Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Montana · Ranked 343 of 1033 by CEO pay.

Billings Clinic

Clinton Seger MD, CEO. Fiscal year ending 2024-12.

$1.2M
CEO total compensation
Form 990 Part VII, columns D+E+F
1.74%
of expenses spent on charity care
Schedule H Part I line 7a
3.3%
CEO pay as a share of all charity care

Also listed with a chief executive title in the same filings: Craig Lambrecht MD, System CEO, $1,740,052; Kevin Abel, System Co-CEO, $1,024,934. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$2,176,692,758
Total expenses
$2,124,877,977
Net assets
$1,374,002,184
Employees
9,910
Hospitals covered
9 facilities across 9 filings
Charity care, net
$36,893,653
Bad debt
$73,060,013
Medicare surplus (shortfall), as filed
($239,684,850)
CEO pay from the organization (Part VII col. D)
$1,163,598
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$43,294
CEO total compensation (D+E+F)
$1,206,892 to Clinton Seger MD

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Billings Clinic, EIN 81-0231784, fiscal year ending 2024-12, as published by the IRS. CEO identification: ceo title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$147.4M Of which charity care to patients who could not pay (line 7a)$36.9M (25%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($73.1M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Billings Clinic81-02317842024-12$1.2B$29.7M2.43%990
Kalispell Regional Medical Center23-72938742024-12$737.5M$4.8M0.74%990
Logan Health - Whitefish81-02479692024-12$123.0M$1.2M1.24%990
Logan Health - Conrad81-02324062024-12$21.0M$139,1340.69%990
Logan Health - Shelby86-23275252024-12$15.8M$216,9441.60%990
Stillwater Hospital Association81-02865252024-12$15.6M$570,0923.87%990
Logan Health - Cut Bank81-05304572024-12$14.4M$175,3851.39%990
Liberty County Hospital & Nursing Home81-05154632024-12$12.2M$41,5840.36%990
Townsend Health Systems Inc81-03984002024-12$11.6M$69,4890.62%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Billings Clinic: CEO pay $1.2M, charity care 1.74% of expenses