Critical access hospital · Big Sky, Montana · 8 beds · CMS certification number 271389
Big Sky Medical Center
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 23, 2026. Seven years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $4.5M in its first year on file (2019) to $21.2M in 2025.
- Its result from patient care: −$2.9M (2023), −$3.9M (2024), −$2.9M (2025).
- All 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
- Medicaid paid for 9.0% of its inpatient days and Medicare for 49.1%.
- BOZEMAN DEACONESS HEALTH SERVICES holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
Seven years of filings
Net patient revenue against operating expenses, each year as filed.
settled
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as submitted
Beside its peers
Critical access hospitals in Montana with under 25 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Big Sky Medical Center | 8 | $21,198,540 | $24,063,269 | −13.5% |
| Beartooth Billings Clinic, Red Lodge | 10 | $21,240,951 | $22,069,912 | −3.9% |
| Big Sandy Medical Center, Big Sandy | 8 | $5,538,165 | $8,155,261 | −47.3% |
| Deer Lodge Medical Center, Deer Lodge | 16 | $25,708,689 | $26,005,690 | −1.2% |
| Madison Valley Medical Center, Ennis | 10 | $14,448,921 | $18,469,811 | −27.8% |
| Phillips County Hospital Assn, Malta | 6 | $8,421,819 | $9,648,492 | −14.6% |
Patients and payers
- Discharges
- 32S-3 line 14, col 15
- Inpatient days
- 986S-3 line 14, col 8
- Beds in use, on an average day
- 2.7days ÷ days in year
- Occupancy
- 33.8%days ÷ bed days
- Medicare share of days
- 49.1%S-3 cols 6 ÷ 8
- Medicaid share of days
- 9.0%S-3 cols 7 ÷ 8
Who owns it
- BOZEMAN DEACONESS HEALTH SERVICES100%
Other hospitals with the same owner: Bozeman Health Deaconess Regional Medical Center (MT).
Type of control on its cost report: voluntary nonprofit, other.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by Bozeman Deaconess Health Services (employer identification number 810232121) for tax year 2023. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $3,414,372 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $508,129 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $980,345 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $1,488,474 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $1,925,898 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.019 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202432999349301438. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by Bozeman Deaconess Health Services (employer identification number 810232121) for tax year 2023. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| Alyce Schultz | Director | Trustee/director | $0 | $0 | $0 |
| Andrew Gentry | Gastroenterologist | Highest-compensated employee | $671,712 | $0 | $57,369 |
| Becky Franks - Director | (Jan-Jun)/2nd Vice Chair (as of July) | Trustee/director, Officer | $0 | $0 | $0 |
| Brad Ludford | CFO | Officer | $399,699 | $0 | $118,580 |
| Bruce Hamory | Director | Trustee/director | $0 | $0 | $0 |
| Cory Pulfrey | Director (as of July) | Trustee/director | $0 | $0 | $0 |
| Dane Sobek | Director/Cardiologist | Trustee/director | $691,179 | $0 | $51,297 |
| Darci Bentson | Former CAO | Former | $388,832 | $0 | $0 |
| Denise Juneau | Chief Government & Community Affairs Officer | Key employee | $284,214 | $0 | $58,797 |
| Edie Willey | Former Chief People Officer | Former | $300,358 | $0 | $0 |
| Elizabeth Carver | Secretary | Trustee/director, Officer | $0 | $0 | $0 |
| Jim Berend - Treasurer | (Jan-Jun)/Vice Chair (as of July) | Trustee/director, Officer | $0 | $0 | $0 |
| John Hill | Former CEO | Former | $822,059 | $0 | $0 |
| John How | Chair | Trustee/director, Officer | $0 | $0 | $0 |
| Jon Knokey - Director | (Jan-Jun)/Treasurer (as of July) | Trustee/director, Officer | $0 | $0 | $0 |
| Justin Thomas | Hematologist | Highest-compensated employee | $648,547 | $0 | $59,524 |
| Kallie Kujawa | Chief Operating Officer | Key employee | $282,796 | $0 | $77,020 |
| Kathryn Bertany | CEO | Officer | $636,011 | $0 | $134,381 |
| Kerri Brown | Vice Chair (Jan-Jun) | Trustee/director, Officer | $0 | $0 | $0 |
| Kiera Pattison | Chief Nursing Officer | Key employee | $336,053 | $0 | $55,333 |
| Kleanthis Dendrinos | Gastroenterologist | Highest-compensated employee | $718,785 | $0 | $44,773 |
| Mark Hancock | Internal Medicine | Highest-compensated employee | $727,307 | $0 | $55,683 |
| Mark Williams | Former Chief Physician Officer | Former | $128,219 | $0 | $0 |
| Meghan Johnston | Director (as of July)/Internist | Trustee/director | $246,623 | $0 | $44,020 |
| Melinda Roberts | Director (as of July) | Trustee/director | $0 | $0 | $0 |
| Nathaniel Madsen | Cardiology | Highest-compensated employee | $682,074 | $0 | $55,605 |
| Steve Klein | Chief Legal Officer | Key employee | $314,835 | $0 | $78,598 |
| Tamara Havenhill-Jacobs | Chief Information Officer (thru May) | Key employee | $315,429 | $0 | $13,577 |
| Vicki Groenweg | Director (as of July) | Trustee/director | $0 | $0 | $0 |
| Walt Sales | Director | Trustee/director | $0 | $0 | $0 |
E-file object id 202432999349301438. The IRS archive it was read from.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 271389. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.
How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 23, 2026.