Healthcare System Overview

An In-Depth Look into the Healthcare System

Bozeman Health – A Modern, Independent Health System at the Heart of Southwest Montana

Bozeman Health stands as southwest Montana’s premier healthcare provider and the region’s largest private employer, known for delivering advanced medical care with the personal touch of a community-based system. The organization has grown from its early 20th-century roots into a high-performing, integrated network that includes two hospitals, multiple specialty clinics, outpatient centers, and senior living facilities—serving an expansive and growing population across Gallatin Valley and beyond.

At the system’s core is Bozeman Health Deaconess Regional Medical Center, a 153-bed, DNV GL-accredited Level III trauma center offering comprehensive inpatient and outpatient services. The hospital’s recent expansions—including a remodeled Women’s Specialists Clinic, modernized NICU, and new Cottonwood Clinic campus—reflect Bozeman Health’s ongoing investment in innovation and patient experience.

The health system operates under a voluntary nonprofit structure, guided by the mission to improve community health and quality of life. With over 2,000 employees and 425 affiliated providers, Bozeman Health continues to embody the values of service, integrity, and teamwork that define its SPIRIT framework.

By the Numbers (Definitive Healthcare, 2024)

  • Net Patient Revenue: $503.4 million
  • Operating Margin: 4.3%
  • Total Operating Expenses: $601.4 million
  • Discharges: 6,545 annually
  • Average Length of Stay: 4.24 days
  • Staffed Beds: 153
  • System Affiliation: Independent
  • Payor Mix:
    • Commercial – 70.4%
    • Medicare – 18.6%
    • Medicaid – 10.4%
    • Other – <1%
  • Top Therapy Areas: Obstetrics, Cardiology, Orthopedics, and Gastroenterology

Quality & Technology

Bozeman Health consistently earns recognition for clinical excellence and patient safety. According to Definitive Healthcare’s performance dashboard, the hospital ranks strongly in quality metrics, including low readmission rates and favorable HCAHPS patient satisfaction scores.

  • CMS Five-Star Quality Rating (2021)
  • Robust Epic EMR integration across all care sites
  • Participation in ACO and telehealth innovation programs
  • Active investment in research and technology, including a $4.8M allocation for new equipment
  • Strong focus on maternal health safety and outcomes within the Women’s & Children’s Service Line

Affiliations & Network Strength

Bozeman Health is a founding member of the Montana Integrated Health Alliance (MIHA) and participates in multiple clinically integrated networks (CINs) that improve continuity of care across the state. The system maintains partnerships with tertiary referral centers, including Billings Clinic and Benefis Health System, for advanced specialty coordination.

Facilities & Campuses

  • Bozeman Health Deaconess Regional Medical Center: 153-bed acute care hospital featuring critical care, 24/7 trauma services, and the region’s first NICU.
  • Bozeman Health Big Sky Medical Center: 8-bed critical access hospital with emergency and primary care services for the Big Sky and Yellowstone regions.
  • Bozeman Health Cottonwood Clinic + Surgery Center: Opened in 2021, this modern facility houses multispecialty practices, including family medicine, gastroenterology, and pain management.
  • Belgrade Clinic + Urgent Care: Comprehensive primary and urgent care serving the growing Belgrade area.
  • Hillcrest Senior Living: Integrated independent and assisted-living community connected to the medical campus.

Financial & Operational Stability

Bozeman Health’s 4.3% operating margin and over $500 million in annual net patient revenue reflect disciplined management and sustainable growth. These figures, coupled with continuous infrastructure investments, underscore the organization’s strength as an independent, physician-friendly system with the resources to support long-term career stability.

At Bozeman Health, physicians find a rare balance between the autonomy of a local system and the sophistication of a regional referral center. It’s a place where innovation meets integrity, where advanced technology supports compassionate care, and where your work directly impacts a thriving community that values and supports its healthcare providers.

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