Civic Intelligence

Blue Mountain Clinic Inc

EIN 81-0365291 • 501(c)3 • Missoula, MT

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Profile

The mission of Blue Mountain Clinic is to provide access to safe, affordable reproductive and primary health care; to provide education on health,reproductive choices and sexuality; to advocate for policies that improve reproductive justice and correct health disparities; and to empower individuals to actively participate in their health care.

610 N California StMissoula, MT 59802

www.bluemountainclinic.org

Siviq Scores

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

Liabilities / Assets

74th percentile

0.31x

Higher debt load relative to assets than 74% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

75th percentile

0.32x

Higher debt load relative to revenue than 75% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

60th percentile

9.8%

Higher net margin than 60% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

85th percentile

$166,400

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 6.9% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

25th percentile

-4.5%

Faster asset growth than 25% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

38th percentile

1.1%

Faster revenue growth than 38% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets74th percentile

Assets

Down

$2,561,259

Down $119,722 (-4.5%) from 2023

Liabilities

Down

$783,250

Down $411,411 (-34%) from 2023

Net Assets

Up

$1,778,009

Up $291,689 (+20%) from 2023

Operations
Liabilities / Revenue75th percentileNet Margin60th percentile

Revenue

Up

$2,421,895

Up $25,574 (+1.1%) from 2023

Expenses

Down

$2,185,074

Down $268,443 (-11%) from 2023

Net Income

Up

$236,821

Up $294,017 (+514%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth25th percentile

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

$3.0M$2.0M$1.0M$0Assets 2011: $727,095Liabilities 2011: $228,540Net Assets 2011: $498,5552011Assets 2012: $694,301Liabilities 2012: $220,826Net Assets 2012: $473,4752012Assets 2013: $694,468Liabilities 2013: $196,599Net Assets 2013: $497,8692013Assets 2014: $705,626Liabilities 2014: $151,675Net Assets 2014: $553,9512014Assets 2015: $813,960Liabilities 2015: $143,667Net Assets 2015: $670,2932015Assets 2016: $755,979Liabilities 2016: $163,958Net Assets 2016: $592,0212016Assets 2017: $809,137Liabilities 2017: $188,377Net Assets 2017: $620,7602017Assets 2018: $1,826,125Liabilities 2018: $614,482Net Assets 2018: $1,211,6432018Assets 2019: $1,878,448Liabilities 2019: $547,548Net Assets 2019: $1,330,9002019Assets 2020: $2,445,307Liabilities 2020: $1,115,755Net Assets 2020: $1,329,5522020Assets 2021: $2,367,708Liabilities 2021: $972,032Net Assets 2021: $1,395,6762021Assets 2022: $2,441,558Liabilities 2022: $954,465Net Assets 2022: $1,487,0932022Assets 2023: $2,680,981Liabilities 2023: $1,194,661Net Assets 2023: $1,486,3202023Assets 2024: $2,561,259Liabilities 2024: $783,250Net Assets 2024: $1,778,0092024

Highlighted filing

2024

Assets$2,561,259
Liabilities$783,250
Net Assets$1,778,009
Open 2024 Filing

Operations Trend

Revenue Growth38th percentile

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

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2011: $1,264,0322011Expenses 2012: $1,343,8912012Revenue 2013: $1,442,031Expenses 2013: $1,417,642Net Income 2013: $24,3892013Revenue 2014: $1,600,021Expenses 2014: $1,543,939Net Income 2014: $56,0822014Revenue 2015: $1,832,498Expenses 2015: $1,716,156Net Income 2015: $116,3422015Revenue 2016: $1,853,850Expenses 2016: $1,932,122Net Income 2016: -$78,2722016Revenue 2017: $1,947,020Expenses 2017: $1,918,281Net Income 2017: $28,7392017Revenue 2018: $2,544,050Expenses 2018: $1,953,167Net Income 2018: $590,8832018Revenue 2019: $2,112,543Expenses 2019: $1,993,286Net Income 2019: $119,2572019Revenue 2020: $1,922,965Expenses 2020: $1,930,406Net Income 2020: -$7,4412020Revenue 2021: $1,963,844Expenses 2021: $1,897,806Net Income 2021: $66,0382021Revenue 2022: $2,579,893Expenses 2022: $2,438,861Net Income 2022: $141,0322022Revenue 2023: $2,396,321Expenses 2023: $2,453,517Net Income 2023: -$57,1962023Revenue 2024: $2,421,895Expenses 2024: $2,185,074Net Income 2024: $236,8212024

Highlighted filing

2024

Revenue$2,421,895
Expenses$2,185,074
Net Income$236,821
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$2,561,259
Liabilities
$783,250
Net assets
$1,778,009
Revenue
$2,421,895
Expenses
$2,185,074
Net income
$236,821
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.56$0.78$1.78$2.42$2.19$0.24
2023Summary only. Only limited summary data is available for this year.$2.68$1.19$1.49$2.40$2.45$0.06
2022Summary only. Only limited summary data is available for this year.$2.44$0.95$1.49$2.58$2.44$0.14
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.37$0.97$1.40$1.96$1.90$0.07
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.45$1.12$1.33$1.92$1.93$0.01
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.88$0.55$1.33$2.11$1.99$0.12
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.83$0.61$1.21$2.54$1.95$0.59
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.81$0.19$0.62$1.95$1.92$0.03
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.76$0.16$0.59$1.85$1.93$0.08
2015Detailed filing. Detailed filing data is available for this year.$0.81$0.14$0.67$1.83$1.72$0.12
2014Summary only. Only limited summary data is available for this year.$0.71$0.15$0.55$1.60$1.54$0.06
2013Detailed filing. Detailed filing data is available for this year.$0.69$0.20$0.50$1.44$1.42$0.02
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.69$0.22$0.47$1.34
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.73$0.23$0.50$1.26
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jul 25, 2025
Return Version
2024v5.2
Gross Receipts
$2,421,895
Mission and Program Overview

Mission

The mission of Blue Mountain Clinic is to provide individualized, choice-based healthcare that respects the power of personal connection.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,244,606$1,191,256▼ $53,350
Investments in Publicly Traded Securities$1,078,578$729,218▼ $349,360
Cash and Non-Interest-Bearing Accounts$195,356$528,394▲ $333,038
Accounts Receivable$81,942$75,344▼ $6,598
Savings and Temporary Cash Investments$80,499$37,047▼ $43,452
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$2,680,981$2,561,259▼ $119,722
Other Assets Total-$0-
Liabilities
Mortgage Notes Payable Secured by Investment Property$663,949$642,572▼ $21,377
Deferred Revenue$516,361--
Other Liabilities$16,827$84,702▲ $67,875
Accounts Payable and Accrued Expenses$-2,476$55,976▲ $58,452
Total Liabilities$1,194,661$783,250▼ $411,411
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,486,320$1,778,009▲ $291,689
Total Net Assets Fund Balance$1,486,320$1,778,009▲ $291,689
Total Liabilities and Net Assets / Fund Balance$2,680,981$2,561,259▼ $119,722

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,105,183$800,194$1,905,377
Equipment$738$232,133$232,871
Land$79,989-$79,989
Other Land Buildings$5,346$29,047$34,393
Compensation and Service Providers
Top Officer Pay85th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Eric RavitzMedical StaffFT$160,000$6,400$166,400
Kelly PolusMedical StaffFT$106,216$4,249$110,465
Tess FieldsExecutive DirectorFT$32,538-$32,538
Nicole SmithExecutive DirectorFT$25,000-$25,000

Board Members and Trustees

NameTitle
Bryony SchwanChairman
Caitlin Martin-Wagar MDVice Chair
juniper davisVice President
Amy SmithDirector
Emily LucasDirector
Shannon LollarDirector
Meghan MorrisTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,218,239
Program Service Revenue
$1,198,803
Investment Income
$4,853
Other Revenue
$0
All Other Contributions
$1,218,239
Change in Net Assets
$236,821
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,197,132
Other Expenses$987,942
Total Fundraising Expense$93,934
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$825,759$97,147$48,573$971,479
All Other Expenses$60,798$3,799$25,170$89,767
Payroll Taxes$66,395$22,132-$88,527
Insurance$45,106$21,432-$66,538
Current Officers, Directors, Trustees, and Key Employees-$43,154$14,385$57,539
Depreciation Depletion$45,348$5,335$2,668$53,351
Other Employee Benefits$38,466$12,822-$51,288
Interest$47,959--$47,959
Other Expenses$43,489--$43,489
Information Technology$20,595$7,326$1,470$29,391
Pension Plan Contributions$21,224$7,075-$28,299
Fees for Services Accounting-$20,035-$20,035
Office Expenses$9,409$4,343$724$14,476
Occupancy$9,991$1,873$624$12,488
Fees for Service Investment Mgmnt Fees$4,810--$4,810
Advertising$2,401$480$320$3,201
Travel$829--$829
Fees for Services Legal$363--$363
Total Functional Expenses$1,844,187$246,953$93,934$2,185,074
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Access Fund$84,702
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
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
No

Governance Explanations

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

“The current board treasurer reviews the 990 in detail with the executive director. A draft of the 990 is then presented to the executive committee. Any changes and/or significant information that is relevant to board members is passed on to the board for discussion purposes via the treasurer.”

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

“Board members and key staff members are asked to divulge any potential conflicts of interest prior to joining the board or commencing employment at the clinic. Both board and staff members undergo a thorough application process designed to prevent and avoid any potential conflicts of interest.”

Form 990, Part VI, Section B, Line 15B

“Compensation of the executive director and the medical director is subject to annual review and approval by the board of directors. Changes to compensation based on performance evaluations, cost of living increase, or annual budget constraints are reviewed and voted on by the board as a whole.”

Form 990, Part VI, Section C, Line 19

“Any of these documents are readily availible upon request.”

Filing and Contact Details

Filer

Filer Name
Blue Mountain Clinic Inc
EIN
81-0365291
Phone
4067211646
Address
610 N CALIFORNIA ST, MISSOULA, MT 59802

Signing Officer

Name
Tess Fields
Title
Executive Director
Signed
2025-07-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tess Fields
Formed
1976
Legal Domicile
Mt
Voting Board Members
7
Independent Board Members
7
Employees
26
Volunteers
50

Preparer

Firm
Boyle Deveny & Meyer PC
Address
305 South 4th East Suite 200, Missoula, MT 59801
Preparer
Jaime Ward CPA
Phone
4067213555
Raw XML AppendixShowing 400 of 542 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/Desc0BBlue Mountain Clinic is a mission-driven 501(c)3 non-profit corporation organized in the state of Montana and is governed by a volunteer board of directors. Located at 610 N California Street in Missoula, MT, we are one of the only independent, family medicine clinics in the United States that has fully integrated primary care, mental health counseling, contraceptive and abortion care, and comprehensive gender affirming care into our daily practice. BMC serves as the medical home for over 3,000 unique patients per year who access a wide range of health services within our choice-based, primary medicine model. This is evidenced by the fact that 25% of our clients travel 100 miles or more to receive care at BMC. Blue Mountain Clinic is called upon daily by those who need care for themselves or their families, at an ever-increasing rate. This is a direct reflection of changes in our current healthcare environment; expanded services at BMC, lack of access due to clinic closures both in our region, across the state, and across the country. We continue after 13 years providing critical gynecological training to residents in the Western Montana Family Medicine Residency Program. We train approximately 10 residents a year, preparing them to provide reproductive and family medical care through our choice-based lens. We strive to ensure that these residents will continue to practice and provide comprehensive healthcare in our rural areas, many of which Blue Mountain Clinic currently serves.Per the US Census Bureau, Montana and the Northern Rockies are home to some of the least populated regions, resulting in a large concentration of rural areas. These sparsely populated areas often result in very limited access to many of lifes necessities, including health care. Reports released by the American Medical Association and the American Academy of Family Physicians indicate that we will continue to experience a critical shortage of family medicine clinicians and clinics. The shortage is due in part to retiring physicians as well as a recent trend emerging where providers are choosing specialty areas of medicine over family medicine because they offer much higher salaries. In a report released by the Montana Office of Rural Health (MORH) a serious shortage of primary care physician services is cited in Montana. It is of the utmost importance that we remain a sound presence to ensure access to independent, choice-based health care that respects the power of personal connection.Throughout 2024, we continued to face challenges in health care delivery due to rising costs and more and more restrictions and demands on healthcare providers. Our clinic has responded to technological advancements and offers our patients a combination of telemedicine and in-person access. We have been and will continue to meet the primary care, gender affirming, and reproductive health care needs of our community.
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