BILLINGS CLINIC (EIN 810231784) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1917

Legal Domicile

Principal Officer

CLINT SEGER MD

Phone

4062382500

Tax Period

2024-01-01 to 2024-12-31

BILLINGS CLINIC, founded in 1917, is a large national nonprofit in the Health Care sector that reported $1.2B in total revenue in fiscal year 2024. Revenue surged 127% from the prior year, signaling strong growth momentum.

Mission

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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $2,142,076

Program Service Revenue $1,152,227,526

Investment Income $58,494,453

Other Revenue $12,753,545

TOTAL REVENUE $1,225,617,600

Expense Breakdown

Grants Paid $1,125,223

Salaries & Benefits $569,976,890

Fundraising Expenses $0

Program Expenses $967,629,026

Other Expenses $673,065,292

TOTAL EXPENSES $1,244,167,405

Year-over-Year Comparison

	2024	2023	Change
Revenue	$1,225,617,600	$540,406,497	+1.3%
Expenses	$1,244,167,405	$553,196,272	+1.2%
Net Income	$-18,549,805	$-12,789,775	+0.5%

Key Indicators

✓ Grants to Organizations ✓ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

5486

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$7,576,999

Total Directors

$2,351,641

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
CRAIG BARTHOLOMEW	CHAIR	5.00	Officer Director	$0	$14,829	$14,829
KEITH COOK	IMMEDIATE PAST CHAIR	2.00	Director	$6,000	$0	$6,000
KENDRICK TROSTEL MD	PHYSICIAN/VICE CHAIR	49.00	Officer Director	$756,619	$52,436	$809,055
AMY CEBULL	TREASURER	5.00	Officer Director	$0	$6,239	$6,239
EILEEN MCDONALD	SECRETARY	5.00	Officer Director	$0	$6,809	$6,809
HEIDI DUNCAN MD	PHYSICIAN/BOARD MEMBER	48.00	Director	$269,240	$37,002	$306,242
ALICE GORDON	BOARD MEMBER	2.00	Director	$6,000	$0	$6,000
WAYNE HIRSCH	BOARD MEMBER	5.00	Director	$6,000	$0	$6,000
JOHN EDWARDS	BOARD MEMBER	5.00	Director	$0	$6,239	$6,239
BLAKE UNDERRINER	BOARD MEMBER	5.00	Director	$0	$3,052	$3,052
GORDON RIHA MD	BOARD MEMBER	47.00	Director	$1,129,562	$51,614	$1,181,176
CLINTON SEGER MD	CEO	22.00	Officer	$1,163,598	$43,294	$1,206,892
KATHLEEN QUINONES	CFO	55.00	Officer	$579,324	$38,096	$617,420
KEVIN ABEL	SYSTEM CO-CEO	10.00	Officer	$0	$38,583	$1,024,934
CRAIG LAMBRECHT MD	SYSTEM CEO (UNTIL 3/11/2024)	10.00	Officer	$0	$24,583	$1,740,052
WILLIAM GIBSON	CLO	10.00	Officer	$0	$38,623	$839,845
JUSTIN OTT	CIO	10.00	Officer	$441,312	$47,594	$488,906
ELLEN LAYTON	CAO	25.00	Officer	$770,823	$51,195	$822,018
DEAN SUKIN MD	PHYSICIAN	50.00	Highest	$1,882,634	$44,827	$1,927,461
VANCE FREDRICKSON MD	PHYSICIAN	50.00	Highest	$2,196,195	$37,931	$2,234,126
ANTHONY ROCCISANO DO	PHYSICIAN	50.00	Highest	$1,808,826	$44,766	$1,853,592
SHERVIN DASHTI MD	PHYSICIAN	50.00	Highest	$1,798,191	$23,496	$1,821,687
ANTHONY RUSSO MD	PHYSICIAN	50.00	Highest	$2,208,231	$18,601	$2,226,832
SCOTT ELLNER DO	FORMER CEO	0.00		$597,240	$0	$597,240

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$1,225,617,600	$1,244,167,405	$1,395,798,536	$-18,549,805
2023	$1,091,996,049	$1,101,625,884	$1,374,741,411	$-9,629,835
2023	$540,406,497	$553,196,272	$1,396,449,787	$-12,789,775
2022	$1,036,628,661	$998,791,483	$1,491,215,198	$37,837,178
2021	$922,606,374	$881,843,353	$1,329,607,252	$40,763,021
2020	$835,174,033	$778,884,996	$1,116,696,008	$56,289,037
2019	$797,325,591	$723,397,171	$1,051,858,268	$73,928,420
2018	$791,070,161	$710,874,444	$882,833,730	$80,195,717

BILLINGS CLINIC