Bozeman Deaconess Health Services is a 501(c)(3) organization based in Bozeman, Montana, registered in 1946, with $193,188,843 in FY2024 revenue. CharityIndex grades it B, and it directs about 55% of spending to programs.
Revenue (FY2024)
$193.2M
▲ 7.8% vs prior year
Health median: $840K
Expenses (FY2024)
$190.0M
Net assets
$51.7M
Employees
1,014
Rated on 4 of 4 criteria.
Held down by its weakest criterion — a strong score on one criterion can't hide a weak one.
How the rating works →Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Bozeman Deaconess Health Services: 55% to programs · $0 to raise $100 earns a C on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Bozeman Deaconess Health Services: 3 mo reserves · +2% margin earns a A on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Bozeman Deaconess Health Services: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Bozeman Deaconess Health Services: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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To improve community health and quality of life for residents and visitors of the southwest montana area.
In efforts to reach our community and surrounding area in multiple facets of healthcare, the bozeman health system operates additional healthcare facilities which allows more access and levels of care.big sky medical center had 92 admissions and saw 4,217 patients in the emergency room and 7,075 patients in the clinic in 2024. the net revenue yield on these operations was only 55.9%, or $1,540 per adjusted patient day. with challenging core staffing and related costs, the operating expense (excluding interest, taxes and depreciation) was $2,270 per adjusted patient day. this resulted in a $1.2 million operating loss for the year. (continued on schedule o)bozeman health is committed to providing access and patient care to the big sky community in spite of the financial operational challenges the facility continues to face.bozeman health also continues to operate our main street urgent care as an outpatient healthcare access point. with a 60.1% yield on $7.3m of patient charges and operating costs of $8.7m, the urgent care netted a loss of $1.4m in 2024.
Bozeman health serves as the parent company of the bozeman health system. as the corporate parent, management, general and administrative services are centralized here and provided to the operating units caring for our patients. these administrative and support services aim to optimize executive, organizational and financial responsibilities to allow the health system to continue to grow and serve the population. in this past year, bozeman health had 27,800 inpatient days, 247,714 outpatient hospital visits, 295,807 outpatient clinic visits, 38,003 emergency room visits and performed 7,157 surgeries.
Revenue declined from $215.4M (FY2013) to $193.2M (FY2024) across 12 reported years.
Financial snapshot
Operating margin
1.6%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$209.8M
Total liabilities
$158.1M
Net assets
$51.7M
Salaries & benefits
$133.5M
70% of expenses
Board members
15
13 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $193,188,843▲7.8% | $190,049,163▲6.0% | $51,693,905▲6.1% | $209,808,822▲25.2% | 990 |
| 2023 | $179,160,277▲9.3% | $179,362,860▲10.1% | $48,715,858▼0.5% | $167,581,983▲11.5% | 990 |
| 2022 | $163,884,781▲6.7% | $162,874,704▲7.9% | $48,952,165▲0.1% | $150,278,571▼16.0% | 990 |
| 2021 | $153,541,900▲21.2% | $150,991,765▲22.8% | $48,892,632▲5.9% | $178,954,474▲7.8% | 990 |
| 2020 | $126,684,739▲17.3% | $122,977,678▲14.5% | $46,168,963▲9.1% | $166,060,049▲29.3% | 990 |
| 2019 | $107,988,329▲7.5% | $107,433,815▼1.9% | $42,332,373▲2.2% | $128,437,016▲5.9% | 990 |
| 2018 | $100,410,607▲9.0% | $109,541,021▲14.8% | $41,406,767▼17.5% | $121,251,849▲12.7% | 990 |
| 2017 | $92,094,271▲14.4% | $95,406,233▲17.5% | $50,165,334▼6.2% | $107,551,674▼3.2% | 990 |
| 2016 | $80,477,935▼67.7% | $81,179,804▼65.5% | $53,465,591▼81.5% | $111,101,357▼72.5% | 990 |
| 2015 | $249,141,238▲6.2% | $235,306,791▲10.2% | $289,153,308▲3.5% | $404,683,357▲2.1% | 990 |
| 2014 | $234,639,028▲8.9% | $213,519,426▲11.6% | $279,250,702▲6.9% | $396,406,654▲14.0% | 990 |
| 2013 | $215,426,159 | $191,263,033▲5.6% | $261,343,597▲10.5% | $347,818,522▲7.0% | 990 |
| 2012 | — | $181,112,962▲5.6% | $236,446,333▲7.3% | $325,034,056▲5.1% | 990 |
| 2011 | — | $171,463,799▲8.4% | $220,428,165▲6.0% | $309,285,614▲11.8% | 990 |
| 2010 | — | $158,134,116 | $207,904,050 | $276,617,016 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Andrew Herman Md — $788,497 (0.41% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Andrew Herman Md | Gastroenterologist | 50 | $788,497 |
| Mark Hancock Md | Hematology and Oncology | 50 | $745,578 |
| Jason Skenazy Md | Urologist | 50 | $738,927 |
| Nathaniel Madsen Md | Cardiology | 50 | $737,253 |
| Dane Sobek | Cardiologist/director (until June) | 50 | $731,356 |
| Andrew Gentry Md | Gastroenterologist | 50 | $724,698 |
| Kathryn Bertany | Ceo | 20 | $628,654 |
| Christopher Spoja | Chief Medical Officer | 20 | $491,504 |
| John Hill | Former Officer | 0 | $463,785 |
| Brad Ludford | Cfo | 20 | $422,456 |
| David Crites | Director (as of July) | 50 | $359,027 |
| Kiera Pattison | Chief Nursing Officer | 20 | $306,939 |
| Steve Klein | Chief Legal Officer | 20 | $297,201 |
| Kallie Kujawa | Chief Operating Officer | 20 | $287,869 |
| Meghan Johnston | Internist/director | 50 | $258,392 |
| Tamara Havenhill-jacobs | Former Key Employee | 0 | $177,401 |
| Alyce Schultz | Director | 1 | — |
| Amy Croover | Director (as of July) | 1 | — |
| Becky Franks - 2nd Vice | Chair (jan-jun)/vice Chair (as of July) | 1 | — |
| Bruce Harmony | Director (until June) | 1 | — |
| Contractor | Services | Paid |
|---|---|---|
| Absaroka Emergency Physicians | Er Physicians Fee | $8,568,414 |
| System4 of Idaho | Facility Cleaning | $1,423,761 |
| Kiwi Enterprises LLC | Snow Removal | $1,183,176 |
| Locum Tenenscom LLC | Contract Physicians | $656,893 |
| Country Plantscapes | Yard Maintenance | $628,610 |
1 grant to Bozeman Deaconess Health Services totaling $11K, reported by foundations on their Schedule I filings.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Patient Access Network Foundation | Patient assistance | 2015 | $11,098 |
9 grants totaling $472K in FY2024. All grants made by Bozeman Deaconess Health Services →
| Recipient | Purpose | Amount |
|---|---|---|
| Montana State University Foundation | Support improving access to health services in our service area | $285,715 |
| Cancer Support Community Montana | Support cancer support services within our service area | $60,000 |
| Thrive Inc | Support human service needs within our service area | $30,000 |
| Community Health Partners | Support improving access to health services in our service area | $26,000 |
| Wellness In Action | Support behavioral health services within our service area | $20,000 |
| Bridgercare | Support improving access to health services in our service area | $20,000 |
| Human Resource Development Council of District Ix Inc | Support resources for low income population in our service area | $10,000 |
| Bridger Ski Foundation | Support healthy lifestyles for youth in our service area | $10,000 |
| Gallatin Valley Land Trust | Support healthy lifestyles in our service area | $10,000 |
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Data for Bozeman Deaconess Health Services (EIN 81-0232121) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.