Big Horn Hospital Association
Big Horn Hospital Association reported $19.6 million in revenue and $18.6 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $80.11 went to program services, $19.89 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 92.1% of the total. Government grants made up 5.1%. The highest compensation it reported for one person was $304,166 (DIRECTOR OF PROVIDER SERVICES). 30 people received more than $100,000 in reportable compensation. Revenue rose 11% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $19MFor 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 June 30, 2025 · Form 990, Part VIII · total revenue $20MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 80.1% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 19.9% | 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 | 5.4% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 5.1% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 92.1% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $304,166 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.64% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 30 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 9.0 | 6.6 |
| Independent voting board members Part VI 1a–1b | 8 of 8 | 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 expenseBig 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, 2025, Big Horn Hospital provided 322 days of inpatient services, 7,603 outpatient visits (including 4,485 er visits) and 2,655 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 $145,095 for the year ended june 30, 2025
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 |
|---|---|---|---|---|
| DIRECTOR OF PROVIDER SERVICES Key employee, 40.00 hrs/week | $258,969 | $0 | $45,197 | $304,166 |
| PROVIDER Highest compensated employee, 40.00 hrs/week | $224,308 | $0 | $9,969 | $234,277 |
| PROVIDER Highest compensated employee, 40.00 hrs/week | $217,255 | $0 | $13,609 | $230,864 |
| PROVIDER Highest compensated employee, 40.00 hrs/week | $178,742 | $0 | $18,683 | $197,425 |
| HR/EMERGENCY PREPAREDNESS Key employee, 40.00 hrs/week | $150,729 | $0 | $42,101 | $192,830 |
| CONTROLLER Officer, 39.00 hrs/week | $140,045 | $0 | $46,270 | $186,315 |
| DIRECTOR OF NURSING Key employee, 40.00 hrs/week | $163,164 | $0 | $18,259 | $181,423 |
| IMAGING DIRECTOR Highest compensated employee, 40.00 hrs/week | $169,978 | $0 | $11,064 | $181,042 |
30 people received more than $100,000 in reportable compensation from Big Horn Hospital Association (Part VII, line 2). Compensation of current officers, directors and key employees totaled $877K (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–1b8 · 8 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 11aNo
- 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 4Yes
- 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 5150
- Volunteers Part I, line 610
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| BILLINGS CLINIC Management & imaging services | $1,275,354 |
| NXC IMAGING Imaging maintenace | $255,980 |
| B SQUARED IMAGING LLC Imaging reading fees | $240,000 |
| TRUBRIDGE Billings service contract | $147,146 |
| CLIFTONLARSONALLEN LLP Accounting services | $140,305 |
Individuals listed as contractors are left out. 8 contractors were paid more than $100,000 in all.
Private foundation grants it received
1 private foundation reported grants to Big Horn Hospital Association totaling $38,000 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 Big Horn Hospital Association's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Big Horn Hospital Association, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Big Horn Hospital Association spent in FY2025, $80.11 went to programs. The full breakdown, from its IRS Form 990:
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Questions people ask
How much of Big Horn Hospital Association's spending goes to programs?
In the fiscal year ending June 30, 2025, Big Horn Hospital Association reported that 80.1% of its $18.6 million in expenses went to program services, 19.9% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Big Horn Hospital Association pay its top executive?
The largest total compensation Big Horn Hospital Association reported for one person in the fiscal year ending June 30, 2025 was $304,166, for the role of DIRECTOR OF PROVIDER SERVICES (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Big Horn Hospital Association get its money?
Of $19.6 million in revenue in the fiscal year ending June 30, 2025, 5.4% came from contributions and grants (including 5.1% from government grants) and 92.1% from program service revenue (Form 990, Part VIII).
Is Big Horn Hospital Association a registered charity?
The IRS lists EIN 81-0384618 as a 501(c)(3) organization (hospital or medical research organization), 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 June 30, 2025, object 202641329349305004 · read the filing
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541339349302689 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202441359349311959 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202341359349311984 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202211369349312626 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202131339349305118 · read the filing
All filings for EIN 81-0384618: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.