Liabilities / Assets
48th percentile
Higher debt load relative to assets than 48% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
48th percentile
Higher debt load relative to assets than 48% of similar nonprofits.
Liabilities / Revenue
24th percentile
Higher debt load relative to revenue than 24% of similar nonprofits.
Net Margin
40th percentile
Higher net margin than 40% 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
36th percentile
Faster asset growth than 36% of similar nonprofits.
Revenue Growth
44th percentile
Faster revenue growth than 44% of similar nonprofits.
Assets
Up$711,015,080
Up $4,978,697 (+0.7%) from 2015
Net Assets
Up$434,962,144
Up $1,940,819 (+0.4%) from 2015
Liabilities
Up$276,052,936
Up $3,037,878 (+1.1%) from 2015
Revenue
Up$665,026,036
Up $16,660,758 (+2.6%) from 2015
Expenses
Up$640,175,574
Up $34,434,290 (+5.7%) from 2015
Net Income
Down$24,850,462
Down $17,773,532 (-42%) from 2015
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 in a not-for profit integrated multi-specialty group practice with a hospital and long term care facility serving the communities of montana, wyoming and north dakota. Billings clinic mission is health care, educaton and research
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $240,376,416 | $245,865,238 | ▲ $5,488,822 |
| Land, Buildings, and Equipment, Net | $227,901,140 | $231,690,027 | ▲ $3,788,887 |
| Accounts Receivable | $102,564,914 | $90,707,342 | ▼ $11,857,572 |
| Investments Program Related | $18,496,547 | $18,397,884 | ▼ $98,663 |
| Cash and Non-Interest-Bearing Accounts | $11,599,632 | $16,701,241 | ▲ $5,101,609 |
| Inventories for Sale or Use | $7,413,795 | $9,544,802 | ▲ $2,131,007 |
| Prepaid Expenses and Deferred Charges | $5,741,004 | $9,222,003 | ▲ $3,480,999 |
| Savings and Temporary Cash Investments | $6,319,358 | $6,411,982 | ▲ $92,624 |
| Other Notes and Loans Receivable, Net | $443,944 | $194,177 | ▼ $249,767 |
| Total Assets | $706,036,383 | $711,015,080 | ▲ $4,978,697 |
| Other Assets Total | $85,179,633 | $82,280,384 | ▼ $2,899,249 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $156,175,048 | $152,171,468 | ▼ $4,003,580 |
| Other Liabilities | $56,731,519 | $63,899,617 | ▲ $7,168,098 |
| Accounts Payable and Accrued Expenses | $58,382,923 | $59,230,375 | ▲ $847,452 |
| Mortgage Notes Payable Secured by Investment Property | $1,607,316 | $722,468 | ▼ $884,848 |
| Deferred Revenue | $118,252 | $29,008 | ▼ $89,244 |
| Total Liabilities | $273,015,058 | $276,052,936 | ▲ $3,037,878 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $394,986,802 | $395,690,325 | ▲ $703,523 |
| Permanently Rstr Net Assets | $23,327,090 | $24,127,167 | ▲ $800,077 |
| Temporarily Rstr Net Assets | $14,707,433 | $15,144,652 | ▲ $437,219 |
| Total Net Assets Fund Balance | $433,021,325 | $434,962,144 | ▲ $1,940,819 |
| Total Liabilities and Net Assets / Fund Balance | $706,036,383 | $711,015,080 | ▲ $4,978,697 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $88,830,910 | $185,724,903 | $274,555,813 |
| Buildings | $107,628,620 | $80,576,087 | $188,204,707 |
| Other Land Buildings | $12,311,251 | $9,758,369 | $22,069,620 |
| Land | $22,516,411 | - | $17,943,001 |
| Leasehold Improvements | $402,835 | $1,589,349 | $1,992,184 |
| Investment Program Related Org | $18,397,884 | - | - |
| Other Assets Org | $-2,526,384 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2015 | $45,241,517 | $808,522 | ▲ $1,194,556 | $303,870 | $46,940,725 |
| 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 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Nicholas J Wolter | Chief Executive Officer | FT | $723,548 | $541,710 | $1,216,135 |
| Michael a Morone | Physician | FT | $892,504 | $38,519 | $931,023 |
| Michael a Morone Md | Physician | - | $892,504 | $74,488 | $931,023 |
| Barry N Smith | Physician | FT | $858,483 | $39,936 | $898,419 |
| Barry N Smith Md | Physician | - | $830,002 | $39,936 | $898,419 |
| Robert Schultz | Physician | FT | $806,271 | $32,435 | $838,706 |
| Robert Schultz Md | Physician | - | $770,302 | $32,435 | $838,706 |
| Jared J Lund | Physician | FT | $794,214 | $40,393 | $834,607 |
| Jared J Lund Md | Physician | - | $774,214 | $68,874 | $834,607 |
| Bradley Zins | Physician | FT | $748,313 | $39,851 | $788,164 |
| Bradley Zins Md | Physician | - | $748,313 | $39,851 | $788,164 |
| Connie Prewitt | Chief Financial Officer | FT | $398,606 | $150,874 | $598,603 |
| Clayton H Mccracken Iii | Physician Board Member | FT | $335,091 | $46,686 | $381,777 |
| Clayton H Mccracken Iii Md | Physician Board Member | - | $335,091 | $66,686 | $381,777 |
| Robert Pueringer | Physician Board Member | FT | $319,441 | $44,148 | $363,589 |
| Robert Pueringer Md | Physician Board Member | - | $319,441 | $44,148 | $363,589 |
| Darrell Ehrlick | Former Board Member | - | $28,497 | - | $28,497 |
| David Brown | Chairman | PT | - | $13,690 | $13,690 |
| Linda Overstreet | Former Board Member | - | $12,758 | - | $12,758 |
| Joy Ott | Vice Chair | PT | - | $7,310 | $7,310 |
| Elizabeth Fulton | Treasurer | PT | - | $6,913 | $6,913 |
| Aaron Sparboe | Board Member | - | - | $6,522 | $6,522 |
| Lil Anderson | Secretary | PT | $6,000 | - | $6,000 |
| Penni Nance | Board Member | - | $6,000 | - | $6,000 |
| Craig Bartholomew | Board Member | - | - | $3,011 | $3,011 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Sodexo INC | Food Service | PO BOX 37000, Billings, MT 59107 | $4,267,448 |
| Hayes Locums LLC | Physician Services | 6700 N ANDREWS AVE STE 600, Fort Lauderdale, FL 33309 | $3,984,588 |
| Healthcare Outsourcing Network | Early Out Vendor | 621 17TH STREET STE 1800, Denver, CO 80293 | $2,061,321 |
| Command Health | Transcription | PO BOX 847797, Dallas, TX 75284 | $2,009,616 |
| Cbb Collections | Collection Agency | 3318 3RD AVE N STE 100, Billings, MT 59107-1213 | $1,801,604 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $351,210,024 |
| Other Expenses | $288,444,620 |
| Grants and Similar Amounts Paid | $520,930 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $231,937,441 | $54,943,601 | - | $286,881,042 |
| Fees for Services Other | $22,822,736 | $24,931,612 | - | $47,754,348 |
| Other Employee Benefits | $16,538,724 | $13,491,914 | - | $30,030,638 |
| Depreciation Depletion | $15,543,552 | $8,100,556 | - | $23,644,108 |
| Payroll Taxes | $13,541,419 | $4,446,533 | - | $17,987,952 |
| Information Technology | $10,604,856 | $3,236,295 | - | $13,841,151 |
| Pension Plan Contributions | $10,818,819 | $2,536,173 | - | $13,354,992 |
| All Other Expenses | $4,818,905 | $6,060,873 | - | $10,879,778 |
| Office Expenses | $3,849,409 | $5,716,630 | - | $9,566,039 |
| Insurance | $6,622,198 | $1,677,198 | - | $8,299,396 |
| Interest | $4,900,817 | $1,683,012 | - | $6,583,829 |
| Occupancy | $5,555,516 | $989,135 | - | $6,544,651 |
| Other Expenses | $3,898,114 | $1,628,846 | - | $3,898,114 |
| Current Officers, Directors, Trustees, and Key Employees | $2,199,520 | $755,880 | - | $2,955,400 |
| Travel | $1,745,350 | $1,024,719 | - | $2,770,069 |
| Advertising | $37,559 | $1,740,445 | - | $1,778,004 |
| Fees for Services Legal | $10,923 | $1,350,263 | - | $1,361,186 |
| Fees for Service Investment Mgmnt Fees | - | $1,003,214 | - | $1,003,214 |
| Grants to Domestic Orgs | $499,601 | - | - | $499,601 |
| Fees for Services Accounting | $2,350 | $189,367 | - | $191,717 |
| Conferences and Meetings | $51,173 | $125,835 | - | $177,008 |
| Fees for Services Lobbying | - | $143,559 | - | $143,559 |
| Grants to Domestic Individuals | $21,329 | - | - | $21,329 |
| Total Functional Expenses | $504,209,244 | $135,966,330 | $0 | $640,175,574 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $640,175,574 |
| Expenses per Audited Statements | $602,305,601 |
| Total Expenses per Audited Statements | $602,305,601 |
| Expenses Not Reported on Financial Statements | $37,869,973 |
| Other Expense Adjustments | $36,866,759 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Billings Clinic Foundation | Billings, MT | 501c3 | Support Operations | $143,511 |
| Community Crisis Center | Billings, MT | 501c3 | Support Operations | $87,956 |
| Ronald Mcdonald House | Billings, MT | 501c3 | Support Operations | $22,600 |
| Boys and Girls Club of Yellowstone | Billings, MT | 501c3 | Support Addition of New Location | $20,000 |
| Big Sky State Games | Billings, MT | - | Sponsorship | $6,000 |
| Silver Run Ski Foundation | Red Lodge, MT | - | Sponsorship | $5,900 |
| Family Promise | Billings, MT | - | Support Operations and Capital Campaign | $5,500 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| New West Health Services | - | Claims Paid | No | $16,900,000 |
| Aaron Sparboe | Landlord | Rent | No | $1,379,397 |
| Liability | Amount |
|---|---|
| Interest Rate Swap Agreement | $29,814,264 |
| Mhi Liability | $18,696,897 |
| Due to New West | $8,196,510 |
| Due to Medicaremedicaid | $3,469,761 |
| Deferred Compensation | $1,408,136 |
| Reserve for First Care Loans | $999,571 |
| Abandoned Property | $545,966 |
| Reserve for Unpaid Claims | $467,950 |
| Employee Flex Funds | $240,999 |
| Deposits on Account | $59,563 |
| 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 | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $140,124,100 | - | $12,360,000 | $858,750 |
| A | $60,000,000 | $84,553,156 | $34,025,000 | $1,200,000 |
“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”
“The 990 review is completed before the return is filed. It is reviewed by the cfo and then the board of directors.”
“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.”
“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 board is required.”
“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 board is required.”
“Billings clinic makes its governing documents, conflict of interest policy and financial statements available to the public on an as needed basis.”
“Interest on affiliate loans $79,286change in fair value of swaps (6,563,940)change in affilates 38,130,420loss on new west debt (57,394,971total ($25,749,205)”
“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.”
“Change in fair value of interest rate swap ($6,563,940)”
“Change in interest of affiliates ($32,406,927)bad debt $35,041,529interest imputed on intercompany receivables 79,286mhi income 528,254gain (loss) on new west notes 57,394,971total $60,637,113”
“Bad debt expense $35,041,529mhi expense $1,825,228total $36,866,759”
“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 2013.”
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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 58382923 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 59230375 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 102564914 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 90707342 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | BILLINGS CLINIC IN A NOT-FOR PROFIT INTEGRATED MULTI-SPECIALTY GROUP PRACTICE WITH A HOSPITAL AND LONG TERM CARE FACILITY SERVING THE COMMUNITIES OF MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC MISSION IS HEALTH CARE, EDUCATON AND RESEARCH |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1740445 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 37559 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1778004 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 6060873 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 4818905 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 10879778 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | CONNIE PREWITT |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4062382500 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2800 TENTH AVENUE SOUTH |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Billings |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MT |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 59101 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | true |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 11599632 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 16701241 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 28 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 755880 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 2199520 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 2955400 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 125835 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 51173 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 177008 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 4267448 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 3984588 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2009616 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1801604 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 2061321 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 37000 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 6700 N ANDREWS AVE STE 600 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 847797 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 3318 3RD AVE N STE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 621 17TH STREET STE 1800 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Billings |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Fort Lauderdale |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Billings |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Denver |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 59107 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 33309 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 75284 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 591071213 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 80293 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | SODEXO INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | HAYES LOCUMS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | COMMAND HEALTH |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | CBB COLLECTIONS |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | HEALTHCARE OUTSOURCING NETWORK |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | FOOD SERVICE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PHYSICIAN SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | TRANSCRIPTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | COLLECTION AGENCY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | EARLY OUT VENDOR |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 6882544 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 520930 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2653118 |
| IRS990/CYOtherExpensesAmt | 0 | 288444620 |
| IRS990/CYOtherRevenueAmt | 0 | 11330945 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 644159429 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 24850462 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 351210024 |
| IRS990/CYTotalExpensesAmt | 0 | 640175574 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 665026036 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 118252 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 29008 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 8100556 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 15543552 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 23644108 |
| IRS990/Desc | 0 | BILLINGS CLINIC HAS A 304 BED HOSPITAL AND TRAUMA CENTER. THE FAMILY BIRTH CENTER CARES FOR OVER 1,200 NEWBORNS EACH YEAR OFFEREING PRIVATE SUITES, FAMILY CENTERED SINGLE ROOM MATERNITY CARE AND A NEONATAL INTENSIVE CARE UNIT (NICU). SURGICAL SERVICES INCLUDE CARDIAC, THORACIC AND VASCULAR SURGERY, GENERAL SURGERY, GYNECOLOGIC ONCOLOGY, NEUROSURGERY, OB/GYN, OPHTHALMOLOGY, ORTHOPEDICS, EAR, NOSE AND THROAT SURGERY, FACIAL PLASTICS AND RECONSTRUCTIVE SURGERY, PODIATRY AND UROLOGY. BILLINGS CLINIC HAS A 44 BED INPATIENT PSYCHIATRIC UNIT THAT OFFERS THE ONLY INPATIENT CARE FOR YOUTH AND ADULTS IN EASTERN MONTANA. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 4604 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 242170574 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 189367 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 2350 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 191717 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1350263 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 10923 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1361186 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 143559 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 143559 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 24931612 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 22822736 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 47754348 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 1003214 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 1003214 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 5.00 |
| 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 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| 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/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 70.00 |
| 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 | 70.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 70.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 70.00 |
| 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 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | 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/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/OtherCompensationAmt | 0 | 31909 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 13690 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 7310 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 6913 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 6522 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 46686 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 3011 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 44148 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 39037 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 40393 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 38519 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 39936 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 32435 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 39851 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| 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 | AARON SPARBOE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | CLAYTON H MCCRACKEN III |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | CRAIG BARTHOLOMEW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ROBERT PUERINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | CONNIE PREWITT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JARED J LUND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MICHAEL A MORONE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | BARRY N SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ROBERT SCHULTZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | BRADLEY ZINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DARRELL EHRLICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | LINDA OVERSTREET |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1184226 |
| 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 | 335091 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 319441 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 559566 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 794214 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 892504 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 858483 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 806271 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 748313 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 28497 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 12758 |
| 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/ReportableCompFromRltdOrgAmt | 17 | 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 | PHYSICIAN BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PHYSICIAN BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | FORMER BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | FORMER BOARD MEMBER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1907 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -101043 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -2291521 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GrantAmt | 0 | 322541 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 21329 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 21329 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 499601 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 499601 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 624308665 |
| IRS990/GrossReceiptsAmt | 0 | 1291926031 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 274408 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 488 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 3236295 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 10604856 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 13841151 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1677198 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 6622198 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 8299396 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1683012 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 4900817 |
| IRS990/InterestGrp/TotalAmt | 0 | 6583829 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 7413795 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 9544802 |
| IRS990/InvestmentExpenseAmt | 0 | 1003214 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 5045682 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 5045682 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 18496547 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 18397884 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 240376416 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 245865238 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 141 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 277648708 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 227901140 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 231690027 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 509338735 |
| IRS990/LegalDomicileStateCd | 0 | MT |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 101043 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 626600186 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 198766 |
| 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 | 6195345 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 7776703 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 1581358 |
| IRS990/MissionDesc | 0 | BILLINGS CLINIC IN A NOT-FOR PROFIT INTEGRATED MULTI-SPECIALTY GROUP PRACTICE WITH A HOSPITAL AND LONG TERM CARE FACILITY SERVING THE COMMUNITIES OF MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC MISSION IS HEALTH CARE, EDUCATON AND RESEARCH |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1607316 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 722468 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 433021325 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 434962144 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -2392564 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -2392564 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 75642 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 75642 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 2088989 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1757062 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 989135 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 5555516 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 6544651 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 5716630 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 3849409 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 9566039 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 85179633 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 82280384 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -25669919 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 13491914 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 16538724 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 30030638 |
| 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 | 190670 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 1628846 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 106372268 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 35041530 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 6775135 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 3898114 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 106562938 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 35041530 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 8403981 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 3898114 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 56731519 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 63899617 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 541519 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 446199 |
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Displayed year
2016 • Form 990Detailed filing. Detailed filing data is available for this year.