Civic Intelligence

Billings Clinic

990 • Fiscal year 2017 • EIN 81-0231784

Jul 01, 2016 to Jun 30, 2017 • Filed on May 15, 2018

Organization ProfileWWW.BILLINGSCLINIC.ORG

View Organization Page

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

46th percentile

0.33x

Higher debt load relative to assets than 46% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Liabilities / Revenue

22nd percentile

0.34x

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

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Net Margin

61st percentile

9.8%

Higher net margin than 61% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Top Officer Pay

34th percentile

$1,251,439

Higher top officer pay than 34% of similar nonprofits.

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

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Asset Growth

58th percentile

9.2%

Faster asset growth than 58% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Revenue Growth

72nd percentile

13%

Faster revenue growth than 72% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets46th percentile

Assets

Up

$776,435,285

Up $65,420,205 (+9.2%) from 2016

Net Assets

Up

$516,736,807

Up $81,774,663 (+19%) from 2016

Liabilities

Down

$259,698,478

Down $16,354,458 (-5.9%) from 2016

Revenue And Expenses
Liabilities / Revenue22nd percentileNet Margin61st percentile

Revenue

Up

$752,914,300

Up $87,888,264 (+13%) from 2016

Expenses

Up

$679,194,521

Up $39,018,947 (+6.1%) from 2016

Net Income

Up

$73,719,779

Up $48,869,317 (+197%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth58th percentile

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

2017

Assets$776,435,285
Liabilities$259,698,478
Net Assets$516,736,807
Open 2017 Filing

Operations Trend

Revenue Growth72nd percentile

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

2017

Revenue$752,914,300
Expenses$679,194,521
Net Income$73,719,779
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 15, 2018
Return Version
2016v3.1
Gross Receipts
$1,357,539,184
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 IS A NOT-FOR PROFIT MULTI-SPECIALTY Physician GROUP PRACTICE which provides Healthcare, Research and Education.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$231,690,027$245,322,399▲ $13,632,372
Investments in Publicly Traded Securities$245,865,238$231,840,570▼ $14,024,668
Accounts Receivable$90,707,342$119,635,287▲ $28,927,945
Savings and Temporary Cash Investments$6,411,982$48,393,488▲ $41,981,506
Investments Program Related$18,397,884$21,935,675▲ $3,537,791
Cash and Non-Interest-Bearing Accounts$16,701,241$17,873,039▲ $1,171,798
Inventories for Sale or Use$9,544,802$8,459,783▼ $1,085,019
Prepaid Expenses and Deferred Charges$9,222,003$5,101,151▼ $4,120,852
Other Notes and Loans Receivable, Net$194,177$87,408▼ $106,769
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$711,015,080$776,435,285▲ $65,420,205
Other Assets Total$82,280,384$77,786,485▼ $4,493,899
Liabilities
Tax Exempt Bond Liabilities$152,171,468$147,820,075▼ $4,351,393
Accounts Payable and Accrued Expenses$59,230,375$68,984,857▲ $9,754,482
Other Liabilities$63,899,617$41,057,934▼ $22,841,683
Deferred Revenue$29,008$1,835,612▲ $1,806,604
Mortgage Notes Payable Secured by Investment Property$722,468$0▼ $722,468
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$276,052,936$259,698,478▼ $16,354,458
Net Assets / Fund Balance
Unrestricted Net Assets$395,690,325$479,607,300▲ $83,916,975
Permanently Rstr Net Assets$24,127,167$25,358,641▲ $1,231,474
Temporarily Rstr Net Assets$15,144,652$11,770,866▼ $3,373,786
Total Net Assets Fund Balance$434,962,144$516,736,807▲ $81,774,663
Total Liabilities and Net Assets / Fund Balance$711,015,080$776,435,285▲ $65,420,205

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$90,127,112$199,915,602$290,042,714
Buildings$112,326,504$85,704,322$198,030,826
Land$33,814,581-$23,916,839
Other Land Buildings$8,377,811$10,239,782$18,617,593
Leasehold Improvements$676,391$1,704,039$2,380,430
Other Assets Org$598,147--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$46,940,725$1,430,705▲ $1,962,519$449,773$49,884,176
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▲ $1,054,443$-12,633$23,262,946
Compensation and Service Providers
Top Officer Pay34th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nicholas J WolterCEO - Thru January 2017FT$731,103$520,336$1,251,439
Scott A SamplePhysicianFT$937,039$55,557$992,596
Mark P PiedraPhysicianFT$869,145$33,752$902,897
Barry N SmithPhysicianFT$803,193$83,689$886,882
Jeffry O LindenbaumPhysicianFT$800,060$72,144$872,204
Jared J LundPhysicianFT$771,461$75,475$846,936
Randall GibbInterim CEOFT$552,188$215,993$768,181
Connie PrewittChief Financial OfficerFT$477,494$234,490$711,984
Robert Pueringer MdPhysician Board MemberFT$405,735$54,690$460,425
Clayton H Mccracken Iii MdPhysician Board MemberFT$344,539$60,333$404,872
Darrell EhrlickFormer Board Member-$29,344-$29,344
Linda OverstreetFormer Board Member-$13,129-$13,129
David BrownBoard MemberPT-$10,850$10,850
Joy OttBoard ChairPT-$10,368$10,368
Elizabeth FultonTreasurerPT-$6,993$6,993
Craig BartholomewBoard MemberPT-$6,139$6,139
Frank ReedBoard MemberPT$6,000-$6,000
Lil AndersonSecretaryPT$6,000-$6,000
Penni NanceVice Chair-$6,000-$6,000
Keith CookBoard memberPT$3,000-$3,000
Bill EbzeryBoard MemberPT$1,500-$1,500

Board Members and Trustees

NameTitle
Wayne HirschBoard Member

Highest Paid Contractors

ContractorServicesLocationCompensation
HAyes LocumsPhysicians Services6700 N Andrews Ave STE 600, Fort Lauderdale, FL 33309$5,170,226
SodexoFood ServicePO BOX 360170, Pittsburgh, PA 15251$4,270,665
Healthcare OUtsourcing NetworkEarly out vendor621 17th street ste 1800, Denver, CO 80293$1,972,496
Command healthTranscriptionPO Box 844797, Dallas, TX 75284$1,835,292
Healtcare Resource GroupDenial Resolution12610 East Mirabeau Parkway, Spokane Washington, WA 99216$1,614,137
Revenue and Support

Revenue Composition

Contributions and Grants
$8,616,665
Program Service Revenue
$709,548,648
Investment Income
$19,474,531
Other Revenue
$15,274,456
Change in Net Assets
$73,719,779

Audited Revenue Reconciliation

Revenue per Audited Statements
$726,392,708
Revenue Not Reported on Financial Statements
$26,521,592
Revenue Not Reported on Form 990
$8,044,886
Other Revenue Adjustments
$25,416,242
Total Revenue per Audited Statements
$734,437,594
Total Revenue per Form 990
$752,914,300
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$365,871,574
Other Expenses$312,900,780
Grants and Similar Amounts Paid$422,167
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$242,323,939$56,458,328-$298,782,267
Fees for Services Other$33,196,417$25,516,736-$58,713,153
Other Employee Benefits$17,251,072$11,879,438-$29,130,510
Depreciation Depletion$20,807,596$4,138,569-$24,946,165
All Other Expenses$5,443,320$14,053,547-$19,496,867
Payroll Taxes$14,607,667$4,165,842-$18,773,509
Information Technology$10,850,086$3,259,258-$14,109,344
Pension Plan Contributions$11,632,661$2,128,682-$13,761,343
Occupancy$6,751,315$992,795-$7,744,110
Interest$5,017,763$1,669,912-$6,687,675
Insurance$128,836$5,514,771-$5,643,607
Office Expenses$2,480,095$3,094,405-$5,574,500
Current Officers, Directors, Trustees, and Key Employees$4,069,586$1,354,359-$5,423,945
Travel$2,925,630$1,165,588-$4,091,218
Other Expenses$3,963,688$1,938,863-$3,963,688
Advertising$20,827$2,389,947-$2,410,774
Fees for Services Legal$4,744$1,390,692-$1,395,436
Fees for Service Investment Mgmnt Fees-$1,105,350-$1,105,350
Grants to Domestic Orgs$384,987--$384,987
Fees for Services Accounting-$284,253-$284,253
Fees for Services Lobbying-$161,509-$161,509
Conferences and Meetings-$117,788-$117,788
Fees for Services Management-$40,000-$40,000
Grants to Domestic Individuals$37,180--$37,180
Total Functional Expenses$536,126,272$143,068,249$0$679,194,521

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$679,194,521
Expenses per Audited Statements$652,314,410
Total Expenses per Audited Statements$652,314,410
Expenses Not Reported on Financial Statements$26,880,111
Other Expense Adjustments$25,774,761
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Billings Clinic FoundationBillings, MT501(c)(3)To Support Operations$67,659
Community Crisis CenterBillings, MT501(c)(3)To Support Operations-
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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
Aaron SparboeSee Part VRentNo$679,208

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Interest Rate Swap Agreement$21,478,827
Provision for Unpaid Claims$9,048,065
Estimated Claims Liability$8,803,060
Accrued Interest$846,518
Due to Mdor$572,324
Unearned Premiums$285,500
Deposits$23,640

Bond Issues

BondIssuerIssuedIssue PricePurpose
BMontana Facility Finance Authority2011-08-24$140,000,000Capital projects, refund 2008 bond
AMONTANA FACiLITY FINANCE AUTHority2008-05-30$60,000,000CAPITAL PROJECTS

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$140,124,100$84,561,674$15,345,000$858,750
A$60,000,000$0$35,480,000$1,200,000

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

“Business or Family Transaction: NICHOLAS WOLTER, CONNIE PREWITT, JOY OTT, AND Randall Gibb HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE DIRECTORS OR OFFICERS OF THE SUBSIDIARY New West DISCLOSED ON SCHEDULE R, PART IV.”

Form 990, Part VI, Section B, line 11B

“Process to review 990: THE 990 REVIEW IS COMPLETED BEFORE THE RETURN IS FILED. IT IS REVIEWED BY THE CFO AND THEN THE BOARD OF DIRECTORS.”

Form 990, Part VI, Section B, line 12C

“Process to monitor conflict of interest: 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.”

Form 990, Part VI, Section B, line 15A & 15B

“Process to Determine CEO Compensation: BILLINGS CLINIC HAS AN EXECUTIVE COMPENSATION PROGRAM ADMINISTERED Annualy 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 COMMITTEE'S ACTIONS AND DECISIONS TO THE FULL BOARD IS REQUIRED.”

Form 990, Part VI, Section C, line 19

“Describe how Governing documents are made available to the public: 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
In Care Of
% CONNIE PREWITT
Phone
4062382500
Address
2800 Tenth Avenue South, Billings, MT 59101

Signing Officer

Name
Connie Prewitt
Title
CFO
Phone
4062382500
Signed
2018-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Randall Gibb
Formed
1907
Legal Domicile
Mt
Voting Board Members
13
Independent Board Members
10
Employees
4,803
Volunteers
275

Preparer

Firm
Bkd Llp
Address
111 South Tejon Suite 800, Colorado Springs, CO 80903-9848
Preparer
Adam R Smith CPA
Phone
7194714290
Supplemental Narrative

Additional Explanations

From 990, Part III, Line 3

“Discontinued Program Service: BILLINGS CLINIC SOLD ASPEN MEADOWS SKILLED NURSING AND ASSISTED LIVING CENTER ON JUNE 30, 2017.”

Form 990, Part XI, Line 9

“Other Changes in Net Assets: Change in Fair Value of INterest Rate Swap 8,335,437 Change in Interest of Affiliates (4,306,028) Total 4,029,409”

Financial Statement Notes

Schedule D, Part V, Line 4

“The organization's endowment consists of approximately 80 individual funds established for a variety of purposes. The endowment includes both donor-restricted endowment funds and funds designated by the governing body to function as endowments. Endowment funds are invested and held to provide growth over the long-term.”

Schedule D, Part X, Line 2

“Uncertain tax positions: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”

Schedule D, Part XI, Line 2D

“Revenue on books, not on return: Change in fair value of interest rate swap 8,335,437 Change in interest in foundation 2,428,981 Change in interest of Affiliates (6,745,007) Total 4,019,411”

Schedule D, Part XI, Line 4B

“Revenue on Return, Not on Books: Bad Debt reclassed to expense 23,958,950 MHI Revenue 1,457,292 Total 25,416,242”

Schedule D, Part XII, Line 4B

“Expense on Return, Not on Books: Bad Debt reclassed to expense 23,958,950 MHI Expenses 1,815,811 Total 25,774,761”

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0CEO - Thru January 2017
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IRS990/Form990PartVIISectionAGrp/TitleTxt11Board member
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Document Assets

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Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$776,435,285
Liabilities
$259,698,478
Net assets
$516,736,807
Revenue
$752,914,300
Expenses
$679,194,521
Net income
$73,719,779
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