BILLINGS CLINIC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: BILLINGS CLINIC (EIN 81-0231784)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-11
IRS object ID: 201101329349303435
Schema version: 2009v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-11T19:09:30-07:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	810231784	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BILLINGS CLINIC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BILL	NameControl
Phone	4062382134	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2800 Tenth Avenue North	AddressLine1
City	Billings	City
State	MT	State
ZIP Code	59101	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Connie F Prewitt	Name
Title	CFO	Title
Phone	4062382134	Phone
Date Signed	2011-05-09	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Nicholas Wolter MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2800 Tenth Avenue N	AddressLine1
City	Billings	City
State	MT	State
ZIP Code	59101	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	926574385	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	billingsclinic.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1907	YearFormation
State Legal Domicile	MT	StateLegalDomicile
Activity Or Mission Description	Billings Clinic will be a national leader in providing the best clinical quality, patient safety, service and value.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	3867	TotalNbrEmployees
Total Nbr Volunteers	285	TotalNbrVolunteers
Total Gross UBI	4289301	TotalGrossUBI
Net Unrelated Business Txbl Income	186909	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5693843	ContributionsGrantsPriorYear
Contributions Grants Current Year	5252157	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	451968251	ProgramServiceRevenuePriorYear
Program Service Revenue CY	486738291	ProgramServiceRevenueCY
Investment Income Prior Year	-4043389	InvestmentIncomePriorYear
Investment Income Current Year	4176066	InvestmentIncomeCurrentYear
Other Revenue Prior Year	9879486	OtherRevenuePriorYear
Other Revenue Current Year	13867154	OtherRevenueCurrentYear
Total Revenue Prior Year	463498191	TotalRevenuePriorYear
Total Revenue Current Year	510033668	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	246829655	SalariesEtcPriorYear
Salaries Etc Current Year	262345592	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	216244036	OtherExpensePriorYear
Other Expenses Current Year	224834233	OtherExpensesCurrentYear
Total Expenses Prior Year	463073691	TotalExpensesPriorYear
Total Expenses Current Year	487179825	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	424500	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	22853843	RevenuesLessExpensesCY
Total Assets BOY	471413009	TotalAssetsBOY
Total Assets EOY	497625440	TotalAssetsEOY
Total Liabilities BOY	231877980	TotalLiabilitiesBOY
Total Liabilities EOY	231421885	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	239535029	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	266203555	NetAssetsOrFundBalancesEOY
Mission Description	Billings Clinic is a not-for-profit, physician-led, multispecialty medical group practice integrated with a hospital and long term care facility, serving the communities of Montana, northern Wyoming and the western Dakotas. Their mission is healthcare, education and research.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	174216713	Expense
Grants	0	Grants
Revenue	269715600	Revenue
Description	Hospital patient care	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	174378290	Expense
Grants	0	Grants
Revenue	187993084	Revenue
Description	Clinic patient care	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	11285456	Expense
Grants	0	Grants
Revenue	7861985	Revenue
Description	Nursing home patient care	Description

Activity Other ActivityOther (2 entries)

ExpenseExpense	GrantsGrants	RevenueRevenue	DescriptionDescription
0	0	0	Other
8627026	0	21167622	Other program services

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	8627026	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	21167622	TotalOfOtherProgramServiceRev
Total Program Service Expense	368507485	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	197	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	3867	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Billings Clinic	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4062382134	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2800 Tenth Ave North	AddressLine1
City	Billings	City
State	MT	State
ZIP Code	59101	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
W Ballard
Board Member	2	X	3750	0	1500
D Brown
Board Member	2	X	0	0	5721
T Hathaway
Board Member	2	X	0	0	6898
L Knight
Board Member	2	X	0	0	7229
P Nance
Board Member	2	X	1500	0	1500
J Ott
Board member	2	X	0	0	5460
L Overstreet
Board Member	2	X	0	0	6898
M Schaer
Board Member	5	X	7500	0	3000
J ShepardLovell
Board Member	2	X	0	0	6582
Dr J Millikan
Board Member/Physician	95	X	568808	0	34741
Dr C McCracken
Board Member/Physician	80.00	X	319795	0	30289
Dr N Wolter
CEO	60	X	584429	0	193066	X
C Prewitt
Chief Financial Officer	68.00		128328	0	32277	X
D Ebel
Chief Financial Officer	40.00		231750	0	0	X
Dr Wentzell
Dermatologic surgeon	50		971774	0	34229		X
Dr Morone
Neurologic surgeon	95.00		878534	0	32107		X
Dr Lindenbaum
Radiologist	60		826293	0	31917		X
Dr Sample
Interventional cardiologist	90		822716	0	32253		X
Dr Purcell
Oncologist/hemotologist	60		819322	0	30485		X
Dr J Knostman
Board member	0.00		11230	0	1245			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6175729	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	497397	TotalOtherCompensation
Number Individuals GT100 K	327	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Hardy Construction
Box 1203	Billings	MT	59103	Building contractor	8699987
Sodexo
C/O Billings Clinic	Billings	MT	59101	Patient food service	4960655
Huron Consulting
8044 Solutions Center	Chicago	IL	606778000	Consulting	2741594
MD Network
Box 731	Cody	WY	82414	Transcription services	1846286
Langlas & Asso
2270 Grant Road	Billings	MT	59102	Building contractor	1597771

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	47	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	0	FundraisingEvents
Related Organizations	5252157	RelatedOrganizations
Government Grants	0	GovernmentGrants
All Other Contributions	0	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	5252157	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Patient service revenue	622000	482448990	482448990	0	$0
Reference lab	621500	3701457	0	3701457	$0
Optical shop	446130	587844	0	587844	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	486738291	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4617064	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$4,617,064	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	670392	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	83827	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	586565	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	586565	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$586,565	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	415685698	Securities
Other	20568	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	416045241	Securities
Other	102023	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-359543	Securities
Other	-81455	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-440998	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$440,998	ExclusionAmount

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents
Gross Sales Of Inventory	439884	GrossSalesOfInventory
Cost Of Goods Sold	309626	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	130258	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$130,258	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Insurance premiums	524298	4593969	4593969	0	$0
Share of JV	621300	1911056	1911056	0	$0

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6645306	TotalRevenueColumn
Related Or Exempt Function Income	6645306	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	13150331	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	510033668	TotalRevenueColumn
Related Or Exempt Function Income	495599321	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4289301	UnrelatedBusinessRevenue
Exclusion	$4,892,889	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2064707	Total
Program Services	0	ProgramServices
Management And General	2064707	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	218599104	Total
Program Services	177044790	ProgramServices
Management And General	41554314	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8507589	Total
Program Services	6961515	ProgramServices
Management And General	1546074	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	19646456	Total
Program Services	14171155	ProgramServices
Management And General	5475301	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13527736	Total
Program Services	10605086	ProgramServices
Management And General	2922650	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	976183	Total
Program Services	22709	ProgramServices
Management And General	953474	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	158148	Total
Program Services	0	ProgramServices
Management And General	158148	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	34606	Total
Program Services	0	ProgramServices
Management And General	34606	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	572412	Total
Program Services	0	ProgramServices
Management And General	572412	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	30580951	Total
Program Services	11298060	ProgramServices
Management And General	19282891	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	817914	Total
Program Services	63497	ProgramServices
Management And General	754417	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	91462510	Total
Program Services	87470704	ProgramServices
Management And General	3991806	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4619318	Total
Program Services	493479	ProgramServices
Management And General	4125839	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6530806	Total
Program Services	3340378	ProgramServices
Management And General	3190428	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	2218647	Total
Program Services	1436266	ProgramServices
Management And General	782381	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	319748	Total
Program Services	109958	ProgramServices
Management And General	209790	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	10587931	Total
Program Services	114023	ProgramServices
Management And General	10473908	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16842344	Total
Program Services	13068162	ProgramServices
Management And General	3774182	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	10689086	Total
Program Services	4538350	ProgramServices
Management And General	6150736	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad debt	36731905	33174679	3557226
Repairs	5378756	4082920	1295836
Bed tax	3471427	284915	3186512
Recruitment	1466329	10279	1456050
Dues and fees	928942	158390	770552

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	446270	Total
Program Services	58170	ProgramServices
Management And General	388100	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	487179825	Total
Program Services	368507485	ProgramServices
Management And General	118672340	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	32676908	BOY
EOY	17087854	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	22509743	BOY
EOY	21883719	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	67179356	BOY
EOY	68297133	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	8605654	BOY
EOY	8546299	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6249792	BOY
EOY	6794151	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5059160	BOY
EOY	5524333	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	390119356	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	203411628	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	189729277	BOY
EOY	186707728	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	94028931	BOY
EOY	139090983	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	16035420	BOY
EOY	12191155	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	4209259	BOY
EOY	3722305	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	25129509	BOY
EOY	27779780	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	471413009	BOY
EOY	497625440	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	50659671	BOY
EOY	47708467	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	151503289	BOY
EOY	144839706	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2382969	BOY
EOY	2531045	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	27332051	BOY
EOY	36342667	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	231877980	BOY
EOY	231421885	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	214546713	BOY
EOY	240597129	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7993304	BOY
EOY	7725992	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16995012	BOY
EOY	17880434	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	239535029	BOY
EOY	266203555	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	471413009	BOY
EOY	497625440	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	34606	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	34606	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	487145219	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	487179825	FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	184134	CurrentYearMinus3
Current Year Minus2	136064	CurrentYearMinus2
Current Year Minus1	105276	CurrentYearMinus1
Current Year	34606	CurrentYear
Total	460080	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

Field	Value	IRS element (for citing)
Current Year Minus3	0	CurrentYearMinus3
Current Year Minus2	0	CurrentYearMinus2
Current Year Minus1	0	CurrentYearMinus1
Current Year	0	CurrentYear
Total	0	Total

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	18575246	BeginningOfYearBalance
Contributions	665198	Contributions
Investment Earnings Or Losses	399625	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	19640069	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	17655956	BeginningOfYearBalance
Contributions	1048699	Contributions
Investment Earnings Or Losses	-194238	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	120464	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	18389953	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.09	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.91	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	17998001	OtherCostOrOtherBasis
Book Value	17998001	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	143495043	OtherCostOrOtherBasis
Depreciation	55073805	Depreciation
Book Value	88421238	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	1810962	OtherCostOrOtherBasis
Depreciation	1348039	Depreciation
Book Value	462923	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	196000511	OtherCostOrOtherBasis
Depreciation	139680367	Depreciation
Book Value	56320144	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	30814839	OtherCostOrOtherBasis
Depreciation	7309417	Depreciation
Book Value	23505422	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	186707728	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	Less than 5% of total assets	Description
Book Value	12191155	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	12191155	TotalOfBookValueProgramRelated

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	Beneficial interest in Billings Clinic Foundation	Description
Book Value	27779780	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	27779780	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Swap valuation	$22,153,253
Claims reserve	$6,312,390
Provision for unpaid claims	$7,877,024

Field	Value	IRS element (for citing)
Total Of Amounts	36342667	TotalOfAmounts
Total Revenue	510033668	TotalRevenue
Total Expenses	487179825	TotalExpenses
Excess Or Deficit For Year	22853843	ExcessOrDeficitForYear
Net Unrealized GL On Investments	3779428	NetUnrealizedGLOnInvestments
Donated Services And Facilities	0	DonatedServicesAndFacilities
Investment Expenses	0	InvestmentExpenses
Prior Period Adjustments	0	PriorPeriodAdjustments
Other	$35,255	OtherAmount
Total Adjustments	3814683	TotalAdjustments
Excess Or Deficit Per FS	26668526	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	513813096	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3779428	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	0	OtherRevenues
Revenue Not Rptd F990	3779428	RevenueNotRptdF990
Revenue Subtotal	510033668	RevenueSubtotal
Investment Expenses Not Included	0	InvestmentExpensesNotIncluded
Other Revenues Not Included	0	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	510033668	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	487179825	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	487179825	ExpensesSubtotal
Investment Expenses Not Included2	0	InvestmentExpensesNotIncluded2
Other Expenses Not Included	0	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	487179825	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchD_P05_S00_L04	Schedule D, Part V, Line 4	Endowment funds are to be invested and held in perpetuity to provide a source of income for Billings Clinic programs and needs.
SchD_P10_S00_L00	Schedule D, Part X	The Organization adopted the provisions of ASC 740, Income Taxes. ASC 740 clarifies the accounting for uncertainty in income taxes recognized in an organization's financial statemnts in accordance with the ASC and prescribes a recognition threshold and measurment standard for the financial statement recognition and measurement of an income tax postition taken or expected to be taken in a tax return. The Organization has reviewed its tax positions for all open tax years and has concluded no reserves are requred.
SchD_P11_S00_L08	Schedule D, Part XI, Line 8	Transfer of donated equipment from Billings Clinic Foundation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	39940	PersonsServed
Total Community Benefit Expense	13635106	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	13635106	NetCommunityBenefitExpense
Percent Of Total Expense	0.0303	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	95257	PersonsServed
Total Community Benefit Expense	36729054	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38077061	DirectOffsettingRevenue
Net Community Benefit Expense	-1348007	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	135197	PersonsServed
Total Community Benefit Expense	50364160	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38077061	DirectOffsettingRevenue
Net Community Benefit Expense	12287099	NetCommunityBenefitExpense
Percent Of Total Expense	0.0303	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	34	NumberOfActivitiesOrPrograms
Persons Served	119822	PersonsServed
Total Community Benefit Expense	3649555	TotalCommunityBenefitExpense
Direct Offsetting Revenue	490443	DirectOffsettingRevenue
Net Community Benefit Expense	3159112	NetCommunityBenefitExpense
Percent Of Total Expense	0.007	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	3268	PersonsServed
Total Community Benefit Expense	2375037	TotalCommunityBenefitExpense
Direct Offsetting Revenue	475455	DirectOffsettingRevenue
Net Community Benefit Expense	1899582	NetCommunityBenefitExpense
Percent Of Total Expense	0.0042	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	185931	PersonsServed
Total Community Benefit Expense	49449675	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38051078	DirectOffsettingRevenue
Net Community Benefit Expense	11398597	NetCommunityBenefitExpense
Percent Of Total Expense	0.0253	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	6756	PersonsServed
Total Community Benefit Expense	2511363	TotalCommunityBenefitExpense
Direct Offsetting Revenue	486874	DirectOffsettingRevenue
Net Community Benefit Expense	2024489	NetCommunityBenefitExpense
Percent Of Total Expense	0.0045	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	8749	PersonsServed
Total Community Benefit Expense	279250	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	279250	NetCommunityBenefitExpense
Percent Of Total Expense	0.0006	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	59	NumberOfActivitiesOrPrograms
Persons Served	324526	PersonsServed
Total Community Benefit Expense	58264880	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39503850	DirectOffsettingRevenue
Net Community Benefit Expense	18761030	NetCommunityBenefitExpense
Percent Of Total Expense	0.0416	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	59	NumberOfActivitiesOrPrograms
Persons Served	459723	PersonsServed
Total Community Benefit Expense	108629040	TotalCommunityBenefitExpense
Direct Offsetting Revenue	77580911	DirectOffsettingRevenue
Net Community Benefit Expense	31048129	NetCommunityBenefitExpense
Percent Of Total Expense	0.0719	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	3744	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3744	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	250	PersonsServed
Total Community Building Expense	2392	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	2392	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	152079	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	152079	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	293	PersonsServed
Total Community Building Expense	66168	TotalCommunityBuildingExpense
Direct Offsetting Revenue	33453	DirectOffsettingRevenue
Net Community Building Expense	32715	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	543	PersonsServed
Total Community Building Expense	224383	TotalCommunityBuildingExpense
Direct Offsetting Revenue	33453	DirectOffsettingRevenue
Net Community Building Expense	190930	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$16,604,938	BadDebtExpenseAmount
Amount Attributable To	1136455	AmountAttributableTo
Amount Reimbursed By Medicare	145111020	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	166121165	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-21010145	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (8 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	OtherOther
Billings Clinic
2800 Tenth Avenue N	Billings	MT	59101	X	X	X	X	7 outpatient physician clinics 1 DME supplies
Billings Clinic Aspen Meadows
3155 Avenue C	Billings	MT	59102					Long term care and assisted living facility
Billings Clinic TCU
2800 Tenth Avenue N	Billings	MT	59101					TCU
Billings Clinic Dialysis Center
2800 Tenth Avenue N	Billings	MT	59101					Dialysis unit
Billings Clinic Sheridan Dialysis
1401 West 5th St	Sheridan	WY	82801					Dailysis unit
Bozeman Dialysis Center
931 Highland Blvd	Bozeman	MT	59715					Dialysis unit
Billings MRI Center
1041 North 29th St	Billings	MT	59101					Medical imaging
Livingston Imaging Center
504 S 13th ST	Livingston	MT	59047					Medical imaging

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	The Federal Poverty Guidelines (FPG) are utilized to determine eligibility. In addition, Billings Clinic utilizes a calculator that has built into the formulas the FPG and the cost of living within our area to help determine the patient's ability to pay. There are individuals who do receive free care, without co-pay, and we are currently updating our policy to reflect that. Our application requires submitting bank statement and investment account information to consider assets as part of the process. The application includes: o Completed and signed application and financial assistance checklist completed. o Letter of need completed. o Complete copies of previous years federal and state tax returns, all pages, all schedules, all W-2's. o Debt to income ratio o Type of employment (part/time, seasonal, etc.) o Copies of earnings for last three months for each person in the household, i.e., paystubs, social security, pensions, unemployment benefits, etc. Profit and Loss statement for self employed applicants. o Copies of last three months bank statements, savings statements, investment account statements. o Letters of support from assisting party if household is receiving assistance from family and/or friends. o Award letters from SNAP, LIEAP, TANF, college loans, general assistance, etc. o If currently unemployed, when was last day of work? o How they spend their income (Information from bank statements).	IncomeBasedCriteria
Costing Method Used	For the calculation of the unreimbursed cost of charity care and Medicaid, a ratio of patient care cost to charges using worksheet 2 was utilized. For the calculation of the cost of subsidized services, individual department cost to charge ratios were used, rather than facility wide.	CostingMethodUsed
Subsidized Health Services Expln	Included as subsidized health services are the unreimbursed cost attributable to our rural primary care physician clinics and regional physician outreach clinics (minus bad debt, charity care, Medicaid and Medicare) at a total net benefit of $3,419,815. (Outreach clinic numbers include costs of travel, physician compensation and benefits minus reimbursement.) We provide rural outreach clinics in areas of Montana and Wyoming that do not offer specialty physician services, including cardiology and oncology. This service allows rural patients access to care that may be unattainable to them if required to drive 60 to 300 miles away to Billings, Montana. Physician outreach is especially beneficial to the elderly, frail, ill, single parents and others who would have trouble traveling, or who could not take time off from their job, farm or ranch.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Bad debt expense included on Form 990, Part IX, line 25, column A, but subtracted for purposes of calculating the percentage column is $36,731,905.	PercentOfTotalExpenseExpln
Bad Debt Footnote	For the calculation of the unreimbursed cost of bad debt, a ratio of patient care cost to charges using worksheet 2 was utilized and applied to charges written off to bad debt. The facility does not routinely discount patient charges and any payments received would reduce the bad debt expense. At this time, the provider does not have a methodology in place to determine amounts applicable to patients who would qualify for charity care, but did not provide sufficient information. Many of these accounts are written off to charity care under the organization's current policies, based upon known factors, such as, homelessness. Others are written off to bad debt, but cannot be identified. We do have a number that would cover possible patients who would have qualified for charity care in the hospital only, but did not provide enough information to qualify. That amount is a cost of $1,136,455.	BadDebtFootnote
Shortfall As Community Benefit	For the calculation of the unreimbursed cost of Medicare. a ratio of patient care cost to charges using worksheet 2 was utilized and applied to gross Medicare charges. Billings Clinic provided care to 30,614 Medicare recipients, with a total of 374,738 clinic and hospital encounters, at an unreimbursed cost of $21,010,145. We do not use the Cost Report for this number. The Cost Report only captures revenue related to the facility and does not capture revenue/losses related to clinical professional services, which are a substantial portion of Billings Clinic Medicare shortfalls. In addition, we believe that 46 percent of Billings Clinic's Medicare shortfalls ($9,664,666) should be counted as a community benefit. Our rationale is that 46 percent is the best estimate of the percentage of Montana's Medicare population who are at or below 300% of Federal Poverty Level, based on U.S. Census data. The upper limit of our financial assistance policy is 300%.	ShortfallAsCommunityBenefit
Debt Collection Policy	The collection policy screens patients for financial assistance prior to making payment arrangements for care. The policy applies equally to all patients - insured, under-insured or uninsured. Once a determination has been made and adjustments applied to the account balance, any remaining balance would fall into the regular guidelines of collection, giving patients financing options that will work within their monthly budget.	DebtCollectionPolicy
Number Of Facility Type Expln	# of each type of facility, other than those required to be licensed already noted in part V.	NumberOfFacilityTypeExpln
Needs Assessment	Billings Clinic participated in a Community Health Needs Assessment process in 2006 and again in 2010 in collaboration with St. Vincent Healthcare and Riverstone Health, the public health department in our city/county, to better identify medical/health needs of Yellowstone County residents. The needs assessment included qualitative and quantitive research with input from a broad spectrum of participants, including community members, public health officials and health care providers. The assessment guides collective and individual organization's efforts to improve the health status, increase life span, and improve the overall quality of life of county residents. The 2010 assessment results will be available in late January of 2011 to help with future community benefit planning.	NeedsAssessment
Patient Education Assistance	Patient Education of Eligibility for Assistance: * All patients may apply for financial assistance - informational brochures and applications are available at registration desks in the clinic and hospital, the Emergency Department discharge desk, care management staff and on our website at billingsclinic.com. * Information about financial assistance is printed on the back of patient bills. * Patients hospitalized without identifying a third party payer source are screened for coverage/assistance - SSI (Social Security Supplemental income, if approved will qualify for Medicaid), SSDI (Social Security Disability Income), Veterans' Administration, Indian Health Services, Workers Compensation, Medicaid, Crime Victims, and health insurance coverage. * A Financial Assistance brochure is mailed to new patients (Clinic and Hospital) in their pre-admission packets. These packets are mailed to all patients, even if they cannot be reached by phone in advance. * An application is mailed to patients whose payment pattern indicates that they may need assistance. * Staff is available to help any patient needing assistance to complete an application. * According to our existing Financial Application policy, a patient is not eligible for charity assistance if the account is sent to bad debt. We do bring accounts back in house for charity assistance on a case-by-case basis. * An account is sent to bed debt at least 120 days after they are considered just "self-pay", at least three statements, and/or multiple attempts to contact the patient.	PatientEducationAssistance
Community Information	Billings Clinic is based in Billings, Montana, the largest city in Montana, with more than 142,000 people in Yellowstone County. In Billings there are two not-for-profit hospitals of similar size. Billings Clinic's defined service area includes 560,404 people living in 40 counties in eastern Montana and northern Wyoming, covering 121,000 square miles or roughly the size of the state of New Mexico. Thirty-eight of those 40 counties are either wholly or partly designated as Health Professional Shortage Areas (HPSA) by the US Department of Health and Human Services, Health Resources and Services Administration under the Primary Medical Care discipline. The area includes five American Indian Reservations and an American Indian population of 38,882, or 6.9% of the service area's population. The US Census Bureau 2008 estimates show that 27.3% of Montana families are below 200% of the Federal Poverty level, compared to 26.6% for the nation and Montana is ranked 13th lowest of 50 states in Median Family Income. Montana is ranked 12th highest among 50 states in the percent of people below age 65 who were without health insurance coverage in 2008, with 18.9% uninsured and looking at all age groups, including the age 65+, Montana ranks 13th highest with 16.1% uninsured in 2008.	CommunityInformation
Community Building Activities	Community Building Activities include community health advocacy, workforce development and partnerships with local, state and regional government and health care organizations to address health issues. For example, one of Billings Clinic's Medical Directors, Doug Carr, MD, works as a loaned executive (about 250 hours per year) for the City-County Health Board and is currently the chair of that Board. The Health Board works for overall community health, primary prevention and helping the underserved. Much of our Community Building Activities are hours worked by several of our executives and our public affairs director for the Alliance, comprised of leaders from Billings Clinic, St. Vincent Healthcare and Riverstone Health (city/county public health). Projects or outcomes of the Alliance partnerships include: * Community Crisis Center - enhances access to behavioral health care in Billings in response to identified community need. The Center is staffed 24 hours per day, seven days per week with a combination of registered nurses, licensed mental health therapists, and mental health technicians. During a stay that must be less than 24 hours, clients are stabilized and assessed to facilitate the development of a crisis management plan. * Medication Assistance Program (MAP) - helps patients afford the prescription drugs they need by connecting individuals with available patient assistance programs offering discounted or free prescription medication. MAP assists low income, uninsured or under- insured people in getting the medications they need, but can't afford. * Plan to Improve the Community's Health (PITCH) - The purpose of PITCH is to provide a framework for a community that is healthy by design, i.e., to intentionally influence the environment in which people live, work, and play such that positive health effects are enhanced and negative health effects are mitigated. * Healthy by Design - To help recognize organizations in Yellowstone County committed to improving our community's health, Healthy by Design encourages, recognizes, educates and creates a standard of excellence for promoting healthy lifestyles by encouraging active living and healthy choices that shape the future of the community. * Healthy Places - The Alliance organizations have developed a program aimed at improving the health of our community. Some of the ways include: community planning (Health Impact Assessments), safe routes to school and strengthened nutrition policies in schools.	CommunityBuildingActivities
Other Information	Billings Clinic is an integrated health care organization, combining a not-for-profit multi-specialty medical group practice with a hospital and long term care facility. Our organization promoted community health in many ways in Fiscal Year 2010, including: * Substantial financial assistance and charity care was provided to patients in need. Billings Clinic provides more charity care than another other hospital or health care organization in Montana. * Care was provided to Medicare and Medicaid patients, as well as SCHIP for children. * Our Board's governance and nominating committee reviewed the entire 990, including Schedule H, which was then discussed with the entire Board of Directors. * Billings Clinic is a teaching hospital and supports, along with Riverstone Health and St. Vincent Healthcare, the only post-graduate medical education in Montana - the Montana Family Medicine Residency Program. Nearly 90 percent of the graduates establish a practice in rural, medically underserved settings in Montana. In addition we provide ongoing preceptorships for medical, nursing and pharmacy students so that they can obtain real-life experience during college and graduate school. * Billings Clinic is a Medicaid disproportionate share hospital serving a significantly disproportionate number of low-income patients. * Billings Clinic has the only inpatient psychiatric services available in our region of central and eastern Montana and northern Wyoming, despite significant financial loss. We are committed to mental health care and continually work to find ways to reach those in need in the region, such as through telemedicine programs and education for primary care providers. * Our full-time emergency department is maintained where no one is denied care, within our capacity to provide care. * Our board of directors is composed of community members who reside in the primary service area. Only three out of 12 board members are employees - two are employed physicians and one is our CEO. * Medical staff privileges are open to all qualified physicians in our community. Operating surpluses are directed solely toward meeting our charitable purposes, including education, research, capital expenses, debt amortization, patient care improvements and medical education.	OtherInformation
Affiliated Health Care System	N/A	AffiliatedHealthCareSystem

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Dr N Wolter
584189	0	0	0	240	0	183822	0	9245	0	777496	0	0	0
C Prewitt
118088	0	10000	0	240	0	30000	0	2277	0	160605	0	0	0
Dr J Millikan
559476	0	8451	0	880	0	25626	0	9115	0	603548	0	0	0
Dr C McCracken
310538	0	0	0	9257	0	23237	0	7052	0	350084	0	0	0
Dr J Knostman
0	0	0	0	11230	0	1245	0	0	0	12475	0	0	0
Dr Wentzell
622452	0	349222	0	100	0	21775	0	12454	0	1006003	0	0	0
Dr Morone
642015	0	233899	0	2620	0	20425	0	11681	0	910640	0	0	0
Dr Lindenbaum
407048	0	419185	0	60	0	20669	0	11249	0	858211	0	0	0
Dr Sample
822716	0	0	0	0	0	21034	0	11219	0	854969	0	0	0
Dr Purcell
806016	0	13126	0	180	0	19294	0	11191	0	849807	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L01a	Schedule J, Part I, Line 1a	Billings Clinic periodically arranges and pays for charter travel for management and/or Board members attending governance education conferences, State legislative hearings and association meetings. There were 9 of these flights in FY10. Billings Clinic also pays for the travel expenses of spouses of Board members attending organizationally approved/arranged goverance education. This reimbursement is reported as income consistent with the Board travel reimbursement policy.
SchJ_P01_S00_L04	Schedule J, Part I, Line 4	Supplemental Retirement Agreement (CEO) - nonelective 457(f) plan provides for fixed annual deferrals in amounts ranging from $115,000 to $165,000, which become vested and payable after continued employment on June 30, 2013 or earlier death, disability, involuntary termination without cause, or involuntary termination for good reason following a change in control of the corporation. Physician 457(f) Plan - Nonelective 457(f) plan provides for one-time deferral of $200,000 in August 2006 to become vested and payable on July 1, 2010 or in a prorated amount on earlier death, disability or involuntary termination of employment without cause. Executive 457(f) Plan - Nonelective 457(f) plan provides fixed annual deferrals for Vice Presidents ($30,000) and Executive Directors ($15,000), each of which becomes vested and payable after 4 years, or upon attainment of age 62, death, disability, involuntary termination without cause, or involuntary termination for good reason following a chnage in control of the corporation, and unless vested is forfeited on termination of employment.
SchJ_P01_S00_L06	Schedule J, Part I, Line 6	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 triggered by the organizational operating margin performance target. The incentive is awarded based on financial performance as well as organizational performance measurements in quality, service satisfaction, both patient and employee satisfaction and then individual goals set each year if the target is triggered. The incentive is paid only if triggered following the financial audit presentation.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
Montana Facility Finance Authority
810302402	2008-05-30	60000000	Property, plant and equipment	0	0
Montana Facility Finance Authority
810302402	2009-06-24	12720000	Property, plant and equipment	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Amount DefeasedAmountDefeased	Amount UnspentAmountUnspent	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
60000000	5535735	0	0	1200000	0	53264265	2009	0	0	1	1
12720000				58000		12662000	2009	0	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	0	0	0	1
0	0	0	0	1	0	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	0	0	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0B_L11	Form 990, Part VI, Section B, Line 11	The 990 reveiw is as follows: 1)CFO, 2)Executive group, 3)Governance and Nominating Committee of the Board, 4)Board of Directors
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	The Governance and Nominating Committee of the Board, according to their charter, reviews annually the disclosure statements of the Board of Directors and senior executives and takes action to resolve conflicts. A Conflict of Interest Review Panel, chaired by the Compliance Officer, as outlined in organizational policy, is responsible for reviewing disclosed conflicts and approving necessary conflict management plans of all other interested persons at Billings Clinic.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	Billings Clinic has an executive compensation program administered by independent trustees following best practices and the highest regulatory standards expected of a not-for-profit organization. They follow a board apporved 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.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	Billings Clinic makes its tax forms available for public inspection through individual request.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Montana Healthcare Indemnity	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2800 Tenth Avenue N	AddressLine1
City	Billings	City
State	MT	State
ZIP Code	59101	ZIPCode

Field	Value	IRS element (for citing)
EIN	810231784	EIN
Primary Activities	Insurance captive	PrimaryActivities
Legal Domicile State	MT	LegalDomicileState
Total Income	4593969	TotalIncome
EOY Assets	8212343	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Billings Clinic	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Billings Clinic Foundation	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2917 Tenth Avenue N	AddressLine1
City	Billings	City
State	MT	State
ZIP Code	59101	ZIPCode

Field	Value	IRS element (for citing)
EIN	810407289	EIN
Primary Activities	Fund raising	PrimaryActivities
Legal Domicile State	MT	LegalDomicileState
Exempt Code Section	501(c)(3)	ExemptCodeSection
Public Charity Status	7	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Billings Clinic	BusinessNameLine1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	Billings Clinic Foundation	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	c	TransactionType
Amount Involved	5252157	AmountInvolved