2024-10-25T13:09:20+00:00 2023-12-31 440160260 Forvis Mazars LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2023-07-01 810398400 TOWNSEND HEALTH SYSTEMS INC TOWN 4062663186 110 NORTH OAK STREET TOWNSEND MT 59644 Justin Tiffany CEO 4062663186 2024-10-25 true true Adam R Smith P00958966 7194714290 2024-10-25 2023 2024-10-15 13:58:12Z BILLINGS CLINIC BROADWATER JUSTIN TIFFANY 110 NORTH OAK STREET TOWNSEND MT 59644 5912094 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. 8 5 102 4 0 0 167136 107868 9533846 5790560 38 211 81223 13455 9782243 5912094 0 0 0 0 5272576 3018890 0 0 0 5274077 2215187 10546653 5234077 -764410 678017 11843486 13044106 4272297 4794900 7571189 8249206 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 3498814 5803987 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. 3498814 true true false true 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 false true 15 0 102 true false false false false false false false false false false false false X 8 5 false false false false true true true true true false false true true true true true true true true false X Justin Tiffany 4062663186 110 NORTH OAK TOWNSEND MT 59644 AMBERLY PAHUT SECRETARY/ TREASURER 1.0 0 X X 0 0 0 JEFF KIRKSEY VICE CHAIR 1.0 0.0 X X 0 0 0 HANSJORG SCHWERTZ Board Member 1.0 40.0 X 0 250365 52995 KATHY BLAIR DIRECTOR 1.0 0.0 X 0 0 0 KELLEY EVANS Board Member 1.0 40.0 X 0 212597 33582 MICHELLE BARSTAD Board Member 1.0 0.0 X 0 0 0 PHILIP HESS MEDICAL DIRECTOR 40.0 1.0 X 235610 0 26399 WILLIAM UPTHEGROVE Board Member 1.0 0.0 X 0 0 0 JENNY CLOWES CEO 55.0 0.0 X 114568 0 29912 CASEY SCHANZ PHYSICIAN ASSISTANT 40.0 0.0 X 160347 0 46812 DEREK WEISS ED NONPHYSICIAN 40.0 0.0 X 129835 0 37637 HOLLY HOFFMAN PHYSICIAN 40.0 0.0 X 195881 0 15773 RAELENE SCHOTT NURSE PRACTITIONER 40.0 0.0 X 139224 0 18602 975465 462962 261712 6 false true false BILLINGS CLINIC 2800 TENTH AVENUE NORTH BILLINGS MT 59101 MANAGMENT SERVICES 598384 VAYA WORKFORCE SOLUTIONS LLC DEPT CH 18001 PALENTINE IL 60055 CONTRACT LABOR 385588 2 107868 107868 PATIENT SERVICE REVENUE 621110 5644119 5644119 OTHER PROGRAM REVENUE 900099 146263 146263 EHR/MEANINGFUL USE PAYMENTS 900099 178 178 0 0 0 0 5790560 211 211 0 0 0 0 MISCELLANEOUS INCOME 900099 13427 13427 MEALS 722310 28 28 0 0 0 0 13455 5912094 5803987 0 239 0 0 0 0 0 0 0 0 406489 309981 96508 0 0 0 0 0 2236449 1737326 499123 0 35468 27036 8432 0 192552 105939 86613 0 147932 100047 47885 0 598384 299192 299192 0 54 0 54 0 3240 0 3240 0 5 0 5 0 0 0 0 0 0 0 269412 204873 64539 0 3039 0 3039 0 103626 17261 86365 0 34474 0 34474 0 0 0 0 0 103025 48794 54231 0 10981 6829 4152 0 0 0 0 0 0 0 0 0 1200 0 1200 0 0 0 0 0 298324 91037 207287 0 31261 0 31261 0 MEDICAL 566029 488404 77625 0 OTHER 106097 43727 62370 0 DIETARY 46844 0 46844 0 R&M 39192 18368 20824 0 0 0 0 0 5234077 3498814 1735263 0 2187718 3236344 8281 0 0 0 1072866 1534647 0 0 0 0 0 0 40494 53105 50900 31447 13745506 5556943 8483227 8188563 0 0 0 0 0 0 0 0 11843486 13044106 2955987 3602829 0 0 0 0 0 0 0 0 0 0 0 0 80000 80000 1236310 1112071 4272297 4794900 X 7571189 8249206 0 0 7571189 8249206 11843486 13044106 678017 0 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 5 5 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION WERE ALLOCABLE TO LOBBYING ACTIVITIES. 224271 224271 4821324 784870 4036454 8084739 4716175 3368564 615172 55898 559274 8188563 DUE TO RELATED PARTY 1112071 1112071 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 0 0 119068 88280 30788 0.0059 0 0 321727 274842 46885 0.0090 0 0 0 0 0 0.0 0 0 440795 363122 77673 0.0148 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 440795 363122 77673 0.0148 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 17024 1900455 1929406 -28951 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 1 1 false false true X X X X X X X X X 23 true false false true X https://www.billingsclinic.com/app/files/public/cf924573-701b-475c-918a-295efa4d3b7f/BCB-2022-CHNA-R X chronicdiseasedata.org/authorizedfiles/localplans/admin/cha/2022_BillingsClinicBroadwater_CHNA.pdf X true 23 true https://www.billingsclinic.com/app/files/public/826bcac4-803c-4ab7-b3c4-18c562697cce/BCBroadwater-Im false true X 200.0 400.0 X X X true true X X X true X https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/ X https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/ X https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/ 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 Facility 1, 1 Facility 1, 1 - TOWNSEND HEALTH SYSTEMS INC. 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 11 Facility 1, 1 Facility 1, 1 - TOWNSEND HEALTH SYSTEMS INC. 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 WELLNESS 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). 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 Costing Methodology used to calculate financial assistance 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, Line 2 Bad debt expense - methodology used to estimate amount 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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, Line 9b Collection practices for patients eligible for financial assistance 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 V, Section B, Line 16a FAP website 1 - TOWNSEND HEALTH SYSTEMS INC: Line 16a URL: https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - TOWNSEND HEALTH SYSTEMS INC: Line 16b URL: https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - TOWNSEND HEALTH SYSTEMS INC: Line 16c URL: https://www.billingsclinic.com/billings-clinic-broadwater/patient-info/; 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 SYSTEMS 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 HANSJORG SCHWERTZ Board Member 0 250365 0 0 0 0 0 18225 0 34770 0 303360 0 0 KELLEY EVANS Board Member 0 177749 0 34848 0 0 0 15573 0 18009 0 246179 0 0 PHILIP HESS MEDICAL DIRECTOR 232525 0 3085 0 0 0 16666 0 9733 0 262009 0 0 0 CASEY SCHANZ PHYSICIAN ASSISTANT 160347 0 0 0 0 0 13157 0 33655 0 207159 0 0 0 DEREK WEISS ED NONPHYSICIAN 120835 0 9000 0 0 0 8184 0 29453 0 167472 0 0 0 HOLLY HOFFMAN PHYSICIAN 174535 0 21346 0 0 0 15240 0 533 0 211654 0 0 0 RAELENE SCHOTT NURSE PRACTITIONER 129224 0 10000 0 0 0 6258 0 12344 0 157826 0 0 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 REIMBURSES 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, Line 6 Classes of members or stockholders BILLINGS CLINIC IS THE SOLE MEMBER OF TOWNSEND HEALTH SYSTEMS INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER HAS AUTHORITY TO RECOMMEND, APPROVE AND REJECT NOMINATIONS OF BOARD MEMBERS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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, Line 11b Review of form 990 by governing body 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, Line 12c 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, Line 15a Process to establish compensation of top management official 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 REIMBURSES BILLINGS CLINIC FOR THE CEO'S COMPENSATION. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 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 LLC 399 KNOLLWOOD ROAD STE 303 WH WHITE PLAINS NY 10603 881032699 FERTILITY CLINIC NY NA N/A false true false false true false false false false false false false true false true true false false true