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Rocky Boy Health Center

Box Elder, MT · EIN 81-0349437 · 501(c)(3) · Publicly supported organization (170(b)(1)(A)(vi))
Latest filing: Form 990 for the fiscal year ending September 30, 2025 (tax year 2024) · View the filing · Correct or respond

Rocky Boy Health Center reported $65.9 million in revenue and $52.5 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $80.02 went to program services, $19.98 to management and general costs and $0.00 to fundraising. Its largest source of revenue was contributions and grants: 53.0% of the total. The highest compensation it reported for one person was $416,267 (MEDICAL DIRECTOR). 6 people received more than $100,000 in reportable compensation. Revenue rose 61% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $53M

For 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 September 30, 2025 · Form 990, Part VIII · total revenue $66M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
80.0%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
20.0%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.0%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
$0.00$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
53.0%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
0.0%0.1%
Program service revenue share
Part VIII 2g ÷ 12
41.6%93.7%
Highest reported compensation
Part VII-A, columns D–F
$416,267$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
0.79%1.34%
People paid over $100,000
Part VII, line 2
627
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
33.86.6
Independent voting board members
Part VI 1a–1b
0 of 988.9%

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 expense
$42M expenses · 99.6% of program spending · grants $50,938 · revenue $28M

Providing health care support, treatment and preventative services and programs to the men, women and children of the chippewa cree tribe

$176K expenses · 0.4% of program spending · revenue $735K

Maintanence and support for the rural water development and sewer system used by the chippewa cree tribe

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
MEDICAL DIRECTOR
Key employee, 40.00 hrs/week
$345,795$0$70,472$416,267
CHIEF DENTAL DIRECTOR
Key employee, 40.00 hrs/week
$258,097$0$44,125$302,222
DENTIST
Highest compensated employee, 40.00 hrs/week
$231,117$0$53,756$284,873
CHIEF EXECUTIVE OFFICER
Key employee, 40.00 hrs/week
$228,090$0$51,670$279,760
DENTIST
Highest compensated employee, 40.00 hrs/week
$224,978$0$42,672$267,650
CHIEF FINANCE OFFICER
Key employee, 40.00 hrs/week
$180,410$0$47,984$228,394

6 people received more than $100,000 in reportable compensation from Rocky Boy Health Center (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.5M (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$20M$40M$60M$80MFY2020FY2021FY2022FY2023FY2024FY2025$66M$53M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$66M$53M80.0%$148M$416,267
FY2024 ⓘ$65M$48M80.0%$134M$311,163
FY2023 ⓘ$53M$37M80.0%$116M$282,653
FY2022 ⓘ$54M$35M80.0%$100M$268,652
FY2021 ⓘ$45M$31M80.0%$89M$267,256
FY2020 ⓘ$41M$28M80.0%$77M$193,513

Governance 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–1b9 · 0 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 5351

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
MCKINSTRY LOCKBOX
Construction
$7,599,602
NATIVE COMMAND CONSULTING LLC
Medical coding
$313,705

Individuals listed as contractors are left out. 5 contractors were paid more than $100,000 in all.

Private foundation grants it received

1 private foundation reported grants to Rocky Boy Health Center totaling $50,000 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 Rocky Boy 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 Rocky Boy Health Center, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All health care charities · Largest charities in Montana

Questions people ask

How much of Rocky Boy Health Center's spending goes to programs?

In the fiscal year ending September 30, 2025, Rocky Boy Health Center reported that 80.0% of its $52.5 million in expenses went to program services, 20.0% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Rocky Boy Health Center pay its top executive?

The largest total compensation Rocky Boy Health Center reported for one person in the fiscal year ending September 30, 2025 was $416,267, for the role of MEDICAL DIRECTOR (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Rocky Boy Health Center get its money?

Of $65.9 million in revenue in the fiscal year ending September 30, 2025, 53.0% came from contributions and grants and 41.6% from program service revenue (Form 990, Part VIII).

Is Rocky Boy Health Center a registered charity?

The IRS lists EIN 81-0349437 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 September 30, 2025, object 202622309349301737 · read the filing
  • FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202502249349300525 · read the filing
  • FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202442209349301544 · read the filing
  • FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202322269349301207 · read the filing
  • FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202212239349302521 · read the filing
  • FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202102259349303100 · read the filing

All filings for EIN 81-0349437: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.