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← BILLINGS CLINIC

Form 990 for tax year 2022

Filed by BILLINGS CLINIC.

Totals

Total revenue
$1,091,996,049
Total expenses
$1,101,625,884
Contributions and grants received
$11,112,553
Grants paid
$277,725
Program service revenue
$971,557,398
Investment income
$81,683,280
Other revenue
$27,642,818
Total assets, end of year
$1,374,741,411
Total liabilities, end of year
$488,326,129
Net assets or fund balances, end of year
$886,415,282
Program services expenses (Part IX)
$912,406,312
Management and general expenses
$189,219,572
Fundraising expenses
$0
Program service expenses (Part III)
$912,406,312

Program services were 82.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $5,259,418

  • 1e · Government grants (contributions)

    $5,849,893

  • 1f · All other contributions, gifts and grants

    $3,242

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $870,103,327 · related or exempt $870,103,327

  • 2b · Program service revenue: RETAIL PHARMACY

    total $86,401,016 · related or exempt $86,401,016

  • 2c · Program service revenue: REFERENCE LAB

    total $6,500,886 · unrelated business $6,500,886

  • 2d · Program service revenue: INCOME ON EQUITY INVESTEES

    total $7,874,920 · related or exempt $2,120,076 · unrelated business $5,754,844

  • 2e · Program service revenue: CLINICAL TRIAL REVENUE

    total $677,249 · related or exempt $677,249

  • 3 · Investment income

    total $19,577,581 · unrelated business $260,377 · excluded $19,317,204

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $257,900

  • 6b · Less rental expenses

    real property $408,344

  • 6c · Rental income or loss

    real property -$150,444 · personal property $0

  • 6d · Net rental income or loss

    total -$150,444 · excluded -$150,444

  • 7a · Gross sales of assets other than inventory

    securities $1,484,394,757 · other assets $364,749

  • 7b · Less cost or other basis and sales expenses

    securities $1,422,524,242 · other assets $129,565

  • 7c · Gain or loss

    securities $61,870,515 · other assets $235,184

  • 7d · Net gain or loss

    total $62,105,699 · excluded $62,105,699

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $558,430

  • 10b · Cost of goods sold

    $173,463

  • 10c · Net income from sales of inventory

    total $384,967 · related or exempt $343,404 · unrelated business $41,563

  • 11a · Other revenue: SERVICE TO OTHER HOSPITALS

    total $5,228,501 · unrelated business $5,228,501

  • 11b · Other revenue: IT CMC

    total $1,220,217 · unrelated business $1,220,217

  • 11c · Other revenue: REGIONAL PAHRMACY SALES

    total $5,873,074 · unrelated business $5,873,074

  • 11d · All other revenue

    total $15,086,503 · related or exempt $15,001,531 · excluded $84,972

  • 11e · Other revenue, total

    $27,408,295

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $265,113 · program services $265,113

  • 2 · Grants to domestic individuals

    total $12,612 · program services $12,612

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $2,120,015 · program services $1,590,647 · management and general $529,368

  • 6 · Compensation of disqualified persons

    total $3,013,844 · management and general $3,013,844

  • 7 · Other salaries and wages

    total $418,866,667 · program services $341,510,303 · management and general $77,356,364

  • 8 · Pension plan contributions

    total $17,158,535 · program services $14,797,931 · management and general $2,360,604

  • 9 · Other employee benefits

    total $37,553,138 · program services $22,280,351 · management and general $15,272,787

  • 10 · Payroll taxes

    total $26,180,976 · program services $20,371,417 · management and general $5,809,559

  • 11a · Fees: management

    total $45,800 · management and general $45,800

  • 11b · Fees: legal

    total $3,786,130 · program services $12,873 · management and general $3,773,257

  • 11c · Fees: accounting

    total $395,299 · management and general $395,299

  • 11d · Fees: lobbying

    total $155,376 · management and general $155,376

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $1,435,691 · management and general $1,435,691

  • 11g · Fees: other

    total $156,295,257 · program services $127,298,049 · management and general $28,997,208

  • 12 · Advertising and promotion

    total $3,030,918 · program services $26,121 · management and general $3,004,797

  • 13 · Office expenses

    total $12,806,583 · program services $5,697,649 · management and general $7,108,934

  • 14 · Information technology

    total $31,500,115 · program services $24,223,588 · management and general $7,276,527

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $7,816,338 · program services $6,814,283 · management and general $1,002,055

  • 17 · Travel

    total $4,877,772 · program services $3,488,095 · management and general $1,389,677

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $156,759 · management and general $156,759

  • 20 · Interest

    total $12,243,553 · program services $9,186,338 · management and general $3,057,215

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $31,785,052 · program services $26,511,912 · management and general $5,273,140

  • 23 · Insurance

    total $4,112,012 · program services $1,766,932 · management and general $2,345,080

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $279,208,047 · program services $278,649,631 · management and general $558,416

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $12,521,905 · program services $12,521,905

  • 24c · Other expenses: BED TAX

    total $9,706,504 · program services $7,530,306 · management and general $2,176,198

  • 24d · Other expenses: DUES

    total $5,480,706 · program services $2,171,456 · management and general $3,309,250

  • 24e · All other expenses

    total $19,095,167 · program services $5,678,800 · management and general $13,416,367

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $52,290,499 · end of year $16,079,651

  • 2 · Savings and temporary cash investments

    beginning of year $227,424,381 · end of year $240,857,717

  • 3 · Pledges and grants receivable

    beginning of year $1,191,686 · end of year $0

  • 4 · Accounts receivable

    beginning of year $128,422,078 · end of year $147,576,315

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $1,255,349 · end of year $1,077,350

  • 8 · Inventories for sale or use

    beginning of year $20,259,447 · end of year $23,262,216

  • 9 · Prepaid expenses and deferred charges

    beginning of year $10,981,071 · end of year $12,022,494

  • 10a · Land, buildings and equipment: cost or other basis

    $757,553,883

  • 10b · Land, buildings and equipment: accumulated depreciation

    $396,728,994

  • 10c · Land, buildings and equipment, net

    beginning of year $345,620,442 · end of year $360,824,889

  • 11 · Investments: publicly traded securities

    beginning of year $528,132,772 · end of year $393,528,818

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $32,643,714 · end of year $38,197,490

  • 14 · Intangible assets

    beginning of year $2,937,359 · end of year $2,595,143

  • 15 · Other assets

    beginning of year $140,056,400 · end of year $138,719,328

  • 17 · Accounts payable and accrued expenses

    beginning of year $92,113,658 · end of year $86,164,548

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $8,201,223 · end of year $688,976

  • 20 · Tax-exempt bond liabilities

    beginning of year $231,416,021 · end of year $172,378,620

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $193,847,648 · end of year $190,130,457

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $43,180,185 · end of year $38,963,528

  • 27 · Net assets without donor restrictions

    beginning of year $855,060,575 · end of year $814,969,320

  • 28 · Net assets with donor restrictions

    beginning of year $67,395,888 · end of year $71,445,962

Mission and programs · 2022

Mission

BILLINGS CLINIC MISSION IS HEALTH CARE, EDUCATION AND RESEARCH. BILLINGS CLINIC WILL PROVIDE THE BEST IN NATION CLINICAL QUALITY, PATIENT SAFETY, SERVICE AND VALUE.

Activities or mission (Part I)

BILLINGS CLINIC IS MONTANA'S LARGEST HEALTHCARE ORGANIZATION CONSISTING OF A 336 BED HOSPITAL AND LEVEL 1 TRAUMA CENTER, PRIMARY CARE AND OVER 80 SPECIALTIES.

  • BILLINGS CLINIC IS A 336 BED HOSPITAL PROVIDING SURGICAL, LABOR AND DELIVERY, PSYCHIATRIC, CANCER CARE, NEONATAL SERVICES AND ACUTE CARE. BILLINGS CLINIC HAD APPROXIMATELY 15,000 ADMISSIONS IN FY23.

    Expenses $416,998,400 · Grants $126,929 · Revenue $549,289,146

  • BILLINGS CLINIC HAS NEARLY 600 PHYSICIANS AND ADVANCED PRACTITIONERS OFFERING MORE THAN 80 SPECIALTIES. PRIMARY CARE IS AVAILABLE AT MULTIPLE LOCATIONS INCLUDING BILLINGS CLINIC DOWNTOWN, HEIGHTS, WEST END, CODY WY, MILES CITY AND BOZEMAN. IN ADDITION, BILLINGS CLINIC CONDUCTS SPECIALTY CARE CLINICS FOR MORE THAN 20 REGIONAL LOCATIONS IN MONTANA, WYOMING AND NORTH DAKOTA. BILLINGS CLINIC HAD OVER 880,000 PATIENT VISITS IN FY23.

    Expenses $420,971,568 · Grants $128,138 · Revenue $351,004,619

  • BILLINGS CLINIC SPECIALTY PHARMACY FOCUSES ON THE PHARMACY CARE OF CHRONIC, RARE OR COMPLEX CONDITIONS THAT REQUIRE SPECIALTY MEDICATIONS. SPECIALTY MEDICATIONS TYPICALLY REQUIRE SPECIAL HANDLING, ADMINISTRATION OR MONITORING BEYOND THAT WHICH A TRADITIONAL RETAIL PHARMACY CAN PROVIDE. WE WORK TO ENSURE APPROPRIATE MEDICATION USE AND PROMOTE ADHERENCE. BILLINGS CLINIC SPECIALTY PHARMACY IS PART OF THE LARGEST HEALTH CARE SYSTEM IN THE REGION.

    Expenses $74,436,344 · Grants $22,658 · Revenue $74,352,838

As filed on the 2022 return.

Listed in Part VII

  • Vance Fredrickson MD

    Physician

    Total calculated
    $1,721,447
    From this org
    $1,702,744
    From related orgs
    $0
    Other
    $18,703
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $1,680,160
    Bonus
    $20,000
    Other
    $2,584
    Deferred
    $7,625
    Nontaxable benefits
    $11,078
    Filer's total
    $1,721,447

  • Scott Ellner

    Former CEO - THROUGH 12/22

    Total calculated
    $1,587,040
    From this org
    $1,387,318
    From related orgs
    $0
    Other
    $199,722
    Hours/week
    60 + 2 related

    Schedule J breakdown matched by us

    Base
    $972,402
    Bonus
    $0
    Other
    $414,916
    Deferred
    $173,695
    Nontaxable benefits
    $26,027
    Filer's total
    $1,587,040

  • Anthony Roccisano DO

    Physician

    Total calculated
    $1,366,977
    From this org
    $1,333,533
    From related orgs
    $0
    Other
    $33,444
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $1,330,886
    Bonus
    $0
    Other
    $2,647
    Deferred
    $0
    Nontaxable benefits
    $33,444
    Filer's total
    $1,366,977

  • Marlin Richardson MD

    Physician

    Total calculated
    $1,119,726
    From this org
    $1,061,191
    From related orgs
    $0
    Other
    $58,535
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $1,058,562
    Bonus
    $0
    Other
    $2,629
    Deferred
    $26,275
    Nontaxable benefits
    $32,260
    Filer's total
    $1,119,726

  • William Dresen MD

    Physician

    Total calculated
    $1,111,461
    From this org
    $1,055,114
    From related orgs
    $0
    Other
    $56,347
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $1,052,668
    Bonus
    $0
    Other
    $2,446
    Deferred
    $26,275
    Nontaxable benefits
    $30,072
    Filer's total
    $1,111,461

  • Christopher Stewart DO

    Physician

    Total calculated
    $1,096,913
    From this org
    $1,049,552
    From related orgs
    $0
    Other
    $47,361
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $1,027,331
    Bonus
    $20,000
    Other
    $2,221
    Deferred
    $18,650
    Nontaxable benefits
    $28,711
    Filer's total
    $1,096,913

  • Kendrick Trostel MD

    PHYSICIAN BOARD MEMBER

    Total calculated
    $686,037
    From this org
    $630,096
    From related orgs
    $0
    Other
    $55,941
    Hours/week
    5

    Schedule J breakdown matched by us

    Base
    $623,743
    Bonus
    $400
    Other
    $5,953
    Deferred
    $29,290
    Nontaxable benefits
    $26,651
    Filer's total
    $686,037

  • Priscilla Needham

    Former CFO - Through 12/22

    Total calculated
    $625,659
    From this org
    $512,919
    From related orgs
    $0
    Other
    $112,740
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $505,586
    Bonus
    $0
    Other
    $7,333
    Deferred
    $88,076
    Nontaxable benefits
    $24,664
    Filer's total
    $625,659

  • Clinton Seger MD

    CEO

    Total calculated
    $588,088
    From this org
    $498,328
    From related orgs
    $0
    Other
    $89,760
    Hours/week
    60 + 2 related

    Schedule J breakdown matched by us

    Base
    $495,374
    Bonus
    $0
    Other
    $2,954
    Deferred
    $72,476
    Nontaxable benefits
    $17,284
    Filer's total
    $588,088

  • Robert Merchant

    Former Co-CEO

    Total calculated
    $470,105
    From this org
    $425,280
    From related orgs
    $0
    Other
    $44,825
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $370,092
    Bonus
    $26,250
    Other
    $28,938
    Deferred
    $26,275
    Nontaxable benefits
    $18,550
    Filer's total
    $470,105

  • Kathleen Quinones

    CFO

    Total calculated
    $294,532
    From this org
    $233,188
    From related orgs
    $0
    Other
    $61,344
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $230,819
    Bonus
    $0
    Other
    $2,369
    Deferred
    $27,601
    Nontaxable benefits
    $33,743
    Filer's total
    $294,532

  • Heidi Duncan MD

    Physician Board Member

    Total calculated
    $283,790
    From this org
    $235,915
    From related orgs
    $0
    Other
    $47,875
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $233,241
    Bonus
    $240
    Other
    $2,434
    Deferred
    $27,628
    Nontaxable benefits
    $20,247
    Filer's total
    $283,790

  • Shannon Holland

    CNO

    Total calculated
    $139,383
    From this org
    $137,923
    From related orgs
    $0
    Other
    $1,460
    Hours/week
    60

  • Joy Ott

    FORMER BOARD SECRETARY

    Total calculated
    $38,768
    From this org
    $29,882
    From related orgs
    $0
    Other
    $8,886
    Hours/week
    5

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $29,882
    Deferred
    $8,886
    Nontaxable benefits
    $0
    Filer's total
    $38,768

  • Keith Cook

    Board Chair

    Total calculated
    $24,000
    From this org
    $12,000
    From related orgs
    $0
    Other
    $12,000
    Hours/week
    5 + 1 related

  • Wayne Hirsch

    BOARD TREASURER

    Total calculated
    $12,000
    From this org
    $6,000
    From related orgs
    $0
    Other
    $6,000
    Hours/week
    5

  • Craig Bartholomew

    Board Member

    Total calculated
    $7,499
    From this org
    $0
    From related orgs
    $0
    Other
    $7,499
    Hours/week
    5

  • Eileen McDonald

    Board Member

    Total calculated
    $6,187
    From this org
    $0
    From related orgs
    $0
    Other
    $6,187
    Hours/week
    5 + 3 related

  • Alice Gordon

    Board Member

    Total calculated
    $6,000
    From this org
    $3,000
    From related orgs
    $0
    Other
    $3,000
    Hours/week
    5

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 4A
SEVERANCE OR CHANGE OF CONTROL PAYMENTS: SCOTT ELLNER, FORMER BILLINGS CLINIC CEO, RECEIVED A QUALIFYING PAYMENT IN THE AMOUNT OF $20,000 IN 2022. THIS PAYMENT IS INCLUDED IN THE AMOUNT OF OTHER REPORTABLE COMPENSATION REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II.
SCHEDULE J, PART I, LINE 4B
DESCRIPTION OF NON-QUALIFIED RETIREMENT PLAN: THE BILLINGS CLINIC SUPPLEMENTAL RETIREMENT AGREEMENT FOR SENIOR EXECUTIVES (SERP) IS A NON-ELECTIVE 457(F) AGREEMENT AND PROVIDES FOR ANNUAL DEFERRALS, WHICH BECOME VESTED AND PAYABLE AFTER 4 YEARS. THE FOLLOWING INDIVIDUALS ARE PARTICIPANTS IN THE PLAN DURING THE 2022 CALENDAR YEAR WHICH IS INCLUDED IN DEFERRED COMPENSATION ON SCHEDULE J, PART II, COLUMN C: CLINTON SEGER - 46,201 KATHLEEN QUINONES - 27,601 SCOTT ELLNER - 147,472 PRISCILLA NEEDHAM - 61,801 THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) PLAN AND RECEIVED A PAYMENT REPORTED IN PART II, COLUMN (F) THAT WAS REPORTED AS DEFERRED COMPENSATION BY BILLINGS CLINIC IN A PRIOR YEAR: SCOTT ELLNER - 381,272
SCHEDULE J, PART I, LINE 7
DESCRIPTION OF NON-FIXED PAYMENTS: THE BOARD OF DIRECTORS ANNUALLY DETERMINES THE INCENTIVE PLAN AMOUNT FOR THE CEO AND THE SENIOR EXECUTIVE TEAM BASED ON AN EXTERNAL COMPENSATION STUDY. THE AVAILABILITY OF THE INCENTIVE IS AWARDED BASED ON FINANCIAL PERFORMANCE AS WELL AS ORGANIZATIONAL PERFORMANCE MEASUREMENTS IN QUALITY, PATIENT SATISFACTION, EMPLOYEE SATISFACTION AND THE INDIVIDUAL GOALS SET EACH YEAR IF THE TARGET IS TRIGGERED. THE INCENTIVE IS PAID ONLY IF TRIGGERED FOLLOWING THE FINANCIAL AUDIT PRESENTATION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • MONTANA HEALTHCARE INDEMNITY LLC

    INSUR CAPTIVE · MT · income $7,704,253 · assets $24,365,028

    Directly controlled by Billings Cli

  • BILLINGS CLINIC SPECIALTY SUPPLIES AND S

    SPEC SUPPLY · MT · income $94,401,807 · assets $16,649,633

    Directly controlled by Billings Cli

  • BILLINGS CLINIC ONCALL LLC

    TELEHEALTH · MT · income $6,760 · assets $6,375

    Directly controlled by Billings Cli

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • BILLINGS CLINIC INNOVATION FERTILITY LL

    NONE · FERTILITY CLINIC · NY · 49% owned · share of income $0 · share of assets $0

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BILLINGS CLINIC EXPRESS CARE

    C CORP · RETAIL HEALTH SVC · MT · 100% owned · share of income $73,537 · share of assets $0 · controlled entity

    Directly controlled by BILLINGS CLINIC

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202411229349302551

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