Civic Intelligence

Billings Clinic

990 • Fiscal year 2018 • EIN 81-0231784

Jul 01, 2017 to Jun 30, 2018 • Filed on Apr 15, 2019

2800 Tenth Avenue NorthBillings, MT 59101

(406) 238-2500

Siviq Scores

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

Liabilities / Assets

43rd percentile

0.30x

Higher debt load relative to assets than 43% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Liabilities / Revenue

23rd percentile

0.33x

Higher debt load relative to revenue than 23% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Net Margin

61st percentile

10%

Higher net margin than 61% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Top Officer Pay

51st percentile

$1,850,000

Higher top officer pay than 51% of similar nonprofits.

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

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Asset Growth

85th percentile

14%

Faster asset growth than 85% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2017 to 2018

Revenue Growth

41st percentile

5.1%

Faster revenue growth than 41% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2017 to 2018

Assets

Up

$882,833,730

Up $106,398,445 (+14%) from 2017

Net Assets

Up

$620,738,220

Up $104,001,413 (+20%) from 2017

Liabilities

Up

$262,095,510

Up $2,397,032 (+0.9%) from 2017

Revenue

Up

$791,070,161

Up $38,155,861 (+5.1%) from 2017

Expenses

Up

$710,874,444

Up $31,679,923 (+4.7%) from 2017

Net Income

Up

$80,195,717

Up $6,475,938 (+8.8%) from 2017

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

2018

Assets$882,833,730
Liabilities$262,095,510
Net Assets$620,738,220

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

2018

Revenue$791,070,161
Expenses$710,874,444
Net Income$80,195,717
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Apr 15, 2019
Return Version
2017v2.3
Gross Receipts
$1,933,275,644
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 Montana's Largest Healthcare organization consisting of a 304 Bed Hospital, Primary Care and over 50 multi speciality Clinics.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$231,840,570$362,851,591▲ $131,011,021
Land, Buildings, and Equipment, Net$245,322,399$239,424,398▼ $5,898,001
Accounts Receivable$119,635,287$107,552,413▼ $12,082,874
Savings and Temporary Cash Investments$48,393,488$25,247,859▼ $23,145,629
Cash and Non-Interest-Bearing Accounts$17,873,039$23,546,325▲ $5,673,286
Investments Program Related$21,935,675$21,330,106▼ $605,569
Inventories for Sale or Use$8,459,783$9,327,024▲ $867,241
Prepaid Expenses and Deferred Charges$5,101,151$5,993,020▲ $891,869
Other Notes and Loans Receivable, Net$87,408$53,373▼ $34,035
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$776,435,285$882,833,730▲ $106,398,445
Other Assets Total$77,786,485$87,507,621▲ $9,721,136
Liabilities
Tax Exempt Bond Liabilities$147,820,075$143,348,343▼ $4,471,732
Accounts Payable and Accrued Expenses$68,984,857$78,746,769▲ $9,761,912
Other Liabilities$41,057,934$36,659,866▼ $4,398,068
Deferred Revenue$1,835,612$3,340,532▲ $1,504,920
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$259,698,478$262,095,510▲ $2,397,032
Net Assets / Fund Balance
Unrestricted Net Assets$479,607,300$579,173,823▲ $99,566,523
Permanently Rstr Net Assets$25,358,641$27,639,601▲ $2,280,960
Temporarily Rstr Net Assets$11,770,866$13,924,796▲ $2,153,930
Total Net Assets Fund Balance$516,736,807$620,738,220▲ $104,001,413
Total Liabilities and Net Assets / Fund Balance$776,435,285$882,833,730▲ $106,398,445

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$83,767,425$213,350,771$297,118,196
Buildings$112,267,319$88,308,752$200,576,071
Land$33,858,851-$23,931,109
Other Land Buildings$8,812,627$10,660,931$19,473,558
Leasehold Improvements$718,176$757,917$1,476,093
Other Assets Org$0--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$49,884,176$3,125,872▲ $3,130,495$386,993$55,753,550
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nicholas J WolterCEO - Thru January 2017FT$319,470$1,903,629$1,850,000
Scott A SamplePhysicianFT$841,005$70,343$1,015,120
Randall GibbBC CMO/Interim CEOFT$958,262$65,423$1,001,260
Connie PrewittChief Financial OfficerFT$748,069$158,411$985,034
Barry N SmithPhysicianFT$30,264$49,529$920,036
Brian R RahPhysicianFT$802,790$45,521$896,030
Alexander I KraevPhysicianFT$819,510$40,831$866,481
Robert J HancockPhysicianFT$822,261$38,712$860,973
Robert Pueringer MdPhysician Board MemberFT$483,028$246,458$529,008
Clayton H Mccracken Iii MdPhysician Board MemberFT$471,763$427,440$376,726
Darrell EhrlickFormer Board Member-$13,528$44,096$30,264
David BrownBoard MemberPT$19,399-$19,399
Tim HathawayFormer Board Member-$847,119$2,751$14,673
Linda OverstreetFormer Board Member-$14,673$41,572$13,528
Joy OttBoard ChairpersonPT-$12,000$12,000
Craig BartholomewBoard MemberPT-$6,000$6,000
Elizabeth FultonBoard TREASURERPT-$6,000$6,000
Frank ReedBoard MemberPT$6,000-$6,000
Keith CookBoard memberPT$6,000-$6,000
Lil AndersonBoard SECRETARYPT$6,000-$6,000
Penni NanceBoard Vice ChairPT$6,000-$6,000
William EbzeryBoard MemberPT$6,000-$6,000

Highest Paid Contractors

ContractorServicesLocationCompensation
HAyes LocumsPhysicians Services6700 N Andrews Ave STE 600, Fort Lauderdale, FL 33309$7,509,388
SodexoFood ServicePO BOX 360170, Pittsburgh, PA 15251$5,596,107
Command healthTranscriptionPO Box 844797, Dallas, TX 75284$2,151,148
Healthcare OUtsourcing NetworkEarly out vendor621 17th street ste 1800, Denver, CO 80293$2,042,328
Mountain Medical GroupPhysician Recruitmen1405 south Broadway Suite 200, Boulder, CO 80305$1,643,714
Revenue and Support

Revenue Composition

Contributions and Grants
$3,949,753
Program Service Revenue
$762,286,536
Investment Income
$11,140,468
Other Revenue
$13,693,404
All Other Contributions
$5,901
Change in Net Assets
$80,195,717

Audited Revenue Reconciliation

Revenue per Audited Statements
$755,752,620
Revenue Not Reported on Financial Statements
$35,317,541
Revenue Not Reported on Form 990
$24,559,615
Other Revenue Adjustments
$33,859,741
Total Revenue per Audited Statements
$780,312,235
Total Revenue per Form 990
$791,070,161
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$379,579,592
Other Expenses$331,021,358
Grants and Similar Amounts Paid$273,494
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$250,107,990$58,357,434-$308,465,424
Fees for Services Other$34,470,704$26,496,229-$60,966,933
Other Employee Benefits$19,440,511$13,386,953-$32,827,464
Depreciation Depletion$20,655,302$4,108,278-$24,763,580
All Other Expenses$6,019,328$15,448,179-$21,467,507
Payroll Taxes$15,044,324$4,290,368-$19,334,692
Information Technology$12,030,661$3,613,892-$15,644,553
Pension Plan Contributions$12,272,920$2,247,817-$14,520,737
Occupancy$6,115,716$899,329-$7,015,045
Interest$4,912,243$1,634,796-$6,547,039
Office Expenses$2,489,656$3,106,335-$5,595,991
Insurance$83,662$5,477,976-$5,561,638
Current Officers, Directors, Trustees, and Key Employees$3,324,786$1,106,489-$4,431,275
Travel$3,036,528$1,209,771-$4,246,299
Other Expenses$3,845,500$2,158,705-$3,845,500
Advertising$22,103$2,510,413-$2,532,516
Fees for Services Legal$5,161$1,512,845-$1,518,006
Fees for Service Investment Mgmnt Fees-$1,457,800-$1,457,800
Fees for Services Accounting-$254,354-$254,354
Grants to Domestic Orgs$240,094--$240,094
Fees for Services Lobbying-$161,410-$161,410
Conferences and Meetings-$108,897-$108,897
Fees for Services Management-$48,700-$48,700
Grants to Domestic Individuals$33,400--$33,400
Total Functional Expenses$560,999,985$149,874,459$0$710,874,444

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$710,874,444
Total Expenses per Audited Statements$678,702,240
Expenses per Audited Statements$677,948,321
Expenses Not Reported on Financial Statements$32,926,123
Other Expense Adjustments$31,468,323
Expenses Not Reported on Form 990$753,919
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Community Crisis Center LLCBillings, MT501(c)(3)To Support Operations$94,722
Big Sky Economic Development CorporationBillings, MT501(c)(3)Community Development$37,500
Ronald Mcdonald House Charities of Eastern MontanaBillings, MT501(c)(3)Sponorship And Capital Campaign$14,500
Family Service of Billings Foundation IncBillings, MT501(c)(3)capital Campaign$12,750
Montana Amateur Sports IncBillings, MT501(c)(3)-$6,000
YWCA BillingsBillings, MT501(c)(3)Sponorship$6,000
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 VRENT & Purchase of BuildingNo$4,262,160
Craig BartholomewSee Part VPurchase of Office suppliesNo$1,195,575

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$14,936,432
Estimated Claims Liability$10,520,593
Provision for Unpaid Claims$9,319,402
Accrued Interest$859,145
Due to Mdor$630,904
Unearned Premiums$385,500
Deposits$7,890

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$18,515,000$858,750
A$60,000,000$0$36,940,000$1,200,000

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
Yes
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
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: 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 policy: THE COMPLIANCE OFFICER ALONG WITH THE GOVERNANCE AND NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR MONITORING THE EFFECTIVENESS OF THE CONFLICT OF INTEREST REPORTING AND MANAGEMENT FOR BILLINGS CLINIC. IN ADDITION, BILLINGS CLINIC VICE PRESIDENTS ARE RESPONSIBLE FOR ENSURING THAT THEIR DIRECT REPORTS ARE COMPLYING WITH THIS POLICY.

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. The 2017 compensation review was performed by Sullivan Cotter.

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 North, Billings, MT 59101

Signing Officer

Name
Connie Prewitt
Title
CFO
Phone
4062382500
Signed
2019-04-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Randall Gibb
Formed
1907
Legal Domicile
Mt
Voting Board Members
12
Independent Board Members
9
Employees
4,954
Volunteers
240

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

Form 990, Part XI, Line 9

Other Changes in Net Assets: Change in Fair Value of INterest Rate Swap 6,542,395 Change in Interest of Foundation 7,254,195 Change in Interest of Affiliates 1,461,795 Total 15,258,385

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 6,542,395 Change in interest in foundation 7,254,195 Change in interest of Affiliates 1,461,795 Total 15,258,385

Schedule D, Part XI, Line 4B

Revenue on Return, Not on Books: Bad Debt reclassed to expense 20,912,693 MHI Revenue 1,137,355 Special Pharmacy Revenue 11,915,171 Cosmetics COGS (105,478) Total 33,859,741

Schedule D, Part XII, Line 4B

Expense on Return, Not on Books: Bad Debt reclassed to expense 20,912,693 MHI Expenses 2,300,540 Specialty Pharmacy Expenses 8,360,568 Cosmetics COGS (105,478) Total 31,468,323

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IRS990/Form990PartVIISectionAGrp/TitleTxt0CEO - Thru January 2017
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

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