2023-11-15T07:48:07-06:00 2022-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-01-01 841407943 Bozeman Deaconess Foundation BOZE 4064141085 931 Highland Boulevard 3200 Bozeman MT 59715 Brad Ludford CFO 4064141085 2023-11-14 1 Brad Ludford 999009999 0 Kim Hunwardsen CPA P00484560 6122536500 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Bozeman Health Foundation Brad Ludford 931 Highland Boulevard 3200 Bozeman MT 59715 9158444 0 X www.bozemanhealthfoundation.org X 1998 MT To support Bozeman Health Services through philanthropy. 12 9 7 34 0 0 3019000 1270375 0 0 1341829 1390528 13032 -15258 4373861 2645645 3170529 3776232 0 0 647336 417637 116500 211000 766204 376126 465206 4310491 4870075 63370 -2224430 46305218 38276789 2433302 1929141 43871916 36347648 X To support Bozeman Health Services by promoting community participation in and financial support of activities to improve community health and quality of life. 0 0 1611203 1611203 EXPANSIONS AND RENOVATIONS:Funding provided to renovate the beauty salon at the Hillcrest Senior living facility. Funding provided to support a build out of behavioral health clinic space at Big Sky Medical Center (BSMC). Funding was also provided to support the construction of a new 1,700 square foot clean storage build out at the BSMC. Funding provided to support the installation of artwork in the Family Birth Center at Deaconess Regional Medical Center. Funding provided to support the construction of a Psychiatric Emergency Services Unit (PES) adjacent to the emergency center at Deaconess Regional Medical Center to respond and support patients experiencing mental health crises. 2259 2259 EDUCATION AND TRAINING RESOURCES FOR BOZEMAN DEACONESS HEALTH SERVICES:Funds were provided to support a one-year membership for the International Association of Forensic Nurses and for an online SANE education course, to provide training for providing care to victims of abuse who present in the Emergency Department. Support was provided for the purchase of books for Aspen Point resident library, Funding was provided for the renewal of the Imprivata certification program for the Electronic Health Records training, and funding support was provided to Emergency Services Dept. and Hillcrest Senior Living for the Stepping On program and course materials, an evidence-based falls prevention training and education program. 468122 468122 PURCHASE OF TECHNOLOGY AND EQUIPMENT FOR BOZEMAN DEACONESS HEALTH SERVICES: Funding was provided to support the purchase of equipment to support Pediatric Cardiology Specialty Services including a pediatric EKG machine, a pediatric Echo Bed, and an EPIQ CVx Ultrasound system to support pediatric cardiology patient care. Funding was provided to Hillcrest Senior Living to purchase shower chairs and smart TV's for their resident's dining and common areas. Funding to the Cancer Center for the purchase of a Medrad Stellant Flex injection system to support accurate contrast dosages. Funding was provided to the Internal Medicine Department to purchase books and supplies for the children's area, blood pressure monitoring equipment, and pocket talkers, emergency kits, magnifiers and blood pressure cuffs for the Belgrade clinic location, an Accuvein device was supported for the Surgery Department and column scales for the Deaconess Hospital Medical floor. Funding was provided to support the purchase of physical therapy program equipment for a new outpatient program at Big Sky Medical Center. 1694648 1694648 MISCELLANEOUS EXPENDITURES:Funds were provided to enhance the patient experience and to meet community needs in a variety of ways. Charity care at cost was provided to support thousands of patients ($440,000). The Cancer Patient Care Fund supported cancer patients in-need with transportation, short-term lodging, rent, mortgage payment or utility assistance, nutritional support and medical supplies otherwise not covered. The Good Sam Fund provided support to patients in-need in the form of taxi or transportation vouchers, hotel rooms, durable medical equipment and medical supplies otherwise not covered. Music therapy and other holistic services were provided for Hospice and Palliative care patients. Funding was also provided for salary support for pediatric specialist clinicians including: pediatric surgery, pediatric orthopedics and pediatric cardiology, case management for the NICU. Enhanced behavioral health services, including salary support for behavioral health specialists, crisis interventionist, and expenses associated with redesigning our community's crisis response. A grant from Kendeda Fund covered expenses for the Healthcare Connections community outreach program, for development of a program to provide support for medical respite patients who are unhoused, and the operational needs of the community outreach program. The Act Now Diabetes program continued strong operations of education along with the Hypertension Clinic. Funding support was also provided through the Employee Emergency fund to support employees experiencing emergency situations. 1694648 1694648 3776232 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 10 0 1 7 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 9 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X Brad Ludford 4065855000 931 Highland Blvd Suite 3200 Bozeman MT 59715 Kris Deason Chair 1.00 0.00 X X 0 0 0 Jay Jutzy MD - Past Chair Jan -Jun)/2nd Vice Chair starting July 1.00 0.00 X X 0 0 0 Andrew Sullivan MD -1st Vice Chair (Jan-Jun)/Dir. starting July 1.00 50.00 X X 0 522195 51488 Rich Deming - Director (Jan-Jun)/Vice Chair starting July 1.00 0.00 X X 0 0 0 Robyn Erlenbush - Director (Jan-Jun) 1.00 0.00 X 0 0 0 Ashley Burleson Secretary 1.00 0.00 X X 0 0 0 Eric Flynn Treasurer 1.00 0.00 X X 0 0 0 Heather Bellamy Director 1.00 0.00 X 0 0 0 Katie Mazurek Director (Jan-Jun) 1.00 0.00 X 0 0 0 Jim Ness Director 1.00 0.00 X 0 0 0 Celia O'Connor Director 1.00 0.00 X 0 0 0 Tim Warner Jr Director 1.00 0.00 X 0 0 0 Mark Williams MD Director 1.00 50.00 X 0 583751 81438 Anne Thomas MD Director starting July 1.00 50.00 X 0 218797 28128 Beth Warner Foundation President starting Oct 50.00 0.00 X 83930 0 5373 83930 1324743 166427 0 0 1 0 Alliance Philanthrophy LLC 27459 Frontage Rd Bozeman MT 59715 Consulting 195000 Witt Kieffer Inc 2015 Spring Rd Ste 510 Oak Brook IL 60523 Employee Recruitment 108858 2 357739 912636 135947 1270375 876765 876765 6966577 6452814 513763 513763 513763 44727 357739 59985 -15258 -15258 2645645 0 0 1375270 3708048 3708048 68184 68184 89378 35751 53627 243232 64108 179124 58504 17475 41029 26523 7957 18566 19200 19200 211000 211000 166837 33367 133470 47260 10828 36432 121635 90750 30885 25466 8913 16553 47358 18885 28473 89 16 73 60 11 49 16220 16220 Dues & Subscriptions 16098 2415 13683 4983 1743 3240 4870075 3776232 327639 766204 12841547 10846188 1934088 1321299 7696 7696 282446 123097 170070 159349 28234975 23345815 3025977 2531510 90865 64932 46305218 38276789 110109 58964 12837 90000 2310356 1780177 2433302 1929141 X 20789867 16678974 23082049 19668674 43871916 36347648 46305218 38276789 X -2224430 -5944802 644964 X 0 1 X 1 0 X 2855166 2783284 9581309 3019000 1270375 19509134 2855166 2783284 9581309 3019000 1270375 19509134 6000364 13508770 751215 839773 664312 741242 876765 3873307 13032 13032 23395473 0.57740 0.61650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24534132 68899 -3372760 558203 20672068 20745993 973493 3399161 584515 24534132 18430208 41677 2623596 349488 20745993 16272305 227769 3135666 1205532 18430208 16828400 335927 -723008 169014 16272305 0.63540 0.19020 0.17440 0 0 137791 16075 121716 144655 107022 37633 159349 Private equity funds 2531510 F 2531510 Estimated liability to beneficiaries 210349 Due to hospital division 1569828 1780177 X -3487330 -5944802 10000 -31336 -5966138 2478808 166837 166837 2645645 4713238 10000 10000 4703238 166837 166837 4870075 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 the 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 Bozeman Health Foundation and benefits Bozeman Health and related system entities. Due to this relationship the endowment fund is being reported on the Form 990, Schedule D, Part V for all three related entities. Part X, Line 2: The Foundation 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 financial statements. The Foundation 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. Part XI, Line 2d - Other Adjustments: Change in value of split-interest agreements -31,336. X X X X X X X 1 Alliance Philanthropy LLC 27459 Frontage Road Bozeman MT 59715 Oversight and implementation of fundraising activities 0 595772 195000 400772 Kathryn C Mazurek 205 Circle Drive Bozeman MT 59715 Added capacity for Hospitality Gala Special Event fundraiser 0 61623 5000 56623 Thompson and Associates 112 Westwood Place Suite 250 Brentwood TN 37027 Planned Giving Consultation 0 0 11000 -11000 657395 211000 446395 MT Hospitality Auction 402466 357739 44727 2211 8380 49394 402466 357739 44727 2211 8380 49394 59985 -15258 1 Bozeman Deaconess Health Services dba Bozeman Health 915 Highland Blvd Bozeman MT 59715 810232121 501(c)(3) 1661600 0 Support hospital programs and services and support of Big Sky Medical Center. Bozeman Health Deaconess Hospital 915 Highland Blvd Bozeman MT 59715 474717998 501(c)(3) 2044448 0 Support of hospital programs and services. 2 0 Hospital Employee Emergency Fund 68 68184 Part I, Line 2: Assistance is granted to Bozeman Health and Affiliates through separate fund requests for reimbursement of expenses. Each request is reviewed to ensure appropriate use of the funds in relation to the designated funds held by the Foundation. Assistance is granted to individuals through the use of the Employee Emergency Fund (EEF). The purpose of the EEF is to help employees of Bozeman Deaconess Health Services who are experiencing emergent financial situations. Emergent is defined as a sudden, urgent, unforeseen occurrence requiring immediate action. The Foundation provides each potential recipient with a list of criteria and application, all of which are reviewed prior to approval. X X X 0 1 0 0 0 0 0 0 0 Mark Williams MD Director 0 487081 0 87892 0 8778 0 67530 0 14802 0 666083 0 0 Andrew Sullivan MD -1st Vice Chair (Jan-Jun)/Dir. starting July 0 510985 0 10382 0 828 0 18300 0 33947 0 574442 0 0 Anne Thomas MD Director starting July 0 211974 0 6571 0 252 0 18300 0 10423 0 247520 0 0 Part I, Line 4b Mark Williams, MD received the benefit from a related organization of $49,230 for a 457(f) plan. X 6 59121 Selling Price X Hospitality Auction Items 83 33907 Donor Designated Val X Patient Gifts 11 17736 Donor Designated Val X Furniture and Fixtures 7 17455 Donor Designated Val X Employee Gifts 33 7008 Donor Designated Val X Miscellaneous 2 720 0 0 1 0 Form 990, Part VI, Section A, line 1a The Executive Committee shall consist of the Chair, First Vice Chair, Second Vice Chair, the Secretary, the Treasurer and the Immediate Past Chair. The Executive Vice President of Philanthropy shall serve ex officio with voice but no vote on the Executive Committee. Members of the Executive Committee are also members of the Board of Directors. The Executive Committee acts on behalf of the Board pursuant to the policies and procedures established on an ongoing basis during the year. The Executive Committee shall report regularly and routinely to the Board concerning its activities on behalf of the organization. Form 990, Part VI, Section A, line 7a The Board of Directors is a voluntary Board appointed by the Trustees of Bozeman Deaconess Health Services, dba Bozeman Health. Form 990, Part VI, Section A, line 7b Ratification of board members and officers is subject to approval by the board of Bozeman Deaconess Health Services, dba Bozeman Health. Form 990, Part VI, Section B, line 11b The Foundation President and the CFO of Bozeman Health will review the draft Form 990 prior to the Foundation's Finance Committee's review. The Board of the Foundation is provided a copy of the Form 990 prior to filing. Form 990, Part VI, Section B, line 12c All Board Members, Officers, and Senior Administration are covered by the conflict of interest policy and are required to annually complete a conflict of interest form disclosing any potential conflicts of interest. In-house Counsel of Bozeman Health, a related entity, identifies any potential conflicts and informs the Board Chair. The Board Chair discusses the conflict and decides whether the conflict is of such nature to exclude the conflicted party from discussion and/or vote. Form 990, Part VI, Section B, line 15a The Executive Compensation Committee receives a formal presentation by an independent compensation consultant (as selected by the Bozeman Health Board) qualified to perform compensation reviews including usage of comparability data. This person presents recommendations to the Compensation Committee of the Bozeman Health Board. The Compensation Committee makes recommendations to the full Bozeman Health Board on an annual basis for Officers and Senior Administration. This annual process was performed in fall 2021 to determine 2022 compensation. Form 990, Part VI, Section C, line 19 Tax documents required to be available for public inspection are available upon request. Form 990, Part XI, line 9: Change in value of split-interest agreements -31,336. Transfers from Bozeman Health Deaconess Hospital 676,300. Bozeman Deaconess Health Services (dba Bozeman Health) 915 Highland Blvd Bozeman MT 59715 810232121 Hospital and Healthcare Services MT 501(c)(3) Line 3 N/A 0 Bozeman Health Deaconess Hospital 915 Highland Blvd Bozeman MT 59715 474717998 Hospital and Healthcare Services MT 501(c)(3) Line 3 Bozeman Deaconess Health Services 0 Deaconess Intercity Imaging LLC 915 Highland Blvd Bozeman MT 59715 810666871 Healthcare - Imaging Services MT N/A 0 0 Rocky Mountain Surgical Center LLC 1450 Ellis St Suite 101 Bozeman MT 59715 364462300 Healthcare - Surgical Services MT N/A 0 0 Spanish Peaks Plaza LLC 120 N 19th Ave Suite A Bozeman MT 59718 810539803 Rental Real Estate for VA Med Clinic & Chiro MT N/A 0 0 Bozeman HealthUSP Surgery Centers LLC 14201 Dallas Parkway Dallas TX 75254 823991148 Ambulatory Surgery Center TX N/A 0 0 Bozeman Deaconess Real Estate Development Corp PO Box 10490 Bozeman MT 59719 205496567 Sale of real estate property and residences to seniors MT N/A C 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 1