BOZEMAN HEALTH DEACONESS HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: BOZEMAN HEALTH DEACONESS HOSPITAL (EIN 47-4717998)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-06
IRS object ID: 202003119349300795
Schema version: 2019v5.1
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 D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-06T11:59:53-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Eide Bailly LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 Nicollet Mall Ste 1300	AddressLine1Txt
City	Minneapolis	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554027033	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	474717998	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bozeman Health Deaconess Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BOZE	BusinessNameControlTxt
Phone	4064145000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	915 Highland Blvd	AddressLine1Txt
City	Bozeman	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59715	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Brad Ludford	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4064145000	PhoneNum
Signature	2020-11-05	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Hunwardsen CPA	PreparerPersonNm
PTIN	P00484560	PTIN
Phone	6122536500	PhoneNum
Preparation	2020-10-20	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	63.233.88.226	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-05	IPDt
IP Tm	14:12:17	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F4E1B545B5A64400ED95821F5295FDCB6EE8A6F8	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Brad Ludford	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	915 Highland Blvd	AddressLine1Txt
City	Bozeman	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59715	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$386,867,436	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.bozemanhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2015	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	To improve community health and quality of life for residents and visitors of Southwest Montana.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	2062	TotalEmployeeCnt
Total Volunteers	302	TotalVolunteersCnt
Total Gross UBI	$2,792,793	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$473,226	PYContributionsGrantsAmt
CY Contributions Grants	$3,108,521	CYContributionsGrantsAmt
PY Program Service Revenue	$316,753,481	PYProgramServiceRevenueAmt
CY Program Service Revenue	$337,025,127	CYProgramServiceRevenueAmt
PY Investment Income	$10,734,001	PYInvestmentIncomeAmt
CY Investment Income	$7,996,982	CYInvestmentIncomeAmt
PY Other Revenue	$999,036	PYOtherRevenueAmt
CY Other Revenue	$1,137,550	CYOtherRevenueAmt
PY Total Revenue	$328,959,744	PYTotalRevenueAmt
CY Total Revenue	$349,268,180	CYTotalRevenueAmt
PY Grants And Similar Paid	$60,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$215,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$92,757,558	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$96,643,192	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$219,251,409	PYOtherExpensesAmt
CY Other Expenses	$218,882,630	CYOtherExpensesAmt
PY Total Expenses	$312,068,967	PYTotalExpensesAmt
CY Total Expenses	$315,740,822	CYTotalExpensesAmt
PY Revenues Less Expenses	$16,890,777	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$33,527,358	CYRevenuesLessExpensesAmt
Total Assets BOY	$435,688,580	TotalAssetsBOYAmt
Total Assets EOY	$484,367,417	TotalAssetsEOYAmt
Total Liabilities BOY	$152,292,989	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$153,450,044	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$283,395,591	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$330,917,373	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To improve community health and quality of life.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$99,147,474	ExpenseAmt
Grant	$215,000	GrantAmt
Revenue	$98,147,315	RevenueAmt
Desc	The Bozeman Health Deaconess Hospital clinics consists of our departments that provide physician services to outpatients. The number of Medicare and Medicaid patients seen increased by about 4% from 2018 to 2019. Revenue for these patients totaled 46% of all clinic revenue. Total net operating revenues were $98,147,315 with associated operating expenses of $99,147,474. The loss of $1,000,159 is reflective of our commitment to provide access to all patients regardless of their ability to pay.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$37,715,636	ExpenseAmt
Revenue	$111,933,297	RevenueAmt
Desc	Bozeman Health Deaconess Hospital's Surgical Services strives to offer a wide array of surgical options using state of the art technology. Of the 9,052 inpatient and outpatient surgeries, about 54% were Medicare and Medicaid patients, which comprised 56% ($62,591,260) of total revenue from these services ($111,933,297). Over 60% of the Medicare/Medicaid revenues were unreimbursed ($38,126,731) and written off, along with another $8,202,557 from other payors. Our surgical services also recorded $30,766,056 in operating expenses plus another $6,949,580 of indirect overhead.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$13,328,415	ExpenseAmt
Revenue	$37,765,021	RevenueAmt
Desc	The Emergency Room at Bozeman Health Deaconess Hospital is one of the busiest departments in our organization, with over 32,000 visits in 2019. Approximately 48% of these visits were from Medicare and Medicaid patients, comprising $18,260,259 of the $37,765,021 gross revenue. Over 63% of the Medicare/Medicaid revenue were unreimbursed ($11,646,108) and written off, along with 32% of the remaining revenue ($6,324,666). Direct and indirect expenses incurred in supporting the operation of this emergency room accumulated to $13,328,415.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$122,355,317	ExpenseAmt
Revenue	$81,798,831	RevenueAmt
Desc	Bozeman Health Deaconess Hospital operates an 86 bed hospital facility (Hospital), along with a 45 unit assisted living home and a 113 unit independent living home (Hillcrest Senior Living or HSL). All patient and resident service revenue from these operations are used to provide health care services, health care promotion, and health care education to Bozeman and the surrounding communities.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$122,355,317	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$81,798,831	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$272,546,842	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	79	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2062	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	2	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Carrie Morasko	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4064141036	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	915 Highland Blvd	AddressLine1Txt
City	Bozeman	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59715	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
John Hill
Director & CEO	15.00	35.00	Yes (X)	Yes (X)	$0	$769,088	$120,083
Elizabeth Lewis
COO	25.00	25.00			$0	$528,748	$19,342	Yes (X)
Brad Ludford
CFO (Sep-Dec)	35.00	15.00		Yes (X)	$0	$358,874	$55,932
Darci Bentson
CAO	25.00	25.00			$0	$346,456	$68,011	Yes (X)
Gordon Davidson
Former CFO	0.00	0.00			$0	$398,385	$0		Yes (X)
Mike Bertagnolli
Pharmacy System Manager	50.00	0.00			$188,020	$0	$38,382			Yes (X)
Stewart Chumbley
Nurse Practioner	50.00	0.00			$171,192	$0	$42,223			Yes (X)
Alan Brayton
Pharmacy Supervisor	50.00	0.00			$166,053	$0	$33,974			Yes (X)
LeRoy Wilson
Senior Living Administrator	50.00	0.00			$166,403	$0	$29,259			Yes (X)
Sara Vanuka
Nurse Mgr of Surg Floor (Jan-Sep)	50.00	0.00			$182,031	$0	$9,614			Yes (X)
Katie Daughenbaugh
Chair	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Dennis Munson
1st Vice Chair	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$873,699	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,401,551	TotReportableCompRltdOrgAmt
Total Other Compensation	$416,820	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	56	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Montana Linen Supply LLC
20900 E Frontage Rd Ste A	Belgrade	MT	59730	Linen Cleaning	$188,947
Bridger Orthopedic & Sports
1450 Ellis St Ste 201	Bozeman	MT	59715	Physician Services	$165,750

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,108,521	RelatedOrganizationsAmt
Total Contributions	$3,108,521	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenue	621110	$323,783,474	$323,783,474
Pharmacy Revenue	446110	$4,633,578	$2,780,147	$1,853,431
Cafeteria Revenue	722210	$1,871,340	$1,867,258	$4,082

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,736,735	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,801,455	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$935,280	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$337,025,127	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,541,165	TotalRevenueColumnAmt
Exclusion	$6,541,165	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,555,082	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$417,532	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,137,550	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,137,550	TotalRevenueColumnAmt
Exclusion	$1,137,550	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$36,282,319	SecuritiesAmt
Other	$2,355,222	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$34,769,281	SecuritiesAmt
Other	$2,412,443	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,513,038	SecuritiesAmt
Other	-$57,221	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,455,817	TotalRevenueColumnAmt
Exclusion	$1,455,817	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$349,268,180	TotalRevenueColumnAmt
Related Or Exempt Func Income	$334,232,334	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,792,793	UnrelatedBusinessRevenueAmt
Exclusion	$9,134,532	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$215,000	TotalAmt
Program Services	$215,000	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$77,216,400	TotalAmt
Program Services	$70,201,361	ProgramServicesAmt
Management And General	$7,015,039	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,390,967	TotalAmt
Program Services	$3,082,901	ProgramServicesAmt
Management And General	$308,066	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,219,043	TotalAmt
Program Services	$9,290,652	ProgramServicesAmt
Management And General	$928,391	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,816,782	TotalAmt
Program Services	$5,288,333	ProgramServicesAmt
Management And General	$528,449	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$739,799	TotalAmt
Management And General	$739,799	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,684,974	TotalAmt
Program Services	$11,432,608	ProgramServicesAmt
Management And General	$7,252,366	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$204,720	TotalAmt
Program Services	$185,827	ProgramServicesAmt
Management And General	$18,893	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,337,657	TotalAmt
Program Services	$1,878,759	ProgramServicesAmt
Management And General	$2,458,898	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,828,019	TotalAmt
Program Services	$627,925	ProgramServicesAmt
Management And General	$2,200,094	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$308,368	TotalAmt
Program Services	$225,419	ProgramServicesAmt
Management And General	$82,949	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$205,578	TotalAmt
Program Services	$150,279	ProgramServicesAmt
Management And General	$55,299	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,175,917	TotalAmt
Program Services	$2,175,917	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,756,844	TotalAmt
Program Services	$12,756,844	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$872,837	TotalAmt
Program Services	$744,308	ProgramServicesAmt
Management And General	$128,529	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$73,501,205	$73,409,493	$91,712
Health System Shared Se	$50,405,069	$36,998,633	$13,406,436
Health System Physician	$40,077,473	$38,597,133	$1,480,340

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,784,170	TotalAmt
Program Services	$5,285,450	ProgramServicesAmt
Management And General	$6,498,720	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$315,740,822	TotalAmt
Program Services	$272,546,842	ProgramServicesAmt
Management And General	$43,193,980	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,175,770	BOYAmt
EOY	$5,259,170	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$48,498,228	BOYAmt
EOY	$63,706,636	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,942,424	BOYAmt
EOY	$9,337,813	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,036,191	BOYAmt
EOY	$1,191,529	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$334,597,970	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$166,676,207	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$132,934,306	BOYAmt
EOY	$167,921,763	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$189,909,378	BOYAmt
EOY	$181,774,535	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,019,760	BOYAmt
EOY	$1,503,403	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,103,756	BOYAmt
EOY	$2,028,188	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,798,133	BOYAmt
EOY	$920,617	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$46,270,634	BOYAmt
EOY	$50,723,763	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$435,688,580	BOYAmt
EOY	$484,367,417	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,648,740	BOYAmt
EOY	$23,710,082	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$953,912	BOYAmt
EOY	$943,897	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,660,395	BOYAmt
EOY	$101,578,880	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$6,614,317	BOYAmt
EOY	$6,172,849	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$20,115,625	BOYAmt
EOY	$19,652,853	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$300,000	BOYAmt
EOY	$1,391,483	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$152,292,989	BOYAmt
EOY	$153,450,044	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$271,124,024	BOYAmt
EOY	$319,390,700	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,271,567	BOYAmt
EOY	$11,526,673	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$283,395,591	BOYAmt
EOY	$330,917,373	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$435,688,580	BOYAmt
EOY	$484,367,417	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$33,527,358	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$15,632,686	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,638,262	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,272,305	BeginningYearBalanceAmt
Contributions	$227,769	ContributionsAmt
Investment Earnings Or Losses	$3,135,666	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,205,532	OtherExpendituresAmt
End Year Balance	$18,430,208	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,828,400	BeginningYearBalanceAmt
Contributions	$335,927	ContributionsAmt
Investment Earnings Or Losses	-$723,008	InvestmentEarningsOrLossesAmt
Other Expenditures	$169,014	OtherExpendituresAmt
End Year Balance	$16,272,305	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,747,913	BeginningYearBalanceAmt
Contributions	$223,082	ContributionsAmt
Investment Earnings Or Losses	$2,235,283	InvestmentEarningsOrLossesAmt
Other Expenditures	$377,878	OtherExpendituresAmt
End Year Balance	$16,828,400	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,928,221	BeginningYearBalanceAmt
Contributions	$122,889	ContributionsAmt
Investment Earnings Or Losses	$843,418	InvestmentEarningsOrLossesAmt
Other Expenditures	$146,615	OtherExpendituresAmt
End Year Balance	$14,747,913	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.68470	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.15840	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.15680	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,972,690	OtherCostOrOtherBasisAmt
Book Value	$2,972,690	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$190,753,127	OtherCostOrOtherBasisAmt
Depreciation	$105,855,925	DepreciationAmt
Book Value	$84,897,202	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$87,525,988	OtherCostOrOtherBasisAmt
Depreciation	$57,237,307	DepreciationAmt
Book Value	$30,288,681	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,346,165	OtherCostOrOtherBasisAmt
Depreciation	$3,582,975	DepreciationAmt
Book Value	$49,763,190	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$167,921,763	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Investment in Foundation	$16,015,716
Due from Affiliates	$33,856,564
Operating Lease ROU Assets	$851,483

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$50,723,763	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Estimated Payments to Third Party Payors	$540,000
Operating Lease	$851,483

Field	Value	IRS element (for citing)
Total Liability	$1,391,483	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Line 2b:	The organization holds resident funds on behalf of its residents, as well as security deposits.
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 Bozeman Deaconess Foundation according to established policies governing gift acceptance, investment, and distribution. The principal of the fund shall be retained in perpetuity. The interest income is utilized for the greatest needs of the designated department. Policy says the organization can use a portion of interest for operations. The endowment fund reported in Line 1 is currently being held by a related organization, Bozeman Deaconess Foundation, and benefits Bozeman Health and related system entities listed on Schedule R. Due to this relationship the endowment fund is being reported all the Form 990, Schedule D, Part V for all three related entities.
Part X, Line 2:	The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,272,551	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,429,599	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,842,952	NetCommunityBenefitExpnsAmt
Total Expense	0.01570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,568,205	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,094,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,473,610	NetCommunityBenefitExpnsAmt
Total Expense	0.04690	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,840,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,524,194	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,316,562	NetCommunityBenefitExpnsAmt
Total Expense	0.06260	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,551	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,551	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,289	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,289	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,995,333	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,545,084	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,450,249	NetCommunityBenefitExpnsAmt
Total Expense	0.03390	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$153,958	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$153,958	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,185,131	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,545,084	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,640,047	NetCommunityBenefitExpnsAmt
Total Expense	0.03450	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,025,887	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,069,278	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,956,609	NetCommunityBenefitExpnsAmt
Total Expense	0.09710	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,330	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,330	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,330	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,330	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,380,663	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$66,936,878	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$68,699,938	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,763,060	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bozeman Health Deaconess Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	915 Highland Blvd	AddressLine1Txt
City	Bozeman	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59715	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.bozemanhealth.org	WebsiteAddressTxt
State License	12933	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Bozeman Health Deaconess Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section B, Line 7d	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section B, Line 10a	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Page 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Page 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Page 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Bozeman Health Deaconess Hospital	Part V, Section B, Line 5: To solicit feedback from key community stakeholders, we utilized an Online Key Informant Survey and collected responses in March and April of 2017. We asked the Key Informants to rate the degree to which various health issues are a problem in their community. Follow-up questions asked them to describe why they identify problem areas as such, and how theses might be better addressed. In total, we invited 284 Key Informants via email including physicians and advanced practice clinicians, public and community health representatives, health professionals, social service providers, and community leaders to participate. Of the 284 invited, 114 participated. Input was gathered from several individuals whose organizations work with low-income, minority populations, or other medically underserved populations. These populations include: abused children, African-Americans, Arabs, children, construction laborers, crime victims, disabled, domestic violence victims, elderly, English as a second language, geographic barriers, Head Start participants, high school dropouts, Hispanics, HIV patients, HMK (Healthy Montana Kids) patients, homeless, immigrants, international students and families, LGBT, low-income, Medicare/Medicaid, mentally ill, migrant workers, minority students, Native Americans, non-English speaking, nursing home residents, pre-release clients, recent arrivals to the community, rural population, seasonal workers, service workers, students, substance abusers, teenagers, undocumented immigrants, uneducated, unemployed, uninsured/underinsured, veterans, women
Bozeman Health Deaconess Hospital	Part V, Section B, Line 6a: Bozeman Health Big Sky Medical Center, LLC
Bozeman Health Deaconess Hospital	Part V, Section B, Line 6b: Community Health Partners (CHP)Gallatin City-County Health Department
Bozeman Health Deaconess Hospital	Part V, Section B, Line 7d: CHNA:https://www.bozemanhealth.org/media/1432/2017_prc_chna_report_bhdh.pdf
Bozeman Health Deaconess Hospital	Part V, Section B, Line 11: The priority areas that emerged from our 2017 CHNA, and adopted by BHDH are: 1. Behavioral Health (Mental Health + Substance Abuse)2. Access to Health Services 3. Healthy Lifestyles (Nutrition, Physical Activity & Weight + Heart Disease & Stroke)4. Injury & ViolenceDuring 2019, BHDH worked in each priority area:1.Behavioral Health-We continued to offer Mental Health First Aid community classes -We expanded our Youth Aware of Mental Health (YAM) to 9th grade youth in two schools-We planned for a community-wide education and stigma reduction campaign, Man Therapy2. Access to Health Services-We realigned and relaunched our mobile screening program, HealthCare Connections, continuing to offer people in our services area free preventive health services -We hosted two health fairs to offer free and low cost preventive services and screenings to our community -We hosted screenings of Someone You Love: an HPV epidemic and provided resources and information on cancer prevention-We continued offering trainings to our care teams on providing LGBTQ+ affirming care to address disparities experienced by this community in our service area 3. Healthy Lifestyles-We continued to support GoNoodle for every middle school in our service area-We continued to work with community partners to offer cooking education classes to families, including low income families.-We implemented the second year of our Tokens for Produce program, connecting Belgrade residents with fresh, local produce-We established the 5210+ Gallatin County Coalition, and launched a community-wide campaign around the national 5210 framework.-We partnered to design and implement an innovate program to connect low income folks with healthy foods, the UnProcessed Pantry Project, to food banks in our service area4. Injury and Violence -We completed the planning process for a Relationship Violence Symposium for community providersWe also added a full-time staff member to help lead and expand our community benefit work.
Bozeman Health Deaconess Hospital	Part V, Section B, Line 13h: Any individual and their dependents who are at 150% of the Federal Poverty income level or below will be eligible to receive a 100% write-off of the self-pay portion of incurred charges, upon completion of an application. Completion of the Financial Assistance application will be required. Catastrophic Financial Assistance is available to individuals who have a large balance remaining after all third party payments have been taken into account. The balance under consideration is that amount which is deemed to be the patient's financial responsibility. If such responsibility is greater than 50% of the family's annual household income, the excess amount will be treated as Catastrophic Financial Assistance and written off of the patient's account. This assistance is available without respect to the FPG, but they must follow the same process as all other patients seeking financial assistance based upon FPG. Asset tests are not used for determining any level of financial assistance. Prior to providing services, BH will make an effort to notify the patient regarding their eligibility for financial assistance.
Bozeman Health Deaconess Hospital	Part V, Section B, Line 16j: Medical Advocacy Services in Healthcare (MASH) will give out our financial application after determining patient is ineligible for federal and state programs.A summary of the financial assistance policy is attached to billing invoices, posted in patient admissions area, and provided to patient on admission to the hospital facility.
Bozeman Health Deaconess Hospital	Part V, Section B, Line 24: All individuals eligible under the hospital financial assistance policy are provided a discount for emergency and other medically necessary care. The financial assistance policy does not apply to elective procedures. Therefore, FAP-eligible patients without insurance may be billed gross charges on elective procedures.
Schedule H, Part V, Section B, Line 16a-16c:	Line 16a:https://www.bozemanhealth.org/media/1572/financial-assistance.pdfLine 16b:https://www.bozemanhealth.org/media/1578/financial-assistance-application-2019-english-final.pdfLine 16c:https://www.bozemanhealth.org/media/1574/fa-policy-plain-language-summary.pdf
Schedule H, Part V, Section B, Line 10a	https://www.bozemanhealth.org/media/2043/20182020-bhdh-cbsp-final.pdf

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Hillcrest Senior Living
1201 Highland Blvd	Bozeman	MT	59715	Independent and assisted living facility
2 - Bozeman Health Belgrade Clinic
206 Alaska Frontage Rd	Belgrade	MT	59714	Ambulatory healthcare services
3 - Bozeman Health Clinical Research
950 Stoneridge Dr 1	Bozeman	MT	59715	Outpatient healthcare research

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	Any individual and their dependents who are at 150% of the Federal Poverty income level or below will be eligible to receive a 100% write-off of the self-pay portion of incurred charges, upon completion of an application. Completion of the Financial Assistance application will be required. Catastrophic Financial Assistance is available to individuals who have a large balance remaining after all third party payments have been taken into account. The balance under consideration is that amount which is deemed to be the patient's financial responsibility. If such responsibility is greater than 50% of the family's annual household income, the excess amount will be treated as Catastrophic Financial Assistance and written off of the patient's account. This assistance is available without respect to the FPG, but they must follow the same process as all other patients seeking financial assistance based upon FPG. Asset tests are not used for determining any level of financial assistance. Prior to providing services, BH will make an effort to notify the patient regarding their eligibility for financial assistance.
Part I, Line 7:	The cost to charge ratio from Worksheet 2 was used to obtain the costs related to Charity Care, Medicaid, and Other Means-Tested Programs. All net benefit expenses were calculated using direct costs and revenue with reasonable indirect overhead allocation methods. Benefits are allocated at 23% of payroll dollars. For Subsidized Services, other indirect overhead costs are allocated based on historical reasonableness of 15% of total expenses. Our internal system does record patient revenues based on type (inpatient vs. outpatient vs. emergency) and payor (Medicaid, Medicare, Commercial, Self-Pay, etc.). Related costs are then determined based on the pro-rated share as a percentage of the total. For example, if Medicaid comprises 7% of a department's revenue, Medicaid expenses are calculated at 7% of the total as well.Lines 7e, 7f, 7i are based on actual expenses.
Part I, Line 7g:	Amount of cost attributable to a physician clinic is $38,995,333. All costs associated with a provider-based clinic operational department were considered part of this total.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 7,380,663.
Part II, Community Building Activities:	BHDH is represented through participation in the Bozeman Kiwanis Club, an organization dedicated to community service and improving the holistic health of children.
Part III, Line 2:	Bad debt is reported at charges as recorded by the organization.The bad debt reported on line two is considered to be all due to implicit price considerations.
Part III, Line 4:	The footnote to the organization's financial statements that describes bad debt expense is located in Footnote 1 on page 11 of the attached financial statements.
Part III, Line 8:	The entire amount of shortfall should be considered a community benefit.The Medicare shortfall represents costs absorbed by the Hospital as a result of providing care to Medicare patients. The contract driving this loss is a nondiscretionary contract, as is providing the services to this population of individuals. The cost of providing this benefit to the community should be reportable as such.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.
Part III, Line 9b:	Bozeman Health's Financial Assistance Policy explains the patient notification practice that includes providing the patient, either directly or through its contracted collection agency with at least one written notice informing the patient about the Extraordinary Collection Actions that we intend to take if the patient does not submit an Application for Financial Assistance or pay the amount due by at least thirty days following the date of the notice. The notice will include a copy of the plain language summary and will not be mailed or delivered to a patient earlier than 30 days prior to the end of the Notification Period. No Extraordinary Collection Actions will be undertaken during the 120 day Notification Period, during which time we will take reasonable efforts to determine whether the patient is eligible for Financial Assistance. After the 120 day Notification Period, an Extraordinary Collection Action will be undertaken only if the patient has received the 30 day written notice described above. Extraordinary Collection Actions are defined as those actions that may be taken in the event of non-payment following the expiration of the notification period. These may include the reporting of adverse information about the individual to consumer credit reporting agencies or credit bureaus, garnishment of an individual's wages, and/or commencement of a legal civil action against an individual. As part of Bozeman Health collection practices, any patient account placed in collections will be pulled back from collections should that patient apply for financial assistance within 240 days of receiving their initial patient statement.
Part VI, Line 2:	In addition to the CHNA, Bozeman Health Deaconess Hospital (BHDH) assesses community health care needs in a number of ways. The Hospital sends representatives to community meetings and conversations related to health and heath care to hear directly from community members - patients, clients, stakeholders, etc. - about their needs. In a related fashion, the Hospital also convenes community members - patients, clients, stakeholders, etc. - to solicit feedback about health and health care needs. Finally, the Hospital looks at and considers 3rd party projections about health care needs and available local and national trend data when making health care delivery and health improvement decisions.
Part VI, Line 3:	Bozeman Health Deaconess Hospital (BHDH) is deeply committed to providing financial assistance to patients needing, but unable to afford, medically necessary health care services. BHDH posts notice of its Financial Assistance Policy in all admitting areas, as well as on the website. At the earliest feasible time, BHDH 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 Medical Advocacy Services in Healthcare (MASH) program will screen all inpatient cases and any outpatient cases exceeding $1,000 in total charges to determine if the patient qualifies for third party funding. If not, the patient advocate will explain the Financial Assistance Policy and give the patient an application if desired. In circumstances where payment in full will cause financial hardship that will significantly harm the patient or patient's family, the applicant may be asked to visit with Consumer Credit Counseling Services to further review their financial situations. Upon request, patients may be asked to complete an application for Medicaid participation or for coverage by other governmental payment programs. Patient bills also contain billing information explaining financial options and provide contact information to the appropriate resources.
Part VI, Line 4:	Bozeman Health Deaconess Hospital (BHDH) primarily serves Gallatin, Park, and Madison Counties. 84.6% of 2018 inpatient admissions were of patients originating from these three counties (Gallatin: 77.28%, Park 4.68%, and Madison 3.67%). The population of the tri-county region was an estimated 133,274 in 2018 (IBM Watson Health). Bozeman (in Gallatin County) was listed in the 2017 ACS as a Micropolitan area whereas Belgrade (Gallatin County), Four Corners (Gallatin County), and Livingston (Park County) were listed as Urban Clusters in the 2010 Census. As of 2017, 12.9% of the population was below the poverty level in the tri-county region-ranging from 13.4% in Park County, 13.0% in Gallatin County, and 10.6% in Madison (2017 ACS 5yr estimates). Median household income was an estimated $59,397 in Gallatin County followed by Madison ($47,900) and Park ($44,920) (2017 ACS 5 Year Estimates). Estimates suggest that about 13.4% of residents in the tri-county area were insured by Medicaid, roughly 14.1% were insured by Medicare, and about 6.67% were uninsured in 2018 (IBM Watson Health, 2018). About 17.3% of BHDH inpatients were insured under Medicaid in 2018.BHDH's tri-county service area houses five hospitals-of which, three are critical access hospitals (CAH): Bozeman Health Deaconess Hospital (Bozeman, MT), Bozeman Health Big Sky Medical Center (Big Sky, MT), Livingston HealthCare-CAH (Livingston, MT), Madison Valley Medical Center-CAH (Ennis, MT), and Ruby Valley Hospital-CAH (Sheridan, MT).As listed on the MT DPPHS webpage, low income populations in Gallatin and Park Counties and total geographic populations in Madison County are designated Mental Health Care Health Professional Shortage Areas (HPSAs). Additionally, low income populations in Gallatin, Park, and Madison Counties are designated Primary Care HPSAs as of 2019. (https://dphhs.mt.gov/publichealth/primarycare/-shortage-area-designations).
Part VI, Line 5:	The governing body of BHDH is comprised of individuals who represent our community and live in our primary service area, most of whom are independent of the organization. To ensure immediate access to care, BHDH has an open medical staff and requires each medical staff member to care for anyone presenting in the Emergency Department. As an organization, we devote a significant amount of surplus funds into maintaining a high level of patient care through quality initiatives as well as technology and community investments.Various employees, physicians, administrators, and board members of the Hospital are actively involved in volunteer roles including community board positions in numerous other activities, groups, and organizations that actively promote the health of the community.In 2017, Bozeman Health hired a FTE dedicated to community involvement. The System Program Manager for Community Health Improvement and Partnerships works to align Bozeman Health Deaconess Hospital health improvement initiatives with the needs and desires of the communities served by BHDH. This includes, among other things, representing BHDH at community meetings, and planning and implementing programs with community partners to address needs highlighted in the CHNA.
Part VI, Line 6:	Bozeman Health Deaconess Hospital is a nonprofit public benefit corporation with a sole corporate member, Bozeman Deaconess Health Services d/b/a Bozeman Health.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Cancer Support Community Montana
102 S 11th Ave	Bozeman	MT	59715	810542266	501(c)(3)	$15,000	Support cancer support services within our service area
Bozeman Deaconess Foundation dba Bozeman Health Foundation
931 Highland Blvd Suite 3200	Bozeman	MT	59715	841407943	501(c)(3)	$200,000	Employee Emergency Fund

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Recipients of grants and assistance prepare informational reports substantiating the use of the funds that were earmarked to support community health programs. Involvement of Bozeman Deaconess Health Services staff and/or administration as volunteers in the activities being supported also ensures proper usage of funds.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John Hill
Director & CEO	$0	$605,053	$0	$121,753	$0	$42,282	$0	$95,970	$0	$25,493	$0	$890,551	$0	$0
Elizabeth Lewis
COO	$0	$136,793	$0	$32,644	$0	$359,311	$0	$15,411	$0	$4,175	$0	$548,334	$0	$139,133
Brad Ludford
CFO (Sep-Dec)	$0	$328,497	$0	$16,644	$0	$13,733	$0	$29,916	$0	$26,976	$0	$415,766	$0	$0
Darci Bentson
CAO	$0	$288,648	$0	$32,165	$0	$25,643	$0	$41,201	$0	$27,785	$0	$415,442	$0	$0
Gordon Davidson
Former CFO	$0	$0	$0	$16,191	$0	$382,194	$0	$0	$0	$0	$0	$398,385	$0	$108,860
Mike Bertagnolli
Pharmacy System Manager	$170,536	$0	$0	$0	$17,484	$0	$11,805	$0	$27,322	$0	$227,147	$0	$0	$0
Stewart Chumbley
Nurse Practioner	$80,551	$0	$90,591	$0	$50	$0	$11,271	$0	$31,358	$0	$213,821	$0	$0	$0
Alan Brayton
Pharmacy Supervisor	$150,881	$0	$0	$0	$15,172	$0	$10,406	$0	$24,174	$0	$200,633	$0	$0	$0
LeRoy Wilson
Senior Living Administrator	$129,395	$0	$24,705	$0	$12,303	$0	$10,452	$0	$19,499	$0	$196,354	$0	$0	$0
Sara Vanuka
Nurse Mgr of Surg Floor (Jan-Sep)	$81,712	$0	$0	$0	$100,319	$0	$0	$0	$9,954	$0	$191,985	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 3

The CEO is paid by Bozeman Deaconess Health Services (BDHS), a related organization. The BDHS Board of Directors uses the methods selected in Line 3 to determine the CEO compensation. The Board of Directors of the filing organization also serves on the BDHS Board of Directors.

Part I, Lines 4a-b

Line 4a: In 2019, Gordon Davidson received severance payments in the amount of $273,334, Elizabeth Lewis received severance payments in the amoount of $218,736, and Sara Vanuka received severance payments of $100,090 . Part II, column (F) also reports a deferred compensation stock option payout of $108,860 for Gordon Davidson and $139,133 for Elizabeth Lewis that was previously reported as deferred compensation. Line 4b: Schedule J, Part II, column (c) reflects contributions paid by the organization into their individual 457(f) plan. The following contributions were made in 2019. John Hill: $79,170 Brad Ludford: $29,916 Darci Bentson: $24,401

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Montana Facility Finance Authority
A	810302402	61204MAS6	2011-09-28	$20,680,164	To fund structure and equipment of new ER, acquisition of Legacy condos	0	0	0
Montana Facility Finance Authority
B	364615155	000000000	2015-09-10	$19,522,471	Refinance 2005 bond issued 12/1/2015	0	0	0
Montana Facility Finance Authority
C	364615155	000000000	2015-01-09	$15,700,000	Portion for MOB V addition	0	0	0
Montana Facility Finance Authority
D	364615155	61204MDA2	2018-04-24	$74,139,881	Master Facility Plan, Lawson, DaVinci Surgical Robot	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$6,526,818	$20,693,206	$11,797	$401,295	$20,278,869	$1,246	2013	0	Yes (1)	Yes (1)
B	$3,664,274	$19,522,471		$243,567		$19,278,904	2015	Yes (1)	Yes (1)	Yes (1)
C	$1,070,865	$15,700,000		$37,689	$15,662,311		2016	0	Yes (1)	Yes (1)
D	$1,431,382	$75,802,205	$2,160,619	$808,710	$72,832,876			0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: Montana Facility Finance Authority Date the Rebate Computation was Performed: 06/01/2014
Schedule K, Part IV, Arbitrage	The Series 2011 had no remaining proceeds as of the last computation dated June 1, 2014. Therefore, no future calculations are required.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	Bozeman Deaconess Health Services, dba Bozeman Health, is the sole member of the organization.
Form 990, Part VI, Section A, line 7a	Bozeman Deaconess Health Services, dba Bozeman Health, is the sole member of BHDH. Bozeman Health appoints the board members. The Bozeman Health Board Chair, Vice Chair and CEO serve as the board members of BHDH. The Yellowstone Conference of the Methodist Church confirms the Board Members for Bozeman Health and has authority to appoint the clergy member of the board.
Form 990, Part VI, Section A, line 7b	Bozeman Health has the authority over the following items: 1) approval of mission, vision and values 2) approval of the strategic plans 3) adoption of annual capital and operating budgets 4) oversight of financial operations, including the consolidated audit 5) incurrance of any long-term debt 6) establishment of policies specifying the level of internal authority 7) approval of annual quality plan and aoption of policies and procedures regarding healthcare services and law and regulation 8) appointment and removal of board members and officers 9) approval of any affiliations, mergers, and dissolutions 10) approval of closures of medical staffs and services 11) approval of any amendment of the Articles or Bylaws Due to Bozeman Health governing documents any changes in the Articles of Incorporation in relationship to the process of selecting board membership must be approved by the Yellowstone Conference of the United Methodist Church.
Form 990, Part VI, Section A, line 8b	The organization does not have any committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11b	The Planning and 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	Annual Disclosure Statement is obtained from the Board, Operating Committee, and Executive Team Members. Disclosures are reviewed with the Conflict of Interest (COI) Panel (Compliance Officer, Board Compliance Committee Chair, Chief Executive Officer, & Chief Legal Officer). The COI Panel assesses the disclosure, develops an acknowledgement and management plan. The management plan is reviewed with the affected member, if the COI Panel and the member are unable to resolve the disclosure, the disclosure is reported to the Board Compliance Committee for further review. Conflicts are addressed annually in writing and verbally during meetings. If a COI exists, the member shall not participate in any deliberations or vote regarding the transaction or arrangement at issues, and shall not be present in the meeting room for any part of the deliberations or vote relating to the transaction or arrangement.
Form 990, Part VI, Section B, line 15	Bozeman Deaconess Health Services, parent company and sole member of the BHDH, compensates the CEO and CFO. The Executive Compensation 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 2018 to determine 2019 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:	Transfer of Net Assets From Related Party -893,368. Change in Temp & Perm Restricted Investment of Foundation -744,894.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Bozeman Deaconess Health Services (dba Bozeman Health)
915 Highland Blvd	Bozeman	MT	59715	810232121	Hospital and Healthcare Services	MT	501(c)(3)	Line 3	N/A	0
Bozeman Deaconess Foundation dba Bozeman Health Foundation
931 Highland Blvd Suite 3200	Bozeman	MT	59715	841407943	Raise Funds to Support Bozeman Deaconess Health Services	MT	501(c)(3)	Line 7		0	Bozeman Deaconess Health Services

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
Deaconess Intercity Imagining LLC
915 Highland Blvd	Bozeman	MT	59715	810666871	Healthcare - Imaging Services	MT	N/A
Rocky Mountain Surgical Center LLC
1450 Ellis St Suite 101	Bozeman	MT	59715	364462300	Healthcare - Surgical Services	MT	N/A
Spanish Peaks Plaza LLC
120 N 19th Ave Suite A	Bozeman	MT	59718	810539803	Rental Real Estate for VA Med Clinic & Chiro	MT	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Bozeman Deaconess Real Estate Development	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 10490	AddressLine1Txt
City	Bozeman	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59719	ZIPCd

Field	Value	IRS element (for citing)
EIN	205496567	EIN
Primary Activities	Sale of Real Estate Property and Residences to Seniors	PrimaryActivitiesTxt
Legal Domicile State	MT	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd