Civic Intelligence

Billings Clinic Employee Benefit Trust

EIN 81-0391600 • 501(c)9 • Billings, MT

Profile

Provides health benefits and insurance covering eligible employees and their dependents of the billings clinic.

2800 10th Ave NBillings, MT 59107

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

78th percentile

0.22x

Higher debt load relative to assets than 78% of similar nonprofits.

501(c)9 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

61st percentile

0.11x

Higher debt load relative to revenue than 61% of similar nonprofits.

501(c)9 • $50M-$100M nonprofits • Source year 2024

Net Margin

49th percentile

5.1%

Higher net margin than 49% of similar nonprofits.

501(c)9 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

99th percentile

$1,740,052

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 3.4% of source-year revenue.

501(c)9 • $50M-$100M nonprofits • Source year 2024

Asset Growth

39th percentile

3.8%

Faster asset growth than 39% of similar nonprofits.

501(c)9 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

51st percentile

7.6%

Faster revenue growth than 51% of similar nonprofits.

501(c)9 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets78th percentile

Assets

Up

$23,923,449

Up $866,313 (+3.8%) from 2023

Liabilities

Up

$5,361,793

Up $2,642,345 (+97%) from 2023

Net Assets

Down

$18,561,656

Down $1,776,032 (-8.7%) from 2023

Operations
Liabilities / Revenue61st percentileNet Margin49th percentile

Revenue

Up

$50,549,156

Up $3,574,069 (+7.6%) from 2023

Expenses

Down

$47,961,747

Down $1,496,781 (-3.0%) from 2023

Net Income

Up

$2,587,409

Up $5,070,850 (+204%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth39th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2010: $670,888Liabilities 2010: $130,000Net Assets 2010: $540,8882010Assets 2011: $3,176,485Liabilities 2011: $150,000Net Assets 2011: $3,026,4852011Assets 2012: $11,060,753Liabilities 2012: $2,000,000Net Assets 2012: $9,060,7532012Assets 2013: $11,908,641Liabilities 2013: $3,421,000Net Assets 2013: $8,487,6412013Assets 2014: $16,017,937Liabilities 2014: $11,588Net Assets 2014: $16,006,3492014Assets 2015: $16,031,484Liabilities 2015: $0Net Assets 2015: $16,031,4842015Assets 2016: $18,462,085Liabilities 2016: $332,381Net Assets 2016: $18,129,7042016Assets 2017: $18,257,591Liabilities 2017: $1,482,202Net Assets 2017: $16,775,3892017Assets 2018: $18,936,414Liabilities 2018: $2,067,023Net Assets 2018: $16,869,3912018Assets 2019: $19,861,619Liabilities 2019: $1,883,870Net Assets 2019: $17,977,7492019Assets 2020: $20,239,277Liabilities 2020: $1,845,670Net Assets 2020: $18,393,6072020Assets 2021: $23,119,381Liabilities 2021: $1,948,402Net Assets 2021: $21,170,9792021Assets 2022: $24,067,325Liabilities 2022: $2,093,464Net Assets 2022: $21,973,8612022Assets 2023: $23,057,136Liabilities 2023: $2,719,448Net Assets 2023: $20,337,6882023Assets 2024: $23,923,449Liabilities 2024: $5,361,793Net Assets 2024: $18,561,6562024

Highlighted filing

2024

Assets$23,923,449
Liabilities$5,361,793
Net Assets$18,561,656
Open 2024 Filing

Operations Trend

Revenue Growth51st percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MRevenue 2010: $4,930,400Expenses 2010: $4,658,987Net Income 2010: $271,4132010Revenue 2011: $7,600,643Expenses 2011: $5,094,909Net Income 2011: $2,505,7342011Revenue 2012: $27,875,813Expenses 2012: $21,841,518Net Income 2012: $6,034,2952012Revenue 2013: $25,486,392Expenses 2013: $26,054,790Net Income 2013: -$568,3982013Revenue 2014: $29,967,000Expenses 2014: $25,858,625Net Income 2014: $4,108,3752014Revenue 2015: $32,263,699Expenses 2015: $32,203,676Net Income 2015: $60,0232015Revenue 2016: $35,942,078Expenses 2016: $33,798,024Net Income 2016: $2,144,0542016Revenue 2017: $36,593,599Expenses 2017: $38,233,403Net Income 2017: -$1,639,8042017Revenue 2018: $38,029,787Expenses 2018: $37,328,051Net Income 2018: $701,7362018Revenue 2019: $39,591,536Expenses 2019: $39,262,779Net Income 2019: $328,7572019Revenue 2020: $40,485,702Expenses 2020: $40,740,214Net Income 2020: -$254,5122020Revenue 2021: $46,458,176Expenses 2021: $43,192,961Net Income 2021: $3,265,2152021Revenue 2022: $46,942,153Expenses 2022: $44,085,581Net Income 2022: $2,856,5722022Revenue 2023: $46,975,087Expenses 2023: $49,458,528Net Income 2023: -$2,483,4412023Revenue 2024: $50,549,156Expenses 2024: $47,961,747Net Income 2024: $2,587,4092024

Highlighted filing

2024

Revenue$50,549,156
Expenses$47,961,747
Net Income$2,587,409
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$23,923,449
Liabilities
$5,361,793
Net assets
$18,561,656
Revenue
$50,549,156
Expenses
$47,961,747
Net income
$2,587,409
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$23.9$5.36$18.6$50.5$48.0$2.59
2023Detailed filing. Detailed filing data is available for this year.$23.1$2.72$20.3$47.0$49.5$2.48
2022Detailed filing. Detailed filing data is available for this year.$24.1$2.09$22.0$46.9$44.1$2.86
2021Detailed filing. Detailed filing data is available for this year.$23.1$1.95$21.2$46.5$43.2$3.27
2020Detailed filing. Detailed filing data is available for this year.$20.2$1.85$18.4$40.5$40.7$0.25
2019Detailed filing. Detailed filing data is available for this year.$19.9$1.88$18.0$39.6$39.3$0.33
2018Detailed filing. Detailed filing data is available for this year.$18.9$2.07$16.9$38.0$37.3$0.70
2017Detailed filing. Detailed filing data is available for this year.$18.3$1.48$16.8$36.6$38.2$1.64
2016Detailed filing. Detailed filing data is available for this year.$18.5$0.33$18.1$35.9$33.8$2.14
2015Detailed filing. Detailed filing data is available for this year.$16.0$0.00$16.0$32.3$32.2$0.06
2014Summary only. Only limited summary data is available for this year.$16.0$0.01$16.0$30.0$25.9$4.11
2013Summary only. Only limited summary data is available for this year.$11.9$3.42$8.49$25.5$26.1$0.57
2012Summary only. Only limited summary data is available for this year.$11.1$2.00$9.06$27.9$21.8$6.03
2011Summary only. Only limited summary data is available for this year.$3.18$0.15$3.03$7.60$5.09$2.51
2010Summary only. Only limited summary data is available for this year.$0.67$0.13$0.54$4.93$4.66$0.27
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 11, 2025
Return Version
2024v5.2
Gross Receipts
$50,549,156
Mission and Program Overview

Mission

Provides health benefits and insurance covering eligible employees and their dependents of the billings clinic.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$13,577,231$15,077,223▲ $1,499,992
Savings and Temporary Cash Investments$8,220,284$8,059,847▼ $160,437
Accounts Receivable$1,003,925$557,382▼ $446,543
Total Assets$23,057,136$23,923,449▲ $866,313
Other Assets Total$255,696$228,997▼ $26,699
Liabilities
Other Liabilities$0$4,525,904▲ $4,525,904
Accounts Payable and Accrued Expenses$2,719,448$835,889▼ $1,883,559
Total Liabilities$2,719,448$5,361,793▲ $2,642,345
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$20,337,688$18,561,656▼ $1,776,032
Total Net Assets Fund Balance$20,337,688$18,561,656▼ $1,776,032
Total Liabilities and Net Assets / Fund Balance$23,057,136$23,923,449▲ $866,313
Compensation and Service Providers
Top Officer Pay99th percentile

Employees

NameTitleBaseOtherTotal
William GibsonSystem CEO (until 3/11/2024)-$1,740,052$1,740,052
Craig Lambrecht MdSystem Co-CEO-$1,024,934$1,024,934
Justin OttCLO-$839,845$839,845
-CAO-$822,019$822,019
Kevin AbelCFO-$617,420$617,420
Ellen LaytonCIO-$488,906$488,906
Kathleen QuinonesInstitutional Trustee$38,060-$38,060

Board Members and Trustees

NameTitle
Craig BartholomewChair
Keith CookImmediate Past Chair
Kendrick Trostel MdPhysician/vice Chair
Alice GordonBoard Member
Amy CebullBoard Member
Blake UnderrinerBoard Member
Gordon Riha MdBoard Member
John EdwardsBoard Member
Wayne HirschBoard Member
Heidi Duncan MdPhysician/board Member
Ellen LaytonCAO
Clinton Seger MdCEO
Kathleen QuinonesCFO
Justin OttCIO
William GibsonCLO
Eileen McdonaldSecretary
Craig Lambrecht MdSystem CEO (until 3/11/2024)
Kevin AbelSystem Co-CEO

Highest Paid Contractors

ContractorServicesLocationCompensation
Pacific SourceClaims Processing110 INTERNATIONAL WAY, Springfield, OR 97477$1,683,592
MedimpactpremierClaims Processing5882 COLLECTIONS CENTER DRIVE, Chicago, IL 60693$244,622
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$49,868,466
Investment Income
$680,690
Other Revenue
$0
Change in Net Assets
$2,587,409

Audited Revenue Reconciliation

Revenue per Audited Statements
$50,549,156
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$50,549,156
Total Revenue per Form 990
$50,549,156
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,933,211
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$45,028,536
Fees for Services Other---$1,928,214
Insurance---$668,061
Fees for Services Legal---$200,000
Fees for Services Accounting---$49,415
Fees for Service Investment Mgmnt Fees---$38,060
Other Expenses---$16,539
Office Expenses---$3
Total Functional Expenses$0$0$0$47,961,747

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$47,961,747
Total Expenses per Audited Statements$47,961,747
Total Expenses per Form 990$47,961,747
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Claim Reserve$4,525,904
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

“The billings clinic employee benefit trust has an executive benefits committee that has the authority to act on behalf of the board. This committee has the authority to make and approve all decision/changes related to the trust; however, they are all employees of and members of the senior executive team of the billings clinic (a related organization).”

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

“The organization has a cpa firm prepare its form 990. The return is completed in draft form and reviewed by management of the organization. The return is then finalized and the board is provided a copy of the form 990 to review before it is filed.”

Form 990, Part VI, Section B, Line 15

“The organization's ceo, officers, and key employees are paid by billings clinic and logan health. Billings clinic and logan health have an executive compensation program administered annually by independent trustees following best practices and the highest regulatory standards expected of a not-for profit organization. Salary and benefits for the chief executive officer are determined by the board of directors. The board reviews base and total compensation data from an array of compensation surveys of hospitals similar in size and complexity to logan health and billings clinic. The board considers these reports and determines the status of the base salary, benefits, and total compensation for the ceo. Additionally, the ceo utilizes the market information provided to determine recommendations for other senior executives and engages in a rigorous analysis through use of independent survey results. The board reviews benefit levels and total compensation to ensure appropriateness in the not-for-profit health care sector.”

Form 990, Part VI, Section C, Line 19

“The organization 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 Employee Benefit Trust
EIN
81-0391600
Phone
4066574130
Address
2800 10TH AVE N, BILLINGS, MT 59107

Signing Officer

Name
Patti Pilgrim
Title
CFO
Phone
4066574130
Signed
2025-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Clint Seger Md
Formed
1980
Legal Domicile
Mt
Voting Board Members
12
Independent Board Members
8
Employees
0
Volunteers
8

Preparer

Firm
Baker Tilly Advisory Group Lp
Address
20 STANWIX STREET, PITTSBURGH, PA 15222
Preparer
Kelly a Brocious
Phone
4126976400
Raw XML AppendixShowing 400 of 882 raw XML fields

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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