2023-11-02T14:31:05-05:00 2022-12-31 FORVIS LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2022-01-01 810391600 BILLINGS CLINIC EMPLOYEE BENEFIT TRUST % KATHLEEN QUINONES BILL 4066574130 2800 10TH AVE N BILLINGS MT 59107 KATHLEEN QUINONES CFO 4066574130 2023-11-15 true KATHLEEN QUINONES 999009999 Adam R Smith CPA P00958966 7194714290 2023-11-15 2 2022 2023-04-26 12:10:37Z Clint Seger 2800 10TH AVE N BILLINGS MT 59107 48821203 false X N/A X 1980 MT PROVIDES HEALTH BENEFITS AND INSURANCE COVERING ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS OF THE BILLINGS CLINIC. 6 0 0 0 0 0 0 0 45517574 46509035 940602 433118 0 0 46458176 46942153 0 0 41230041 41904544 0 0 0 0 0 1962920 2181037 43192961 44085581 3265215 2856572 23119381 24067325 1948402 2093464 21170979 21973861 PROVIDES HEALTH BENEFITS AND INSURANCE COVERING ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS OF THE BILLINGS CLINIC. false false THE BILLINGS CLINIC EMPLOYEE BENEFIT PLAN AND TRUST PROVIDES PAYMENT OF MEDICAL, DENTAL, VISION, AND PHARMACY CLAIMS ON BEHALF OF ELIGIBLE PARTICIPANTS. false false false false false false false false false false false false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false true 0 0 0 false false false false false false false false false false false X 6 0 true false false false false false false true true false false false false false false false false false X KATHLEEN QUINONES 4066574130 2800 10TH AVE N BILLINGS NV 59107 SCOTT ELLNERCEO-thru 0422 BILLINGS CLINIC/BOARD MEMBER 1.0 60.0 X X 0 1387318 52302 PRISCILLA NEEDHAM-THRU 1222 CFO BILLINGS CLNC/BOARD MEMBER 1.0 60.0 X X 0 512919 112740 JONATHAN MCDERMOTT-THRU 1022 BOARD MEMBER 1.0 60.0 X 0 565507 52949 ELLEN LAYTON Board Member 1.0 60.0 X 0 483753 108178 CLINT SEGER CEO BILLINGS CLINIC/BOARD MEMBER 1.0 60.0 X X 0 498328 89760 ROBERT MERCHANT FORMER BILLINGS CLINIC INTERIM-CO-CEO/BOARD 1.0 60.0 X 0 396342 44825 BENJAMIN FRASIER - THRU 1022 VP of Human Resources 1.0 60.0 X X 0 337066 47620 US BANK AND TRUST INSTITUTIONAL TRUSTEE 0.1 0.0 X 35738 0 0 35738 4181233 508374 0 true true false MEDIMPACTPREMIER 5882 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CLAIMS PROCESSSING 227483 PACIFIC SOURCE 110 INTERNATIONAL WAY SPRINGFIELD OR 97477 CLAIMS PROCESSSING 1534714 2 0 EMPLOYER CONTRIBUTIONS-ER 900099 35801722 35801722 EMPLOYER CONTRIBUTIONS-EE 900099 10707313 10707313 46509035 474415 474415 0 0 0 0 0 1837753 1879050 -41297 -41297 -41297 0 0 0 0 0 0 0 0 0 0 46942153 46509035 433118 0 0 0 41904544 41904544 0 0 0 0 0 0 0 0 26780 26780 0 0 35738 35738 1762272 1762272 0 0 0 0 0 0 0 0 0 0 0 356247 356247 44085581 44085581 0 0 9687812 11336587 0 0 33641 0 0 0 0 0 0 0 0 0 0 0 0 0 13397928 12689107 0 0 0 0 0 0 0 41631 23119381 24067325 1942004 2093464 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6398 0 1948402 2093464 X 21170979 21973861 0 0 21170979 21973861 23119381 24067325 2856572 -2053690 X false true true false 44852725 -2053690 -2053690 46906415 35738 35738 46942153 44049843 44049843 35738 35738 44085581 PART X, LINE 2 THE TRUST ESTABLISHED TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE AND ACCORDING, THE PLAN'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE PLAN HAS OBTAINED AN EXEMPTION LETTER DATED OCTOBER 23, 1980 FROM THE INTERNAL REVENUE SERVICE, AND THE SPONSOR BELIEVES THAT THE PLAN, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINSTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR YEARS PRIOR TO 2013. true false false SCOTT ELLNERCEO-thru 0422 BILLINGS CLINIC/BOARD MEMBER 0 992402 0 0 0 394916 0 26275 0 26027 0 1439620 0 233852 PRISCILLA NEEDHAM-THRU 1222 CFO BILLINGS CLNC/BOARD MEMBER 0 505586 0 0 0 7333 0 88076 0 24664 0 625659 0 0 JONATHAN MCDERMOTT-THRU 1022 BOARD MEMBER 0 419544 0 0 0 145963 0 26275 0 26674 0 618456 0 92776 ELLEN LAYTON Board Member 0 423090 0 0 0 60663 0 78234 0 29944 0 591931 0 50501 BENJAMIN FRASIER - THRU 1022 VP of Human Resources 0 242122 0 75 0 94869 0 15998 0 31622 0 384686 0 64438 ROBERT MERCHANT FORMER BILLINGS CLINIC INTERIM-CO-CEO/BOARD 0 341154 0 26250 0 28938 0 26275 0 18550 0 441167 0 0 CLINT SEGER CEO BILLINGS CLINIC/BOARD MEMBER 0 495374 0 0 0 2954 0 72476 0 17284 0 588088 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE BILLINGS CLINIC EMPLOYEE BENEFIT TRUST HAS AN EXECUTIVE BENEFITS COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. THIS COMMITTEE HAS THE AUTHORITY TO MAKE AND APPROVE ALL DECISION/CHANGES RELATED TO THE TRUST; HOWEVER, THEY ARE ALL EMPLOYEES OF AND MEMBERS OF THE SENIOR EXECUTIVE TEAM OF THE BILLINGS CLINIC (A RELATED ORGANIZATION). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE CFO, DIRECTOR OF ACCOUNTING, AND THE DIRECTOR OF HUMAN RESOURCES OF BILLINGS CLINIC (PLAN SPONSOR) BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. BILLINGS CLINIC 2800 10TH AVENUE NORTH BILLINGS MT 59107 810231784 HEALTH CARE MT 501(C)3 LINE 3 NA false BILLINGS CLINIC FOUNDATION 2917 TENTH AVENUE NORTH BILLINGS MT 59101 810407289 FUNDRAISING MT 501(C)3 LINE 7 BILLINGS CLI false STILLWATER HOSPITAL ASSOCIATION 710 N 11TH STREET COLUMBUS MT 59019 810286525 HOSPITAL MT 501(C)3 LINE 3 BILLINGS CLI false TOWNSEND HEALTH SYSTEMS INC 110 NORTH OAK STREET TOWNSEND MT 59644 810398400 HEALTH CARE MT 501(C)3 LINE 3 BILLINGS CLI false NEW WEST HEALTH SERVICES 130 NEILL AVENUE HELENA MT 59601 841418136 INSURANCE SALES MT NA C CORP false BILLINGS CLINIC EXPRESS CARE 2800 TENTH AVENUE NORTH BILLINGS MT 59101 463355499 URGENT CARE MT NA C CORP false false false false true false false false false false false false false false false false false false false true