Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
Liabilities / Revenue
23rd percentile
Higher debt load relative to revenue than 23% of similar nonprofits.
Net Margin
61st percentile
Higher net margin than 61% of similar nonprofits.
Top Officer Pay
51st percentile
Higher top officer pay than 51% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
85th percentile
Faster asset growth than 85% of similar nonprofits.
Revenue Growth
41st percentile
Faster revenue growth than 41% of similar nonprofits.
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
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.
| Line | Beginning | End | Change |
|---|---|---|---|
| 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 | Book Value | Depreciation | Basis |
|---|---|---|---|
| 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 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 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 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Nicholas J Wolter | CEO - Thru January 2017 | FT | $319,470 | $1,903,629 | $1,850,000 |
| Scott A Sample | Physician | FT | $841,005 | $70,343 | $1,015,120 |
| Randall Gibb | BC CMO/Interim CEO | FT | $958,262 | $65,423 | $1,001,260 |
| Connie Prewitt | Chief Financial Officer | FT | $748,069 | $158,411 | $985,034 |
| Barry N Smith | Physician | FT | $30,264 | $49,529 | $920,036 |
| Brian R Rah | Physician | FT | $802,790 | $45,521 | $896,030 |
| Alexander I Kraev | Physician | FT | $819,510 | $40,831 | $866,481 |
| Robert J Hancock | Physician | FT | $822,261 | $38,712 | $860,973 |
| Robert Pueringer Md | Physician Board Member | FT | $483,028 | $246,458 | $529,008 |
| Clayton H Mccracken Iii Md | Physician Board Member | FT | $471,763 | $427,440 | $376,726 |
| Darrell Ehrlick | Former Board Member | - | $13,528 | $44,096 | $30,264 |
| David Brown | Board Member | PT | $19,399 | - | $19,399 |
| Tim Hathaway | Former Board Member | - | $847,119 | $2,751 | $14,673 |
| Linda Overstreet | Former Board Member | - | $14,673 | $41,572 | $13,528 |
| Joy Ott | Board Chairperson | PT | - | $12,000 | $12,000 |
| Craig Bartholomew | Board Member | PT | - | $6,000 | $6,000 |
| Elizabeth Fulton | Board TREASURER | PT | - | $6,000 | $6,000 |
| Frank Reed | Board Member | PT | $6,000 | - | $6,000 |
| Keith Cook | Board member | PT | $6,000 | - | $6,000 |
| Lil Anderson | Board SECRETARY | PT | $6,000 | - | $6,000 |
| Penni Nance | Board Vice Chair | PT | $6,000 | - | $6,000 |
| William Ebzery | Board Member | PT | $6,000 | - | $6,000 |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| HAyes Locums | Physicians Services | 6700 N Andrews Ave STE 600, Fort Lauderdale, FL 33309 | $7,509,388 |
| Sodexo | Food Service | PO BOX 360170, Pittsburgh, PA 15251 | $5,596,107 |
| Command health | Transcription | PO Box 844797, Dallas, TX 75284 | $2,151,148 |
| Healthcare OUtsourcing Network | Early out vendor | 621 17th street ste 1800, Denver, CO 80293 | $2,042,328 |
| Mountain Medical Group | Physician Recruitmen | 1405 south Broadway Suite 200, Boulder, CO 80305 | $1,643,714 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| 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 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Community Crisis Center LLC | Billings, MT | 501(c)(3) | To Support Operations | $94,722 |
| Big Sky Economic Development Corporation | Billings, MT | 501(c)(3) | Community Development | $37,500 |
| Ronald Mcdonald House Charities of Eastern Montana | Billings, MT | 501(c)(3) | Sponorship And Capital Campaign | $14,500 |
| Family Service of Billings Foundation Inc | Billings, MT | 501(c)(3) | capital Campaign | $12,750 |
| Montana Amateur Sports Inc | Billings, MT | 501(c)(3) | - | $6,000 |
| YWCA Billings | Billings, MT | 501(c)(3) | Sponorship | $6,000 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Aaron Sparboe | See Part V | RENT & Purchase of Building | No | $4,262,160 |
| Craig Bartholomew | See Part V | Purchase of Office supplies | No | $1,195,575 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| 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 |
| Liability | Amount |
|---|---|
| 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 | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | Montana Facility Finance Authority | 2011-08-24 | $140,000,000 | Capital projects, refund 2008 bond |
| A | MONTANA FACiLITY FINANCE AUTHority | 2008-05-30 | $60,000,000 | CAPITAL PROJECTS |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $140,124,100 | $84,561,674 | $18,515,000 | $858,750 |
| A | $60,000,000 | $0 | $36,940,000 | $1,200,000 |
“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.”
“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.”
“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.”
“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.”
“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.”
“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”
“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.”
“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.”
“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”
“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”
“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”
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 | 68984857 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 78746769 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 119635287 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 107552413 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | BILLINGS CLINIC IS Montana's Largest Healthcare organization consisting of a 304 Bed Hospital, Primary Care and over 50 multi speciality Clinics. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 2510413 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 22103 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2532516 |
| IRS990/AllOtherContributionsAmt | 0 | 5901 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 15448179 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 6019328 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 21467507 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | CONNIE PREWITT |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4062382500 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2800 TENTH AVENUE NORTH |
| 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 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | true |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 17873039 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 23546325 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 95 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1106489 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 3324786 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 4431275 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 108897 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 108897 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 7509388 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 5596107 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2042328 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 2151148 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1643714 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 6700 N Andrews Ave STE 600 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 360170 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 621 17th street ste 1800 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO Box 844797 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1405 south Broadway Suite 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | FORT LAUDERDALE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | PITTSBURGH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | DENVER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BOULDER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 33309 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 15251 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 80293 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 75284 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 80305 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | HAyes Locums |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | Sodexo |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | Healthcare OUtsourcing Network |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | Command health |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | Mountain Medical Group |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Physicians Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Food Service |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Early out vendor |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Transcription |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Physician Recruitmen |
| IRS990/CostOfGoodsSoldAmt | 0 | 73104 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 3949753 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 273494 |
| IRS990/CYInvestmentIncomeAmt | 0 | 11140468 |
| IRS990/CYOtherExpensesAmt | 0 | 331021358 |
| IRS990/CYOtherRevenueAmt | 0 | 13693404 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 762286536 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 80195717 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 379579592 |
| IRS990/CYTotalExpensesAmt | 0 | 710874444 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 791070161 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 1835612 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 3340532 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 4108278 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 20655302 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 24763580 |
| IRS990/Desc | 0 | BILLINGS CLINIC IS A 304 BED HOSPITAL PROVIDING SURGICAL, LABOR AND DELIVERY, PSYCHIATRIC, CANCER CARE, NEONATAL SERVICES AND ACUTE CARE. BILLINGS CLINIC HAD OVER 15,800 ADMISSIONS in FY18. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 4954 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 282182992 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 254354 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 254354 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1512845 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 5161 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1518006 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 161410 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 161410 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 48700 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 48700 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 26496229 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 34470704 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 60966933 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 1457800 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 1457800 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 2 | 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/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 12000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 6000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 53354 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 6000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 53565 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 80506 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 81114 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 54277 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 47762 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 45521 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 40831 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 38712 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 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 | CLAYTON H MCCRACKEN III MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | CRAIG BARTHOLOMEW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ROBERT PUERINGER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | William Ebzery |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Frank Reed |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Keith Cook |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Randall Gibb |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | CONNIE PREWITT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Scott A Sample |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Barry N Smith |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Brian R Rah |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Alexander I Kraev |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Robert J Hancock |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Darrell Ehrlick |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Linda Overstreet |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Tim Hathaway |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1850000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 19399 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 6000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 6000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 323372 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 475443 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 6000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 6000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 6000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 920754 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 903920 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 960843 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 872274 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 850509 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 825650 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 822261 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 30264 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 13528 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 14673 |
| 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/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CEO - Thru January 2017 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Board Chairperson |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Board TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHYSICIAN BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PHYSICIAN BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Board member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BC CMO/Interim CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Former Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Former Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | 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/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 2118538 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 5241914 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GrantAmt | 0 | 137567 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 33400 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 33400 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 240094 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 240094 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 4174000 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 1144957528 |
| IRS990/GrossReceiptsAmt | 0 | 1933275644 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 545559 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 244332 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 496 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 3613892 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 12030661 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 15644553 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 5477976 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 83662 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 5561638 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1634796 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 4912243 |
| IRS990/InterestGrp/TotalAmt | 0 | 6547039 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 8459783 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 9327024 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 3658068 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 3780016 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 121948 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 21935675 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 21330106 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 231840570 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 362851591 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 193 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 313078371 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 245322399 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 239424398 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 552502769 |
| IRS990/LegalDomicileStateCd | 0 | MT |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 2055462 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 1139715614 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 361303 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
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Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.