Billings Clinic

Billings Clinic, located at 2800 10th Ave N in Billings, MT, is the largest healthcare system in Montana and Wyoming. As a regional healthcare leader, Billings Clinic is dedicated to providing quality, compassionate care. The 336-bed hospital is a Level I Trauma Center and a DNV-certified Comprehensive Stroke Center, offering advanced medical services and over 80 specialties with nearly 600 physicians and advanced practitioners. Billings Clinic is recognized nationally for clinical excellence, patient safety, and commitment to the community. Additionally, it serves as a teaching hospital, offering residency programs for nurses, pharmacists, and physicians, and is a member of the Mayo Clinic Care Network.

Identifiers

Hospital Name Billings Clinic
Facility ID 270004

Location

Address 2800 10TH AVE N
City/Town Billings
State MT
ZIP Code 59101
County/Parish YELLOWSTONE

Health System

Health System Billings Clinic
Health System Website Domain billingsclinic.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 14
Health System Total Beds 592
Health System Hospital Locations Montana and Wyoming

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Billings Clinic
Emergency Services Yes

Clint Seger, MD

Chief Executive Officer (CEO)

Clint Seger, MD Chief Executive Officer (CEO)

Todd C. Blake, FACHE

President of Hospital Operations

Todd C. Blake, FACHE President of Hospital Operations

Erin Rains, DO

Chief Medical Officer (CMO), Hospital

Erin Rains, DO Chief Medical Officer (CMO), Hospital

Dania Block, MSN, RN, NEA-BC

Chief Nursing Officer

Dania Block, MSN, RN, NEA-BC Chief Nursing Officer

Chad Miller

Vice President Operations

Chad Miller Vice President Operations

Ryan Schwanke, MD

Chief Medical Officer (CMO), Clinic

Ryan Schwanke, MD Chief Medical Officer (CMO), Clinic

Scott Polley, MD

Chief Medical Officer, Eastern Region

Scott Polley, MD Chief Medical Officer, Eastern Region

Gerele Pelton

Vice President, Human Resources

Gerele Pelton Vice President, Human Resources

Nichole Mehling

President, Billings Clinic Foundation

Nichole Mehling President, Billings Clinic Foundation

Patti Reisinger, CHC, RHIA, CCS

Chief Compliance Officer

Patti Reisinger, CHC, RHIA, CCS Chief Compliance Officer

Kelsie Ophus

Executive Director, Performance Improvement Office

Kelsie Ophus Executive Director, Performance Improvement Office

Jim Duncan

President Emeritus, Billings Clinic Foundation

Jim Duncan President Emeritus, Billings Clinic Foundation

Residency Programs

Allopathic Residency Program Yes
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 304

Staffing & Personnel

FTE Employees on Payroll 3738.25
FTE Interns & Residents 39.86

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 29336
Inpatient Days (Title XIX) 22388
Total Inpatient Days 82262
Bed Count 334
Available Bed Days 126083
Discharges (Title V) NA
Discharges (Title XVIII) 5141
Discharges (Title XIX) 4689
Total Discharges 14760

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 26310
Inpatient Days (Title XIX; Adults & Peds) 19321
Total Inpatient Days (Adults & Peds) 70179
Bed Count (Adults & Peds) 287
Available Bed Days (Adults & Peds) 108928
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 5141
Discharges (Title XIX; Adults & Peds) 4689
Total Discharges (Adults & Peds) 14760

Quality Summary

Care Quality Stengths Average overall patient satisfaction. Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does a good job at treating conditions like pneumonia so that patients don't have to come back to the hospital. Hospital does an exceptional job of ensuring patients at the hospital do not get infections
Care Quality Concerns

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 72%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients No Different Than National Average
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications Worse Than National Average
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 170

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 5.2
Readmission Score Hospital Return Days for Heart Failure Patients 4.7
Readmission Score Hospital Return Days for Pneumonia Patients -17
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 11.4
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 10
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 6.7
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.8
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13.6
Readmission Score Rate of Readmission for CABG 11.2
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.2
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 18.1
Readmission Score Rate of Readmission After Hip/Knee Replacement 3.7
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.4
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 15.2
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Fewer Days Than Average per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Better than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG No Different Than the National Rate
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 0.566
CAUTI SIR (Standardized Infection Ratio) 0.401
SSI SIR (Standardized Infection Ratio) 0.476
CDI SIR (Standardized Infection Ratio) 0.246
MRSA SIR (Standardized Infection Ratio) 0.368

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $13,657
Bad Debt Expense $11,045
Uncompensated Care Cost $18,715
Total Uncompensated Care $18,715

Operating Expenses ($ thousands)

Total Salaries $422,699
Overhead Expenses (Non-Salary) $596,362
Depreciation Expense $31,337
Total Operating Costs $631,133

Charges ($ thousands)

Inpatient Charges $549,631
Outpatient Charges $799,746
Total Patient Charges $1,349,376

Wage-Related Details ($ thousands)

Core Wage Costs $55,170
Wage Costs (RHC/FQHC)
Adjusted Salaries $420,865
Contract Labor (Patient Care) $39,151
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $108,675
Short-Term Investments $7,856
Notes Receivable
Accounts Receivable $112,462
Allowance for Doubtful Accounts
Inventory $21,963
Prepaid Expenses $12,489
Other Current Assets $24,472
Total Current Assets $298,880

Balance Sheet – Fixed Assets ($ thousands)

Land Value $27,189
Land Improvements Value $26,569
Building Value $283,966
Leasehold Improvements $1,526
Fixed Equipment Value $131,460
Major Movable Equipment $265,369
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $351,116

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $551,733
Other Assets $133,212
Total Other Assets $684,945
Total Assets $1,334,941

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $41,678
Salaries & Wages Payable $31,152
Payroll Taxes Payable
Short-Term Debt $6,218
Deferred Revenue
Other Current Liabilities $20,021
Total Current Liabilities $99,069

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $356,292
Unsecured Loans
Other Long-Term Liabilities $18,377
Total Long-Term Liabilities $374,669
Total Liabilities $473,738

Balance Sheet – Equity ($ thousands)

General Fund Balance $861,203
Total Fund Balances $861,203
Total Liabilities & Equity $1,334,941

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $18,318
DRG (Post-Oct 1) $52,387
Outlier Payments
DSH Adjustment $2,918
Eligible DSH % $0
Simulated MC Payments $21,730
Total IME Payments $4,465

Revenue & Income Statement ($ thousands)

Inpatient Revenue $549,631
Outpatient Revenue $799,746
Total Patient Revenue $1,349,376
Contractual Allowances & Discounts $477,875
Net Patient Revenue $871,501
Total Operating Expenses $1,022,085
Net Service Income $-150,584
Other Income $118,760
Total Income $-31,824
Other Expenses
Net Income $-31,824

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $43,108
Medicaid Charges $149,842
Net CHIP Revenue $2,809
CHIP Charges $4,399

EHR Information

EHR Oracle Health Millennium
EHR Version Oracle Health Millennium (Not CommunityWorks)
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No