Civic Intelligence

Billings Clinic

990 • Fiscal year 2016 • EIN 81-0231784

Jul 01, 2015 to Jun 30, 2016 • Filed on Apr 28, 2017

2800 Tenth Avenue SouthBillings, MT 59101

(406) 238-2500

Siviq Scores

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

Liabilities / Assets

48th percentile

0.39x

Higher debt load relative to assets than 48% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Liabilities / Revenue

24th percentile

0.42x

Higher debt load relative to revenue than 24% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Net Margin

40th percentile

3.7%

Higher net margin than 40% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Top Officer Pay

33rd percentile

$1,216,135

Higher top officer pay than 33% of similar nonprofits.

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

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Asset Growth

36th percentile

0.7%

Faster asset growth than 36% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2015 to 2016

Revenue Growth

44th percentile

2.6%

Faster revenue growth than 44% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2015 to 2016

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

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

2016

Assets$711,015,080
Liabilities$276,052,936
Net Assets$434,962,144

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

2016

Revenue$665,026,036
Expenses$640,175,574
Net Income$24,850,462
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Apr 28, 2017
Return Version
2015v3.0
Gross Receipts
$1,291,926,031
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 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

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
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--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nicholas J WolterChief Executive OfficerFT$723,548$541,710$1,216,135
Michael a MoronePhysicianFT$892,504$38,519$931,023
Michael a Morone MdPhysician-$892,504$74,488$931,023
Barry N SmithPhysicianFT$858,483$39,936$898,419
Barry N Smith MdPhysician-$830,002$39,936$898,419
Robert SchultzPhysicianFT$806,271$32,435$838,706
Robert Schultz MdPhysician-$770,302$32,435$838,706
Jared J LundPhysicianFT$794,214$40,393$834,607
Jared J Lund MdPhysician-$774,214$68,874$834,607
Bradley ZinsPhysicianFT$748,313$39,851$788,164
Bradley Zins MdPhysician-$748,313$39,851$788,164
Connie PrewittChief Financial OfficerFT$398,606$150,874$598,603
Clayton H Mccracken IiiPhysician Board MemberFT$335,091$46,686$381,777
Clayton H Mccracken Iii MdPhysician Board Member-$335,091$66,686$381,777
Robert PueringerPhysician Board MemberFT$319,441$44,148$363,589
Robert Pueringer MdPhysician Board Member-$319,441$44,148$363,589
Darrell EhrlickFormer Board Member-$28,497-$28,497
David BrownChairmanPT-$13,690$13,690
Linda OverstreetFormer Board Member-$12,758-$12,758
Joy OttVice ChairPT-$7,310$7,310
Elizabeth FultonTreasurerPT-$6,913$6,913
Aaron SparboeBoard Member--$6,522$6,522
Lil AndersonSecretaryPT$6,000-$6,000
Penni NanceBoard Member-$6,000-$6,000
Craig BartholomewBoard Member--$3,011$3,011

Highest Paid Contractors

ContractorServicesLocationCompensation
Sodexo INCFood ServicePO BOX 37000, Billings, MT 59107$4,267,448
Hayes Locums LLCPhysician Services6700 N ANDREWS AVE STE 600, Fort Lauderdale, FL 33309$3,984,588
Healthcare Outsourcing NetworkEarly Out Vendor621 17TH STREET STE 1800, Denver, CO 80293$2,061,321
Command HealthTranscriptionPO BOX 847797, Dallas, TX 75284$2,009,616
Cbb CollectionsCollection Agency3318 3RD AVE N STE 100, Billings, MT 59107-1213$1,801,604
Revenue and Support

Revenue Composition

Contributions and Grants
$6,882,544
Program Service Revenue
$644,159,429
Investment Income
$2,653,118
Other Revenue
$11,330,945
Change in Net Assets
$24,850,462

Audited Revenue Reconciliation

Revenue per Audited Statements
$603,464,995
Revenue Not Reported on Financial Statements
$61,561,041
Revenue Not Reported on Form 990
$-4,806,878
Other Revenue Adjustments
$60,557,827
Total Revenue per Audited Statements
$598,658,117
Total Revenue per Form 990
$665,026,036
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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

Audited Expense Reconciliation

Line ItemAmount
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
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Billings Clinic FoundationBillings, MT501c3Support Operations$143,511
Community Crisis CenterBillings, MT501c3Support Operations$87,956
Ronald Mcdonald HouseBillings, MT501c3Support Operations$22,600
Boys and Girls Club of YellowstoneBillings, MT501c3Support Addition of New Location$20,000
Big Sky State GamesBillings, MT-Sponsorship$6,000
Silver Run Ski FoundationRed Lodge, MT-Sponsorship$5,900
Family PromiseBillings, MT-Support Operations and Capital Campaign$5,500
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 Services-Claims PaidNo$16,900,000
Aaron SparboeLandlordRentNo$1,379,397
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
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 Issues

BondIssuerIssuedIssue PricePurpose
BMontana Faclity Finance Auth2011-08-24$140,000,000Capital projects refund 2008 bonds
AMontana Faclity Finance Auth2008-05-30$60,000,000CAPITAL PROJECTS

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$140,124,100-$12,360,000$858,750
A$60,000,000$84,553,156$34,025,000$1,200,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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

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 board 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 board 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
CFO
Phone
4062382500
Signed
2017-04-28

Organization Details

Principal Officer
Nicholas J Wolter
Formed
1907
Legal Domicile
Mt
Voting Board Members
11
Independent Board Members
8
Employees
4,604
Volunteers
316
Supplemental Narrative

Additional Explanations

Explanation of other changes in net assets or fund balances Part XI line 9

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)

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)

Change in fair value of interest rate swap ($6,563,940)

Other revenues included on Form 990 (Part XI, line 4B)

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

Other expenses included on Form 990 (Part XII, line 4B)

Bad debt expense $35,041,529mhi expense $1,825,228total $36,866,759

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 2013.

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IRS990/Desc0BILLINGS 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.
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IRS990/Form990PartVIISectionAGrp/TitleTxt10CHIEF FINANCIAL OFFICER
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IRS990/MissionDesc0BILLINGS 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
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IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc1BAD DEBT
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IRS990/OtherRevenueMiscGrp/BusinessCd0541519
IRS990/OtherRevenueMiscGrp/BusinessCd1446199

Document Assets

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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