A Promising Path Forward for Madison County

In a significant breakthrough, leaders from the Madison Valley Hospital District and Big Sky came together to support a shared solution to a long-standing conflict. The result was a Memorandum of Understanding (MOU) and an amended version of SB 260, which charts a stable and equitable path forward for both communities.

Why This Matters for Madison County

• Stability: Guaranteed hospital funding during the transition ensures uninterrupted services.

• Focus: Redirects attention away from litigation and back to what matters most—our patients.

• Independence: Reduces long-term tax reliance on Big Sky while maintaining financial strength.

• Growth: MVMC will continue expanding services and planning for a new facility.

A Historic Compromise for the Benefit of All

• After years of uncertainty, leaders from the Madison Valley Hospital District and Big Sky Resort Area District have come together around a shared solution.

• The resulting MOU and legislation reflects that compromise—and marks a new chapter rooted in stability, fairness, and long-term planning.

What the Amended SB 260 Does

• Creates a path for Big Sky to withdraw from the Madison Valley Hospital District.

• Establishes a 9-year funding transition—a step-down model that protects local healthcare funding through 2033.

• Allows Big Sky to form its own district and levy its own mills during the transition.

• Removes ongoing legal distractions, enabling for a focus on delivering care.

• Reflects mutual respect and interdependence between Ennis and Big Sky.

Why This is a Win

• Preserves tens of millions in health funding over the next decade, supporting essential services, including the hospital and ambulance districts.

• Reduces long-term dependency on taxes from Big Sky, giving MVMC greater control over its own future.

• Resolves ongoing legal disputes that have been costly and distracting from our mission of patient care.

• Reinforces our ability to plan, grow, and invest in services that matter most to the community we serve.

This is About Protecting Our Future

• MVMC remains strong, on solid financial footing, with a high cash and investment portfolio that positions us to pursue long-term goals, including new facilities and expanded services.

• Ending the conflict with Big Sky allows for a refocus on a core mission: delivering excellent healthcare to the people of Madison County.

• MVMC will continue to collaborate with Bozeman Health and others in the best interests of patients.