One Health

Legal name: Bighorn Valley Health Center Inc

Nonprofit profile at a glance

EIN
273113428
IRS 990 coverage
2012–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-N 2011
Location
Hardin, MT, USA
Phone
4066654103
Rating
82
Verdict
STRONG
Rating confidence
Standard
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$63,826,029
Expenses
$58,317,642
Assets
$76,959,613
Liabilities
$34,925,928

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

19 people listed

Executive titles in this filing

  • DAVID MARK (CEO)
  • RONALD ERIC TINER (PRESIDENT)

Highest reported compensation

  • KATHRYN WILLIAMS (PHYSICIAN): $287,262 total reported compensation
  • JACOB FORKE (PHYSICIAN): $280,324 total reported compensation
  • SARAH FITZGERALD (ASSOCIATE VP): $265,289 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Improve the wellbeing of the whole community by providing accessible, high-quality healthcare.

What it reported doing in 2024

Bighorn 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 mental health visits during the year.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 78
  • Accountability: 95
  • Sustainability: 56
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 75.8%; rating input score 76
  • Program expense ratio: 83.8%; rating input score 84
  • Fundraising efficiency: $93.5 raised per $1 spent on fundraising; rating input score 83; 83rd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 86.7%; rating input score 87; 1st percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 81.4%; rating input score 81; 18th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 8.6%; rating input score 69; 69th percentile among comparable filings
  • Total-asset coverage ratio: 1.32; rating input score 49; 49th percentile among comparable filings
  • Liabilities to assets ratio: 0.45; rating input score 40; 40th percentile among comparable filings
  • Officer compensation ratio: 3%; rating input score 38; 38th percentile among comparable filings

Growth

  • Program expense growth: 22.1% per year; rating input score 100; 93rd percentile among comparable filings
  • Revenue growth: 21.3% per year; rating input score 100; 94th percentile among comparable filings
  • Asset growth: 25.6% per year; rating input score 100; 96th percentile among comparable filings

Details

  • What they do: Mission, programs, and operating context captured from the official website.
  • Where the money goes: 75.8% of revenue deployed · 83.8% of spending went to programs
  • Governance: 12 of 12 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $48.9M in reported program spending
  • Leadership: top reported pay $287K · 19 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $5.9M reported
  • Consistency: 35 of 37 current checks pass · 2 findings to review
  • Schedules: 8 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 12 filing years from 2012 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 7 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 49/100.
  • Moderate — Sustainability: Officer compensation ratio scored 38/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 40/100.