Bighorn Valley Health Center
Also known as ONE Health
Bighorn Valley Health Center reported $63.8 million in revenue and $58.3 million in expenses for the fiscal year ending April 30, 2025. Of every $100 it spent, $83.78 went to program services, $15.69 to management and general costs and $0.53 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 54.4% of the total. Government grants made up 41.2%. The highest compensation it reported for one person was $287,262 (PHYSICIAN). 56 people received more than $100,000 in reportable compensation. Revenue rose 198% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending April 30, 2025 · Form 990, Part IX, line 25 · total expenses $58MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending April 30, 2025 · Form 990, Part VIII · total revenue $64M- Contributions & grants (non-government)$3.58 $2.3M
- Government grants$40.96 $26M
- Program service revenue$54.04 $35M
- Other revenue$1.42 $914K
Investment income was negative: −$444K. The bar shows the positive sources only.
The 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 83.8% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 15.7% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.5% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.01 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 44.8% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 41.2% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 54.4% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $287,262 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.49% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 56 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 8.6 | 6.6 |
| Independent voting board members Part VI 1a–1b | 12 of 12 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseBighorn Valley Health Center (bvhc) was formed to deliver comprehensive primary care, behavioral health support and substance abuse treatment to the underserved population of rural montana expanding into wyoming. Inherent in our mission is a commitment to health promotion and education, and we will seek to provide a broad range of patient education in healthy lifestyle choices, nutrition, fitness, and health literacy. These efforts will occur in individual education programs, seminars at the clinic, and community health fairs. Bvhc had 78,776 medical visits, 10,667 dental visits, and 19,793…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $268,890 | $0 | $18,372 | $287,262 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $248,254 | $0 | $32,070 | $280,324 |
| ASSOCIATE VP Highest compensated employee, 40.00 hrs/week | $234,926 | $0 | $30,363 | $265,289 |
| MED. ED. & D Highest compensated employee, 40.00 hrs/week | $223,057 | $0 | $38,359 | $261,416 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $240,605 | $0 | $16,468 | $257,073 |
| CEO Officer, 40.00 hrs/week | $203,713 | $0 | $31,374 | $235,087 |
| CFO Officer, 40.00 hrs/week | $128,210 | $0 | $28,678 | $156,888 |
56 people received more than $100,000 in reportable compensation from Bighorn Valley Health Center (Part VII, line 2). Compensation of current officers, directors and key employees totaled $407K (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b12 · 12 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5580
- Volunteers Part I, line 614
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| SLETTEN CONSTRUCTION OF WYOMING INC Construction | $4,307,849 |
| TIGHTLINE DESIGN LLC Construction | $728,701 |
| JACKSON CONTRACTOR GROUP INC Construction | $377,498 |
| CIVIC FOUNDRY LLC It & consulting | $329,971 |
| PLAN ONE ARCHITECTS Construction | $164,525 |
Individuals listed as contractors are left out. 10 contractors were paid more than $100,000 in all.
Private foundation grants it received
2 private foundations reported grants to Bighorn Valley Health Center totaling $260K on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Bighorn Valley Health Center's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Bighorn Valley Health Center, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Bighorn Valley Health Center spent in FY2025, $83.78 went to programs. The full breakdown, from its IRS Form 990:
Embed on your site
Similar-sized charities in this cause
- LA Clinica del Valle Family Health CARE CenterMedford, OR · revenue $64M · programs 75.2% · FY2025
- Naperville Psychiatric VenturesArlington Heights, IL · revenue $64M · programs 94.5% · 2024
- Grant Memorial HospitalPetersburg, WV · revenue $64M · programs 82.3% · 2024
- Preston Memorial Hospital CorporationKingwood, WV · revenue $64M · programs 77.6% · 2024
- Central Montana Medical FacilitiesLewistown, MT · revenue $64M · programs 82.9% · FY2025
Questions people ask
How much of Bighorn Valley Health Center's spending goes to programs?
In the fiscal year ending April 30, 2025, Bighorn Valley Health Center reported that 83.8% of its $58.3 million in expenses went to program services, 15.7% to management and general and 0.5% to fundraising (Form 990, Part IX).
How much does Bighorn Valley Health Center pay its top executive?
The largest total compensation Bighorn Valley Health Center reported for one person in the fiscal year ending April 30, 2025 was $287,262, for the role of PHYSICIAN (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Bighorn Valley Health Center get its money?
Of $63.8 million in revenue in the fiscal year ending April 30, 2025, 44.8% came from contributions and grants (including 41.2% from government grants) and 54.4% from program service revenue (Form 990, Part VIII).
Is Bighorn Valley Health Center a registered charity?
The IRS lists EIN 27-3113428 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending April 30, 2025, object 202630759349301053 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending April 30, 2024, object 202500749349300530 · read the filing
- FY2023: Form 990 for the fiscal year ending April 30, 2023, object 202430759349300443 · read the filing
- FY2022: Form 990 for the fiscal year ending April 30, 2022 (amended), object 202430599349300508 · read the filing
- FY2021: Form 990 for the fiscal year ending April 30, 2021, object 202210749349302166 · read the filing
- FY2020: Form 990 for the fiscal year ending April 30, 2020, object 202100749349301035 · read the filing
All filings for EIN 27-3113428: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.