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Montana · Nonprofit

Bozeman Health Deaconess Hospital

Bozeman Health Deaconess Hospital (Montana) receives grants from 3 organizations whose IRS filings report $191,000 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($162,500). 1 of them have funded it in more than one year, and 85% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.

Revenue FY2024
$535M
Funders on record
3
Grants received
$191k
Net assets
$436M
1/3 repeat funderspeak grant-dependency 0%
01What it does

What Bozeman Health Deaconess Hospital does

Mission

To improve community health and quality of life.

As stated on its FY2024 Form 990.

Programs

  1. The Bozeman Health Deaconess Hospital clinics consists of our departments that provide physician services to outpatients. We served 205,179 appointments in 2024 throughout our ambulatory clinic setting, just over 562/day. About 55% of our service revenue in these clinics is from the Medicare and Medicaid population. Total net operating revenues were $137,429,294 with associated operating expenses of $153,804,952 plus another $29,008,588 of indirect overhead. The loss of $16,375,658 is reflective of our commitment to provide access to all patients regardless of their ability to pay.

    $153,804,952 spent$137,429,294 earned by the program
    36% of program spending
  2. Bozeman Health Deaconess Hospital's Surgical Services strives to offer a wide array of surgical options using state of the art technology. In 2024, we performed 7,157 inpatient and outpatient surgeries. Making up 52% ($131,232,514) of total revenue from these services ($250,819,964), were Medicare and Medicaid patients. Nearly 50.9% of total revenues was written off ($127,782,707). Our surgical services also recorded $39,609,914 in operating expenses plus another $1,442,342 of indirect overhead.

    $41,052,256 spent$250,819,964 earned by the program
    10% of program spending
  3. The Emergency Room at Bozeman Health Deaconess Hospital is one of the busiest departments in our organization, with just over 34,461 visits in 2024. Making up 44% ($32,258,776) of total revenue from these services ($73,990,442), were Medicare and Medicaid patients. 56.6% of total revenues was written off ($41,872,273). Direct and indirect expenses incurred in supporting the operation of this emergency room accumulated to $18,841,874.

    $18,841,874 spent$73,990,442 earned by the program
    4% of program spending
  4. Bozeman Health Deaconess Hospital operates a 125 bed hospital facility (Hospital), along with a 45 unit assisted living home and a 113 unit independent living home (Hillcrest Senior Living or HSL). All patient and resident service revenue from these operations are used to provide health care services, health care promotion, and health care education to Bozeman and the surrounding communities.

    $208,117,445 spent$60,949,991 earned by the program
    49% of program spending

The 4 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $421,816,527.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($304M) Expenses 100 ($282M) Net assets 100 ($280M)2018 Revenue 108 ($329M) Expenses 111 ($312M) Net assets 101 ($283M)2019 Revenue 115 ($349M) Expenses 112 ($316M) Net assets 118 ($331M)2020 Revenue 120 ($365M) Expenses 121 ($340M) Net assets 133 ($372M)2021 Revenue 151 ($460M) Expenses 148 ($418M) Net assets 140 ($393M)2022 Revenue 132 ($402M) Expenses 155 ($437M) Net assets 119 ($333M)2023 Revenue 147 ($446M) Expenses 160 ($451M) Net assets 124 ($347M)2024 Revenue 176 ($535M) Expenses 174 ($491M) Net assets 156 ($436M)
'17'18'19'20'21'22'23'24
Revenue (176)Expenses (174)Net assets (156)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2023 to 2024, from $571M to $664M (+16%).

$365M
$436M
$484M
$554M
$646M
$553M
$571M
$664M
'17'18'19'20'21'22'23'24
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2020 5% · 2021 0% · 2022 0%. Grants only. Government contracts and fees sit inside program revenue.

0% of Bozeman Health Deaconess Hospital’s revenue is contributions — about as donation-reliant as the typical peer (1% for the typical peer).

This organization
Typical peer · 2,211 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 8 reported years ran a deficit.

$22M
’17
$17M
’18
$34M
’19
$25M
’20
$42M
’21
−$35M
’22
−$4.3M
’23
$44M
’24
0.1
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Kathryn Bertany

Director & CEO

Board chair

John How

Chair

As listed on its FY2024 Form 990.

'17'18'19'20'21'22'23'24
Listed1920121222221916
Joined·+8+3+3+12+7+8+3
No longer listed·711327116
03Who funds it

Who funds it, year by year

2018 → 2022: the base held at 1 funder, grant income fell $40k → $35k.

1 of 3 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 85% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

Left out of every figure on this page: $16M from one payer (the payer shares this organization's board, largest Bozeman Deaconess Foundation). These are real filings, and they are not money Bozeman Health Deaconess Hospital raised.

From the IRS filings of Bozeman Health Deaconess Hospital’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

Bozeman Health Deaconess Hospital leans on a few funders — its largest provides 85% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

92% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund Bozeman Health Deaconess Hospital.

85%
largest funder
100%
top three
~1
effective funders

Largest funder’s share by year: 2018 100% · 2020 75% · 2022 100% — broadly stable.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

85% of Bozeman Health Deaconess Hospital's grant income arrives through donor-advised or pass-through sponsors, whose addresses record where the money is held rather than where the donor is. Of the $29k that is directly attributable, 53% of it comes from funders outside Montana, across 2 states.

MT
VA

Funder states come from each funder’s own filing. $163k arriving through sponsors registered in 1 state is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

Bozeman Health Deaconess Hospital runs a healthier operating margin than half of the 2,075 health nonprofits its size.

Operating margin8% · above the median
Months of reserve0.1mo · below the median
Revenue growth (annualized)8% · above the median

this organization peer median middle 50% of peers· 2,075 health nonprofits over $100M, FY2024

Organizations like Bozeman Health Deaconess Hospital

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Montana

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

86% of spending goes to programs.

Program 86%Management 14%Fundraising 0%

Governance

3
board members
67%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Part of a family of 8 related entities

  • Rocky Mountain Real Estate Holdings LLC · disregarded
  • Rocky Mountain Real Estate Manager LLC · disregarded
  • Bozeman Deaconess Health Services (dba Bozeman Health) · exempt
  • Bozeman Deaconess Foundation dba Bozeman Health Foundation · exempt
  • Deaconess Intercity Imagining LLC · partnership

Screen this organization

A dated, signed PDF of the compliance screen for Bozeman Health Deaconess Hospital: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds Bozeman Health Deaconess Hospital?
Bozeman Health Deaconess Hospital (Montana) receives grants from 3 organizations whose IRS filings report $191,000 to it, the largest being FIDELITY INVESTMENTS CHARITABLE GIFT FUND ($162,500). 1 of them have funded it in more than one year, and 85% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
How many funders does Bozeman Health Deaconess Hospital have?
IRS filings report 3 organizations giving $191,000 in grants to Bozeman Health Deaconess Hospital, 1 of which have funded it in more than one year.
Who is the largest funder of Bozeman Health Deaconess Hospital?
FIDELITY INVESTMENTS CHARITABLE GIFT FUND is the largest funder on record, with $162,500 in grants. The full list of funders is on this page.
How can an organization like Bozeman Health Deaconess Hospital find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Montana. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 3 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing