Montana · Nonprofit
BIG HORN HOSPITAL ASSOCIATION
BIG HORN HOSPITAL ASSOCIATION (Montana) receives grants from 7 organizations whose IRS filings report $208,435 to it, the largest being THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST ($87,314). 3 of them have funded it in more than one year.
- Revenue FY2025
- $20M
- Funders on record
- 7
- Grants received
- $208k
- Net assets
- $14M
What Big Horn Hospital Association does
Mission
Big Horn Hospital Association provides quality services and promotes responsible choices to enhance the health of our communities.
As stated on its FY2025 Form 990.
Program
Big 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
$14,890,099 spentof which $10,942 as grants$18,063,530 earned by the program100% of program spending
The program described on its FY2024 Form 990. Program spending in total: $14,890,099.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2018 to 2019, from $14M to $27M (+100%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 0% · 2018 3% · 2019 0% · 2020 0% · 2021 14% · 2022 3% · 2023 11% · 2024 8% · 2025 5%. Grants only. Government contracts and fees sit inside program revenue.
5% of BIG HORN HOSPITAL ASSOCIATION’s revenue is contributions — about as donation-reliant as the typical peer (7% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 4 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Kristi Gatrell
CEO
Board chair
Thor Torske
Chairman
As listed on its FY2025 Form 990.
Who funds it, year by year
2018 → 2023: the base held at 1 funder, grant income rose $6k → $38k.
Left out of every figure on this page: $1.1M from one payer (the payer shares this organization's board, largest Big Horn County Hospital and Health Care Foundation). These are real filings, and they are not money BIG HORN HOSPITAL ASSOCIATION raised.
From the IRS filings of BIG HORN HOSPITAL ASSOCIATION’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
BIG HORN HOSPITAL ASSOCIATION leans on a few funders — its largest provides 42% of grant income and the top three 88%; half comes from just 2 funders.
the vertical line marks half of all grant income — 2 funders to its left
Largest funder’s share by year: 2018 100% · 2019 100% · 2020 51% · 2021 77% · 2022 62% · 2023 100% — broadly stable.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Where its funders are
58% of BIG HORN HOSPITAL ASSOCIATION's grant income comes from Montana funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
BIG HORN HOSPITAL ASSOCIATION runs a healthier operating margin than half of the 2,843 health nonprofits its size.
this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025
Government funding BIG HORN HOSPITAL ASSOCIATION receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $597k on record.
- Department of Agriculture$597k
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like BIG HORN HOSPITAL ASSOCIATION
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In Montana
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
80% of spending goes to programs.
Governance
Footprint & structure
Part of a family of 3 related entities
- Big Horn County Memorial Hospital and Healthcare Foundation · exempt
- Big Horn County Memorial Hospital Auxiliary · exempt
- Heritage Acres Auxiliary Limited · exempt
Screen this organization
A dated, signed PDF of the compliance screen for BIG HORN HOSPITAL ASSOCIATION: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds BIG HORN HOSPITAL ASSOCIATION?
- BIG HORN HOSPITAL ASSOCIATION (Montana) receives grants from 7 organizations whose IRS filings report $208,435 to it, the largest being THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST ($87,314). 3 of them have funded it in more than one year.
- How many funders does BIG HORN HOSPITAL ASSOCIATION have?
- IRS filings report 7 organizations giving $208,435 in grants to BIG HORN HOSPITAL ASSOCIATION, 3 of which have funded it in more than one year.
- Who is the largest funder of BIG HORN HOSPITAL ASSOCIATION?
- THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST is the largest funder on record, with $87,314 in grants. The full list of funders is on this page.
- How can an organization like BIG HORN HOSPITAL ASSOCIATION find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Montana. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 7 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing