Liabilities / Assets
9th percentile
Higher debt load relative to assets than 9% of similar nonprofits.
Billings Clinic Foundation
EIN 81-0407289 • 501(c)3 • Billings, MT
Profile
To advance excellence in healthcare, education and research at billings clinic through philanthropy. Funds raised by the foundation are used by billings clinic to construct and upgrade facilities, purchase patient care equipment, enhance patient related programs, etc.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.01x
Liabilities / Revenue
10th percentile
Higher debt load relative to revenue than 10% of similar nonprofits.
Net Margin
91st percentile
Higher net margin than 91% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
90th percentile
Faster asset growth than 90% of similar nonprofits.
Revenue Growth
97th percentile
Faster revenue growth than 97% of similar nonprofits.
Balance Sheet
Assets
Up$161,153,461
Up $20,446,946 (+15%) from 2023
Liabilities
Down$1,210,795
Down $316,715 (-21%) from 2023
Net Assets
Up$159,942,666
Up $20,763,661 (+15%) from 2023
Revenue
Up$26,317,485
Up $12,006,671 (+84%) from 2023
Expenses
Up$14,099,381
Up $11,880,752 (+535%) from 2023
Net Income
Up$12,218,104
Up $125,919 (+1.0%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $161,153,461
- Liabilities
- $1,210,795
- Net assets
- $159,942,666
- Revenue
- $26,317,485
- Expenses
- $14,099,381
- Net income
- $12,218,104
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2024 to Dec 31, 2024
- Signed
- Nov 11, 2025
- Return Version
- 2024v5.2
- Gross Receipts
- $26,847,802
Mission and Program Overview
Mission
To advance excellence in healthcare, education and research at billings clinic through philanthropy. Funds raised by the foundation are used by billings clinic to construct and upgrade facilities, purchase patient care equipment, enhance patient related programs, etc.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $124,012,253 | $151,274,149 | ▲ $27,261,896 |
| Pledges and Grants Receivable | $12,462,605 | $6,582,953 | ▼ $5,879,652 |
| Savings and Temporary Cash Investments | $3,485,098 | $2,688,361 | ▼ $796,737 |
| Land, Buildings, and Equipment, Net | $614,588 | $589,306 | ▼ $25,282 |
| Prepaid Expenses and Deferred Charges | $17,886 | $18,442 | ▲ $556 |
| Cash and Non-Interest-Bearing Accounts | $250 | $250 | → $0 |
| Total Assets | $140,706,515 | $161,153,461 | ▲ $20,446,946 |
| Other Assets Total | $113,835 | $0 | ▼ $113,835 |
| Liabilities | |||
| Other Liabilities | $1,490,794 | $1,210,436 | ▼ $280,358 |
| Accounts Payable and Accrued Expenses | $36,716 | $359 | ▼ $36,357 |
| Total Liabilities | $1,527,510 | $1,210,795 | ▼ $316,715 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $83,500,427 | $91,576,472 | ▲ $8,076,045 |
| Net Assets Without Donor Restrictions | $55,678,578 | $68,366,194 | ▲ $12,687,616 |
| Total Net Assets Fund Balance | $139,179,005 | $159,942,666 | ▲ $20,763,661 |
| Total Liabilities and Net Assets / Fund Balance | $140,706,515 | $161,153,461 | ▲ $20,446,946 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $291,601 | $263,045 | $554,646 |
| Land | $259,840 | - | $259,840 |
| Equipment | $1,183 | $141,710 | $142,893 |
| Other Land Buildings | $36,682 | - | $36,682 |
Endowment Activity
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $75,513,532 | $3,865,589 | ▲ $3,171,318 | - | $82,339,286 |
| 2023 | $73,095,797 | $429,886 | ▲ $1,995,032 | - | $75,513,532 |
| 2022 | $73,071,314 | $1,346,174 | ▲ $414,941 | - | $73,095,797 |
| 2021 | $70,534,237 | $1,143,430 | ▲ $3,769,220 | - | $73,071,314 |
| 2020 | $63,959,649 | $427,564 | ▲ $6,900,818 | - | $70,534,237 |
Compensation and Service Providers
Board Members and Trustees
| Name | Title |
|---|---|
| Amy Cebull | Chairman |
| Eileen Mcdonald | Past Chair |
| E Jim Duncan | Billings Clinic Foundation President |
| Karen Mccomish | Vice Chair |
| Bobbi Blain | Board Member |
| Christy Baxter Rn | Board Member |
| John Edwards | Board Member |
| Kathy Kelker Phd | Board Member |
| Keith Cook | Board Member |
| Michael Tennant | Board Member |
| Michelle Pierson Md | Board Member |
| Mitch Goplen | Board Member |
| Robert Hurd Md | Board Member |
| Rudi Marten | Board Member |
| Ellen Layton | CAO |
| Clinton Seger Md | CEO |
| Kathleen Quinones | CFO |
| Justin Ott | CIO |
| William Gibson | CLO |
| Patty Agnew | Secretary |
| Craig Lambrecht Md | System CEO (until 3/11/2024) |
| Kevin Abel | System Co-CEO |
| Gordon Riha Md | Treasurer |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $21,626,836
- Program Service Revenue
- $0
- Investment Income
- $4,689,162
- Other Revenue
- $1,487
- All Other Contributions
- $21,090,045
- Change in Net Assets
- $12,218,104
Noncash Contribution Practices
- Property subject to holding requirements
- No
- Reviewed unusual noncash gifts
- Yes
- Third parties used for noncash contributions
- No
Noncash Contributions
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Securities Publicly Traded | 12 | $4,833,444 | Fair Market Value (FMV) |
| Other Non Cash Contri Table | 21 | $152,778 | Fair Market Value (FMV) |
| Other Non Cash Contri Table | 86 | $46,985 | Fair Market Value (FMV) |
| Works of Art | 17 | $32,902 | Fair Market Value (FMV) |
| Other Non Cash Contri Table | 50 | $23,012 | Fair Market Value (FMV) |
| Other Non Cash Contri Table | 55 | $21,670 | Fair Market Value (FMV) |
| Drugs and Medical Supplies | 1 | $5,000 | Fair Market Value (FMV) |
| Total Noncash Contributions | 242 | $5,115,791 | - |
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $25,591,625
- Revenue Not Reported on Financial Statements
- $725,860
- Revenue Not Reported on Form 990
- $8,545,557
- Other Revenue Adjustments
- $725,860
- Total Revenue per Audited Statements
- $34,137,182
- Total Revenue per Form 990
- $26,317,485
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $12,035,539 |
| Other Expenses | $1,456,077 |
| Total Fundraising Expense | $1,287,200 |
| Salaries, Compensation, and Employee Benefits | $607,765 |
| Professional Fundraising Fees | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $11,910,329 | - | - | $11,910,329 |
| Fees for Service Investment Mgmnt Fees | - | $725,860 | - | $725,860 |
| Other Salaries and Wages | - | - | $488,345 | $488,345 |
| Occupancy | - | - | $136,951 | $136,951 |
| Grants to Domestic Individuals | $125,210 | - | - | $125,210 |
| Fees for Services Other | - | - | $115,629 | $115,629 |
| Other Employee Benefits | - | - | $51,157 | $51,157 |
| Information Technology | - | - | $38,672 | $38,672 |
| Payroll Taxes | - | - | $36,196 | $36,196 |
| Pension Plan Contributions | - | - | $32,067 | $32,067 |
| Advertising | - | - | $29,948 | $29,948 |
| Fees for Services Accounting | - | $25,500 | - | $25,500 |
| Depreciation Depletion | - | $25,282 | - | $25,282 |
| Travel | - | - | $16,355 | $16,355 |
| Office Expenses | - | - | $14,466 | $14,466 |
| Insurance | - | - | $12,115 | $12,115 |
| Other Expenses | - | - | $11,847 | $11,847 |
| All Other Expenses | - | - | $11,334 | $11,334 |
| Total Functional Expenses | $12,035,539 | $776,642 | $1,287,200 | $14,099,381 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $14,099,381 |
| Expenses per Audited Statements | $13,373,521 |
| Total Expenses per Audited Statements | $13,373,521 |
| Expenses Not Reported on Financial Statements | $725,860 |
| Other Expense Adjustments | $725,860 |
| Expenses Not Reported on Form 990 | $0 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Billings Clinic | Billings, MT | 501(c)(3) | To Support Medical Service & Programs | $11,879,443 |
| Townsend Health Systems Inc | Townsend, MT | 501(c)(3) | Purchase of 2 Ekg Machines | $25,660 |
| Billings Symphony Orchestra | Billings, MT | 501(c)(3) | To Support Music Therapy Programs | $5,000 |
Fundraising, Events, and Gaming
- Fundraising activities
- Yes
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $531,804 |
| Fundraising Direct Expenses | $530,317 |
| Professional Fundraising Fees | $0 |
Fundraising Events
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Classic | $1,068,595 | $531,804 | $111,929 | $419,875 |
| Total Events | $1,068,595 | $531,804 | $530,317 | $1,487 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Annuities Payable | $567,526 |
| Funds Held for Others | $421,770 |
| Due to Affiliate | $221,140 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- No
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- Yes
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 6
“Billings clinic is the sole member of the billings clinic foundation.”
Form 990, Part VI, Section A, Line 7A
“The sole member, billings clinic appoints all directors.”
Form 990, Part VI, Section A, Line 7B
“Billings clinic, as sole member of the billings clinic foundation, has authority over the foundation to: (a) appoint all directors of the corporation; (b) remove any director; (c) approve nominees for appointment of president of the corporation, before the appointment becomes effective; (d) approve all amendments to the corporation's articles of incorporation and bylaws before the amendments become effective; (e) approve any plan of merger, reorganization or consolidation involving the corporation; (f) approve any plan to sell, lease or dispose of substantially all of the corporation's assets; and (g) choose the independent certified public accounting firm to audit the books, records, and financial statements.”
Form 990, Part VI, Section B, Line 11B
“The organization has a cpa firm prepare its form 990. The return is completed in draft form and reviewed by management of the organization. The return is then finalized and the board is provided a copy of the form 990 to review before it is filed.”
Form 990, Part VI, Section B, Line 12C
“The organization annually requires its board members, officers and key employees to fill out a conflicts of interest form. The compliance officer reviews them, identifies potential conflicts, and forwards to the administrative team if a potential conflict exists, as outlined in the organizational policy. During board meetings, if an interested party has a conflict, he or she recuses themselves from voting.”
Form 990, Part VI, Section B, Line 15
“The organization's ceo, officers, and key employees are paid by billings clinic and logan health. Billings clinic and logan health have an executive compensation program administered annually by independent trustees following best practices and the highest regulatory standards expected of a not-for profit organization. Salary and benefits for the chief executive officer are determined by the board of directors. The board reviews base and total compensation data from an array of compensation surveys of hospitals similar in size and complexity to logan health and billings clinic. The board considers these reports and determines the status of the base salary, benefits, and total compensation for the ceo. Additionally, the ceo utilizes the market information provided to determine recommendations for other senior executives and engages in a rigorous analysis through use of independent survey results. The board reviews benefit levels and total compensation to ensure appropriateness in the not-for-profit health care sector.”
Form 990, Part VI, Section C, Line 19
“The organization makes its governing documents, conflict of interest policy and financial statements available to the public on an as needed basis.”
Filing and Contact Details
Filer
- Filer Name
- Billings Clinic Foundation
- EIN
- 81-0407289
- Phone
- 4066574670
- Address
- 2917 TENTH AVE NORTH PO BOX 31031, BILLINGS, MT 59101
Signing Officer
- Name
- Patti Pilgrim
- Title
- CFO
- Phone
- 4066574670
- Signed
- 2025-11-11
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Clint Seger Md
- Formed
- 1982
- Legal Domicile
- Mt
- Voting Board Members
- 17
- Independent Board Members
- 11
- Employees
- 0
- Volunteers
- 96
Preparer
- Firm
- Baker Tilly Advisory Group Lp
- Address
- 20 STANWIX STREET, PITTSBURGH, PA 15222
- Preparer
- Kelly a Brocious
- Phone
- 4126976400
Supplemental Narrative
Additional Explanations
FORM 990, PART XI, LINE 9:
“Restricted investment income 3,691,083.”
Financial Statement Notes
PART V, LINE 4:
“Endowment funds are to be invested and held in perpetuity to provide a source of income for billings clinic programs and needs.”
PART X, LINE 2:
“The corporation files income tax returns with the u.s. Federal government, various states and local jurisdictions. The corporation is no longer subject to examination primarily for tax years before 2021 based upon the various statutes of limitations and is not currently under examination. The corporation has no uncertain tax positions at december 31, 2024.”
PART XI, LINE 2D - OTHER ADJUSTMENTS:
“Restricted investment income 3,691,083.”
PART XI, LINE 4B - OTHER ADJUSTMENTS:
“INVESTMENT FEES 725,860.”
PART XII, LINE 4B - OTHER ADJUSTMENTS:
“INVESTMENT FEES 725,860.”
Raw XML AppendixShowing 400 of 1,206 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 359 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO ADVANCE EXCELLENCE IN HEALTHCARE, EDUCATION AND RESEARCH AT BILLINGS CLINIC THROUGH PHILANTHROPY. FUNDS RAISED BY THE FOUNDATION ARE USED BY BILLINGS CLINIC TO CONSTRUCT AND UPGRADE FACILITIES, PURCHASE PATIENT CARE EQUIPMENT, ENHANCE PATIENT RELATED PROGRAMS, ETC. |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 51614 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 41178 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 28368 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 23951 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 35253 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 43294 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 38096 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 38583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 24583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 38623 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 47594 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 51195 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | AMY CEBULL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | EILEEN MCDONALD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | KAREN MCCOMISH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | GORDON RIHA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | PATTY AGNEW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | KATHY KELKER PHD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MICHAEL TENNANT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | RUDI MARTEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ROBERT HURD MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | BOBBI BLAIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JOHN EDWARDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MITCH GOPLEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MICHELLE PIERSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | CHRISTY BAXTER RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | KEITH COOK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | E JIM DUNCAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | CLINTON SEGER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KATHLEEN QUINONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | KEVIN ABEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | CRAIG LAMBRECHT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | WILLIAM GIBSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | JUSTIN OTT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | ELLEN LAYTON |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 1129562 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 356055 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 193994 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 169911 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 388774 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 1163598 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 579324 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 986351 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 1715469 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 801222 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 441312 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 770824 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PAST CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | BILLINGS CLINIC FOUNDATION PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | SYSTEM CO-CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | SYSTEM CEO (UNTIL 3/11/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | CLO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | CAO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1982 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 536791 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 530317 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 531804 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 4472106 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 17 |
| IRS990/GrantAmt | 0 | 11910329 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 125210 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 125210 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 11910329 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 11910329 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 4472106 |
| IRS990/GrossReceiptsAmt | 0 | 26847802 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 38672 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 38672 |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 12115 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 12115 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 217056 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 217056 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 124012253 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 151274149 |
| IRS990/IRPDocumentCnt | 0 | 9 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 404755 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 614588 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 589306 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 994061 |
| IRS990/LegalDomicileStateCd | 0 | MT |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO ADVANCE EXCELLENCE IN HEALTHCARE, EDUCATION AND RESEARCH AT BILLINGS CLINIC THROUGH PHILANTHROPY. FUNDS RAISED BY THE FOUNDATION ARE USED BY BILLINGS CLINIC TO CONSTRUCT AND UPGRADE FACILITIES, PURCHASE PATIENT CARE EQUIPMENT, ENHANCE PATIENT RELATED PROGRAMS, ETC. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 139179005 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 159942666 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 4472106 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 4472106 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | 1487 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 1487 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 4854474 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 55678578 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 68366194 |
| IRS990/NoncashContributionsAmt | 0 | 5115791 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 136951 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 136951 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 14466 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 14466 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 113835 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 0 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 3691083 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 51157 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 51157 |
| IRS990/OtherExpensesGrp/Desc | 0 | MISCELLANEOUS EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 1 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | DUES AND SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 3 | EQUIPMENT RENT |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 253026 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 25181 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 2 | 13911 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 3 | 11847 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 253026 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 25181 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 13911 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 11847 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1490794 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1210436 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 488345 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 488345 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 36196 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 36196 |
| IRS990/PensionPlanContributionsGrp/FundraisingAmt | 0 | 32067 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 32067 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 12462605 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 6582953 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 17886 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 18442 |
| IRS990/PrincipalOfficerNm | 0 | CLINT SEGER MD |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | GRANTS TO VARIOUS INDIVIDUALS IN MONTANA AND SURROUNDING AREA FOR PATIENT/EMPLOYEE ASSISTANCE |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 125210 |
| IRS990/ProgSrvcAccomActy2Grp/GrantAmt | 0 | 125210 |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | GRANT FOR MEMBERSHIP TO PROVIDE EDUCATIONAL OPPORTUNITIES |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 11183970 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 1816445 |
| IRS990/PYInvestmentIncomeAmt | 0 | 3341819 |
| IRS990/PYOtherExpensesAmt | 0 | 402184 |
| IRS990/PYOtherRevenueAmt | 0 | -214975 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 12092185 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/PYTotalExpensesAmt | 0 | 2218629 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 14310814 |
| IRS990/QuidProQuoContributionsInd | 0 | 1 |
| IRS990/QuidProQuoContriDisclInd | 0 | 1 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 12218104 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
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