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Nonprofiteer
← BIG HORN HOSPITAL ASSOCIATION

Form 990 for tax year 2023

Filed by BIG HORN HOSPITAL ASSOCIATION.

Totals

Total revenue
$20,052,906
Total expenses
$18,885,628
Contributions and grants received
$1,688,077
Grants paid
$35,840
Program service revenue
$18,072,632
Investment income
$118,520
Other revenue
$173,677
Total assets, end of year
$23,354,678
Total liabilities, end of year
$10,765,988
Net assets or fund balances, end of year
$12,588,690
Program services expenses (Part IX)
$14,829,890
Management and general expenses
$4,055,738
Fundraising expenses
$0
Program service expenses (Part III)
$14,829,890

Program services were 78.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $38,000

  • 1e · Government grants (contributions)

    $1,614,639

  • 1f · All other contributions, gifts and grants

    $35,438

  • 2a · Program service revenue: PATIENT REVENUE

    total $17,775,841 · related or exempt $17,775,841

  • 2b · Program service revenue: OTHER PATIENT REVENUE

    total $296,791 · related or exempt $296,791

  • 3 · Investment income

    total $92,110 · excluded $92,110

  • 6a · Gross rents

    real property $159,811

  • 6b · Less rental expenses

    real property $12,508

  • 6c · Rental income or loss

    real property $147,303

  • 6d · Net rental income or loss

    total $147,303 · excluded $147,303

  • 7a · Gross sales of assets other than inventory

    securities $355,374

  • 7b · Less cost or other basis and sales expenses

    securities $328,964

  • 7c · Gain or loss

    securities $26,410

  • 7d · Net gain or loss

    total $26,410 · excluded $26,410

  • 11a · Other revenue: CAFETERIA

    total $26,374 · excluded $26,374

  • 11e · Other revenue, total

    $26,374

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $35,840 · program services $35,840

  • 5 · Compensation of officers, directors and key employees

    total $648,562 · management and general $648,562

  • 7 · Other salaries and wages

    total $7,848,282 · program services $6,418,005 · management and general $1,430,277

  • 8 · Pension plan contributions

    total $283,830 · program services $234,304 · management and general $49,526

  • 9 · Other employee benefits

    total $629,295 · program services $516,032 · management and general $113,263

  • 10 · Payroll taxes

    total $587,109 · program services $489,236 · management and general $97,873

  • 11b · Fees: legal

    total $8,902 · management and general $8,902

  • 11c · Fees: accounting

    total $269,483 · management and general $269,483

  • 11f · Fees: investment management

    total $9,656 · management and general $9,656

  • 11g · Fees: other

    total $2,729,151 · program services $1,952,020 · management and general $777,131

  • 12 · Advertising and promotion

    total $18,422 · program services $4,762 · management and general $13,660

  • 13 · Office expenses

    total $140,468 · program services $94,774 · management and general $45,694

  • 14 · Information technology

    total $1,112 · program services $861 · management and general $251

  • 16 · Occupancy

    total $330,631 · program services $329,180 · management and general $1,451

  • 17 · Travel

    total $20,564 · program services $10,178 · management and general $10,386

  • 19 · Conferences, conventions and meetings

    total $23,010 · program services $16,253 · management and general $6,757

  • 20 · Interest

    total $344,180 · management and general $344,180

  • 22 · Depreciation, depletion and amortization

    total $1,767,303 · program services $1,767,303

  • 23 · Insurance

    total $204,121 · program services $378 · management and general $203,743

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,101,787 · program services $1,101,787

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $1,024,371 · program services $1,024,371

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $395,134 · program services $395,134

  • 24d · Other expenses: BED TAXES

    total $115,171 · program services $115,171

  • 24e · All other expenses

    total $349,244 · program services $324,301 · management and general $24,943

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,540,543 · end of year $2,415,779

  • 2 · Savings and temporary cash investments

    beginning of year $898,465 · end of year $60,310

  • 3 · Pledges and grants receivable

    end of year $1,560

  • 4 · Accounts receivable

    beginning of year $2,347,572 · end of year $3,483,961

  • 7 · Other notes and loans receivable

    beginning of year $93,000 · end of year $93,000

  • 8 · Inventories for sale or use

    beginning of year $458,731 · end of year $502,380

  • 9 · Prepaid expenses and deferred charges

    beginning of year $125,589 · end of year $156,458

  • 10a · Land, buildings and equipment: cost or other basis

    $26,871,691

  • 10b · Land, buildings and equipment: accumulated depreciation

    $16,469,689

  • 10c · Land, buildings and equipment, net

    beginning of year $11,364,228 · end of year $10,402,002

  • 11 · Investments: publicly traded securities

    beginning of year $1,052,925 · end of year $1,956,501

  • 15 · Other assets

    beginning of year $4,253,460 · end of year $4,282,727

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,245,184 · end of year $2,483,974

  • 20 · Tax-exempt bond liabilities

    beginning of year $8,000,000 · end of year $8,000,000

  • 21 · Escrow or custodial account liability

    beginning of year $75,286 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $416,500

  • 25 · Other liabilities

    beginning of year $0 · end of year $282,014

  • 27 · Net assets without donor restrictions

    beginning of year $11,389,070 · end of year $12,581,718

  • 28 · Net assets with donor restrictions

    beginning of year $8,473 · end of year $6,972

Mission and programs · 2023

Mission

BIG HORN HOSPITAL ASSOCIATION PROVIDES QUALITY SERVICES AND PROMOTES RESPONSIBLE CHOICES TO ENHANCE THE HEALTH OF OUR COMMUNITIES.

Activities or mission (Part I)

TO PROVIDE QUALITY MEDICAL AND HEALTH SERVICES IN BIG HORN COUNTY AND SURROUNDING AREAS.

  • BIG HORN HOSPITAL ASSOCIATION IS COMPRISED OF BIG HORN HOSPITAL. BIG HORN HOSPITAL IS A 18-BED ACUTE CARE HOSPITAL. DURING THE YEAR ENDED JUNE 30, 2024, BIG HORN HOSPITAL PROVIDED 334 DAYS OF INPATIENT SERVICES, 8,204 OUTPATIENT VISITS (INCLUDING 5,063 ER VISITS) AND 3,434 DAYS OF RESIDENT SERVICES.BIG HORN HOSPITAL ASSOCIATION PROVIDES CARE TO PERSON COVERED BY GOVERNMENT PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF CARE TO THESE PATIENTS WAS $59,809 FOR THE YEAR ENDED JUNE 30, 2024.

    Expenses $14,829,890 · Grants $35,840 · Revenue $18,072,632

As filed on the 2023 return.

Listed in Part VII

  • Thor Torske

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.4 + 0.2 related
  • Colleen Schaak

    VICE-CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.4 + 0.2 related
  • James Seykora

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.4 + 0.2 related
  • Matt Torske

    TREASURER

    Total calculated
    $0
    Hours/week
    0.4 + 0.2 related
  • Dr Orin Hansen

    MEMBER

    Total calculated
    $0
    Hours/week
    0.4
  • Jerry Smith Left March 2024

    MEMBER

    Total calculated
    $0
    Hours/week
    0.4
  • Sandy Morse

    MEMBER

    Total calculated
    $0
    Hours/week
    0.4
  • Larry Vandersloot

    MEMBER

    Total calculated
    $0
    Hours/week
    0.4
  • Terry Bullis

    MEMBER

    Total calculated
    $0
    Hours/week
    0.4
  • Nichole Mehling

    MEMBER

    Total calculated
    $0
    Hours/week
    0.4
  • Kristi Gatrell

    CEO

    Total calculated
    $0
    Hours/week
    39 + 1 related
  • Roxie Cain

    CONTROLLER

    Total calculated
    $183,272
    From this org
    $153,982
    From related orgs
    $0
    Other
    $29,290
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $153,982
    Bonus
    $0
    Other
    $0
    Deferred
    $7,579
    Nontaxable benefits
    $21,711
    Filer's total
    $183,272
  • Joe Purcell

    DIRECTOR OF NURSING

    Total calculated
    $182,779
    From this org
    $165,364
    From related orgs
    $0
    Other
    $17,415
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $165,364
    Bonus
    $0
    Other
    $0
    Deferred
    $9,000
    Nontaxable benefits
    $8,415
    Filer's total
    $182,779
  • Shannon Wagenman

    DIRECTOR OF PROVIDER SERVICES

    Total calculated
    $265,532
    From this org
    $234,821
    From related orgs
    $0
    Other
    $30,711
    Hours/week
    40 + 0.2 related

    Schedule J breakdown matched by us

    Base
    $234,821
    Bonus
    $0
    Other
    $0
    Deferred
    $9,000
    Nontaxable benefits
    $21,711
    Filer's total
    $265,532
  • Angela Regalado

    IMAGING DIRECTOR

    Total calculated
    $178,703
    From this org
    $170,288
    From related orgs
    $0
    Other
    $8,415
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $170,288
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $8,415
    Filer's total
    $178,703
  • Charlotte Jefferson

    PHARMACY DIRECTOR

    Total calculated
    $181,837
    From this org
    $172,837
    From related orgs
    $0
    Other
    $9,000
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,837
    Bonus
    $0
    Other
    $0
    Deferred
    $9,000
    Nontaxable benefits
    $0
    Filer's total
    $181,837
  • Pauline King

    PROVIDER

    Total calculated
    $195,708
    From this org
    $187,636
    From related orgs
    $0
    Other
    $8,072
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $187,636
    Bonus
    $0
    Other
    $0
    Deferred
    $8,052
    Nontaxable benefits
    $20
    Filer's total
    $195,708
  • Martha Arambel-Judice

    PROVIDER

    Total calculated
    $189,444
    From this org
    $184,484
    From related orgs
    $0
    Other
    $4,960
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $184,484
    Bonus
    $0
    Other
    $0
    Deferred
    $4,500
    Nontaxable benefits
    $460
    Filer's total
    $189,444
  • Tiffani Schuber

    PROVIDER

    Total calculated
    $202,518
    From this org
    $171,807
    From related orgs
    $0
    Other
    $30,711
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $171,807
    Bonus
    $0
    Other
    $0
    Deferred
    $9,000
    Nontaxable benefits
    $21,711
    Filer's total
    $202,518

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

FORM 990 SCHEDULE J
KRISTI GATRELL, THE CEO OF BIG HORN HOSPITAL ASSOCIATION, IS PAID BY BILLINGS CLINIC, AN UNRELATED ORGANIZATION. KRISTI RECEIVED THE FOLLOWING FROM BILLINGS CLINIC FOR SERVICES TO BIG HORN HOSPITAL: COMPENSATION- $172,084 RETIREMENT AND OTHER DEFERRED COMPENSATION- $2,039 NONTAXABLE BENEFITS- $18,447

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
12 May 2025
IRS schema version
2023v6.0
Source object
202541339349302689

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