Civic Intelligence

Billings Clinic

990 • Fiscal year 2014 • EIN 81-0231784

Jul 01, 2013 to Jun 30, 2014 • Filed on May 15, 2015

2800 Tenth Avenue NorthSuite59101

(406) 238-2500

Siviq Scores

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

Liabilities / Assets

51st percentile

0.39x

Higher debt load relative to assets than 51% of similar nonprofits.

2014 filings • 501(c)3 • $1B+ nonprofits • Source year 2014

Liabilities / Revenue

22nd percentile

0.44x

Higher debt load relative to revenue than 22% of similar nonprofits.

2014 filings • 501(c)3 • $1B+ nonprofits • Source year 2014

Net Margin

40th percentile

6.6%

Higher net margin than 40% of similar nonprofits.

2014 filings • 501(c)3 • $1B+ nonprofits • Source year 2014

Top Officer Pay

35th percentile

$1,157,578

Higher top officer pay than 35% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2014 filings • 501(c)3 • $1B+ nonprofits • Source year 2014

Asset Growth

49th percentile

8.2%

Faster asset growth than 49% of similar nonprofits.

2014 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Up

$664,984,296

Up $50,362,934 (+8.2%) from 2013

Net Assets

Up

$402,682,771

Up $48,379,982 (+14%) from 2013

Liabilities

Up

$262,301,525

Up $1,982,952 (+0.8%) from 2013

Revenue

$593,603,488

No earlier filing loaded for comparison.

Expenses

Up

$554,658,646

Up $8,941,534 (+1.6%) from 2013

Net Income

$38,944,842

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$1.5B$1.0B$500M$0Assets 2010: $497,625,440Liabilities 2010: $231,421,885Net Assets 2010: $266,203,5552010Assets 2011: $534,176,825Liabilities 2011: $227,968,706Net Assets 2011: $306,208,1192011Assets 2012: $589,973,650Liabilities 2012: $264,809,291Net Assets 2012: $325,164,3592012Assets 2013: $614,621,362Liabilities 2013: $260,318,573Net Assets 2013: $354,302,7892013Assets 2014: $664,984,296Liabilities 2014: $262,301,525Net Assets 2014: $402,682,7712014Assets 2015: $706,036,383Liabilities 2015: $273,015,058Net Assets 2015: $433,021,3252015Assets 2016: $711,015,080Liabilities 2016: $276,052,936Net Assets 2016: $434,962,1442016Assets 2017: $776,435,285Liabilities 2017: $259,698,478Net Assets 2017: $516,736,8072017Assets 2018: $882,833,730Liabilities 2018: $262,095,510Net Assets 2018: $620,738,2202018Assets 2019: $1,051,858,268Liabilities 2019: $336,321,091Net Assets 2019: $715,537,1772019Assets 2020: $1,116,696,008Liabilities 2020: $350,999,223Net Assets 2020: $765,696,7852020Assets 2021: $1,329,607,252Liabilities 2021: $370,498,997Net Assets 2021: $959,108,2552021Assets 2022: $1,491,215,198Liabilities 2022: $568,758,735Net Assets 2022: $922,456,4632022Assets 2023: $1,396,449,787Liabilities 2023: $496,385,928Net Assets 2023: $900,063,8592023Assets 2024: $1,395,798,536Liabilities 2024: $490,387,916Net Assets 2024: $905,410,6202024

Highlighted filing

2014

Assets$664,984,296
Liabilities$262,301,525
Net Assets$402,682,771

Operations Trend

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

$1.5B$1.0B$500M$0-$500MExpenses 2010: $487,179,8252010Expenses 2011: $504,796,5102011Expenses 2012: $520,265,2072012Expenses 2013: $545,717,1122013Revenue 2014: $593,603,488Expenses 2014: $554,658,646Net Income 2014: $38,944,8422014Revenue 2015: $648,365,278Expenses 2015: $605,741,284Net Income 2015: $42,623,9942015Revenue 2016: $665,026,036Expenses 2016: $640,175,574Net Income 2016: $24,850,4622016Revenue 2017: $752,914,300Expenses 2017: $679,194,521Net Income 2017: $73,719,7792017Revenue 2018: $791,070,161Expenses 2018: $710,874,444Net Income 2018: $80,195,7172018Revenue 2019: $797,325,591Expenses 2019: $723,397,171Net Income 2019: $73,928,4202019Revenue 2020: $835,174,033Expenses 2020: $778,884,996Net Income 2020: $56,289,0372020Revenue 2021: $922,606,374Expenses 2021: $881,843,353Net Income 2021: $40,763,0212021Revenue 2022: $1,036,628,661Expenses 2022: $998,791,483Net Income 2022: $37,837,1782022Revenue 2023: $540,406,497Expenses 2023: $553,196,272Net Income 2023: -$12,789,7752023Revenue 2024: $1,225,617,600Expenses 2024: $1,244,167,405Net Income 2024: -$18,549,8052024

Highlighted filing

2014

Revenue$593,603,488
Expenses$554,658,646
Net Income$38,944,842
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 15, 2015
Return Version
2013v4.0
Gross Receipts
$1,299,990,646
Mission and Program Overview

Mission

Billings clinic mission is health care, education and research. Billings clinic will provide best in nation clinical quality, patient safety, service and value.

Billings Clinic will be a national leader in providing the best clinical quality, patient safety, service and value.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$209,229,067$237,284,132▲ $28,055,065
Investments in Publicly Traded Securities$231,540,602$227,085,235▼ $4,455,367
Accounts Receivable$86,828,955$87,737,588▲ $908,633
Savings and Temporary Cash Investments$29,927,976$22,712,397▼ $7,215,579
Cash and Non-Interest-Bearing Accounts$8,918,608$20,873,647▲ $11,955,039
Inventories for Sale or Use$7,647,986$7,547,825▼ $100,161
Investments Program Related$2,334,596$6,356,131▲ $4,021,535
Prepaid Expenses and Deferred Charges$4,739,759$5,467,785▲ $728,026
Other Notes and Loans Receivable, Net$197,649$242,088▲ $44,439
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
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$623,814,849$664,984,296▲ $41,169,447
Other Assets Total$42,449,651$49,677,468▲ $7,227,817
Liabilities
Tax Exempt Bond Liabilities$165,690,000$161,900,000▼ $3,790,000
Accounts Payable and Accrued Expenses$53,447,272$53,078,163▼ $369,109
Other Liabilities$44,019,247$44,493,417▲ $474,170
Mortgage Notes Payable Secured by Investment Property$3,221,006$2,436,275▼ $784,731
Deferred Revenue$197,758$393,670▲ $195,912
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$266,575,283$262,301,525▼ $4,273,758
Net Assets / Fund Balance
Unrestricted Net Assets$325,789,057$366,749,658▲ $40,960,601
Permanently Rstr Net Assets$20,592,450$21,952,617▲ $1,360,167
Temporarily Rstr Net Assets$10,858,059$13,980,496▲ $3,122,437
Total Net Assets Fund Balance$357,239,566$402,682,771▲ $45,443,205
Total Liabilities and Net Assets / Fund Balance$623,814,849$664,984,296▲ $41,169,447

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$83,705,091$155,564,314$239,269,405
Buildings$105,880,316$71,229,702$177,110,018
Other Land Buildings$18,982,020$8,335,031$27,317,051
Land$28,357,908-$22,516,411
Leasehold Improvements$358,797$1,367,355$1,726,152
Other Assets Org$561,194--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$23,259,946$551,706▲ $2,064,279$19,994$25,855,937
2012$21,981,852$415,028▲ $1,054,443-$23,259,946
2011$21,026,911$246,728▲ $724,344-$21,981,852
2010$19,640,069$605,720▲ $781,122-$21,026,911
2009$18,575,246$665,198▲ $399,625-$19,640,069
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nicholas Wolter MDCEOFT$940,678$216,900$1,157,578
David BrownVice ChairPT$1,121,335$6,000$1,127,335
Randall K Gibb MDPhysicianFT$1,052,987$49,337$1,102,324
Scott A Sample MDPhysicianFT$1,018,954$51,303$1,070,257
Roger G Santala MDPhysicianFT$824,166$45,286$869,452
Jared J Lund MDPhysicianFT$790,701$52,903$843,604
Micheal A Morone MDPhysicianFT$791,956$49,046$841,002
Penni NanceBoard MemberPT$824,839$6,000$830,839
Joy OttTreasurerPT$792,603$6,000$798,603
Aaron SparboeBoard Member-$791,347$6,000$797,347
J Scott Millikan MDChair, PhysicianFT$623,852$51,574$675,426
Connie F PrewittCFOFT$439,214$194,905$634,119
Elizabeth FultonSecretaryPT$624,362$6,000$630,362
Robert N Hurd MDBoard Member, PhysicianFT$398,770$39,924$438,694
Clayton H McCracken MDBoard Member, PhysicianFT$365,638$46,876$412,514
Lil AndersonBoard Member-$402,041$6,000$408,041
Darrell EhrlickBoard Member-$365,937$6,000$371,937
Maria ValandraBoard Member-$13,441$6,000$19,441
Lyle Knightformer board member-$13,441-$13,441

Highest Paid Contractors

ContractorServicesLocationCompensation
Sodexo INCFood Service-$5,748,661
Healthcare Outsourcing NetworkEarly Out Vendor-$2,496,864
Hayes Locums LLCPhysician services-$2,418,352
Command HealthTranscription-$1,794,655
OptuminsightDenial Recovery-$1,543,796
Revenue and Support

Revenue Composition

Contributions and Grants
$2,223,188
Program Service Revenue
$564,854,800
Investment Income
$15,284,806
Other Revenue
$11,240,694
Change in Net Assets
$38,944,842

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Commercial1$250,000fair market value
Other Non Cash Contri Table3$29,307fair market value
Total Noncash Contributions4$279,307-

Audited Revenue Reconciliation

Revenue per Audited Statements
$548,065,536
Revenue Not Reported on Financial Statements
$45,537,952
Revenue Not Reported on Form 990
$16,390,702
Other Revenue Adjustments
$44,532,341
Total Revenue per Audited Statements
$564,456,238
Total Revenue per Form 990
$593,603,488
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$302,242,677
Other Expenses$251,656,215
Grants and Similar Amounts Paid$759,754
Total Fundraising Expense$338,073
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$196,428,457$52,686,956$13,297$249,128,710
Fees for Services Other$14,671,015$28,818,951-$43,489,966
Other Employee Benefits$17,441,558$4,639,829$10,066$22,091,453
Depreciation Depletion$13,744,497$5,890,498-$19,634,995
All Other Expenses$11,363,460$7,098,498$120,657$18,582,615
Payroll Taxes$12,446,390$3,300,657$7,878$15,754,925
Information Technology$1,066,624$11,059,953-$12,126,577
Pension Plan Contributions$9,351,611$2,458,656$3,605$11,813,872
Occupancy$5,460,400$2,340,171-$7,800,571
Office Expenses$5,043,705$2,169,342$36,027$7,249,074
Interest$4,581,294$1,963,411-$6,544,705
Current Officers, Directors, Trustees, and Key Employees$3,103,698$233,743$116,276$3,453,717
Insurance$1,350,550$1,786,668-$3,137,218
Travel$1,631,455$705,625-$2,337,080
Advertising$96,104$1,356,798$30,267$1,483,169
Fees for Services Legal-$1,283,948-$1,283,948
Fees for Service Investment Mgmnt Fees-$1,005,611-$1,005,611
Grants to Domestic Orgs$747,332--$747,332
Other Expenses$4,482,337$658,458-$658,458
Fees for Services Accounting-$200,248-$200,248
Fees for Services Lobbying-$159,612-$159,612
Conferences and Meetings-$66,000-$66,000
Fees for Services Management-$35,000-$35,000
Grants to Domestic Individuals$12,422--$12,422
Total Functional Expenses$422,480,938$131,839,635$338,073$554,658,646

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$554,658,646
Expenses per Audited Statements$519,013,033
Total Expenses per Audited Statements$519,013,033
Expenses Not Reported on Financial Statements$35,645,613
Other Expense Adjustments$34,640,002
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
81-0407289-501(c)(3)support operations$257,739
81-0431595-501(c)(3)Support Operations$211,988
20-3231164-501(c)(3)Support Operations$74,425
35-2332179-501(c)(3)Support Operations$30,000
81-6073209-501(c)(3)Rural Health Development$23,600
81-0513538-GovtSupport Operations$20,000
---Sponsorship$14,799
81-0400667-501(c)(3)Support Operations$12,500
81-6001713-501(c)(6)Support Operations$10,000
---Sponsorship$6,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
New West Health ServicesSee Part VClaims PaidNo$13,931,015
Aaron SparboeSEE PART vRentNo$811,693

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

Other Reported Liabilities

LiabilityAmount
Interest Rate Swap Agreement$23,417,939
Provision for Unpaid Claims$12,251,064
Estimated Claims Liability$7,441,641
Accrued Bond Interest & Interest Swaps$991,694
Due to Mdor$375,279
Deposits$15,800

Bond Issues

BondIssuerIssuedIssue PricePurpose
B36-46151552011-08-24$140,000,000capital projects, refund 2008 bond
A36-46151552008-05-30$60,000,000capital projects

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$140,124,100$84,553,156$6,785,000$858,750
A$60,000,000$0$31,315,000$1,200,000

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
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
Yes
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
No
Management duties delegated
No
Filing and Contact Details

Filer

EIN
81-0231784
In Care Of
% CONNIE F PREWITT
Phone
4062382500

Signing Officer

Name
Connie Prewitt
Title
CFO
Phone
4062382500
Signed
2015-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Nicholas Wolter MD
Formed
1907
Legal Domicile
Mt
Voting Board Members
12
Independent Board Members
7
Employees
4,225
Volunteers
325

Preparer

Preparer
Rita F Worster CPA
Phone
4062382500
Supplemental Narrative

Additional Explanations

Buisiness & Family Relationships

FORM 990, Part VI, LINE 2 NICHOLAS WOLTER, CONNIE PREWITT, AND JOY OTT have a business relationship because they are directors or officers of the WHOLLY-owned subsidiary disclosed on Schedule R, Part IV. DESCRIBE THE PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, LINE 11B The 990 review is completed before the return is filed. It is reviewed by the CFO, the executive group, the governance and nominating committee of the board and finally the board of directors.

Describe How Conflict of Interest Policy Is Monitored & Enforced

FORM 990, PART VI, LINE 12C The Governance and Nominating Committee of the Board of Directors, according to their charter, review annually the disclosure statements of the Board of Directors and senior executives and take action to resolve conflicts. A Conflict of Interest Review Panel, chaired by the Compliance Officer, as outlined in organizational policy, is responsible for reviewing disclosed conflicts and approving necessary conflict management plans of all other interested persons at Billings Clinic.

Describe Process for Determining Compensation

FORM 990, PART VI, LINE 15A & 15B Billings Clinic has as executive compensation program administered by independent trustees following best practices and the highest regulatory standards expected of a not-for-profit organization. They follow a board approved charter and overall executive compensation philosophy which defines the market as a comparable set of not-for-profit health care delivery systems. They look at relevant market data of similar roles in similar organizations. Annual disclosure of the committee's actions and decisions to the full Board is required.

Describe How Documents Are Made Available to the Public

FORM 990, PART VI, LINE 19 Billings Clinic makes it governing documents, conflict of interest policy and financial statements available to the public on an as needed basis.

Other Changes in Net Assets

Form 990, part xi, line 9 change in fair value of interest rate swap 865,368 change in interest of affiliates (9,586,487) interest imputed on intercompany receivables 305,852 total (9,026,971)

Prior Year Balance Sheet

Part x, column a during 06/30/14, the organization made reclassifications to the 06/30/13 consolidated financial statements to conform to the 06/30/14 financial statement presentation. These reclassifications did not have a net effect on the consolidated financials, however for 990 purposes, the reclassification resulted in a change to the 06/30/13 net assets. 06/30/13 prior year net assets - 354,302,789 06/30/13 restated prior year net assets - 357,239,566 increase in net assets - 2,936,777* * the increase in net assets is attributable to the presentation of how billings clinic shows their investment in an affiliate. The affiliate is eliminated on the consolidated financials but is treated as a seperate entity for tax purposes and is not eliminated on the billings clinic 990.

Financial Statement Notes

DESCRIBE THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS

SCHEDULE D, PART V, LINE 4 The Clinics endowment is held by the BILLINGS CLINIC Foundation. The endowment consists of approximately 70 individual funds established for a variety of purposes. The endowment includes both donor restricted endowment funds and funds designated by the governing body to function as endowments (board-designated endowment funds). Endowment funds are invested and held in perpetuity to provide a source of income for Billings Clinic programs and needs.

Uncertain Tax Positions

SCHEDULE D, PART X, LNE 2 The Clinic has been recognized as exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and a similar provision of state law. Accordingly, no provision for income taxes for these entities has been made in the accompanying financial statements. However, the Clinic is subject to federal and state income tax on any unrelated business taxable income. The Clinic files tax returns in the U.S. federal jurisdiction. With a few exceptions, the Clinic is no longer subject to U.S. federal examinations by tax authorities for years before 2011.

Revenue on Books, Not on Return

Schedule d, part xi, line 2d change in fair value of interest rate swap 865,368

Revenue on Return, Not on Books

Schedule d, part xi, line 4b change in interest of affiliates 9,586,487 bad debt expense reclassed to expense 34,640,002 interest imputed on intercompany receivables 305,852 total 44,532,341

Expense on Return, Not on Books

Schedule d, part xii, line 4b bad debt expense reclassed to expense 34,640,002

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IRS990/MissionDesc0Billings Clinic is a not-for-profit, physician-led, multispecialty medical group practice integrated with a hospital and long term care facility, serving the communities of Montana, northern Wyoming and the western Dakotas. Our mission is health care, education and research.
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IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc1BAD DEBT
IRS990/OtherExpensesGrp/Desc2REPAIRS & MAINTENANCE
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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,396$490$905$1,226$1,244$18.5
2023Detailed filing. Detailed filing data is available for this year.$1,396$496$900$540$553$12.8
2022Detailed filing. Detailed filing data is available for this year.$1,491$569$922$1,037$999$37.8
2021Detailed filing. Detailed filing data is available for this year.$1,330$370$959$923$882$40.8
2020Detailed filing. Detailed filing data is available for this year.$1,117$351$766$835$779$56.3
2019Detailed filing. Detailed filing data is available for this year.$1,052$336$716$797$723$73.9
2018Detailed filing. Detailed filing data is available for this year.$883$262$621$791$711$80.2
2017Detailed filing. Detailed filing data is available for this year.$776$260$517$753$679$73.7
2016Detailed filing. Detailed filing data is available for this year.$711$276$435$665$640$24.9
2015Detailed filing. Detailed filing data is available for this year.$706$273$433$648$606$42.6
2014Detailed filing. Detailed filing data is available for this year.$665$262$403$594$555$38.9
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$615$260$354$546
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$590$265$325$520
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$534$228$306$505
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$498$231$266$487