HCRIS
Cost Report · CCN 270004 · FY 2024

BILLINGS CLINIC

BILLINGS, MT 59107-7000 · Fiscal year ending 2024-12-31

Acute Care Hospitals2320 beds⚠ Distress flaggedSystem: billings
CSV Excel Raw worksheets · Solo+
$923.5M
TOTAL REVENUES
−$65.6M
NET INCOME
-7.1%
OPERATING MARGIN
15,752
DISCHARGES
01 — FINANCIAL

Financial summary

Total revenues
$923.5M
Total costs
$1.12B
Net income
−$65.6M
Operating margin
-7.1%
Total charges
$1.13B
Medicare charges
$236.6M
Medicaid charges
Charity care charges
$40.1M
Uncompensated care
$30.8M
Bad debt
$80.2M
Total assets
$1.33B
Total liabilities
$462.8M
Fund balance
$869.5M
02 — UTILIZATION

Utilization

Total beds
320
Bed days available
119,017
Total inpatient days
84,269
Medicare inpatient days
26,686
Medicaid inpatient days
21,153
Total outpatient visits
Total discharges
15,752
Total FTEs
Inpatient residents
Outpatient residents
03 — HISTORY

Latest filing

Fiscal yearDischargesRevenueNet incomeMargin
2024-12-3115,752$923.5M−$65.6M-7.1%
Upgrade to see all 10 filings on file.See Solo · $499/yr
03b — TREND CHART

Revenue, costs, and net income by fiscal year

Multi-year P&L chart — visualize revenue, costs, and net income side-by-side across every filing.See Solo · $499/yr
DISTRESS RADAR

Risk signals detected

Auto-flagged from 3-year trend on margin, volume, and bad debt

This hospital tripped 2 distress signals. Upgrade to see which signals fired and the underlying numbers.See Solo · $499/yr
04 — PEER BENCHMARK

Peer cohort — MT Acute Care Hospitals

11 hospitals filing FY2024

Median operating margin
3.5%
25th percentile margin
0.2%
75th percentile margin
6.4%
Median discharges
7,076
Median net income
$16.5M
Median bed count
141
05 — QUALITY (CMS CARE COMPARE)

CMS Care Compare quality measures

Sourced from data.cms.gov · refreshed monthly. CMS publishes these — we surface them.

Overall rating
4 / 5
Emergency services
Yes
Mortality vs national avg
Same as the national average
Safety vs national avg
Above the national average
Readmissions vs national avg
Above the national average
Patient experience vs national avg
Timely & effective vs national avg
07a — MS-DRG MIX

Top inpatient DRGs by volume

Per CMS Medicare Inpatient Hospitals dataset (PY2022)

DRGDescriptionDischargesAvg payment
871SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC274$16K
871SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC264$16K
885PSYCHOSES164$11K
291HEART FAILURE AND SHOCK WITH MCC142$10K
885PSYCHOSES135$10K
291HEART FAILURE AND SHOCK WITH MCC132$11K
274PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC115$25K
193SIMPLE PNEUMONIA AND PLEURISY WITH MCC113$11K
177RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC109$15K
274PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC100$26K
07 — MARKET (HSAF)

Top patient-origin ZIPs

Catchment based on CMS Hospital Service Area File (PY2019)

ZIPCasesBed days
591021,2796402
591021,2445664
591021,1926034
591021,1385413
591021,0966006
591021,0885951
591018454250
591018374737
591018293780
591018234948
06 — COMMUNITY BENEFIT (IRS 990 SCHEDULE H)

Schedule H community benefit · Beartooth Billings Clinic

FY2023 · matched by name + state · sourced via ProPublica Nonprofit Explorer

Total revenue (990)
$21.7M
Total expenses (990)
$20.1M
Charity care cost
Unreimbursed Medicaid
Community health improvement spend
CROSS-REFERENCE

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