BOZEMAN DEACONESS HEALTH SERVICES: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: BOZEMAN DEACONESS HEALTH SERVICES (EIN 81-0232121)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-10
IRS object ID: 201403149349302175
Schema version: 2013v3.0
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	2014-11-10T15:16:29-06:00	ReturnTs
Tax Period End	2013-12-31	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	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 NICOLLET MALL STE 1300	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	554027033	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

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	AddressLine1
City	BOZEMAN	City
State	MT	State
ZIP Code	59715	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GORDON DAVIDSON	PersonNm
Person Title	CFO/VP OF FINANCE	PersonTitleTxt
Phone	4065855000	PhoneNum
Signature	2014-10-28	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	2014-10-28	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	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	AddressLine1
City	BOZEMAN	City
State	MT	State
ZIP Code	59715	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$216,331,426	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	1843	TotalEmployeeCnt
Total Volunteers	261	TotalVolunteersCnt
Total Gross UBI	$1,425,401	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$445,063	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,147,781	PYContributionsGrantsAmt
CY Contributions Grants	$5,517,925	CYContributionsGrantsAmt
PY Program Service Revenue	$189,866,074	PYProgramServiceRevenueAmt
CY Program Service Revenue	$204,688,052	CYProgramServiceRevenueAmt
PY Investment Income	$3,596,072	PYInvestmentIncomeAmt
CY Investment Income	$4,805,775	CYInvestmentIncomeAmt
PY Other Revenue	$384,534	PYOtherRevenueAmt
CY Other Revenue	$414,407	CYOtherRevenueAmt
PY Total Revenue	$198,994,461	PYTotalRevenueAmt
CY Total Revenue	$215,426,159	CYTotalRevenueAmt
PY Grants And Similar Paid	$723,800	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$358,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$85,703,925	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$90,896,957	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$94,685,237	PYOtherExpensesAmt
CY Other Expenses	$100,008,076	CYOtherExpensesAmt
PY Total Expenses	$181,112,962	PYTotalExpensesAmt
CY Total Expenses	$191,263,033	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,881,499	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$24,163,126	CYRevenuesLessExpensesAmt
Total Assets BOY	$325,034,056	TotalAssetsBOYAmt
Total Assets EOY	$347,818,522	TotalAssetsEOYAmt
Total Liabilities BOY	$88,587,723	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$86,474,925	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$236,446,333	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$261,343,597	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	$48,300,202	ExpenseAmt
Revenue	$45,483,067	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 2013 REMAINED FAIRLY CONSISTENT AT ABOUT 44% OF TOTAL VISITS. REVENUE FOR THESE PATIENTS AND UNINSURED PATIENTS TOTALED 48% OF ALL CLINIC REVENUE. TOTAL OPERATING REVENUES WERE $45,483,067 WITH ASSOCIATED OPERATING EXPENSES OF $48,300,202. THE LOSS OF $2,817,135 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	$21,957,800	ExpenseAmt
Revenue	$52,910,236	RevenueAmt
Desc	BOZEMAN DEACONESS SURGICAL SERVICES STRIVES TO OFFER A WIDE ARRAY OF SURGICAL OPTIONS USING STATE OF THE ART TECHNOLOGY. OF THE 5,698 INPATIENT AND OUTPATIENT SURGERIES, ABOUT ONE THIRD WERE MEDICARE AND MEDICAID PATIENTS, WHICH COMPRISED 41% ($21,922,090) OF TOTAL REVENUE FROM THESE SERVICES ($52,910,236). OVER 61% OF THE MEDICARE/MEDICAID REVENUES WERE UNREIMBURSED ($13,417,016) AND WRITTEN OFF, ALONG WITH ANOTHER $5,874,579 FROM OTHER PAYORS. OUR OPERATING ROOM ALSO RECORDED $15,908,977 IN OPERATING EXPENSES PLUS ANOTHER $6,048,823 OF INDIRECT OVERHEAD.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$9,368,409	ExpenseAmt
Revenue	$17,676,626	RevenueAmt
Desc	THE EMERGENCY ROOM AT BOZEMAN DEACONESS HOSPITAL IS ONE OF THE BUSIEST DEPARTMENTS IN OUR ORGANIZATION, WITH JUST OVER 25,000 VISITS IN 2013. APPROXIMATELY 32% OF THESE VISITS WERE FROM MEDICARE AND MEDICAID PATIENTS, COMPRISING $6,076,495 OF THE $17,676,626 OF THE GROSS REVENUE. OVER 61% OF THE MEDICARE/MEDICAID REVENUE WERE UNREIMBURSED ($3,704,780) AND WRITTEN OFF, ALONG WITH ALMOST 37% OF THE REMAINING REVENUE ($4,325,287). DIRECT AND INDIRECT EXPENSES INCURRED IN SUPPORTING THE OPERATION OF THIS EMERGENCY ROOM ACCUMULATED TO $9,368,409.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$73,195,007	ExpenseAmt
Grant	$358,000	GrantAmt
Revenue	$88,618,123	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	$73,195,007	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$358,000	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$88,618,123	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$152,821,418	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	189	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1843	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	4065851036	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	915 HIGHLAND BLVD	AddressLine1
City	BOZEMAN	City
State	MT	State
ZIP Code	59715	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (22 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
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
JOHN ROBBINS MD
TREASURER/DOCTOR	50.00	Yes (X)	Yes (X)	$127,304	$0	$47,964
KERRI BROWN
TRUSTEE	1.00	Yes (X)		$0	$0	$0
KATIE DAUGHENBAUGH
TRUSTEE	1.00	Yes (X)		$0	$0	$0
JAYNEE GROSETH
TRUSTEE (THRU 6/30/13)	1.00	Yes (X)		$0	$0	$0
LEN LUTZ
TRUSTEE (THRU 6/30/13)	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
ROBERT WATSON
TRUSTEE	1.00	Yes (X)		$0	$0	$0
KEVIN PITZER
CEO/PRESIDENT	50.00		Yes (X)	$336,456	$0	$11,553
GORDON DAVIDSON
CFO/VP FINANCE/INTERIM CEO	50.00		Yes (X)	$395,182	$0	$54,879
ELIZABETH LEWIS
SENIOR VP OPERATIONS/LEGAL	50.00			$275,626	$0	$52,088	Yes (X)
HUGH HETHERINGTON MD
DOCTOR	50.00			$582,822	$0	$58,069		Yes (X)
ANNE CASTILLO MD
DOCTOR	50.00			$570,163	$0	$15,847		Yes (X)
JACK HENSOLD MD
DOCTOR	50.00			$513,185	$0	$55,380		Yes (X)
DANE SOBEK MD
DOCTOR	50.00			$631,944	$0	$54,345		Yes (X)
BLAIR ERB MD
DOCTOR	50.00			$672,992	$0	$36,643		Yes (X)
JOHN NORDWICK
FORMER CEO/PRESIDENT	0.00			$148,472	$0	$12,403			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,254,146	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$399,171	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	96	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
ABSAROKA EMERGENCY PHYSICIANS
1184 N 15TH STREET SUITE 1	BOZEMAN	MT	59715	ER PHYSICIANS FEE	$3,846,269
MC BUILDERS JV
1203 S CHURCH	BOZEMAN	MT	59715	CONSTRUCTION	$3,375,366
ARBOR MEDIC
PO BOX 10305	BOZEMAN	MT	59715	LANDSCAPING/LAWN/SNOW REMOVAL	$842,036
SOFTSCRIPT INC
1801 W OLYMPIC BLVD	PASADENA	CA	911991599	TRANSCRIPTION SERVICES	$745,553
MAYO COLLABORATIVE SERVICES
PO BOX 9146	MINNEAPOLIS	MN	554809146	REFERENCE LAB	$661,254

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	39	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,778,702	RelatedOrganizationsAmt
All Other Contributions	$1,739,223	AllOtherContributionsAmt
Total Contributions	$5,517,925	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENU	622110	$185,315,627	$184,897,046	$418,581
RESIDENT SERVICE REVEN	623000	$5,644,827	$5,644,827
PHARMACY REVENUE	446110	$3,370,091	$3,005,139	$364,952
CAFETERIA REVENUE	722210	$1,379,600	$1,379,600

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,977,907	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,429,070	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$548,837	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$204,688,052	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,807,880	TotalRevenueColumnAmt
Unrelated Business Revenue	-$54	UnrelatedBusinessRevenueAmt
Exclusion	$2,807,934	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,211,691	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$797,284	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$414,407	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$414,407	TotalRevenueColumnAmt
Unrelated Business Revenue	$93,085	UnrelatedBusinessRevenueAmt
Exclusion	$321,322	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,027,802	SecuritiesAmt
Other	$78,076	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$107,983	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,027,802	SecuritiesAmt
Other	-$29,907	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,997,895	TotalRevenueColumnAmt
Exclusion	$1,997,895	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$215,426,159	TotalRevenueColumnAmt
Related Or Exempt Func Income	$203,355,682	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,425,401	UnrelatedBusinessRevenueAmt
Exclusion	$5,127,151	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$358,000	TotalAmt
Program Services	$358,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,306,394	TotalAmt
Program Services	$175,730	ProgramServicesAmt
Management And General	$1,130,664	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$72,744,414	TotalAmt
Program Services	$58,884,506	ProgramServicesAmt
Management And General	$13,859,908	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,382,632	TotalAmt
Program Services	$2,742,300	ProgramServicesAmt
Management And General	$640,332	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,263,558	TotalAmt
Program Services	$6,588,142	ProgramServicesAmt
Management And General	$1,675,416	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,199,959	TotalAmt
Program Services	$4,131,628	ProgramServicesAmt
Management And General	$1,068,331	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$145,326	TotalAmt
Management And General	$145,326	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$81,596	TotalAmt
Management And General	$81,596	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$49,026	TotalAmt
Management And General	$49,026	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$524,832	TotalAmt
Management And General	$524,832	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,266,776	TotalAmt
Program Services	$8,651,824	ProgramServicesAmt
Management And General	$7,614,952	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,059,232	TotalAmt
Program Services	$254,707	ProgramServicesAmt
Management And General	$804,525	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,736,728	TotalAmt
Program Services	$1,161,503	ProgramServicesAmt
Management And General	$2,575,225	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,569,417	TotalAmt
Program Services	$425,658	ProgramServicesAmt
Management And General	$2,143,759	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$404,954	TotalAmt
Program Services	$269,917	ProgramServicesAmt
Management And General	$135,037	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$269,969	TotalAmt
Program Services	$179,944	ProgramServicesAmt
Management And General	$90,025	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,192,767	TotalAmt
Program Services	$2,192,767	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,054,719	TotalAmt
Program Services	$14,054,719	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,576,069	TotalAmt
Program Services	$462,604	ProgramServicesAmt
Management And General	$1,113,465	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$37,755,180	$37,683,957	$71,223
PROVISION FOR BAD DEBTS	$9,572,008	$9,572,008
EQUIPMENT RENT & MAINTE	$7,794,042	$4,699,518	$3,094,524
TAXES & LICENSES	$1,394,432	$84,988	$1,309,444

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$561,003	TotalAmt
Program Services	$246,998	ProgramServicesAmt
Management And General	$314,005	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$191,263,033	TotalAmt
Program Services	$152,821,418	ProgramServicesAmt
Management And General	$38,441,615	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$28,992,288	BOYAmt
EOY	$46,722,702	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,171,929	BOYAmt
EOY	$27,284,960	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$374,082	BOYAmt
EOY	$212,160	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,505,814	BOYAmt
EOY	$5,924,431	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,733,947	BOYAmt
EOY	$2,039,452	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$248,625,524	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$123,168,656	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$122,398,170	BOYAmt
EOY	$125,456,868	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$96,277,961	BOYAmt
EOY	$95,319,096	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,089,376	BOYAmt
EOY	$3,297,355	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$17,009,133	BOYAmt
EOY	$16,441,997	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,718,401	BOYAmt
EOY	$10,713,626	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,762,955	BOYAmt
EOY	$14,405,875	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$325,034,056	BOYAmt
EOY	$347,818,522	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,728,234	BOYAmt
EOY	$24,690,316	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,896,740	BOYAmt
EOY	$52,254,809	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$866,191	BOYAmt
EOY	$522,909	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,096,558	BOYAmt
EOY	$9,006,891	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$88,587,723	BOYAmt
EOY	$86,474,925	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$228,739,587	BOYAmt
EOY	$254,995,499	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,102,205	BOYAmt
EOY	$4,739,605	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,604,541	BOYAmt
EOY	$1,608,493	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$236,446,333	BOYAmt
EOY	$261,343,597	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$325,034,056	BOYAmt
EOY	$347,818,522	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$24,163,126	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,812,837	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$4,078,699	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
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$49,026	OtherActivitiesAmt
Total Lobbying Expenditures	$49,026	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,225,497	BeginningYearBalanceAmt
Contributions	$36,288	ContributionsAmt
Investment Earnings Or Losses	$1,087,324	InvestmentEarningsOrLossesAmt
Other Expenditures	$11,912	OtherExpendituresAmt
End Year Balance	$8,337,197	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.74000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.16000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.10000	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	$8,474,903	OtherCostOrOtherBasisAmt
Book Value	$8,474,903	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$151,090,488	OtherCostOrOtherBasisAmt
Depreciation	$72,516,571	DepreciationAmt
Book Value	$78,573,917	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,910,832	OtherCostOrOtherBasisAmt
Depreciation	$50,652,085	DepreciationAmt
Book Value	$31,258,747	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,149,301	OtherCostOrOtherBasisAmt
Book Value	$7,149,301	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$125,456,868	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$210,000
DEPOSITS	$8,796,891

Field	Value	IRS element (for citing)
Total Liability	$9,006,891	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 2013 AND 2012. 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 2010.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	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	$8,254,088	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$418,721	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,835,367	NetCommunityBenefitExpnsAmt
Total Expense	0.04320	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,455,868	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,403,048	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,052,820	NetCommunityBenefitExpnsAmt
Total Expense	0.01680	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$741,186	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,098,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$357,264	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,451,142	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,920,219	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,530,923	NetCommunityBenefitExpnsAmt
Total Expense	0.06000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$650,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$163,217	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$487,778	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,132	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,732	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,697,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,277,927	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,419,203	NetCommunityBenefitExpnsAmt
Total Expense	0.03540	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$413,574	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$413,574	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,808,831	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,441,544	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,367,287	NetCommunityBenefitExpnsAmt
Total Expense	0.04070	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,259,973	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,361,763	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,898,210	NetCommunityBenefitExpnsAmt
Total Expense	0.10070	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,592	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,592	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,175	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,175	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,767	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,767	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,937,530	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$32,296,962	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$38,929,446	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,632,484	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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	915 HIGHLAND BLVD	AddressLine1
City	BOZEMAN	City
State	MT	State
ZIP Code	59107	ZIPCode

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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 Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.BOZEMANDEACONESS.ORG/REPORTS	OwnWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (1)	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BOZEMAN DEACONESS HOSPITAL	PART V, SECTION B, LINE 3: BDHS PARTNERED WITH GALLATIN CITY-COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH PARTNERS, A FEDERALLY QUALIFIED HEALTH CENTER IN GALLATIN AND PARK COUNTY.
BOZEMAN DEACONESS HOSPITAL	PART V, SECTION B, LINE 14G: 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 22: 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.

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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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

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 WWW.BOZEMANDEACONESS.ORG/REPORTS.
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 $26,422,576. 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 $9,572,008.
PART II, COMMUNITY BUILDING ACTIVITIES:	BOZEMAN DEACONESS HEALTH SERVICES PROVIDED LEADERSHIP DEVELOPMENT TO HEALTHCARE PROFESSIONALS THROUGH INVOLVEMENT ON THE BOARD OF THE MONTANA CHAPTER OF THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA). HFMA CONFERENCES PROVIDE LIVE EDUCATIONAL AND FORUM DISCUSSION OPPORTUNITIES FOR HEALTHCARE PROFESSIONALS TO DISCUSS POLICY AND PRACTICES AS WELL AS CHALLENGES IN THE FIELD. HFMA ALSO PROVIDES CONTINUAL SUPPORT THROUGH LIVE AND WEB-BASED TOPIC PRESENTATIONS THROUGHOUT THE YEAR.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 $712,105.
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).ACCESS TO SERVICES THE HEALTHY GALLATIN ACCESS COMMITTEE, FOR WHICH BDHS IS A PART OF, HAS MET MONTHLY FOR 1.5 HOURS EACH.MENTAL HEALTH SERVICES:* BOZEMAN DEACONESS HEALTH SERVICES CONTINUES TO PROVIDE HEALTH TEACHER FOR 16 SCHOOL DISTRICTS IN GALLATIN COUNTY. HEALTH TEACHER IS AN EVIDENCE-BASED CURRICULUM SUPPLEMENT THAT IS IN ALIGNMENT WITH THE NATIONAL HEALTH EDUCATION STANDARDS. THE UTILIZATION OF THE MENTAL HEALTH MODULE HAS INCREASED FROM 23% IN 2012 TO 35% IN 2013. ADDITIONALLY THE NUMBER OF TOTAL REGISTERED USERS HAS INCREASED FROM 85 IN 2011 TO 392 IN 2013.PREVENTIVE HEALTH SERVICES:* THE COMMUNITY CARE CONNECT (CCC) VAN CONTINUES TO EXPAND THE NUMBER OF SERVICE DAYS AND LOCATIONS. THESE NUMBERS ARE REFLECTED IN TERMS OF CLIENTS SERVED (50% INCREASE FROM 2012-2013), HEALTH SCREENINGS PROVIDED (70% INCREASE FROM 2012-2013) AND NUMBER OF VACCINATIONS GIVEN (30% INCREASE FROM 2012-2013). CCC PARTICIPATED IN THE GALLATIN COUNTY IMMUNIZATION AND ADULT WELLNESS DAY, FAMILY LIFE EXPO, PROJECT HOMELESS AND VETERANS STAND DOWN. THE MOBILE HEALTH SCREENING VAN PROVIDES FREE SCREENINGS FOR BREAST AND COLON CANCER, HEART DISEASE, STROKE, DIABETES, AND OBESITY SCREENINGS AS WELL AS FREE VACCINATIONS-TDAP - TETANUS & PERTUSSIS (WHOOPING COUGH), FLU (SEASONAL) AND PNEUMONIA VACCINATIONS. * BDHS HELPED DEVELOP, DESIGN AND PRINT RESOURCE GUIDES FOR SPANISH SPEAKERS. THE GUIDES ARE PRINTED AND DISTRIBUTED THROUGHOUT THE COUNTY TO VARIOUS HUMAN SERVICE ORGANIZATIONS, SOCIAL SECURITY ADMINISTRATION, THE GALLATIN COUNTY DETENTION CENTER, GALLATIN COUNTY PUBLIC SCHOOLS, LIBRARIES, FOOD BANKS, CITY HALLS, FAMILY DOCTORS URGENT CARE, THREE RIVERS MEDICAL CLINIC, COMMUNITY HEALTH PARTNERS MEDICAL AND DENTAL CLINICS, MSU STUDENT HEALTH SERVICES, AND TWO CATHOLIC CHURCHES. PLANS TO DISTRIBUTE TO MORE AREAS AND ORGANIZATIONS IN GALLATIN COUNTY (SUCH AS IN GALLATIN GATEWAY) ARE UNDERWAY. THE RESOURCE GUIDE WAS ALSO POSTED ON THE HEALTHY GALLATIN WEBSITE.* BDHS HEALTH SCREENING DAY, ANNUAL EVENT; 94 EMPLOYEES HELPED, OVER 480 ADULTS AND 135 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, ASTHMA, VISION, HEARING, ALLERGY, DEPRESSION, VASCULAR PRE-SCREENINGS AGILITY/MOBILITY)* BIG SKY HEALTH SCREENING DAY, ANNUAL EVENT; 4 EMPLOYEES HELPED, 25 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, COPD, BMI)COLLABORATION OF HEALTH SERVICESTHE HEALTHY GALLATIN COLLABORATION COMMITTEE, FOR WHICH BDHS IS A PART OF, HAS MET MONTHLY FOR 1.5 HOURS EACH.* HEALTH INFORMATION COORDINATOR, ACTED AS A SYSTEM NAVIGATOR ON BEHALF OF BDHS. THE GOAL FOR THIS GROUP IS TO CREATE A NETWORK OF SYSTEMS NAVIGATORS IN MAJOR HEALTH AND HUMAN SERVICE ORGANIZATIONS THROUGHOUT THE COUNTY BY THE END OF 2013.* INCREASE THE NUMBER OF FIRST TRIMESTER REFERRALS FROM PRE-NATAL CARE PROVIDERS TO THE HEALTH DEPARTMENT'S PUBLIC HEALTH HOME VISITATION PROGRAM BY 30% BY 2015 (20 WOMEN REFERRED BY PROVIDERS) STAFF FROM THE GALLATIN CITY-COUNTY HEALTH DEPARTMENT AND THRIVE MET WITH THE PRESIDENT OF THE BOZEMAN DEACONESS HEALTH GROUP TO TALK ABOUT REFERRALS FROM PRE-NATAL CARE PROVIDERS.HEALTHY BEHAVIORSTHE HEALTHY GALLATIN HEALTHY BEHAVIORS COMMITTEE, FOR WHICH BDHS IS A PART OF, HAS MET 8 TIMES IN 2013.* TEN ORGANIZATIONS WERE REGULARLY REPRESENTED FROM THE DEVELOPMENT OF THE HEALTHY BEHAVIORS COMMITTEE. THESE ORGANIZATIONS INCLUDED: ALCOHOL AND DRUG SERVICES OF GALLATIN COUNTY, BELGRADE SCHOOL DISTRICT, BELGRADE YOUTH FORUM, BOZEMAN DEACONESS HEALTH SERVICES, BOZEMAN SCHOOL DISTRICT, CHILD CARE CONNECTIONS, COMMUNITY COALITION ON DRUGS AND ALCOHOL, GALLATIN CITY-COUNTY HEALTH DEPARTMENT, GALLATIN COUNTY TOBACCO USE PREVENTION PROGRAM, MONTANA NUTRITION AND PHYSICAL ACTIVITY PROGRAM, AND GALLATIN VALLEY YMCA. THREE COMMUNITY MEMBERS WITHOUT ORGANIZATIONAL AFFILIATION ALSO REGULARLY ATTENDED MEETINGS. THE MEETINGS INCLUDED DISCUSSIONS ON THE FORM AND STRUCTURE OF THE COALITION, RESEARCH ON EFFECTIVE COALITIONS IN OTHER COMMUNITIES, AND COLLECTION OF UP-TO-DATE DATA ON SUBSTANCE USE AND ABUSE IN OUR COMMUNITY. NO PROGRESS WAS MADE ON THIS STRATEGY.B. 2013 BDHS HEALTHCARE RESOURCES SURVEYIN AUGUST 2013, BDH CONDUCTED ITS 5TH HEALTHCARE RESOURCES SURVEY, A SCIENTIFIC HOUSEHOLD MAIL SURVEY OF RESIDENTS IN GALLATIN, MADISON, AND PARK COUNTIES TO HELP ASSESS RESIDENTS' HEALTH CARE PRIORITIES AND NEEDS IN COMMUNITIES THROUGHOUT THE AREA IN ORDER TO BETTER UNDERSTAND WHERE ADDITIONAL HEALTH FACILITIES MIGHT BE ESTABLISHED AND WHAT KINDS OF FACILITIES WOULD MAKE MOST SENSE. THIS SURVEY, DONE PREVIOUSLY IN 2010, 2008, 2006, AND 2003, IS CONDUCTED INDEPENDENTLY BUT SUPPLEMENTS INFORMATION GATHERED FROM THE 2012 CHNA. IT HELPS REVEAL RESIDENTS' PERCEPTIONS REGARDING THE FOLLOWING: 1) QUALITY OF CARE, 2) DEMAND FOR ADDITIONAL HEALTHCARE SERVICES, AND 3) COMMUNITY HEALTH INITIATIVES PROVIDED BY BOZEMAN DEACONESS.C. 2015 CHNA PLANNINGPLANNING FOR THE 2015 CHNA IS UNDERWAY. BDHS HAS MET WITH GALLATIN CITY-COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH PARTNERS TO DISCUSS THE UPCOMING CHNA.
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 MAINTAINS A 3 COUNTY SERVICE AREA OF GALLATIN, PARK, AND MADISON COUNTIES. THE TOTAL SERVICE AREA REPRESENTS A POPULATION OF APPROXIMATELY 118,000 BASED ON THE 2013 ANNUAL POPULATION ESTIMATES FROM THE CENSUS BUREAU. BDHS IS THE ONLY HOSPITAL FACILITY IN GALLATIN COUNTY, ITS PRIMARY SERVICE AREA. THERE ARE 94,720 RESIDENTS ESTIMATED FOR GALLATIN COUNTY WHO REPRESENT AROUND 77% OF BDHS' INPATIENT ADMISSIONS MARKET SHARE. BDHS CONSIDERS BOTH PARK AND MADISON COUNTIES, WITH EACH HAVING A CRITICAL ACCESS HOSPITAL, AS SECONDARY SERVICE AREAS. IT IS ESTIMATED THAT PARK COUNTY HAS 15,682 RESIDENTS, WHILE MADISON COUNTY HAS 7,712. THESE TWO COUNTIES REPRESENT 9.5% OF BDHS' INPATIENT MARKET SHARE POPULATION.
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 UNDER $18 MILLION COMPRISED 9.9% OF OUR TOTAL OPERATING EXPENSES IN 2013.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 OWNS A MAJORITY INTEREST IN ADVANCED MEDICAL IMAGING AND ROCKY MOUNTAIN SURGERY CENTER. 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 (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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)	$240,500	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)	$25,000	SUPPORT COMMUNITY HEALTH PROGRAMS WITHIN OUR SERVICE AREA
NAMI MONTANA
616 HELENA AVE 218	HELENA	MT	59601	810441706	501(C)(3)	$25,000	SUPPORTING, EDUCATING, AND ADVOCATING FOR MONTANANS WHO LIVE WITH SERIOUS MENTAL ILLNESS AND THEIR FAMILIES

Field	Value	IRS element (for citing)
Total501c3 Org	4	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/DOCTOR	$112,069	$0	$14,858	$0	$377	$0	$33,718	$0	$14,710	$0	$175,732	$0	$0	$0
KEVIN PITZER
CEO/PRESIDENT	$270,630	$0	$63,398	$0	$2,428	$0	$0	$0	$13,207	$0	$349,663	$0	$0	$0
GORDON DAVIDSON
CFO/VP FINANCE/INTERIM CEO	$270,200	$0	$111,123	$0	$13,859	$0	$40,132	$0	$16,359	$0	$451,673	$0	$0	$0
ELIZABETH LEWIS
SENIOR VP OPERATIONS/LEGAL	$217,165	$0	$43,086	$0	$15,375	$0	$37,341	$0	$16,359	$0	$329,326	$0	$0	$0
HUGH HETHERINGTON MD
DOCTOR	$485,438	$0	$96,556	$0	$828	$0	$33,615	$0	$25,402	$0	$641,839	$0	$0	$0
ANNE CASTILLO MD
DOCTOR	$563,615	$0	$5,000	$0	$1,548	$0	$15,300	$0	$1,496	$0	$586,959	$0	$0	$0
JACK HENSOLD MD
DOCTOR	$507,476	$0	$3,333	$0	$2,376	$0	$36,686	$0	$19,463	$0	$569,334	$0	$0	$0
DANE SOBEK MD
DOCTOR	$556,584	$0	$75,000	$0	$360	$0	$35,642	$0	$19,652	$0	$687,238	$0	$0	$0
BLAIR ERB MD
DOCTOR	$571,444	$0	$100,000	$0	$1,548	$0	$15,300	$0	$22,292	$0	$710,584	$0	$0	$0
JOHN NORDWICK
FORMER CEO/PRESIDENT	$0	$0	$0	$0	$148,472	$0	$0	$0	$12,403	$0	$160,875	$0	$148,472	$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) THAT RECEIVES 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	810302402	61204JAW4	2004-03-01	$12,591,558	FUND NEW BUILDING IV ADDTN BOZEMAN DEACONESS CAMPUS & REFUND 6/10/93 BONDS	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	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	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	$6,435,000	$12,616,746	$741,783	$25,188	$297,573	$7,033,560	$4,518,540	2005	Yes (1)	0	Yes (1)	Yes (1)
B	$4,755,000	$28,220,708	$1,896,340	$213,865	$345,919	$7,152,476	$18,612,108	2006	0	Yes (1)	Yes (1)	Yes (1)
C	$2,360,000	$6,645,000			$137,988		$6,507,012	2010	Yes (1)	0	Yes (1)	Yes (1)
D	$1,415,000	$20,693,206		$11,797	$421,184	$20,258,980		2013	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0.00000	0.00000	0.00000	Yes (1)
B	0.00000	0.00000	0.00000	Yes (1)
C				Yes (1)
D	0.00000	0.00000	0.00000	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2013 ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2010	ExplanationTxt

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 2012 TO DETERMINE 2013 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 -4,078,699.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HILLCREST SENIOR LIVING LIMITED LIABILITY COMPANY	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 HIGHLAND BLVD	AddressLine1
City	BOZEMAN	City
State	MT	State
ZIP Code	59715	ZIPCode

Field	Value	IRS element (for citing)
EIN	810232121	EIN
Primary Activities	INDEPENDENT AND ASSISTED LIVING HOME	PrimaryActivitiesTxt
Legal Domicile State	MT	LegalDomicileStateCd
Total Income	$6,265,340	TotalIncomeAmt
End Of Year Assets	$31,739,418	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	BOZEMAN DEACONESS HEALTH SERVICES	BusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	BOZEMAN DEACONESS FOUNDATION	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	931 HIGHLAND BLVD SUITE 3200	AddressLine1
City	BOZEMAN	City
State	MT	State
ZIP Code	59715	ZIPCode

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 (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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
DEACONESS INTERCITY IMAGING LLC
915 HIGHLAND BLVD	BOZEMAN	MT	59715	810666871	HEALTHCARE - IMAGING SERVICES	MT	N/A	RELATED	$1,492,074	$2,559,245	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	$2,492,354	$2,615,106	0	0	0.51010

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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 10490	AddressLine1
City	BOZEMAN	City
State	MT	State
ZIP Code	59719	ZIPCode

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	$2,136,673	ShareOfTotalIncomeAmt
Share Of EOY Assets	$8,745,324	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	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	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 (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
DEACONESS INTERCITY IMAGING LLC
J	$308,496	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
L	$134,086	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
M	$97,923	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
Q	$2,186,648	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
S	$1,596,500	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN DEACONESS FOUNDATION
C	$3,809,528	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN DEACONESS FOUNDATION
R	$300,000	GENERAL LEDGER AND CORP. RECORDS
ROCKY MOUNTAIN SURGICAL CENTER LLC
S	$2,399,921	GENERAL LEDGER AND CORP. RECORDS