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Governance Register
US nonprofit · EIN 810453395 · Ennis, MTiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 810453395) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe tenure.Latest return IRS Form 990 series e-file data - 990 for the year to 30 September 2025: assets, liabilities, staff, website, telephone, pay, related organisations (Schedule R), grants paid (Schedule I).Renewal outlook Computed by Governance Register from the observed filing history and filed revenue (us-approach-v4-clean). Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code SO), downloaded 18 October 2026.State registers Colorado Secretary of State (17 October 2026).Licence US Federal Government public domain.How we handle data

Madison Valley Medical Center Foundation Inc's network

12 people2 organisationsi12 people and 2 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (12). Violet dotted lines (2) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

12 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Tenure and departures are observed across annual filings. Observed tenure is a lower bound - a member may have joined before the first year on record. The organisation reported 12 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Allen RohrbackDirector2018
8 yrs
Beth HagemanTreasurer2021
5 yrs
Betsey WeltnerDirector2023
3 yrs
Bill SlatonVice President2020
6 yrs
Burleigh LeonardDirector2023
3 yrs
Gale ArvanitesCompany secretary2019
7 yrs
Jeff LaszloDirector2021
5 yrs
Jeff MontagDirector2018
8 yrs
Joe DilschneiderPresident2019
7 yrs
Karen McCullenDirector2023
3 yrs
Susan MetzgerDirector2018
8 yrs
TIM CombsDirector2018
8 yrs
Under 5 years5 to 6 years6 years or moreShow all 12 →

Officers and senior leadership

2 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Dawn ConklinExecutive Dir.since 2018
Tonya GustafsonExecutive Dir.2023

Pay and hours

year to 30 September 2025iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Tonya GustafsonExecutive Dir.40$0$97k
Joe DilschneiderPresident1$0
Bill SlatonVice President1$0
Beth HagemanTreasurer2.5$0
Gale ArvanitesSecretary0.5$0
Susan MetzgerDirector0.5$0
Dr Jim FasulesDirector0.5$0
Elisabeth MacknightDirector0.25$0
Jeff LaszloDirector0.25$0
Burleigh LeonardDirector0.5$0
Jeff MontagDirector0.25$0
Karen McCullenDirector0.25$0
Allen RohrbackDirector0.25$0

Colorado roster

15 listediOfficers, directors and trustees from the latest filing with the Colorado Secretary of State (document 20223015661). Titles are as filed; some entries are registered agents or custodians of records rather than board members. Source: data.colorado.gov, public domain.
NameTitle as filed
Dottie FosselBoard Representative
Bill SlatonDirector
Dawn ConklinExecutive Director
Jeff MontagBoard Representative
Tim CombsDirector
Joe DilschneiderDirector
Jeff LaszloDirector
Rohrback, Jr. S AllenCEO
Ann AlstedPresident
Beth HagemanTreasurer
Dallas CeleciaSecretary
Adina VombergFoundation Assistant
Gale ArvanitesVice President
Dawn Conklin
Susan MetzgerDirector

About

Legal name
Madison Valley Medical Center Foundation Inc
EIN
810453395
Address
Po Box 993, Ennis, MT, 59729-0993
State
Montana
Mission
The Madison Valley Medical Center Foundation is a community based, non-profit corporation which exists to inspire gifts and grants from individuals, foundations, corporations and other entities to support the health and well-being of people in Madison County and adjacent communities in southwest Montana. (as filed on the Form 990)
Activity (NTEE)
E11 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
7 (IRS master file code)
Formed
1988
Principal officer
Tonya Gustafson (as named on the Form 990)
IRS ruling date
1 April 1989
Status
Code 01 (unconditional exemption)
Form 990 filings on record
6, latest 2023
IRS Publication 78
SO (contributions deductible)

Most connected

Related organisations (Schedule R)

Longest observed on the filings

≥8years on the filingsAllen Rohrback
≥8years on the filingsJeff Montag
≥8years on the filingsSusan Metzger
≥8years on the filingsTIM Combs

Latest return

year to 30 September 2025iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 30 September 2025. US dollars, as filed.
Total assets
$9m
Total liabilities
$61k
Net assets or fund balances
$8.9m
Contributions and grants received
$1.5m
Program service revenue
$0
Grants and similar paid out
$746k
Employees
3
Volunteers
15

Grants paid

1 listediFrom Schedule I of the Form 990: grants and assistance to organisations in the United States, largest first (up to 25). Schedule I is filed only by organisations that gave more than $5,000 to any one recipient.
RecipientPurposeAmount
Madison Valley Medical CenterSupport mission of med center$746k