Nonprofit · EIN 81-0231784
BILLINGS CLINIC
Tax-exempt · BILLINGS, MT 59101
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $1,225,617,600 | $1,244,167,405 | -$18,549,805 | $1,395,798,536 | $490,387,916 | $905,410,620 |
| December 31, 2023 | 990 | $540,406,497 | $553,196,272 | -$12,789,775 | $1,396,449,787 | $496,385,928 | $900,063,859 |
| June 30, 2023 | 990 | $1,091,996,049 | $1,101,625,884 | -$9,629,835 | $1,374,741,411 | $488,326,129 | $886,415,282 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $2,142,076
- of which government grants
- $2,140,744
- Program service revenue
- $1,152,227,526
- Investment income
- $58,494,453
- Net rental income
- $316,720
- Net gain from sales of assets
- $40,496,193
- Net income from sales of inventory
- $452,159
- Other revenue
- $12,753,545
Expenses
- Grants and similar amounts paid
- $1,125,223
- Compensation of officers, directors and key employees
- $3,536,850
- Other salaries and wages
- $472,053,316
- Salaries, compensation and benefits (total)
- $569,976,890
- Professional fundraising fees
- $0
- Legal fees
- $1,210,835
- Accounting fees
- $775,461
- Occupancy
- $7,280,346
- Travel
- $3,334,759
- Depreciation
- $32,809,367
- Program services (functional)
- $967,629,026
- Management and general (functional)
- $276,538,379
Balance sheet and other
- Total assets, start of year
- $1,396,449,787
- Total assets, end of year
- $1,395,798,536
- Total liabilities, end of year
- $490,387,916
- Net assets, end of year
- $905,410,620
- Land, buildings and equipment
- $356,309,857
- Publicly traded securities
- $371,607,915
- Net assets without donor restrictions
- $815,473,742
- Net assets with donor restrictions
- $89,936,878
- Gross unrelated business income
- $27,755,490
- Gross receipts
- $1,225,852,264
- Employees
- 5,486
- Volunteers
- 96
- Year formed
- 1917
- State of legal domicile
- MT
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| VANCE FREDRICKSON MD | PHYSICIAN Highest-paid employee | 50 | $2,196,195 | $0 | $37,931 |
| ANTHONY RUSSO MD | PHYSICIAN Highest-paid employee | 50 | $2,208,231 | $0 | $18,601 |
| DEAN SUKIN MD | PHYSICIAN Highest-paid employee | 50 | $1,882,634 | $0 | $44,827 |
| ANTHONY ROCCISANO DO | PHYSICIAN Highest-paid employee | 50 | $1,808,826 | $0 | $44,766 |
| SHERVIN DASHTI MD | PHYSICIAN Highest-paid employee | 50 | $1,798,191 | $0 | $23,496 |
| CRAIG LAMBRECHT MD | SYSTEM CEO (UNTIL 3/11/2024) Officer | 10 | $0 | $1,715,469 | $24,583 |
| CLINTON SEGER MD | CEO Officer | 22 | $1,163,598 | $0 | $43,294 |
| GORDON RIHA MD | BOARD MEMBER Trustee or director | 47 | $1,129,562 | $0 | $51,614 |
| KEVIN ABEL | SYSTEM CO-CEO Officer | 10 | $0 | $986,351 | $38,583 |
| WILLIAM GIBSON | CLO Officer | 10 | $0 | $801,222 | $38,623 |
| ELLEN LAYTON | CAO Officer | 25 | $770,823 | $0 | $51,195 |
| KENDRICK TROSTEL MD | PHYSICIAN/VICE CHAIR Trustee or director, Officer | 49 | $756,619 | $0 | $52,436 |
| KATHLEEN QUINONES | CFO Officer | 55 | $579,324 | $0 | $38,096 |
| SCOTT ELLNER DO | FORMER CEO Former | 0 | $597,240 | $0 | $0 |
| JUSTIN OTT | CIO Officer | 10 | $441,312 | $0 | $47,594 |
9 more people on this return
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| HEIDI DUNCAN MD | PHYSICIAN/BOARD MEMBER Trustee or director | 48 | $269,240 | $37,002 |
| CRAIG BARTHOLOMEW | CHAIR Trustee or director, Officer | 5 | $0 | $14,829 |
| EILEEN MCDONALD | SECRETARY Trustee or director, Officer | 5 | $0 | $6,809 |
| AMY CEBULL | TREASURER Trustee or director, Officer | 5 | $0 | $6,239 |
| JOHN EDWARDS | BOARD MEMBER Trustee or director | 5 | $0 | $6,239 |
| KEITH COOK | IMMEDIATE PAST CHAIR Trustee or director | 2 | $6,000 | $0 |
| ALICE GORDON | BOARD MEMBER Trustee or director | 2 | $6,000 | $0 |
| WAYNE HIRSCH | BOARD MEMBER Trustee or director | 5 | $6,000 | $0 |
| BLAKE UNDERRINER | BOARD MEMBER Trustee or director | 5 | $0 | $3,052 |
990 for the year ended December 31, 2023: 17 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| VANCE FREDRICKSON MD | PHYSICIAN Highest-paid employee | 60 | $2,068,644 | $36,971 |
| ANTHONY ROCCISANO DO | PHYSICIAN Highest-paid employee | 60 | $1,612,546 | $61,354 |
| MICHAEL MORONE MD | PHYSICIAN Highest-paid employee | 60 | $1,504,067 | $56,622 |
| MARLIN RICHARDSON MD | PHYSICIAN Highest-paid employee | 60 | $1,474,845 | $59,472 |
| CHRISTOPHER STEWART DO | PHYSICIAN Highest-paid employee | 60 | $1,295,248 | $48,388 |
| SCOTT ELLNER DO | FORMER CEO Former | 60 | $982,800 | $1,002 |
| CLINTON SEGER MD | CEO Officer | 60 | $830,292 | $132,500 |
| KENDRICK TROSTEL MD | PHYSICIAN BOARD MEMBER Trustee or director | 5 | $666,254 | $55,471 |
| KATHLEEN QUINONES | CFO Officer | 60 | $448,591 | $102,141 |
| HEIDI DUNCAN MD | PHYSICIAN BOARD MEMBER Trustee or director | 60 | $233,914 | $61,250 |
| KEITH COOK | BOARD CHAIR Trustee or director, Officer | 5 | $7,500 | $9,000 |
| CRAIG BARTHOLOMEW | BOARD MEMBER Trustee or director | 5 | $0 | $10,995 |
| ALICE GORDON | BOARD MEMBER Trustee or director | 5 | $4,500 | $6,000 |
| EILEEN MCDONALD | BOARD MEMBER Trustee or director | 5 | $0 | $6,447 |
| WAYNE HIRSCH | BOARD TREASURER Trustee or director, Officer | 5 | $0 | $6,000 |
| AMY CEBULL | BOARD MEMBER Trustee or director | 5 | $0 | $3,015 |
| JOHN EDWARDS | BOARD MEMBER Trustee or director | 5 | $0 | $3,015 |
990 for the year ended June 30, 2023: 19 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| Vance Fredrickson MD | Physician Highest-paid employee | 60 | $1,702,744 | $18,703 |
| Scott Ellner | Former CEO - THROUGH 12/22 Officer | 60 | $1,387,318 | $199,722 |
| Anthony Roccisano DO | Physician Highest-paid employee | 60 | $1,333,533 | $33,444 |
| Marlin Richardson MD | Physician Highest-paid employee | 60 | $1,061,191 | $58,535 |
| William Dresen MD | Physician Highest-paid employee | 60 | $1,055,114 | $56,347 |
| Christopher Stewart DO | Physician Highest-paid employee | 60 | $1,049,552 | $47,361 |
| Kendrick Trostel MD | PHYSICIAN BOARD MEMBER Trustee or director | 5 | $630,096 | $55,941 |
| Priscilla Needham | Former CFO - Through 12/22 Officer | 60 | $512,919 | $112,740 |
| Clinton Seger MD | CEO Officer | 60 | $498,328 | $89,760 |
| Robert Merchant | Former Co-CEO Former | 60 | $425,280 | $44,825 |
| Kathleen Quinones | CFO Officer | 60 | $233,188 | $61,344 |
| Heidi Duncan MD | Physician Board Member Trustee or director | 60 | $235,915 | $47,875 |
| Shannon Holland | CNO Officer | 60 | $137,923 | $1,460 |
| Joy Ott | FORMER BOARD SECRETARY Former | 5 | $29,882 | $8,886 |
| Keith Cook | Board Chair Trustee or director, Officer | 5 | $12,000 | $12,000 |
| Wayne Hirsch | BOARD TREASURER Trustee or director, Officer | 5 | $6,000 | $6,000 |
| Craig Bartholomew | Board Member Trustee or director | 5 | $0 | $7,499 |
| Eileen McDonald | Board Member Trustee or director | 5 | $0 | $6,187 |
| Alice Gordon | Board Member Trustee or director | 5 | $3,000 | $3,000 |
Address and contacts
- Address (IRS master file)
- 2800 10TH AVE N, BILLINGS, MT 59101-0703
- In care of
- % TERESA GRAYSON
- Principal officer (990 for 2024)
- CLINT SEGER MD, 2800 TENTH AVENUE NORTH, BILLINGS, MT 59101
- Signed the 990
- PATTI PILGRIM, CFO
- Phone
- (406) 238-2500
- Website
- WWW.BILLINGSCLINIC.COM
- Return prepared by
- BAKER TILLY ADVISORY GROUP LP
Mission
BILLINGS CLINIC'S MISSION IS QUALITY, COMPASSIONATE CRE FOR ALL, WITH A VISION OF REIMAGINING HEALTH CARE THROUGH CONNECTION, SERVICE AND INNOVATION.
Program accomplishments
- BILLINGS 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.Expenses $497,111,027 · grants $1,125,223 · revenue $630,630,806
- 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.Expenses $375,873,603 · revenue $375,427,215
- 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 SOLUTION.Expenses $94,644,396 · revenue $130,850,840
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 81-0231784
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Hospital or medical research organization
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 1925
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E210)
- Assets (IRS master file)
- $1,395,798,536
- Income (IRS master file)
- $1,225,852,264
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $1,225,617,600 | $1,244,167,405 | $1,395,798,536 | XML |
| 990-T | December 2024 | – | – | – | IRS |
| 990 | December 2023 | $540,406,497 | $553,196,272 | $1,396,449,787 | XML |
| 990-T | December 2023 | – | – | – | IRS |
| 990 | June 2023 | $1,091,996,049 | $1,101,625,884 | $1,374,741,411 | XML |
| 990-T | June 2023 | – | – | – | IRS |
| 990 | June 2022 | $1,036,628,661 | $998,791,483 | $1,491,215,198 | IRS |
| 990-T | June 2022 | – | – | – | IRS |
| 990 | June 2021 | – | – | – | IRS |
| 990-T | June 2021 | – | – | – | IRS |
| 990 | June 2020 | – | – | – | IRS |
| 990 | June 2019 | – | – | – | IRS |
| 990 | June 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 81-0231784).
Questions about BILLINGS CLINIC
- What is the EIN of BILLINGS CLINIC?
- The employer identification number (EIN) of BILLINGS CLINIC is 81-0231784.
- Is BILLINGS CLINIC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1925.
- Are donations to BILLINGS CLINIC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does BILLINGS CLINIC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of BILLINGS CLINIC due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did BILLINGS CLINIC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of BILLINGS CLINIC?
- The 990 for the year ended December 31, 2024 names CLINT SEGER MD.
- Who are the officers and directors of BILLINGS CLINIC?
- The 990 for the year ended December 31, 2024 lists 24 people; 16 received compensation from the organization, the highest $2,196,195 (VANCE FREDRICKSON MD, PHYSICIAN).
- How much revenue does BILLINGS CLINIC have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $1,225,617,600, expenses of $1,244,167,405 and total assets of $1,395,798,536 at year end.
Other nonprofits in BILLINGS
- INTERMOUNTAIN PLANNED PARENTHOOD INC EIN 81-0307201 · last filed 990 for 2025
- COMMUNITY CRISIS CENTER LLC EIN 20-3231164 · last filed 990 for 2025
- BILLINGS CRISIS PREGNANCY CENTER INC EIN 81-0465159 · last filed 990 for 2023
- YELLOWSTONE HEALTH PARTNERSHIP EIN 81-0419904 · last filed 990 for 2024
- BEHAVIORAL HEALTH ALLIANCE OF MONTANA EIN 82-2322223 · last filed 990 for 2025
- HORSES SPIRITS HEALING INC EIN 47-1915118 · last filed 990 for 2025
- NATUROPATHIC EDUCATION AND RESOUCRE CONSORTIUM INC EIN 20-2074303 · last filed 990 for 2025
- ROCKY MOUNTAIN MEDICAL FOUNDATION EIN 83-3282499 · last filed 990-EZ for 2024