Civic Intelligence

Big Sandy Medical Center Inc

EIN 81-0291695 • 501(c)3 • Big Sandy, MT

Profile

To provide quality patient care in an innovative and professional manner.

PO Box 530Big Sandy, MT 59520

bsmc.org

Siviq Scores

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

Liabilities / Assets

63rd percentile

0.24x

Higher debt load relative to assets than 63% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.26x

Higher debt load relative to revenue than 62% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

33rd percentile

-1.5%

Higher net margin than 33% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

69th percentile

$182,274

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 2.6% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

29th percentile

-2.0%

Faster asset growth than 29% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

67th percentile

19%

Faster revenue growth than 67% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Assets

Down

$7,548,313

Down $151,037 (-2.0%) from 2023

Liabilities

Down

$1,829,320

Down $97,073 (-5.0%) from 2023

Net Assets

Down

$5,718,993

Down $53,964 (-0.9%) from 2023

Revenue

Up

$7,080,846

Up $1,116,605 (+19%) from 2023

Expenses

Up

$7,185,152

Up $961,815 (+15%) from 2023

Net Income

Up

-$104,306

Up $154,790 (+60%) from 2023

Trend Graphs

Balance Sheet Trend

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

$8.0M$6.0M$4.0M$2.0M$0Assets 2012: $4,035,258Liabilities 2012: $489,360Net Assets 2012: $3,545,8982012Assets 2013: $4,652,280Liabilities 2013: $247,135Net Assets 2013: $4,405,1452013Assets 2014: $4,874,423Liabilities 2014: $192,053Net Assets 2014: $4,682,3702014Assets 2015: $5,367,559Liabilities 2015: $476,384Net Assets 2015: $4,891,1752015Assets 2016: $5,094,373Liabilities 2016: $459,486Net Assets 2016: $4,634,8872016Assets 2017: $5,350,419Liabilities 2017: $371,500Net Assets 2017: $4,978,9192017Assets 2018: $4,104,279Liabilities 2018: $193,447Net Assets 2018: $3,910,8322018Assets 2019: $4,275,919Liabilities 2019: $321,632Net Assets 2019: $3,954,2872019Assets 2020: $6,275,980Liabilities 2020: $1,977,429Net Assets 2020: $4,298,5512020Assets 2021: $6,319,048Liabilities 2021: $495,536Net Assets 2021: $5,823,5122021Assets 2022: $6,439,477Liabilities 2022: $407,424Net Assets 2022: $6,032,0532022Assets 2023: $7,699,350Liabilities 2023: $1,926,393Net Assets 2023: $5,772,9572023Assets 2024: $7,548,313Liabilities 2024: $1,829,320Net Assets 2024: $5,718,9932024

Highlighted filing

2024

Assets$7,548,313
Liabilities$1,829,320
Net Assets$5,718,993

Operations Trend

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

$10M$5.0M$0-$5.0MRevenue 2012: $3,168,790Expenses 2012: $3,109,910Net Income 2012: $58,8802012Expenses 2013: $3,227,1422013Revenue 2014: $3,535,314Expenses 2014: $3,258,089Net Income 2014: $277,2252014Revenue 2015: $3,632,595Expenses 2015: $3,423,790Net Income 2015: $208,8052015Revenue 2016: $3,142,560Expenses 2016: $3,398,848Net Income 2016: -$256,2882016Revenue 2017: $4,097,694Expenses 2017: $3,753,662Net Income 2017: $344,0322017Revenue 2018: $2,612,824Expenses 2018: $3,680,911Net Income 2018: -$1,068,0872018Revenue 2019: $3,567,301Expenses 2019: $3,523,846Net Income 2019: $43,4552019Revenue 2020: $4,077,051Expenses 2020: $3,732,787Net Income 2020: $344,2642020Revenue 2021: $6,358,310Expenses 2021: $4,833,349Net Income 2021: $1,524,9612021Revenue 2022: $5,375,866Expenses 2022: $5,167,325Net Income 2022: $208,5412022Revenue 2023: $5,964,241Expenses 2023: $6,223,337Net Income 2023: -$259,0962023Revenue 2024: $7,080,846Expenses 2024: $7,185,152Net Income 2024: -$104,3062024

Highlighted filing

2024

Revenue$7,080,846
Expenses$7,185,152
Net Income-$104,306

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Apr 22, 2025
Return Version
2023v6.0
Gross Receipts
$7,081,376
Mission and Program Overview

Mission

To provide the best possible care for patients at the most reasonable cost in a competent, professional manner.

To provide quality patient care in an innovative and professional manner.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,628,679$3,345,267▲ $716,588
Investments in Publicly Traded Securities$1,417,059$1,422,857▲ $5,798
Savings and Temporary Cash Investments$1,427,176$1,007,683▼ $419,493
Accounts Receivable$698,503$872,760▲ $174,257
Cash and Non-Interest-Bearing Accounts$896,980$330,126▼ $566,854
Inventories for Sale or Use$129,744$113,423▼ $16,321
Prepaid Expenses and Deferred Charges$53,045$53,280▲ $235
Total Assets$7,699,350$7,548,313▼ $151,037
Other Assets Total$448,164$402,917▼ $45,247
Liabilities
Mortgage Notes Payable Secured by Investment Property$1,343,384$1,285,510▼ $57,874
Accounts Payable and Accrued Expenses$569,409$536,459▼ $32,950
Escrow Account Liability$13,600$7,351▼ $6,249
Total Liabilities$1,926,393$1,829,320▼ $97,073
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,698,197$5,718,993▲ $20,796
Net Assets With Donor Restrictions$74,760$0▼ $74,760
Total Net Assets Fund Balance$5,772,957$5,718,993▼ $53,964
Total Liabilities and Net Assets / Fund Balance$7,699,350$7,548,313▼ $151,037

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$1,067,220$2,365,681$3,432,901
Equipment$917,912$1,461,435$2,379,347
Other Land Buildings$1,186,479-$1,186,479
Land$102,659-$102,659
Buildings$70,997$14,792$85,789
Other Assets Org$48,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Krystyl KulbeckPaFT$150,030$32,244$182,274
Karma HaleHr DirectorFT$131,098$9,832$140,930
Dusty AllderdiceMaterials ManagerFT$115,816$9,186$125,002
Michael MebruerLab TechFT$112,011$2,175$114,186
Sarah SchleppDirector of FinanceFT$23,134-$23,134

Board Members and Trustees

NameTitle
Robert NelsonChair
Harvey KellerChair (thru 1/2024)
Ann BoldVice Chair
Amber TerryDirector
Karen BaumannDirector
Ron WeinsCEO
Ann QuinnSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Cypress HealthcareManagement Services791 EASTSIDE ROAD, Deer Lodge, MT 59722$359,601
Kc CorporationContract Physical TheraphyPO BOX 1246, Big Sandy, MT 59520$124,740
Far West Health SystemsBilling ServicesPO BOX 248, Valentine, TX 79854$102,616
Revenue and Support

Revenue Composition

Contributions and Grants
$342,375
Program Service Revenue
$6,518,565
Investment Income
$58,406
Other Revenue
$161,500
All Other Contributions
$230,037
Change in Net Assets
$-104,306

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded2$44,694Fair Market Value (FMV) at Close
Total Noncash Contributions2$44,694-

Audited Revenue Reconciliation

Revenue per Audited Statements
$6,991,653
Revenue Not Reported on Financial Statements
$89,193
Revenue Not Reported on Form 990
$135
Other Revenue Adjustments
$89,193
Total Revenue per Audited Statements
$6,991,788
Total Revenue per Form 990
$7,080,846
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$3,750,197
Salaries, Compensation, and Employee Benefits$3,433,810
Grants and Similar Amounts Paid$1,145
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,530,184$299,020-$2,829,204
Fees for Services Other$1,395,428$529,137-$1,924,565
Other Employee Benefits$291,809$34,490-$326,299
Payroll Taxes$197,474$23,340-$220,814
Depreciation Depletion$148,548$51,524-$200,072
All Other Expenses$100,218$36,705-$136,923
Insurance$86,470$30,382-$116,852
Interest$81,154--$81,154
Occupancy$56,157$17,841-$73,998
Travel$29,116$28,412-$57,528
Fees for Services Accounting$14,210$26,748-$40,958
Other Expenses$40,511$3,669-$40,511
Current Officers, Directors, Trustees, and Key Employees$35,137$4,153-$39,290
Office Expenses$13,637$25,113-$38,750
Pension Plan Contributions$16,279$1,924-$18,203
Advertising$11,789$2,169-$13,958
Fees for Services Legal-$13,654-$13,654
Conferences and Meetings-$2,500-$2,500
Grants to Domestic Orgs$1,145--$1,145
Total Functional Expenses$5,988,352$1,196,800$0$7,185,152

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$7,185,152
Expenses per Audited Statements$7,155,932
Total Expenses per Audited Statements$7,155,932
Expenses Not Reported on Financial Statements$29,220
Other Expense Adjustments$29,220
Expenses Not Reported on Form 990$0
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
No
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

In february 2021, the center entered into a management agreement with cypress healthcare, llc, through february 2024. Fees paid to cypress healthcare, llc for the fiscal year ended june 30, 2024, were $341,152 which included administration compensation, management fees, and miscellaneous expenses such as travel.

Form 990, Part VI, Section A, Line 6

Any resident and/or taxpayer of chouteau county hospital district ii is eligible to become a member. Members elect the governing body at an annual meeting.

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

Members elect the governing body at an annual meeting.

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

Form 990 is emailed to and reviewed by management and the board of directors before being filed.

Form 990, Part VI, Section B, Line 15

The board of directors will refer to the montana hospital association annual salary survey.

Form 990, Part VI, Section C, Line 18

Copies are available by request and via irs.gov.

Form 990, Part VI, Section C, Line 19

Governing documents and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Big Sandy Medical Center Inc
EIN
81-0291695
Phone
4063782188
Address
PO BOX 530, BIG SANDY, MT 59520

Signing Officer

Name
Ron Wiens
Title
CEO
Phone
4063782188
Signed
2025-04-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ron Wiens
Formed
1963
Legal Domicile
Mt
Voting Board Members
5
Independent Board Members
5
Employees
76
Volunteers
5

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

Other professional fees: program service expenses 1,395,428. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,395,428. Contracted services: program service expenses 0. Management and general expenses 529,137. Fundraising expenses 0. Total expenses 529,137.

FORM 990, PART XI, LINE 9:

IMPAIRMENT LOSS -59,973.

FORM 990, PART XII, LINE 2C:

The process has not changed since the prior year.

Financial Statement Notes

PART IV, LINE 2B:

The hospital holds funds for long-term care patients.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

340b expenses 29,220. Impairment loss 59,973.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

340B EXPENSES 29,220.

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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt8115816
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt9131098
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIR (THRU 1/2024)
IRS990/Form990PartVIISectionAGrp/TitleTxt1CHAIR
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IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR OF FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt7CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt8MATERIALS MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt9HR DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10PA
IRS990/Form990PartVIISectionAGrp/TitleTxt11LAB TECH
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IRS990/FormationYr01963
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IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
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IRS990/InfoInScheduleOPartVIInd0X
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IRS990/InfoInScheduleOPartXIInd0X
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IRS990/InsuranceGrp/ProgramServicesAmt086470
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IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
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IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
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IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/NetUnrlzdGainsLossesInvstAmt0135
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IRS990/OfficerMailingAddressInd00
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1124662
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1124662
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt2119622
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt317568
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
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IRS990/PYOtherRevenueAmt0191800
IRS990/PYProgramServiceRevenueAmt05626285
IRS990/PYRevenuesLessExpensesAmt0-259096
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IRS990/PYTotalProfFndrsngExpnsAmt00
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IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-104306
IRS990/RelatedEntityInd00
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IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt06680065
IRS990/SavingsAndTempCashInvstGrp/BOYAmt01427176
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01007683
IRS990ScheduleA/HospitalInd0X
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IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/AgentTrusteeEtcInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt070997
IRS990ScheduleD/BuildingsGrp/DepreciationAmt014792
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt085789
IRS990ScheduleD/EquipmentGrp/BookValueAmt0917912
IRS990ScheduleD/EquipmentGrp/DepreciationAmt01461435
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt02379347
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt029220
IRS990ScheduleD/ExpensesSubtotalAmt07155932
IRS990ScheduleD/ExplanationProvidedInd0X
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd01
IRS990ScheduleD/LandGrp/BookValueAmt0102659
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0102659
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt01067220
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt02365681
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt03432901
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0135
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0160000
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt1194917
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt248000
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0PROPERTY HELD FOR SALE
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1PATRONAGE CAPITAL CREDITS

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