Civic Intelligence

Big Horn Hospital Association

EIN 81-0384618 • 501(c)3 • Hardin, MT

View Organization Page

Profile

Big horn hospital association provides quality services and promotes responsible choices to enhance the health of our communities.

17 North Miles AvenueHardin, MT 59034

www.bighornhospital.org

Siviq Scores

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

Liabilities / Assets

74th percentile

0.46x

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

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

Liabilities / Revenue

70th percentile

0.54x

Higher debt load relative to revenue than 70% of similar nonprofits.

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

Net Margin

54th percentile

5.8%

Higher net margin than 54% of similar nonprofits.

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

Top Officer Pay

71st percentile

$265,532

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

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

Asset Growth

38th percentile

1.0%

Faster asset growth than 38% of similar nonprofits.

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

Revenue Growth

59th percentile

12%

Faster revenue growth than 59% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets74th percentile

Assets

Up

$23,354,678

Up $220,165 (+1.0%) from 2023

Liabilities

Down

$10,765,988

Down $970,982 (-8.3%) from 2023

Net Assets

Up

$12,588,690

Up $1,191,147 (+10%) from 2023

Operations
Liabilities / Revenue70th percentileNet Margin54th percentile

Revenue

Up

$20,052,906

Up $2,076,731 (+12%) from 2023

Expenses

Down

$18,885,628

Down $1,048,886 (-5.3%) from 2023

Net Income

Up

$1,167,278

Up $3,125,617 (+160%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth38th percentile

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

$40M$30M$20M$10M$0Assets 2010: $9,305,775Liabilities 2010: $2,288,607Net Assets 2010: $7,017,1682010Assets 2011: $11,962,446Liabilities 2011: $3,586,940Net Assets 2011: $8,375,5062011Assets 2012: $11,008,998Liabilities 2012: $2,471,445Net Assets 2012: $8,537,5532012Assets 2013: $13,512,461Liabilities 2013: $3,925,523Net Assets 2013: $9,586,9382013Assets 2014: $12,622,964Liabilities 2014: $3,584,489Net Assets 2014: $9,038,4752014Assets 2015: $12,916,733Liabilities 2015: $3,437,478Net Assets 2015: $9,479,2552015Assets 2016: $12,261,995Liabilities 2016: $2,619,645Net Assets 2016: $9,642,3502016Assets 2017: $12,987,144Liabilities 2017: $2,422,372Net Assets 2017: $10,564,7722017Assets 2018: $13,641,693Liabilities 2018: $2,213,088Net Assets 2018: $11,428,6052018Assets 2019: $27,308,203Liabilities 2019: $15,658,251Net Assets 2019: $11,649,9522019Assets 2020: $31,043,517Liabilities 2020: $20,010,480Net Assets 2020: $11,033,0372020Assets 2021: $27,628,151Liabilities 2021: $13,596,285Net Assets 2021: $14,031,8662021Assets 2022: $26,345,522Liabilities 2022: $13,052,527Net Assets 2022: $13,292,9952022Assets 2023: $23,134,513Liabilities 2023: $11,736,970Net Assets 2023: $11,397,5432023Assets 2024: $23,354,678Liabilities 2024: $10,765,988Net Assets 2024: $12,588,6902024

Highlighted filing

2024

Assets$23,354,678
Liabilities$10,765,988
Net Assets$12,588,690
Open 2024 Filing

Operations Trend

Revenue Growth59th percentile

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

$30M$20M$10M$0-$10MExpenses 2010: $10,824,3822010Expenses 2011: $11,651,9672011Expenses 2012: $12,895,8082012Expenses 2013: $14,122,1492013Revenue 2014: $14,146,479Expenses 2014: $14,466,994Net Income 2014: -$320,5152014Revenue 2015: $15,366,218Expenses 2015: $14,827,688Net Income 2015: $538,5302015Revenue 2016: $15,451,047Expenses 2016: $15,264,365Net Income 2016: $186,6822016Revenue 2017: $16,553,234Expenses 2017: $15,764,742Net Income 2017: $788,4922017Revenue 2018: $16,983,024Expenses 2018: $16,102,548Net Income 2018: $880,4762018Revenue 2019: $16,281,183Expenses 2019: $16,425,652Net Income 2019: -$144,4692019Revenue 2020: $17,679,114Expenses 2020: $18,156,656Net Income 2020: -$477,5422020Revenue 2021: $22,821,306Expenses 2021: $19,749,119Net Income 2021: $3,072,1872021Revenue 2022: $19,596,888Expenses 2022: $19,898,829Net Income 2022: -$301,9412022Revenue 2023: $17,976,175Expenses 2023: $19,934,514Net Income 2023: -$1,958,3392023Revenue 2024: $20,052,906Expenses 2024: $18,885,628Net Income 2024: $1,167,2782024

Highlighted filing

2024

Revenue$20,052,906
Expenses$18,885,628
Net Income$1,167,278
Open 2024 Filing

Filings

Most recent year

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

Open filing
Assets
$23,354,678
Liabilities
$10,765,988
Net assets
$12,588,690
Revenue
$20,052,906
Expenses
$18,885,628
Net income
$1,167,278
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$23.4$10.8$12.6$20.1$18.9$1.17
2023Detailed filing. Detailed filing data is available for this year.$23.1$11.7$11.4$18.0$19.9$1.96
2022Detailed filing. Detailed filing data is available for this year.$26.3$13.1$13.3$19.6$19.9$0.30
2021Detailed filing. Detailed filing data is available for this year.$27.6$13.6$14.0$22.8$19.7$3.07
2020Detailed filing. Detailed filing data is available for this year.$31.0$20.0$11.0$17.7$18.2$0.48
2019Detailed filing. Detailed filing data is available for this year.$27.3$15.7$11.6$16.3$16.4$0.14
2018Detailed filing. Detailed filing data is available for this year.$13.6$2.21$11.4$17.0$16.1$0.88
2017Detailed filing. Detailed filing data is available for this year.$13.0$2.42$10.6$16.6$15.8$0.79
2016Detailed filing. Detailed filing data is available for this year.$12.3$2.62$9.64$15.5$15.3$0.19
2015Detailed filing. Detailed filing data is available for this year.$12.9$3.44$9.48$15.4$14.8$0.54
2014Detailed filing. Detailed filing data is available for this year.$12.6$3.58$9.04$14.1$14.5$0.32
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.5$3.93$9.59$14.1
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.0$2.47$8.54$12.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.0$3.59$8.38$11.7
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.31$2.29$7.02$10.8
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 12, 2025
Return Version
2023v6.0
Gross Receipts
$20,394,378
Mission and Program Overview

Mission

Big horn hospital association provides quality services and promotes responsible choices to enhance the health of our communities.

To provide quality medical and health services in big horn county and surrounding areas.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$11,364,228$10,402,002▼ $962,226
Accounts Receivable$2,347,572$3,483,961▲ $1,136,389
Cash and Non-Interest-Bearing Accounts$2,540,543$2,415,779▼ $124,764
Investments in Publicly Traded Securities$1,052,925$1,956,501▲ $903,576
Inventories for Sale or Use$458,731$502,380▲ $43,649
Prepaid Expenses and Deferred Charges$125,589$156,458▲ $30,869
Other Notes and Loans Receivable, Net$93,000$93,000→ $0
Savings and Temporary Cash Investments$898,465$60,310▼ $838,155
Pledges and Grants Receivable-$1,560-
Total Assets$23,134,513$23,354,678▲ $220,165
Other Assets Total$4,253,460$4,282,727▲ $29,267
Liabilities
Tax Exempt Bond Liabilities$8,000,000$8,000,000→ $0
Accounts Payable and Accrued Expenses$3,245,184$2,483,974▼ $761,210
Mortgage Notes Payable Secured by Investment Property$416,500--
Other Liabilities$0$282,014▲ $282,014
Escrow Account Liability$75,286$0▼ $75,286
Total Liabilities$11,736,970$10,765,988▼ $970,982
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$11,389,070$12,581,718▲ $1,192,648
Net Assets With Donor Restrictions$8,473$6,972▼ $1,501
Total Net Assets Fund Balance$11,397,543$12,588,690▲ $1,191,147
Total Liabilities and Net Assets / Fund Balance$23,134,513$23,354,678▲ $220,165

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,196,294$10,303,717$18,500,011
Equipment$1,962,804$6,165,972$8,128,776
Land$242,904-$242,904
Other Assets Org$3,702,677--
Compensation and Service Providers
Top Officer Pay71st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Shannon WagenmanDirector of Provider ServicesFT$234,821$30,711$265,532
Tiffani SchuberProviderFT$171,807$30,711$202,518
Pauline KingProviderFT$187,636$8,072$195,708
Martha Arambel-judiceProviderFT$184,484$4,960$189,444
Roxie CainControllerFT$153,982$29,290$183,272
Joe PurcellDirector of NursingFT$165,364$17,415$182,779
Charlotte JeffersonPharmacy DirectorFT$172,837$9,000$181,837
Angela RegaladoImaging DirectorFT$170,288$8,415$178,703

Board Members and Trustees

NameTitle
Thor TorskeChairman
Colleen SchaakVice-chairman
Kristi GatrellCEO
Dr Orin HansenMember
Jerry Smith Left March 2024Member
Larry VanderslootMember
Nichole MehlingMember
Sandy MorseMember
Terry BullisMember
James SeykoraSecretary
Matt TorskeTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Billings ClinicManagement & Imaging Services2800 10TH AVENUE N, Billings, MT 59101$2,430,037
Vaya Workforce SolutionsContract Staff5930 CORNERSTONE CT W STE 300, San Diego, CA 92121$667,251
Nxc ImagingImaging Maintenace1325 QUINCY STREET NE, Minneapolis, MN 55413$357,235
B Squared Imaging LLCImaging Reading FeesPO BOX 137, Stanton, NJ 08885$262,973
Cliftonlarsonallen LLPAccounting Services220 S SIXTH STREET SUITE 300, Minneapolis, MN 55402$248,804
Revenue and Support

Revenue Composition

Contributions and Grants
$1,688,077
Program Service Revenue
$18,072,632
Investment Income
$118,520
Other Revenue
$173,677
All Other Contributions
$35,438
Change in Net Assets
$1,167,278
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$9,997,078
Other Expenses$8,852,710
Grants and Similar Amounts Paid$35,840
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$6,418,005$1,430,277-$7,848,282
Fees for Services Other$1,952,020$777,131-$2,729,151
Depreciation Depletion$1,767,303--$1,767,303
Current Officers, Directors, Trustees, and Key Employees-$648,562-$648,562
Other Employee Benefits$516,032$113,263-$629,295
Payroll Taxes$489,236$97,873-$587,109
All Other Expenses$324,301$24,943-$349,244
Interest-$344,180-$344,180
Occupancy$329,180$1,451-$330,631
Pension Plan Contributions$234,304$49,526-$283,830
Fees for Services Accounting-$269,483-$269,483
Insurance$378$203,743-$204,121
Office Expenses$94,774$45,694-$140,468
Other Expenses$115,171--$115,171
Grants to Domestic Orgs$35,840--$35,840
Conferences and Meetings$16,253$6,757-$23,010
Travel$10,178$10,386-$20,564
Advertising$4,762$13,660-$18,422
Fees for Service Investment Mgmnt Fees-$9,656-$9,656
Fees for Services Legal-$8,902-$8,902
Information Technology$861$251-$1,112
Total Functional Expenses$14,829,890$4,055,738$0$18,885,628
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Big Horn County Memorial Hospital and Healthcare FoundationHardin, MT501(c)(3)To Support General Operations$20,124
Big Horn County Memorial Hospital AuxiliaryHardin, MT501(c)(3)To Support General Operations$15,716
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Angela SmithSpouse of Jerry Smith, Board MemberEmployee CompensationNo$162,659
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$282,014

Bond Issues

BondIssuerIssuedIssue PricePurpose
AMontana Facility Finance Authority2018-11-01$8,000,000HOSPITAL REMODEL

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$8,000,000--$160,000

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“Big horn hospital association's ceo is provided through a services agreement with billings clinic.”

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

“Two board members are appointed by billings clinic and may be removed from the board at any time by billings clinic.”

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

“The form 990 was reviewed in detail by the controller and ceo. The form 990 was presented to the board members at a board meeting after being filed with the irs.”

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

“Regular compliance meetings discuss any actual conflicts or potential conflicts. There is also a hotline number to call for compliance or hipaa issues that is operated by montana hospital association, not big horn hospital association. Board members sign yearly conflict of interest statements and if a conflict occurs on a specific item, they abstain from the vote on that item. There is one board member that has a spouse employed by big horn hospital association. They abstain from any votes that would affect wages and benefits for employees.”

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

“Big horn hospital association utilizes the montana hospital association salary survey to make sure employee wages are comparable to similar jobs in similar areas. Experience is also a factor in the wage. This is reviewed each february when the mha salary survey is available for review. Wages are adjusted with the scale if needed.”

Form 990, Part VI, Section C, Line 19

“The organization's governing documents, conflict of interest policy and financial statements are not made availabe to the public.”

Filing and Contact Details

Filer

Filer Name
Big Horn Hospital Association
EIN
81-0384618
Phone
4066652310
Address
17 NORTH MILES AVENUE, HARDIN, MT 59034

Signing Officer

Name
Kristi Gatrell
Title
CEO
Phone
4066652310
Signed
2025-05-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kristi Gatrell
Formed
1980
Legal Domicile
Mt
Voting Board Members
9
Independent Board Members
8
Employees
147
Volunteers
10

Preparer

Firm
Cliftonlarsonallen Llp
Address
121 WEST BRIDGE STREET, OWATONNA, MN 55060
Preparer
Justin Hartert
Phone
5074467100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Professional fees: program service expenses 1,952,020. Management and general expenses 777,131. Fundraising expenses 0. Total expenses 2,729,151.”

Financial Statement Notes

PART X, LINE 2:

“Big horn hospital association (the "hospital association or "hospital") is a montana nonprofit organization which is considered a political subdivision of big horn county and is exempt from federal taxes under section 501(c)(3) of the internal revenue code (irc). The hospital association consists of: big horn hospital and senior living. The financial statements also include data of big horn hospital and health care foundation (the foundation), big horn county memorial hospital auxiliary and heritage acres auxiliary, separate legal entities which are blended component units in the financial statements. The foundation and auxiliaries are organized as montana nonprofit corporations, exempt from federal income taxes under section 501(c)(3) of the irc.”

Raw XML AppendixShowing 400 of 1,033 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/Desc0BIG 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.
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