Blue Mountain Clinic Inc

What it reported doing in 2025

Blue Mountain Clinic is a mission-driven 501(c)3 non-profit corporation organized in the state of Montana and is governed by a volunteer board of directors. Located at 610 N California Street in Missoula, MT, Blue Mountain Clinic is one of the only non-profit, independent, and non-government funded family medical clinics in the US that has fully integrated primary, reproductive, gender-affirming, and abortion care in their daily practice. BMC serves as the medical home for patients who access a wide range of health services within our choice-based, primary medicine model. Blue Mountain Clinic is called upon daily by those who need care for themselves or their families, at an ever-increasing rate. This is a direct reflection of changes in our current healthcare environment; expanded services at BMC, lack of access due to clinic closures both in our region, across the state, and across the country. We continue to provide critical gynecological training to residents in the Western Montana Family Medicine Residency Program, preparing them to provide reproductive and family medical care through our choice-based lens. We ensure that these residents will continue to practice and provide comprehensive healthcare in our rural areas, many of which Blue Mountain Clinic currently serves.Per the US Census Bureau, Montana and the Northern Rockies are home to some of the least populated regions, resulting in a large concentration of rural areas. These sparsely populated areas often result in very limited access to many of lifes necessities, including health care. Reports released by the American Medical Association and the American Academy of Family Physicians indicate that we will continue to experience a critical shortage of family medicine clinicians and clinics. The shortage is due in part to retiring physicians as well as a recent trend emerging where providers are choosing specialty areas of medicine over family medicine because they offer much higher salaries. In a report released by the Montana Office of Rural Health (MORH) a serious shortage of primary care physician services is cited in Montana. It is of the utmost importance that we remain a sound presence to ensure access to independent, choice-based health care that respects the power of personal connection.Throughout 2025, we continued to face challenges in health care delivery due to rising costs and more and more restrictions and demands on healthcare providers. Our clinic has responded to technological advancements and offers our patients a combination of telemedicine and in-person access. We have been and will continue to meet the primary care, gender affirming, and reproductive health care needs of our community.

Financial Efficiency

• Mission deployment rate: 56.6%; rating input score 57
• Program expense ratio: 80.7%; rating input score 81
• Fundraising efficiency: $20.07 raised per $1 spent on fundraising; rating input score 59; 59th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 6 of 8 controls in place; rating input score 75
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: 30.7%; rating input score 82; 82nd percentile among comparable filings
• Total-asset coverage ratio: 1.59; rating input score 50; 50th percentile among comparable filings
• Liabilities to assets ratio: 0.21; rating input score 34; 34th percentile among comparable filings
• Officer compensation ratio: 15.2%; rating input score 22; 22nd percentile among comparable filings

Growth

• Program expense growth: 3.6% per year; rating input score 100; 27th percentile among comparable filings
• Revenue growth: 5.4% per year; rating input score 100; 41st percentile among comparable filings
• Asset growth: 11.8% per year; rating input score 100; 65th percentile among comparable filings