BOZEMAN DEACONESS HEALTH SERVICES: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: BOZEMAN DEACONESS HEALTH SERVICES (EIN 81-0232121)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-06
IRS object ID: 202023119349301532
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-06T11:59:39-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Eide Bailly LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 Nicollet Mall Ste 1300	AddressLine1Txt
City	Minneapolis	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554027033	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810232121	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bozeman Deaconess Health Services	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BOZE	BusinessNameControlTxt
Phone	4064145000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	915 Highland Boulevard	AddressLine1Txt
City	Bozeman	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59715	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Brad Ludford	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4064145000	PhoneNum
Signature	2020-11-05	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Hunwardsen CPA	PreparerPersonNm
PTIN	P00484560	PTIN
Phone	6122536500	PhoneNum
Preparation	2020-10-16	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	63.233.88.226	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-05	IPDt
IP Tm	13:40:30	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F4E1B545B5A64400ED95821F5295FDCB6EE8A6F8	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Bozeman Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Brad Ludford	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	915 Highland Boulevard	AddressLine1Txt
City	Bozeman	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59715	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$111,687,168	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.bozemanhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1911	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	To improve community health and quality of life for residents and visitors of the Bozeman, MT area.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	620	TotalEmployeeCnt
Total Volunteers	302	TotalVolunteersCnt
Total Gross UBI	$1,078,130	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$212,126	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$481,565	PYContributionsGrantsAmt
CY Contributions Grants	$416,028	CYContributionsGrantsAmt
PY Program Service Revenue	$101,344,014	PYProgramServiceRevenueAmt
CY Program Service Revenue	$107,132,793	CYProgramServiceRevenueAmt
PY Investment Income	-$1,509,028	PYInvestmentIncomeAmt
CY Investment Income	$291,662	CYInvestmentIncomeAmt
PY Other Revenue	$94,056	PYOtherRevenueAmt
CY Other Revenue	$147,846	CYOtherRevenueAmt
PY Total Revenue	$100,410,607	PYTotalRevenueAmt
CY Total Revenue	$107,988,329	CYTotalRevenueAmt
PY Grants And Similar Paid	$377,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$692,215	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$65,443,442	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$72,162,512	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$43,720,579	PYOtherExpensesAmt
CY Other Expenses	$34,579,088	CYOtherExpensesAmt
PY Total Expenses	$109,541,021	PYTotalExpensesAmt
CY Total Expenses	$107,433,815	CYTotalExpensesAmt
PY Revenues Less Expenses	-$9,130,414	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$554,514	CYRevenuesLessExpensesAmt
Total Assets BOY	$121,251,849	TotalAssetsBOYAmt
Total Assets EOY	$128,437,016	TotalAssetsEOYAmt
Total Liabilities BOY	$79,845,082	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$86,104,643	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$41,406,767	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$42,332,373	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To improve community health and quality of life.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$42,949,203	ExpenseAmt
Revenue	$40,077,473	RevenueAmt
Desc	Bozeman Health Medical Group employs physicians under the Bozeman Health system umbrella. This group of providers compassionately serves the patients of Bozeman Health Deaconess Hospital, Big Sky Medical Center, Bozeman Health Urgent Care, and Bozeman Health Convenience Care, LLC.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$9,382,174	ExpenseAmt
Revenue	$11,072,319	RevenueAmt
Desc	In efforts to reach our community and surrounding area in multiple facets of healthcare, the Bozeman Health system operates additional healthcare facilities which allows more access and levels of care.Big Sky Medical Center had 34 admissions and saw 4,175 patients in the Emergency Room and over 5,300 in the clinic in 2019. The net revenue yield on these operations was only 60.1%, or $566 per equivalent ER visit. With challenging core staffing and related costs, the operating expense (excluding interest, taxes and depreciation) was $808 per equivalent ER visit. This resulted in a $3.7M operating loss for the year. Bozeman Health is committed to providing access and patient care to the Big Sky community in spite of the financial operational challenges the facility continues to face.Bozeman Health also continues to operate our Main Street Urgent Care as an outpatient healthcare access point. With a 55.1% yield on $2.9M of patient charges and operating costs of $3.4M, the Urgent Care netted a loss of ($459k) in 2019.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$39,725,894	ExpenseAmt
Grant	$692,215	GrantAmt
Revenue	$55,983,001	RevenueAmt
Desc	Bozeman Health serves as the parent company of the Bozeman Health system. As the corporate parent, management, general and administrative services are centralized here and provided to the operating units caring for our patients. These administrative and support services aim to optimize executive, organizational and financial responsibilities to allow the health system to continue to grow and serve the population. In this past year, Bozeman Health had 20,364 inpatient days, 209,445 outpatient hospital visits, 243,757 outpatient clinic visits, 32,439 emergency room visits and performed 9,052 surgeries.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$92,057,271	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	214	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	620	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Carrie Morasko	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4064145039	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	915 Highland Blvd	AddressLine1Txt
City	Bozeman	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59715	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John Hill
CEO	35.00	15.00	Yes (X)	$769,088	$0	$120,083
Nathaniel Madsen
Cardiology	50.00	0.00		$712,111	$0	$41,641	Yes (X)
Dane Sobek MD
2nd V.C. (Jan-Jun)/Director (Jul-Dec)	50.00	1.00	Yes (X)	$708,750	$0	$41,653		Yes (X)
Kleanthis Dendrinos
Gastroenterologist	50.00	0.00		$596,428	$0	$35,641	Yes (X)
Peter Walsh
Gastroenterologist	50.00	0.00		$581,009	$0	$42,353	Yes (X)
Blair Erb
Cardiology	50.00	0.00		$580,282	$0	$32,545	Yes (X)
Andrew Gentry
Gastroenterologist	50.00	0.00		$566,189	$0	$43,455	Yes (X)
Elizabeth Lewis
COO (Jan-Mar)	25.00	25.00		$528,748	$0	$19,342			Yes (X)
Brad Ludford
CFO	15.00	35.00	Yes (X)	$358,874	$0	$55,932
Darci Bentson
CAO	25.00	25.00		$346,456	$0	$68,011			Yes (X)
Gordon Davidson
Former CFO	0.00	0.00		$398,385	$0	$0				Yes (X)
Brian Brown
Chair (Jan-Jun)	1.00	1.00	Yes (X)	$0	$0	$0		Yes (X)
Katie Daughenbaugh
1st V.C. (Jan-Jun)/Chair (Jul-Dec)	1.00	1.00	Yes (X)	$0	$0	$0		Yes (X)
Kerri Brown
Director (Jan-Jun)/2nd V.C. (Jul-Dec)	1.00	1.00	Yes (X)	$0	$0	$0		Yes (X)
Robert Watson
Secretary (Jan-Jun)	1.00	1.00	Yes (X)	$0	$0	$0		Yes (X)
John How
Secretary (Jul-Dec)	1.00	1.00	Yes (X)	$0	$0	$0		Yes (X)
Dennis Munson
Treas. (Jan-Jun)/1st V.C. (Jul-Dec)	1.00	1.00	Yes (X)	$0	$0	$0		Yes (X)
Don Beeman
Treasurer (Jul-Dec)	1.00	1.00	Yes (X)	$0	$0	$0		Yes (X)
Peter Buerhaus
Director	1.00	1.00		$0	$0	$0		Yes (X)
Jerry Cashman
Director	1.00	1.00		$0	$0	$0		Yes (X)
Kerry Petitt
Director	1.00	1.00		$0	$0	$0		Yes (X)
Walt Sales
Director	1.00	1.00		$0	$0	$0		Yes (X)
Amy Strader
Director	1.00	1.00		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,146,320	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$500,656	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	172	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Absaroka Emergency Physicians
1184 N 15th Street Suite 1	Bozeman	MT	59715	ER Physicians Fee	$6,192,340
Gallatin Valley Anesthesia
3805 Valley Commons Dr Ste 7	Bozeman	MT	59718	Anesthesia Services	$1,650,159
ROI Healthcare Solutions LLC
1595 Peachtree Pkwy Ste 204-239	Cumming	GA	30041	Consulting Services	$1,322,874
Montana Linen Supply LLC
20900 E Frontage Rd Ste A	Belgrade	MT	59730	Linen Cleaning	$1,116,269
The Noliwhite Group LLC
PO Box 680217	Franklin	TN	370680217	Consulting Services	$421,331

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	22	CntrctRcvdGreaterThan100KCnt
Related Organizations	$416,028	RelatedOrganizationsAmt
Total Contributions	$416,028	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Hlth System Corp Services	900099	$50,418,081	$50,418,081
Hlth System Physician Services	621110	$40,077,473	$40,077,473
Patient Service Revenue	621110	$9,769,993	$9,769,993
Pharmacy Revenue	446110	$1,268,388	$190,258	$1,078,130

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,598,858	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,598,858	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$107,132,793	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$280,100	TotalRevenueColumnAmt
Exclusion	$280,100	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$147,846	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$147,846	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$147,846	TotalRevenueColumnAmt
Exclusion	$147,846	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$3,710,401	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$3,698,839	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$11,562	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,562	TotalRevenueColumnAmt
Exclusion	$11,562	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$107,988,329	TotalRevenueColumnAmt
Related Or Exempt Func Income	$106,054,663	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,078,130	UnrelatedBusinessRevenueAmt
Exclusion	$439,508	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$692,215	TotalAmt
Program Services	$692,215	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,021,471	TotalAmt
Program Services	$751,377	ProgramServicesAmt
Management And General	$2,270,094	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$398,385	TotalAmt
Management And General	$398,385	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$57,886,732	TotalAmt
Program Services	$54,722,860	ProgramServicesAmt
Management And General	$3,163,872	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,382,830	TotalAmt
Program Services	$2,328,374	ProgramServicesAmt
Management And General	$54,456	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,295,404	TotalAmt
Program Services	$4,367,888	ProgramServicesAmt
Management And General	$927,516	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,177,690	TotalAmt
Program Services	$2,805,117	ProgramServicesAmt
Management And General	$372,573	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,089,736	TotalAmt
Program Services	$67,156	ProgramServicesAmt
Management And General	$1,022,580	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$154,800	TotalAmt
Program Services	$154,800	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$62,365	TotalAmt
Management And General	$62,365	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,937,244	TotalAmt
Program Services	$5,831,399	ProgramServicesAmt
Management And General	$3,105,845	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,942,269	TotalAmt
Program Services	$1,864,868	ProgramServicesAmt
Management And General	$77,401	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$547,199	TotalAmt
Program Services	$503,663	ProgramServicesAmt
Management And General	$43,536	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,385,716	TotalAmt
Program Services	$1,002,303	ProgramServicesAmt
Management And General	$383,413	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$292,048	TotalAmt
Program Services	$228,298	ProgramServicesAmt
Management And General	$63,750	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$194,699	TotalAmt
Program Services	$152,199	ProgramServicesAmt
Management And General	$42,500	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,446,867	TotalAmt
Program Services	$1,446,867	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,974,976	TotalAmt
Program Services	$5,974,976	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,203,110	TotalAmt
Program Services	$54,157	ProgramServicesAmt
Management And General	$2,148,953	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Equipment Rent & Mainte	$6,444,535	$6,368,588	$75,947
Medical Supplies	$1,723,901	$1,721,977	$1,924
Goodwill Impairment	$869,549		$869,549

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,310,074	TotalAmt
Program Services	$1,018,189	ProgramServicesAmt
Management And General	$291,885	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$107,433,815	TotalAmt
Program Services	$92,057,271	ProgramServicesAmt
Management And General	$15,376,544	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$37,580,431	BOYAmt
EOY	$35,234,957	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,321,552	BOYAmt
EOY	$5,498,746	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$472,337	BOYAmt
EOY	$311,990	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$279,288	BOYAmt
EOY	$310,583	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,598,979	BOYAmt
EOY	$3,609,959	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$86,421,572	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$30,384,853	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$52,034,131	BOYAmt
EOY	$56,036,719	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,936,218	BOYAmt
EOY	$6,528,785	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$7,606,008	BOYAmt
EOY	$10,757,599	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,695,493	BOYAmt
EOY	$7,825,944	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,727,412	BOYAmt
EOY	$2,321,734	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$121,251,849	BOYAmt
EOY	$128,437,016	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$18,181,593	BOYAmt
EOY	$19,796,279	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,491,088	BOYAmt
EOY	$21,192,587	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$9,572,467	BOYAmt
EOY	$8,950,061	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,599,934	BOYAmt
EOY	$36,165,716	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$79,845,082	BOYAmt
EOY	$86,104,643	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$39,915,322	BOYAmt
EOY	$40,469,836	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,491,445	BOYAmt
EOY	$1,862,537	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$41,406,767	BOYAmt
EOY	$42,332,373	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$121,251,849	BOYAmt
EOY	$128,437,016	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$554,514	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$371,092	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$56,400	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$5,965	OtherActivitiesAmt
Total Lobbying Expenditures	$62,365	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Hired consultant to provide lobbying services in connection with governmental affairs representation to ensure hospital, community, and employee interests and needs are represented. Bozeman Deaconess Health Services reimburses certain professional membership dues of employees, a portion of such membership dues are used by the professional associations for lobbying activities. The dues for MHA and AHA were $5,965.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,272,305	BeginningYearBalanceAmt
Contributions	$227,769	ContributionsAmt
Investment Earnings Or Losses	$3,135,666	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,205,532	OtherExpendituresAmt
End Year Balance	$18,430,208	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,828,400	BeginningYearBalanceAmt
Contributions	$335,927	ContributionsAmt
Investment Earnings Or Losses	-$723,008	InvestmentEarningsOrLossesAmt
Other Expenditures	$169,014	OtherExpendituresAmt
End Year Balance	$16,272,305	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,747,913	BeginningYearBalanceAmt
Contributions	$223,082	ContributionsAmt
Investment Earnings Or Losses	$2,235,283	InvestmentEarningsOrLossesAmt
Other Expenditures	$377,878	OtherExpendituresAmt
End Year Balance	$16,828,400	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,928,221	BeginningYearBalanceAmt
Contributions	$122,889	ContributionsAmt
Investment Earnings Or Losses	$843,418	InvestmentEarningsOrLossesAmt
Other Expenditures	$146,615	OtherExpendituresAmt
End Year Balance	$14,747,913	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,788,550	BeginningYearBalanceAmt
Contributions	$99,933	ContributionsAmt
Investment Earnings Or Losses	$216,493	InvestmentEarningsOrLossesAmt
Other Expenditures	$176,755	OtherExpendituresAmt
End Year Balance	$13,928,221	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.68470	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.15840	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.15680	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,816,783	OtherCostOrOtherBasisAmt
Book Value	$11,816,783	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,576,645	OtherCostOrOtherBasisAmt
Depreciation	$3,420,192	DepreciationAmt
Book Value	$26,156,453	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,628,755	OtherCostOrOtherBasisAmt
Depreciation	$26,964,661	DepreciationAmt
Book Value	$15,664,094	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,399,389	OtherCostOrOtherBasisAmt
Book Value	$2,399,389	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$56,036,719	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	Investment in Affiliated Organizations	Desc
Book Value	$10,757,599	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$10,757,599	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Deposits	$9,488
Capitalized Lease Obligation	$5,387,466
Due To Affliates	$30,768,762

Field	Value	IRS element (for citing)
Total Liability	$36,165,716	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4:

Each endowment fund is privy to a separate agreement. Donations made for each purpose shall be received, held, and invested by the Bozeman Deaconess Foundation according to established policies governing gift acceptance, investment, and distribution. The principal of the fund shall be retained in perpetuity. The interest income is utilized for the greatest needs of the designated department. Policy says the organization can use a portion of interest for operations. The endowment fund reported in Line 1 is currently being held by a related organization, Bozeman Deaconess Foundation, and benefits Bozeman Health and related system entities. Due to this relationship the endowment fund is being reported all the Form 990, Schedule D, Part V for all three related entities.

Part X, Line 2:

The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$425,987	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,245	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$422,742	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,962,139	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,100,668	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$861,471	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,388,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,103,913	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,284,213	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$314,692	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,982	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$252,710	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,022,582	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,747,680	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$274,902	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$692,215	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$692,215	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,044,489	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,809,662	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,234,827	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,432,615	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,913,575	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,519,040	NetCommunityBenefitExpnsAmt
Total Expense	0.02370	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,171,072	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$2,109,326	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,888,007	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,778,681	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Rocky Mountain Surgical Center LLC
Outpatient Surgical Center	0.51010	0.00000	0.48990
2 Deaconess Intercity Imaging LLC
Radiology	0.77500	0.00000	0.22500
3 Spanish Peaks Plaza LLC
Real Estate	0.69940	0.00000	0.30060

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Big Sky Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	334 Town Center Ave	AddressLine1Txt
City	Big Sky	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59716	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.bigskymedicalcenter.com	WebsiteAddressTxt
State License	13563	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Big Sky Medical Center LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section B, Line 7d	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section B, Line 10a	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Page 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Page 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Page 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Big Sky Medical Center, LLC	Part V, Section B, Line 5: To solicit feedback from key community stakeholders, we utilized an Online Key Informant Survey and collected responses in March and April of 2017. We asked the Key Informants to rate the degree to which various health issues are a problem in their community. Follow-up questions asked them to describe why they identify problem areas as such, and how theses might be better addressed. In total, we invited 68 Key Informants via email including physicians and advanced practice clinicians, public and community health representatives, health professionals, social service providers, and community leaders to participate. Of the 68 invited, 40 participated. Input was gathered from several individuals whose organizations work with low-income, minority populations, or other medically underserved populations. These populations include: African-Americans, domestic violence victims, elderly, English as a second language, foreign visitors to Yellowstone, those with geographic barriers, Hispanic, homeless, immigrants, LGBTQ, low-income, Medicare/Medicaid recipients, mentally ill, Native Americans, non-English speaking, seasonal workers, undocumented immigrants, uninsured/underinsured, veterans, women and children
Big Sky Medical Center, LLC	Part V, Section B, Line 6a: Bozeman Health Deaconess Hospital
Big Sky Medical Center, LLC	Part V, Section B, Line 6b: Community Health Partners Gallatin City-County Health Department
Big Sky Medical Center, LLC	Part V, Section B, Line 7d: Hospital Website:www.bozemanhealth.org/media/1433/2017_prc_chna_report_bsmc.pdf
Big Sky Medical Center, LLC	Part V, Section B, Line 11: Based on the CHNA and community / stakeholder input, BSMC adopted the following priority areas:1. Behavioral Health (Mental Health + Substance Abuse)2. Access to Health Services 3. Healthy Lifestyles (Nutrition, Physical Activity & Weight + Heart Disease & Stroke)4. Injury & Violence During 2019, BSMC worked in a couple of the priority areas:1.Behavioral Health-We expanded our Youth Aware of Mental Health (YAM) program to 9th grade youth in Big Sky.-We hosted a Mental Health First Aid Training for community members.-We planned for the launch of a mental health awareness and stigma reduction campaign, Man Therapy.2. Access to Health Services -We continued to operate our mobile screening program, HealthCare Connections, offer free preventive health screenings and services to community members.3. Healthy Lifestyles -We continued to support GoNoodle for all the middle schools in the BSMC service area.-We established the 5210+ Gallatin County Coalition, and launched a community-wide campaign around the national 5210 framework.4. Injury and Violence -We completed the planning process for a Relationship Violence Symposium for community providers.
Big Sky Medical Center, LLC	Part V, Section B, Line 13h: Any individual and their dependents who are at 150% of the Federal Poverty income level or below will be eligible to receive a 100% write-off of the self-pay portion of incurred charges, upon completion of an application. Completion of the Financial Assistance application will be required. Catastrophic Financial Assistance is available to individuals who have a large balance remaining after all third party payments have been taken into account. The balance under consideration is that amount which is deemed to be the patient's financial responsibility. If such responsibility is greater than 50% of the family's annual household income, the excess amount will be treated as Catastrophic Financial Assistance and written off of the patient's account. This assistance is available without respect to the FPG, but they must follow the same process as all other patients seeking financial assistance based upon FPG. Asset tests are not used for determining any level of financial assistance. Prior to providing services, BH will make an effort to notify the patient regarding their eligibility for financial assistance.
Big Sky Medical Center, LLC	Part V, Section B, Line 16j: Medical Advocacy Services in Healthcare (MASH) will give out our financial application after determining patient is ineligible for federal and state programs. A summary of the financial assistance policy is attached to billing invoices, posted in patient admissions area, and provided to patient on admission to the hospital facility.
Big Sky Medical Center, LLC	Part V, Section B, Line 24: All individuals eligible under the hospital financial assistance policy are provided a discount for emergency and other medically necessary care. The financial assistance policy does not apply to elective procedures. Therefore, FAP-eligible patients without insurance may be billed gross charges on elective procedures.
Schedule H, Part V, Section B, Line 16a-16c:	Line 16a:https://www.bozemanhealth.org/media/1572/financial-assistance.pdfLine 16b:https://www.bozemanhealth.org/media/1578/financial-assistance-application-2019-english-final.pdfLine 16c:https://www.bozemanhealth.org/media/1574/fa-policy-plain-language-summary.pdf
Schedule H, Part V, Section B, Line 10a	www.bozemanhealth.org/media/2044/20182020-bsmc-cbsp-final.pdf

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Deaconess Intercity Imaging LLC
915 Highland Blvd	Bozeman	MT	59715	Outpatient Imaging Center
2 - Rocky Mountain Surgery Center LLC
1450 Ellis St Suite 101	Bozeman	MT	59715	Outpatient Surgical Center
3 - Hospice of Southwest Montana LLC
3810 Valley Commons Dr Ste 1	Bozeman	MT	59715	Hospice Services
4 - Bozeman Health Urgent Cares LLC
1006 W Main	Bozeman	MT	59715	Outpatient Health Care
5 - Bozeman Health Medical Group LLC
915 Highland Blvd	Bozeman	MT	59715	Contracted Physician Services
6 - Bozeman Health Convenience Care LLC
915 Highland Blvd	Bozeman	MT	59715	Outpatient Health Care

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	Any individual and their dependents who are at 150% of the Federal Poverty income level or below will be eligible to receive a 100% write-off of the self-pay portion of incurred charges, upon completion of an application. Completion of the Financial Assistance application will be required. Catastrophic Financial Assistance is available to individuals who have a large balance remaining after all third party payments have been taken into account. The balance under consideration is that amount which is deemed to be the patient's financial responsibility. If such responsibility is greater than 50% of the family's annual household income, the excess amount will be treated as Catastrophic Financial Assistance and written off of the patient's account. This assistance is available without respect to the FPG, but they must follow the same process as all other patients seeking financial assistance based upon FPG. Asset tests are not used for determining any level of financial assistance. Prior to providing services, BH will make an effort to notify the patient regarding their eligibility for financial assistance.
Part I, Line 7:	The cost to charge ratio from Worksheet 2 was used to obtain the costs related to Charity Care, Medicaid, and Other Means-Tested Programs. All net benefit expenses were calculated using direct costs and revenue with reasonable indirect overhead allocation methods. Benefits are allocated at 23% of payroll dollars. For Subsidized Services, other indirect overhead costs are allocated based on historical reasonableness of 15% of total expenses. Our internal system does record patient revenues based on type (inpatient vs. outpatient vs. emergency) and payor (Medicaid, Medicare, Commercial, Self-Pay, etc.). Related costs are then determined based on the pro-rated share as a percentage of the total. For example, if Medicaid comprises 7% of a department's revenue, Medicaid expenses are calculated at 7% of the total as well.Lines 7e, 7f, 7i are based on actual expenses.
Part I, Line 7g:	Amount of cost attributable to a physician clinic is $3,022,582. The Urgent Care disregarded entity was reported as a subsidized services, pulling out the financial assistance and Medicaid to report separately as appropriate.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 1,172,072.
Part III, Line 2:	Bad debt is reported at charges as recorded by the organization and included joint ventures. The bad debt reported on line two is considered to be all due to implicit price considerations.
Part III, Line 4:	The footnote to the organization's financial statements that describes bad debt expenses is located in Footnote 1 on page 11 of the attached financial statements.
Part III, Line 8:	The entire amount of shortfall should be considered a community benefit.The Medicare shortfall represents a cost absorbed by the Hospital as a result of providing care to Medicare patients. The contract driving this loss is a nondiscretionary contract, as is providing the services to this population of individuals. The cost of providing this benefit to the community should be reportable as such. Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.For the Joint Ventures, Net Medicare Revenue was used as the revenue received, and that percentage of total revenues was applied against operating expenses to determine related costs. The Joint Venture portion of the shortfall is $1,482,639.
Part III, Line 9b:	Bozeman Health's Financial Assistance Policy explains the patient notification practice that includes providing the patient, either directly or through its contracted collection agency with at least one written notice informing the patient about the Extraordinary Collection Actions that we intend to take if the patient does not submit an Application for Financial Assistance or pay the amount due by at least thirty days following the date of the notice. The notice will include a copy of the plain language summary and will not be mailed or delivered to a patient earlier than 30 days prior to the end of the Notification Period. No Extraordinary Collection Actions will be undertaken during the 120 day Notification Period, during which time we will take reasonable efforts to determine whether the patient is eligible for Financial Assistance. After the 120 day Notification Period, an Extraordinary Collection Action will be undertaken only if the patient has received the 30 day written notice described above. Extraordinary Collection Actions are defined as those actions that may be taken in the event of non-payment following the expiration of the notification period. These may include the reporting of adverse information about the individual to consumer credit reporting agencies or credit bureaus, garnishment of an individual's wages, and/or commencement of a legal civil action against an individual. As part of Bozeman Health collection practices, any patient account placed in collections will be pulled back from collections should that patient apply for financial assistance within 240 days of receiving their initial patient statement.
Part VI, Line 2:	In addition to the CHNA, Bozeman Health Big Sky Medical Center (BSMC) assesses community health care needs in a number of ways. The hospital sends representatives to community meetings and conversations related to health and heath care to hear directly from community members - patients, clients, stakeholders, etc. - about their needs. In a related fashion, the hospital also convenes community members - patients, clients, stakeholders, etc. - to solicit feedback about health and health care needs. Finally, the hospital looks at and considers 3rd party projections about health care needs and available local and national trend data when making health care delivery and health improvement decisions.
Part VI, Line 3:	Bozeman Health is deeply committed to providing financial assistance to patients needing, but unable to afford, medically necessary health care services. As a hospital operating in the Bozeman Health system, Big Sky Medical Center (BSMC) posts notice of its Financial Assistance Policy in all admitting areas, as well as on the website. At the earliest feasible time, BSMC will attempt to determine whether a patient has third party coverage for any part of the hospital services provided. If a patient does not have third party coverage, a patient advocate from the MASH program will screen all inpatient cases and any outpatient cases exceeding $1,000 in total charges to determine if the patient qualifies for third party funding. If not, the patient advocate will explain the Financial Assistance Policy and give the patient an application if desired. In circumstances where payment in full will cause financial hardship that will significantly harm the patient or patient's family, the applicant may be asked to visit with Consumer Credit Counseling Services to further review their financial situations. Upon request, patients may be asked to complete an application for Medicaid participation or for coverage by other governmental payment programs. Patient bills also contain billing information explaining financial options and provide contact information to the appropriate resources.
Part VI, Line 4:	BH Big Sky Medical Center (BSMC) primarily serves a three zip code region in Gallatin County Montana: 59716 Big Sky, 59730 Gallatin Gateway, and 59758 West Yellowstone (note in certain zip code boundary definitions, 59716 Big Sky is in both Gallatin and Madison County-although the most populous area is in Gallatin County). These 3 communities account for more than 74% of clinic visits at BSMC Big Sky Clinic in 2018. In addition, these same communities account for 24.2% of BSMC's inpatient admissions while 75.8% were of patients originating outside Montana-likely driven by the Big Sky area being a popular tourist destination.The population of the tri-zip code area was an estimated 6,523 (59716: 2,208, 59730: 2,065, and 59758: 2,250) in 2018 (IBM Watson Health). The average median household income (weighted by number of households) in the combined communities was an estimated $59,770 and 12.5% of the population was estimated to be in poverty in 2017 (ACS 5yr estimates, 2017). 2018 estimates suggest that 12.7% of the population in the tri-zip code area are covered by Medicaid, 6.6% are uninsured, and 15.5% are insured under Medicare (IBM Watson Health, 2018). Bozeman Health Big Sky Medical Center is the only hospital in the BSMC three zip code service area, and is one of two hospitals in Gallatin County (BH BSMC and BH Deaconess Hospital). The low income population within Gallatin County is designated as a Primary Care HPSA and the total geographic population of Gallatin County is designated as a Mental Health Professional Shortage (HPSA) Geographic Area HPSA based on 2019 HPSA data.(https://dphhs.mt.gov/publichealth/primarycare/-shortage-area-designations).
Part VI, Line 5:	The governing body of BSMC is comprised of individuals who represent our community and live in our primary service area, most of whom are independent of the organization. To ensure immediate access to care, BSMC has an open medical staff and requires each medical staff member to care for anyone presenting in the Emergency Department. As an organization, we devote a significant amount of surplus funds into maintaining a high level of patient care through quality initiatives as well as technology and community investments.Various employees, physicians, administrators, and board members of the Hospital are actively involved in volunteer roles including community board positions in numerous other activities, groups, and organizations that actively promote the health of the community.In 2017, Bozeman Health hired a FTE dedicated to community involvement. The System Program Manager for Community Health Improvement and Partnerships works to align Bozeman Health Deaconess Hospital health improvement initiatives with the needs and desires of the communities served by BHDH. This includes, among other things, representing BHDH at community meetings, and planning and implementing programs with community partners to address needs highlighted in the CHNA.
Part VI, Line 6:	Bozeman Deaconess Health Services owned a majority interest in Deaconess Intercity Imaging, LLC and Rocky Mountain Surgery Center in the current tax year. Although these joint ventures are not licensed hospitals, these organizations hold similar policies regarding providing care to all members of the community and offering financial assistance as determined by ability to pay.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Western Montana Mental Health
140 N Russell	Missoula	MT	59801	810307814	501(c)(3)	$300,000	Support mental health needs within our service area
Greater Gallatin United Way
945 Technology Blvd 101F	Bozeman	MT	59718	810384820	501(c)(3)	$27,500	Support human service needs within our service area
Cancer Support Community Montana
102 S 11th Ave	Bozeman	MT	59715	810542266	501(c)(3)	$15,000	Support cancer support services within our service area
Haven
PO Box 752	Bozeman	MT	59771	810389914	501(c)(3)	$6,900	Support domestic violence programs within our service area
MT State University Foundation
PO Box 172750	Bozeman	MT	59717	816001649	501(c)(3)	$285,715	Support improving access to Health Services in our service area
Eagle Mount
6901 Goldenstein Ln	Bozeman	MT	59715	841383214	501(c)(3)	$5,000	Support therapeutic services to the disability population in our service area
National Interscholastic Cycling League
2414 Sixth Street	Berkeley	CA	94710	134234305	501(c)(3)	$10,000	Support healthy lifestyles for youth in our service area
Thrive
PO Box 4325	Bozeman	MT	59772	363501185	501(c)(3)	$7,500	Support human service needs within our service area
Bridger Ski Foundation
851 Bridger Drive STE 1243	Bozeman	MT	59771	810384359	501(c)(3)	$25,000	Support healthy lifestyles for youth in our service area

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Recipients of grants and assistance prepare informational reports substantiating the use of the funds that were earmarked to support community health programs. Involvement of Bozeman Deaconess Health Services staff and/or administration as volunteers in the activities being supported also ensures proper usage of funds.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John Hill
CEO	$605,053	$0	$121,753	$0	$42,282	$0	$95,970	$0	$25,493	$0	$890,551	$0	$0	$0
Nathaniel Madsen
Cardiology	$657,543	$0	$53,425	$0	$1,143	$0	$16,800	$0	$25,816	$0	$754,727	$0	$0	$0
Dane Sobek MD
2nd V.C. (Jan-Jun)/Director (Jul-Dec	$656,182	$0	$51,425	$0	$1,143	$0	$16,800	$0	$25,828	$0	$751,378	$0	$0	$0
Kleanthis Dendrinos
Gastroenterologist	$501,857	$0	$94,234	$0	$337	$0	$16,800	$0	$19,816	$0	$633,044	$0	$0	$0
Peter Walsh
Gastroenterologist	$496,963	$0	$82,595	$0	$1,451	$0	$16,800	$0	$26,528	$0	$624,337	$0	$0	$0
Blair Erb
Cardiology	$518,036	$0	$58,000	$0	$4,246	$0	$16,800	$0	$16,720	$0	$613,802	$0	$0	$0
Andrew Gentry
Gastroenterologist	$507,776	$0	$57,140	$0	$1,273	$0	$16,800	$0	$27,378	$0	$610,367	$0	$0	$0
Elizabeth Lewis
COO (Jan-Mar)	$136,793	$0	$32,644	$0	$359,311	$0	$15,411	$0	$4,175	$0	$548,334	$0	$139,133	$0
Brad Ludford
CFO	$328,497	$0	$16,644	$0	$13,733	$0	$29,916	$0	$26,976	$0	$415,766	$0	$0	$0
Darci Bentson
CAO	$288,648	$0	$32,165	$0	$25,643	$0	$41,201	$0	$27,785	$0	$415,442	$0	$0	$0
Gordon Davidson
Former CFO	$0	$0	$16,191	$0	$382,194	$0	$0	$0	$0	$0	$398,385	$0	$108,860	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Lines 4a-b	FormAndLineReferenceDesc
Explanation	Line 4a: In 2019, Gordon Davidson received severance payments in the amount of $273,334, and Elizabeth Lewis received severance payments in the amoount of $218,736. Part II, column (F) also reports a deferred compensation stock option payout of $108,860 for Gordon Davidson and $139,133 for Elizabeth Lewis that was previously reported as deferred compensation. Line 4b: Schedule J, Part II, column (c) reflects contributions paid by the organization into their individual 457(f) plan. The following contributions were made in 2019. John Hill: $79,170 Brad Ludford: $29,916 Darci Bentson: $24,401	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Montana Facility Finance Authority
A	364615155	61240MBM8	2014-11-05	$23,005,852	Refinance 2004 bond issued 3/4/2004; fund add'n of Big Sky Medical Facility	0	0	0
Montana Facility Finance Authority
B	364615155	000000000	2015-01-09	$6,300,000	Portion for Big Sky Medical Facility	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,482,341	$23,008,884	$3,032	$377,976	$17,500,000	$5,127,876	2015	Yes (1)	0	0	Yes (1)
B	$429,710	$6,300,000		$15,123	$6,284,877		2016	0	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: Montana Facility Finance Authority Date the Rebate Computation was Performed: 06/21/2019
Schedule K, Part I, Line A(e):	Part I issue price and Part II Line 3 bond proceeds differ due to interest earned on the proceeds.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 7a	The Yellowstone Conference of the Methodist Church confirms the Board Members and has authority to appoint the clergy member of the board.
Form 990, Part VI, Section A, line 7b	Changing the Articles of Incorporation in relationship to the process of selecting board membership must be approved by the Yellowstone Conference of the United Methodist Church.
Form 990, Part VI, Section A, line 8b	The organization does not have any committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11b	A copy of the 990 is provided to both the Planning and Finance Committee as well as the Board of Directors prior to filing. The Finance Team will review Form 990 in detail with the Planning and Finance Committee.
Form 990, Part VI, Section B, line 12c	Annual Disclosure Statement is obtained from the Board, Operating Committee, and Executive Team Members. Disclosures are reviewed with the Conflict of Interest (COI) Panel (Compliance Officer, Board Compliance Committee Chair, Chief Executive Officer, & Chief Legal Officer). The COI Panel assesses the disclosure, develops an acknowledgement and management plan. The management plan is reviewed with the affected member, if the COI Panel and the member are unable to resolve the disclosure, the disclosure is reported to the Board Compliance Committee for further review. Conflicts are addressed annually in writing and verbally during meetings. If a COI exists, the member shall not participate in any deliberations or vote regarding the transaction or arrangement at issue, and shall not be present in the meeting room for any part of the deliberations or vote relating to the transaction or arrangement.
Form 990, Part VI, Section B, line 15	The Executive Compensation Committee receives a formal presentation by an independent compensation consultant (as selected by the Board) qualified to perform compensation reviews including usage of comparability data. This person presents recommendations to the Compensation Committee of the Board. The Compensation Committee makes recommendations to the full Board on an annual basis for Officers and Senior Administration. This annual process was performed in fall 2018 to determine 2019 compensation.
Form 990, Part VI, Section C, line 19	Governing documents, conflict of interest policy, and all tax related information required to be available for public inspection are available via walk-in, telephone call, e-mail, and/or mail-in request. The audited financial statements are required to be attached to the Form 990 and provided to the Municipal Securities Rulemaking Board, which is our tax-exempt bonds trustee, via an on-line, central filing location called Electronic Municipal Market Access (EMMA). The financial statements can be obtained by the general public at the EMMA website.
Form 990, Part XI, line 9:	Change in Temp Restricted Investment of Foundation 371,092.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Big Sky Medical Center LLC
334 Town Center Ave	Big Sky	MT	59716	474718253	Healthcare - Inpatient and Outpatient Servcies	MT	$7,901,500	$28,702,071	Bozeman Deaconess Health Services
Bozeman Health Urgent Cares LLC
1006 W Main	Bozeman	MT	59715	465318746	Healthcare - Physician Outpatient Care	MT	$2,961,963	$6,375,704	Bozeman Deaconess Health Services
Bozeman Health Medical Group LLC
915 Highland Blvd	Bozeman	MT	59715	475126599	Physician Employment & Contract to Bozeman Health System	MT	$42,949,203	$2,966,376	Bozeman Deaconess Health Services
Bozeman Health Convenience Care LLC
915 Highland Blvd	Bozeman	MT	59715	822848277	Healthcare-Ambulatory Clinic Outpatient Care	MT	$396,285	$1,033,831	Bozeman Deaconess Health Services

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Bozeman Deaconess Foundation dba Bozeman Health Foundation
931 Highland Blvd Suite 3200	Bozeman	MT	59715	841407943	Raise funds to support Bozeman Deaconess Health Services	MT	501(c)(3)	Line 7	Bozeman Deaconess Health Services	Yes (1)
Bozeman Health Deaconess Hospital
915 Highland Blvd	Bozeman	MT	59715	474717998	Healthcare - Inpatient and Outpatient Services	MT	501(c)(3)	Line 3	Bozeman Deaconess Health Services	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Deaconess Intercity Imaging LLC
915 Highland Blvd	Bozeman	MT	59715	810666871	Healthcare - Imaging Services	MT	Bozeman Deaconess Health Services	Related	-$55,253	$2,787,668	0	Yes (1)	0.77500
Rocky Mountain Surgical Center LLC
1450 Ellis St Suite 101	Bozeman	MT	59715	364462300	Healthcare - Surgical Services	MT	Bozeman Deaconess Health Services	Related	$3,773,160	$3,883,710	0	0	0.51010
Spanish Peaks Plaza LLC
120 N 19th Ave Suite A	Bozeman	MT	59718	810539803	Rental Real Estate for VA Med Clinic & Chiro	MT	Bozeman Deaconess Health Services	Related	$11,733	$256,703	0	Yes (1)	0.69940

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Bozeman Deaconess Real Estate Development Corp	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 10490	AddressLine1Txt
City	Bozeman	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59719	ZIPCd

Field	Value	IRS element (for citing)
EIN	205496567	EIN
Primary Activities	Sale of real estate property and residences to seniors	PrimaryActivitiesTxt
Legal Domicile State	MT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Bozeman Deaconess Health Services	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$220,160	ShareOfTotalIncomeAmt
Share Of EOY Assets	$7,754,530	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Bozeman Deaconess Foundation
C	$416,028	General ledger and corp. records
Bozeman Deaconess Foundation
L	$177,079	General ledger and corp. records
Bozeman Deaconess Foundation
Q	$80,954	General ledger and corp. records
Bozeman Health Deaconess Hospital
L	$90,482,542	General ledger and corp. records
Deaconess Intercity Imaging LLC
S	$251,875	General ledger and corp. records
Rocky Mountain Surgical Center LLC
S	$3,468,965	General ledger and corp. records