BOZEMAN DEACONESS HEALTH SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BOZEMAN DEACONESS HEALTH SERVICES (EIN 81-0232121)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-01
IRS object ID: 201303059349300435
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-01T12:02:20-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	450250958	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	810232121	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	BOZE	NameControl
Phone	4065855000	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	GORDON DAVIDSON	Name
Title	CFO/VP OF FINANCE	Title
Phone	4065855000	Phone
Date Signed	2013-10-24	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KIM C HUNWARDSEN	Name
PTIN	P00484560	PTIN
Phone	6122536500	Phone
Date Prepared	2013-10-24	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GORDON DAVIDSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	199837289	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.BOZEMANDEACONESS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1911	YearFormation
State Legal Domicile	MT	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE COMMUNITY HEALTH AND QUALITY OF LIFE FOR RESIDENTS AND VISITORS OF THE BOZEMAN, MT AREA.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	1702	TotalNbrEmployees
Total Nbr Volunteers	258	TotalNbrVolunteers
Total Gross UBI	3440956	TotalGrossUBI
Net Unrelated Business Txbl Income	-417788	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1506716	ContributionsGrantsPriorYear
Contributions Grants Current Year	5147781	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	184227479	ProgramServiceRevenuePriorYear
Program Service Revenue CY	189866074	ProgramServiceRevenueCY
Investment Income Prior Year	3706737	InvestmentIncomePriorYear
Investment Income Current Year	3596072	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-887204	OtherRevenuePriorYear
Other Revenue Current Year	384534	OtherRevenueCurrentYear
Total Revenue Prior Year	188553728	TotalRevenuePriorYear
Total Revenue Current Year	198994461	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	916074	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	723800	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	80728682	SalariesEtcPriorYear
Salaries Etc Current Year	85703925	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	89819043	OtherExpensePriorYear
Other Expenses Current Year	94685237	OtherExpensesCurrentYear
Total Expenses Prior Year	171463799	TotalExpensesPriorYear
Total Expenses Current Year	181112962	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	17089929	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	17881499	RevenuesLessExpensesCY
Total Assets BOY	309285614	TotalAssetsBOY
Total Assets EOY	325034056	TotalAssetsEOY
Total Liabilities BOY	88857449	TotalLiabilitiesBOY
Total Liabilities EOY	88587723	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	220428165	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	236446333	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO IMPROVE COMMUNITY HEALTH AND QUALITY OF LIFE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	43600028	Expense
Grants	0	Grants
Revenue	39692297	Revenue
Description	BOZEMAN DEACONESS HEALTH GROUP CONSISTS OF OUR DEPARTMENTS THAT PROVIDE PHYSICIAN SERVICES TO OUTPATIENTS. THE NUMBER OF MEDICARE AND MEDICAID PATIENTS SEEN IN 2012 REMAINED FAIRLY CONSISTENT AT ABOUT 44% OF TOTAL VISITS. REVENUE FOR THESE PATIENTS AND UNINSURED PATIENTS TOTALED 54% OF ALL CLINIC REVENUE. TOTAL OPERATING REVENUES WERE $39,692,297 WITH ASSOCIATED OPERATING EXPENSES OF $43,600,028. THE LOSS OF $3,907,731 IS REFLECTIVE OF OUR COMMITMENT TO PROVIDE ACCESS TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	20002597	Expense
Grants	0	Grants
Revenue	47325549	Revenue
Description	BOZEMAN DEACONESS SURGICAL SERVICES STRIVES TO OFFER A WIDE ARRAY OF SURGICAL OPTIONS USING STATE OF THE ART TECHNOLOGY. OF THE 5,472 INPATIENT AND OUTPATIENT SURGERIES, ABOUT ONE THIRD WERE MEDICARE AND MEDICAID PATIENTS, WHICH COMPRISED 40% ($18,974,409) OF TOTAL REVENUE FROM THESE SERVICES ($47,325,549). OVER HALF OF THE MEDICARE/MEDICAID REVENUES ($10,884,104) WERE UNREIMBURSED AND WRITTEN OFF, ALONG WITH ANOTHER $5,480,928 FROM OTHER PAYORS. OUR OPERATING ROOM ALSO RECORDED $14,649,845 IN OPERATING EXPENSES PLUS ANOTHER $5,352,752 OF INDIRECT OVERHEAD.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	8394683	Expense
Grants	0	Grants
Revenue	8511043	Revenue
Description	THE EMERGENCY ROOM AT BOZEMAN DEACONESS HOSPITAL IS ONE OF THE BUSIEST DEPARTMENTS IN OUR ORGANIZATION, WITH JUST UNDER 24,000 VISITS IN 2012. APPROXIMATELY 32% OF THESE VISITS WERE FROM MEDICARE AND MEDICAID PATIENTS, COMPRISING $5,320,911 OF THE $15,504,868 OF THE GROSS REVENUE. OVER HALF OF THE MEDICARE/MEDICAID REVENUE IS UNREIMBURSED (57%) AND WRITTEN OFF, ALONG WITH ALMOST 40% OF THE REMAINING REVENUE (TOTAL WRITE-OFFS OF $6,993,825). DIRECT AND INDIRECT EXPENSES INCURRED IN SUPPORTING THE OPERATION OF THIS EMERGENCY ROOM ACCUMULATED TO $8,394,683.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	72094468	Expense
Grants	723800	Grants
Revenue	94337185	Revenue
Description	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.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	72094468	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	723800	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	94337185	TotalOfOtherProgramServiceRev
Total Program Service Expense	144091776	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	174	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1702	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	4065851036	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (21 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
TERRY CUNNINGHAM
CHAIR	1.00	X	X	0	0	0
JULIE JACKSON
1ST VICE CHAIR	1.00	X	X	0	0	0
KIRK MILLER
2ND VICE CHAIR	1.00	X	X	0	0	0
JOHN MURDOCH
SECRETARY	1.00	X	X	0	0	0
JOHN ROBBINS MD
TREASURER/DOCTOR	50.00	X	X	141823	0	41895
BRIAN BROWN
TRUSTEE	1.00	X		0	0	0
KATIE DAUGHENBAUGH
TRUSTEE	1.00	X		0	0	0
JAYNEE GROSETH
TRUSTEE	1.00	X		0	0	0
LEN LUTZ
TRUSTEE	1.00	X		0	0	0
REV DAVE MCCONNELL
TRUSTEE	1.00	X		0	0	0
TOM MILLESON
TRUSTEE	1.00	X		0	0	0
KERRY PETITT
TRUSTEE	1.00	X		0	0	0
STAN MOSER
CEO/PRESIDENT	50.00		X	829983	0	15353
GORDON DAVIDSON
CFO/VP FINANCE/INTERIM CEO	50.00		X	385965	0	51486
ELIZABETH LEWIS
SENIOR VP OPERATIONS/LEGAL	50.00			383048	0	51181	X
HUGH HETHERINGTON MD
DOCTOR	50.00			616001	0	53314		X
ANNE CASTILLO MD
DOCTOR	50.00			658881	0	15000		X
JACK HENSOLD MD
DOCTOR	50.00			557749	0	50827		X
DANE SOBEK MD
DOCTOR	50.00			651212	0	50006		X
BLAIR ERB MD
DOCTOR	50.00			673260	0	35080		X
JOHN NORDWICK
FORMER CEO/PRESIDENT	0.00			485452	0	11458			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5383374	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	375600	TotalOtherCompensation
Number Individuals GT100 K	88	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MC BUILDERS JV
1203 S CHURCH	BOZEMAN	MT	59715	CONSTRUCTION	7280065
ABSAROKA EMERGENCY PHYSICIANS
1184 N 15TH STREET SUITE 1	BOZEMAN	MT	59715	ER PHYSICIANS FEE	3475898
GALLATIN VALLEY ANESTHESIA
10150 S CENTENNIAL PKWY SUITE 230	SANDY	UT	84070	ANESTHESIOLOGY	789528
ARBOR MEDIC
PO BOX 10305	BOZEMAN	MT	59715	LANDSCAPING/LAWN/SNOW REMOVAL	783328
PERSNICKETY DRY CLEANERS
2020 W BABCOCK	BOZEMAN	MT	59715	LAUNDRY SERVICE	680263

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	27	NumberOfContractorsGT100K
Related Organizations	3871567	RelatedOrganizations
All Other Contributions	1276214	AllOtherContributions
Total Contributions	5147781	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENU	622110	170468207	170072070	396137
RESIDENT SERVICE REVEN	623000	5626913	5626913
PHARMACY REVENUE	446110	3172185	1631124	1541061
CAFETERIA REVENUE	722210	1314146	1314146

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9284623	TotalRevenueColumn
Related Or Exempt Function Income	8165399	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1119224	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	189866074	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2545400	TotalRevenueColumn
Exclusion	$2,545,400	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1227362	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	842828	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	384534	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	384534	TotalRevenueColumn
Unrelated Business Revenue	384534	UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	399162	Securities
Other	651510	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	399162	Securities
Other	651510	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1050672	TotalRevenueColumn
Exclusion	$1,050,672	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	198994461	TotalRevenueColumn
Related Or Exempt Function Income	186809652	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3440956	UnrelatedBusinessRevenue
Exclusion	$3,596,072	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	723800	Total
Program Services	723800	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1881233	Total
Program Services	178688	ProgramServices
Management And General	1702545	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	496983	Total
Management And General	496983	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	68265567	Total
Program Services	55767496	ProgramServices
Management And General	12498071	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2838873	Total
Program Services	2292793	ProgramServices
Management And General	546080	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7224386	Total
Program Services	5718380	ProgramServices
Management And General	1506006	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4996883	Total
Program Services	3936790	ProgramServices
Management And General	1060093	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	228924	Total
Management And General	228924	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	79292	Total
Management And General	79292	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	46850	Total
Management And General	46850	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	437369	Total
Management And General	437369	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	15288277	Total
Program Services	8196533	ProgramServices
Management And General	7091744	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	969066	Total
Program Services	118492	ProgramServices
Management And General	850574	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3518236	Total
Program Services	1072583	ProgramServices
Management And General	2445653	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2365547	Total
Program Services	371878	ProgramServices
Management And General	1993669	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	443582	Total
Program Services	304148	ProgramServices
Management And General	139434	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	295722	Total
Program Services	202766	ProgramServices
Management And General	92956	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2272769	Total
Program Services	2272769	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13323005	Total
Program Services	13323005	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1965951	Total
Program Services	618119	ProgramServices
Management And General	1347832	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	33828034	33764907	63127
PROVISION FOR BAD DEBTS	10465697	10465697
TAXES & LICENSES	5658967	4456871	1202096
EQUIPMENT RENT & MAINTE	2850842		2850842

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	647107	Total
Program Services	306061	ProgramServices
Management And General	341046	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	181112962	Total
Program Services	144091776	ProgramServices
Management And General	37021186	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	25543416	BOY
EOY	28992288	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	20584585	BOY
EOY	24171929	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	406123	BOY
EOY	374082	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5227112	BOY
EOY	5505814	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2064705	BOY
EOY	1733947	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	237294610	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	114896440	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	117922661	BOY
EOY	122398170	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	48051003	BOY
EOY	96277961	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	44678793	BOY
EOY	3089376	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	17671871	BOY
EOY	17009133	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	9678992	BOY
EOY	9718401	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17456353	BOY
EOY	15762955	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	309285614	BOY
EOY	325034056	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	19066668	BOY
EOY	22728234	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	628404	BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	51463674	BOY
EOY	54896740	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7044537	BOY
EOY	866191	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	10654166	BOY
EOY	10096558	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	88857449	BOY
EOY	88587723	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	210501099	BOY
EOY	228739587	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8334508	BOY
EOY	6102205	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1592558	BOY
EOY	1604541	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	220428165	BOY
EOY	236446333	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	309285614	BOY
EOY	325034056	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	17881499	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	2533240	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-4396571	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$46,850	OtherActivitiesAmount
Total Lobbying Expenditures IIB	46850	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9765686	BeginningOfYearBalance
Contributions	385183	Contributions
Investment Earnings Or Losses	873051	InvestmentEarningsOrLosses
Other Expenditures	110901	OtherExpenditures
End Of Year Balance	10913019	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9735942	BeginningOfYearBalance
Contributions	398579	Contributions
Investment Earnings Or Losses	-284159	InvestmentEarningsOrLosses
Other Expenditures	84676	OtherExpenditures
End Of Year Balance	9765686	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	8337197	BeginningOfYearBalance
Contributions	383010	Contributions
Investment Earnings Or Losses	1071551	InvestmentEarningsOrLosses
Other Expenditures	55816	OtherExpenditures
End Of Year Balance	9735942	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7225497	BeginningOfYearBalance
Contributions	36288	Contributions
Investment Earnings Or Losses	1087324	InvestmentEarningsOrLosses
Other Expenditures	11912	OtherExpenditures
End Of Year Balance	8337197	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9844389	BeginningOfYearBalance
Contributions	75363	Contributions
Investment Earnings Or Losses	-1797068	InvestmentEarningsOrLosses
Other Expenditures	897187	OtherExpenditures
End Of Year Balance	7225497	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.75220	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.18660	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.06120	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7715596	OtherCostOrOtherBasis
Book Value	7715596	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	143561562	OtherCostOrOtherBasis
Depreciation	66548784	Depreciation
Book Value	77012778	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	79376185	OtherCostOrOtherBasis
Depreciation	48347656	Depreciation
Book Value	31028529	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6641267	OtherCostOrOtherBasis
Book Value	6641267	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	122398170	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	INVESTMENT IN JOINT VENTURES	Description
Book Value	17009133	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	17009133	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$250,000
DEPOSITS	$9,846,558

Field	Value	IRS element (for citing)
Total Of Amounts	10096558	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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 2012 AND 2011. 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 2009.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent250	X	Pcent250
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7144156	TotalCommunityBenefitExpense
Direct Offsetting Revenue	373916	DirectOffsettingRevenue
Net Community Benefit Expense	6770240	NetCommunityBenefitExpense
Percent Of Total Expense	0.03970	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9238433	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6032851	DirectOffsettingRevenue
Net Community Benefit Expense	3205582	NetCommunityBenefitExpense
Percent Of Total Expense	0.01880	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	593058	TotalCommunityBenefitExpense
Direct Offsetting Revenue	858823	DirectOffsettingRevenue
Net Community Benefit Expense	-265765	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16975647	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7265590	DirectOffsettingRevenue
Net Community Benefit Expense	9710057	NetCommunityBenefitExpense
Percent Of Total Expense	0.05850	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	677273	TotalCommunityBenefitExpense
Direct Offsetting Revenue	188859	DirectOffsettingRevenue
Net Community Benefit Expense	488414	NetCommunityBenefitExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	186524	TotalCommunityBenefitExpense
Net Community Benefit Expense	186524	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	35212289	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27935002	DirectOffsettingRevenue
Net Community Benefit Expense	7277287	NetCommunityBenefitExpense
Percent Of Total Expense	0.04260	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	321947	TotalCommunityBenefitExpense
Net Community Benefit Expense	321947	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	36398033	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28123861	DirectOffsettingRevenue
Net Community Benefit Expense	8274172	NetCommunityBenefitExpense
Percent Of Total Expense	0.04850	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	53373680	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35389451	DirectOffsettingRevenue
Net Community Benefit Expense	17984229	NetCommunityBenefitExpense
Percent Of Total Expense	0.10700	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	2832	TotalCommunityBuildingExpense
Net Community Building Expense	2832	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	7788	TotalCommunityBuildingExpense
Net Community Building Expense	7788	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	472	TotalCommunityBuildingExpense
Net Community Building Expense	472	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	4808	TotalCommunityBuildingExpense
Net Community Building Expense	4808	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	2957	TotalCommunityBuildingExpense
Net Community Building Expense	2957	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	708	TotalCommunityBuildingExpense
Net Community Building Expense	708	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	19565	TotalCommunityBuildingExpense
Net Community Building Expense	19565	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$10,954,255	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	30856438	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	34594141	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3737703	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	0	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

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)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	150.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	250.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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
BOZEMAN DIALYSIS CENTER
931 HIGHLAND BLVD SUITE 3105	BOZEMAN	MT	59715	OUTPATIENT DIALYSIS CENTER
HILLCREST SENIOR LIVING
1201 HIGHLAND BLVD	BOZEMAN	MT	59715	INDEPENDENT AND ASSISTED LIVING FACILITY
HOSPICE OF SOUTHWEST MONTANA LLC
1600 ELLIS STREET SUITE 3A	BOZEMAN	MT	59715	HOSPICE SERVICES
FAMILY DOCTORS URGENT CARE LLC
120 N 18TH AVENUE	BOZEMAN	MT	59715	OUTPATIENT HEALTH CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanation	IdentifierIdentifier
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 $28,543,556. ALL COSTS ASSOCIATED WITH A PROVIDER-BASED CLINIC OPERATIONAL DEPARTMENT WERE CONSIDERED PART OF THIS TOTAL.
PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR IS $10,465,697.
PART II: BOZEMAN DEACONESS HEALTH SERVICES PROVIDED LEADERSHIP DEVELOPMENT TO ASPIRING HEALTHCARE PROFESSIONALS THROUGH THE JUNIOR ACHIEVEMENT PROGRAM. BDHS EMPLOYEES SPOKE WITH HIGH SCHOOL STUDENTS ABOUT A CAREER AS A NURSE AND PROVIDED THEM WITH REAL LIFE EXAMPLES OF WHAT THE PROFESSION ENTAILS. THESE ACTIVITIES PROMOTE HEALTHCARE BECAUSE THE INDIVIDUALS ARE DIRECTED TOWARD LEARNING ABOUT HEALTH CARE PROFESSIONS AND WILL HOPEFULLY ENCOURAGE FUTURE INTEREST IN THESE TYPES OF POSITIONS THAT PROMOTE HEALTHCARE.ONE OF OUR ADMINISTRATORS PARTICIPATED IN ECONOMIC AND BUSINESS DEVELOPMENT THROUGH INVOLVEMENT IN SEVERAL ADVISORY BOARDS AND TASK FORCE PROJECTS AND INITIATIVES. THE INVOLVEMENT IN THESE COMMUNITY INITIATIVES PROVIDES AWARENESS OF HEALTH ISSUES AND EDUCATION ON HOW TO ACCESS HEALTH SERVICES.
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.IN DETERMINING THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR CHARITY CARE POLICY, WE OBTAINED STATISTICAL INFORMATION DIRECTLY FROM OUR CREDIT AGENCIES. FROM THIS INFORMATION WE WERE ABLE TO CALCULATE AN AVERAGE PERCENTAGE (15%) OF ACCOUNTS TURNED OVER FOR COLLECTIONS THAT WOULD HAVE BEEN SUBSEQUENTLY DEEMED UNCOLLECTIBLE OR RETURNED FOR CHARITY. THIS PERCENTAGE WAS APPLIED TO BAD DEBT EXPENSE AT CHARGES TO DETERMINE THE ESTIMATE. NONE OF THE BAD DEBT IS INCLUDED AS COMMUNITY BENEFIT.NOTE IN AUDITED FINANCIAL STATEMENTS:THE CARRYING AMOUNT OF PATIENT AND RESIDENT RECEIVABLES IS REDUCED BY A VALUATION ALLOWANCE THAT REFLECTS MANAGEMENT'S BEST ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS, RESIDENTS AND THIRD-PARTY PAYORS. MANAGEMENT REVIEWS PATIENT AND RESIDENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND RESIDENTS DUE TO BAD DEBTS. MANAGEMENT CONSIDERS HISTORICAL WRITE OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION.
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 CMS.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 $793,338.
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 V, SECTION B, LINE 14G: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL FACILITY WEBSITE, ATTACHED TO BILLING INVOICES, PROVIDED TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY AND IS AVAILABLE UPON REQUEST. INFORMATION ABOUT FINANCIAL ASSISTANCE IS ALSO INCLUDED IN OUR PATIENT FINANCIAL SERVICES BROCHURE.	BOZEMAN DEACONESS HOSPITAL
PART V, SECTION B, LINE 20D: FOR ALL SELF-PAY PATIENTS, AN AUTOMATIC 5% DISCOUNT IS APPLIED TO CHARGES UPON BILLING. THIS IS COMPARABLE TO WHAT OUR MOST FAVORABLE INSURANCE CONTRACT RATE WOULD BE.	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 CHARGED GROSS CHARGES ON ELECTIVE PROCEDURES.	BOZEMAN DEACONESS HOSPITAL
PART V, SECTION B, LINE 1: THE REPORT WAS COMPLETED IN 2012; HOWEVER DUE TO SECTION B, LINES 1 - 8C BEING OPTIONAL FOR 2012, THESE QUESTIONS HAVE NOT BEEN COMPLETED AND WILL BE ANSWERED IN 2013.
PART VI, LINE 2: IN 2011, BDHS PARTNERED WITH GCCHD TO CONDUCT A LARGER AND COMPREHENSIVE GRANT-FUNDED COMMUNITY HEALTH ASSESSMENT AND HEALTH IMPROVEMENT PLANNING FOCUSING ON GALLATIN COUNTY CALLED THE "HEALTHY GALLATIN" INITIATIVE. THE HEALTHY GALLATIN INITIATIVE IS A RESULT OF COLLABORATION BETWEEN GCCHD, CHP, MONTANA STATE UNIVERSITY'S LOCAL GOVERNMENT CENTER AND MANY OTHER ORGANIZATIONS, ALL OF WHOM SHARE THE COMMITMENT TO AND HAVE A ROLE IN THE COMMUNITY'S HEALTH AND OVERALL WELL-BEING. THIS INITIATIVE CALLS FOR CONDUCTING 4 ASSESSMENTS AND IS INTENDED TO RESULT IN THE DEVELOPMENT OF A COMMUNITY-WIDE STRATEGIC PLAN FOR COMMUNITY HEALTH IMPROVEMENT. TOGETHER, THESE 4 ASSESSMENTS CALL FOR COMMUNITY INVOLVEMENT WHICH HELPS ENSURE APPROPRIATE COMMUNITY OWNERSHIP OF THE HEALTHY GALLATIN INITIATIVE. RESULTS OF THESE ASSESSMENTS WERE MADE PUBLIC IN JANUARY 2012 AND AN IMPLEMENTATION STRATEGY WAS APPROVED BY THE BOARD LATER IN FALL OF 2012.1. COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) IDENTIFIED PRIORITY COMMUNITY HEALTH AND QUALITY OF LIFE ISSUES THROUGH THE 3-COUNTY JOINT HEALTHY GALLATIN CHNA CONDUCTED VIA TELEPHONE SURVEY IN THE SUMMER OF 2011.2. COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) PROVIDED A DEEP UNDERSTANDING OF THE ISSUES RESIDENTS FEEL ARE IMPORTANT. THIS WAS CONDUCTED THROUGH A SERIES OF IN-DEPTH COMMUNITY CONVERSATIONS CALLED "STUDY CIRCLES" IN SEVEN DIFFERENT COMMUNITIES THROUGHOUT GALLATIN COUNTY. THESE FACILITATED SMALL GROUP, DEMOCRATIC, HIGHLY PARTICIPATORY CONVERSATIONS/DISCUSSIONS OCCUR ONCE A WEEK OVER A PERIOD OF THREE WEEKS. THESE CONVERSATIONS WERE MEANT TO EMPOWER PEOPLE NOT ONLY TO FIGURE OUT THE MOST IMPORTANT HEALTH ISSUES, BUT TO ALSO PRODUCE IDEAS AND IDENTIFY SOLUTIONS THAT WILL WORK BEST FOR THEIR INDIVIDUAL COMMUNITY, AND GALLATIN COUNTY AS A WHOLE. STUDY CIRCLES, CONDUCTED FROM MARCH THROUGH JULY 2011, WERE COMPLETED IN 7 COMMUNITIES: BOZEMAN, BELGRADE, THREE FORKS, WEST YELLOWSTONE, MANHATTAN/AMSTERDAM/CHURCHILL, GALLATIN GATEWAY AND BIG SKY. THE FACILITATION GUIDE USED CALLED "BUILDING A HEALTHIER COMMUNITY: WHAT CAN WE DO TO MAKE AND KEEP OUR COMMUNITY HEALTHY, STRONG, AND VIBRANT" WAS DEVELOPED BY THE STUDY CIRCLES RESOURCE CENTER, A PROJECT OF THE TOPSFIELD FOUNDATION, INC, A NONPROFIT, NONPARTISAN FOUNDATION DEDICATED TO ADVANCING DELIBERATIVE DEMOCRACY AND IMPROVING THE QUALITY OF PUBLIC LIFE IN THE UNITED STATES. 3. LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) FOCUSED ON THE LOCAL PUBLIC HEALTH SYSTEM---ALL OF THE ORGANIZATIONS AND ENTITIES, WHETHER PUBLIC, PRIVATE, OR VOLUNTARY, THAT CONTRIBUTES TO THE DELIVERY OF PUBLIC HEALTH SERVICES WITHIN A COMMUNITY. THE PURPOSE OF THE ASSESSMENT WAS TO EVALUATE THE ACTIVITIES, COMPONENTS AND CAPACITIES OF OUR LOCAL PUBLIC HEALTH SYSTEM IN PROVIDING THE ESSENTIAL PUBLIC HEALTH SERVICES IN GALLATIN COUNTY. THE DIALOGUE THAT OCCURRED IN ANSWERING THESE QUESTIONS HELPED IDENTIFY AREAS OF STRENGTH AND WEAKNESS AND DETERMINE OPPORTUNITIES FOR IMPROVEMENT. THE ASSESSMENT INSTRUMENT USED WAS DEVELOPED BY THE NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS PROGRAM WHICH IS A COLLABORATIVE EFFORT OF SEVEN NATIONAL PARTNERS, WHICH INCLUDES CDC AND THE AMERICAN PUBLIC HEALTH ASSOCIATION. THE GALLATIN COUNTY LPHSA WAS CONDUCTED OVER 2 DAYS IN APRIL 2011. THIRTY-EIGHT ORGANIZATIONS AND SIXTY-FIVE INDIVIDUALS PARTICIPATED, INCLUDING REPRESENTATION FROM THE LOCAL HEALTH DEPARTMENT, HEALTHCARE PROVIDERS, HUMAN SERVICE ORGANIZATIONS, SCHOOLS AND UNIVERSITIES, ELECTED OFFICIALS AND GOVERNMENTAL ORGANIZATIONS, FAITH INSTITUTIONS, YOUTH DEVELOPMENT ORGANIZATIONS, ECONOMIC AND PHILANTHROPIC ORGANIZATIONS, AND ENVIRONMENTAL AGENCIES 4. FORCES OF CHANGE ASSESSMENT (FCA) WAS AIMED AT IDENTIFYING FORCES---SUCH AS TRENDS, FACTORS, OR EVENTS----THAT ARE OR WILL BE INFLUENCING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY AND THE WORK OF THE LOCAL PUBLIC HEALTH SYSTEM. THE ASSESSMENT WAS CONDUCTED DURING ONE, THREE-HOUR BRAINSTORMING SESSION WITH REPRESENTATION FROM DIFFERENT ORGANIZATIONS FROM ACROSS THE COUNTY INCLUDING ACADEMIA, COMMUNITY HEALTH, RURAL HEALTH, AND ENVIRONMENTAL HEALTH ORGANIZATIONS. PARTICIPANTS IDENTIFIED FACTORS, TRENDS AND EVENTS AFFECTING THE HEALTH OF GALLATIN COUNTY, RANGING FROM ECONOMIC FORCES TO SOCIAL, POLITICAL, AND ENVIRONMENTAL FORCES. PARTICIPANTS ALSO IDENTIFIED BOTH THREATS AND OPPORTUNITIES FOR MANY OF THE FORCES IDENTIFIED.
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. AS OF JULY 1, 2012, THE CENSUS BUREAU ESTIMATES THAT THE 3-COUNTY AREA NOW REPRESENTS A POPULATION OF APPROXIMATELY 116,000, A 2.7% (3,074) INCREASE FROM CENSUS 2010, WITH MUCH OF THE GROWTH CONCENTRATED IN GALLATIN. BDHS IS STILL THE ONLY HOSPITAL FACILITY IN GALLATIN COUNTY, ITS PRIMARY SERVICE AREA, REPRESENTING ABOUT 87% OF INPATIENT ADMISSIONS. BDHS CONSIDERS BOTH PARK AND MADISON COUNTIES, EACH HAVING A CRITICAL ACCESS HOSPITAL, AS SECONDARY SERVICE AREAS, REPRESENTING ABOUT 8% OF BDHS' INPATIENT POPULATION.GALLATIN'S MEDIAN HOUSEHOLD INCOME (HHI) HAS CHANGED DRAMATICALLY OVER THE PAST DECADE FROM $38,000 IN 2000 TO $50,000 IN 2010. HOWEVER, THE PROPORTION OF PERSONS LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL) HASN'T CHANGED AND REMAINED AROUND 13%. IF PERSONS LIVING BETWEEN 100% TO 199% OF FPL ARE INCLUDED, THIS RATE JUMPS TO 30%. TOGETHER, THESE RESIDENTS (I.E. LIVING BELOW 200% OF FPL) COMPRISE THE LOW-INCOME SEGMENT OF THE 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 10.5% OF OUR TOTAL OPERATING EXPENSES (EXCLUDING BAD DEBT) IN 2012.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.
PART VI, LINE 6B: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE FOUND ON ITS WEBSITE AT WWW.BOZEMANDEACONESS.ORG.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
WESTERN MONTANA MENTAL HEALTH CENTER
BLDG T-9 FORT MISSOULA RD	MISSOULA	MT	59804	810307814	501(C)(3)	169500	SUPPORT COMMUNITY HEALTH CRISIS PROGRAMS WITHIN OUR SERVICE AREA
BOZEMAN DEACONESS FOUNDATION
931 HIGHLAND BLVD SUITE 3200	BOZEMAN	MT	59715	811407943	501(C)(3)	500000	FUND ENDOWMENTS
COMMUNITY HEALTH PARTNERS
126 S MAIN STREET	LIVINGSTON	MT	59047	841420492	501(C)(3)	45000	SUPPORT COMMUNITY HEALTH PROGRAMS WITHIN OUR SERVICE AREA

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN ROBBINS MD
TREASURER/DOCTOR	136261	0	5000	0	562	0	28671	0	13819	0	184313	0	0	0
STAN MOSER
CEO/PRESIDENT	167614	0	70525	0	591844	0	8640	0	7512	0	846135	0	0	0
GORDON DAVIDSON
CFO/VP FINANCE/INTERIM CEO	271238	0	103437	0	11290	0	36661	0	16437	0	439063	0	0	0
ELIZABETH LEWIS
SENIOR VP OPERATIONS/LEGAL	209893	0	166132	0	7023	0	33663	0	19130	0	435841	0	0	0
HUGH HETHERINGTON MD
DOCTOR	488084	0	127089	0	828	0	32000	0	22262	0	670263	0	0	0
ANNE CASTILLO MD
DOCTOR	653053	0	5000	0	828	0	15000	0	948	0	674829	0	0	0
JACK HENSOLD MD
DOCTOR	550373	0	5000	0	2376	0	33165	0	18610	0	609524	0	0	0
DANE SOBEK MD
DOCTOR	563352	0	87500	0	360	0	32566	0	18389	0	702167	0	0	0
BLAIR ERB MD
DOCTOR	571712	0	100000	0	1548	0	15000	0	21029	0	709289	0	0	0
JOHN NORDWICK
FORMER CEO/PRESIDENT	13277	0	414068	0	58107	0	77	0	11454	0	496983	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	PER CONTRACT, THE CEO IS REIMBURSED FOR TWO BUSINESS TRIPS PER YEAR WHERE THEIR SPOUSE ACCOMPANIES THEM. THESE ARE REPORTED AS TAXABLE COMPENSATION.
PART I, LINE 4A	STAN MOSER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $581,700.83.
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).
PART III	PART II: THE AMOUNT PAID TO THE FORMER CEO WAS FOR COMPENSATION EARNED FROM AN INCENTIVE PLAN THAT WAS IN PLACE DURING HIS TENURE AT BOZEMAN DECONESS HEALTH SERVICES, BUT NOT PAYABLE UNTIL AFTER THE ENDING OF THE FISCAL YEAR.	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MONTANA FACILITY FINANCE AUTHORITY
A	810302402	61204JAW4	2004-03-01	12591558	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	28001371	FUND ADDTN TO HILLCREST & DEFEASE 3/28/00 HILLCREST CONSTRUCTION BONDS	0	0	0
MONTANA FACILITY FINANCE AUTHORITY
C	364615155	61204EAH8	2010-04-22	6645000	REFINANCING OF 1998 BOND DEBT ISSUED 9/2/1998	0	0	0
MONTANA FACILITY FINANCE AUTHORITY
D	810302402	61204MAS6	2011-09-28	20680164	TO FUND STRUCTURE AND EQUIPMENT OF NEW ER, ACQUISITION OF LEGACY CONDOS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	6165000	12616746	741885	25188	297573	7033560	4518540	2005	1	0	1	1
B	4755000	28220708	1896340	213865	345919	7152476	18612108	2006	0	1	1	1
C	1560000	6645000			137988		6507012	2010	1	0	1	1
D	635000	20689941		9777	421184	20258980		2013	0	0	0	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	1
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	1
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	0	1	0	0	0	0	0
B	0	0	0	1	0	0	0	0	0
C	0	0	0	0	0	0	0	0	0
D	0	0	0	0	0	0	0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2C	DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/28/2013 ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/24/2010
SCHEDULE K, PART II, LINE 3, COLUMN (A):		THE AMOUNT ON LINE 3 INCLUDES $12,591,558 OF PROCEEDS AND $25,188 OF INTEREST.
SCHEDULE K, PART II, LINE 3, COLUMN (B):		THE AMOUNT ON LINE 3 INCLUDES $28,001,371 OF PROCEEDS AND $219,337 OF INTEREST.
SCHEDULE K, PART II, LINE 3, COLUMN (D):		THE AMOUNT ON LINE 3 INCLUDES $20,680,164 OF PROCEEDS AND $9,777 OF INTEREST.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 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 2011 TO DETERMINE 2012 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 -4,396,571.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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	PrimaryActivities
Legal Domicile State	MT	LegalDomicileState
Total Income	6234007	TotalIncome
EOY Assets	33821615	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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	PrimaryActivities
Legal Domicile State	MT	LegalDomicileState
Exempt Code Section	501(C)(3)	ExemptCodeSection
Public Charity Status	LINE 7	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	1	ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
DEACONESS INTERCITY IMAGING LLC
915 HIGHLAND BLVD	BOZEMAN	MT	59715	810666871	HEALTHCARE - IMAGING SERVICES	MT	N/A	RELATED	1607640	2645059	0	1	0.77500
ROCKY MOUNTAIN SURGICAL CENTER LLC
1450 ELLIS ST SUITE 101	BOZEMAN	MT	59715	364462300	HEALTHCARE - SURGICAL SERVICES	MT	N/A	RELATED	2715127	2788777	0	0	0.51010
BOZEMAN DIALYSIS CENTER
PO BOX 37000	BILLINGS	MT	59107	810519879	HEALTHCARE - DIALYSIS SERVICES	MT	N/A	RELATED	-163645		0	1	0.60000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	BOZEMAN DEACONESS REAL ESTATE DEVELOPMENT CORP	BusinessNameLine1

Address US AddressUS

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 Activity	SALE OF REAL ESTATE PROPERTY AND RESIDENCES TO SENIORS	PrimaryActivity
Legal Domicile State	MT	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Share Of Total Income	2013946	ShareOfTotalIncome
Share Of EOY Assets	9065461	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership
Controlled Org	1	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
DEACONESS INTERCITY IMAGING LLC
I	302448	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
K	100731	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
L	76332	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
P	2067437	GENERAL LEDGER AND CORP. RECORDS
DEACONESS INTERCITY IMAGING LLC
R	1685625	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN DEACONESS FOUNDATION
B	500000	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN DEACONESS FOUNDATION
C	3900721	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN DEACONESS FOUNDATION
K	51265	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN DEACONESS FOUNDATION
Q	500000	GENERAL LEDGER AND CORP. RECORDS
ROCKY MOUNTAIN SURGICAL CENTER LLC
R	2491787	GENERAL LEDGER AND CORP. RECORDS
BOZEMAN DIALYSIS CENTER
P	66430	GENERAL LEDGER AND CORP. RECORDS