Civic Intelligence

Memorial Hospital Association

990 • Fiscal year 2018 • EIN 81-0224734

Jul 01, 2017 to Jun 30, 2018 • Filed on May 15, 2019

PO Box 590Red Lodge, MT 59068

(406) 446-2345

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

84th percentile

0.75x

Higher debt load relative to assets than 84% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Liabilities / Revenue

79th percentile

1.11x

Higher debt load relative to revenue than 79% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Net Margin

64th percentile

8.6%

Higher net margin than 64% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Top Officer Pay

44th percentile

$228,390

Higher top officer pay than 44% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Asset Growth

63rd percentile

5.7%

Faster asset growth than 63% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2017 to 2018

Revenue Growth

64th percentile

9.7%

Faster revenue growth than 64% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2017 to 2018

Assets

Up

$25,083,257

Up $1,344,789 (+5.7%) from 2017

Net Assets

Up

$6,273,673

Up $1,436,020 (+30%) from 2017

Liabilities

Down

$18,809,584

Down $91,231 (-0.5%) from 2017

Revenue

Up

$16,911,836

Up $1,496,543 (+9.7%) from 2017

Expenses

Up

$15,456,518

Up $443,424 (+3.0%) from 2017

Net Income

Up

$1,455,318

Up $1,053,119 (+262%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$40M$30M$20M$10M$0Assets 2011: $23,479,227Liabilities 2011: $18,190,243Net Assets 2011: $5,288,9842011Assets 2012: $23,505,114Liabilities 2012: $18,150,007Net Assets 2012: $5,355,1072012Assets 2013: $23,350,068Liabilities 2013: $18,455,461Net Assets 2013: $4,894,6072013Assets 2014: $23,570,804Liabilities 2014: $19,507,358Net Assets 2014: $4,063,4462014Assets 2015: $24,399,957Liabilities 2015: $19,632,089Net Assets 2015: $4,767,8682015Assets 2016: $23,704,145Liabilities 2016: $19,389,406Net Assets 2016: $4,314,7392016Assets 2017: $23,738,468Liabilities 2017: $18,900,815Net Assets 2017: $4,837,6532017Assets 2018: $25,083,257Liabilities 2018: $18,809,584Net Assets 2018: $6,273,6732018Assets 2019: $26,011,071Liabilities 2019: $18,787,895Net Assets 2019: $7,223,1762019Assets 2020: $31,697,344Liabilities 2020: $23,681,239Net Assets 2020: $8,016,1052020Assets 2021: $33,779,980Liabilities 2021: $21,665,231Net Assets 2021: $12,114,7492021Assets 2022: $29,841,173Liabilities 2022: $18,271,899Net Assets 2022: $11,569,2742022Assets 2023: $29,711,269Liabilities 2023: $16,054,326Net Assets 2023: $13,656,9432023Assets 2024: $30,192,005Liabilities 2024: $15,790,109Net Assets 2024: $14,401,8962024

Highlighted filing

2018

Assets$25,083,257
Liabilities$18,809,584
Net Assets$6,273,673

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0-$10MRevenue 2011: $10,008,907Expenses 2011: $10,681,864Net Income 2011: -$672,9572011Expenses 2012: $12,295,8502012Revenue 2013: $11,967,313Expenses 2013: $12,473,628Net Income 2013: -$506,3152013Revenue 2014: $11,810,367Expenses 2014: $12,649,928Net Income 2014: -$839,5612014Revenue 2015: $6,926,257Expenses 2015: $6,206,695Net Income 2015: $719,5622015Revenue 2016: $15,127,486Expenses 2016: $15,529,879Net Income 2016: -$402,3932016Revenue 2017: $15,415,293Expenses 2017: $15,013,094Net Income 2017: $402,1992017Revenue 2018: $16,911,836Expenses 2018: $15,456,518Net Income 2018: $1,455,3182018Revenue 2019: $16,001,810Expenses 2019: $15,125,055Net Income 2019: $876,7552019Revenue 2020: $16,362,750Expenses 2020: $15,895,366Net Income 2020: $467,3842020Revenue 2021: $19,240,078Expenses 2021: $16,987,232Net Income 2021: $2,252,8462021Revenue 2022: $17,596,244Expenses 2022: $18,110,076Net Income 2022: -$513,8322022Revenue 2023: $21,678,257Expenses 2023: $20,053,755Net Income 2023: $1,624,5022023Revenue 2024: $21,164,166Expenses 2024: $21,028,495Net Income 2024: $135,6712024

Highlighted filing

2018

Revenue$16,911,836
Expenses$15,456,518
Net Income$1,455,318
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 15, 2019
Return Version
2017v2.3
Gross Receipts
$19,424,116
Mission and Program Overview

Mission

The mission of the organization is to save lives & promote healthy living. The organizational values inlcude accountability, compassion, passion for excellence, love & innovation.

THE MISSION OF THE ORGANIZATION IS TO SAVE LIVES & PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES include ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE & INNOVATION.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$13,930,419$13,273,807▼ $656,612
Investments in Publicly Traded Securities$2,714,092$4,478,396▲ $1,764,304
Savings and Temporary Cash Investments$3,666,589$3,680,190▲ $13,601
Accounts Receivable$2,501,739$2,714,428▲ $212,689
Inventories for Sale or Use$258,662$287,317▲ $28,655
Cash and Non-Interest-Bearing Accounts$221,586$244,849▲ $23,263
Prepaid Expenses and Deferred Charges$49,298$36,430▼ $12,868
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$23,738,468$25,083,257▲ $1,344,789
Other Assets Total$396,083$367,840▼ $28,243
Liabilities
Mortgage Notes Payable Secured by Investment Property$12,514,000$12,260,000▼ $254,000
Tax Exempt Bond Liabilities$5,038,182$4,931,186▼ $106,996
Accounts Payable and Accrued Expenses$1,348,633$1,618,398▲ $269,765
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$18,900,815$18,809,584▼ $91,231
Net Assets / Fund Balance
Unrestricted Net Assets$4,813,153$6,249,173▲ $1,436,020
Temporarily Rstr Net Assets$24,500$24,500→ $0
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$4,837,653$6,273,673▲ $1,436,020
Total Liabilities and Net Assets / Fund Balance$23,738,468$25,083,257▲ $1,344,789

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$9,951,042$4,906,126$14,857,168
Equipment$1,668,556$3,559,040$5,227,596
Other Land Buildings$882,491$1,015,115$1,897,606
Land$771,718-$771,718
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kelley Evans RnChief Administrative OfficerFT$155,377$73,013$228,390
Bridgett Chartier RNCNOFT$123,643$5,368$129,011
Beth NordstromDirector of ISFT$116,393$10,899$127,292
Sharon NorbyChief Quality OfficerFT$112,971$6,644$119,615
kate WymanLAb ManagerFT$106,117$5,305$111,422
Derek StiegemeierDirector of PTFT$102,753$3,606$106,359

Board Members and Trustees

NameTitle
Steve MuthPast President
George ClowPresident
MITZI VORACHEcKVice President
Dr William George MDDirector
Guy Schmidt MDDirector
Jim DuncanDirector
Kelly HeatonDirector
Mike ShuckDirector
Randy DragonDirector
Sarah EwaldDirector
Steve SmithDirector
Richard FellowsSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Billings Clinicmgmt/staffing svcs2800 Tenth Avenue North, Billings, MT 59101$2,410,940
Revenue and Support

Revenue Composition

Contributions and Grants
$799,497
Program Service Revenue
$15,841,285
Investment Income
$188,656
Other Revenue
$82,398
All Other Contributions
$427,634
Change in Net Assets
$1,455,318

Audited Revenue Reconciliation

Revenue per Audited Statements
$16,185,357
Revenue Not Reported on Financial Statements
$726,479
Revenue Not Reported on Form 990
$63,411
Other Revenue Adjustments
$726,479
Total Revenue per Audited Statements
$16,248,768
Total Revenue per Form 990
$16,911,836
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$8,184,937
Salaries, Compensation, and Employee Benefits$7,236,348
Grants and Similar Amounts Paid$35,233
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,617,706$2,206,724-$5,824,430
Fees for Services Other$2,182,337$513,324-$2,695,661
Depreciation Depletion$263,473$864,591-$1,128,064
Interest$667,505$177,438-$844,943
Other Employee Benefits$301,508$255,450-$556,958
Payroll Taxes$281,092$164,174-$445,266
Office Expenses$66,881$279,908-$346,789
Information Technology$7,362$238,766-$246,128
Current Officers, Directors, Trustees, and Key Employees$105,585$105,585-$211,170
Pension Plan Contributions$51,808$146,716-$198,524
Occupancy$32,486$141,607-$174,093
All Other Expenses$75,763$96,297-$172,060
Travel$114,525$57,312-$171,837
Insurance$34,123$120,675-$154,798
Other Expenses$165$105,003-$105,168
Advertising$10,764$80,752-$91,516
Fees for Services Management-$49,770-$49,770
Fees for Services Accounting-$41,284-$41,284
Grants to Domestic Orgs$35,233--$35,233
Conferences and Meetings$5,835$9,797-$15,632
Fees for Services Legal-$3,752-$3,752
Total Functional Expenses$9,744,189$5,712,329$0$15,456,518

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$15,456,518
Total Expenses per Audited Statements$14,811,504
Expenses per Audited Statements$14,730,039
Expenses Not Reported on Financial Statements$726,479
Other Expense Adjustments$726,479
Expenses Not Reported on Form 990$81,465
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Beartooth Billings Clinic FoundationRed Lodge, MT501(c)(3)-$27,393
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Bond Issues

BondIssuerIssuedIssue PricePurpose
Acarbon county montana2010-02-16$6,031,020series 2010 revenue bonds

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$6,031,020$0$1,099,834$64,500

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

Delegation of control to a management company or other person: beartooth billings clinic hired billings clinic to conduct, supervise, operate and manage day-to-day operations of the hospital, its departments, employees and financial administration.

Form 990, Part VI, Section A, Line 6

Describe circumstances for having members: the organization has two classes of members, class a and class b. Class a shall consist of those persons who are at least eighteen years of age, and who have indicated their interest in the maintenance of adequate medical facilities and high standards of medical care in the area. Class b members shall be limited solely to the billings clinic, a 501(c)(3) non profit hospital located at 2800 10th avenue north, billings, montana 59101.

Form 990, Part VI, Section A, Line 7A

Members who can elect members of the governing body: class a members shall be entitled to elect nine board members. Class b members shall be entitled to appoint three board members.

FORM 990, PART VI, SECTION A, LINE 7B

Decisions of governing body subject to approval by members: the voting power of both classes of membership are limited to the following actions: the election and removal of directors; any amendment to the articles of incorporation or these bylaws that would terminate all members or any class of members or redeem or cancel all memberships or any class of memberships; any amendment to the articles of incorporation or bylaws which relates to the number of directors, the composition of the board, the term of office of directors, or the method or way in which directors are elected or selected; the merger of the corporation with another business entity; the sale, lease, exchange or other disposition of all or substantially all of the corporation's property; the dissolution of the corporation.

Form 990, Part VI, Section B, Line 11B

Process to review the form 990: the form 990 is prepared by the organization's independent accountant and provided to the board for review and approval prior to submitting to the irs.

Form 990, Part VI, Section B, Line 12C

Process for monitoring compliance with conflict of interest policy: board members annually disclose in writing any conflicts of interest. These are reviewed by the board chair and ceo. Throughout the year, if any conflicts arise, the board chair and ceo address those issues with the individuals involved.

Form 990, Part VI, Section B, LIne 15A & 15B

Describe process for determining compensation: the board of directors is responsible for determining and approving compensation for the ceo and all other officers and key employees. Comparative market data is collected annually and analyzed. Executive management evaluates key employees annually and provides wage adjustments after reviewing comparative market data. Reviews are conducted annually by the executive committee of the board. Any and all documentation is kept in human resources and also in employees file, including signed personal action forms, along with justification, principally from employee performance evaluations.

Form 990, Part VI, Section C, Line 19

Describe how governing documents are made available to the public: the organization makes its governing documents available on their website. The governing documents, conflict of interest policy and financial statements are also made available upon request.

Filing and Contact Details

Filer

Filer Name
Beartooth Billings Clinic
EIN
81-0224734
In Care Of
% LINDA E HARRIS
Phone
4064462345
Address
PO Box 590, Red Lodge, MT 59068

Signing Officer

Name
Kelley Evans Rn
Title
CEO
Phone
4064462345
Signed
2019-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelley Evans RN
Formed
1948
Legal Domicile
Mt
Voting Board Members
12
Independent Board Members
12
Employees
165
Volunteers
139

Preparer

Firm
Bkd Llp
Address
111 South Tejon Suite 800, Colorado Springs, CO 80903-9848
Preparer
Adam R Smith CPA
Phone
7194714290
Supplemental Narrative

Additional Explanations

Form 990 Part IX Line 11G

Description:physicians total fees:1033978

Form 990 Part IX Line 11G

Description:consulting total fees:287298

Form 990 Part IX Line 11G

Description:contract medical staff total fees:372552

Form 990 Part IX Line 11G

Description:contract admin staff total fees:113845

Form 990 Part IX Line 11G

Description:maintenance total fees:45589

Form 990 Part IX Line 11G

Description:mid-level providers/nursing total fees:458297

Form 990 Part IX Line 11G

Description:radiology/imaging total fees:35950

Form 990 Part IX Line 11G

Description:therapists total fees:11264

Form 990 Part IX Line 11G

Description:anesthesiologists total fees:38838

Form 990 Part IX Line 11G

Description:transcription/coding total fees:82517

Form 990 Part IX Line 11G

Description:hospice/home health service total fees:137803

Form 990 Part IX Line 11G

Description:cleaning total fees:1337

Form 990 Part IX Line 11G

Description:other misc services total fees:76393

Financial Statement Notes

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.

Schedule D, Part XI, Line 2D

Revenue on books, not on return: revenue of beartooth billings clinic foundation included on financials, excluded on tax return 82,709

Schedule D, Part XI, Line 4B

Revenue on return, not on books: bad debt net with revenue on financials, treated as expense on tax return 752,296 charity care shown as expense on financials, net with net patient service revenue on tax return (26,117) total 726,479

Schedule D, Part XII, Line 2D

Expense on books, not on return: expense of beartooth billings clinic foundation included on financials, excluded for tax return 81,465

Schedule D, Part XII, Line 4B

Expense on return, not on books: bad debt net with revenue on financials, treated as expense on tax return 752,596 charity care shown as expense on financials, net with net patient service revenue on tax return (26,117) total 726,479

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IRS990/Form990PartVIISectionAGrp/PersonNm5MITZI VORACHEcK
IRS990/Form990PartVIISectionAGrp/PersonNm6Dr William George MD
IRS990/Form990PartVIISectionAGrp/PersonNm7Steve Muth
IRS990/Form990PartVIISectionAGrp/PersonNm8Guy Schmidt MD
IRS990/Form990PartVIISectionAGrp/PersonNm9Kelly Heaton
IRS990/Form990PartVIISectionAGrp/PersonNm10Randy Dragon
IRS990/Form990PartVIISectionAGrp/PersonNm11Steve Smith
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IRS990/Form990PartVIISectionAGrp/PersonNm17kate Wyman
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1Director
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary/Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Past President
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Director
IRS990/Form990PartVIISectionAGrp/TitleTxt10Director
IRS990/Form990PartVIISectionAGrp/TitleTxt11Director
IRS990/Form990PartVIISectionAGrp/TitleTxt12CHIEF ADMINISTRATIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF QUALITY OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14Director of IS
IRS990/Form990PartVIISectionAGrp/TitleTxt15CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt16Director of PT
IRS990/Form990PartVIISectionAGrp/TitleTxt17LAb Manager
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IRS990/MissionDesc0THE MISSION OF THE ORGANIZATION IS TO SAVE LIVES & PROMOTE HEALTHY LIVING. THE ORGANIZATIONAL VALUES INCLUDE ACCOUNTABILITY, COMPASSION, PASSION FOR EXCELLENCE, LOVE & INNOVATION.
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IRS990/OtherExpensesGrp/Desc0BAD DEBT EXPENSE
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IRS990/OtherExpensesGrp/Desc2REPAIRS & MAINTENANCE
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt2105003
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IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt0146716
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt051808
IRS990/PensionPlanContributionsGrp/TotalAmt0198524

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$30.2$15.8$14.4$21.2$21.0$0.14
2023Detailed filing. Detailed filing data is available for this year.$29.7$16.1$13.7$21.7$20.1$1.62
2022Detailed filing. Detailed filing data is available for this year.$29.8$18.3$11.6$17.6$18.1$0.51
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$33.8$21.7$12.1$19.2$17.0$2.25
2020Detailed filing. Detailed filing data is available for this year.$31.7$23.7$8.02$16.4$15.9$0.47
2019Detailed filing. Detailed filing data is available for this year.$26.0$18.8$7.22$16.0$15.1$0.88
2018Detailed filing. Detailed filing data is available for this year.$25.1$18.8$6.27$16.9$15.5$1.46
2017Detailed filing. Detailed filing data is available for this year.$23.7$18.9$4.84$15.4$15.0$0.40
2016Detailed filing. Detailed filing data is available for this year.$23.7$19.4$4.31$15.1$15.5$0.40
2015Summary only. Only limited summary data is available for this year.$24.4$19.6$4.77$6.93$6.21$0.72
2014Detailed filing. Detailed filing data is available for this year.$23.6$19.5$4.06$11.8$12.6$0.84
2013Detailed filing. Detailed filing data is available for this year.$23.4$18.5$4.89$12.0$12.5$0.51
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$23.5$18.2$5.36$12.3
2011Summary only. Only limited summary data is available for this year.$23.5$18.2$5.29$10.0$10.7$0.67