Civic Intelligence

Billings Clinic

990 • Fiscal year 2019 • EIN 81-0231784

Jul 01, 2018 to Jun 30, 2019 • Filed on Jun 15, 2020

Organization ProfileWWW.BILLINGSCLINIC.ORG

View Organization Page

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

47th percentile

0.32x

Higher debt load relative to assets than 47% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Liabilities / Revenue

29th percentile

0.42x

Higher debt load relative to revenue than 29% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Net Margin

59th percentile

9.3%

Higher net margin than 59% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Top Officer Pay

34th percentile

$1,276,441

Higher top officer pay than 34% of similar nonprofits.

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

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Asset Growth

86th percentile

19%

Faster asset growth than 86% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2018 to 2019

Revenue Growth

28th percentile

0.8%

Faster revenue growth than 28% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / Assets47th percentile

Assets

Up

$1,051,858,268

Up $169,024,538 (+19%) from 2018

Net Assets

Up

$715,537,177

Up $94,798,957 (+15%) from 2018

Liabilities

Up

$336,321,091

Up $74,225,581 (+28%) from 2018

Revenue And Expenses
Liabilities / Revenue29th percentileNet Margin59th percentile

Revenue

Up

$797,325,591

Up $6,255,430 (+0.8%) from 2018

Expenses

Up

$723,397,171

Up $12,522,727 (+1.8%) from 2018

Net Income

Down

$73,928,420

Down $6,267,297 (-7.8%) from 2018

Historical Trend

Balance Sheet Trend

Asset Growth86th 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

2019

Assets$1,051,858,268
Liabilities$336,321,091
Net Assets$715,537,177
Open 2019 Filing

Operations Trend

Revenue Growth28th 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

2019

Revenue$797,325,591
Expenses$723,397,171
Net Income$73,928,420
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Jun 15, 2020
Return Version
2018v3.3
Gross Receipts
$2,343,233,454
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$362,851,591$452,467,617▲ $89,616,026
Land, Buildings, and Equipment, Net$239,424,398$232,794,523▼ $6,629,875
Accounts Receivable$107,552,413$93,831,239▼ $13,721,174
Savings and Temporary Cash Investments$25,247,859$91,428,424▲ $66,180,565
Cash and Non-Interest-Bearing Accounts$23,546,325$31,863,933▲ $8,317,608
Investments Program Related$21,330,106$27,997,283▲ $6,667,177
Inventories for Sale or Use$9,327,024$10,123,424▲ $796,400
Prepaid Expenses and Deferred Charges$5,993,020$8,469,833▲ $2,476,813
Other Notes and Loans Receivable, Net$53,373$38,956▼ $14,417
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$882,833,730$1,051,858,268▲ $169,024,538
Other Assets Total$87,507,621$102,843,036▲ $15,335,415
Liabilities
Tax Exempt Bond Liabilities$143,348,343$180,322,247▲ $36,973,904
Accounts Payable and Accrued Expenses$78,746,769$69,780,360▼ $8,966,409
Other Liabilities$36,659,866$43,734,215▲ $7,074,349
Mortgage Notes Payable Secured by Investment Property$0$42,210,000▲ $42,210,000
Deferred Revenue$3,340,532$274,269▼ $3,066,263
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$262,095,510$336,321,091▲ $74,225,581
Net Assets / Fund Balance
Unrestricted Net Assets$579,173,823$665,970,480▲ $86,796,657
Permanently Rstr Net Assets$27,639,601$49,566,697▲ $21,927,096
Temporarily Rstr Net Assets$13,924,796$0▼ $13,924,796
Total Net Assets Fund Balance$620,738,220$715,537,177▲ $94,798,957
Total Liabilities and Net Assets / Fund Balance$882,833,730$1,051,858,268▲ $169,024,538

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$78,878,716$228,461,499$307,340,215
Buildings$108,220,300$93,788,867$202,009,167
Land$33,858,851-$23,961,109
Other Land Buildings$11,064,368$10,884,195$21,948,563
Leasehold Improvements$772,288$828,185$1,600,473
Other Assets Org$800,823--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$54,349,816$1,912,723▲ $3,092,661$149,576$59,205,624
2017$49,884,176$1,721,868▲ $3,130,495$386,723$54,349,816
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
Compensation and Service Providers
Top Officer Pay34th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Randall GibbCEOFT$913,644$362,797$1,276,441
Scott A SamplePhysicianFT$959,511$61,539$1,021,050
Barry N SmithPhysicianFT$863,731$86,610$950,341
Brian R RahPhysicianFT$897,418$50,446$947,864
Mark MOraschPhysicianFT$843,656$101,964$945,620
Jared J LundPhysicianFT$870,608$51,048$921,656
Connie PrewittChief Financial OfficerFT$490,938$239,318$730,256
John Schallenkamp MD PHYSICIANBOARD MEMBER/INterim CO-CEOFT$591,500$104,333$655,083
Robert Merchant MDInterim Co-CEOFT$409,939$50,481$501,170
Robert Pueringer MdPhysician Board MemberFT$434,590$59,582$494,172
Clayton H McCrackenFormer Physician Board MemberFT$295,025$57,436$352,461
Darrell EhrlickFormer Board Member-$30,969-$30,969
Joy OttBoard ChairpersonPT-$14,418$14,418
Keith CookBoard MemberPT$4,500$6,000$10,500
Lil AndersonBoard SecretaryPT$4,500$6,000$10,500
Elizabeth FultonBoard TreasurerPT-$7,613$7,613
Craig BartholomewBoard MemberPT-$6,545$6,545
David BrownBoard MemberPT$6,000-$6,000
Penni NanceBoard Vice ChairPT$6,000-$6,000
William EbzeryBoard MemberPT$6,000-$6,000
Frank ReedBoard MemberPT$3,000-$3,000

Highest Paid Contractors

ContractorServicesLocationCompensation
HAyes LocumsPhysicians Services6700 N Andrews Ave STE 600, Fort Lauderdale, FL 33309$7,868,865
SodexoFood ServicePO BOX 360170, Pittsburgh, PA 15251$3,720,470
Medefis ConsolidatedContract LaborPO Box 5068, New York, NY 10087-5068$2,177,298
Command healthTranscriptionPO Box 844797, Dallas, TX 75284$1,668,546
Mountain Medical GroupPhysician Recruitmen1405 south Broadway Suite 200, Boulder, CO 80305$1,528,570
Revenue and Support

Revenue Composition

Contributions and Grants
$3,823,440
Program Service Revenue
$756,822,281
Investment Income
$17,946,646
Other Revenue
$18,733,224
All Other Contributions
$199,697
Change in Net Assets
$73,928,420
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$394,056,994
Other Expenses$328,929,259
Grants and Similar Amounts Paid$410,918
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$261,810,613$61,199,016-$323,009,629
Fees for Services Other$33,437,451$25,702,009-$59,139,460
Other Employee Benefits$19,135,141$13,185,356-$32,320,497
Depreciation Depletion$20,052,040$3,988,291-$24,040,331
Information Technology$16,028,864$4,814,912-$20,843,776
Payroll Taxes$15,688,747$4,474,146-$20,162,893
Pension Plan Contributions$12,999,951$2,378,087-$15,378,038
All Other Expenses$4,047,432$10,507,383-$14,554,815
Interest$5,752,143$1,914,315-$7,666,458
Occupancy$6,446,697$948,000-$7,394,697
Other Expenses$2,123,329$3,235,905-$5,359,234
Insurance$1,935,511$2,568,819-$4,504,330
Office Expenses$1,973,963$2,462,905-$4,436,868
Travel$2,863,763$1,140,940-$4,004,703
Current Officers, Directors, Trustees, and Key Employees$2,293,881$763,404-$3,057,285
Advertising$21,167$2,443,165-$2,464,332
Fees for Service Investment Mgmnt Fees-$1,745,987-$1,745,987
Fees for Services Legal$3,813$1,117,626-$1,121,439
Fees for Services Lobbying-$710,510-$710,510
Grants to Domestic Orgs$390,018--$390,018
Fees for Services Accounting-$318,020-$318,020
Conferences and Meetings-$134,364-$134,364
Comp Disqual Persons$96,528$32,124-$128,652
Fees for Services Management-$45,800-$45,800
Grants to Domestic Individuals$20,900--$20,900
Total Functional Expenses$576,374,696$147,022,475$0$723,397,171
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Community Crisis Center LLCBillings, MT501(c)(3)Support OPerations$81,191
Billings Clinic FoundationBillings, MT501(c)(3)Support PRogram$15,166
Family Service of BillingsBillings, MT501(c)(3)To support Operations$5,500
Ronald Mcdonald HouseBillings, MT501(c)(3)Sponsor Fundraisint$5,200
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
CRAIG BARThOLOMEWSee Part VPurchase of Office SuppliesNo$1,082,580

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$18,283,497
Estimated Claims Liability$11,253,213
Provision for Unpaid Claims$11,175,228
Accrued Interest$2,029,394
Due to MDOR$553,630
Unearned Premiums$429,763
Deposits$9,490

Bond Issues

BondIssuerIssuedIssue PricePurpose
BMontana Facility Finance Authority2018-10-01$125,786,085REFUND 2008/2011 Issue
AMontana Facility Finance Authority2018-10-01$56,580,000REFUND 2011 BONDS

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$125,786,085$0$161,152$0
A$56,580,000$0$0$0

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
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
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. Sullivan cotter performed the compensation review in 2018.”

Form 990, Part VI, Section C, 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
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
2020-06-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Ellner
Formed
1907
Legal Domicile
Mt
Voting Board Members
11
Independent Board Members
8
Employees
4,999
Volunteers
200

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 III, Line 2

“Description of New program services: Billings Clinic has started a specialty pharmacy focusing on the pharmacy care of Chronic, rare or complex conditions that require specialty medicines. See Part III, Line 4c for the description of the activity.”

Form 990, Part XI, Line 9

“Other Changes in Net Assets: (3,347,065)- Change in Fair Value of INterest Rate Swap 11,662,787 - Change in Interest of Foundation 772,126 - Change in Interest of Affiliates 9,087,848 - Total”

Financial Statement Notes

Schedule D, Part V, Line 4

“The organization's endowment consists of approximately 82 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.”

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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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Document Assets

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Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,051,858,268
Liabilities
$336,321,091
Net assets
$715,537,177
Revenue
$797,325,591
Expenses
$723,397,171
Net income
$73,928,420
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