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Community Benefit

To us, community benefit means engaging in meaningful partnerships, cultivating community relationships and strengthening community capacity. As a nonprofit hospital, community benefit also means that any net income is reinvested into facilities, technology and healthcare services to ensure that our facilities are up-to-date and our equipment and services are state-of-the-art. Finally, and most importantly, community benefit means providing medically necessary healthcare services for all patients, regardless of their financial ability to pay. As a nonprofit, tax-exempt hospital, it is our obligation to provide care for all who come to us.

Community Health Needs Assessments

Every three years, Bozeman Health conducts Community Health Needs Assessments (CHNA) for both Deaconess Hospital and Big Sky Medical Center to identify major health problems, gaps in services, and other factors which may contribute to less than optimal health for residents of our communities. With this information, we can craft and implement informed, collaborative, and meaningful community benefit strategic plans.

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Financial Summary

In 2020, total community benefits provided by Bozeman Health—subsidized health services, financial assistance, community health improvement services and programs, cash and in-kind contributions to community groups, and health professions education—totaled $44.78 million, representing 12.3% of our total health system operating expense.

Note: Bozeman Health is an integrated healthcare system and, as such, we file multiple 990’s and Schedule H forms. The graph above represents the health system as a whole. In 2020, Bozeman Health Deaconess Hospital reported $41,589,344 in community benefit expense, representing 12.23% of its total operating expense. Our corporate entity, Bozeman Deaconess Health Services, reported $3,195,001 in community benefit expense, representing 2.6% of its total operating expense.

Description of Reported Categories

Financial Assistance – free or discounted health services provide to people who can’t afford to pay.

Unreimbursed Medicaid Costs – unpaid costs of public programs for low-income people. This is the shortfall that is created when our facilities receive payments that are less than the cost of caring for Medicaid beneficiaries.

Community Health Improvement Services & Benefit Operations – activities supported by the health care organization that extend beyond patient care with the goal of improving community health. Can include activities like health education, community-based health screenings for under/uninsured people, support groups, transportation efforts, and initiatives addressing specific health needs. Also includes dedicated staff time and the cost of assessing community health needs.

Health Professions Education – includes educational programs for physicians and other care providers, interns, and nursing and medical students. Also includes scholarships for students pursuing health professions degrees.

Subsidized Health Services – clinical programs that we provide despite a incurring a significant financial loss. These services are provided because they meet identified community needs and, if they weren’t offered, they would no longer be available in our community or would fall to another agency to provide.

Cash and In-Kind Contributions – assistance to community partners and organization in the form of, among other things, staff time, meetings space, food donations, and grants.

Community Grants and Sponsorships

Bozeman Health’s mission is to improve community health and quality of life. We accomplish this, in part, by supporting community-based organizations through grants and sponsorships. The 2022 grants and sponsorship application is now open. Learn more, and apply here.

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