BOZEMAN HEALTH DEACONESS HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BOZEMAN HEALTH DEACONESS HOSPITAL (EIN 47-4717998)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-12
IRS object ID
201803169349303580
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-12T15:30:45-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN474717998EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bozeman Health Deaconess HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBOZEBusinessNameControlTxt
Phone4064145000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 Highland BlvdAddressLine1Txt
CityBozemanCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59715ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBrad LudfordPersonNm
Person TitleCurrent CFOPersonTitleTxt
Phone4064145000PhoneNum
Signature2018-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2018-11-06PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address72.175.213.18IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-06IPDt
IP Tm15:02:06IPTm
IP TimezoneMSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB1517DAAED479AA3B0236E79C14EA2E11B9BE589AtSubmissionCreationDeviceId
At Submission Filing Device IdB602D594AFD2B0B327E07A06F36CA6A7E42546D0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn HillPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 Highland BlvdAddressLine1Txt
CityBozemanCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59715ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$304,825,749GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bozemanhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionTo improve community health and quality of life for residents and visitors of Southwest Montana.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee2055TotalEmployeeCnt
Total Volunteers281TotalVolunteersCnt
Total Gross UBI$996,551TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$151,754NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,292,727PYContributionsGrantsAmt
CY Contributions Grants$1,547,864CYContributionsGrantsAmt
PY Program Service Revenue$261,374,289PYProgramServiceRevenueAmt
CY Program Service Revenue$292,255,233CYProgramServiceRevenueAmt
PY Investment Income$1,049,017PYInvestmentIncomeAmt
CY Investment Income$9,463,267CYInvestmentIncomeAmt
PY Other Revenue$465,897PYOtherRevenueAmt
CY Other Revenue$676,233CYOtherRevenueAmt
PY Total Revenue$264,181,930PYTotalRevenueAmt
CY Total Revenue$303,942,597CYTotalRevenueAmt
PY Grants And Similar Paid$60,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$81,429,704PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$87,968,965CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$173,581,261PYOtherExpensesAmt
CY Other Expenses$193,566,443CYOtherExpensesAmt
PY Total Expenses$255,070,965PYTotalExpensesAmt
CY Total Expenses$281,535,408CYTotalExpensesAmt
PY Revenues Less Expenses$9,110,965PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$22,407,189CYRevenuesLessExpensesAmt
Total Assets BOY$342,535,998TotalAssetsBOYAmt
Total Assets EOY$364,510,562TotalAssetsEOYAmt
Total Liabilities BOY$91,037,890TotalLiabilitiesBOYAmt
Total Liabilities EOY$84,511,597TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$251,498,108NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$279,998,965NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo improve community health and quality of life.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$80,690,496ExpenseAmt
Revenue$72,907,325RevenueAmt
DescThe 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 15% from 2016 to 2017. Revenue for these patients totaled 53% of all clinic revenue. Total net operating revenues were $73,033,392 with associated operating expenses of $80,690,496. The loss of $7,657,104 is reflective of our commitment to provide access to all patients regardless of their ability to pay.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$30,241,834ExpenseAmt
Revenue$93,132,976RevenueAmt
DescBozeman Health Deaconess Hospital's Surgical Services strives to offer a wide array of surgical options using state of the art technology. Of the 8,956 inpatient and outpatient surgeries, about 48% were Medicare and Medicaid patients, which comprised 52% ($48,183,530) of total revenue from these services ($93,132,976). Over 60% of the Medicare/Medicaid revenues were unreimbursed ($29,187,625) and written off, along with another $7,305,644 from other payors. Our surgical services also recorded $25,514,734 in operating expenses plus another $4,727,100 of indirect overhead.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$12,199,707ExpenseAmt
Revenue$22,794,581RevenueAmt
DescThe Emergency Room at Bozeman Health Deaconess Hospital is one of the busiest departments in our organization, with just over 31,000 visits in 2017. Approximately 42% of these visits were from Medicare and Medicaid patients, comprising $10,421,395 of the $22,794,581 gross revenue. Over 62% of the Medicare/Medicaid revenue were unreimbursed ($6,500,713) and written off, along with 61% of the remaining revenue ($7,622,901). Direct and indirect expenses incurred in supporting the operation of this emergency room accumulated to $12,199,707.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$118,734,891ExpenseAmt
Revenue$103,293,613RevenueAmt
DescBozeman Health Deaconess Hospital 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 from these operations are used to provide health care services, health care promotion, and health care education to Bozeman and the surrounding communities.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$118,734,891TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$103,293,613TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$241,866,928TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document248IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2055EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Carrie MoraskoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4064141036PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 Highland BlvdAddressLine1Txt
CityBozemanCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59715ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Brian Brown - 1st Vice Chair
(Jan-June)/Chair (July-Dec)1.001.00Yes (X)Yes (X)$0$0$0
Julie Jackson
Chair (Jan-June)1.001.00Yes (X)Yes (X)$0$0$0
Katie Daughenbaugh - 2nd Vice
Chair (Jan-Jun)/1st V.C. (July-Dec)1.001.00Yes (X)Yes (X)$0$0$0
Dr Dane Sobek - Cardiologist
Sec. (Jan-June)/2nd V.C. (July-Dec)1.0050.00Yes (X)Yes (X)$0$629,591$66,871
Robert Watson - Director
(Jan-June)/Secretary (July-Dec)1.001.00Yes (X)Yes (X)$0$0$0
Dennis Munson
Treasurer1.001.00Yes (X)Yes (X)$0$0$0
Kerri Brown
Director1.001.00Yes (X)$0$0$0
Peter Buerhaus
Director (July-Dec)1.001.00Yes (X)$0$0$0
Jerry Cashman
Director1.001.00Yes (X)$0$0$0
Rev Dave McConnell
Director1.001.00Yes (X)$0$0$0
Kerry Petitt
Director1.001.00Yes (X)$0$0$0
Walt Sales
Director1.001.00Yes (X)$0$0$0
John Hill
CEO15.0035.00Yes (X)$0$573,117$40,442
Gordon Davidson
CFO35.0015.00Yes (X)$0$418,121$66,485
LeRoy Wilson
VP Senior Services50.000.00$164,919$0$39,622Yes (X)
Mike Bertagnolli
Pharmacy Director50.000.00$184,689$0$36,629Yes (X)
Alan Brayton
Pharmacy Supervisor50.000.00$165,528$0$32,294Yes (X)
Rebecca Miller
Pharmacy Informatics Specialist50.000.00$142,582$0$35,333Yes (X)
James Wiley
Physician Assistant50.000.00$145,087$0$34,041Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$802,805TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,620,829TotReportableCompRltdOrgAmt
Total Other Compensation$351,717TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K54IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Montana Linen Supply LLC
20900 E Frontage Rd Ste ABelgradeMT59730Linen Cleaning$948,409
Montana Surgical Clinic PLLC
905 Highland Blvd Ste 4450BozemanMT59715Physician Services$883,144
Microsoft Licensing
One Microsoft WayRedmondWA98052Software Licensing$678,093
Sequoia Construction
2976 Oliver StBozemanMT59718Construction Contractor Services$393,233
Bridger Orthopedic & Sports
1450 Ellis St Ste 201BozemanMT59715Physician Services$347,667
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Related Organizations$1,547,864RelatedOrganizationsAmt
Total Contributions$1,547,864TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenue622110$284,575,424$284,575,424
Pharmacy Revenue446110$2,246,744$1,966,367$280,377
Cafeteria Revenue722210$1,854,475$1,848,613$5,862

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,578,590TotalRevenueColumnAmt
Related Or Exempt Func Income$2,868,278RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$710,312UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$292,255,233TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,491,135TotalRevenueColumnAmt
Exclusion$5,491,135ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,456,250RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$780,017RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$676,233RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$676,233TotalRevenueColumnAmt
Exclusion$676,233ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,075,267SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$103,135OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,075,267SecuritiesAmt
Other-$103,135OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,972,132TotalRevenueColumnAmt
Exclusion$3,972,132ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$303,942,597TotalRevenueColumnAmt
Related Or Exempt Func Income$291,258,682RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$996,551UnrelatedBusinessRevenueAmt
Exclusion$10,139,500ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$69,580,903TotalAmt
Program Services$62,380,706ProgramServicesAmt
Management And General$7,200,197ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,065,594TotalAmt
Program Services$2,747,188ProgramServicesAmt
Management And General$318,406ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,093,539TotalAmt
Program Services$9,045,179ProgramServicesAmt
Management And General$1,048,360ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,228,929TotalAmt
Program Services$4,685,829ProgramServicesAmt
Management And General$543,100ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$672,913TotalAmt
Management And General$672,913ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$96,812,795TotalAmt
Program Services$74,812,975ProgramServicesAmt
Management And General$21,999,820ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$451,826TotalAmt
Program Services$179,226ProgramServicesAmt
Management And General$272,600ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,719,647TotalAmt
Program Services$1,334,806ProgramServicesAmt
Management And General$2,384,841ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,584,994TotalAmt
Program Services$476,196ProgramServicesAmt
Management And General$2,108,798ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$324,421TotalAmt
Program Services$304,922ProgramServicesAmt
Management And General$19,499ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$216,280TotalAmt
Program Services$203,281ProgramServicesAmt
Management And General$12,999ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,365,951TotalAmt
Program Services$2,365,951ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,718,661TotalAmt
Program Services$12,718,661ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$903,112TotalAmt
Program Services$800,791ProgramServicesAmt
Management And General$102,321ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$55,979,565$55,940,038$39,527
Provision for Bad Debts$9,059,871$9,059,871
Equipment Rental and Ma$5,813,547$4,426,272$1,387,275
Taxes and Licenses$1,640,157$113,222$1,526,935

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$302,703TotalAmt
Program Services$271,814ProgramServicesAmt
Management And General$30,889ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$281,535,408TotalAmt
Program Services$241,866,928ProgramServicesAmt
Management And General$39,668,480ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$28,014,308BOYAmt
EOY$36,142,258EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,900,089BOYAmt
EOY$42,857,721EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,533,366BOYAmt
EOY$7,323,283EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$775,520BOYAmt
EOY$842,448EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$275,659,518LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$146,842,400LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$133,776,806BOYAmt
EOY$128,817,118EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$118,710,946BOYAmt
EOY$131,112,638EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$12,993BOYAmt
EOY$2,915EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$2,209,240EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,798,133BOYAmt
EOY$1,798,133EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,013,837BOYAmt
EOY$13,404,808EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$342,535,998BOYAmt
EOY$364,510,562EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,404,748BOYAmt
EOY$17,390,809EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$728,461BOYAmt
EOY$915,904EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,772,878BOYAmt
EOY$34,242,024EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$7,591,059BOYAmt
EOY$7,724,537EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$20,950,000BOYAmt
EOY$20,491,721EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,590,744BOYAmt
EOY$3,746,602EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,037,890BOYAmt
EOY$84,511,597EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$242,488,292BOYAmt
EOY$269,469,271EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,001,740BOYAmt
EOY$8,298,537EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,008,076BOYAmt
EOY$2,231,157EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$251,498,108BOYAmt
EOY$279,998,965EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$342,535,998BOYAmt
EOY$364,510,562EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$22,407,189ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,677,939NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$415,729OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,928,221BeginningYearBalanceAmt
Contributions$122,889ContributionsAmt
Investment Earnings Or Losses$843,418InvestmentEarningsOrLossesAmt
Other Expenditures$146,615OtherExpendituresAmt
End Year Balance$14,747,913EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.73000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.14530PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.12470TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$191,004,530OtherCostOrOtherBasisAmt
Depreciation$96,429,862DepreciationAmt
Book Value$94,574,668BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,078OtherCostOrOtherBasisAmt
Depreciation$44,060DepreciationAmt
Book Value$10,018BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,288,746OtherCostOrOtherBasisAmt
Depreciation$49,880,019DepreciationAmt
Book Value$28,408,727BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,339,474OtherCostOrOtherBasisAmt
Depreciation$488,459DepreciationAmt
Book Value$2,851,015BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$128,817,118TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Estimated Payments to Third Party Payors$240,000
Due to Affiliates$3,506,602
FieldValueIRS element (for citing)
Total Liability$3,746,602TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 Health 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 Health 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 is a Montana nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Organization is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Organization is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Organization files an Exempt Organization Business Income Tax Return (Form 990T) with the IRS to report its unrelated business taxable income. 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,996,375TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,007,867DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,988,508NetCommunityBenefitExpnsAmt
Total Expense0.00730TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,393,004TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,349,694DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,043,310NetCommunityBenefitExpnsAmt
Total Expense0.02580TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,389,379TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,357,561DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,031,818NetCommunityBenefitExpnsAmt
Total Expense0.03310TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$251,292TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$139,340DirectOffsettingRevenueAmt
Net Community Benefit Expns$111,952NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,539TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$28,539NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,736,159TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,502,838DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,233,321NetCommunityBenefitExpnsAmt
Total Expense0.04860TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$130,476TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$130,476NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,146,466TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,642,178DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,504,288NetCommunityBenefitExpnsAmt
Total Expense0.04960TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,535,845TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,999,739DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,536,106NetCommunityBenefitExpnsAmt
Total Expense0.08270TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,842TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,842NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,842TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,842NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,059,871BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$42,805,055ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$52,432,629CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,627,574MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bozeman Health Deaconess HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 Highland BlvdAddressLine1Txt
CityBozemanCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59715ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.bozemanhealth.orgWebsiteAddressTxt
State License12933StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Bozeman Health Deaconess HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (1)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (1)TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted17CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section B, Line 7dOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section B, Line 7dStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.bozemanhealth.org/For-Patients-Visitors/Financial-ServicesFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.bozemanhealth.org/For-Patients-Visitors/Financial-ServicesFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.bozemanhealth.org/For-Patients-Visitors/Financial-ServicesFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Bozeman Health Deaconess HospitalPart 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. The following is a full list of participating organizations:o Alcohol and Drug Services of Gallatin County o American Indian Student Support Services o AWARE o Belgrade School District o Big Sky Community Food Bank o Big Sky Fire Department o Big Sky Medical Center o Big Sky School District o Big Sky Youth Empowerment o Billings Clinic Acorn Pediatrics o Bozeman Health o Bozeman Health Clinic o Bozeman Health Deaconess Hospital o Bozeman Health Internal Medicine o Bozeman Health Urgent Care o Bozeman Parks and Recreation Department o Bozeman Police Department o Bozeman School District o Bridgercare o Brookdale Springmeadows o Cancer Support Community Montana o City of Belgrade o City of Bozeman o City of Three Forks o Community Health Partners o Community West Outreach o Cottonwood Case Management o Ennis School District o Gallatin City-County Health Department o Gallatin County Commission o Gallatin County Detention Center o Gallatin County Government o Gallatin Early Childhood Community Council o Gallatin Valley Farm to School COMMUNITY HEALTH NEEDS ASSESSMENT 16 o Gallatin Valley Land Trust o Greater Gallatin United Way o HAVEN o Headwaters Area Food Bank o Help Center 211 o Highgate Senior Living o Hospice of Bozeman Health Frontier Home Health o Human Resource Development Council o LaMotte School District o Livingston Food Resource Center o Madison County o Madison County Public Health Department o Madison County Senior Care o Madison Valley Medical Center o Manhattan School District o Mint Dental Studio o Monforton School District o Montana Independent Living Project o Montana Nutrition and Physical Activity Program o Montana State University o NAMI o Park County o Park County Community Foundation o Park County Government o Park County Public Health Department o Park County Sheriff's Office o Park County Superintendent of Schools o Shields Valley School District o SNAP-Education Program o Sprout Oral Health o The Community Cafe o Thrive o Town of West Yellowstone o West Yellowstone Police Department o West Yellowstone School o West Yellowstone Social Services o Willing Workers Ladies Aid o YMCA o Youth Dynamics o ZoeCareInput 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 HospitalPart V, Section B, Line 6a: Bozeman Health Big Sky Medical Center, LLC
Bozeman Health Deaconess HospitalPart V, Section B, Line 6b: Community Health Partners (CHP)Gallatin City-County Health Department
Bozeman Health Deaconess HospitalPart V, Section B, Line 7d: CHNA:https://www.bozemanhealth.org/documents/Reports/2017_PRC_CHNA_Report_BHDH.pdfImplementation Strategy:https://www.bozemanhealth.org/documents/Content/2018.2020_BHDH_CBSP_FINAL.pdf
Bozeman Health Deaconess HospitalPart V, Section B, Line 2: Bozeman Health Deaconess Hospital is a new tax-exempt corporation with operations beginning 1/1/16. It is formed under the Bozeman Health system umbrella.
Bozeman Health Deaconess HospitalPart V, Section B, Line 11: Based on the CHNA and community / stakeholder input, BHDH adopted the following priority areas:1. Behavioral Health (Mental Health + Substance Abuse)2. Access to Health Services 3. Healthy Lifestyles (Nutrition, Physical Activity & Weight + Heart Disease & Stroke)4. Injury & Violence Although the CHNA was conducted and approved in 2017, the resulting implantation strategy will not be approved and implemented until early 2018. Within the above priority areas, BHDH plans to actively work to achieve the following over the next few years:1.1 Develop, refine and implement a system-wide Bozeman Health BehavioralHealth Strategic Plan1.2 Increase community education initiatives1.3 Strengthen community capacity and collaboration1.4 Implement evidence-based suicide prevention strategies targeting youth1.5 Reduce use and exposure of tobacco among youth and adults2.1 Grow the HealthCare Connections mobile outreach program2.2 Increase the number of people reached through community health events2.3 Collaborate with community to provide access to health related resources, expand health literacy efforts, and increase health education opportunities2.4 Explore and address barriers faced by minority and medically underserved populations2.5 Grow the Telehealth program3.1 Expand nutrition and physical activity opportunities and access to educational programs for children, youth, and families3.2 Continue to foster, promote and support community and workplace initiatives3.3 Increase stroke education initiatives targeting adults, youth, and community4.1 Promote personal - protective behaviors, including safe motor vehicle practices4.2 Explore and implement evidence-based fall prevention programs4.3 Work with community organizations and coalitions to shift social norms about the acceptability and experience of violence, including domestic and sexual violenceRationale for Unaddressed Needs: Several of the community-prioritized needs were not selected as BHDH priority areas. In order to best impact health outcomes, BHDH focused on prioritizing health issues for which there are existing internal and/or external resources and feasibility to affect change. Additionally, in recognition of comorbidities, and in a strategic effort to consolidate, many of the community-prioritized needs will be addressed thorough BHDH priority area strategies, programs, and efforts: Diabetes: decreasing both incidence and prevalence will be addressed under the area of Healthy Lifestyles Cancer: screenings for certain cancers will remain a key strategy under the area of Access to Health ServicesTobacco Use: decreasing tobacco use will be a focus under the area of Behavioral Health Potentially Disabling Conditions: many disabling conditions occur with other chronic conditions such as diabetes, heart disease, and obesity. As such, strategies addressing these conditions will appear under the area of Healthy Lifestyles. Respiratory Disease: BHDH providers are currently engaged in providing care in this area. We will continually assess and be responsive to opportunities to expand programming and/or outreach.
Bozeman Health Deaconess HospitalPart 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 HospitalPart 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 HospitalPart 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.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Hillcrest Senior Living
1201 Highland BlvdBozemanMT59715Independent and assisted living facility
2 - Bozeman Health Belgrade Clinic
206 Alaska Frontage RdBelgradeMT59714Ambulatory healthcare services
3 - Bozeman Health Clinical Research
950 Stoneridge Dr 1BozemanMT59715Outpatient healthcare research

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 6a:The organization's community benefit report can be found on its website at https://www.bozemanhealth.org/About-Us/Community-Benefit.aspx
Part I, Line 7:The cost to charge ratio from Worksheet 2 was used to obtain the costs related to Charity Care, Medicaid, and Other Means-Tested Programs. All 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.
Part I, Line 7g:Amount of cost attributable to a physician clinic is $40,181,220. 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 $ 9,059,871.
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.Bad debt is reported based upon actual bad debt expense net of discounts and contractual adjustments, less recoveries.
Part III, Line 4:The footnote to the organization's financial statements that describes bad debt expense is located in Footnote 1 on page 9 of the attached financial statements.
Part III, Line 8:The entire amount of shortfall should be considered a community benefit.The Medicare shortfall represents a cost absorbed by the Hospital as a result of providing care to Medicare patients. The contract driving this loss is a nondiscretionary contract, as is providing the services to this population of individuals. The cost of providing this benefit to the community should be reportable as such.
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. 86.6% of 2017 inpatient admissions were of patients originating from these three counties (Gallatin: 78.6%, Park 4.7%, and Madison 3.4%). The population of the tri-county region was an estimated 129,049 in 2017 (Truven Health Analytics). Bozeman (in Gallatin County) was listed in the 2016 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 2016, 5.9% of the families were below the poverty level in the tri-county region-ranging from 6.0% in Gallatin County to 4.7% in Park County and 7.0% in Madison County (2016 ACS 5yr estimates). Average per capita income was an estimated $30,924 in Gallatin County followed by Madison ($27,346) and Park ($27,346) (2016 ACS 5 Year Estimates). Estimates suggest that about 14.2% of residents in the tri-county area were insured by Medicaid, roughly 13.5% were insured by Medicare, and about 5.82% were uninsured in 2017 (Truven Health Analytics 2017). About 16.8% of BHDH inpatients were insured under Medicaid in 2017.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 Park and Madison Counties are designated Primary Care HPSAs (note Gallatin County is under review). (https://dphhs.mt.gov/publichealth/primarycare/-shortage-area-designations).
Part VI, Line 5:As a sole community hospital, Bozeman Health Deaconess Hospital (BHDH) 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, BHDH 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.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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dr Dane Sobek - Cardiologist
Sec. (Jan-June)/2nd V.C. (July-Dec)$0$573,370$0$55,300$0$921$0$44,676$0$23,170$0$697,437$0$0
John Hill
CEO$0$510,667$0$52,083$0$10,367$0$17,993$0$23,829$0$614,939$0$0
Gordon Davidson
CFO$0$317,472$0$59,071$0$41,578$0$51,190$0$16,270$0$485,581$0$0
LeRoy Wilson
VP Senior Services$129,660$0$25,106$0$10,153$0$21,897$0$18,345$0$205,161$0$0$0
Mike Bertagnolli
Pharmacy Director$167,563$0$0$0$17,126$0$11,533$0$25,824$0$222,046$0$0$0
Alan Brayton
Pharmacy Supervisor$151,098$0$0$0$14,430$0$10,390$0$22,477$0$198,395$0$0$0
Rebecca Miller
Pharmacy Informatics Specialist$139,471$0$0$0$3,111$0$9,303$0$26,502$0$178,387$0$0$0
James Wiley
Physician Assistant$137,185$0$0$0$7,902$0$9,145$0$25,331$0$179,563$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationThe CEO is paid by Bozeman Deaconess Health Services, a related organization. The board of directors is the same for both organizations and they use the methods selected in Line 3 to determine the CEO compensation.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Montana Facility Finance Authority
A36461515561204EAH82010-04-22$6,645,000Refinancing of 1998 bond debt issued 9/2/1998000
Montana Facility Finance Authority
B81030240261204MAS62011-09-28$20,680,164To fund structure and equipment of new ER, acquisition of Legacy condos000
Montana Facility Finance Authority
C3646151552015-09-10$19,522,471Refinance 2005 bond issued 12/1/2015000
Montana Facility Finance Authority
D3646151552015-01-09$15,700,000Portion for MOB V addition000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmtCapital ExpendituresCapitalExpendituresAmt
A$5,735,000$6,645,000$132,900$6,512,1002010Yes (1)0Yes (1)Yes (1)
B$4,723,801$20,693,206$401,295$1,246201300Yes (1)Yes (1)$11,797$20,278,869
C$1,659,028$19,522,471$243,567$19,278,9042015Yes (1)0Yes (1)Yes (1)
D$323,765$15,700,000$37,689201600Yes (1)Yes (1)$15,662,311

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)
C00000000Yes (1)
D00000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: Montana Facility Finance Authority Date the Rebate Computation was Performed: 06/30/2014 Issuer Name: Montana Facility Finance Authority Date the Rebate Computation was Performed: 06/01/2014ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Bozeman Deaconess Health Services, dba Bozeman Health, is the sole member of the organization.
Form 990, Part VI, Section A, line 7aBozeman 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 7bBozeman 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 8bThe organization does not have any committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bThe Planning and Finance Committee will review Form 990 in detail, as well as the CFO. The full Board will be provided a copy of the Form 990 before filing with the IRS.
Form 990, Part VI, Section B, line 12cAnnual 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 15Bozeman Deaconess Health Services, parent company and sole member of the BHDH, compensates the CEO and CFO. The board of directors and executive committee consist of the same individuals for both organizations. 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 2016 to determine 2017 compensation.
Form 990, Part VI, Section C, line 19Governing 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 IX, line 11gOther Fees: Program service expenses 12,168,495. Management and general expenses 5,386,104. Fundraising expenses 0. Total expenses 17,554,599. Bozeman Health Shared Services: Program service expenses 29,652,357. Management and general expenses 16,613,716. Fundraising expenses 0. Total expenses 46,266,073. Physician Salary Allocation: Program service expenses 32,992,123. Management and general expenses 0. Fundraising expenses 0. Total expenses 32,992,123.
Form 990, Part XI, line 9:Transfer of Net Assets From Related Party -1,104,149. Change in Temp & Perm Restricted Investment of Foundation 1,519,878.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Bozeman Deaconess Health Services
915 Highland BlvdBozemanMT59715810232121Hospital and Healthcare ServicesMT501(c)(3)Line 3N/A0
Bozeman Deaconess Foundation dba Bozeman Health Foundation
931 Highland Blvd Suite 3200BozemanMT59715841407943Raise Funds to Support Bozeman Deaconess Health ServicesMT501(c)(3)Line 70Bozeman Deaconess Health Services

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Deaconess Intercity Imagining LLC
915 Highland BlvdBozemanMT59715810666871Healthcare - Imaging ServicesMTN/A
Rocky Mountain Surgical Center LLC
1450 Ellis St Suite 101BozemanMT59715364462300Healthcare - Surgical ServicesMTN/A
Spanish Peaks Plaza LLC
120 N 15th Ave Suite ABozemanMT59718810539803Rental Real Estate for VA Med Clinic & ChiroMTN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Bozeman Deaconess Real Estate DevelopmentBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 10490AddressLine1Txt
CityBozemanCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59719ZIPCd
FieldValueIRS element (for citing)
EIN205496567EIN
Primary ActivitiesSale of Real Estate Property and Residences to SeniorsPrimaryActivitiesTxt
Legal Domicile StateMTLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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