# Bighorn Valley Health Center

Health Center, MT
Page: https://astrelis.co/providers/health_center/271874  
This twin: https://astrelis.co/providers/health_center/271874.md  
CMS Certification Number (CCN): 271874  
Release: 2321a4fc37a7 (2026-10-22)

## Headline figures (fiscal years on file: 2021 to 2023)

Filings that are not a full fiscal year: FY2021 covers 164 days. These years sit in no comparison pool.

- **Total patients (UDS) (FY2024):** 25,040. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Operating margin (FY2023):** -11.1%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center
- **Service sites (FY2024):** 37. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Uninsured patient share (FY2024):** 22.6%. Illustrative estimate. Definition: https://astrelis.co/methodology#health-center
- **Total operating revenue (FY2023):** $3.5M. Reported value. Definition: https://astrelis.co/methodology#health-center
- **Total margin (including nonoperating) (FY2023):** +38.4%. Astrelis calculation. Definition: https://astrelis.co/methodology#health-center

## Audited financial statements (Federal Audit Clearinghouse)

Read from the FAC-11 template of the audited statements: every line, every ratio and every status column print as the template carries them, and no figure is withheld. A report's tie status says whether its statements foot; a ratio's plausibility status says whether it sits inside its possible range; a median of fewer than five values says so. The figures were not audited by Astrelis. Contract: https://astrelis.co/methodology/fqhc-audit-contract

### BIGHORN VALLEY HEALTH CENTER, INC., MT

Match to this profile: identifier verified: the EIN the dataset carries for this CCN agrees with the filed EIN (method: exact name and state (FACLAND tier 1)).

- FY ending 2025-04-30 (audit year 2025): balance sheet foots only; audit as filed https://app.fac.gov/dissemination/summary/2025-04-GSAFAC-0000418193
- FY ending 2024-04-30 (audit year 2024): balance sheet foots only; audit as filed https://app.fac.gov/dissemination/summary/2024-04-GSAFAC-0000381476
- FY ending 2023-04-30 (audit year 2023): balance sheet foots only; audit as filed https://app.fac.gov/dissemination/summary/2023-04-GSAFAC-0000054157

| Line | FY ending 2025-04-30 | FY ending 2024-04-30 | FY ending 2023-04-30 |
|---|---:|---:|---:|
| cash and investments (current) (Statement of financial position) | 13,473,606 [derived, p.6] | 7,023,185 [derived, p.6] | 11,647,750 [derived, p.6] |
| patient receivables, net (Statement of financial position) | 6,547,139 [derived, p.6] | 3,132,801 [derived, p.6] | 2,528,418 [derived, p.6] |
| grants and other receivables (Statement of financial position) | 4,363,436 [derived, p.6] | 2,860,126 [derived, p.6] | 2,029,325 [derived, p.6] |
| other current assets (Statement of financial position) | 1,454,786 [derived, p.6] | 1,921,343 [derived, p.6] | 1,919,222 [derived, p.6] |
| TOTAL CURRENT ASSETS (Statement of financial position) | 25,838,967 [extracted, p.6] | 14,937,455 [extracted, p.6] | 18,124,715 [extracted, p.6] |
| property and equipment, net (Statement of financial position) | 43,577,105 [derived, p.6] | 29,764,915 [derived, p.6] | 29,220,886 [derived, p.6] |
| other long-term assets (Statement of financial position) | 26,001,337 [derived, p.6] | 3,138,060 [derived, p.6] | 1,195,853 [derived, p.6] |
| TOTAL ASSETS (Statement of financial position) | 95,417,409 [extracted, p.6] | 47,840,430 [extracted, p.6] | 48,541,454 [extracted, p.6] |
| payables and accrued expenses (Statement of financial position) | 6,179,672 [derived, p.7] | 2,903,083 [derived, p.7] | 1,598,551 [derived, p.6] |
| deferred revenue (Statement of financial position) | 573,221 [derived, p.7] | 920,932 [derived, p.7] | 1,146,397 [derived, p.6] |
| current debt and leases (Statement of financial position) | 705,097 [derived, p.7] | 843,317 [derived, p.7] | 658,912 [derived, p.6] |
| other current liabilities (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL CURRENT LIABILITIES (Statement of financial position) | 7,457,990 [extracted, p.7] | 4,667,332 [extracted, p.7] | 3,403,860 [extracted, p.6] |
| long-term debt and leases (Statement of financial position) | 45,094,901 [derived, p.7] | 16,648,999 [derived, p.7] | 15,302,744 [derived, p.6] |
| other long-term liabilities (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL LIABILITIES (Statement of financial position) | 52,552,891 [extracted, p.7] | 21,316,331 [extracted, p.7] | 18,706,604 [extracted, p.6] |
| net assets without donor restrictions (Statement of financial position) | 42,864,518 [derived, p.7] | 26,524,099 [derived, p.7] | 29,834,850 [derived, p.6] |
| net assets with donor restrictions (Statement of financial position) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| TOTAL NET ASSETS (Statement of financial position) | 42,864,518 [extracted, p.7] | 26,524,099 [extracted, p.7] | 29,834,850 [extracted, p.6] |
| patient service revenue, net (Statement of activities) | 21,217,777 [derived, p.8] | 13,276,200 [derived, p.8] | 17,309,252 [derived, p.7] |
| pharmacy and 340B revenue (Statement of activities) | 11,061,574 [derived, p.8] | 6,466,192 [derived, p.8] | 1,311,571 [derived, p.7] |
| federal grants (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| other grants and contracts (Statement of activities) | 28,880,480 [derived, p.8] | 16,101,641 [derived, p.8] | 14,104,074 [derived, p.7] |
| contributions (Statement of activities) | 904,640 [derived, p.8] | 54,008 [derived, p.8] | 258,917 [derived, p.7] |
| other revenue (Statement of activities) | 1,213,918 [derived, p.8] | 767,421 [derived, p.8] | 518,019 [derived, p.7] |
| TOTAL REVENUE AND SUPPORT (Statement of activities) | 63,278,389 [extracted, p.8] | 36,665,462 [extracted, p.8] | 33,501,833 [extracted, p.7] |
| salaries and benefits (Statement of activities) | 37,359,839 [derived, p.8] | 25,051,708 [derived, p.8] | 21,315,510 [derived, p.7] |
| supplies and pharmaceuticals (Statement of activities) | 8,425,028 [derived, p.8] | 6,044,572 [derived, p.8] | 5,197,054 [derived, p.7] |
| purchased and professional services (Statement of activities) | 3,708,211 [derived, p.8] | 2,551,709 [derived, p.8] | 2,073,379 [derived, p.7] |
| occupancy (Statement of activities) | 2,407,611 [derived, p.8] | 1,432,419 [derived, p.8] | 1,354,938 [derived, p.7] |
| depreciation and amortization (Statement of activities) | 2,048,698 [derived, p.8] | 1,540,161 [derived, p.8] | 1,089,696 [derived, p.7] |
| interest (Statement of activities) | 1,347,858 [derived, p.8] | 448,004 [derived, p.8] | 336,499 [derived, p.7] |
| other expenses (Statement of activities) | 4,221,441 [derived, p.8] | 3,661,212 [derived, p.8] | 3,050,563 [derived, p.7] |
| TOTAL EXPENSES (Statement of activities) | 59,518,686 [extracted, p.8] | 40,729,785 [extracted, p.8] | 34,417,639 [extracted, p.7] |
| OPERATING RESULT (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| non-operating and other changes (Statement of activities) | absent (not printed, or not read) | absent (not printed, or not read) | absent (not printed, or not read) |
| CHANGE IN NET ASSETS (Statement of activities) | 3,759,703 [extracted, p.8] | -4,064,323 [extracted, p.8] | -915,806 [extracted, p.7] |
| net assets, beginning (Statement of activities) | 1,487,956 [extracted, p.9] | 1,455,298 [extracted, p.9] | 430,083 [extracted, p.8] |
| net assets, end (Statement of activities) | 42,864,518 [extracted, p.9] | 26,524,099 [extracted, p.9] | 29,834,850 [extracted, p.8] |

| Ratio | FY ending 2025-04-30 | FY ending 2024-04-30 | FY ending 2023-04-30 |
|---|---:|---:|---:|
| Days cash on hand | 86 days [plausible] | 66 days [plausible] | 128 days [plausible] |
| Current ratio | 3.46x [plausible] | 3.20x [plausible] | 5.32x [plausible] |
| Operating margin | absent [not computed] | absent [not computed] | absent [not computed] |
| Total margin | 5.9% [plausible] | -11.1% [plausible] | -2.7% [plausible] |
| Patient revenue share | 33.5% [plausible] | 36.2% [plausible] | 51.7% [plausible] |
| Grant dependency | absent [not computed] | absent [not computed] | absent [not computed] |
| Salaries share | 62.8% [plausible] | 61.5% [plausible] | 61.9% [plausible] |
| Days in patient receivables | 113 days [plausible] | 86 days [plausible] | 53 days [plausible] |
| Debt to net assets | 1.07x [plausible] | 0.66x [plausible] | 0.54x [plausible] |
| Health center award share | absent [not computed] | absent [not computed] | absent [not computed] |

## Sources

HRSA Uniform Data System (awardee level; organization match Verified). CMS HCRIS cost reports, form CMS-224-14, as filed (the Medicare cost-report appendix). Federal Audit Clearinghouse single audits as filed (BIGHORN VALLEY HEALTH CENTER, INC.; FAC-11 template snapshot, SRC-FAC-001).

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Bighorn Valley Health Center", https://astrelis.co/providers/health_center/271874, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.