BOZEMAN DEACONESS HEALTH SERVICES: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BOZEMAN DEACONESS HEALTH SERVICES (EIN 81-0232121)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201233209349304778
- Schema version
- 2011v1.2
- 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 | 2012-11-15T12:45:24-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 | 2011-01-01 | 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 | 2012-11-08 | 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 | 2012-11-08 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN NORDWICK | 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 | 217192431 | 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 | 1674 | TotalNbrEmployees |
| Total Nbr Volunteers | 250 | TotalNbrVolunteers |
| Total Gross UBI | 3813935 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -592894 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 589263 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1506716 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 167836517 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 184227479 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4150938 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3706737 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -328130 | OtherRevenuePriorYear |
| Other Revenue Current Year | -887204 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 172248588 | TotalRevenuePriorYear |
| Total Revenue Current Year | 188553728 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 628328 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 916074 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 71680409 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 80728682 | 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 | 85825379 | OtherExpensePriorYear |
| Other Expenses Current Year | 89819043 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 158134116 | TotalExpensesPriorYear |
| Total Expenses Current Year | 171463799 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 14114472 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 17089929 | RevenuesLessExpensesCY |
| Total Assets BOY | 276617016 | TotalAssetsBOY |
| Total Assets EOY | 309285614 | TotalAssetsEOY |
| Total Liabilities BOY | 68712966 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 88857449 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 207904050 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 220428165 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IMPROVE COMMUNITY HEALTH AND QUALITY OF LIFE. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 42618809 | Expense |
| Revenue | 39456604 | Revenue |
| Description | BOZEMAN DEACONESS HEALTH GROUP IS OUR DEPARTMENT THAT PROVIDES PHYSICIAN SERVICES TO OUTPATIENTS. THE NUMBER OF MEDICARE AND MEDICAID PATIENTS SEEN IN 2011 INCREASED FROM 2010 BY 21% ON EXISTING SERVICE LINES AND 52% IN TOTAL AFTER TAKING INTO ACCOUNT THE ADDITION OF NEW PROVIDERS. REVENUE FOR THESE PATIENTS AND UNINSURED PATIENTS TOTALED 51% ($30,214,234) OF THE $58,850,935 TOTAL GROSS CLINIC REVENUE. WRITE-OFFS OF $19,394,331 ALONG WITH OPERATING EXPENSES OF $42,618,809 RESULTED IN A LOSS OF $3,162,205. THIS LOSS 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 | 18513313 | Expense |
| Revenue | 29979902 | Revenue |
| Description | BOZEMAN DEACONESS SURGICAL SERVICES STRIVES TO OFFER A WIDE ARRAY OF SURGICAL SERVICES USING STATE OF THE ART TECHNOLOGY. APPROXIMATELY ONE THIRD OF THE 5,345 INPATIENT AND OUTPATIENT SURGERIES PERFORMED IN 2011 WERE PROVIDED TO PATIENTS COVERED BY MEDICARE AND MEDICAID, WHICH COMPRISED 39% ($17,205,963) OF TOTAL REVENUE FROM THESE SERVICES ($44,413,398). OVER HALF OF THE MEDICARE/MEDICAID REVENUES ($9,607,235) WERE UNREIMBURSED AND WRITTEN OFF, ALONG WITH ANOTHER $4,826,261 FROM OTHER PAYORS. OUR OPERATING ROOM ALSO RECORDED $18,513,313 IN COMBINED DIRECT AND INDIRECT OPERATING EXPENSES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7415089 | Expense |
| Revenue | 8107710 | Revenue |
| Description | THE EMERGENCY ROOM AT BOZEMAN DEACONESS HOSPITAL IS ONE OF THE BUSIEST DEPARTMENTS IN OUR ORGANIZATION, WITH JUST UNDER 23,000 VISITS IN 2011. APPROXIMATELY 31% OF THE PATIENTS SEEN IN THE DEPARTMENT WERE COVERED BY MEDICARE AND MEDICAID. THE GROSS REVENUE FOR THOSE SERVICES ACCOUNTED FOR $5,033,367 OF THE $14,793,014 TOTAL GROSS REVENUE. OVER HALF OF THE MEDICARE/MEDICAID REVENUE IS UNREIMBURSED (56%) AND WRITTEN OFF, ALONG WITH ALMOST 40% OF THE REMAINING REVENUE (TOTAL WRITE-OFFS OF $6,685,304). DIRECT AND INDIRECT EXPENSES INCURRED IN SUPPORTING THESE EMERGENCY OPERATIONS ACCUMULATED TO $7,415,089. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 74291009 | Expense |
| Grants | 916074 | Grants |
| Revenue | 106683263 | 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 | 74291009 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 916074 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 106683263 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 142838220 | 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | 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 | 163 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1674 | 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 (20 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 |
|---|---|---|---|---|---|---|---|---|
| TERRY CUNNINGHAM | ||||||||
| 1ST VICE CHAIR / CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| JULIE JACKSON | ||||||||
| 2ND VICE CHAIR / 1ST VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| KIRK MILLER | ||||||||
| TRUSTEE / 2ND VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| JOHN MURDOCH | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| JOHN ROBBINS MD | ||||||||
| TRUSTEE / TREASURER, DOCTOR | 50.00 | X | X | 151978 | 0 | 40543 | ||
| TOM MILLESON | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| REV DAVE MCCONNELL | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| BRIAN BROWN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JAYNEE GROSETH | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| LEN LUTZ | ||||||||
| TRUSTEE (07/11-06/12) | 1.00 | X | 0 | 0 | 0 | |||
| KERRY PETITT | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JOHN NORDWICK | ||||||||
| CEO/PRESIDENT | 50.00 | X | 667863 | 0 | 45525 | |||
| STAN MOSER | ||||||||
| CAO | 50.00 | X | 288784 | 0 | 29811 | |||
| GORDON DAVIDSON | ||||||||
| CFO/VP FINANCE | 50.00 | X | 350870 | 0 | 49579 | |||
| ELIZABETH LEWIS | ||||||||
| SENIOR VP OPERATIONS/LEGAL | 50.00 | 330730 | 0 | 51458 | X | |||
| ANNE CASTILLO MD | ||||||||
| DOCTOR | 50.00 | 660276 | 0 | 14700 | X | |||
| JACK HENSOLD MD | ||||||||
| DOCTOR | 50.00 | 545821 | 0 | 48075 | X | |||
| J BRUCE ROBERTSON MD | ||||||||
| DOCTOR | 50.00 | 432234 | 0 | 51145 | X | |||
| BLAIR ERB MD | ||||||||
| DOCTOR | 50.00 | 505732 | 0 | 15959 | X | |||
| DANE SOBEK MD | ||||||||
| DOCTOR | 50.00 | 542067 | 0 | 29721 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4476355 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 376516 | TotalOtherCompensation |
| Number Individuals GT100 K | 90 | NumberIndividualsGT100K |
| Formers Listed | 0 | 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 | 6203086 |
| ABSAROKA EMERGENCY PHYSICIANS | |||||
| 1184 N 15TH STREET SUITE 1 | BOZEMAN | MT | 59715 | ER PHYSICIANS FEE | 3380766 |
| ARBOR MEDIC | |||||
| PO BOX 10305 | BOZEMAN | MT | 59715 | LANDSCAPING/LAWN/SNOW REMOVAL | 973912 |
| MAYO COLLABORATIVE SERVICES | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | REFERENCE LAB | 578528 |
| GALLATIN VALLEY ANESTHESIA | |||||
| 10150 S CENTENNIAL PKWY SUITE 230 | SANDY | UT | 84070 | ANESTHESIOLOGY | 563128 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 35 | NumberOfContractorsGT100K |
| Related Organizations | 1506716 | RelatedOrganizations |
| Total Contributions | 1506716 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENU | 622110 | 166488821 | 166218858 | 269963 |
| RESIDENT SERVICE REVEN | 623000 | 5621071 | 5621071 | |
| INCOME FROM SUBSIDIARI | 900099 | 4823387 | 4823387 | |
| PHARMACY REVENUE | 446110 | 3203986 | 635502 | 2568484 |
| SUPPORTING REVENUE | 900099 | 1880433 | 1508059 | 372374 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2209781 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1608339 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 601442 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 184227479 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2230466 | TotalRevenueColumn |
| Exclusion | $2,230,466 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1307463 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2194667 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -887204 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -887204 | TotalRevenueColumn |
| Exclusion | -$887,204 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 25572773 | Securities |
| Other | 2347534 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 24391167 | Securities |
| Other | 2052869 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1181606 | Securities |
| Other | 294665 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1476271 | TotalRevenueColumn |
| Unrelated Business Revenue | 1672 | UnrelatedBusinessRevenue |
| Exclusion | $1,474,599 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 188553728 | TotalRevenueColumn |
| Related Or Exempt Function Income | 180415216 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3813935 | UnrelatedBusinessRevenue |
| Exclusion | $2,817,861 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 916074 | Total |
| Program Services | 916074 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2043993 | Total |
| Program Services | 193154 | ProgramServices |
| Management And General | 1850839 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64422892 | Total |
| Program Services | 54964154 | ProgramServices |
| Management And General | 9458738 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3200571 | Total |
| Program Services | 2740283 | ProgramServices |
| Management And General | 460288 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6340240 | Total |
| Program Services | 5303418 | ProgramServices |
| Management And General | 1036822 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4720986 | Total |
| Program Services | 3908190 | ProgramServices |
| Management And General | 812796 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 220146 | Total |
| Management And General | 220146 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85854 | Total |
| Management And General | 85854 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49945 | Total |
| Management And General | 49945 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 385096 | Total |
| Management And General | 385096 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13784007 | Total |
| Program Services | 7334331 | ProgramServices |
| Management And General | 6449676 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 946853 | Total |
| Program Services | 212797 | ProgramServices |
| Management And General | 734056 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3369355 | Total |
| Program Services | 2691231 | ProgramServices |
| Management And General | 678124 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1716840 | Total |
| Program Services | 489314 | ProgramServices |
| Management And General | 1227526 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 413659 | Total |
| Program Services | 241432 | ProgramServices |
| Management And General | 172227 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275773 | Total |
| Program Services | 160955 | ProgramServices |
| Management And General | 114818 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1766906 | Total |
| Program Services | 1766906 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12566643 | Total |
| Program Services | 12566643 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2114934 | Total |
| Program Services | 842855 | ProgramServices |
| Management And General | 1272079 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 32181071 | 32082279 | 98792 |
| PROVISION FOR BAD DEBTS | 11759382 | 11759382 | |
| EQUIPMENT RENT & MAINTE | 6259387 | 4174191 | 2085196 |
| TAXES & LICENSES | 1292657 | 193375 | 1099282 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 630535 | Total |
| Program Services | 297256 | ProgramServices |
| Management And General | 333279 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171463799 | Total |
| Program Services | 142838220 | ProgramServices |
| Management And General | 28625579 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32758275 | BOY |
| EOY | 25543416 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19695581 | BOY |
| EOY | 20584585 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 393600 | BOY |
| EOY | 406123 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4955740 | BOY |
| EOY | 5227112 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1555426 | BOY |
| EOY | 2064705 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 220943740 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 103021079 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113413177 | BOY |
| EOY | 117922661 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46045379 | BOY |
| EOY | 48051003 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18168044 | BOY |
| EOY | 44678793 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16338434 | BOY |
| EOY | 17671871 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8721359 | BOY |
| EOY | 9678992 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14572001 | BOY |
| EOY | 17456353 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 276617016 | BOY |
| EOY | 309285614 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16032568 | BOY |
| EOY | 19066668 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 795670 | BOY |
| EOY | 628404 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31766186 | BOY |
| EOY | 51463674 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8005388 | BOY |
| EOY | 7044537 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12113154 | BOY |
| EOY | 10654166 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68712966 | BOY |
| EOY | 88857449 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 197960821 | BOY |
| EOY | 210501099 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8352216 | BOY |
| EOY | 8334508 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1591013 | BOY |
| EOY | 1592558 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207904050 | BOY |
| EOY | 220428165 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 276617016 | BOY |
| EOY | 309285614 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 17089929 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -4565814 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $7,952 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $42,000 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 49952 | 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. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| 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 Minus1 Year CurrentYearMinus1Year
| 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 Minus2 Years CurrentYearMinus2Years
| 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 Minus3 Years CurrentYearMinus3Years
| 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 | 0.74750 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.20780 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.04470 | 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) |
|---|---|---|
| Investment Cost Or Other Basis | 7104910 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2502319 | OtherCostOrOtherBasis |
| Book Value | 9607229 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 142205090 | OtherCostOrOtherBasis |
| Depreciation | 59949194 | Depreciation |
| Book Value | 82255896 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69131421 | OtherCostOrOtherBasis |
| Depreciation | 43071885 | Depreciation |
| Book Value | 26059536 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 117922661 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| ALTERNATIVE INVESTMENTS | 3789846 | F |
| SHORT TERM INVESTMENTS - CDS | 40888947 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 44678793 | TotalOfBookValueSecurities |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENT IN JOINT VENTURES | Description |
| Book Value | 17671871 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 17671871 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED FINANCING COSTS, NET | 971399 |
| ACCRUED INT RECEIVABLE & OTHER RECEIVABLES | 4341616 |
| DUE FROM AFFILIATES | 75180 |
| OTHER ASSETS | 234978 |
| INTEREST IN NET ASSETS OF FOUNDATION | 11833180 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 17456353 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $220,000 |
| DEPOSITS | $10,434,166 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10654166 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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. THE ENDOWMENT FUNDS REPORTED INCLUDE ALL ENDOWMENT FUNDS HELD BY BOZEMAN DEACONESS FOUNDATION. WITH THE EXCEPTION OF THE EMPLOYEE EMERGENCY FUND AND THE BOZEMAN DEACONESS FOUNDATION GENERAL FUND, ALL ENDOWMENT FUNDS HELD BY THE FOUNDATION ARE FOR USE BY BOZEMAN DEACONESS HEALTH SERVICES. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ORGANIZATION 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 FOUNDATION OPERATES PURSUANT TO SECTION 509 (A)(1) AND 170(B)(L)(A)(VI) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION AND THE FOUNDATION ARE ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATION FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE 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 FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008. |
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 | 6375061 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 425248 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5949813 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03730 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8622944 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6087137 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2535807 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01590 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 442640 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 642151 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -199511 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15440645 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7154536 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8286109 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05320 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 581767 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 185556 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 396211 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 166204 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 166204 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28881846 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21893460 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6988386 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04380 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 532346 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 532346 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30162163 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22079016 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8083147 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05060 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 45602808 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29233552 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16369256 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10380 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 11003 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11003 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 625 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 625 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 9429 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 9429 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1787 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1787 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 22844 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 22844 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $11,973,781 | BadDebtExpenseAmount |
| Amount Attributable To | 1693351 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 30007151 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 33661401 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3654250 | 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 |
| 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 | 1 | 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 | 0 | 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 (15 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 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 DEPARTMENTS 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 $27,582,718. 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 $11,759,382. | |
| 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: THE ORGANIZATION USES WORKSHEET 2 TO CALCULATE BAD DEBT EXPENSE AT CHARGES. 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 (14.4%) 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 % OF TOTAL REVENUES WAS APPLIED AGAINST OPERATING EXPENSES TO DETERMINE RELATED COSTS. THE JOINT VENTURE PORTION OF THE SHORTFALL IS $767,517. | |
| 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 13G: 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 19D: 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 VI, LINE 2: IN ADDITION TO CONDUCTING A FOLLOW-UP TO OUR INDEPENDENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, BDHS PARTNERED WITH GALLATIN CITY-COUNTY HEALTH DEPARTMENT (GCCHD) TO CONDUCT A LARGER AND COMPREHENSIVE GRANT-FUNDED COMMUNITY HEALTH ASSESSMENT AND HEALTH IMPROVEMENT PLAN 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 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. 1. COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) IDENTIFIED PRIORITY COMMUNITY HEALTH AND QUALITY OF LIFE ISSUES THROUGH THE 3-COUNTY JOINT CHNA CONDUCTED VIA TELEPHONE SURVEY IN THE SUMMER OF 2011 (SEE PREVIOUS SECTION FOR MORE DETAILS.)2. COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) PROVIDES A DEEP UNDERSTANDING OF THE ISSUES RESIDENTS FEEL ARE IMPORTANT. THIS IS BEING 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 ARE 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.3. LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) FOCUSES 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 OCCURS 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.4. FORCES OF CHANGE ASSESSMENT (FCA) IS 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. THIS ASSESSMENT IS BEING PLANNED FOR JULY. | |
| 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. ADDITIONALLY BDHS HAS AN UNWRITTEN POLICY WHEREBY SPECIFIC OUTPATIENT PROCEDURES ALLOW PATIENTS OF COMMUNITY HEALTH PARTNERS (CHP) TO FOLLOW THE FINANCIAL ASSISTANCE POLICY ESTABLISHED BY CHP. | |
| PART VI, LINE 4: BEING THE ONLY HOSPITAL FACILITY IN GALLATIN COUNTY, BDHS SERVES PRIMARILY THE 89,500 (PER CENSUS 2010) RESIDENTS OF GALLATIN COUNTY. WHILE PARK AND MADISON COUNTIES EACH HAVE A CRITICAL ACCESS HOSPITAL, ROUGHLY 8% OF BDHS' INPATIENT POPULATION STILL COME FROM THESE OUTLYING COMMUNITIES. GALLATIN COUNTY INCLUDES 2 INCORPORATED PLACES - BOZEMAN, A CITY OF 37,000 RESIDENTS AND BELGRADE, A CITY OF 7,400 RESIDENTS AND A NUMBER OF SMALL TOWNS/COMMUNITIES WHERE 13,000 RESIDENTS LIVE (FOUR CORNERS, THREE FORKS, MANHATTAN, CHURCHILL, AMSTERDAM, KING ARTHUR'S, BIG SKY, WILLOW CREEK, AND WEST YELLOWSTONE). ALL TOGETHER THESE RESIDENTS REPRESENT 65% OF GALLATIN COUNTY'S POPULATION; THE REST (31,800) LIVE OUTSIDE THESE TOWN/CITY BOUNDRIES AND IN MORE RURAL AREAS. OVER THE PAST DECADE, GALLATIN COUNTY GREW AT A RATE 3 TIMES THAT OF MONTANA OR THE UNITED STATES, GROWING 32% FROM 67,831 IN 2000 TO 89,513 IN 2010, AND ADDING ABOUT 22,000 RESIDENTS IN THE VALLEY.THE MEDIAN HOUSEHOLD INCOME (HHI) HAS ALSO CHANGED DRAMATICALLY OVER THE PAST DECADE FROM $38,000 TO $50,000, AN INCREASE OF ABOUT 32%. HOWEVER, THE PROPORTION OF PERSONS LIVING BELOW POVERTY HAS NOT CHANGED AND REMAINED AROUND 12.9%. THIS RATE JUMPS TO 30% IF PERSONS LIVING BETWEEN 100% TO 199% OF FEDERAL POVERTY LEVEL (FPL) ARE INCLUDED. TOGETHER, THESE RESIDENTS 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 OVER $16 MILLION COMPRISED 10% OF OUR TOTAL OPERATING EXPENSES (EXCLUDING BAD DEBT) IN 2011.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, ROCKY MOUNTAIN SURGERY CENTER, AND BOZEMAN DIALYSIS CENTER. ALL THREE OF 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) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| GREATER GALLATIN UNITED WAY | |||||||
| 945 TECHNOLOGY BLVD 101F | BOZEMAN | MT | 59718 | 810384820 | 501(C)(3) | 100000 | SUPPORT COMMUNITY HEALTH PROGRAMS WITHIN OUR SERVICE AREA |
| CANCER SUPPORT COMMUNITY MONTANA | |||||||
| 102 S 11TH AVE | BOZEMAN | MT | 59715 | 810542266 | 501(C)(3) | 49500 | SUPPORT COMMUNITY HEALTH PROGRAMS WITHIN OUR SERVICE AREA |
| 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) | 54000 | SUPPORT COMMUNITY HEALTH PROGRAMS WITHIN OUR SERVICE AREA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | 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 | 0 | 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)
| 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 | |||||||||||||
| 136826 | 0 | 14688 | 0 | 464 | 0 | 28435 | 0 | 12741 | 0 | 193154 | 0 | 0 | 0 |
| JOHN NORDWICK | |||||||||||||
| 329027 | 0 | 326632 | 0 | 12204 | 0 | 31404 | 0 | 16084 | 0 | 715351 | 0 | 251693 | 0 |
| STAN MOSER | |||||||||||||
| 267566 | 0 | 20000 | 0 | 1218 | 0 | 16612 | 0 | 15153 | 0 | 320549 | 0 | 0 | 0 |
| GORDON DAVIDSON | |||||||||||||
| 208105 | 0 | 125012 | 0 | 17753 | 0 | 34879 | 0 | 16718 | 0 | 402467 | 0 | 0 | 0 |
| ELIZABETH LEWIS | |||||||||||||
| 203238 | 0 | 121701 | 0 | 5791 | 0 | 32634 | 0 | 20839 | 0 | 384203 | 0 | 0 | 0 |
| ANNE CASTILLO MD | |||||||||||||
| 626018 | 0 | 3333 | 0 | 30925 | 0 | 14700 | 0 | 1133 | 0 | 676109 | 0 | 0 | 0 |
| JACK HENSOLD MD | |||||||||||||
| 517351 | 0 | 0 | 0 | 28470 | 0 | 32415 | 0 | 16777 | 0 | 595013 | 0 | 0 | 0 |
| J BRUCE ROBERTSON MD | |||||||||||||
| 397704 | 0 | 32982 | 0 | 1548 | 0 | 32640 | 0 | 19599 | 0 | 484473 | 0 | 0 | 0 |
| BLAIR ERB MD | |||||||||||||
| 504904 | 0 | 0 | 0 | 828 | 0 | 0 | 0 | 16988 | 0 | 522720 | 0 | 0 | 0 |
| DANE SOBEK MD | |||||||||||||
| 491207 | 0 | 50500 | 0 | 360 | 0 | 14662 | 0 | 16088 | 0 | 572817 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | PER JOHN NORDWICK'S CONTRACT, HE IS REIMBURSED FOR TWO BUSINESS TRIPS PER YEAR WHERE HIS WIFE 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
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MONTANA FACILITY FINANCE AUTHORITY | |||||||
| 810302402 | 61204JAW4 | 2004-03-04 | 12591558 | TO FUND NEW MEDICAL OFFICE BUILDING AND TO REFUND BONDS ISSUED 6/10/93 | 0 | 0 | 0 |
| MONTANA FACILITY FINANCE AUTHORITY | |||||||
| 810302402 | 621043CZ0 | 2005-09-21 | 28001371 | TO FUND ADDITION OF HILLCREST & ADVANCE REFUND REVENUE BONDS ISSUED 3/28/00 | 0 | 0 | 0 |
| MONTANA FACILITY FINANCE AUTHORITY | |||||||
| 364615155 | 61204EAH8 | 2010-04-22 | 6645000 | REFINANCING OF 1998 BOND DEBT | 0 | 0 | 0 |
| MONTANA FACILITY FINANCE AUTHORITY | |||||||
| 810302402 | 61204MAS6 | 2011-09-28 | 20680164 | TO FUND NEW ER & ACQUIRE LEGACY CONDOS & RENOVATE EXISTING FACILITY | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 5905000 | 12591558 | 835776 | 251831 | 6985411 | 4518540 | 2005 | 1 | 0 | 1 | 1 |
| 3970000 | 28001371 | 408114 | 459960 | 8526661 | 18606636 | 2006 | 0 | 1 | 1 | 1 |
| 775000 | 6645000 | 132900 | 6512100 | 2010 | 1 | 0 | 1 | 1 | ||
| 20680164 | 401295 | 20278809 | 2011 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| 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 | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| SCHEDULE K, PART II, LINE 11, COLUMN A | THE AMOUNT REPORTED ON PART I, LINE 11 IS THE AMOUNT OF BOND PROCEEDS USED TO REFUND THE BONDS ISSUED IN 1993. |
| SCHEDULE K, PART II, LINE 11, COLUMN B | THE AMOUNT REPORTED ON PART I, LINE 11 IS THE AMOUNT OF BOND PROCEEDS USED TO REFUND THE BONDS ISSUED IN 2000. |
| SCHEDULE K, PART II, LINE 11, COLUMN C | THE AMOUNT REPORTED ON PART I, LINE 11 IS THE AMOUNT OF BOND PROCEEDS USED TO CURRENTLY REFUND THE 1998 BONDS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | EFFECTIVE 2/1/2011, BOZEMAN DEACONESS HEALTH SERVICES ADDED CARDIOLOGY; EAR, NOSE, & THROAT; AUDIOLOGY; AND COSMETIC SURGERY SERVICES TO OUR OPERATIONS. |
| 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 DURING 2011. | |
| 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. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -3,682,221. TRANSFERS TO RELATED PARTIES -883,593. TOTAL TO FORM 990, PART XI, LINE 5: -4,565,814. |
| LISTING OF ALL CUSIP#'S ASSOCIATED WITH BOND ISSUANCE | SCHEDULE K, PART I, BOND A, CUSIP#'S FOR SERIES 2004 BOND | $ 1,255,000 61204J AA 2 1,275,000 61204J AB 0 1,300,000 61204J AC 8 1,335,000 61204J AD 6 240,000 61204J AE 4 245,000 61204J AF 1 255,000 61204J AG 9 260,000 61204J AH 7 270,000 61204J AJ 3 280,000 61204J AK 0 290,000 61204J AL 8 305,000 61204J AM 6 315,000 61204J AN 4 330,000 61204J AP 9 340,000 61204J AQ 7 1,955,000 61204J AV 6 2,445,000 61204J AW 4 |
| LISTING OF ALL CUSIP#'S ASSOCIATED WITH BOND ISSUANCE | SCHEDULE K, PART I, BOND B, CUSIP#'S FOR SERIES 2005 BOND | $ 455,000 612043 CE 7 655,000 612043 CF 4 675,000 612043 CG 2 700,000 612043 CH 0 730,000 612043 CJ 6 755,000 612043 CK 3 785,000 612043 CL 1 820,000 612043 CM 9 845,000 612043 CN 7 885,000 612043 CP 2 920,000 612043 CQ 0 960,000 612043 CR 8 1,000,000 612043 CS 6 1,040,000 612043 CT 4 1,085,000 612043 CU 1 1,125,000 612043 CV 9 1,175,000 612043 CW 7 1,220,000 612043 CX 5 1,270,000 612043 CY 3 1,325,000 612043 CZ 0 7,555,000 612043 DA 4 2,565,000 612043 DB 2 |
| LISTING OF ALL CUSIP#'S ASSOCIATED WITH BOND ISSUANCE | SCHEDULE K, PART I, BOND B, CUSIP#'S FOR SERIES 2011 BOND | $ 635,000 61204M AB 3 780,000 61204M AC 1 795,000 61204M AD 9 815,000 61204M AE 7 840,000 61204M AF 4 865,000 61204M AG 2 890,000 61204M AH 0 915,000 61204M AJ 6 945,000 61204M AK 3 980,000 61204M AL 1 1,010,000 61204M AM 9 1,050,000 61204M AN 7 1,090,000 61204M AP 2 1,135,000 61204M AQ 0 1,180,000 61204M AR 8 6,775,000 61204M AS 6 |
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 | 6166718 | TotalIncome |
| EOY Assets | 35939890 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
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 | 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 | 1778443 | 2919089 | 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 | 2626470 | 2814441 | 1 | 0 | 0.51010 |
| BOZEMAN DIALYSIS CENTER | |||||||||||||
| PO BOX 37000 | BILLINGS | MT | 59107 | 810519879 | HEALTHCARE - DIALYSIS SERVICES | MT | N/A | RELATED | -16705 | -125090 | 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 | 537503 | ShareOfTotalIncome |
| Share Of EOY Assets | 9135364 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| 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 |
| 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 (13 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| DEACONESS INTERCITY IMAGING LLC | ||
| I | 296520 | GENERAL LEDGER AND CORP. RECORDS |
| DEACONESS INTERCITY IMAGING LLC | ||
| K | 131644 | GENERAL LEDGER AND CORP. RECORDS |
| DEACONESS INTERCITY IMAGING LLC | ||
| P | 2089690 | GENERAL LEDGER AND CORP. RECORDS |
| DEACONESS INTERCITY IMAGING LLC | ||
| R | 2152175 | GENERAL LEDGER AND CORP. RECORDS |
| BOZEMAN DEACONESS REAL ESTATE DEVELOPMENT CORP | ||
| B | 600000 | GENERAL LEDGER AND CORP. RECORDS |
| BOZEMAN DEACONESS REAL ESTATE DEVELOPMENT CORP | ||
| P | 103367 | GENERAL LEDGER AND CORP. RECORDS |
| BOZEMAN DEACONESS FOUNDATION | ||
| B | 500000 | GENERAL LEDGER AND CORP. RECORDS |
| BOZEMAN DEACONESS FOUNDATION | ||
| C | 1506716 | GENERAL LEDGER AND CORP. RECORDS |
| BOZEMAN DEACONESS FOUNDATION | ||
| K | 57806 | GENERAL LEDGER AND CORP. RECORDS |
| BOZEMAN DEACONESS FOUNDATION | ||
| Q | 600000 | GENERAL LEDGER AND CORP. RECORDS |
| ROCKY MOUNTAIN SURGICAL CENTER LLC | ||
| R | 2458995 | GENERAL LEDGER AND CORP. RECORDS |
| DEACONESS INTERCITY IMAGING LLC | ||
| L | 140981 | GENERAL LEDGER AND CORP. RECORDS |
| BOZEMAN DIALYSIS CENTER | ||
| P | 160931 | GENERAL LEDGER AND CORP. RECORDS |