Montana Family Practice Residency
Nonprofit profile at a glance
- EIN
- 810499616
- IRS 990 coverage
- 2017–2024
- Forms available
- Form 990 2024
- Location
- Billings, MT, USA
- Phone
- 4062473200
- Rating
- 62
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Graduate, Professional Schools (Separate Entities)
Reported finances
- Revenue
- $8,315,331
- Expenses
- $8,241,134
- Assets
- $2,797,700
- Liabilities
- $1,245,416
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
14 people listed
Executive titles in this filing
- Jonathan Forte (Chief Executive Officer)
Highest reported compensation
- Julie Kelso MD (Clinic Faculty Member): $362,504 total reported compensation
- Megan Littlefield MD (Chief Medical Officer): $361,529 total reported compensation
- Jonathan Forte (Chief Executive Officer): $334,589 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To maintain a medical education residency program that furthers the education of physicians in the practice of family medicine. MFMR provides residents with the education and training to graduate from the program and be able to competently practice family medicine in a rural, frontier, or underserved community.
What it reported doing in 2024
Nine residents completed training June 30, 2025, for academic year 2024-25.?? Three graduates will practice outpatient medicine in Billings, MT, two of them are joining the MFMR faculty; one graduate will outpatient medicine Grand Forks, ND; one graduate will practice inpatient medicine at Intermountain Health in Billings. one graduate will practice rural family medicine and OB after completing an OB fellowship in Moose Lake, MN; one graduate will practice inpatient medicine in Reno, NV; one graduate will practice inpatient medicine in Sheridan, WY. One graduate remains undecided but plans to practice in rural Montana.
Operating model
- Revenue model
- Earned-program. 76% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.
Rating breakdown
- Financial Efficiency: 75
- Transparency & Controls: 65
- Accountability: 32
- Sustainability: 31
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 83.8%; rating input score 84
- Program expense ratio: 84.3%; rating input score 84
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: Limited
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Missing
- Independent financial-statement audit: Fail
Sustainability
- Operating margin: 0.9%; rating input score 37; 37th percentile among comparable filings
- Total-asset coverage ratio: 0.34; rating input score 11; 11th percentile among comparable filings
- Liabilities to assets ratio: 0.45; rating input score 24; 24th percentile among comparable filings
- Officer compensation ratio: 4%; rating input score 61; 61st percentile among comparable filings
Growth
- Program expense growth: 7% per year; rating input score 100; 50th percentile among comparable filings
- Revenue growth: 7.2% per year; rating input score 100; 55th percentile among comparable filings
- Asset growth: 2.9% per year; rating input score 100; 24th percentile among comparable filings
Details
- Where the money goes: 83.8% of revenue deployed · 84.3% of spending went to programs
- Governance: 7 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $7M in reported program spending
- Leadership: top reported pay $363K · 14 people listed · 0 of 6 pay-setting controls reported
- Consistency: 21 of 21 current checks pass
- Schedules: 7 filed schedules · includes major donors and executive pay
- Filing history: 8 filing years from 2017 to 2024
- Contacts: How to reach this organization
- Related organizations: 2 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Accountability: Governance controls: Independent financial-statement audit not reported.
- Moderate — Sustainability: Operating margin scored 37/100.
- High — Sustainability: Total-asset coverage ratio scored 11/100.
- High — Sustainability: Liabilities to assets ratio scored 24/100.