Civic Intelligence

Pioneer Medical Center

EIN 47-5437700 • 501(c)3 • Big Timber, MT

Profile

Mission: sustainable excellence in patient and resident focused care.vision: grow to become the trusted healthcare provider and employer of choice in sweet grass county.

PO Box 1228Big Timber, MT 59011

www.pmcmt.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

84th percentile

0.68x

Higher debt load relative to assets than 84% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

83rd percentile

1.21x

Higher debt load relative to revenue than 83% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

18th percentile

-9.5%

Higher net margin than 18% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

81st percentile

$332,410

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 2.7% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

14th percentile

-7.2%

Faster asset growth than 14% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

18th percentile

-12%

Faster revenue growth than 18% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets84th percentile

Assets

Down

$21,628,302

Down $1,676,619 (-7.2%) from 2023

Liabilities

Down

$14,770,084

Down $521,970 (-3.4%) from 2023

Net Assets

Down

$6,858,218

Down $1,154,649 (-14%) from 2023

Operations
Liabilities / Revenue83rd percentileNet Margin18th percentile

Revenue

Down

$12,168,587

Down $1,585,117 (-12%) from 2023

Expenses

Up

$13,323,236

Up $919,712 (+7.4%) from 2023

Net Income

Down

-$1,154,649

Down $2,504,829 (-186%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth14th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2016: $1Liabilities 2016: $02016Assets 2017: $3,527,559Liabilities 2017: $594,006Net Assets 2017: $2,933,5532017Assets 2018: $3,823,684Liabilities 2018: $735,178Net Assets 2018: $3,088,5062018Assets 2019: $4,603,537Liabilities 2019: $1,127,919Net Assets 2019: $3,475,6182019Assets 2020: $9,166,994Liabilities 2020: $4,762,354Net Assets 2020: $4,404,6402020Assets 2021: $11,375,383Liabilities 2021: $4,135,119Net Assets 2021: $7,240,2642021Assets 2022: $8,984,161Liabilities 2022: $2,321,474Net Assets 2022: $6,662,6872022Assets 2023: $23,304,921Liabilities 2023: $15,292,054Net Assets 2023: $8,012,8672023Assets 2024: $21,628,302Liabilities 2024: $14,770,084Net Assets 2024: $6,858,2182024

Highlighted filing

2024

Assets$21,628,302
Liabilities$14,770,084
Net Assets$6,858,218
Open 2024 Filing

Operations Trend

Revenue Growth18th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2016: $0Expenses 2016: $0Net Income 2016: $02016Revenue 2017: $8,000,897Expenses 2017: $7,625,002Net Income 2017: $375,8952017Revenue 2018: $8,233,366Expenses 2018: $8,078,413Net Income 2018: $154,9532018Revenue 2019: $10,251,683Expenses 2019: $9,864,571Net Income 2019: $387,1122019Revenue 2020: $11,562,848Expenses 2020: $10,633,826Net Income 2020: $929,0222020Revenue 2021: $14,026,683Expenses 2021: $11,191,059Net Income 2021: $2,835,6242021Revenue 2022: $11,468,162Expenses 2022: $12,045,739Net Income 2022: -$577,5772022Revenue 2023: $13,753,704Expenses 2023: $12,403,524Net Income 2023: $1,350,1802023Revenue 2024: $12,168,587Expenses 2024: $13,323,236Net Income 2024: -$1,154,6492024

Highlighted filing

2024

Revenue$12,168,587
Expenses$13,323,236
Net Income-$1,154,649
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$21,628,302
Liabilities
$14,770,084
Net assets
$6,858,218
Revenue
$12,168,587
Expenses
$13,323,236
Net income
-$1,154,649
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$21.6$14.8$6.86$12.2$13.3$1.15
2023Detailed filing. Detailed filing data is available for this year.$23.3$15.3$8.01$13.8$12.4$1.35
2022Detailed filing. Detailed filing data is available for this year.$8.98$2.32$6.66$11.5$12.0$0.58
2021Detailed filing. Detailed filing data is available for this year.$11.4$4.14$7.24$14.0$11.2$2.84
2020Detailed filing. Detailed filing data is available for this year.$9.17$4.76$4.40$11.6$10.6$0.93
2019Detailed filing. Detailed filing data is available for this year.$4.60$1.13$3.48$10.3$9.86$0.39
2018Detailed filing. Detailed filing data is available for this year.$3.82$0.74$3.09$8.23$8.08$0.15
2017Detailed filing. Detailed filing data is available for this year.$3.53$0.59$2.93$8.00$7.63$0.38
2016Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$0.00$0.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Apr 14, 2025
Return Version
2023v6.0
Gross Receipts
$12,168,587
Mission and Program Overview

Mission

Pioneer medical center serves the residents of sweet grass county through its 25-bed critical access hospital, rural health clinic, and 16-unit assisted living facility.

Pioneer medical center is a 25-bed critical access hospital, rural health clinic, and 16-unit assisted living facility based in big timber, montana. Pioneer medical center has a service area of just under 1,900 square miles and provides medical services to the sweet grass county population of approximately 3,700 people.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,185,946$3,267,569▲ $81,623
Accounts Receivable$1,981,921$2,025,325▲ $43,404
Savings and Temporary Cash Investments$2,437,683$1,210,339▼ $1,227,344
Cash and Non-Interest-Bearing Accounts$490,923$826,318▲ $335,395
Inventories for Sale or Use$174,593$150,454▼ $24,139
Prepaid Expenses and Deferred Charges$123,756$68,620▼ $55,136
Total Assets$23,304,921$21,628,302▼ $1,676,619
Other Assets Total$14,910,099$14,079,677▼ $830,422
Liabilities
Other Liabilities$14,108,433$13,465,934▼ $642,499
Accounts Payable and Accrued Expenses$1,173,183$1,295,150▲ $121,967
Escrow Account Liability$7,500$9,000▲ $1,500
Deferred Revenue$2,938$0▼ $2,938
Total Liabilities$15,292,054$14,770,084▼ $521,970
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,482,714$6,662,058▼ $820,656
Net Assets With Donor Restrictions$530,153$196,160▼ $333,993
Total Net Assets Fund Balance$8,012,867$6,858,218▼ $1,154,649
Total Liabilities and Net Assets / Fund Balance$23,304,921$21,628,302▼ $1,676,619

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,320,698$545,722$2,866,420
Equipment$850,752$1,081,204$1,931,956
Leasehold Improvements$64,366$8,435$72,801
Other Land Buildings$31,753-$31,753
Other Assets Org$99,427--
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Wallace WalkerDirector/mdFT$332,410-$332,410
Tina HensleyRegistered NurseFT$129,277$28,425$157,702
Sandra WolfordRadiology ManagerFT$126,884$6,896$133,780
Krista FarnumLaboratory ManagerFT$115,260$18,176$133,436
Sarah WaltonFnpFT$108,709$15,005$123,714
Brendan BurnsClinic ManagerFT$104,490$13,600$118,090

Board Members and Trustees

NameTitle
Brandi SchweigertChair
Matt McmanamenVice Chair
Elaine AllestadVice Chair (thru 2/24)
Bill WallaceDirector
Cory AustinDirector
Dan WitchmanDirector
Stacy DonaldDirector
Joy OttDirector (thru 10/23)
Ian PetersonCEO
Chad MillerSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Billings ClinicManagement, Accounting, Rad, Is Etc.PO BOX 30357, Billings, MT 59107-3097$1,662,220
Glc On-the-go INCPhysician Staffing400 PARK AVENUE FL 19TH, New York, NY 10022-9467$511,273
Badlands Medical StaffingNurse/cna Staffing1502 SCHOONER PL, Bismark, ND 58504$483,047
Forefront HealthcareDietary Staffing Services22622 HARPER AVENUE, Saint Claire Shore, MI 48080$473,006
Ab StaffingNurse/cna Staffing3451 S MERCY RD STE 102, Gilbert, AZ 85297$390,278
Revenue and Support

Revenue Composition

Contributions and Grants
$134,007
Program Service Revenue
$11,141,529
Investment Income
$72,084
Other Revenue
$820,967
All Other Contributions
$134,007
Change in Net Assets
$-1,154,649

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,785,261
Revenue Not Reported on Financial Statements
$383,326
Revenue Not Reported on Form 990
$975,110
Other Revenue Adjustments
$383,326
Total Revenue per Audited Statements
$12,760,371
Total Revenue per Form 990
$12,168,587
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$7,612,390
Salaries, Compensation, and Employee Benefits$5,710,846
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,731,000$525,369-$4,256,369
Fees for Services Other$4,206,506--$4,206,506
Other Employee Benefits$636,162$89,579-$725,741
Depreciation Depletion-$540,615-$540,615
Current Officers, Directors, Trustees, and Key Employees$347,253--$347,253
All Other Expenses$307,246--$307,246
Information Technology$292,876--$292,876
Payroll Taxes$250,973$35,340-$286,313
Occupancy$247,244--$247,244
Insurance$220,827--$220,827
Fees for Services Accounting$148,674--$148,674
Other Expenses$126,885--$126,885
Pension Plan Contributions$83,423$11,747-$95,170
Fees for Services Legal$58,532--$58,532
Office Expenses$36,625--$36,625
Travel$24,052--$24,052
Conferences and Meetings$12,789--$12,789
Advertising-$10,901-$10,901
Interest-$9,547-$9,547
Total Functional Expenses$12,100,138$1,223,098$0$13,323,236

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$13,915,020
Total Expenses per Form 990$13,323,236
Expenses per Audited Statements$12,939,910
Expenses Not Reported on Form 990$975,110
Expenses Not Reported on Financial Statements$383,326
Other Expense Adjustments$383,326
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability - Operating$13,350,939
Lease Obligation - Financing$114,995
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“The organization has contracted with billings clinic to provide management services. The organization's current ceo, ian peterson, is an employee of billings clinic and compensation for services provided to the hospital include the following: base salary - $157,176 bonus - $114,845 employer contribution to medical and dental - $7,313 employer contribution to life insurance and long-term disability - $398”

Form 990, Part VI, Section A, Line 7A

“Billings clinic through the management services agreement appoints two of the board members of the organization.”

Form 990, Part VI, Section B, Line 11B

“The board will review the 990 prior to its filing with the irs.”

Form 990, Part VI, Section B, Line 12C

“The policy applies to all employees of pioneer medical center, board of directors, volunteers, medical staff, contracted workforce, and other individuals who have a financial interest and are authorized to conduct business on behalf of pmc. The ceo, compliance officer, and/or the human resources director will review all disclosures of actual or potential conflicts of interest by any member of the board of directors or senior executive staff, except that a reviewer will be excluded from the review of his or her own disclosure. The ceo and compliance officer will review all disclosures of actual or potential conflicts of interest by any other interested persons at pmc. The review team will take appropriate action to manage, reduce, or eliminate conflicts of interest and to comply with other pmc policies and procedures, regulations, and any other applicable authority.”

Form 990, Part VI, Section B, Line 15

“Pmc utilizes mha wage data collection services on an annual basis. Wages for the ceo and other leading team members are reviewed with comparable sites in the surrounding area to be competitive. The same process is used for all employees.”

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 upon request.”

Filing and Contact Details

Filer

Filer Name
Pioneer Medical Center
EIN
47-5437700
Phone
4069324603
Address
PO BOX 1228, BIG TIMBER, MT 59011

Signing Officer

Name
Ian Peterson
Title
CEO
Phone
4069324603
Signed
2025-04-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ian Peterson
Formed
2016
Legal Domicile
Mt
Voting Board Members
8
Independent Board Members
7
Employees
149
Volunteers
38

Preparer

Firm
Wipfli Llp
Address
105 E PINE ST UPPER FLOOR, MISSOULA, MT 59802
Preparer
Sam Brunson CPA
Phone
4067281800
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Contract labor: program service expenses 4,206,506. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,206,506.”

FORM 990, PART XII, LINE 2C:

“The process has not changed from the prior year.”

Financial Statement Notes

PART IV, LINE 2B:

“The organization holds cash in trust for residents of the long-term care facility.”

PART X, LINE 2:

“The hospital is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code (the "code") and is exempt from federal income taxes on related income pursuant to section 501(a) of the code. The hospital is also exempt from state income taxes on related income. Federal and state income taxes are paid on nonexempt unrelated business income in accordance with the code. Current accounting guidelines require an organization to determine whether it is more likely than not that a tax position will be sustained upon examination of the technical merits of the position, assuming the taxing authority has full knowledge of all information. If the tax position does not meet the more-likely-than-not recognition threshold, the benefit of that position is not recognized in the financial statements. The hospital recorded no assets or liabilities related to uncertain tax positions. Federal returns for tax years 2021 and forward remain subject to examination by the internal revenue service.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Provision for bad debts 383,326.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Provision for bad debts 383,326.”

Raw XML AppendixShowing 400 of 766 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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IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt12RADIOLOGY MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt13LABORATORY MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt14FNP
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