Beartooth Billings Clinic

“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. Through this services agreement, abby lotz received $209,513 of taxable compensation and $72,599 of nontaxable benefits in calendar year 2023 for her services as ceo and william oley, md, received $310,699 of taxable compensation and $104,486 of nontaxable benefits in calendar year 2023 for his medical services.”

“In october 2023 the articles of incorporation and bylaws were amended for the following changes. -the corporation will no longer have members. -the board consists of twelve (12) directors, three (3) of whom are appointed by billings clinic (the "billings clinic directors") and nine (9) of whom are appointed by the non-billings clinic directors (the "community directors"). -with the dissolution of membership, only the board of directors has the power to: - revise the governing documents or legal structure; - revise the organization's name or brand identity; - sell, lease or otherwise dissolve of or substantially all of its assets, including mergers or consilidations; and - dissolve the organization.”

“Until october 2023 the organization had two classes of members, class a and class b. Class a consisted 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 were limited solely to the billings clinic, a 501(c)(3) non profit hospital located at 2800 10th avenue north, billings, montana 59101.”

“Billings clinic appoints three directors of the board.”

“There are no committees with authority to act on behalf of the board.”

“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.”

“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. Documentation of the process will be maintained with the board of director's records.”

“Comparative market data are collected annually and analyzed. Executive management evaluates top 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 the employee's file, including signed personal action forms, along with justification, principally from employee performance evaluations. The process described here was last completed in 2024.”

“The governing documents, conflict of interest policy and financial statements are also made available upon request.”

“Contract and purchased services: program service expenses 4,037,824. Management and general expenses 1,570,680. Fundraising expenses 600. Total expenses 5,609,104.”

“The process for oversight and selection of an independent accountant has not changed from the prior year.”