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Montana · Nonprofit

BIGHORN VALLEY HEALTH CENTER INC

BIGHORN VALLEY HEALTH CENTER INC (Montana) receives grants from 21 organizations whose IRS filings report $3,536,781 to it, the largest being MONTANA HEALTHCARE FOUNDATION ($1,037,250). 9 of them have funded it in more than one year.

Revenue FY2025
$64M
Funders on record
21
Grants received
$3.5M
Net assets
$42M
9/21 repeat funderspeak grant-dependency 2%
01What it does

What Bighorn Valley Health Center Inc does

Mission

Our mission is to improve the well-being of everyone by providing accessible, quality healthcare for the whole community.

As stated on its FY2025 Form 990.

Program

  1. 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.

    $48,859,203 spentof which $119,367 as grants$34,733,797 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $48,859,203.

02The organization over time

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.

100 = 20172017 Revenue 100 ($5.5M) Expenses 100 ($4.8M) Net assets 100 ($2.1M)2018 Revenue 175 ($9.7M) Expenses 174 ($8.3M) Net assets 166 ($3.4M)2019 Revenue 337 ($19M) Expenses 302 ($14M) Net assets 387 ($8.0M)2020 Revenue 388 ($21M) Expenses 416 ($20M) Net assets 501 ($10M)2021 Revenue 518 ($29M) Expenses 442 ($21M) Net assets 862 ($18M)2022 Revenue 652 ($36M) Expenses 531 ($25M) Net assets 1361 ($28M)2023 Revenue 613 ($34M) Expenses 696 ($33M) Net assets 1369 ($28M)2024 Revenue 669 ($37M) Expenses 835 ($40M) Net assets 1293 ($27M)2025 Revenue 1154 ($64M) Expenses 1217 ($58M) Net assets 2040 ($42M)
'17'18'19'20'21'22'23'24'25
Revenue (1154)Expenses (1217)Net assets (2040)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2024 to 2025, from $48M to $77M (+59%).

$2.4M
$4.5M
$9.3M
$17M
$25M
$50M
$39M
$48M
$77M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

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.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 59% · 2018 58% · 2019 39% · 2020 48% · 2021 40% · 2022 38% · 2023 37% · 2024 39% · 2025 41%. Grants only. Government contracts and fees sit inside program revenue.

45% of BIGHORN VALLEY HEALTH CENTER INC’s revenue is contributions — more reliant on donations than three-quarters of its peers (7% for the typical peer).

This organization
Typical peer · 4,745 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 9 reported years ran a deficit.

$739k
’17
$1.3M
’18
$4.2M
’19
$1.5M
’20
$7.4M
’21
$11M
’22
$589k
’23
−$3.0M
’24
$5.5M
’25
0.6
months of
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

David Mark

CEO

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed151621191917211919
Joined·+4+8+0+6+2+8+2+3
No longer listed·33264443
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 1 funder to 5 funders, grant income rose $20k → $354k.

5 of 21 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 3% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of BIGHORN VALLEY HEALTH CENTER INC’s funders (the co-funder graph). Top 20 of 21 funders by total. 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

BIGHORN VALLEY HEALTH CENTER INC has a broad base — no single funder exceeds 29% of grant income, and it takes 3 funders to reach half.

the vertical line marks half of all grant income — 3 funders to its left

48% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund BIGHORN VALLEY HEALTH CENTER INC.

29%
largest funder
61%
top three
~6
effective funders

Largest funder’s share by year: 2017 100% · 2018 100% · 2020 79% · 2021 62% · 2022 50% · 2023 71% — diversifying over time.

“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.

How long its funders stay

40% of BIGHORN VALLEY HEALTH CENTER INC's funders are still giving 3 years after their first grant; 43% give in more than one year at all.

first grant+1y+2y+3y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

57% of BIGHORN VALLEY HEALTH CENTER INC's grant income comes from Montana funders.

WA
MT
IL
NY
WY
CA
DC

In-state vs out-of-state, by year

’17
’18
’20
’21
’22
’23
Montana out of state home

Funder states come from each funder’s own filing. $95k arriving through sponsors registered in 3 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. 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.

04Its place in the field

Against its field

BIGHORN VALLEY HEALTH CENTER INC has grown faster than three-quarters of the 2,969 health nonprofits its size.

Operating margin9% · above the median
Months of reserve0.6mo · below the median
Revenue growth (annualized)36% · top quartile

this organization peer median middle 50% of peers· 2,969 health nonprofits $10M–$100M, FY2025

Government funding BIGHORN VALLEY HEALTH CENTER INC receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $112.5M on record.

Federal$112.5M
grants $112.5Mcontracts $0
17
18
19
20
21
22
23
24
25
26
Top agencies
  • Department of Health and Human Services$106.0M
  • Department of Agriculture$6.5M

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 BIGHORN VALLEY HEALTH CENTER INC

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

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

84% of spending goes to programs.

Program 84%Management 16%Fundraising 1%

Governance

12
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

96%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Part of a family of 6 related entities

  • One Health Landlord LLC · partnership
  • One Health Master Tenant LLC · partnership
  • Milligan Master Tenant LLC · partnership
  • Milligan Building Landlord LLC · partnership
  • One Health Manager LLC · corp_trust

Screen this organization

A dated, signed PDF of the compliance screen for BIGHORN VALLEY HEALTH CENTER INC: 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.

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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 BIGHORN VALLEY HEALTH CENTER INC?
BIGHORN VALLEY HEALTH CENTER INC (Montana) receives grants from 21 organizations whose IRS filings report $3,536,781 to it, the largest being MONTANA HEALTHCARE FOUNDATION ($1,037,250). 9 of them have funded it in more than one year.
How many funders does BIGHORN VALLEY HEALTH CENTER INC have?
IRS filings report 21 organizations giving $3,536,781 in grants to BIGHORN VALLEY HEALTH CENTER INC, 9 of which have funded it in more than one year.
Who is the largest funder of BIGHORN VALLEY HEALTH CENTER INC?
MONTANA HEALTHCARE FOUNDATION is the largest funder on record, with $1,037,250 in grants. The full list of funders is on this page.
How can an organization like BIGHORN VALLEY HEALTH CENTER INC 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 21 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 22, 2026. What this page cannot tell you · view filing