Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
EIN 81-0398400 • 501(c)3 • Townsend, MT
Profile
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
Liabilities / Revenue
59th percentile
Higher debt load relative to revenue than 59% of similar nonprofits.
Net Margin
39th percentile
Higher net margin than 39% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
40th percentile
Faster asset growth than 40% of similar nonprofits.
Revenue Growth
71st percentile
Faster revenue growth than 71% of similar nonprofits.
Assets
Down$12,100,772
Down $943,334 (-7.2%) from 2023
Liabilities
Down$3,734,557
Down $1,060,343 (-22%) from 2023
Net Assets
Up$8,366,215
Up $117,009 (+1.4%) from 2023
Revenue
Up$11,649,255
Up $5,737,161 (+97%) from 2023
Expenses
Up$11,532,246
Up $6,298,169 (+120%) from 2023
Net Income
Down$117,009
Down $561,008 (-83%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Broadwater health center operates a 9 bed critical access hospital, a skilled nursing facility, a clinic, and an ambulance service. Services provided include acute care, swing bed care, inpatient and outpatient services, emergency services, and the related ancillary services.
Billings clinic broadwater is dedicated to improving the health of our community, our patients, and ourselves.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $8,188,563 | $7,752,889 | ▼ $435,674 |
| Cash and Non-Interest-Bearing Accounts | $3,236,344 | $2,201,562 | ▼ $1,034,782 |
| Accounts Receivable | $1,534,647 | $1,603,547 | ▲ $68,900 |
| Inventories for Sale or Use | $53,105 | $61,292 | ▲ $8,187 |
| Prepaid Expenses and Deferred Charges | $31,447 | $46,117 | ▲ $14,670 |
| Total Assets | $13,044,106 | $12,100,772 | ▼ $943,334 |
| Other Assets Total | $0 | $435,365 | ▲ $435,365 |
| Liabilities | |||
| Other Liabilities | $1,112,071 | $3,107,755 | ▲ $1,995,684 |
| Accounts Payable and Accrued Expenses | $3,602,829 | $586,802 | ▼ $3,016,027 |
| Unsecured Notes Loans Payable | $80,000 | $40,000 | ▼ $40,000 |
| Total Liabilities | $4,794,900 | $3,734,557 | ▼ $1,060,343 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $8,249,206 | $8,366,215 | ▲ $117,009 |
| Total Net Assets Fund Balance | $8,249,206 | $8,366,215 | ▲ $117,009 |
| Total Liabilities and Net Assets / Fund Balance | $13,044,106 | $12,100,772 | ▼ $943,334 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $3,107,222 | $5,159,357 | $8,266,579 |
| Buildings | $3,893,035 | $928,289 | $4,821,324 |
| Other Land Buildings | $528,361 | $86,811 | $615,172 |
| Land | $224,271 | - | $224,271 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Casey Schanz | Physician Assistant | FT | $169,367 | $40,520 | $209,887 |
| Elizabeth Terwilliger | Nurse Practitioner | FT | $186,803 | $8,243 | $195,046 |
| Derek Weiss | Nurse Practitioner | FT | $145,849 | $36,630 | $182,479 |
| Paul Engstrom Md | Physician | FT | $121,638 | $56,525 | $178,163 |
| Holly Hoffman Md | Physician | FT | $142,571 | $33,281 | $175,852 |
| Justin Tiffany | CEO | FT | $130,754 | $14,452 | $145,206 |
| Kelley Evans | Board Member | - | - | $32,080 | $32,080 |
| Name | Title |
|---|---|
| Kathy Blair | Chair |
| Jeff Kirksey | Vice Chair |
| Amberly Pahut | Board Member |
| Hansjorg Schwertz | Board Member |
| William Upthegrove | Board Member |
| Philip Hess | Medical Director |
| Ellen Layton | CAO |
| Kathleen Quinones | CFO |
| Justin Ott | CIO |
| William Gibson | CLO |
| Michelle Barstad | Secretary |
| Craig Lambrecht Md | System CEO (until 3/11/2024) |
| Clinton Seger Md | System Co-CEO |
| Kevin Abel | System Co-CEO |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Vaya Workforce Solutions LLC | Contractor Labor | PO BOX 713247, Chicago, IL 60677-4327 | $462,334 |
| Avel E Care Lc | Telemedicine Provider | PO BOX 950505, St Louis, MO 63195-0505 | $108,930 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $6,452,090 |
| Other Expenses | $5,080,156 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,326,367 | $1,035,971 | - | $5,362,338 |
| Fees for Services Management | $697,640 | $697,639 | - | $1,395,279 |
| Fees for Services Other | $538,355 | $187,986 | - | $726,341 |
| Depreciation Depletion | $191,429 | $426,084 | - | $617,513 |
| Other Employee Benefits | $361,407 | $167,121 | - | $528,528 |
| Payroll Taxes | $272,086 | $86,944 | - | $359,030 |
| Office Expenses | $82,159 | $138,461 | - | $220,620 |
| Occupancy | $99,982 | $108,313 | - | $208,295 |
| Pension Plan Contributions | $154,775 | $47,419 | - | $202,194 |
| All Other Expenses | $543 | $179,779 | - | $180,322 |
| Other Expenses | $121,798 | $87,124 | - | $87,124 |
| Insurance | - | $83,766 | - | $83,766 |
| Information Technology | - | $69,788 | - | $69,788 |
| Fees for Services Accounting | - | $54,898 | - | $54,898 |
| Travel | $24,119 | $10,351 | - | $34,470 |
| Advertising | - | $17,279 | - | $17,279 |
| Fees for Services Legal | - | $8,110 | - | $8,110 |
| Interest | - | $2,400 | - | $2,400 |
| Fees for Services Lobbying | - | $91 | - | $91 |
| Total Functional Expenses | $8,054,008 | $3,478,238 | $0 | $11,532,246 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $2,594,135 |
| Due to Third Parties | $513,620 |
“Billings clinic is the sole member of townsend health systems inc.”
“The sole member has authority to recommend, approve and reject nominations of board members.”
“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.”
“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.”
“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.”
“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.”
“The organization makes its governing documents, conflict of interest policy and financial statements available to the public on an as needed basis.”
“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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 3602829 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 586802 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1534647 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1603547 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | BILLINGS CLINIC BROADWATER IS DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY, OUR PATIENTS, AND OURSELVES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 17279 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 17279 |
| IRS990/AllOtherContributionsAmt | 0 | 508734 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 179779 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 543 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 180322 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | ERIKA WRIGHT |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4064356445 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2800 TENTH AVENUE NORTH |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BILLINGS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MT |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 59101 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3236344 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2201562 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 462334 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 108930 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 713247 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 950505 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | ST LOUIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 606774327 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 631950505 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | VAYA WORKFORCE SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | AVEL E CARE LC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACTOR LABOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | TELEMEDICINE PROVIDER |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 508734 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 47 |
| IRS990/CYOtherExpensesAmt | 0 | 5080156 |
| IRS990/CYOtherRevenueAmt | 0 | 89638 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 11050836 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 117009 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 6452090 |
| IRS990/CYTotalExpensesAmt | 0 | 11532246 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 11649255 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 426084 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 191429 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 617513 |
| IRS990/Desc | 0 | 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. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | BILLINGS CLINIC BROADWATER |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 105 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 8054008 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 54898 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 54898 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 8110 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 8110 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 91 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 91 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 697639 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 697640 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 1395279 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 187986 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 538355 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 726341 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 49.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 49953 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 26435 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 1615 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 43294 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 38096 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 38583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 24583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 38623 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 47594 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 51195 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 14452 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 14971 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 40093 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 7927 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 2907 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 36630 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KATHY BLAIR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JEFF KIRKSEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MICHELLE BARSTAD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | WILLIAM UPTHEGROVE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | AMBERLY PAHUT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | HANSJORG SCHWERTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | PHILIP HESS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | KELLEY EVANS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | CLINTON SEGER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KATHLEEN QUINONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KEVIN ABEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | CRAIG LAMBRECHT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | WILLIAM GIBSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JUSTIN OTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ELLEN LAYTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JUSTIN TIFFANY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | HOLLY HOFFMAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | CASEY SCHANZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | ELIZABETH TERWILLIGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | PAUL ENGSTROM MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | DEREK WEISS |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 130754 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 160881 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 169794 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 187119 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 175256 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 145849 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 315708 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 220689 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 30465 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 1163598 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 579324 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 986351 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 1715469 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 801222 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 441312 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 770824 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | SYSTEM CO-CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | SYSTEM CO-CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | SYSTEM CEO (UNTIL 3/11/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CLO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CAO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN ASSISTANT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | NURSE PRACTITIONER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | NURSE PRACTITIONER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1980 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 11649255 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 12 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 69788 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 69788 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 83766 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 83766 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 2400 |
| IRS990/InterestGrp/TotalAmt | 0 | 2400 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 53105 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 61292 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 47 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 47 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 14 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 6174457 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 8188563 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 7752889 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 13927346 |
| IRS990/LegalDomicileStateCd | 0 | MT |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 8249206 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 8366215 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 8249206 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 8366215 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 108313 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 99982 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 208295 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 138461 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 82159 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 220620 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 435365 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 167121 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 361407 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 528528 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | BAD DEBT EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | DIETARY |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 26376 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 42338 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 87124 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 936415 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 246933 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 121798 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 962791 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 246933 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 164136 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 87124 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1112071 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 3107755 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS INCOME |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 89638 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 89638 |
| IRS990/OtherRevenueTotalAmt | 0 | 89638 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1035971 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 4326367 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 5362338 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 86944 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 272086 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 359030 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 47419 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 154775 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 202194 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 31447 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 46117 |
| IRS990/PrincipalOfficerNm | 0 | CLINT SEGER MD |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | OTHER PROGRAM REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | 340B REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | EHR/MEANINGFUL USE PAYMENTS |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 10565162 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 349051 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 114627 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 21996 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 10565162 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 349051 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 114627 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 21996 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 107868 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 211 |
| IRS990/PYOtherExpensesAmt | 0 | 2215187 |
| IRS990/PYOtherRevenueAmt | 0 | 13455 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 5790560 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 678017 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 3018890 |
| IRS990/PYTotalExpensesAmt | 0 | 5234077 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 5912094 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 117009 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
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