383672 INTERCOMPANY AMOUNT TOWNSEND HEALTH SYSTEMS INC D 2158770 INTERCOMPANY AMOUNT STILLWATER HOSPITAL ASSOCIATION Q 9784649 INTERCOMPANY AMOUNT STILLWATER HOSPITAL ASSOCIATION O 8367995 INTERCOMPANY AMOUNT TOWNSEND HEALTH SYSTEMS INC O 5928804 INTERCOMPANY AMOUNT TOWNSEND HEALTH SYSTEMS INC Q 9002870 INTERCOMPANY AMOUNT