Billings Clinic
78% goes to programs $0 to raise $100 Strong reserves Growing revenue
Billings Clinic is a 501(c)(3) organization based in Billings, Montana, registered in 1925, with $1,225,617,600 in FY2024 revenue. CharityIndex grades it A, and it directs about 78% of spending to programs.
2800 10th Ave N, Billings, MT, 59101 EIN 81-0231784 Since 1925
Revenue (FY2024)
$1.2B
▲ 126.8% vs prior year
Health median: $840K
Expenses (FY2024)
$1.2B
Net assets
$905.4M
Employees
5,486
CharityIndex rating
One independent A+ to F grade from four published criteria, each scored separately from IRS filings and combined by weight.
A
AProgram efficiency40% of the rating78% to programs · $0 to raise $100
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Billings Clinic: 78% to programs · $0 to raise $100 earns a A on this criterion. See the exact thresholds →
AFinancial health25% of the rating9 mo reserves · -2% margin
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Billings Clinic: 9 mo reserves · -2% margin earns a A on this criterion. See the exact thresholds →
A+Governance25% of the rating6 of 6 checks met
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Billings Clinic: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
A+Transparency10% of the rating5 of 5 disclosure signals
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Billings Clinic: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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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.
What they do
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 solution.
Contact & location
- Address
- 2800 10th Ave N, Billings, MT, 59101
- City
- Billings
- State
- Montana
- Category
- Health Care
- Subcategory
- Hospitals
- Phone
- …
- Website
- …
Financial trends
Revenue grew from $593.6M (FY2013) to $1.2B (FY2024) across 12 reported years.
Financial snapshot
Financial health & position (FY2024)
Liabilities $490.4MNet assets $905.4M
Operating margin
-1.5%
Spent more than it raised in the latest fiscal year.
Total assets
$1.4B
Total liabilities
$490.4M
Net assets
$905.4M
Salaries & benefits
$570.0M
46% of expenses
Board members
11
8 independent
Financials by year
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $1,225,617,600▲127% | $1,244,167,405▲125% | $905,410,620▲0.6% | $1,395,798,536 | 990 |
| 2023 | $540,406,497▼50.5% | $553,196,272▼49.8% | $900,063,859▲1.5% | $1,396,449,787▲1.6% | 990 |
| 2022 | $1,091,996,049▲5.3% | $1,101,625,884▲10.3% | $886,415,282▼3.9% | $1,374,741,411▼7.8% | 990 |
| 2021 | $1,036,628,661▲12.4% | $998,791,483▲13.3% | $922,456,463▼3.8% | $1,491,215,198▲12.2% | 990 |
| 2020 | $922,606,374▲10.5% | $881,843,353▲13.2% | $959,108,255▲25.3% | $1,329,607,252▲19.1% | 990 |
| 2019 | $835,174,033▲4.7% | $778,884,996▲7.7% | $765,696,785▲7.0% | $1,116,696,008▲6.2% | 990 |
| 2018 | $797,325,591▲0.8% | $723,397,171▲1.8% | $715,537,177▲15.3% | $1,051,858,268▲19.1% | 990 |
| 2017 | $791,070,161▲5.1% | $710,874,444▲4.7% | $620,738,220▲20.1% | $882,833,730▲13.7% | 990 |
| 2016 | $752,914,300▲13.2% | $679,194,521▲6.1% | $516,736,807▲18.8% | $776,435,285▲9.2% | 990 |
| 2015 | $665,026,036▲2.6% | $640,175,574▲5.7% | $434,962,144▲0.4% | $711,015,080▲0.7% | 990 |
| 2014 | $648,365,278▲9.2% | $605,741,284▲9.2% | $433,021,325▲7.5% | $706,036,383▲6.2% | 990 |
| 2013 | $593,603,488 | $554,658,646▲1.6% | $402,682,771▲13.7% | $664,984,296▲8.2% | 990 |
| 2012 | — | $545,717,112▲4.9% | $354,302,789▲9.0% | $614,621,362▲4.2% | 990 |
| 2011 | — | $520,265,207▲3.1% | $325,164,359▲6.2% | $589,973,650▲10.4% | 990 |
| 2010 | — | $504,796,510▲3.6% | $306,208,119▲15.0% | $534,176,825▲7.3% | 990 |
| 2009 | — | $487,179,825 | $266,203,555 | $497,625,440 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Leadership & compensation (FY2024)
Highest-paid: Anthony Russo Md — $2,208,231 (0.18% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Anthony Russo Md | Physician | 50 | $2,208,231 |
| Vance Fredrickson Md | Physician | 50 | $2,196,195 |
| Dean Sukin Md | Physician | 50 | $1,882,634 |
| Anthony Roccisano Do | Physician | 50 | $1,808,826 |
| Shervin Dashti Md | Physician | 50 | $1,798,191 |
| Clinton Seger Md | Ceo | 22 | $1,163,598 |
| Gordon Riha Md | Board Member | 47 | $1,129,562 |
| Ellen Layton | Cao | 25 | $770,823 |
| Kendrick Trostel Md | Physician/vice Chair | 49 | $756,619 |
| Scott Ellner Do | Former Ceo | 0 | $597,240 |
| Kathleen Quinones | Cfo | 55 | $579,324 |
| Justin Ott | Cio | 10 | $441,312 |
| Heidi Duncan Md | Physician/board Member | 48 | $269,240 |
| Alice Gordon | Board Member | 2 | $6,000 |
| Keith Cook | Immediate Past Chair | 2 | $6,000 |
| Wayne Hirsch | Board Member | 5 | $6,000 |
| Amy Cebull | Treasurer | 5 | — |
| Blake Underriner | Board Member | 5 | — |
| Craig Bartholomew | Chair | 5 | — |
| Craig Lambrecht Md | System Ceo (until 3/11/2024) | 10 | — |
Top vendors & contractors (FY2024)
| Contractor | Services | Paid |
|---|---|---|
| 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 |
Grants received · $706K total
16 grants to Billings Clinic totaling $706K, reported by foundations on their Schedule I filings — showing the 15 most recent.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Johns Hopkins University | Sub-award | 2023 | $49,443 |
| Seattle Childrens Hospital | Pediatric medical research grant subaward | 2022 | $10,235 |
| Johns Hopkins University | Sub-award | 2022 | $8,506 |
| Johns Hopkins University | Sub-award | 2021 | $19,746 |
| Johns Hopkins University | Sub-award | 2020 | $88,630 |
| Seattle Childrens Hospital | Pediatric medical research grant subaward | 2020 | $62,308 |
| Seattle Childrens Hospital | Pediatric medical research grant subaward | 2018 | $12,786 |
| Johns Hopkins University | Sub-award | 2018 | $7,150 |
| Cystic Fibrosis Foundation | Cf care center | 2017 | $76,070 |
| Cystic Fibrosis Foundation Therapeutics Inc | Clinical research ctr | 2017 | $61,668 |
| Seattle Childrens Hospital | Pediatric medical research grant subaward | 2017 | $8,858 |
| Cystic Fibrosis Foundation | Cf care center | 2016 | $78,390 |
| Cystic Fibrosis Foundation Therapeutics Inc | Clinical research center | 2016 | $53,887 |
| Cystic Fibrosis Foundation | Cf care center | 2015 | $78,664 |
| Patient Access Network Foundation | Patient assistance | 2015 | $27,702 |
Grants made · $424K in FY2024
5 grants totaling $424K in FY2024. All grants made by Billings Clinic →
| Recipient | Purpose | Amount |
|---|---|---|
| Montana State University | Land for nursing school building | $316,000 |
| Community Crisis Center LLC | Operations support | $81,191 |
| American Cancer Society | Relay for life | $12,500 |
| Education Foundation For Billings Public Schools | Education programs | $9,000 |
| Billings Clinic Foundation | Support operations | $5,500 |
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Frequently asked questions
- Is Billings Clinic a legitimate nonprofit?
- Yes. Billings Clinic is a 501(c)(3) organization registered with the U.S. Internal Revenue Service under EIN 81-0231784, based in Billings, Montana. Donations are tax-deductible.
- What is Billings Clinic's EIN?
- Billings Clinic's Employer Identification Number (EIN) is 81-0231784.
- How much revenue does Billings Clinic report?
- Billings Clinic reported $1,225,617,600 in total revenue on its fiscal year 2024 IRS Form 990 filing.
- How much of Billings Clinic's spending goes to programs?
- Billings Clinic spends about 78% of its total expenses on programs, based on its latest IRS Form 990.
- What financial grade does Billings Clinic have?
- CharityIndex grades Billings Clinic A, based on program efficiency and fundraising cost.
- How much does Billings Clinic's highest-paid employee make?
- The highest reported compensation on Billings Clinic's latest Form 990 is $2,208,231, paid to Anthony Russo Md (Physician).
More nonprofits in Billings
Explore more
Data for Billings Clinic (EIN 81-0231784) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.