Civic Intelligence

Billings Clinic

990 • Fiscal year 2020 • EIN 81-0231784

Jul 01, 2019 to Jun 30, 2020 • Filed on May 05, 2021

Organization ProfileWWW.BILLINGSCLINIC.COM

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

42nd percentile

0.31x

Higher debt load relative to assets than 42% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Liabilities / Revenue

26th percentile

0.42x

Higher debt load relative to revenue than 26% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Net Margin

54th percentile

6.7%

Higher net margin than 54% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Top Officer Pay

29th percentile

$1,058,128

Higher top officer pay than 29% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Asset Growth

36th percentile

6.2%

Faster asset growth than 36% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Revenue Growth

62nd percentile

4.7%

Faster revenue growth than 62% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets42nd percentile

Assets

Up

$1,116,696,008

Up $64,837,740 (+6.2%) from 2019

Net Assets

Up

$765,696,785

Up $50,159,608 (+7.0%) from 2019

Liabilities

Up

$350,999,223

Up $14,678,132 (+4.4%) from 2019

Revenue And Expenses
Liabilities / Revenue26th percentileNet Margin54th percentile

Revenue

Up

$835,174,033

Up $37,848,442 (+4.7%) from 2019

Expenses

Up

$778,884,996

Up $55,487,825 (+7.7%) from 2019

Net Income

Down

$56,289,037

Down $17,639,383 (-24%) from 2019

Historical Trend

Balance Sheet Trend

Asset Growth36th 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

2020

Assets$1,116,696,008
Liabilities$350,999,223
Net Assets$765,696,785
Open 2020 Filing

Operations Trend

Revenue Growth62nd 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

2020

Revenue$835,174,033
Expenses$778,884,996
Net Income$56,289,037
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
May 5, 2021
Return Version
2019v5.1
Gross Receipts
$2,220,892,995
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 specialty clinics.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$452,467,617$467,298,945▲ $14,831,328
Land, Buildings, and Equipment, Net$232,794,523$247,083,128▲ $14,288,605
Savings and Temporary Cash Investments$91,428,424$105,567,623▲ $14,139,199
Accounts Receivable$93,831,239$97,526,684▲ $3,695,445
Cash and Non-Interest-Bearing Accounts$31,863,933$46,394,067▲ $14,530,134
Investments Program Related$27,997,283$30,060,299▲ $2,063,016
Inventories for Sale or Use$10,123,424$10,776,951▲ $653,527
Prepaid Expenses and Deferred Charges$8,469,833$8,491,795▲ $21,962
Other Notes and Loans Receivable, Net$38,956$93,263▲ $54,307
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$1,051,858,268$1,116,696,008▲ $64,837,740
Other Assets Total$102,843,036$103,403,253▲ $560,217
Liabilities
Tax Exempt Bond Liabilities$180,322,247$177,650,178▼ $2,672,069
Accounts Payable and Accrued Expenses$69,780,360$76,019,615▲ $6,239,255
Other Liabilities$43,734,215$51,374,974▲ $7,640,759
Mortgage Notes Payable Secured by Investment Property$42,210,000$41,160,000▼ $1,050,000
Deferred Revenue$274,269$4,794,456▲ $4,520,187
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$336,321,091$350,999,223▲ $14,678,132
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$665,970,480$714,828,874▲ $48,858,394
Net Assets With Donor Restrictions$49,566,697$50,867,911▲ $1,301,214
Total Net Assets Fund Balance$715,537,177$765,696,785▲ $50,159,608
Total Liabilities and Net Assets / Fund Balance$1,051,858,268$1,116,696,008▲ $64,837,740

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$81,160,956$234,552,213$315,713,169
Buildings$105,102,796$99,106,248$204,209,044
Other Land Buildings$25,717,498$11,458,033$37,175,531
Land$34,367,837-$24,470,095
Leasehold Improvements$734,041$886,807$1,620,848
Other Assets Org$1,015,719--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$59,225,624$2,802,581▲ $2,753,070$801,626$63,979,649
2018$54,349,816$1,912,723▲ $3,092,661$129,576$59,225,624
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
Compensation and Service Providers
Top Officer Pay29th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Per Sommer MDPhysicianFT$1,004,787$53,341$1,058,128
Michael A Morone MDPhysicianFT$1,002,874$53,126$1,056,000
Marlin D Richardson MDPhysicianFT$984,864$56,338$1,041,202
Brian R Rah MDPhysicianFT$977,933$52,445$1,030,378
Zachary M Bland MDPhysicianFT$983,564$41,310$1,024,874
John Schallenkamp MDInterim CEOFT$647,951$191,877$839,828
Connie F PrewittChief Financial OfficerFT$551,580$178,976$730,556
Robert Pueringer MDPhysician Board MEmberFT$396,233$62,000$458,233
Randall Gibb MDFormer CEOFT$403,825$39,143$442,968
David BrownFormer Board MemberPT$21,730$25,893$25,893
Joy OttBoard ChairpersonPT-$14,303$14,303
Keith CookBoard MemberPT$7,500$6,000$13,500
Lillian AndersonBoard SecretaryPT$7,500$6,000$13,500
Penni NanceBoard Vice ChairPT$7,500$6,000$13,500
Wayne HirschBoard MemberPT$6,041$6,041$12,082
Elizabeth FultonBoard TreasurerPT-$7,487$7,487
Craig BartholomewBoard MemberPT-$6,599$6,599
Chelsea Bodnar MDBoard MemberPT-$3,009$3,009

Board Members and Trustees

NameTitle
Scott EllnerCEO - Beginning January 2020

Highest Paid Contractors

ContractorServicesLocationCompensation
HAyes LocumsPhysicians Services6700 N Andrews Ave STE 600, Fort Lauderdale, FL 33309$12,128,298
Medefis ConsolidatedContract LaborPO Box 5068, New York, NY 10087-5068$10,273,576
SodexoFood ServicePO BOX 360170, Pittsburg, PA 15251$4,630,455
Cushing TerrellConstruction Design303 E 17th Ave 105, Denver, CO 80203$1,773,565
AE ArchitectsConst. Planning124 N 28th St STE 100, Billings, MT 59101$1,593,998
Revenue and Support

Revenue Composition

Contributions and Grants
$19,789,953
Program Service Revenue
$770,932,547
Investment Income
$23,568,521
Other Revenue
$20,883,012
All Other Contributions
$171
Change in Net Assets
$56,289,037

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table19$25,314Fair Market Value (FMV)
Food Inventory33$15,513Fair Market Value (FMV)
Clothing and Household Goods-$10,000Fair Market Value (FMV)
Works of Art2$7,600Fair Market Value (FMV)
Other Non Cash Contri Table10$7,444Fair Market Value (FMV)
Other Non Cash Contri Table3$3,250Fair Market Value (FMV)
Other Non Cash Contri Table8$1,749Fair Market Value (FMV)
Books and Publications-$475Fair Market Value (FMV)
Total Noncash Contributions75$71,345-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$410,159,852
Other Expenses$368,442,561
Grants and Similar Amounts Paid$282,583
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$273,291,997$63,936,834-$337,228,831
Fees for Services Other$36,509,501$28,063,370-$64,572,871
Other Employee Benefits$20,234,204$13,928,416-$34,162,620
Depreciation Depletion$19,656,436$3,909,607-$23,566,043
Information Technology$17,486,688$5,252,828-$22,739,516
Payroll Taxes$16,661,919$4,751,677-$21,413,596
All Other Expenses$4,099,544$12,987,918-$17,087,462
Pension Plan Contributions$12,580,204$2,303,698-$14,883,902
Interest$6,638,732$2,209,372-$8,848,104
Occupancy$6,213,503$913,709-$7,127,212
Office Expenses$3,044,953$3,799,176-$6,844,129
Insurance$2,057,364$2,730,544-$4,787,908
Other Expenses$1,526,250$2,325,970-$3,852,220
Travel$2,636,769$1,050,504-$3,687,273
Fees for Services Legal$8,830$2,588,246-$2,597,076
Advertising$21,872$2,463,564-$2,485,436
Current Officers, Directors, Trustees, and Key Employees$1,850,779$615,940-$2,466,719
Fees for Service Investment Mgmnt Fees-$1,467,804-$1,467,804
Fees for Services Accounting-$324,100-$324,100
Grants to Domestic Orgs$255,303--$255,303
Fees for Services Lobbying-$158,719-$158,719
Conferences and Meetings-$59,145-$59,145
Grants to Domestic Individuals$27,280--$27,280
Comp Disqual Persons-$4,184-$4,184
Total Functional Expenses$620,287,652$158,597,344$0$778,884,996
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Community Crisis CenterBillings, MT501(c)(3)Support Operations$81,191
TumbleweedBillings, MT501(c)(3)CNA Nursing Program$50,000
St Johns UnitedBillings, MT501(c)(3)Support Nursing Program$25,000
Billings Clinic FoundationBillings, MT501(c)(3)Support PRogram$21,100
Alberta Bair TheatreBillings, MT501(c)(3)Handicap Accessibility$8,500
Big Horn HospitalHardin, MT501(c)(3)Hospital Expansion$7,500
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$1,629,650

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$23,839,997
Unearned Premiums$13,499,590
Estimated Claims Liability$11,478,106
Accrued Interest$1,927,621
Due to MDOR$621,770
Deposits$7,890

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$8,769,336$2,931,022$0
A$56,580,000$56,580,000$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 35% controlled entity
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 scott ellner 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. Billings clinic engages sullivan cotter to perform regular compensation reviews for executives, manager and directors.”

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
% PRISCILLA NEEDHAM
Phone
4062382500
Address
2800 TENTH AVENUE NORTH, BILLINGS, MT 59101

Signing Officer

Name
Priscilla Needham
Title
CFO
Phone
4062382500
Signed
2021-05-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Ellner
Formed
1917
Legal Domicile
Mt
Voting Board Members
11
Independent Board Members
7
Employees
5,071
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 XI, Line 9

“Other Changes in Net Assets: (5,556,500) - Change in Fair Value of Interest Rate Swap 2,642,857 - Change in Interest of Foundation (6,797,396) - Change in Interest of Affiliates (9,711,039) - 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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IRS990/Form990PartVIISectionAGrp/TitleTxt2Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt3Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt4Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt5Interim CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt6Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt7Physician Board MEmber
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IRS990/Form990PartVIISectionAGrp/TitleTxt14Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt15Board Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt16Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt17Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt18CEO - Beginning January 2020
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IRS990/MissionDesc0BILLINGS CLINIC MISSION IS HEALTH CARE, EDUCATION AND RESEARCH. BILLINGS CLINIC WILL PROVIDE BEST IN NATION CLINICAL QUALITY, PATIENT SAFETY, SERVICE AND VALUE.
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IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00

Document Assets

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Filings

Displayed year

2020 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,116,696,008
Liabilities
$350,999,223
Net assets
$765,696,785
Revenue
$835,174,033
Expenses
$778,884,996
Net income
$56,289,037
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