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← BIGHORN VALLEY HEALTH CENTER INCORPORATED

Form 990 for tax year 2024

Filed by BIGHORN VALLEY HEALTH CENTER INCORPORATED.

Totals

Total revenue
$63,826,029
Total expenses
$58,317,642
Contributions and grants received
$28,622,096
Grants paid
$119,367
Program service revenue
$34,733,797
Investment income
-$444,273
Other revenue
$914,409
Total assets, end of year
$76,959,613
Total liabilities, end of year
$34,925,928
Net assets or fund balances, end of year
$42,033,685
Program services expenses (Part IX)
$48,859,203
Management and general expenses
$9,152,329
Fundraising expenses
$306,110
Program service expenses (Part III)
$48,859,203

Program services were 83.8% 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.

  • 1e · Government grants (contributions)

    $26,324,578

  • 1f · All other contributions, gifts and grants

    $2,297,518

  • 1g · Noncash contributions included above

    $974,400

  • 2a · Program service revenue: PATIENT SERVICES

    total $32,099,881 · related or exempt $32,099,881

  • 2b · Program service revenue: CONTRACT INCOME

    total $2,633,916 · related or exempt $2,633,916

  • 3 · Investment income

    total $319,896 · excluded $319,896

  • 6a · Gross rents

    real property $145,182

  • 6c · Rental income or loss

    real property $145,182

  • 6d · Net rental income or loss

    total $145,182 · excluded $145,182

  • 7a · Gross sales of assets other than inventory

    securities $161,585 · other assets $10,868

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

    other assets $936,622

  • 7c · Gain or loss

    securities $161,585 · other assets -$925,754

  • 7d · Net gain or loss

    total -$764,169 · excluded -$764,169

  • 8a · Fundraising events: gross income

    $7,757

  • 8b · Fundraising events: direct expenses

    $2,238

  • 8c · Net income from fundraising events

    total $5,519 · excluded $5,519

  • 11a · Other revenue: QUALITY/INCENTIVE REVENUE

    total $630,009 · excluded $630,009

  • 11b · Other revenue: MISCELLANEOUS REVENUE

    total $133,699 · excluded $133,699

  • 11e · Other revenue, total

    $763,708

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $30,239 · program services $30,239

  • 2 · Grants to domestic individuals

    total $89,128 · program services $89,128

  • 5 · Compensation of officers, directors and key employees

    total $406,738 · program services $194,533 · management and general $210,994 · fundraising $1,211

  • 7 · Other salaries and wages

    total $30,013,513 · program services $24,960,908 · management and general $4,911,300 · fundraising $141,305

  • 8 · Pension plan contributions

    total $578,354 · program services $456,767 · management and general $117,590 · fundraising $3,997

  • 9 · Other employee benefits

    total $3,744,868 · program services $3,107,178 · management and general $605,620 · fundraising $32,070

  • 10 · Payroll taxes

    total $2,616,368 · program services $2,157,923 · management and general $445,192 · fundraising $13,253

  • 11b · Fees: legal

    total $163,989 · management and general $163,989

  • 11c · Fees: accounting

    total $182,792 · management and general $182,792

  • 11g · Fees: other

    total $2,909,650 · program services $2,259,344 · management and general $593,216 · fundraising $57,090

  • 12 · Advertising and promotion

    total $203,679 · program services $200,482 · management and general $3,080 · fundraising $117

  • 13 · Office expenses

    total $554,043 · program services $241,760 · management and general $309,609 · fundraising $2,674

  • 14 · Information technology

    total $2,438,918 · program services $2,108,776 · management and general $322,417 · fundraising $7,725

  • 16 · Occupancy

    total $2,251,076 · program services $1,802,878 · management and general $428,102 · fundraising $20,096

  • 17 · Travel

    total $567,728 · program services $416,374 · management and general $146,701 · fundraising $4,653

  • 19 · Conferences, conventions and meetings

    total $393,805 · program services $296,769 · management and general $95,856 · fundraising $1,180

  • 20 · Interest

    total $543,232 · program services $408,202 · management and general $134,707 · fundraising $323

  • 22 · Depreciation, depletion and amortization

    total $1,509,803 · program services $1,268,544 · management and general $233,861 · fundraising $7,398

  • 23 · Insurance

    total $326,212 · program services $244,398 · management and general $80,030 · fundraising $1,784

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $7,904,887 · program services $7,904,887

  • 24b · Other expenses: REPAIR & MAINTENANCE

    total $260,028 · program services $219,218 · management and general $39,304 · fundraising $1,506

  • 24c · Other expenses: DUES & LICENSES

    total $259,824 · program services $215,224 · management and general $36,933 · fundraising $7,667

  • 24d · Other expenses: OUTREACH

    total $188,977 · program services $184,263 · management and general $3,367 · fundraising $1,347

  • 24e · All other expenses

    total $179,791 · program services $91,408 · management and general $87,669 · fundraising $714

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,028,271 · end of year $2,756,514

  • 2 · Savings and temporary cash investments

    beginning of year $221,690 · end of year $244,389

  • 3 · Pledges and grants receivable

    beginning of year $1,327,281 · end of year $1,586,108

  • 4 · Accounts receivable

    beginning of year $5,099,402 · end of year $7,679,045

  • 7 · Other notes and loans receivable

    beginning of year $6,829,440 · end of year $23,942,107

  • 8 · Inventories for sale or use

    beginning of year $428,016 · end of year $850,260

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,424,612 · end of year $604,276

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

    $30,682,897

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

    $4,654,005

  • 10c · Land, buildings and equipment, net

    beginning of year $15,391,466 · end of year $26,028,892

  • 11 · Investments: publicly traded securities

    beginning of year $3,090,248 · end of year $2,043,105

  • 13 · Investments: program-related

    beginning of year $585,736

  • 14 · Intangible assets

    beginning of year $50,875

  • 15 · Other assets

    beginning of year $9,890,772 · end of year $11,224,917

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,743,128 · end of year $3,713,315

  • 19 · Deferred revenue

    beginning of year $1,124,380 · end of year $1,144,919

  • 23 · Secured mortgages and notes payable

    beginning of year $8,140,766 · end of year $21,049,298

  • 25 · Other liabilities

    beginning of year $9,712,003 · end of year $9,018,396

  • 27 · Net assets without donor restrictions

    beginning of year $26,647,532 · end of year $42,028,981

  • 28 · Net assets with donor restrictions

    end of year $4,704

Mission and programs · 2024

Mission

OUR MISSION IS TO IMPROVE THE WELL-BEING OF EVERYONE BY PROVIDING ACCESSIBLE, QUALITY HEALTHCARE FOR THE WHOLE COMMUNITY.

Activities or mission (Part I)

TO IMPROVE THE WELL-BEING OF EVERYONE BY PROVIDING ACCESSIBLE, QUALITY HEALTHCARE FOR THE WHOLE COMMUNITY.

  • BIGHORN VALLEY HEALTH CENTER (BVHC) WAS FORMED TO DELIVER COMPREHENSIVE PRIMARY CARE, BEHAVIORAL HEALTH SUPPORT AND SUBSTANCE ABUSE TREATMENT TO THE UNDERSERVED POPULATION OF RURAL MONTANA EXPANDING INTO WYOMING. INHERENT IN OUR MISSION IS A COMMITMENT TO HEALTH PROMOTION AND EDUCATION, AND WE WILL SEEK TO PROVIDE A BROAD RANGE OF PATIENT EDUCATION IN HEALTHY LIFESTYLE CHOICES, NUTRITION, FITNESS, AND HEALTH LITERACY. THESE EFFORTS WILL OCCUR IN INDIVIDUAL EDUCATION PROGRAMS, SEMINARS AT THE CLINIC, AND COMMUNITY HEALTH FAIRS. BVHC HAD 78,776 MEDICAL VISITS, 10,667 DENTAL VISITS, AND 19,793 MENTAL HEALTH VISITS DURING THE YEAR.

    Expenses $48,859,203 · Grants $119,367 · Revenue $34,733,797

As filed on the 2024 return.

Listed in Part VII

  • KATHRYN WILLIAMS

    PHYSICIAN

    Total calculated
    $287,262
    From this org
    $268,890
    From related orgs
    $0
    Other
    $18,372
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $235,210
    Bonus
    $33,680
    Other
    not reported
    Deferred
    $6,968
    Nontaxable benefits
    $11,404
    Filer's total
    $287,262

  • JACOB FORKE

    PHYSICIAN

    Total calculated
    $280,324
    From this org
    $248,254
    From related orgs
    $0
    Other
    $32,070
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $236,029
    Bonus
    $12,225
    Other
    not reported
    Deferred
    $7,050
    Nontaxable benefits
    $25,020
    Filer's total
    $280,324

  • SARAH FITZGERALD

    ASSOCIATE VP

    Total calculated
    $265,289
    From this org
    $234,926
    From related orgs
    $0
    Other
    $30,363
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $227,926
    Bonus
    $7,000
    Other
    not reported
    Deferred
    $7,251
    Nontaxable benefits
    $23,112
    Filer's total
    $265,289

  • ASHLEY QUANBECK

    MED. ED. & D

    Total calculated
    $261,416
    From this org
    $223,057
    From related orgs
    $0
    Other
    $38,359
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $222,807
    Bonus
    $250
    Other
    not reported
    Deferred
    $7,187
    Nontaxable benefits
    $31,172
    Filer's total
    $261,416

  • KATHERINE MURRAY

    PHYSICIAN

    Total calculated
    $257,073
    From this org
    $240,605
    From related orgs
    $0
    Other
    $16,468
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $239,855
    Bonus
    $750
    Other
    not reported
    Deferred
    $7,199
    Nontaxable benefits
    $9,269
    Filer's total
    $257,073

  • DAVID MARK

    CEO

    Total calculated
    $235,087
    From this org
    $203,713
    From related orgs
    $0
    Other
    $31,374
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $203,713
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,801
    Nontaxable benefits
    $24,573
    Filer's total
    $235,087

  • COLETTE MILD

    CFO

    Total calculated
    $156,888
    From this org
    $128,210
    From related orgs
    $0
    Other
    $28,678
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $128,210
    Bonus
    not reported
    Other
    not reported
    Deferred
    $4,321
    Nontaxable benefits
    $24,357
    Filer's total
    $156,888

  • RONALD ERIC TINER

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • JUANITA SAPP

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    2

  • JAQUELINE SIKOSKI

    SECRETARY/TR

    Total calculated
    $0
    Hours/week
    2

  • MARTIN THONE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • SARA PRETTY WEASEL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • BARBARA SKOYEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • WILLIAM BRIGGS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • TIMOTHY HARDY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • CURTIS WHICKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • BETH HRONEK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • KATHLEEN DAVIDSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • SCOTT THORN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

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 committee
  • 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

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

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • ONE HEALTH LANDLORD LLC

    EXCLUDED · HOLDING CO · MT · 72.5% owned · share of income -$279,194 · share of assets $9,585,726 · general or managing partner

    Directly controlled by ONE HEALTH MANAGER LLC

  • ONE HEALTH MASTER TENANT LLC

    EXCLUDED · HOLDING CO · MT · 1% owned · share of income -$28 · share of assets $94,448 · general or managing partner

    Directly controlled by ONE HEALTH MANAGER LLC

  • MILLIGAN MASTER TENANT LLC

    EXCLUDED · HOLDING CO · MT · 1% owned · general or managing partner

    Directly controlled by MILLIGAN MANAGER LLC

  • MILLIGAN BUILDING LANDLORD LLC

    EXCLUDED · HOLDING CO · MT · 55% owned · general or managing partner

    Directly controlled by MILLIGAN MANAGER LLC

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
Filed
15 March 2026
IRS schema version
2024v5.0
Source object
202630759349301053

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