Civic Intelligence

Powell Valley Health Care Inc

EIN 83-0300467 • 501(c)3 • Powell, WY

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CARING FOR YOU

777 Avenue HPowell, WY 82435

www.pvhc.org

Siviq Scores

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

Liabilities / Assets

50th percentile

0.24x

Higher debt load relative to assets than 50% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

21st percentile

0.10x

Higher debt load relative to revenue than 21% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

28th percentile

-1.4%

Higher net margin than 28% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

86th percentile

$953,243

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

18th percentile

-2.6%

Faster asset growth than 18% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

37th percentile

3.7%

Faster revenue growth than 37% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets50th percentile

Assets

Down

$34,395,565

Down $921,410 (-2.6%) from 2023

Liabilities

Up

$8,277,729

Up $256,645 (+3.2%) from 2023

Net Assets

Down

$26,117,836

Down $1,178,055 (-4.3%) from 2023

Operations
Liabilities / Revenue21st percentileNet Margin28th percentile

Revenue

Up

$82,700,843

Up $2,979,671 (+3.7%) from 2023

Expenses

Up

$83,878,898

Up $6,005,437 (+7.7%) from 2023

Net Income

Down

-$1,178,055

Down $3,025,766 (-164%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth18th percentile

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

$40M$30M$20M$10M$0Assets 2010: $19,218,453Liabilities 2010: $7,503,996Net Assets 2010: $11,714,4572010Assets 2011: $17,616,900Liabilities 2011: $6,811,525Net Assets 2011: $10,805,3752011Assets 2012: $18,119,075Liabilities 2012: $6,266,338Net Assets 2012: $11,852,7372012Assets 2013: $18,732,691Liabilities 2013: $7,377,345Net Assets 2013: $11,355,3462013Assets 2014: $18,940,169Liabilities 2014: $8,952,488Net Assets 2014: $9,987,6812014Assets 2015: $28,525,396Liabilities 2015: $18,720,440Net Assets 2015: $9,804,9562015Assets 2016: $28,550,737Liabilities 2016: $19,274,479Net Assets 2016: $9,276,2582016Assets 2017: $28,928,238Liabilities 2017: $18,107,220Net Assets 2017: $10,821,0182017Assets 2018: $17,158,652Liabilities 2018: $7,251,496Net Assets 2018: $9,907,1562018Assets 2019: $18,108,570Liabilities 2019: $6,582,222Net Assets 2019: $11,526,3482019Assets 2020: $31,052,930Liabilities 2020: $18,521,167Net Assets 2020: $12,531,7632020Assets 2021: $35,284,547Liabilities 2021: $9,875,075Net Assets 2021: $25,409,4722021Assets 2022: $36,247,758Liabilities 2022: $10,799,578Net Assets 2022: $25,448,1802022Assets 2023: $35,316,975Liabilities 2023: $8,021,084Net Assets 2023: $27,295,8912023Assets 2024: $34,395,565Liabilities 2024: $8,277,729Net Assets 2024: $26,117,8362024

Highlighted filing

2024

Assets$34,395,565
Liabilities$8,277,729
Net Assets$26,117,836
Open 2024 Filing

Operations Trend

Revenue Growth37th percentile

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

$100M$50M$0-$50MExpenses 2010: $42,202,3812010Expenses 2011: $42,387,3282011Expenses 2012: $43,586,5912012Revenue 2013: $50,030,157Expenses 2013: $50,529,982Net Income 2013: -$499,8252013Revenue 2014: $47,220,043Expenses 2014: $48,586,810Net Income 2014: -$1,366,7672014Revenue 2015: $46,558,243Expenses 2015: $46,740,968Net Income 2015: -$182,7252015Revenue 2016: $48,441,718Expenses 2016: $48,970,416Net Income 2016: -$528,6982016Revenue 2017: $48,450,420Expenses 2017: $46,905,660Net Income 2017: $1,544,7602017Revenue 2018: $49,218,654Expenses 2018: $50,132,516Net Income 2018: -$913,8622018Revenue 2019: $48,738,801Expenses 2019: $47,119,609Net Income 2019: $1,619,1922019Revenue 2020: $54,591,490Expenses 2020: $53,586,075Net Income 2020: $1,005,4152020Revenue 2021: $75,395,152Expenses 2021: $62,517,443Net Income 2021: $12,877,7092021Revenue 2022: $67,176,578Expenses 2022: $67,132,790Net Income 2022: $43,7882022Revenue 2023: $79,721,172Expenses 2023: $77,873,461Net Income 2023: $1,847,7112023Revenue 2024: $82,700,843Expenses 2024: $83,878,898Net Income 2024: -$1,178,0552024

Highlighted filing

2024

Revenue$82,700,843
Expenses$83,878,898
Net Income-$1,178,055
Open 2024 Filing

Filings

Most recent year

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

Open filing
Assets
$34,395,565
Liabilities
$8,277,729
Net assets
$26,117,836
Revenue
$82,700,843
Expenses
$83,878,898
Net income
-$1,178,055
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$34.4$8.28$26.1$82.7$83.9$1.18
2023Detailed filing. Detailed filing data is available for this year.$35.3$8.02$27.3$79.7$77.9$1.85
2022Detailed filing. Detailed filing data is available for this year.$36.2$10.8$25.4$67.2$67.1$0.04
2021Detailed filing. Detailed filing data is available for this year.$35.3$9.88$25.4$75.4$62.5$12.9
2020Detailed filing. Detailed filing data is available for this year.$31.1$18.5$12.5$54.6$53.6$1.01
2019Detailed filing. Detailed filing data is available for this year.$18.1$6.58$11.5$48.7$47.1$1.62
2018Detailed filing. Detailed filing data is available for this year.$17.2$7.25$9.91$49.2$50.1$0.91
2017Detailed filing. Detailed filing data is available for this year.$28.9$18.1$10.8$48.5$46.9$1.54
2016Detailed filing. Detailed filing data is available for this year.$28.6$19.3$9.28$48.4$49.0$0.53
2015Detailed filing. Detailed filing data is available for this year.$28.5$18.7$9.80$46.6$46.7$0.18
2014Detailed filing. Detailed filing data is available for this year.$18.9$8.95$9.99$47.2$48.6$1.37
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.7$7.38$11.4$50.0$50.5$0.50
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.1$6.27$11.9$43.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.6$6.81$10.8$42.4
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.2$7.50$11.7$42.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 7, 2025
Return Version
2023v6.0
Gross Receipts
$82,700,843
Mission and Program Overview

Mission

To improve quality of life through excellent healthcare.

Provision of healthcare services

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$15,115,099$17,863,272▲ $2,748,173
Land, Buildings, and Equipment, Net$5,719,121$5,467,295▼ $251,826
Cash and Non-Interest-Bearing Accounts$5,408,357$3,395,230▼ $2,013,127
Inventories for Sale or Use$1,842,799$1,706,283▼ $136,516
Prepaid Expenses and Deferred Charges$445,923$408,056▼ $37,867
Other Notes and Loans Receivable, Net$319,298$335,327▲ $16,029
Total Assets$35,316,975$34,395,565▼ $921,410
Other Assets Total$6,466,378$5,220,102▼ $1,246,276
Liabilities
Accounts Payable and Accrued Expenses$4,913,636$5,840,711▲ $927,075
Mortgage Notes Payable Secured by Investment Property$3,099,569$2,430,137▼ $669,432
Escrow Account Liability$7,879$6,881▼ $998
Total Liabilities$8,021,084$8,277,729▲ $256,645
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$27,295,891$26,117,836▼ $1,178,055
Total Net Assets Fund Balance$27,295,891$26,117,836▼ $1,178,055
Total Liabilities and Net Assets / Fund Balance$35,316,975$34,395,565▼ $921,410

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,894,468$9,781,493$12,675,961
Leasehold Improvements$1,418,252$836,831$2,255,083
Other Land Buildings$1,154,575$589,450$1,744,025
Other Assets Org$5,220,102--
Compensation and Service Providers
Top Officer Pay86th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
William JarvisPhysicianFT$647,500$305,743$953,243
Carletta CollinsPhysicianFT$642,500$56,624$699,124
Brian KellyPhysicianFT$520,000$39,397$559,397
Jenkins Clarkson MdDirector/physicianFT$325,000$167,487$492,487
Tomasz OlejnikPhysicianFT$359,332$116,917$476,249
Kelly ChristensenPhysicianFT$226,034$248,275$474,309
Aaron Billin MdDirector/physicianFT$314,227$85,077$399,304
Bradley North DoDirector/physicianFT$272,360$87,226$359,586
Terry OdomCEO (termed July 2023)FT$244,894$24,796$269,690
Joy CoulstonCEO (beg. July 2023)FT$125,266$18,389$143,655

Board Members and Trustees

NameTitle
Rj KostPresident
Chris CoxVice President
Joni BennettDirector
Patti ReisingerDirector
Scott MckenzieDirector
Shelly HillDirector
Syd ThompsonDirector
Bonita KatzSecretary
Nathaniel Rieb MdTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Billings ClinicManagement ServicesPO BOX 30977, Billings, MT 59107$2,333,135
North Platte Physical Therapy INCPhysical TherapyPO BOX 1790, Douglas, WY 82633$1,510,092
Holistic Pain ManagementPain Management ServicesPO BOX 1476, Loveland, CO 80537$1,296,350
340b Holdings LLCPrescription Administration Services10181 SCRIPPS GATEWAY COURT, San Diego, CA 92131$868,326
Orthopaedics Of Steamboat Springs PCOrthopedic Services940 CENTRAL PARK DR, Steamboat Springs, CO 80487$758,898
Revenue and Support

Revenue Composition

Contributions and Grants
$536,289
Program Service Revenue
$82,070,059
Investment Income
$24,089
Other Revenue
$70,406
All Other Contributions
$365,199
Change in Net Assets
$-1,178,055

Audited Revenue Reconciliation

Revenue per Audited Statements
$82,700,843
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-4,472,564
Total Revenue per Audited Statements
$78,228,279
Total Revenue per Form 990
$82,700,843
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$45,896,779
Other Expenses$37,903,094
Total Fundraising Expense$86,599
Grants and Similar Amounts Paid$79,025
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$27,540,385$5,023,596$74,105$32,638,086
Other Employee Benefits$4,743,586$3,886,871$639$8,631,096
Fees for Services Other$6,861,050$1,082,381$392$7,943,823
Payroll Taxes$1,817,731$473,766$5,657$2,297,154
Current Officers, Directors, Trustees, and Key Employees$1,251,378$413,344-$1,664,722
Occupancy$733,243$747,021-$1,480,264
Information Technology$142,726$1,084,599-$1,227,325
Depreciation Depletion$684,527$470,923-$1,155,450
Insurance-$886,330-$886,330
Pension Plan Contributions$544,597$118,907$2,217$665,721
Fees for Services Management-$627,058-$627,058
Other Expenses$501,274$96,031-$597,305
Office Expenses$119,771$328,517$3,589$451,877
Advertising$155,807$83,383-$239,190
All Other Expenses$159,907$78,343-$238,250
Travel$203,853$25,682-$229,535
Interest$54,520$107,812-$162,332
Fees for Services Accounting-$64,023-$64,023
Grants to Domestic Orgs$45,000--$45,000
Grants to Domestic Individuals$34,025--$34,025
Fees for Services Legal-$30,824-$30,824
Total Functional Expenses$68,128,985$15,663,314$86,599$83,878,898

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$83,878,898
Total Expenses per Audited Statements$79,406,334
Expenses per Audited Statements$79,166,334
Expenses Not Reported on Financial Statements$4,712,564
Other Expense Adjustments$4,712,564
Expenses Not Reported on Form 990$240,000
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
POWELL HOSPITAL DISTRICT #1Powell, WYGovernmentContribution of Van to Related Entity$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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Stephen KatzHusband of Board Member Bonita KatzCompensation & BenefitsNo$379,029
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
Yes
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
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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

“Seven board members from the hospital district board of trustees shall be appointed by virtue of their election to the hospital district board of directors.”

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

“A board member who is from the hospital district board of trustees may only be removed by action of the district board of directors.”

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

“A copy of form 990 is provided to the ceo and cfo to review. The ceo or cfo will either make changes or approve the form 990. After the form 990 is finalized but prior to being filed, a copy will be provided to the board of directors at a board meeting or via electronically delivery.”

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

“Individuals covered by the conflict of interest policy include members of the board of directors, officers, and key employees (if applicable). The process used to determine if any conflicts of interest exist consists of sending the members a document for them to complete prior to the board of directors meeting. Each individual completes the document which entails disclosing any possible conflicts and returns for review to the president of the board. If a member has a conflict they are not allowed to vote on the conflicted issues.”

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

“Compensation of the ceo is reviewed and approved by the board of directors annually.”

Form 990, Part VI, Section C, Line 19

“The hospital makes its governing documents, conflict of interest policy, and financial statements available to the public by request. The public may request a copy by calling, via mail, or walk-in.”

Filing and Contact Details

Filer

Filer Name
Powell Valley Health Care Inc
EIN
83-0300467
Phone
3077542267
Address
777 AVENUE H, POWELL, WY 82435
Doing Business As
Powell Valley Hospital

Signing Officer

Name
Joy Coulston
Title
CEO
Phone
3077542267
Signed
2025-05-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joy Coulston
Formed
1992
Legal Domicile
Wy
Voting Board Members
12
Independent Board Members
8
Employees
594
Volunteers
31

Preparer

Firm
Casey Peterson Ltd
Address
909 ST JOSEPH ST STE 101, RAPID CITY, SD 57701
Preparer
Kayla Giesey CPA
Phone
6053481930
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

“This process has not changed from the previous year.”

Financial Statement Notes

PART IV, LINE 1B:

“The organization is acting as an agent for the pvhc auxiliary”

PART IV, LINE 2B:

“The organization holds funds in trust on behalf of nursing home residents.”

PART X, LINE 2:

“As of june 30, 2024, the hospital had no uncertain tax positions that qualify for either recognition or disclosure in the financial statements. The hospital's income tax filings are subject to audit by various taxing authorities. The hospital is no longer subject to federal and state income tax examinations by taxing authorities for fiscal years before 2021. Management continually evaluates expiring statutes of limitation, audits, proposed settlements, changes in tax law, and new authoritative rulings. The hospital believes estimates are appropriate based on current facts and circumstances. Interest and penalties assessed by income taxing authorities, if any, are included in interest expense.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Provisions for bad debts are netted against the revenue in the fs -4,712,564.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Provisions for bad debts are netted against revenue in the fs 4,712,564.”

Raw XML AppendixShowing 400 of 1,028 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/Desc0POWELL VALLEY HEALTH CARE, INC. (HOSPITAL) PROVIDES QUALITY CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE THESE ESSENTIAL SERVICES. IT IS THE HOSPITAL'S MISSION TO SERVE THE SURROUNDING AREA BY PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION TO ALL COMMUNITY MEMBERS. DURING THE YEAR ENDED JUNE 30, 2024, THE HOSPITAL PROVIDED $380,686 OF MEDICAL SERVICES, BASED ON THE AMOUNTS OF CHARGES FOREGONE, UNDER THE HOSPITAL'S CHARITY CARE POLICY AND GUIDELINES TO INDIVIDUALS WHO WERE DETERMINED UNABLE TO PURCHASE SUCH SERVICES. IN ADDITION TO FREE CARE AND/OR SUBSIDIZED CARE, CARE IS ALSO PROVIDED AT BELOW COST RATES TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE (BASED ON COST) OF PROVIDING CARE TO ALL PATIENTS WAS $5,215,605 FOR THE YEAR ENDED JUNE 30, 2024. DURING THE FISCAL YEAR ENDED JUNE 30, 2024, THE HOSPITAL PROVIDED 2,732 DAYS OF HOSPITAL SERVICES, THE NURSING HOME PROVIDED 17,211 DAYS OF RESIDENT SERVICES, AND THE ASSISTED LIVING FACILITY PROVIDED 7,380 DAYS OF RESIDENT SERVICES. THE HOSPITAL ALSO PROVIDES COMMUNITY CARE AND SERVICES THROUGH MANY HEALTH ACTIVITIES AND PROGRAMS PROVIDED TO SUPPORT THE COMMUNITY. THESE ACTIVITIES INCLUDE SUPPORT TO ONE HEALTH, A COMMUNITY HEALTH CENTER FQHC, WELLNESS PROGRAM, COMMUNITY EDUCATION PROGRAM, SPECIAL PROGRAMS FOR SPECIFIC PURPOSES, AND A VARIETY OF COMMUNITY SUPPORTED ACTIVITIES.
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