2025-11-14T08:32:57-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 20 STANWIX STREET PITTSBURGH PA 15222 990 2024-01-01 810398400 TOWNSEND HEALTH SYSTEMS INC TOWN 4062663186 110 NORTH OAK STREET TOWNSEND MT 59644 PATTI PILGRIM CFO 4062663186 2025-11-11 1 1 KELLY A BROCIOUS P01254262 4126976400 2025-11-11 2024 2025-03-06 01:10:19Z BILLINGS CLINIC BROADWATER CLINT SEGER MD 110 NORTH OAK STREET TOWNSEND MT 59644 11649255 0 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. 8 5 105 5 0 0 107868 508734 5790560 11050836 211 47 13455 89638 5912094 11649255 0 0 0 0 3018890 6452090 0 0 0 2215187 5080156 5234077 11532246 678017 117009 13044106 12100772 4794900 3734557 8249206 8366215 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. 0 0 8054008 11140474 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. 8054008 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 14 0 105 1 0 0 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ERIKA WRIGHT 4064356445 2800 TENTH AVENUE NORTH BILLINGS MT 59101 KATHY BLAIR CHAIR 1.00 X 0 0 0 JEFF KIRKSEY VICE CHAIR 1.00 X 0 0 0 MICHELLE BARSTAD SECRETARY 1.00 X 0 0 0 WILLIAM UPTHEGROVE BOARD MEMBER 1.00 X 0 0 0 AMBERLY PAHUT BOARD MEMBER 1.00 X 0 0 0 HANSJORG SCHWERTZ BOARD MEMBER 1.00 49.00 X 0 315708 49953 PHILIP HESS MEDICAL DIRECTOR 50.00 X 0 220689 26435 KELLEY EVANS BOARD MEMBER 1.00 X 0 30465 1615 CLINTON SEGER MD SYSTEM CO-CEO 1.00 59.00 X 0 1163598 43294 KATHLEEN QUINONES CFO 1.00 59.00 X 0 579324 38096 KEVIN ABEL SYSTEM CO-CEO 1.00 59.00 X 0 986351 38583 CRAIG LAMBRECHT MD SYSTEM CEO (UNTIL 3/11/2024) 1.00 59.00 X 0 1715469 24583 WILLIAM GIBSON CLO 1.00 59.00 X 0 801222 38623 JUSTIN OTT CIO 1.00 59.00 X 0 441312 47594 ELLEN LAYTON CAO 1.00 59.00 X 0 770824 51195 JUSTIN TIFFANY CEO 50.00 X 130754 0 14452 HOLLY HOFFMAN MD PHYSICIAN 50.00 X 160881 0 14971 CASEY SCHANZ PHYSICIAN ASSISTANT 50.00 X 169794 0 40093 ELIZABETH TERWILLIGER NURSE PRACTITIONER 50.00 X 187119 0 7927 PAUL ENGSTROM MD PHYSICIAN 50.00 X 175256 0 2907 DEREK WEISS NURSE PRACTITIONER 50.00 X 145849 0 36630 969653 7024962 476951 12 0 1 0 VAYA WORKFORCE SOLUTIONS LLC PO BOX 713247 CHICAGO IL 606774327 CONTRACTOR LABOR 462334 AVEL E CARE LC PO BOX 950505 ST LOUIS MO 631950505 TELEMEDICINE PROVIDER 108930 2 508734 508734 PATIENT SERVICE REVENUE 621110 10565162 10565162 OTHER PROGRAM REVENUE 900099 349051 349051 340B REVENUE 900099 114627 114627 EHR/MEANINGFUL USE PAYMENTS 900099 21996 21996 11050836 47 47 MISCELLANEOUS INCOME 900099 89638 89638 89638 11649255 11140474 0 47 5362338 4326367 1035971 202194 154775 47419 528528 361407 167121 359030 272086 86944 1395279 697640 697639 8110 8110 54898 54898 91 91 726341 538355 187986 17279 17279 220620 82159 138461 69788 69788 208295 99982 108313 34470 24119 10351 2400 2400 617513 191429 426084 83766 83766 MEDICAL SUPPLIES 962791 936415 26376 BAD DEBT EXPENSES 246933 246933 REPAIRS AND MAINTENANCE 164136 121798 42338 DIETARY 87124 87124 180322 543 179779 11532246 8054008 3478238 0 3236344 2201562 1534647 1603547 53105 61292 31447 46117 13927346 6174457 8188563 7752889 0 435365 13044106 12100772 3602829 586802 80000 40000 1112071 3107755 4794900 3734557 X 8249206 8366215 8249206 8366215 13044106 12100772 117009 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 91 91 0 PART II-B, LINE 1: A PORTION OF THE DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION WERE ALLOCABLE TO LOBBYING ACTIVITIES. 224271 224271 4821324 928289 3893035 8266579 5159357 3107222 615172 86811 528361 7752889 DUE TO AFFILIATES 2594135 DUE TO THIRD PARTIES 513620 3107755 X 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 0 0 246049 176560 69489 0.00620 567330 567330 813379 743890 69489 0.00620 2525793 2423743 102050 0.00900 2525793 2423743 102050 0.00900 3339172 3167633 171539 0.01520 0 246933 3532428 3580322 -47894 X 1 1 1 1 TOWNSEND HEALTH SYSTEMS INC 110 NORTH OAK STREET TOWNSEND MT 59644 WWW.BILLINGSCLINIC.COM/BILLINGS-CLINIC 13408 X X X X TOWNSEND HEALTH SYSTEMS INC 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X SEE PART V, SECTION C FOR URL X 1 23 1 SEE PART V, SECTION C FOR URL 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C FOR URL X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 TOWNSEND HEALTH SYSTEMS INC PART V, SECTION B, LINE 5: 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. TOWNSEND HEALTH SYSTEMS INC PART V, SECTION B, LINE 11: GOAL 1: IMPROVE ACCESS TO HEALTHCARE SERVICES IN BROADWATER COUNTYENHANCE ACCESS TO PRIMARY CARE SERVICES AND ENHANCE ACCESS TO SPECIALTY CARE SERVICES:*CREATE AN OUTREACH PLAN FOR NEWLY HIRED PRIMARY CARE PROVIDER TO BUILD PRACTICE. *BUILD AND IMPLEMENT AN ONLINE SELF-SCHEDULING SITE FOR PRIMARY CARE APPOINTMENTS.*EXPAND AND IMPLEMENT A NEW TELEHEALTH SYSTEM THROUGH AMWELL, INCREASING CAPABILITIES AND AVAILABILITY. *EXPLORE ADDITIONAL OPPORTUNITIES FOR OUTREACH AND AWARENESS OF AVAILABLE PRIMARY CARE SERVICES AND SAME DAY/URGENT CARE (TV, SOCIAL MEDIA, NEWSPAPER, ETC.)*DEVELOP A SYSTEM FOR PATIENTS IN THE ER TO BE REFERRED A PRIMARY CARE PROVIDER WHEN THEY DO NOT HAVE ONE. (POST DISCHARGE FOLLOW UP CALLS) *RECRUITMENT OF A REGISTERED DIETICIAN SEEKING TO BECOME A DIABETES CARE AND EDUCATION SPECIALIST (SUPPORTING PRIMARY CARE PROVIDERS).*EXPLORE OPPORTUNITIES TO EXPAND SPECIALTY SERVICES (DERMATOLOGY, UROLOGY, PODIATRY, AND OCCUPATIONAL HEALTH). START WITH ONCE-A-MONTH OUTREACH CLINIC AND ASSESS CAPACITY AND DEMAND. *CONTINUE TO EXPLORE THE FEASIBILITY OF OFFERING MRI, ULTRASOUND, AND CONSISTENT MAMMOGRAPHY SERVICES. *BECOME A CERTIFIED LEVEL 4 TRAUMA CENTER.*IMPROVE ACCESS TO HEALTHCARE SERVICES THROUGH ENHANCED COMMUNITY EDUCATION AND COLLABORATION *CONTINUE MEETING WITH PUBLIC HEALTH TO ASSESS AND CREATE OUTREACH MATERIALS RELATED TO FINANCIAL ASSISTANCE PROGRAMS LOCALLY AND STATEWIDE.*IMPROVE UPON BILLINGS CLINIC'S NAVIGATOR PROGRAM TO ASSIST THE COMMUNITY IN ACCESSING AND UNDERSTANDING HEALTHCARE SERVICES.*PARTNER WITH LOCAL PUBLIC HEALTH TO DEVELOP AND IMPLEMENT A SUSTAINABLE TRANSPORTATION PROGRAM (NEW VEHICLE FOR CIH VISITS/TRANSPORTATION).*EXPLORE OPPORTUNITIES TO RAISE AWARENESS OF BCB REHABILITATION PROGRAM THROUGH LOCAL SCHOOLS AND SENIOR SERVICES.GOAL 2: IMPROVE BCB'S COMMUNITY OUTREACH AND ENGAGEMENT IN BROADWATER COUNTY*ENHANCE KNOWLEDGE AND EDUCATION OF AVAILABLE SERVICES IN BROADWATER COUNTY. *MEET WITH COMMUNITY PARTNERS TO DEVELOP AND COLLABORATE ON COMMUNITY EVENTS (COMMUNITY HEALTH FAIR, MENTAL HEALTH CONSORTIUM, DUI TASKFORCE, AND JOB FAIR). *WORK WITH BILLINGS CLINIC TO IMPROVE WEBSITE ACCESSIBILITY AND CLARITY. *EXPLORE CONSISTENT OPPORTUNITIES TO PROVIDE HEALTH EDUCATION TO LOCAL ORGANIZATIONS/GROUPS (SENIOR CENTER, COFFEE CLUBS, SOCIAL SERVICE ORGANIZATIONS, ETC.). *EXPLORE CREATING AND/OR PARTNERING ON A COMMUNITY WELLNESS/HEALTH PROMOTION EVENT OR PROGRAM (STEPS CHALLENGE, WALK WITH A DOC, TRAILS RX, ETC.). *DISSEMINATE QUARTERLY NEWSLETTER AND NEWSPAPER ARTICLES WITH TIMELY PREVENTIVE HEALTH EDUCATION/OUTREACH (BREAST CANCER AWARENESS MONTH, ETC.)*EXPLORE OPPORTUNITIES TO COLLABORATE AND ADVANCE THE CONVERSATION AROUND HOUSING AFFORDABILITY LOCALLY AND STATEWIDE.GOAL 3: ADVANCE POPULATION HEALTH PROGRAMMING THROUGHOUT BROADWATER COUNTY*CHAMPION INITIATIVES AIMED AT ADDRESSING HEALTH DISPARITIES AND ADVANCING HEALTH EQUITY THROUGHOUT THE SERVICE AREA.*DEVELOP A SUSTAINABLE COMMUNITY INTEGRATED HEALTH (CIH) / COMMUNITY PARAMEDICINE PROGRAM. *DEVELOP A SUSTAINABLE COMMUNITY HEALTH WORKER (CHW) PROGRAM (BUILDING SUPPORT GROUPS, PATIENT EDUCATION, FACILITATE ACCESS TO SOCIAL SERVICES/ LOCAL RESOURCES).*EXPAND THE BEHAVIORAL HEALTH PROGRAM AT BCB BY RECRUITING AN ONSITE LCSW. SCHEDULE H, PART V, SECTION B, LINES 7A AND 10A HTTPS://WWW.BILLINGSCLINIC.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-AND-COMMUNITY-HEALTH-IMPROVEM/ SCHEDULE H, PART V, SECTION B, LINES 16A, 16B AND 16C HTTPS://WWW.BILLINGSCLINIC.COM/CARE-AT-BILLINGS-CLINIC/YOUR-VISIT/BILLING-INSURANCE--FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE/ 1 1 - BILLINGS CLINIC BROADWATER 110 NORTH OAK STRT TOWNSEND MT 59644 CLINIC PART I, LINE 3C: 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. 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. 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 $ 246,933. PART III, 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 FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF BAD DEBT EXPENSE FOR EACH YEAR IS DISCLOSED ON THE FACILITY'S STATEMENT OF OPERATIONS. BAD DEBT EXPENSES WAS CALCULATED BY APPLYING THE FACILITY'S ADJUSTED COST TO CHARGE RATIO TO THE CHARGES FOREGONE. 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 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. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH COMMUNITY INVOLVEMENT VIA COMMUNITY SURVEYS, FORUMS, HEALTH SEMINARS, AND EDUCATION. PART VI, LINE 3: 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. PART VI, LINE 4: 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. PART VI, LINE 5: 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. 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 1 0 0 0 0 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 SYSTEM CO-CEO 0 1095076 0 62909 0 5613 0 29275 0 14019 0 1206892 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 0 689645 0 71017 0 10162 0 29275 0 21920 0 822019 0 0 KATHLEEN QUINONES CFO 0 573714 0 60 0 5550 0 29275 0 8821 0 617420 0 0 JUSTIN OTT CIO 0 434799 0 0 0 6513 0 25674 0 21920 0 488906 0 0 HANSJORG SCHWERTZ BOARD MEMBER 0 299375 0 15000 0 1333 0 26859 0 23094 0 365661 0 0 PHILIP HESS MEDICAL DIRECTOR 0 201944 0 16889 0 1856 0 20097 0 6338 0 247124 0 0 CASEY SCHANZ PHYSICIAN ASSISTANT 169367 0 60 0 367 0 17061 0 23032 0 209887 0 0 0 ELIZABETH TERWILLIGER NURSE PRACTITIONER 186803 0 30 0 286 0 0 0 7927 0 195046 0 0 0 DEREK WEISS NURSE PRACTITIONER 145849 0 0 0 0 0 13940 0 22690 0 182479 0 0 0 PAUL ENGSTROM MD PHYSICIAN 121638 0 53500 0 118 0 0 0 2907 0 178163 0 0 0 HOLLY HOFFMAN MD PHYSICIAN 142571 0 17500 0 810 0 14611 0 360 0 175852 0 0 0 PART I, LINE 3 THE CEO'S COMPENSATION IS PAID BY LOGAN HEALTH AND BILLINGS CLINIC. THE ORGANIZATIONS USE THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE CEO: - COMPENSATION COMMITTEE - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 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 FORM 990, PART VI, SECTION A, LINE 6 BILLINGS CLINIC IS THE SOLE MEMBER OF TOWNSEND HEALTH SYSTEMS INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS AUTHORITY TO RECOMMEND, APPROVE AND REJECT NOMINATIONS OF BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B 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 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. 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 0 BILLINGS CLINIC 2800 TENTH AVENUE NORTH BILLINGS MT 59101 810231784 HOSPITAL MT 501(C)(3) LINE 3 MTWY HEALTH 0 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 0 SUMMIT MEDICAL FITNESS CENTER 310 SUNNYVIEW LANE KALISPELL MT 59901 203752312 COMMUNITY HEALTH & WELLNESS CENTER MT 501(C)(3) LINE 10 LOGAN HEALTH 0 BILLINGS CLINIC FOUNDATION 2917 TENTH AVENUE NORTH BILLINGS MT 59101 810407289 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 7 BILLINGS CLINIC 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0