BOZEMAN DEACONESS HEALTH SERVICES: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: BOZEMAN DEACONESS HEALTH SERVICES (EIN 81-0232121)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-08
IRS object ID: 201743129349301539
Schema version: 2016v3.0
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 N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-08T10:27:51-06:00	ReturnTs
Tax Period End	2016-12-31	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	2016-01-01	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	4065855000	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	Gordon Davidson	PersonNm
Person Title	VP of Finance/CFO	PersonTitleTxt
Phone	4065855000	PhoneNum
Signature	2017-10-31	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	2017-10-31	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	72.175.213.18	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-10-31	IPDt
IP Tm	15:15:14	IPTm
IP Timezone	MD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	6C9B1A35775087DBDB8A6D25ECA509C7F6C27838	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B1517DAAED479AA3B0236E79C14EA2E11B9BE589	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2018-03-14 21:41:22Z	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	Gordon Davidson	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	$80,501,997	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
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	530	TotalEmployeeCnt
Total Volunteers	269	TotalVolunteersCnt
Total Gross UBI	$863,990	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$87,183	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,360,972	PYContributionsGrantsAmt
CY Contributions Grants	$1,543,224	CYContributionsGrantsAmt
PY Program Service Revenue	$243,243,458	PYProgramServiceRevenueAmt
CY Program Service Revenue	$78,771,445	CYProgramServiceRevenueAmt
PY Investment Income	$4,015,698	PYInvestmentIncomeAmt
CY Investment Income	$2,759	CYInvestmentIncomeAmt
PY Other Revenue	$521,110	PYOtherRevenueAmt
CY Other Revenue	$160,507	CYOtherRevenueAmt
PY Total Revenue	$249,141,238	PYTotalRevenueAmt
CY Total Revenue	$80,477,935	CYTotalRevenueAmt
PY Grants And Similar Paid	$623,600	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$468,139	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$117,496,661	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$52,508,538	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$117,186,530	PYOtherExpensesAmt
CY Other Expenses	$28,203,127	CYOtherExpensesAmt
PY Total Expenses	$235,306,791	PYTotalExpensesAmt
CY Total Expenses	$81,179,804	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,834,447	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$701,869	CYRevenuesLessExpensesAmt
Total Assets BOY	$404,683,357	TotalAssetsBOYAmt
Total Assets EOY	$111,101,357	TotalAssetsEOYAmt
Total Liabilities BOY	$115,530,049	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$57,635,766	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$289,153,308	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$53,465,591	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To improve community health and quality of life.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$30,182,757	ExpenseAmt
Revenue	$26,623,692	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 and Bozeman Health Urgent Care.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$8,954,796	ExpenseAmt
Revenue	$8,000,925	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.Bozeman Health opened a 4 licensed bed hospital in Big Sky in December 2015. With a full year in operations, the Emergency Room saw over 3,100 patients in 2016. About 39% of those patients were fixed payor sources of Medicare/Medicaid or self-insured without insurance. Due to this patient demographic over 48% of the $5,925,160 patient charges were uncollectible. Operating expenses ran at $9,511,009 in this first year of operations. Together with other and non-operating income, the hospital netted a ($3,982,046) for the year. Bozeman Health is committed to providing access and patient care to the Big Sky community in spite of the financial operational challenge this first year.Bozeman Health also continues to operate our Main Street Urgent Care as an outpatient healthcare access point. In 2016, of the $5,333,841 patient charges, over 43% were written off as uncollectible. With $3,873,654 in operational expenses, the Urgent Care netted a loss of ($721,967.)	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$28,811,478	ExpenseAmt
Grant	$468,139	GrantAmt
Revenue	$44,146,828	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 18,495 inpatient days, 165,199 outpatient hospital visits, 230,011 outpatient clinic visits, 35,640 emergency room visits and performed 6,712 surgeries.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$67,949,031	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	Yes (1)	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	89	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	530	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
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	Gordon Davidson	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4065851036	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 (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Julie Jackson
Chair	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Brian Brown
1st Vice Chair	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Katie Daughenbaugh
2nd Vice Chair	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Dr Dane Sobek
Secretary/Cardiologist	50.00	1.00	Yes (X)	Yes (X)	$614,610	$0	$59,989
Dennis Munson
Treasurer	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
John Murdoch
Treasurer (Jan-Jun)	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Kerri Brown
Trustee	1.00	1.00	Yes (X)		$0	$0	$0
Jerry Cashman
Director	1.00	1.00	Yes (X)		$0	$0	$0
Rev Dave McConnell
Director	1.00	1.00	Yes (X)		$0	$0	$0
Kerry Petitt
Director	1.00	1.00	Yes (X)		$0	$0	$0
Walt Sales
Director	1.00	1.00	Yes (X)		$0	$0	$0
Robert Watson
Director	1.00	1.00	Yes (X)		$0	$0	$0
John Hill
President/CEO (Aug-Dec)	35.00	15.00		Yes (X)	$270,822	$0	$9,340
Gordon Davidson
Interim CEO (Jan-Aug)/VP Finance/CFO	15.00	35.00		Yes (X)	$494,253	$0	$61,385
David Chen MD
Interim CEO (Jan-Aug)/CMO	15.00	35.00		Yes (X)	$481,497	$0	$56,465
Elizabeth Lewis
COO	50.00	0.00			$315,602	$0	$55,913	Yes (X)
Annie Castillo MD
Oncology	50.00	0.00			$547,775	$0	$18,448		Yes (X)
Blair Erb MD
Cardiology	50.00	0.00			$560,943	$0	$54,110		Yes (X)
Nathanial Madsen MD
Cardiology	50.00	0.00			$625,505	$0	$56,657		Yes (X)
Hugh Hetherington MD
Otolaryngology/Plastic Surgery	50.00	0.00			$498,133	$0	$63,644		Yes (X)
Ken May MD
Oncology	50.00	0.00			$549,337	$0	$26,755		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,958,477	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$462,706	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	119	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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	$4,511,616
Drinker Biddle & Reath LLP
One Logan Square Ste 2000	Philadelphia	PA	191036996	Legal Services	$744,221
Marjan and Associates
1333 East Maryland Ln	Laurel	MT	59044	Legacy AR Management	$513,101
Witt Kieffer Inc
2015 Spring Rd Ste 510	Oak Brook	IL	60523	Recruiting Services	$220,384
Trusthcs
2042 Brentwood Blvd Ste A	Springfield	MO	65804	Coding Services	$213,462

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,543,224	RelatedOrganizationsAmt
Total Contributions	$1,543,224	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Hlth System Corp Servi	900099	$37,608,137	$37,608,137
Hlth System Physician	622110	$28,623,692	$28,623,692
Patient Service Revenu	622110	$6,929,837	$6,929,837
Pharmacy Revenue	446110	$1,016,459	$152,469	$863,990

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,593,320	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,593,320	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$78,771,445	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,821	TotalRevenueColumnAmt
Exclusion	$26,821	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$160,507	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	$160,507	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$160,507	TotalRevenueColumnAmt
Exclusion	$160,507	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$24,062	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$24,062	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$24,062	TotalRevenueColumnAmt
Exclusion	-$24,062	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$80,477,935	TotalRevenueColumnAmt
Related Or Exempt Func Income	$77,907,455	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$863,990	UnrelatedBusinessRevenueAmt
Exclusion	$163,266	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$468,139	TotalAmt
Program Services	$468,139	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,390,050	TotalAmt
Program Services	$667,346	ProgramServicesAmt
Management And General	$1,722,704	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$42,373,638	TotalAmt
Program Services	$39,187,138	ProgramServicesAmt
Management And General	$3,186,500	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,418,454	TotalAmt
Program Services	$1,409,758	ProgramServicesAmt
Management And General	$8,696	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,996,903	TotalAmt
Program Services	$3,171,249	ProgramServicesAmt
Management And General	$825,654	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,329,493	TotalAmt
Program Services	$2,005,147	ProgramServicesAmt
Management And General	$324,346	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,224,671	TotalAmt
Program Services	$19,224	ProgramServicesAmt
Management And General	$1,205,447	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$113,080	TotalAmt
Program Services	$106,774	ProgramServicesAmt
Management And General	$6,306	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$56,400	TotalAmt
Management And General	$56,400	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,640,169	TotalAmt
Program Services	$4,520,844	ProgramServicesAmt
Management And General	$3,119,325	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,305,869	TotalAmt
Program Services	$1,222,473	ProgramServicesAmt
Management And General	$83,396	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$392,114	TotalAmt
Program Services	$344,129	ProgramServicesAmt
Management And General	$47,985	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,202,443	TotalAmt
Program Services	$895,338	ProgramServicesAmt
Management And General	$307,105	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$163,810	TotalAmt
Program Services	$90,254	ProgramServicesAmt
Management And General	$73,556	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$109,207	TotalAmt
Program Services	$60,170	ProgramServicesAmt
Management And General	$49,037	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,383,603	TotalAmt
Program Services	$1,383,603	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,020,054	TotalAmt
Program Services	$5,020,054	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,891,525	TotalAmt
Program Services	$49,701	ProgramServicesAmt
Management And General	$1,841,824	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Equipment Rent & Mainte	$5,289,138	$5,176,395	$112,743
Medical Supplies	$1,256,733	$1,252,294	$4,439
Provision for Bad Debts	$718,158	$718,158
Taxes & Licenses	$63,989	$23,401	$40,588

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$372,164	TotalAmt
Program Services	$157,442	ProgramServicesAmt
Management And General	$214,722	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$81,179,804	TotalAmt
Program Services	$67,949,031	ProgramServicesAmt
Management And General	$13,230,773	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$21,687,710	BOYAmt
EOY	$14,411,732	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,374,057	BOYAmt
EOY	$8,116,201	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$401,518	BOYAmt
EOY	$33,478	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,977,267	BOYAmt
EOY	$256,339	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,810,883	BOYAmt
EOY	$1,153,203	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$75,379,236	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$21,328,644	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$168,927,617	BOYAmt
EOY	$54,050,592	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$126,050,801	BOYAmt
EOY	$3,955,714	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$22,646	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$16,078,906	BOYAmt
EOY	$13,356,233	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,493,626	BOYAmt
EOY	$9,725,021	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$17,858,326	BOYAmt
EOY	$6,042,844	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$404,683,357	BOYAmt
EOY	$111,101,357	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$31,975,864	BOYAmt
EOY	$18,459,364	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$423,116	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,528,669	BOYAmt
EOY	$22,063,092	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,088,675	BOYAmt
EOY	$9,050,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,513,725	BOYAmt
EOY	$8,063,310	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$115,530,049	BOYAmt
EOY	$57,635,766	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$282,036,280	BOYAmt
EOY	$52,357,699	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,411,160	BOYAmt
EOY	$1,107,892	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,705,868	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$289,153,308	BOYAmt
EOY	$53,465,591	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$404,683,357	BOYAmt
EOY	$111,101,357	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$701,869	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$234,985,848	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	$4,014	OtherActivitiesAmt
Total Lobbying Expenditures	$60,414	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. These are dues for MHA and AHA.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,396,438	BeginningYearBalanceAmt
Contributions	$785,403	ContributionsAmt
Investment Earnings Or Losses	$619,492	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,783	OtherExpendituresAmt
End Year Balance	$13,788,550	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,913,019	BeginningYearBalanceAmt
Contributions	$15,645	ContributionsAmt
Investment Earnings Or Losses	$1,686,800	InvestmentEarningsOrLossesAmt
Other Expenditures	$219,026	OtherExpendituresAmt
End Year Balance	$12,396,438	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,765,686	BeginningYearBalanceAmt
Contributions	$385,183	ContributionsAmt
Investment Earnings Or Losses	$873,051	InvestmentEarningsOrLossesAmt
Other Expenditures	$110,901	OtherExpendituresAmt
End Year Balance	$10,913,019	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.74020	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.15110	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.10870	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	$6,650,455	OtherCostOrOtherBasisAmt
Book Value	$6,650,455	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,048,411	OtherCostOrOtherBasisAmt
Depreciation	$1,179,933	DepreciationAmt
Book Value	$25,868,478	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,281,223	OtherCostOrOtherBasisAmt
Depreciation	$20,148,711	DepreciationAmt
Book Value	$21,132,512	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$399,147	OtherCostOrOtherBasisAmt
Book Value	$399,147	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,050,592	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	Investment in Affiliated Organizations	Desc
Book Value	$13,356,233	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$13,356,233	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Due from affiliates	$4,699,988
Other Assets	$234,964
Interest in net assets of Foundation	$1,107,892

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$6,042,844	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Deposits	$16,588
Capitalized Lease Obligation	$8,046,722

Field	Value	IRS element (for citing)
Total Liability	$8,063,310	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 Health Foundation, and benefits Bozeman Health and related system entities.

Part X, Line 2:

The Organization consists of Montana nonprofit organizations and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Organization is annually required to file a Return of Organization Exempt from Income Tax(Form 990) with the IRS. In addition, the Organization is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Organization files an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report its unrelated business taxable income. 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	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$814,080	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$814,080	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,417,312	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$719,639	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$697,673	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,231,392	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$719,639	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,511,753	NetCommunityBenefitExpnsAmt
Total Expense	0.01890	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$360,926	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$360,926	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,561,509	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,270,658	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$290,851	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$494,958	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$494,958	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,425,393	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,270,658	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,154,735	NetCommunityBenefitExpnsAmt
Total Expense	0.01440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,656,785	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,990,297	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,666,488	NetCommunityBenefitExpnsAmt
Total Expense	0.03330	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,284,741	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$2,136,552	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,215,289	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,078,737	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 (2 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 Deaoness Intercity Imaging LLC
Radiology	0.77500	0.00000	0.20920

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	2	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
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	2	FacilityNum
First Licensed CY Or PY	Yes (1)	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	Yes (1)	TaxExemptHospitalCYOrPYInd
CHNA Conducted	0	CHNAConductedInd
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Big Sky Medical Center, LLC	Part V, Section B, Line 2: Hospital license granted December 10, 2015.
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:	www.bigskymedicalcenter.org/For-Patients-Visitors/Financial- Services/Financial-Assistance-Program.aspx

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 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
106 W Main	Bozeman	MT	59715	Outpatient Health Care
5 - Bozeman Health Medical Group LLC
915 Highland Blvd	Bozeman	MT	59715	Contracted Physician Services

Supplemental Information Detail SupplementalInformationDetail (14 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 6a:	The organization's community benefit report can be found on its website at http://www.bigskymedicalcenter.org/For-Community.aspx
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.
Part I, Line 7g:	Amount of cost attributable to a physician clinic is $3,561,509. 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 $ 1,284,741.
Part III, Line 2:	Bad debt is reported at charges as recorded by the organization and included joint ventures. Bad debt is reported based upon actual bad debt expense net of discounts and contractual adjustments, less recoveries.
Part III, Line 4:	The footnote to the organization's financial statements that describes bad debt expenses is located in Footnote 1 on page 9 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 $767,508.
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.
Part VI, Line 2:	Bozeman Health (BH) had previously conducted a Health Needs Assessment for a hospital which is now formed as a separate corporation, Bozeman Health Deaconess Hospital (BHDH). Currently, the only hospital facility that rolls into Bozeman Health as a disregarded entity is Big Sky Medical Center (BSMC).In the fall of 2016 and in collaboration with our partners in the Healthy Gallatin Coalition on Nutrition and Physical Activity, BH led an in-depth qualitative study of parents and children in Gallatin County to gain insight into why there is a decrease in healthy weight and behaviors. The objective of this project was to learn and understand what children and families understood about healthy living and behaviors related to it and use the information to develop strategies to reverse the trend. Bozeman Health also reviews surveys completed by health initiative partners such as HRDC.
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:	Bozeman Health 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 that 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 70% of clinic visits at BSMC Big Sky Clinic in 2016. In addition, these same communities account for 33.33% of BSMC's inpatient admissions while 54.17% were of patients originating outside Montana-likely because the Big Sky area is a popular tourist destination.The population of the tri-zip code area was an estimated 6,201 (59716: 2,117, 59730: 1,862, and 59758: 2,222) in 2016. The average per capita income in the combined communites was an estimated $33,300 and 4.6% of families were estimated to be in poverty in 2015 (ACS 5yr estimates, 2015). 2017 estimates suggest that 12.8% of the population in the tri-zip code area are covered by Medicaid, 5.5% are uninsured, and 14.7% are insured under Medicare (Truven Health Analytics). 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 (Bozeman Health Big Sky Medical Center and Bozeman Health Deaconess Hospital). Prior to opening of BSMC in Dec 2015, the communities served by BSMC were designated as a Primary Care Health Professional Shortage (HPSA) Geographic Area (http://dphhs.mt.gov/publichealth/primarycare/-shortage-area-designations) based on 2014 HPSA data, most recently available from MT DPHHS.
Part VI, Line 5:	As a sole community hospital, Bozeman Health Big Sky Medical Center (BSMC) is committed to providing quality care and promoting health to the very community that supports us. BSMC governing body is represented by individuals of our community, with all but one being independent to our organization. To ensure immediate access to care, BSMC has an open medical staff and requires each medical staff member to care for anyone presenting a need for care in the Emergency Department. We also devote a significant amount of surplus funds to maintaining a high level of patient care through quality initiatives and technology 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.
Part VI, Line 6:	Bozeman Deaconess Health Services owned a majority interest in Deaconess Intercity Imaging, LLC and Rocky Mountain Surgery Center in 2016. 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 (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Western Montana Mental Health Center
Bldg T-9 Fort Missoula Rd	Missoula	MT	59804	810307814	501(c)(3)	$317,500	Support community health crisis programs within our service area
Greater Gallatin United Way
945 Technology Blvd 101F	Bozeman	MT	59718	810384820	501(c)(3)	$50,000	Support human service needs within our service area
Community Health Partners
126 S Main Street	Livingston	MT	59047	841420492	501(c)(3)	$38,000	Support community health programs within our service area
GoNoodle
209 10th Ave S STE 350	Nashville	TN	37203	203456491		$31,239	Provide healthy activity options to school districts
Nami Montana
616 Helena Ave 218	Helena	MT	59601	810441706	501(c)(3)	$10,000	Support community mental health crisis programs within our service area

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	1	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)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	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 (10 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
Dr Dane Sobek
Secretary/Cardiologist	$573,770	$0	$40,300	$0	$540	$0	$38,194	$0	$22,770	$0	$675,574	$0	$0	$0
John Hill
President/CEO (Aug-Dec)	$205,248	$0	$50,000	$0	$15,574	$0	$0	$0	$9,915	$0	$280,737	$0	$0	$0
Gordon Davidson
Interim CEO (Jan-Aug)/VP Finance/CFO	$430,525	$0	$50,045	$0	$13,683	$0	$44,790	$0	$17,570	$0	$556,613	$0	$0	$0
David Chen MD
Interim CEO (Jan-Aug)/CMO	$423,142	$0	$52,573	$0	$5,782	$0	$32,525	$0	$24,914	$0	$538,936	$0	$0	$0
Elizabeth Lewis
COO	$260,343	$0	$39,069	$0	$16,190	$0	$40,818	$0	$16,070	$0	$372,490	$0	$0	$0
Annie Castillo MD
Oncology	$487,459	$0	$58,768	$0	$1,548	$0	$15,900	$0	$3,523	$0	$567,198	$0	$0	$0
Blair Erb MD
Cardiology	$509,395	$0	$50,000	$0	$1,548	$0	$33,855	$0	$21,230	$0	$616,028	$0	$0	$0
Nathanial Madsen MD
Cardiology	$575,770	$0	$49,375	$0	$360	$0	$36,861	$0	$20,770	$0	$683,136	$0	$0	$0
Hugh Hetherington MD
Otolaryngology/Plastic Surgery	$496,585	$0	$0	$0	$1,548	$0	$37,063	$0	$27,556	$0	$562,752	$0	$0	$0
Ken May MD
Oncology	$488,242	$0	$60,735	$0	$360	$0	$15,900	$0	$11,830	$0	$577,067	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 1a	FormAndLineReferenceDesc
Explanation	Per contract, the CEO is reimbursed $12,500 for housing. This benefit is reported as taxable compensation. The housing allowance was agreed upon as part of the compensation determination and employment agreement of the CEO, and therefore the orgnazation does not require the CEO to submit a receipt for this allowance.	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		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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$485,000	$23,005,852	$3,032	$377,976	$17,500,000	$5,127,876	2015	Yes (1)	0	0	Yes (1)
B		$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	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	0	0.00000	0.00000	0.00000

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	0	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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3, column(C):	The amount on line 3 includes $20,680,164 of proceeds and $13,042 of interest earned.
Schedule K, Part I, Line B(e):	Part I issue price and Part II Line 3 bond proceeds differ due to interest earned on the proceeds.
Schedule K, Part I, Line C(e):	Part I issue price and Part II Line 3 bond proceeds differ due to interest earned on the proceeds.

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail (9 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc	DistributionDistributionDt	Fair Market Value Of AssetFairMarketValueOfAssetAmt	Method Of FMV DeterminationMethodOfFMVDeterminationTxt	EINEIN	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	IRC SectionIRCSectionTxt
Bozeman Health Deaconess Hospital
Cash	2016-01-01	$5,973	Book value	474717998	915 Highland Blvd	Bozeman	MT	59715	501(c)(3)
Bozeman Health Deaconess Hospital
Net Receivables	2016-01-01	$40,166,798	Book value	474717998	916 Highland Blvd	Bozeman	MT	59716	501(c)(3)
Bozeman Health Deaconess Hospital
Inventory	2016-01-01	$6,809,369	Book value	474717998	917 Highland Blvd	Bozeman	MT	59717	501(c)(3)
Bozeman Health Deaconess Hospital
Prepaid Expenses	2016-01-01	$790,285	Book value	474717998	918 Highland Blvd	Bozeman	MT	59718	501(c)(3)
Bozeman Health Deaconess Hospital
Investments	2016-01-01	$118,764,109	Book value	474717998	919 Highland Blvd	Bozeman	MT	59719	501(c)(3)
Bozeman Health Deaconess Hospital
PP&E	2016-01-01	$104,048,322	Book value	474717998	920 Highland Blvd	Bozeman	MT	59720	501(c)(3)
Bozeman Health Deaconess Hospital
Goodwill	2016-01-01	$1,798,133	Book value	474717998	921 Highland Blvd	Bozeman	MT	59721	501(c)(3)
Bozeman Health Deaconess Hospital
Payables	2016-01-01	-$13,682,482	Book value	474717998	922 Highland Blvd	Bozeman	MT	59722	501(c)(3)
Bozeman Health Deaconess Hospital
Debt	2016-01-01	-$22,218,774	Book value	474717998	923 Highland Blvd	Bozeman	MT	59723	501(c)(3)

Field	Value	IRS element (for citing)
Director Of Successor2	Yes (1)	DirectorOfSuccessor2Ind
Employee Of Successor2	0	EmployeeOfSuccessor2Ind
Owner Of Successor2	0	OwnerOfSuccessor2Ind
Receive Compensation2	0	ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II, Line 2e:	FormAndLineReferenceDesc
Explanation	Person(s) Involved: Bozeman health and Bozeman Health Deaconess Hospital have the same governing boards. Bozeman Health is the sole member of Bozeman Health Deaconess Hospital.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, line 2	Bozeman Health opened a 4 licensed bed hospital in Big Sky in December 2015.
Form 990, Part III, line 3	The Organization conducted a reorganization effective January 1, 2016. The Organization no longer operates Bozeman Deaconess Health Services inside this entity. The operations of that hospital are operated under the newly formed Bozeman Health Deaconess Hospital, a separately filing nonprofit. Hillcrest Senior Living LLC and Bozeman Health Clinical Research, previous disregarded entities, legally dissolved in 2015. The operations of these entities are operated under the newly formed Bozeman Health Deaconess Hospital.
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	The Finance Committee will review Form 990 in detail and will make a recommendation to the full Board for approval before filing of the Form 990. The CFO reviews the Form 990 at a higher level with the board before approval is granted.
Form 990, Part VI, Section B, line 12c	In-house Counsel identifies potential conflicts from annual disclosures and informs the Board Chair. The Board Chair discusses the conflict and decides whether the conflict is of such a nature to exclude the conflicted party from discussion and/or vote. This policy covers all Board members, Officers, Senior Administration, and key employees.
Form 990, Part VI, Section B, line 15	The Executive 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 2016 to determine 2017 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:	Transfers to related parties -234,699,089. Change in Temp & Perm Restricted Investment of Foundation -286,759.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 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	$4,154,482	$34,915,128	Bozeman Deaconess Health Services
Bozeman Health Urgent Cares LLC
915 Highland Blvd	Bozeman	MT	59715	465318746	Healthcare - Physician Outpatient Care	MT	$3,151,720	$3,797,824	Bozeman Deaconess Health Services
Bozeman Health Medical Group LLC
915 Highland Blvd	Bozeman	MT	59715	475126599	Physician Employment & Contract to Bozeman Health System	MT	$31,026,037	$1,410,159	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	$1,548,189	$3,321,743	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	$3,375,642	$3,626,822	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	$14,153	$265,425	0	Yes (1)	0.44990

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	$4,324,963	ShareOfTotalIncomeAmt
Share Of EOY Assets	$9,622,288	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	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	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	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	0	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 (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Deaconess Intercity Imaging LLC
B	$1,069,500	General ledger and corp. records
Deaconess Intercity Imaging LLC
S	$1,531,400	General ledger and corp. records
Bozeman Health Deaconess Hospital
I	$236,481,656	General ledger and corp. records
Bozeman Deaconess Foundation
C	$1,543,224	General ledger and corp. records
Bozeman Deaconess Foundation
Q	$72,457	General ledger and corp. records
Rocky Mountain Surgical Center LLC
S	$3,012,982	General ledger and corp. records
Bozeman Health Deaconess Hospital
L	$66,220,128