Liabilities / Assets
56th percentile
Higher debt load relative to assets than 56% of similar nonprofits.
EIN 81-0231784 • 501(c)3 • Billings, MT
Profile
Billings clinic mission is health care, education and research. Billings clinic will provide the best in nation clinical quality, patient safety, service and value.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
56th percentile
Higher debt load relative to assets than 56% of similar nonprofits.
Liabilities / Revenue
35th percentile
Higher debt load relative to revenue than 35% of similar nonprofits.
Net Margin
17th percentile
Higher net margin than 17% of similar nonprofits.
Top Officer Pay
55th percentile
Higher top officer pay than 55% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
13th percentile
Faster asset growth than 13% of similar nonprofits.
Revenue Growth
96th percentile
Faster revenue growth than 96% of similar nonprofits.
Assets
Down$1,395,798,536
Down $651,251 (-0.0%) from 2023
Liabilities
Down$490,387,916
Down $5,998,012 (-1.2%) from 2023
Net Assets
Up$905,410,620
Up $5,346,761 (+0.6%) from 2023
Revenue
Up$1,225,617,600
Up $685,211,103 (+127%) from 2023
Expenses
Up$1,244,167,405
Up $690,971,133 (+125%) from 2023
Net Income
Down-$18,549,805
Down $5,760,030 (-45%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Billings clinic mission is health care, education and research. Billings clinic will provide the best in nation clinical quality, patient safety, service and value.
Billings clinic is montana's largest healthcare organization consisting of a 336 bed hospital and level 1 trauma center, primary care and over 80 specialties.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $436,077,688 | $371,607,915 | ▼ $64,469,773 |
| Land, Buildings, and Equipment, Net | $360,324,415 | $356,309,857 | ▼ $4,014,558 |
| Savings and Temporary Cash Investments | $136,439,358 | $154,284,538 | ▲ $17,845,180 |
| Accounts Receivable | $207,581,779 | $150,479,671 | ▼ $57,102,108 |
| Cash and Non-Interest-Bearing Accounts | $31,289,949 | $55,760,425 | ▲ $24,470,476 |
| Investments Program Related | $30,922,198 | $39,256,682 | ▲ $8,334,484 |
| Inventories for Sale or Use | $24,152,113 | $28,372,230 | ▲ $4,220,117 |
| Prepaid Expenses and Deferred Charges | $13,846,413 | $15,662,826 | ▲ $1,816,413 |
| Investments Other Securities | $2,424,034 | - | - |
| Intangible Assets | - | $2,081,818 | - |
| Other Notes and Loans Receivable, Net | $1,194,984 | $853,830 | ▼ $341,154 |
| Total Assets | $1,396,449,787 | $1,395,798,536 | ▼ $651,251 |
| Other Assets Total | $152,196,856 | $221,128,744 | ▲ $68,931,888 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $168,864,918 | $328,067,172 | ▲ $159,202,254 |
| Accounts Payable and Accrued Expenses | $98,154,128 | $103,303,602 | ▲ $5,149,474 |
| Other Liabilities | $41,740,780 | $41,208,043 | ▼ $532,737 |
| Deferred Revenue | $444,976 | $10,742,606 | ▲ $10,297,630 |
| Mortgage Notes Payable Secured by Investment Property | $187,181,126 | $7,066,493 | ▼ $180,114,633 |
| Total Liabilities | $496,385,928 | $490,387,916 | ▼ $5,998,012 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $818,532,058 | $815,473,742 | ▼ $3,058,316 |
| Net Assets With Donor Restrictions | $81,531,801 | $89,936,878 | ▲ $8,405,077 |
| Total Net Assets Fund Balance | $900,063,859 | $905,410,620 | ▲ $5,346,761 |
| Total Liabilities and Net Assets / Fund Balance | $1,396,449,787 | $1,395,798,536 | ▼ $651,251 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $135,223,535 | $293,662,045 | $428,885,580 |
| Buildings | $161,110,987 | $131,292,152 | $292,403,139 |
| Other Land Buildings | $19,620,507 | $15,206,538 | $34,827,045 |
| Land | $39,668,013 | - | $30,461,628 |
| Leasehold Improvements | $686,815 | $1,330,962 | $2,017,777 |
| Other Assets Org | $6,092,052 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $75,442,533 | $3,865,589 | ▲ $3,242,317 | - | $82,339,286 |
| 2023 | $73,095,797 | $429,886 | ▲ $1,995,033 | - | $75,442,533 |
| 2022 | $73,071,314 | $1,346,174 | ▲ $414,941 | - | $73,095,797 |
| 2021 | $70,534,237 | $1,143,430 | ▲ $3,769,220 | - | $73,071,314 |
| 2020 | $63,959,649 | $427,564 | ▲ $6,900,818 | - | $70,534,237 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Vance Fredrickson Md | Physician | FT | $2,174,455 | $59,671 | $2,234,126 |
| Anthony Russo Md | Physician | FT | $1,207,062 | $1,019,770 | $2,226,832 |
| Dean Sukin Md | Physician | FT | $882,634 | $1,044,827 | $1,927,461 |
| Anthony Roccisano Do | Physician | FT | $1,806,693 | $46,899 | $1,853,592 |
| Shervin Dashti Md | Physician | FT | $1,795,841 | $25,846 | $1,821,687 |
| Clinton Seger Md | CEO | PT | $1,095,076 | $111,816 | $1,206,892 |
| Gordon Riha Md | Board Member | FT | $1,128,038 | $53,138 | $1,181,176 |
| Ellen Layton | CAO | PT | $689,644 | $132,374 | $822,018 |
| Kendrick Trostel Md | Physician/vice Chair | FT | $747,666 | $61,389 | $809,055 |
| Kathleen Quinones | CFO | FT | $573,714 | $43,706 | $617,420 |
| Scott Ellner Do | Former CEO | - | $597,240 | $597,240 | $597,240 |
| Justin Ott | CIO | PT | $434,799 | $54,107 | $488,906 |
| Heidi Duncan Md | Physician/board Member | FT | $264,322 | $41,920 | $306,242 |
| Craig Bartholomew | Chair | PT | - | $14,829 | $14,829 |
| Eileen Mcdonald | Secretary | PT | - | $6,809 | $6,809 |
| Amy Cebull | Treasurer | PT | - | $6,239 | $6,239 |
| John Edwards | Board Member | PT | - | $6,239 | $6,239 |
| Wayne Hirsch | Board Member | PT | $6,000 | - | $6,000 |
| Alice Gordon | Board Member | - | $6,000 | - | $6,000 |
| Keith Cook | Immediate Past Chair | - | $6,000 | - | $6,000 |
| Blake Underriner | Board Member | PT | - | $3,052 | $3,052 |
| Name | Title |
|---|---|
| William Gibson | CLO |
| Craig Lambrecht Md | System CEO (until 3/11/2024) |
| Kevin Abel | System Co-CEO |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Granite Peak Anesthesiology | Anesthesiologist Services | 350 RYMAN STREET, Missoula, MT 59802 | $16,026,570 |
| Billings Anesthesiology PC | Anesthesiologist Services | PO BOX 1155, Billings, MT 59103 | $7,643,348 |
| Jobot LLC | Locum Providers | PO BOX 31001-2434, Pasadena, CA 91110 | $4,644,617 |
| Mayo Collaborative Serv INC | Lab Service Providers | PO BOX 9146, Minneapolis, MN 55905 | $4,540,557 |
| Hospital Laundry Services | Linens/laundry Providers | 45 SOUTH 7TH ST WEST, Billings, MT 59102 | $1,675,604 |
| Line Item | Amount |
|---|---|
| Other Expenses | $673,065,292 |
| Salaries, Compensation, and Employee Benefits | $569,976,890 |
| Grants and Similar Amounts Paid | $1,125,223 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $389,163,266 | $82,890,050 | - | $472,053,316 |
| Fees for Services Other | $123,562,483 | $32,538,524 | - | $156,101,007 |
| Other Employee Benefits | $32,583,708 | $13,631,943 | - | $46,215,651 |
| All Other Expenses | $9,877,952 | $26,763,561 | - | $36,641,513 |
| Depreciation Depletion | $20,881,592 | $11,927,775 | - | $32,809,367 |
| Payroll Taxes | $19,729,916 | $8,248,199 | - | $27,978,115 |
| Pension Plan Contributions | $14,226,682 | $5,966,276 | - | $20,192,958 |
| Interest | $391,293 | $11,715,403 | - | $12,106,696 |
| Other Expenses | $2,795,073 | $7,595,844 | - | $10,390,917 |
| Insurance | $2,497,142 | $6,786,190 | - | $9,283,332 |
| Occupancy | $1,958,355 | $5,321,991 | - | $7,280,346 |
| Current Officers, Directors, Trustees, and Key Employees | $2,915,798 | $621,052 | - | $3,536,850 |
| Travel | $897,024 | $2,437,735 | - | $3,334,759 |
| Office Expenses | $850,488 | $2,145,184 | - | $2,995,672 |
| Advertising | $572,382 | $1,555,495 | - | $2,127,877 |
| Fees for Service Investment Mgmnt Fees | - | $1,919,501 | - | $1,919,501 |
| Fees for Services Legal | $619,032 | $591,803 | - | $1,210,835 |
| Information Technology | $273,961 | $691,012 | - | $964,973 |
| Grants to Domestic Orgs | $939,166 | - | - | $939,166 |
| Fees for Services Accounting | - | $775,461 | - | $775,461 |
| Grants to Domestic Individuals | $186,057 | - | - | $186,057 |
| Conferences and Meetings | $48,513 | $131,839 | - | $180,352 |
| Fees for Services Lobbying | - | $156,277 | - | $156,277 |
| Total Functional Expenses | $967,629,026 | $276,538,379 | $0 | $1,244,167,405 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Montana State University | Bozeman, MT | 501(c)(3) | Land for Nursing School Building | $316,000 |
| Community Crisis Center | Billings, MT | 501(c)(3) | Operations Support | $81,191 |
| American Cancer Society | Billings, MT | 501(c)(3) | Relay for Life | $12,500 |
| Billings Public Schools Education Foundation | Billings, MT | 501(c)(3) | Education Programs | $9,000 |
| Billings Clinic Foundation | Billings, MT | 501(c)(3) | Support Operations | $5,500 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| E James Duncan | E. James Duncan Has a Family Relationship With Board Member Heidi Duncan | Employee Compensation | No | $424,027 |
| Nadine Seger | Nadine Seger Has a Family Relationship With CEO Clint Seger | Employee Compensation | No | $418,004 |
| Liability | Amount |
|---|---|
| Unearned Premiums | $13,695,997 |
| Estimated Claims Liability | $9,650,209 |
| Right-of-use Lease Liabilities | $6,312,795 |
| Accrued Interest | $4,057,289 |
| Due to Third Parties | $3,847,911 |
| Interest Rate Swap Agreement | $3,105,889 |
| Due to Mdor | $440,969 |
| Lease Liabilities | $96,984 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Montana Facility Finance Authority | 2018-10-01 | $125,786,085 | SEE PART VI |
| C | Montana Facility Finance Authority | 2022-05-17 | $59,605,577 | SEE PART VI |
| B | Montana Facility Finance Authority | 2018-10-01 | $56,580,000 | SEE PART VI |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $128,666,648 | $85,247,023 | $77,945,000 | $194,301 |
| C | $59,736,796 | $59,542,495 | - | - |
| B | $56,585,037 | $56,509,118 | $2,635,000 | - |
“Mtwy health inc is sole member of billings clinic. With rights to approve governance decisions.”
“Mtwy health inc as the sole member approves amendments to the bylaws, dissolution, change in name, approval of budgets and strategic plans, action or inaction in material variance to the member and any matters required by to be submitted to member.”
“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.”
“Contract labor: program service expenses 25,030,536. Management and general expenses 0. Fundraising expenses 0. Total expenses 25,030,536. Locum providers: program service expenses 64,496,269. Management and general expenses 0. Fundraising expenses 0. Total expenses 64,496,269. Professional fees: program service expenses 2,645,497. Management and general expenses 2,529,127. Fundraising expenses 0. Total expenses 5,174,624. Purchased services: program service expenses 31,390,181. Management and general expenses 30,009,397. Fundraising expenses 0. Total expenses 61,399,578.”
“Change in fair value of interest rate swap 645,851. Net assets released from restriction 2,512,659. Restricted contributions 15,344,242. Equity interest in foundation 12,572,745.”
“The endowment includes both donor-restricted endowment funds and funds designated by the governing body to function as endowments. Endowment funds are invested and held to provide growth over the long-term.”
“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 | 98154128 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 103303602 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 207581779 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 150479671 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | BILLINGS CLINIC IS MONTANA'S LARGEST HEALTHCARE ORGANIZATION CONSISTING OF A 336 BED HOSPITAL AND LEVEL 1 TRAUMA CENTER, PRIMARY CARE AND OVER 80 SPECIALTIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1555495 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 572382 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2127877 |
| IRS990/AllOtherContributionsAmt | 0 | 1332 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 26763561 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 9877952 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 36641513 |
| 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 | 1 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 31289949 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 55760425 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 40 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 621052 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 2915798 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3536850 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 131839 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 48513 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 180352 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 16026570 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 7643348 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 4644617 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 4540557 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1675604 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 350 RYMAN STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 1155 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 31001-2434 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 9146 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 45 SOUTH 7TH ST WEST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MISSOULA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BILLINGS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | PASADENA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | MINNEAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BILLINGS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 59802 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 59103 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 91110 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 55905 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 59102 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | GRANITE PEAK ANESTHESIOLOGY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | BILLINGS ANESTHESIOLOGY PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | JOBOT LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MAYO COLLABORATIVE SERV INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | HOSPITAL LAUNDRY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ANESTHESIOLOGIST SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | ANESTHESIOLOGIST SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | LOCUM PROVIDERS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | LAB SERVICE PROVIDERS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | LINENS/LAUNDRY PROVIDERS |
| IRS990/CostOfGoodsSoldAmt | 0 | 157158 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2142076 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 1125223 |
| IRS990/CYInvestmentIncomeAmt | 0 | 58494453 |
| IRS990/CYOtherExpensesAmt | 0 | 673065292 |
| IRS990/CYOtherRevenueAmt | 0 | 12753545 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 1152227526 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -18549805 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 569976890 |
| IRS990/CYTotalExpensesAmt | 0 | 1244167405 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 1225617600 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 444976 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 10742606 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 11927775 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 20881592 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 32809367 |
| IRS990/Desc | 0 | BILLINGS CLINIC IS A 336 BED HOSPITAL PROVIDING SURGICAL, LABOR AND DELIVERY, PSYCHIATRIC, CANCER CARE, NEONATAL SERVICES, ACUTE CARE AND A LEVEL 1 TRAUMA CENTER. BILLINGS CLINIC HAD OVER 16,000 ADMISSIONS IN 2024. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 81531801 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 89936878 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 5486 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 497111027 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 775461 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 775461 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 591803 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 619032 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1210835 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 156277 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 156277 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 32538524 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 123562483 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 156101007 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 1919501 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 1919501 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 38.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 49.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 47.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 22.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 25.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| 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/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | 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/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 14829 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 52436 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 6239 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 6809 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 37002 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 6239 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 3052 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 51614 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 43294 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 38096 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 38583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 24583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 38623 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 47594 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 51195 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 44827 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 37931 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 44766 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 23496 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 18601 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CRAIG BARTHOLOMEW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | KEITH COOK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | KENDRICK TROSTEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | AMY CEBULL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | EILEEN MCDONALD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | HEIDI DUNCAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ALICE GORDON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | WAYNE HIRSCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOHN EDWARDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | BLAKE UNDERRINER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | GORDON RIHA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | CLINTON SEGER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KATHLEEN QUINONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KEVIN ABEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | CRAIG LAMBRECHT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | WILLIAM GIBSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JUSTIN OTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | ELLEN LAYTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | DEAN SUKIN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | VANCE FREDRICKSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | ANTHONY ROCCISANO DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | SHERVIN DASHTI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | ANTHONY RUSSO MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | SCOTT ELLNER DO |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 6000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 756619 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 269240 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 6000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 6000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 1129562 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 1163598 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 579324 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 441312 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 770823 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 1882634 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 2196195 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 1808826 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 1798191 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 2208231 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 597240 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 986351 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 1715469 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 801222 |
| 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/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | IMMEDIATE PAST CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PHYSICIAN/VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHYSICIAN/BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SYSTEM CO-CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | SYSTEM CEO (UNTIL 3/11/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CLO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CAO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | FORMER CEO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1917 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 148190 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 40348003 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 2140744 |
| IRS990/GrantAmt | 0 | 1125223 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 186057 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 186057 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 939166 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 939166 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 148190 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 40348003 |
| IRS990/GrossReceiptsAmt | 0 | 1225852264 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 394226 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 609317 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1085 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 691012 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 273961 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 964973 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 6786190 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 2497142 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 9283332 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 2081818 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 11715403 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 391293 |
| IRS990/InterestGrp/TotalAmt | 0 | 12106696 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 24152113 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 28372230 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 17998260 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 17998260 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 2424034 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 30922198 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 39256682 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 436077688 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 371607915 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 217 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 441491697 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 360324415 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 356309857 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 797801554 |
| IRS990/LegalDomicileStateCd | 0 | MT |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 77506 |
| 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/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 975027 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 975027 |
| IRS990/MissionDesc | 0 | BILLINGS CLINIC'S MISSION IS QUALITY, COMPASSIONATE CRE FOR ALL, WITH A VISION OF REIMAGINING HEALTH CARE THROUGH CONNECTION, SERVICE AND INNOVATION. |
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