BOZEMAN DEACONESS HEALTH SERVICES: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: BOZEMAN DEACONESS HEALTH SERVICES (EIN 81-0232121)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-09
IRS object ID: 201503139349302150
Schema version: 2014v5.0
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-09T13:20:24-06:00	ReturnTs
Tax Period End	2014-12-31	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	2014-01-01	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	CFO/VP OF FINANCE	PersonTitleTxt
Phone	4065855000	PhoneNum
Signature	2015-11-04	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	2015-11-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

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	$235,646,893	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BOZEMANDEACONESS.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	1971	TotalEmployeeCnt
Total Volunteers	271	TotalVolunteersCnt
Total Gross UBI	$1,365,362	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$543,570	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,517,925	PYContributionsGrantsAmt
CY Contributions Grants	$2,067,539	CYContributionsGrantsAmt
PY Program Service Revenue	$204,688,052	PYProgramServiceRevenueAmt
CY Program Service Revenue	$226,325,372	CYProgramServiceRevenueAmt
PY Investment Income	$4,805,775	PYInvestmentIncomeAmt
CY Investment Income	$5,704,523	CYInvestmentIncomeAmt
PY Other Revenue	$414,407	PYOtherRevenueAmt
CY Other Revenue	$541,594	CYOtherRevenueAmt
PY Total Revenue	$215,426,159	PYTotalRevenueAmt
CY Total Revenue	$234,639,028	CYTotalRevenueAmt
PY Grants And Similar Paid	$358,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,610,001	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$90,896,957	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$101,786,134	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$100,008,076	PYOtherExpensesAmt
CY Other Expenses	$110,123,291	CYOtherExpensesAmt
PY Total Expenses	$191,263,033	PYTotalExpensesAmt
CY Total Expenses	$213,519,426	CYTotalExpensesAmt
PY Revenues Less Expenses	$24,163,126	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,119,602	CYRevenuesLessExpensesAmt
Total Assets BOY	$347,818,522	TotalAssetsBOYAmt
Total Assets EOY	$396,406,654	TotalAssetsEOYAmt
Total Liabilities BOY	$86,474,925	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$117,155,952	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$261,343,597	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$279,250,702	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	$55,160,581	ExpenseAmt
Revenue	$53,839,716	RevenueAmt
Desc	BOZEMAN DEACONESS HEALTH GROUP CONSISTS OF OUR DEPARTMENTS THAT PROVIDE PHYSICIAN SERVICES TO OUTPATIENTS. THE NUMBER OF MEDICARE AND MEDICAID PATIENTS SEEN IN 2014 REMAINED FAIRLY CONSISTENT AT ABOUT 44% OF TOTAL VISITS. REVENUE FOR THESE PATIENTS AND UNINSURED PATIENTS TOTALED 47% OF ALL CLINIC REVENUE. TOTAL OPERATING REVENUES WERE $53,839,716 WITH ASSOCIATED OPERATING EXPENSES OF $55,160,581. THE LOSS OF $1,320,865 IS REFLECTIVE OF OUR COMMITMENT TO PROVIDE ACCESS TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$21,534,716	ExpenseAmt
Revenue	$52,695,007	RevenueAmt
Desc	BOZEMAN DEACONESS SURGICAL SERVICES STRIVES TO OFFER A WIDE ARRAY OF SURGICAL OPTIONS USING STATE OF THE ART TECHNOLOGY. OF THE 5,927 INPATIENT AND OUTPATIENT SURGERIES, ABOUT ONE THIRD WERE MEDICARE AND MEDICAID PATIENTS, WHICH COMPRISED 41% ($21,800,206) OF TOTAL REVENUE FROM THESE SERVICES ($52,695,007). OVER 59% OF THE MEDICARE/MEDICAID REVENUES WERE UNREIMBURSED ($12,954,791) AND WRITTEN OFF, ALONG WITH ANOTHER $5,409,045 FROM OTHER PAYORS. OUR OPERATING ROOM ALSO RECORDED $15,199,223 IN OPERATING EXPENSES PLUS ANOTHER $6,335,493 OF INDIRECT OVERHEAD.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$11,889,764	ExpenseAmt
Revenue	$21,056,267	RevenueAmt
Desc	THE EMERGENCY ROOM AT BOZEMAN DEACONESS HOSPITAL IS ONE OF THE BUSIEST DEPARTMENTS IN OUR ORGANIZATION, WITH JUST OVER 27,000 VISITS IN 2014. APPROXIMATELY 34% OF THESE VISITS WERE FROM MEDICARE AND MEDICAID PATIENTS, COMPRISING $7,593,438 OF THE $21,056,267 OF THE GROSS REVENUE. OVER 60% OF THE MEDICARE/MEDICAID REVENUE WERE UNREIMBURSED ($4,580,757) AND WRITTEN OFF, ALONG WITH ALMOST 38% OF THE REMAINING REVENUE ($5,060,839). DIRECT AND INDIRECT EXPENSES INCURRED IN SUPPORTING THE OPERATION OF THIS EMERGENCY ROOM ACCUMULATED TO $11,889,764.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$81,416,334	ExpenseAmt
Grant	$1,610,001	GrantAmt
Revenue	$98,734,382	RevenueAmt
Desc	BOZEMAN DEACONESS HEALTH SERVICES OPERATES AN 86 BED HOSPITAL FACILITY (HOSPITAL), ALONG WITH A 43 UNIT ASSISTED LIVING HOME AND A 115 UNIT INDEPENDENT LIVING HOME (HILLCREST SENIOR LIVING OR HSL). ALL PATIENT AND RESIDENT SERVICE REVENUE IS USED TO PROVIDE HEALTH CARE SERVICES, HEALTH CARE PROMOTION, AND HEALTH CARE EDUCATION TO BOZEMAN AND THE SURROUNDING COMMUNITIES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$81,416,334	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,610,001	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$98,734,382	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$170,001,395	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	0	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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	175	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1971	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 (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
TERRY CUNNINGHAM
CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
JULIE JACKSON
1ST VICE CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
BRIAN BROWN
2ND VICE CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN MURDOCH
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
KATIE DAUGHENBAUGH
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN ROBBINS MD
TREASURER (THRU 6/30/14)	50.00	Yes (X)	Yes (X)	$159,291	$0	$57,075
KERRI BROWN
TRUSTEE	1.00	Yes (X)		$0	$0	$0
REV DAVE MCCONNELL
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DENNIS MUNSON
TRUSTEE	1.00	Yes (X)		$0	$0	$0
KERRY PETITT
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DANE SOBEK MD
TRUSTEE (AS OF 7/1/14)	50.00	Yes (X)		$586,439	$0	$59,604
ROBERT WATSON
TRUSTEE	1.00	Yes (X)		$0	$0	$0
KEVIN PITZER
CEO/PRESIDENT	50.00		Yes (X)	$478,246	$0	$52,633
GORDON DAVIDSON
CFO/VP FINANCE	50.00		Yes (X)	$308,004	$0	$63,597
ELIZABETH LEWIS
SENIOR VP OPERATIONS/LEGAL	50.00			$272,042	$0	$57,522	Yes (X)
HUGH HETHERINGTON MD
DOCTOR	50.00			$594,673	$0	$61,105		Yes (X)
ANNIE CASTILLO MD
DOCTOR	50.00			$511,386	$0	$15,600		Yes (X)
JACK HENSOLD MD
DOCTOR	50.00			$484,419	$0	$57,942		Yes (X)
KEN MAY MD
DOCTOR	50.00			$443,336	$0	$25,878		Yes (X)
BLAIR ERB MD
DOCTOR	50.00			$622,487	$0	$39,228		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,460,323	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$490,184	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	107	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
LANGLAS & ASSOCIATES - BOZEMAN
1019 E MAIN ST STE 101	BOZEMAN	MT	59715	CONSTRUCTION-GENERAL CONTRACTOR	$5,315,941
ABSAROKA EMERGENCY PHYSICIANS
1184 N 15TH STREET SUITE 1	BOZEMAN	MT	59715	ER PHYSICIANS FEE	$4,859,694
MARTEL CONSTRUCTION INC
1203 S CHURCH	BOZEMAN	MT	59715	CONSTRUCTION-GENERAL CONTRACTOR	$4,773,789
SANFORD HEALTH
PO BOX 5074	SIOUX FALLS	SD	57117	SOFTWARE HOSTING	$1,676,988
ARBOR MEDIC
PO BOX 10305	BOZEMAN	MT	59715	LANDSCAPING/LAWN/SNOW REMOVAL	$1,215,843

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	42	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,067,539	RelatedOrganizationsAmt
Total Contributions	$2,067,539	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENU	622110	$206,612,971	$206,231,130	$381,841
RESIDENT SERVICE REVEN	623000	$5,991,160	$5,991,160
OTHER JOINT VENTURE RE	423000	$3,677,205	$3,677,205
PHARMACY REVENUE	446110	$3,489,276	$3,124,638	$364,638
CAFETERIA REVENUE	722210	$1,464,545	$1,464,545

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,090,215	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,565,576	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$524,639	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$226,325,372	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,486,664	TotalRevenueColumnAmt
Exclusion	$3,486,664	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,271,342	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$729,748	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$541,594	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$541,594	TotalRevenueColumnAmt
Unrelated Business Revenue	$94,244	UnrelatedBusinessRevenueAmt
Exclusion	$447,350	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,495,976	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$278,117	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,495,976	SecuritiesAmt
Other	-$278,117	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,217,859	TotalRevenueColumnAmt
Exclusion	$2,217,859	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$234,639,028	TotalRevenueColumnAmt
Related Or Exempt Func Income	$225,054,254	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,365,362	UnrelatedBusinessRevenueAmt
Exclusion	$6,151,873	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,610,001	TotalAmt
Program Services	$1,610,001	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,100,999	TotalAmt
Program Services	$863,784	ProgramServicesAmt
Management And General	$1,237,215	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$80,432,867	TotalAmt
Program Services	$65,077,132	ProgramServicesAmt
Management And General	$15,355,735	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,384,603	TotalAmt
Program Services	$2,778,358	ProgramServicesAmt
Management And General	$606,245	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,153,180	TotalAmt
Program Services	$8,126,638	ProgramServicesAmt
Management And General	$2,026,542	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,714,485	TotalAmt
Program Services	$4,549,422	ProgramServicesAmt
Management And General	$1,165,063	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$331,269	TotalAmt
Management And General	$331,269	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$85,941	TotalAmt
Management And General	$85,941	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$48,868	TotalAmt
Management And General	$48,868	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$608,548	TotalAmt
Management And General	$608,548	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,489,250	TotalAmt
Program Services	$11,410,097	ProgramServicesAmt
Management And General	$9,079,153	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,203,453	TotalAmt
Program Services	$317,488	ProgramServicesAmt
Management And General	$885,965	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,780,498	TotalAmt
Program Services	$1,146,283	ProgramServicesAmt
Management And General	$2,634,215	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,784,647	TotalAmt
Program Services	$535,082	ProgramServicesAmt
Management And General	$2,249,565	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$465,292	TotalAmt
Program Services	$280,131	ProgramServicesAmt
Management And General	$185,161	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$310,195	TotalAmt
Program Services	$186,754	ProgramServicesAmt
Management And General	$123,441	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,139,943	TotalAmt
Program Services	$2,139,943	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,899,858	TotalAmt
Program Services	$14,899,858	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,535,714	TotalAmt
Program Services	$503,559	ProgramServicesAmt
Management And General	$2,032,155	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$40,347,048	$40,265,734	$81,314
PROVISION FOR BAD DEBTS	$10,535,179	$10,535,179
EQUIPMENT RENT & MAINTE	$7,524,469	$4,431,768	$3,092,701
TAXES & LICENSES	$1,440,217	$103,377	$1,336,840

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$592,902	TotalAmt
Program Services	$240,807	ProgramServicesAmt
Management And General	$352,095	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$213,519,426	TotalAmt
Program Services	$170,001,395	ProgramServicesAmt
Management And General	$43,518,031	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$46,722,702	BOYAmt
EOY	$29,015,934	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,284,960	BOYAmt
EOY	$33,007,908	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$212,160	BOYAmt
EOY	$450,218	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,924,431	BOYAmt
EOY	$6,355,209	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,039,452	BOYAmt
EOY	$2,322,930	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$269,847,789	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$132,242,347	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$125,456,868	BOYAmt
EOY	$137,605,442	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$95,319,096	BOYAmt
EOY	$142,419,529	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,297,355	BOYAmt
EOY	$1,488,754	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$16,441,997	BOYAmt
EOY	$16,719,795	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,713,626	BOYAmt
EOY	$10,891,838	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,405,875	BOYAmt
EOY	$16,129,097	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$347,818,522	BOYAmt
EOY	$396,406,654	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$24,690,316	BOYAmt
EOY	$32,026,166	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$365,123	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$52,254,809	BOYAmt
EOY	$66,621,214	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$522,909	BOYAmt
EOY	$179,507	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,006,891	BOYAmt
EOY	$17,963,942	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$86,474,925	BOYAmt
EOY	$117,155,952	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$254,995,499	BOYAmt
EOY	$273,114,036	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,739,605	BOYAmt
EOY	$4,496,434	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,608,493	BOYAmt
EOY	$1,640,232	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$261,343,597	BOYAmt
EOY	$279,250,702	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$347,818,522	BOYAmt
EOY	$396,406,654	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,119,602	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$961,703	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,250,794	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	$44,400	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$4,468	OtherActivitiesAmt
Total Lobbying Expenditures	$48,868	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.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,735,942	BeginningYearBalanceAmt
Contributions	$398,579	ContributionsAmt
Investment Earnings Or Losses	-$284,159	InvestmentEarningsOrLossesAmt
Other Expenditures	$84,676	OtherExpendituresAmt
End Year Balance	$9,765,686	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,337,197	BeginningYearBalanceAmt
Contributions	$383,010	ContributionsAmt
Investment Earnings Or Losses	$1,071,551	InvestmentEarningsOrLossesAmt
Other Expenditures	$55,816	OtherExpendituresAmt
End Year Balance	$9,735,942	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.75600	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.14800	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.09600	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)
Investment Cost Or Other Basis	$8,561,480	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$610,686	OtherCostOrOtherBasisAmt
Book Value	$9,172,166	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$155,293,540	OtherCostOrOtherBasisAmt
Depreciation	$77,130,872	DepreciationAmt
Book Value	$78,162,668	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$86,746,943	OtherCostOrOtherBasisAmt
Depreciation	$53,373,609	DepreciationAmt
Book Value	$33,373,334	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,635,140	OtherCostOrOtherBasisAmt
Depreciation	$1,737,866	DepreciationAmt
Book Value	$16,897,274	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$137,605,442	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$301,783
DEPOSITS	$7,811,159
CAPITALIZED LEASE OBLIGATION	$9,851,000

Field	Value	IRS element (for citing)
Total Liability	$17,963,942	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.

PART X, LINE 2:

THE ORGANIZATION, WHICH INCLUDES THE HOSPITAL, CONSISTS OF MONTANA NONPROFIT CORPORATIONS 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. BOZEMAN DEACONESS REAL ESTATE DEVELOPMENT CORP. IS A FOR PROFIT ENTITY FOR WHICH INCOME TAXES ARE PROVIDED FOR THE TAX EFFECTS OF TRANSACTIONS REPORTED IN THE FINANCIAL STATEMENTS AND CONSIST OF TAXES CURRENTLY DUE PLUS DEFERRED TAXES. THERE WAS NO TAXABLE INCOME IN 2014 AND 2013. 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 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. THE ORGANIZATION'S FEDERAL FORM 990T AND BOZEMAN DEACONESS REAL ESTATE DEVELOPMENT CORP.'S TAX FILINGS ARE NO LONGER SUBJECT TO FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011.

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	$8,123,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$453,130	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,670,000	NetCommunityBenefitExpnsAmt
Total Expense	0.03780	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,839,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,334,290	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,504,988	NetCommunityBenefitExpnsAmt
Total Expense	0.02220	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$693,726	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,018,354	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$324,628	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,656,134	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,805,774	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,850,360	NetCommunityBenefitExpnsAmt
Total Expense	0.06000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$712,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$168,339	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$544,571	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,618	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,618	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,196,008	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,315,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,880,320	NetCommunityBenefitExpnsAmt
Total Expense	0.03390	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$766,571	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$766,571	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,701,107	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,484,027	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,217,080	NetCommunityBenefitExpnsAmt
Total Expense	0.04050	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,357,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,289,801	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,067,440	NetCommunityBenefitExpnsAmt
Total Expense	0.10050	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,054	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,054	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,054	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,054	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,135,124	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$37,339,440	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$39,277,847	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,938,407	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	0	FinancialAssistancePrvsnInd
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	BOZEMAN DEACONESS HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	915 HIGHLAND BLVD	AddressLine1Txt
City	BOZEMAN	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59107	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BOZEMANDEACONESS.ORG	WebsiteAddressTxt
State License	12933	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	BOZEMAN DEACONESS HOSPITAL	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
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	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	HTTP://WWW.BOZEMANDEACONESS.ORG/FOR-COMMUNITY/NEWS-REPORTS.ASPX	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTP://HEALTHYGALLATIN.ORG/WP-CONTENT/UPLOADS/2013/04/HEALTHYGALLATIN_ANNUA	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.BOZEMANDEACONESS.ORG/DOCUMENTS/BDHS-2012-2014-COMMUNITY-BENEFIT-	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
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
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BOZEMAN DEACONESS HOSPITAL	PART V, SECTION B, LINE 5: BDHS PARTNERED WITH GALLATIN CITY-COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH PARTNERS, A FEDERALLY QUALIFIED HEALTH CENTER IN GALLATIN AND PARK COUNTY. FOR MORE DETAILS, PLEASE REFER TO BDHS 2012-2014 COMMUNITY BENEFIT PLAN PAGES 6-10 AND APPENDIX C-1,2,4,6,7,9.
BOZEMAN DEACONESS HOSPITAL	PART V, SECTION B, LINE 11: ALL FOUR IDENTIFIED PRIORITY NEEDS LISTED AS STRATEGIC ISSUES IN OUR COMMUNITY BENEFIT PLAN ARE BEING ADDRESSED AND WE CONTINUE TO ACTIVELY COLLABORATE WITH THE COMMUNITY IN ADDRESSING THESE NEEDS.
BOZEMAN DEACONESS HOSPITAL	PART V, SECTION B, LINE 16I: 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 AREAS, AND PROVIDED TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY.
BOZEMAN DEACONESS HOSPITAL	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.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
BOZEMAN DEACONESS HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:	HTTP://WWW.BOZEMANDEACONESS.ORG/OUR-SERVICES/FINANCIAL-SERVICES.ASPX
BOZEMAN DEACONESS HOSPITAL PART V, SECTION B, LINE 16C WEBSITE:	HTTP://WWW.BOZEMANDEACONESS.ORG/OUR-SERVICES/FINANCIAL-SERVICES.ASPX

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
DEACONESS INTERCITY IMAGING LLC
915 HIGHLAND BLVD	BOZEMAN	MT	59715	OUTPATIENT IMAGING CENTER
ROCKY MOUNTAIN SURGERY CENTER LLC
1450 ELLIS ST SUITE 101	BOZEMAN	MT	59715	OUTPATIENT SURGICAL CENTER
HILLCREST SENIOR LIVING
1201 HIGHLAND BLVD	BOZEMAN	MT	59715	INDEPENDENT AND ASSISTED LIVING FACILITY
HOSPICE OF SOUTHWEST MONTANA LLC
3810 VALLEY COMMONS DR STE 1	BOZEMAN	MT	59715	HOSPICE SERVICES
FAMILY DOCTORS URGENT CARE LLC
120 N 19TH AVENUE	BOZEMAN	MT	59715	OUTPATIENT HEALTH CARE
BOZEMAN HEALTH URGENT CARES LLC
106 W MAIN	BOZEMAN	MT	59715	OUTPATIENT HEALTH CARE
BOZEMAN HEALTH CLINICAL RESEARCH LLC
950 STONERIDGE DR 1	BOZEMAN	MT	59718	OUTPATIENT HEALTH CARE CLINICAL TRIALS

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. ANY UNINSURED INDIVIDUAL WITH INCOME UNDER 250% OF THE FEDERAL POVERTY GUIDELINES (FPG) WILL BE ELIGIBLE TO RECEIVE A DISCOUNT FROM CHARGES BASED ON CERTAIN GUIDELINES. COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION WILL BE REQUIRED. IN SOME CASES, FULL OR PARTIAL ASSISTANCE MAY BE PROVIDED TO INSURED INDIVIDUALS WITH GROSS FAMILY INCOMES ABOVE 250% OF THE FPG ADJUSTED FOR FAMILY SIZE. 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. ALL DECISIONS REGARDING FINANCIAL ASSISTANCE ARE IN THE SOLE DISCRETION OF BDH. PRIOR TO PROVIDING SERVICES, BDH 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.BOZEMANDEACONESS.ORG/FOR-COMMUNITY/NEWS-REPORTS.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 OTHER BENEFITS WERE CALCULATED USING OUR INTERNAL COSTING SYSTEM. THIS SYSTEM ASSIGNS ALL DIRECT EXPENSES TO SEPARATE COST CENTERS (DEPARTMENTS) AND ACCOUNTS. INDIRECT COSTS ARE THEN ALLOCATED TO APPLICABLE DEPARTMENTS BASED ON APPROPRIATE STATISTICS. FOR EXAMPLE, ENGINEERING AND ENVIRONMENTAL SERVICES WOULD BE ALLOCATED BASED ON SQUARE FOOTAGE WHEREAS INFORMATION SYSTEMS AND BENEFITS ARE ALLOCATED BASED ON AN ACCUMULATED COST PERCENTAGE AS DETERMINED BY THE MEDICARE COST REPORT. 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 $30,266,081. ALL COSTS ASSOCIATED WITH A PROVIDER-BASED CLINIC OPERATIONAL DEPARTMENT WERE CONSIDERED PART OF THIS TOTAL.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR IS $10,535,179.
PART II, COMMUNITY BUILDING ACTIVITIES:	BOZEMAN DEACONESS HEALTH SERVICES PROVIDED A CASH CONTRIBUTION TO THE CITY OF BOZEMAN FOR THE BOZEMAN BROADBAND INITIATIVE AND ITS DEVELOPMENT OF A COMMUNITY BROADBAND MASTER PLAN. BDHS IS ALSO REPRESENTED THROUGH PARTICIPATION IN THE BOZEMAN KIWANIS CLUB, AN ORGANIZATION DEDICATED TO COMMUNITY SERVICE AND IMPROVING THE HOLISTIC HEALTH OF CHILDREN.
PART III, LINE 4:	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.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 $916,268.
PART III, LINE 9B:	THE COLLECTION POLICY DOES NOT SPECIFICALLY ADDRESS THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	A. UPDATES RELATED TO 2012 CHNATHE FOLLOWING UPDATES RELATE TO INITIATIVES/STRATEGIES TO ADDRESS NEEDS IDENTIFIED BASED ON THE 2012 CHNA CONDUCTED JOINTLY BY BOZEMAN DEACONESS HEALTH SERVICES (BDHS), GALLATIN CITY AND COUNTY HEALTH DEPARTMENT (GCCHD) AND COMMUNITY HEALTH PARTNERS (CHP).STRATEGIC ISSUE #1: IMPROVING ACCESS TO HEALTHCARE SERVICES PREVENTIVE HEALTH SERVICES:* THE HEALTHCARE CONNECTIONS-MOBILE HEALTH SCREENINGS (HCC) EXCEEDED 2014 TARGETS OF 10% INCREASE FROM PRIOR YEAR: * CLIENTS SERVED AND HEALTH SCREENINGS UP BY NEARLY 30% * NUMBER OF VACCINATIONS GIVEN INCREASED 188% * HCC PARTICIPATED IN THE GALLATIN COUNTY IMMUNIZATION AND ADULT WELLNESS DAY, GOODWILL & LATINO EVENT, PROJECT HOMELESS AND VETERANS STAND DOWN. * THE MOBILE HEALTH SCREENING VAN PROVIDES FREE SCREENINGS FOR BREAST AND COLON CANCER, HEART DISEASE, STROKE, DIABETES, OSTEOPOROSIS AND OBESITY SCREENINGS AS WELL AS FREE VACCINATIONS-TDAP - TETANUS & PERTUSSIS (WHOOPING COUGH), FLU (SEASONAL) AND PNEUMONIA VACCINATIONS. * BDHS HEALTH SCREENING DAY, ANNUAL EVENT; 60 EMPLOYEES HELPED, OVER 658 ADULTS AND 125 CHILDREN ATTENDED THE FAIR. OFFERED ACCESS TO REDUCED PRICE BLOOD DRAWS AND FOBT'S AS WELL AS FREE PREVENTIVE SCREENINGS (BONE DENSITY, HEART MONITORING FACIAL SKIN CHECKS, GLUCOSE STICKS, OXIMETRY, BLOOD PRESSURE, VISION, HEARING, AND DEPRESSION).* BIG SKY HEALTH SCREENING DAY, ANNUAL EVENT; 5 EMPLOYEES HELPED, 35 ATTENDED THE FAIR. OFFERED ACCESS TO REDUCED PRICE BLOOD DRAWS AND FOBT'S AS WELL AS FREE PREVENTIVE SCREENINGS (BONE DENSITY, GLUCOSE STICKS, BLOOD PRESSURE, AND BMI).HEALTHY GALLATIN ACCESS COMMITTEE BDHS CONTINUES TO PROVIDE LEADERSHIP AND SUPPORT TO THIS COMMITTEE. FOR 2014, THE COMMITTEE HAS MET TWICE.STRATEGIC ISSUE #2: INCREASING COLLABORATION AND STRATEGIC PARTNERSHIPSEXPAND UTILITY OF BDHS HEALTH INFORMATION CENTER (BDHS HIC)* BDHS HIC ARRANGED 14 HEALTH FORUMS TALKING ABOUT HYPERTENSION GUIDELINES, CONTROLLING GLUCOSE LEVELS, AUTOIMMUNE DISEASE, BRAIN INJURIES AND ADVANCE CARE PLANNING.* AS MEMBER OF THE CANCER COMMITTEE, REPORTING TO THE COMMITTEE THE TYPES OF CANCER SCREENINGS HELD BY BDHS, THE HCC AND CANCER EDUCATION PRESENTATIONS, LIKE THE FORUMS* PARTICIPANT IN QUARTERLY MEETINGS AND CONTRIBUTOR OF THE MT COMPREHENSIVE CANCER COALITION, REPORTING ON THE MAMMOGRAM PROJECT AND HCC MAMMOGRAM VOUCHERS * BDHS CONTINUES TO ATTEND QUARTERLY MEETINGS FOR THE IMMUNIZATION COALITION. HEALTHY GALLATIN COLLABORATION COMMITTEEBDHS CONTINUES TO PROVIDE LEADERSHIP, SUPPORT AND WORK ON THE HEALTHY GALLATIN COLLABORATION COMMITTEE. IN JANUARY, TOGETHER WITH CORE MEMBERS, THE COMMITTEE PROVIDED THE COMMUNITY UPDATES REGARDING PROGRESS OF THE HEALTHY GALLATIN COMMUNITY HEALTH IMPROVEMENT PLAN.STRATEGIC ISSUE #3: ENCOURAGING HEALTHY BEHAVIORS ACROSS LIFE SPANMAKING HEALTH LITERACY CURRICULUM/TOOLS AVAILABLE IN SCHOOLS* ABOUT HEALTHTEACHER* BDHS SPONSORS HEALTHTEACHER IN SCHOOLS ACROSS GALLATIN COUNTY. * IS A COMPREHENSIVE ONLINE K-12 HEALTH EDUCATION CURRICULUM, INCLUDING AGE-APPROPRIATE LESSONS, INTERACTIVE PRESENTATIONS AND ADDITIONAL RESOURCES THAT FOCUS ON HEALTHY BEHAVIORS AND INTEGRATE HEALTH LITERACY INTO CLASSROOMS.* LESSONS ARE RELEVANT AND SPAN THE HARD-HITTING ISSUES KIDS FACE (E.G. BULLYING, OBESITY, DEPRESSION).* FAMILY NEWSLETTERS AND AT-HOME CHALLENGES REINFORCE HEALTHY HABITS AT HOME.* EXPANDING ACCESS TO COMMUNITY* BDHS HAS RENEWED ITS SUBSCRIPTION TO HEALTH TEACHER FOR ANOTHER 3 YEARS FOR ALL OF GALLATIN COUNTY.* IN ADDITION TO DISTRICT SCHOOLS, BDHS HAS REACHED OUT TO HOME SCHOOLING GROUPS AND HEAD START* ALSO INTRODUCED HEALTHTEACHER TO KIDSLINK, AN AFTER-SCHOOL PROGRAM AND PROVIDED TRAINING SESSION FOR 25 TEACHERS.* LESSONS ACCESSED ON MENTAL AND EMOTIONAL HEALTH MODULEFOR THE SY 2014-2015, THERE WERE 260 LESSONS ACCESSED.ENCOURAGING/INCREASING PHYSICAL ACTIVITY OF SCHOOL-AGE KIDS THROUGH GO NOODLE PROGRAM* ABOUT GO NOODLE* GO NOODLE IS A PROGRAM OFFERED AS PART OF HEALTH TEACHER PROMOTING PHYSICAL ACTIVITY FOR KIDS, HELPING THEM REACH 60 MINUTES OF MOVEMENT DAILY AS RECOMMENDED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION. * IMPLEMENTED IN 2013, GO NOODLE CHANNELS K-5 CLASSROOM ENERGY WITH SHORT, INTERACTIVE PHYSICAL ACTIVITY BREAKS OR "BRAIN BREAKS" TO IMPROVE STUDENT HEALTH, ENGAGEMENT, BEHAVIOR AND PERFORMANCE. * GO NOODLE GAMES INTEGRATE MATH AND LANGUAGE ARTS, ALSO HELPING TEACHERS MEET CORE-SUBJECT STANDARDS* OUR COMMUNITY SCHOOLS HAVE ACCESS TO OVER 120 INTERACTIVE GAMES AND VIDEOS TO GET KIDS MOVING AND LEARNING IN THE CLASSROOM. IS ALSO ACCESSIBLE AT HOME.* THESE ACTIVITIES POSITIVELY IMPACT PHYSICAL ACTIVITY AND ACADEMIC PERFORMANCE. * GO NOODLE REACH AND IMPACT (SCHOOL YEAR 2014-2015)* NUMBER OF KIDS ENGAGED NOW AT 3,689, UP BY 44%* NUMBER OF PHYSICAL ACTIVITY BREAKS PLAYED NOW NEARLY 17,000, UP BY 135%* NUMBER OF STUDENT MINUTES OF PHYSICAL ACTIVITY JUMPED TO 788,594, UP BY 113%* BDHS-SPONSORED SCHOOL DISTRICTS HAD THE HIGHEST PERCENTAGE OF ACTIVE HEALTHTEACHER USERS NATIONWIDE, AMONG 30,000 TEACHERS AT 11,000 SCHOOLS IN THE PROGRAM.* BOZEMAN AREA TEACHERS REPORTED IMPROVEMENT IN THE FOLLOWING THROUGH USING GO NOODLE* 36% IMPROVEMENT IN VOCABULARY SCORES* 24% IMPROVEMENT IN MATH SCORESHEALTHY BEHAVIORS COMMITTEETHE HEALTHY GALLATIN HEALTHY BEHAVIORS COMMITTEE HAS MET TWICE IN 2014.* BEGINNING OF THE YEAR, REVIEWED THE PROGRESS AND WORK PLAN. DISCUSSION CENTERED AROUND WHAT THE GROUP DID WELL, HOW TO SET REALISTIC LONG TERM GOALS, AND DEFINE THE PURPOSE OF THE GROUP* AT END OF YEAR, THE GROUP IS WEIGHING ON A PROPOSAL TO DEVELOP A STRATEGIC COMMITTEE TO HELP DEVISE A NEW WORK PLAN FOR THE HB GROUP.STRATEGIC ISSUE #4: SOCIAL & ECONOMIC DISPARITIESSUPPORTING GALLATIN VALLEY FOOD BANK* TURKEY DONATIONS AMOUNTING TO OVER $10,000.BOARD SERVICE* BDHS VICE PRESIDENT OF SENIOR SERVICES (LEROY WILSON) SERVES AS A BOARD MEMBER TO HUMAN RESOURCE DEVELOPMENT COUNCIL (HRDC)NEXT STEPS: 2015 CHNA PLANNINGPLANNING FOR THE 2015 HAS STARTED AND THE GROUP (GCCHD, CHP AND BDHS) HAS AGAIN CONTRACTED WITH PROFESSIONAL RESEARCH CONSULTANTS (PRC) TO CONDUCT OUR NEEDS ASSESSMENT CONDUCTED LATE 2014. RESULTS WILL BE AVAILABLE IN EARLY 2015.
PART VI, LINE 3:	BOZEMAN DEACONESS HOSPITAL IS DEEPLY COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PATIENTS NEEDING, BUT UNABLE TO AFFORD, MEDICALLY NECESSARY HEALTH CARE SERVICES. BDH POSTS NOTICE OF ITS FINANCIAL ASSISTANCE POLICY IN ALL ADMITTING AREAS, AS WELL AS ON THE WEBSITE. AT THE EARLIEST FEASIBLE TIME, BDH 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 DEACONESS HEALTH SERVICES CONTINUES TO PRIMARILY SERVE A 3-COUNTY AREA OF GALLATIN, PARK AND MADISON COUNTIES COVERING A TOTAL AREA OF 9,048 SQUARE MILES, WITH GALLATIN BEING MOST DENSELY POPULATED AT 37 PEOPLE PER SQUARE MILE COMPARED TO PARK (5.6/SQ MI) AND MADISON (2.1/SQ MI). THE 3-COUNTY AREA REPRESENTS A POPULATION OF APPROXIMATELY 121,000 BASED ON THE MOST RECENT (2014) POPULATION ESTIMATES FROM THE US CENSUS BUREAU. IN 2014, RESIDENTS FROM THE 3-COUNTY AREA ACCOUNTED FOR 87.2% OF TOTAL INPATIENT ADMISSIONS AT BOZEMAN DEACONESS HOSPITAL (GALLATIN = 77.63%, PARK = 5.64%, MADISON = 3.93%).
PART VI, LINE 5:	AS A SOLE COMMUNITY HOSPITAL, BOZEMAN DEACONESS HEALTH SERVICES IS COMMITTED TO PROVIDING QUALITY CARE AND PROMOTING HEALTH TO THE VERY COMMUNITY THAT SUPPORTS US. OUR GOVERNING BODY IS REPRESENTED BY INDIVIDUALS OF OUR COMMUNITY, WITH ALL BUT ONE BEING INDEPENDENT TO OUR ORGANIZATION. TO ENSURE IMMEDIATE ACCESS TO CARE, BDHS 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.BDHS GIVES BACK TO ITS COMMUNITY THROUGH COMMUNITY BENEFIT OPPORTUNITIES, WHICH AT JUST OVER $20 MILLION COMPRISED 9.9% OF OUR TOTAL OPERATING EXPENSES IN 2014.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 ADVANCED MEDICAL IMAGING, ROCKY MOUNTAIN SURGERY CENTER AND FAMILY DOCTORS URGENT CARE IN 2014, IN ADDITION TO ACQUIRING SOLE OWNERSHIP OF BOZEMAN HEALTH URGENT CARES. 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)	$419,500	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)	$62,000	SUPPORT COMMUNITY HEALTH PROGRAMS WITHIN OUR SERVICE AREA
CANCER SUPPORT COMMUNITY
102 S 11TH AVE	BOZEMAN	MT	59715	810542266	501(C)(3)	$60,880	SUPPORT COMMUNITY HEALTH PROGRAMS WITHIN OUR SERVICE AREA
BOZEMAN DEACONESS FOUNDATION
931 HIGHLAND BLVD STE 3200	BOZEMAN	MT	59715	811407943	501(C)(3)	$1,000,000	FUND ENDOWMENTS

Field	Value	IRS element (for citing)
Total501c3 Org	5	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)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	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
JOHN ROBBINS MD
TREASURER (THRU 6/30/14)	$120,182	$0	$38,357	$0	$752	$0	$40,988	$0	$16,580	$0	$216,859	$0	$0	$0
DANE SOBEK MD
TRUSTEE (AS OF 7/1/14)	$556,079	$0	$30,000	$0	$360	$0	$38,616	$0	$21,869	$0	$646,924	$0	$0	$0
KEVIN PITZER
CEO/PRESIDENT	$411,738	$0	$50,920	$0	$15,588	$0	$33,770	$0	$20,943	$0	$532,959	$0	$0	$0
GORDON DAVIDSON
CFO/VP FINANCE	$250,024	$0	$30,726	$0	$27,254	$0	$47,010	$0	$18,133	$0	$373,147	$0	$0	$0
ELIZABETH LEWIS
SENIOR VP OPERATIONS/LEGAL	$227,550	$0	$30,097	$0	$14,395	$0	$41,935	$0	$17,133	$0	$331,110	$0	$0	$0
HUGH HETHERINGTON MD
DOCTOR	$484,827	$0	$109,018	$0	$828	$0	$34,260	$0	$27,726	$0	$656,659	$0	$0	$0
ANNIE CASTILLO MD
DOCTOR	$493,519	$0	$16,319	$0	$1,548	$0	$15,600	$0	$881	$0	$527,867	$0	$0	$0
JACK HENSOLD MD
DOCTOR	$465,724	$0	$16,319	$0	$2,376	$0	$38,230	$0	$20,593	$0	$543,242	$0	$0	$0
KEN MAY MD
DOCTOR	$319,049	$0	$124,017	$0	$270	$0	$15,600	$0	$11,102	$0	$470,038	$0	$0	$0
BLAIR ERB MD
DOCTOR	$570,939	$0	$50,000	$0	$1,548	$0	$15,600	$0	$24,509	$0	$662,596	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	PER CONTRACT, THE CEO IS REIMBURSED FOR TWO BUSINESS TRIPS PER YEAR WHERE HIS SPOUSE ACCOMPANIES HIM. THESE ARE REPORTED AS TAXABLE COMPENSATION.
PART I, LINE 6	A PHYSICIAN LISTED IN PART VII, SECTION A, RECEIVES INCENTIVE COMPENSATION BASED ON ACTUAL RELATIVE VALUE UNIT'S (RVU'S) PRODUCED IN EXCESS OF TARGETS. THE TOTAL OF THE INCENTIVE IS CALCULATED BY TAKING THE EXCESS RVU'S TIMES A RVU CONVERTER. THE RVU CONVERTER IS BASED UPON NET EARNINGS FROM SERVICES PROVIDED BY THE PHYSICIAN.
PART I, LINE 7	THE BOARD ESTABLISHES GOALS EACH YEAR AND IF MET, THERE IS COMPENSATION TIED TO THEM. ALL SUCH COMPENSATION IS REVIEWED BY THE INDEPENDENT COMPENSATION SPECIALISTS. INCENTIVE COMPENSATION IS DETERMINED BY ACHIEVING FINANCIAL PERFORMANCE IN EXCESS OF BUDGETED PERFORMANCE, AND ACHIEVING PRE-DETERMINDED GOALS DEALING WITH PATIENT QUALITY, PATIENT SATISFACTION AND EMPLOYEE SATISFACTION. THIS APPLIES TO ALL SENIOR ADMINISTRATION AND ALL PHYSICIANS (WITH ONE EXCEPTION DESCRIBED IN SCHEDULE J, PART I LINE 6A) WHO RECEIVE COMPENSATION AND INCLUDES INCENTIVE COMPENSATION REFLECTED IN PART II, COLUMN B(II).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 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	810302402	621043CZ0	2005-09-21	$28,001,371	FUND ADDTN TO HILLCREST & DEFEASE 3/28/00 HILLCREST CONSTRUCTION BONDS	0	0	0
MONTANA FACILITY FINANCE AUTHORITY
C	364615155	61204EAH8	2010-04-22	$6,645,000	REFINANCING OF 1998 BOND DEBT ISSUED 9/2/1998	0	0	0
MONTANA FACILITY FINANCE AUTHORITY
D	810302402	61204MAS6	2011-09-28	$20,680,164	TO FUND STRUCTURE AND EQUIPMENT OF NEW ER, ACQUISITION OF LEGACY CONDOS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr
A	$23,005,972	$377,976	$5,127,876	$17,500,120	Yes (1)	0	0	Yes (1)
B	$28,220,708	$345,010	$18,612,108		0	Yes (1)	Yes (1)	Yes (1)	$6,420,000	$1,896,340	$213,865	$7,153,385	2006
C	$6,645,000	$132,900	$6,512,100		Yes (1)	0	Yes (1)	Yes (1)	$3,175,000				2010
D	$20,693,206	$401,295	$1,246		0	0	Yes (1)	Yes (1)	$2,210,000		$11,797	$20,278,869	2013

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 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)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2010 ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2014 ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2014
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 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 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 11	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 2014 TO DETERMINE 2015 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 -2,250,794.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 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
HILLCREST SENIOR LIVING LIMITED LIABILITY COMPANY
1201 HIGHLAND BLVD	BOZEMAN	MT	59715	810232121	INDEPENDENT AND ASSISTED LIVING HOME	MT	$6,493,493	$30,439,879	BOZEMAN DEACONESS HEALTH SERVICES
BOZEMAN HEALTH CLINICAL RESEARCH LLC
950 STONERIDGE DR 1	BOZEMAN	MT	59715	471323951	HEALTHCARE CLINICAL RESEARCH	MT	$67,462	$404,718	BOZEMAN DEACONESS HEALTH SERVICES

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	BOZEMAN DEACONESS FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	931 HIGHLAND BLVD SUITE 3200	AddressLine1Txt
City	BOZEMAN	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59715	ZIPCd

Field	Value	IRS element (for citing)
EIN	841407943	EIN
Primary Activities	RAISE FUNDS TO SUPPORT BOZEMAN DEACONESS HEALTH SERVICES	PrimaryActivitiesTxt
Legal Domicile State	MT	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 7	PublicCharityStatusTxt
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	Yes (1)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DEACONESS INTERCITY IMAGING LLC
915 HIGHLAND BLVD	BOZEMAN	MT	59715	810666871	HEALTHCARE - IMAGING SERVICES	MT	N/A	RELATED	$1,349,296	$2,415,762	0	Yes (1)	0.77500
ROCKY MOUNTAIN SURGICAL CENTER LLC
1450 ELLIS ST SUITE 101	BOZEMAN	MT	59715	364462300	HEALTHCARE - SURGICAL SERVICES	MT	N/A	RELATED	$2,456,814	$3,011,607	0	0	0.51010
FAMILY DOCTORS URGENT CARE LLC
120 N 19TH AVE SUITE A	BOZEMAN	MT	59715	810532877	HEALTHCARE - PHYSICIAN OUTPATIENT CARE	MT	N/A	RELATED	$33,345	$416,603	0	0	0.83760
BOZEMAN HEALTH URGENT CARES LLC
1006 W MAIN	BOZEMAN	MT	59715	465318746	HEALTHCARE - PHYSICIAN OUTPATIENT CARE	MT		RELATED	-$86,761	$1,661,622	0	Yes (1)	1.00000	BOZEMAN DEACONESS HEALTH SERVICES

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 NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Share Of Total Income	$5,079,258	ShareOfTotalIncomeAmt
Share Of EOY Assets	$9,494,200	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	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	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 (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
DEACONESS INTERCITY IMAGING LLC
J	$314,664	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
L	$126,489	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
M	$55,544	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
Q	$2,303,988	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
S	$1,483,660	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN DEACONESS FOUNDATION
B	$1,000,000	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN DEACONESS FOUNDATION
C	$2,067,539	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN DEACONESS FOUNDATION
R	$587,149	GENERAL LEDGER AND CORP. RECORDS
ROCKY MOUNTAIN SURGICAL CENTER LLC
S	$2,273,989	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN HEALTH URGENT CARES LLC
D	$2,200,000	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN DEACONESS REAL ESTATE DEVELOPMENT CORP
Q	$190,639	EXPENSE REIMBURSEMENTS