Billings Clinic
Billings Clinic reported $1.23 billion in revenue and $1.24 billion in expenses for calendar year 2024. Of every $100 it spent, $77.77 went to program services, $22.23 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 94.0% of the total. The highest compensation it reported for one person was $2,234,126 (PHYSICIAN). 1,085 people received more than $100,000 in reportable compensation. Revenue rose 47% between FY2020 and 2024. Source: Form 990, 2024.
Where $100 of spending went
Calendar year 2024 · Form 990, Part IX, line 25 · total expenses $1.24BFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
Calendar year 2024 · Form 990, Part VIII · total revenue $1.23BThe 990 scorecard · same measures for every charity, no grades
| Measure | 2024 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 77.8% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 22.2% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.2% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.2% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 94.0% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $2,234,126 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.18% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 1,085 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 8.7 | 6.6 |
| Independent voting board members Part VI 1a–1b | 8 of 11 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
2024 · Form 990, Part III · the three largest programs by expenseBillings Clinic is a 336 bed hospital providing surgical, labor and delivery, psychiatric, cancer care, neonatal services, acute care and a level 1 trauma center. Billings Clinic had over 16,000 admissions in 2024
Billings Clinic has nearly 600 physicians and advanced practitioners offering more than 80 specialties. Primary care is available at multiple locations including billings (downtown, heights and west), bozeman, miles city, and west yellowstone, montana; and cody, wyoming. In addition, Billings Clinic conducts 145 monthly specialty clinic services for more than 20 regional locations in montana, wyoming and north dakota
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. Our staff works withyou, your provider and your insurance company to make sure your needs are met. Our goal is to make Billings Clinic a one-stop…
Highest reported compensation
2024 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $2,196,195 | $0 | $37,931 | $2,234,126 |
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $2,208,231 | $0 | $18,601 | $2,226,832 |
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $1,882,634 | $0 | $44,827 | $1,927,461 |
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $1,808,826 | $0 | $44,766 | $1,853,592 |
| PHYSICIAN Highest compensated employee, 50.00 hrs/week | $1,798,191 | $0 | $23,496 | $1,821,687 |
| SYSTEM CEO (UNTIL 3/11/2024) Officer, 10.00 hrs/week | $0 | $1,715,469 | $24,583 | $1,740,052 |
| CEO Officer, 22.00 hrs/week | $1,163,598 | $0 | $43,294 | $1,206,892 |
| BOARD MEMBER Director/trustee, 47.00 hrs/week | $1,129,562 | $0 | $51,614 | $1,181,176 |
1,085 people received more than $100,000 in reportable compensation from Billings Clinic (Part VII, line 2). Compensation of current officers, directors and key employees totaled $3.5M (Part IX, line 5).
6 filings since FY2020
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
2024 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b11 · 8 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 55,486
- Volunteers Part I, line 696
Largest outside contractors
2024 · Form 990, Part VII, Section B · businesses only| GRANITE PEAK ANESTHESIOLOGY Anesthesiologist services | $16,026,570 |
| BILLINGS ANESTHESIOLOGY PC Anesthesiologist services | $7,643,348 |
| JOBOT LLC Locum providers | $4,644,617 |
| MAYO COLLABORATIVE SERV INC Lab service providers | $4,540,557 |
| HOSPITAL LAUNDRY SERVICES Linens/laundry providers | $1,675,604 |
Individuals listed as contractors are left out. 40 contractors were paid more than $100,000 in all.
Private foundation grants it received
1 private foundation reported grants to Billings Clinic totaling $100K on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Billings Clinic's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Billings Clinic, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Billings Clinic spent in 2024, $77.77 went to programs. The full breakdown, from its IRS Form 990:
Embed on your site
Similar-sized charities in this cause
- Mount Sinai Medical Center of FloridaMiami Beach, FL · revenue $1.21B · programs 83.8% · 2024
- White Plains Hospital Medical CenterWhite Plains, NY · revenue $1.23B · programs 93.3% · 2024
- Parkview Health SystemFort Wayne, IN · revenue $1.21B · programs 97.8% · 2024
- Virtua - West Jersey Health SystemMarlton, NJ · revenue $1.23B · programs 84.4% · 2024
- Intermountain Front RangeBroomfield, CO · revenue $1.21B · programs 87.0% · 2024
Questions people ask
How much of Billings Clinic's spending goes to programs?
In calendar year 2024, Billings Clinic reported that 77.8% of its $1.24 billion in expenses went to program services, 22.2% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Billings Clinic pay its top executive?
The largest total compensation Billings Clinic reported for one person in calendar year 2024 was $2,234,126, for the role of PHYSICIAN (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Billings Clinic get its money?
Of $1.23 billion in revenue in calendar year 2024, 0.2% came from contributions and grants (including 0.2% from government grants) and 94.0% from program service revenue (Form 990, Part VIII).
Is Billings Clinic a registered charity?
The IRS lists EIN 81-0231784 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- 2024: Form 990 for calendar year 2024, object 202503189349302335 · read the filing · XML
- FY2023 (6 mo.): Form 990 for the 6-month short period ending December 31, 2023, object 202423209349315617 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202411229349302551 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321329349304447 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202221249349301147 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202131239349300838 · read the filing
All filings for EIN 81-0231784: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.