Bozeman Health
Legal name: Bozeman Deaconess Health Services
Nonprofit profile at a glance
- EIN
- 810232121
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Bozeman, MT, US
- Phone
- (406) 585-5000
- Rating
- 66
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $193,188,843
- Expenses
- $190,049,163
- Assets
- $209,808,822
- Liabilities
- $158,114,917
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
32 people listed
Executive titles in this filing
- Kathryn Bertany (CEO)
Highest reported compensation
- Andrew Herman MD (Gastroenterologist): $818,358 total reported compensation
- Mark Hancock MD (Hematology and Oncology): $808,046 total reported compensation
- Jason Skenazy MD (Urologist): $806,259 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To improve the health and well-being of the communities we serve.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Other-operating. 92% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.
Rating breakdown
- Financial Efficiency: 49
- Transparency & Controls: 88
- Accountability: 92
- Sustainability: 36
- Growth: 0
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 55.2%; rating input score 55
- Program expense ratio: 55.4%; rating input score 55
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 94.2%; rating input score 94; 26th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 86.7%; rating input score 87; 33rd percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 1.6%; rating input score 41; 41st percentile among comparable filings
- Total-asset coverage ratio: 1.1; rating input score 43; 43rd percentile among comparable filings
- Liabilities to assets ratio: 0.75; rating input score 19; 19th percentile among comparable filings
- Officer compensation ratio: 4.9%; rating input score 18; 18th percentile among comparable filings
Growth
- Program expense growth: -5.2% per year; rating input score 0; 2nd percentile among comparable filings
- Revenue growth: -2% per year; rating input score 0; 3rd percentile among comparable filings
- Asset growth: -6.4% per year; rating input score 0; 2nd percentile among comparable filings
Details
- What they do: 1 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 55.2% of revenue deployed · 55.4% of spending went to programs
- Governance: 13 of 15 board members independent · 9 of 9 filing controls reported
- Programs: 3 filed program accomplishments · $105.2M in reported program spending
- Leadership: top reported pay $818K · 32 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $12.5M reported
- Consistency: 35 of 36 current checks pass · 1 finding to review
- Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 25 filed money-flow records
- Related organizations: 20 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Review — Financial Efficiency: Mission deployment rate scored 55/100.
- Review — Financial Efficiency: Program expense ratio scored 55/100.
- High — Growth: Program expense growth scored 0/100.
- High — Growth: Revenue growth scored 0/100.
- Moderate — Sustainability: Operating margin scored 41/100.
- High — Growth: Asset growth scored 0/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 43/100.
- High — Sustainability: Liabilities to assets ratio scored 19/100.
- High — Sustainability: Officer compensation ratio scored 18/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.