BIG HORN HOSPITAL ASSOCIATION

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1980

Legal Domicile

Principal Officer

KRISTI GATRELL

Phone

4066652310

Tax Period

2022-07-01 to 2023-06-30

BIG HORN HOSPITAL ASSOCIATION, founded in 1980, is a mid-sized nonprofit in the Health Care sector that reported $18.0M in total revenue in fiscal year 2022. Revenue decreased 8% compared to the prior year. Expenses of $19.9M exceeded revenue, resulting in a 11% operating deficit.

Mission

BIG HORN HOSPITAL ASSOCIATION PROVIDES QUALITY SERVICES AND PROMOTES RESPONSIBLE CHOICES TO ENHANCE THE HEALTH OF OUR COMMUNITIES.

Program Service Accomplishments

Program 1

Expenses: $17,117,929 Revenue: $16,707,754

BIG HORN HOSPITAL ASSOCIATION IS COMPRISED OF BIG HORN HOSPITAL AND BIG HORN SENIOR LIVING. BIG HORN HOSPITAL IS A 18-BED ACUTE CARE HOSPITAL. BIG HORN SENIOR LIVING IS A 36-BED NURSING CARE FACILITY AND A 10-UNIT ASSISTED LIVING AND 10-UNIT INDEPENDENT LIVING.DURING THE YEAR ENDED JUNE 30, 2023, BIG HORN HOSPITAL PROVIDED 238 DAYS OF INPATIENT SERVICES, 7,639 OUTPATIENT VISITS (INCLUDING 4,816 ER VISITS) AND 3,619 DAYS OF RESIDENT SERVICES. BIG HORN SENIOR LIVING PROVIDED 1,120 DAYS OF LONG TERM CARE RESIDENT SERVICES AND 273 DAYS OF ASSISTED LIVING 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 $31,003 FOR THE YEAR ENDED JUNE 30, 2023.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2022)

Revenue Breakdown

Contributions & Grants $2,442,549

Program Service Revenue $16,707,754

Investment Income $-1,172,385

Other Revenue $-1,743

TOTAL REVENUE $17,976,175

Expense Breakdown

Grants Paid $45,280

Salaries & Benefits $10,796,149

Fundraising Expenses $0

Program Expenses $17,117,929

Other Expenses $9,093,085

TOTAL EXPENSES $19,934,514

Year-over-Year Comparison

	2022	2021	Change
Revenue	$17,976,175	$19,596,888	-0.1%
Expenses	$19,934,514	$19,898,829	+0.0%
Net Income	$-1,958,339	$-301,941	+5.5%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

189

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$157,827

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
SHANNON WAGENMAN	DIRECTOR OF PROVIDER SERVICES	40.00	Highest	$237,169	$23,115	$260,284
ANGELA SMITH	PROVIDER	40.00	Highest	$177,088	$9,000	$186,088
MARTHA ARAMBEL-JUDICE	PROVIDER	40.00	Highest	$180,646	$4,972	$185,618
PAULINE KING	PROVIDER	40.00	Highest	$178,941	$4,500	$183,441
CHARLOTTE JEFFERSON	PHARMACIST	40.00	Highest	$169,435	$9,000	$178,435
ROXIE CAIN	CONTROLLER	39.00	Officer	$137,862	$19,965	$157,827
KRISTI GATRELL	CEO	39.00	Officer	$0	$0	$0
THOR TORSKE	BOARD CHAIR	0.40	Officer Director	$0	$0	$0
COLLEEN SCHAAK	BOARD VICE CHAIR	0.40	Officer Director	$0	$0	$0
JAMES SEYKORA	SECRETARY	0.40	Officer Director	$0	$0	$0
MATT TORSKE	TREASURER	0.40	Officer Director	$0	$0	$0
TERRY BULLIS	MEMBER	0.40	Director	$0	$0	$0
DAVID MARK	MEMBER	0.40	Director	$0	$0	$0
NICHOLE MEHLING	MEMBER	0.40	Director	$0	$0	$0
SANDY MORSE	MEMBER	0.40	Director	$0	$0	$0
JERRY SMITH	MEMBER	0.40	Director	$0	$0	$0
LARRY VANDERSLOOT	MEMBER	0.40	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	No data	No data	No data	No data
2024	No data	No data	No data	No data
2023	$17,976,175	$19,934,514	$23,134,513	$-1,958,339
2022	$19,596,888	$19,898,829	$26,345,522	$-301,941
2021	$22,821,306	$19,749,119	$27,628,151	$3,072,187
2020	$17,679,114	$18,156,656	$31,043,517	$-477,542
2019	$16,281,183	$16,425,652	$27,308,203	$-144,469
2018	$16,983,024	$16,102,548	$13,641,693	$880,476