Liabilities / Assets
50th percentile
Higher debt load relative to assets than 50% of similar nonprofits.
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.39x
Liabilities / Revenue
23rd percentile
Higher debt load relative to revenue than 23% of similar nonprofits.
Net Margin
41st percentile
Higher net margin than 41% of similar nonprofits.
Top Officer Pay
33rd percentile
Higher top officer pay than 33% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
65th percentile
Faster asset growth than 65% of similar nonprofits.
Revenue Growth
65th percentile
Faster revenue growth than 65% of similar nonprofits.
Balance Sheet
Assets
Up$706,036,383
Up $41,052,087 (+6.2%) from 2014
Net Assets
Up$433,021,325
Up $30,338,554 (+7.5%) from 2014
Liabilities
Up$273,015,058
Up $10,713,533 (+4.1%) from 2014
Revenue And Expenses
Revenue
Up$648,365,278
Up $54,761,790 (+9.2%) from 2014
Expenses
Up$605,741,284
Up $51,082,638 (+9.2%) from 2014
Net Income
Up$42,623,994
Up $3,679,152 (+9.4%) from 2014
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2014 to Jun 30, 2015
- Signed
- May 10, 2016
- Return Version
- 2014v6.0
- Gross Receipts
- $1,263,711,187
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
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $227,085,235 | $240,376,416 | ▲ $13,291,181 |
| Land, Buildings, and Equipment, Net | $237,284,132 | $227,901,140 | ▼ $9,382,992 |
| Accounts Receivable | $87,737,588 | $102,564,914 | ▲ $14,827,326 |
| Investments Program Related | $6,356,131 | $18,496,547 | ▲ $12,140,416 |
| Cash and Non-Interest-Bearing Accounts | $20,873,647 | $11,599,632 | ▼ $9,274,015 |
| Inventories for Sale or Use | $7,547,825 | $7,413,795 | ▼ $134,030 |
| Savings and Temporary Cash Investments | $22,712,397 | $6,319,358 | ▼ $16,393,039 |
| Prepaid Expenses and Deferred Charges | $5,467,785 | $5,741,004 | ▲ $273,219 |
| Other Notes and Loans Receivable, Net | $242,088 | $443,944 | ▲ $201,856 |
| Total Assets | $664,984,296 | $706,036,383 | ▲ $41,052,087 |
| Other Assets Total | $49,677,468 | $85,179,633 | ▲ $35,502,165 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $161,900,000 | $156,175,048 | ▼ $5,724,952 |
| Accounts Payable and Accrued Expenses | $53,078,163 | $58,382,923 | ▲ $5,304,760 |
| Other Liabilities | $44,493,417 | $56,731,519 | ▲ $12,238,102 |
| Mortgage Notes Payable Secured by Investment Property | $2,436,275 | $1,607,316 | ▼ $828,959 |
| Deferred Revenue | $393,670 | $118,252 | ▼ $275,418 |
| Total Liabilities | $262,301,525 | $273,015,058 | ▲ $10,713,533 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $366,749,658 | $394,986,802 | ▲ $28,237,144 |
| Permanently Rstr Net Assets | $21,952,617 | $23,327,090 | ▲ $1,374,473 |
| Temporarily Rstr Net Assets | $13,980,496 | $14,707,433 | ▲ $726,937 |
| Total Net Assets Fund Balance | $402,682,771 | $433,021,325 | ▲ $30,338,554 |
| Total Liabilities and Net Assets / Fund Balance | $664,984,296 | $706,036,383 | ▲ $41,052,087 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $88,999,579 | $169,479,226 | $258,478,805 |
| Buildings | $106,529,617 | $75,537,179 | $182,066,796 |
| Other Land Buildings | $9,363,187 | $9,324,859 | $18,688,046 |
| Land | $22,516,411 | - | $17,943,001 |
| Leasehold Improvements | $492,346 | $1,474,651 | $1,966,997 |
| Investment Program Related Org | $18,496,547 | - | - |
| Other Assets Org | $-1,397,075 | - | - |
Endowment Activity
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2014 | $25,855,937 | $17,610,002 | ▲ $1,990,724 | $215,146 | $45,241,517 |
| 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 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Nicholas J Wolter | Chief Executive Officer | FT | $680,018 | $536,063 | $1,166,422 |
| Jared J Lund Md | Physician | FT | $860,997 | $39,859 | $900,856 |
| Michael a Morone Md | Physician | FT | $841,045 | $35,565 | $876,610 |
| Barry N Smith Md | Physician | FT | $819,258 | $42,387 | $861,645 |
| Robert J Hancock Md | Physician | FT | $785,330 | $35,689 | $821,019 |
| Bradley Zins Md | Physician | FT | $716,376 | $40,625 | $757,001 |
| J Scott Millikan Md | Physican Board Member | FT | $667,898 | $47,756 | $719,398 |
| Connie Prewitt | Chief Financial Officer | FT | $372,726 | $170,210 | $588,851 |
| Ch Mccracken Iii Md | Physician Board Member | FT | $297,722 | $39,831 | $337,553 |
| David Brown | Chairman | PT | - | $9,000 | $9,000 |
| Elizabeth Fulton | Treasurer | PT | - | $6,000 | $6,000 |
| Joy Ott | Vice Chair | PT | - | $6,000 | $6,000 |
| Lil Anderson | Secretary | PT | $6,000 | - | $6,000 |
| Aaron Sparboe | Board Member | - | - | $6,000 | $6,000 |
| Keith Cook | Board Member | - | - | $6,000 | $6,000 |
| Penni Nance | Board Member | - | $6,000 | - | $6,000 |
| Maria Valandra | Board Member | - | - | $3,000 | $3,000 |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Sodexo INC | Food Service | PO BOX 37000, Billings, MT 59107 | $5,054,451 |
| Optuminsight | Denial Recovery | 3436 MOMENTUM PLACE, Chicago, IL 60689 | $2,900,875 |
| Hayes Locums LLC | Physician Services | 6700 N ANDREWS AVE STE 600, Fort Lauderdale, FL 33309 | $2,533,412 |
| Command Health | Transcription | PO BOX 847797, Dallas, TX 75284 | $2,061,514 |
| Healthcare Outsourcing Network | Early Out Vendor | 621 17TH STREET STE 1800, Denver, CO 80293 | $2,009,039 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $7,063,534
- Program Service Revenue
- $621,890,549
- Investment Income
- $12,341,919
- Other Revenue
- $7,069,276
- Change in Net Assets
- $42,623,994
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $593,877,368
- Revenue Not Reported on Financial Statements
- $54,487,910
- Revenue Not Reported on Form 990
- $-2,897,931
- Other Revenue Adjustments
- $53,472,338
- Total Revenue per Audited Statements
- $590,979,437
- Total Revenue per Form 990
- $648,365,278
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $323,961,290 |
| Other Expenses | $280,972,044 |
| Grants and Similar Amounts Paid | $807,950 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $213,245,286 | $52,768,859 | - | $266,014,145 |
| Fees for Services Other | $19,565,883 | $27,408,033 | - | $46,973,916 |
| Other Employee Benefits | $15,045,175 | $11,033,903 | - | $26,079,078 |
| Depreciation Depletion | $18,795,122 | $3,953,620 | - | $22,748,742 |
| Payroll Taxes | $12,502,340 | $3,969,411 | - | $16,471,751 |
| Information Technology | $10,310,688 | $3,392,649 | - | $13,703,337 |
| Pension Plan Contributions | $10,206,718 | $2,398,810 | - | $12,605,528 |
| Office Expenses | $5,997,551 | $5,179,308 | - | $11,176,859 |
| All Other Expenses | $4,920,669 | $6,025,456 | - | $10,946,125 |
| Insurance | $8,565,596 | $916,391 | - | $9,481,987 |
| Interest | $4,889,723 | $1,806,634 | - | $6,696,357 |
| Occupancy | $5,492,580 | $1,099,314 | - | $6,591,894 |
| Other Expenses | $3,858,210 | $1,131,093 | - | $3,858,210 |
| Current Officers, Directors, Trustees, and Key Employees | $2,037,275 | $753,513 | - | $2,790,788 |
| Travel | $1,637,648 | $935,412 | - | $2,573,060 |
| Advertising | $46,887 | $1,991,820 | - | $2,038,707 |
| Fees for Services Legal | - | $1,340,198 | - | $1,340,198 |
| Fees for Service Investment Mgmnt Fees | - | $1,015,572 | - | $1,015,572 |
| Grants to Domestic Orgs | $793,950 | - | - | $793,950 |
| Fees for Services Accounting | - | $224,805 | - | $224,805 |
| Fees for Services Lobbying | - | $171,199 | - | $171,199 |
| Conferences and Meetings | $49,740 | $115,469 | - | $165,209 |
| Grants to Domestic Individuals | $14,000 | - | - | $14,000 |
| Total Functional Expenses | $477,715,567 | $128,025,717 | $0 | $605,741,284 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $605,741,284 |
| Expenses per Audited Statements | $562,742,300 |
| Total Expenses per Audited Statements | $562,742,300 |
| Expenses Not Reported on Financial Statements | $42,998,984 |
| Other Expense Adjustments | $41,983,412 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Billings Clinic Foundation | Billings, MT | 501c3 | Support Operations | $227,018 |
| Family Medicine Residency of Mt Wy | Missoula, MT | 501c6 | Support Operations | $213,806 |
| Community Crisis Center | Billings, MT | 501c3 | Support Operations | $81,191 |
| Riverstone Health | Billings, MT | 501c3 | Support Operations | $20,000 |
| Ronald Mcdonald House | Billings, MT | 501c3 | Support Operations | $17,000 |
| Billings Catholic Schools | Billings, MT | 501c3 | Support Operations | $11,000 |
| Mack Productions | Billings, MT | - | Sponsorship | $8,000 |
| Professional Bull Riders Assoc | Pueblo, CO | - | Sponsorship | $6,500 |
| Big Sky State Games | Billings, MT | - | Sponsorship | $6,000 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| 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 Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| New West Health Services | - | Claims Paid | No | $18,099,717 |
| Aaron Sparboe | Landlord | Rent | No | $1,257,416 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Interest Rate Swap Agreement | $23,250,324 |
| Mhi Liability | $10,421,761 |
| Due to New West | $9,596,443 |
| Reserve for Unpaid Claims | $8,649,205 |
| Due to Medicaremedicaid | $1,615,652 |
| Other | $1,378,562 |
| Reserve for First Care Loans | $961,780 |
| Employee Flex Funds | $427,983 |
| Abandoned Property | $366,549 |
| Deposits on Account | $63,260 |
Bond Issues
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | Montana Faclity Finance Auth | 2011-08-24 | $140,000,000 | Capital projects refund 2008 bonds |
| A | Montana Faclity Finance Auth | 2008-05-30 | $60,000,000 | CAPITAL PROJECTS |
Bond Proceeds
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $140,124,100 | - | $9,510,000 | $858,750 |
| A | $60,000,000 | $84,553,156 | $32,720,000 | $1,200,000 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Business relationship with family members
- No
- Business relationship with organization members
- 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
Governance Explanations
Officer directors etc family relationship 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”
Form 990 governing body review Part VI line 11
“The 990 review is completed before the return is filed. It is reviewed by the cfo and then the board of directors.”
Conflict of interest policy compliance 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 actions to resolve conflicts. A conflict of interest review panel, chaired by the compliance officer, as outlined in the organizational policy, is responsible for reviewing disclosed conflicts and approving necessary conflict management plans of all other interested persons at billings clinic.”
CEO executive director top management comp Part VI line 15A
“Billings clinic has an executive compensation program administered by independent trustees following best practices and the highest regulatory standards expected of a not-for-profit organization. They follow 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 committees actions and decisions to the full coard is required.”
Other officer or key employee compensation Part VI line 15B
“Billings clinic has an executive compensation program administered by independent trustees following best practices and the highest regulatory standards expected of a not-for-profit organization. They follow 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 committees actions and decisions to the full coard is required.”
Governing documents etc available to public Part VI line 19
“Billings clinic makes its governing documents, conflict of interest policy and financial statements available to the public on an as needed basis.”
Filing and Contact Details
Filer
- Filer Name
- Billings Clinic
- EIN
- 81-0231784
- Address
- 2800 TENTH AVENUE SOUTH, Billings, MT 59101
Signing Officer
- Name
- Connie Prewitt
- Title
- Chief Financial
- Phone
- 4062382500
- Signed
- 2016-05-10
Organization Details
- Principal Officer
- Nicholas J Wolter
- Formed
- 1907
- Legal Domicile
- Mt
- Voting Board Members
- 11
- Independent Board Members
- 8
- Employees
- 4,384
- Volunteers
- 325
Supplemental Narrative
Additional Explanations
Explanation of other changes in net assets or fund balances Part XI line 9
“Change in fair value of interest rate swap: $167,615change in interest of affiliates: ($10,318,665)interest imputed on intercompany receivables $931,156total ($9,219,894)”
Financial Statement Notes
Endowment funds intended uses (Part V, line 4)
“The organizations endowment consists of approximately 70 individual funds estatblished for a variety of purposes. 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.”
Other revenues not included on Form 990 (Part XI, line 2D)
“Other revenues not included on form 990, sch d, part xichange in fair value of interest rate swap $167,615”
Other revenues included on Form 990 (Part XI, line 4B)
“Other revenue included on form 990, sch d, part xichange in interest of affiliates $15,121,881bad debt $37,678,674interest imputed on intercompany receivables $931,156mhi loss ($259,373)total $53,472,338”
Other expenses included on Form 990 (Part XII, line 4B)
“Other expenses included on form 990, sch d, part xiibad debt expense $37,678,674mhi expense $4,304,738total $41,983,412”
Footnote for uncertain tax position under FIN 48 (Part X)
“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 of income tax for these entities has been made. However, the clinic is subject to federal and state income tax on any unrelated business taxable income. The clinic files tax returns in the us federal jurisdiction. With a few exceptions, the clinic is no longer subject to us federal examinations by tax authorities for years before 2012.”
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| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 118252 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 3953620 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 18795122 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 22748742 |
| IRS990/Desc | 0 | CLINIC PATIENT CARE VISITS 789,788 |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 4384 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 219284636 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 224805 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 224805 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1340198 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1340198 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 171199 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 171199 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 27408033 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 19565883 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 46973916 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 1015572 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 1015572 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 73.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 73.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 78.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 70.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 70.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 70.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 70.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 70.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 70.00 |
| 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/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/OtherCompensationAmt | 0 | 35721 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 9000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 6000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 6000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 6000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 6000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 3000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 39831 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 47756 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 65862 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 39859 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 35565 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 42387 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 35689 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 40625 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | NICHOLAS J WOLTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DAVID BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOY OTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ELIZABETH FULTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | LIL ANDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | PENNI NANCE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | KEITH COOK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | AARON SPARBOE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MARIA VALANDRA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | CH MCCRACKEN III MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | J SCOTT MILLIKAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | CONNIE PREWITT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JARED J LUND MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MICHAEL A MORONE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | BARRY N SMITH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | ROBERT J HANCOCK MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | BRADLEY ZINS MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1130701 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 6000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 6000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 297722 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 671642 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 522989 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 860997 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 841045 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 819258 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 785330 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 716376 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PHYSICIAN BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PHYSICAN BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1907 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -469827 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 5893814 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 14000 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 14000 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 793950 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 793950 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 3742 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 620575062 |
| IRS990/GrossReceiptsAmt | 0 | 1263711187 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 286974 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 386 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 3392649 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 10310688 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 13703337 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 916391 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 8565596 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 9481987 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1806634 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 4889723 |
| IRS990/InterestGrp/TotalAmt | 0 | 6696357 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 7547825 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 7413795 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 5986776 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 6917932 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 931156 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 6356131 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 18496547 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 227085235 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 240376416 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 441 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 255815915 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 237284132 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 227901140 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 483717055 |
| IRS990/LegalDomicileStateCd | 0 | MT |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 473569 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 614681248 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 191092 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 3539991 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 3539991 |
| IRS990/MissionDesc | 0 | BILLINGS CLINIC WILL BE A NATIONAL LEADER IN PROVIDING THE BEST CLINICAL QUALITY, PATIENT SAFETY, SERVICE AND VALUE |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 2436275 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1607316 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 402682771 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 433021325 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 5423987 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 5423987 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 95882 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 95882 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 3453003 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -3065546 |
| IRS990/NoncashContributionsAmt | 0 | 15001 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1099314 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 5492580 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 6591894 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 5179308 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 5997551 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 11176859 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 49677468 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 85179633 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -9219894 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 11033903 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 15045175 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 26079078 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | BED TAX |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 394248 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 1131093 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 96169897 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 37678673 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 5891956 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 3858210 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 96564145 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 37678673 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 7023049 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 3858210 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 44493417 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 56731519 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 541519 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 446199 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | REGIONAL IT SERVICES |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | OPTICAL SHOPCOSMETICS |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 2689337 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 744066 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 0 | 2689337 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 1 | 744066 |
| IRS990/OtherRevenueTotalAmt | 0 | 6973394 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 52768859 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 213245286 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 266014145 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2015 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $706,036,383
- Liabilities
- $273,015,058
- Net assets
- $433,021,325
- Revenue
- $648,365,278
- Expenses
- $605,741,284
- Net income
- $42,623,994