{
  "schemaVersion": 3,
  "entityId": "270057",
  "canonicalName": "BOZEMAN HEALTH DEACONESS HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "BOZEMAN HEALTH DEACONESS HOSPITAL appears in the source tracker as a venture-backed investment signal. This dossier does not classify that signal as completed private-equity ownership.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "270057",
    "npi": "1104295864",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "BOZEMAN HEALTH DEACONESS HOSPITAL",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "BOZEMAN HEALTH DEACONESS REGIONAL MEDICAL CENTER",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-270057",
      "from_entity_id": "reported owner",
      "to_entity_id": "270057",
      "relationship_type": "venture_backing",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "signal",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "undefined is reported as an investment backer; this is not treated as a completed ownership claim.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [],
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      "unit": "USD",
      "better_when": "context_dependent",
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      "association_date": "07/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AMY CROOVER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ALYCE SCHULTZ",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:270057",
        "label": "BOZEMAN HEALTH DEACONESS HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:bozeman-deaconess-health-services",
        "label": "BOZEMAN DEACONESS HEALTH SERVICES",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:francisco-ferreyra-munoz:0",
        "label": "FRANCISCO FERREYRA-MUNOZ",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:corey-pulfrey:1",
        "label": "COREY PULFREY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:john-how:2",
        "label": "JOHN HOW",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:bradley-ludford:3",
        "label": "BRADLEY LUDFORD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:vickie-groeneweg:4",
        "label": "VICKIE GROENEWEG",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:david-crites:5",
        "label": "DAVID CRITES",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:meghan-johnston:6",
        "label": "MEGHAN JOHNSTON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:kathryn-bertany:7",
        "label": "KATHRYN BERTANY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:kathryn-bertany:8",
        "label": "KATHRYN BERTANY",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:james-berend:9",
        "label": "JAMES BEREND",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:kim-scurry:10",
        "label": "KIM SCURRY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:bozeman-deaconess-health-services:11",
        "label": "BOZEMAN DEACONESS HEALTH SERVICES",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:elizabeth-carver:12",
        "label": "ELIZABETH CARVER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:rebecca-franks:13",
        "label": "REBECCA FRANKS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jon-knokey:14",
        "label": "JON KNOKEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:amy-croover:15",
        "label": "AMY CROOVER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:bozeman-deaconess-health-services->facility:270057",
        "from": "organization:bozeman-deaconess-health-services",
        "to": "facility:270057",
        "relationship": "reported ownership or operating chain",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The platform attribution comes from the research tracker and is displayed separately from CMS legal-owner rows."
      },
      {
        "id": "cms-owner:francisco-ferreyra-munoz:0->facility:270057",
        "from": "cms-owner:francisco-ferreyra-munoz:0",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 07/01/2024"
      },
      {
        "id": "cms-owner:corey-pulfrey:1->facility:270057",
        "from": "cms-owner:corey-pulfrey:1",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2023"
      },
      {
        "id": "cms-owner:john-how:2->facility:270057",
        "from": "cms-owner:john-how:2",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/18/2019"
      },
      {
        "id": "cms-owner:bradley-ludford:3->facility:270057",
        "from": "cms-owner:bradley-ludford:3",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 09/05/2018"
      },
      {
        "id": "cms-owner:vickie-groeneweg:4->facility:270057",
        "from": "cms-owner:vickie-groeneweg:4",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2023"
      },
      {
        "id": "cms-owner:david-crites:5->facility:270057",
        "from": "cms-owner:david-crites:5",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 07/01/2024"
      },
      {
        "id": "cms-owner:meghan-johnston:6->facility:270057",
        "from": "cms-owner:meghan-johnston:6",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2023"
      },
      {
        "id": "cms-owner:kathryn-bertany:7->facility:270057",
        "from": "cms-owner:kathryn-bertany:7",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 11/01/2022"
      },
      {
        "id": "cms-owner:kathryn-bertany:8->facility:270057",
        "from": "cms-owner:kathryn-bertany:8",
        "to": "facility:270057",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 08/05/2019"
      },
      {
        "id": "cms-owner:james-berend:9->facility:270057",
        "from": "cms-owner:james-berend:9",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2022"
      },
      {
        "id": "cms-owner:kim-scurry:10->facility:270057",
        "from": "cms-owner:kim-scurry:10",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 07/01/2024"
      },
      {
        "id": "cms-owner:bozeman-deaconess-health-services:11->facility:270057",
        "from": "cms-owner:bozeman-deaconess-health-services:11",
        "to": "facility:270057",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 01/01/2016"
      },
      {
        "id": "cms-owner:elizabeth-carver:12->facility:270057",
        "from": "cms-owner:elizabeth-carver:12",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2021"
      },
      {
        "id": "cms-owner:rebecca-franks:13->facility:270057",
        "from": "cms-owner:rebecca-franks:13",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2022"
      },
      {
        "id": "cms-owner:jon-knokey:14->facility:270057",
        "from": "cms-owner:jon-knokey:14",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2022"
      },
      {
        "id": "cms-owner:amy-croover:15->facility:270057",
        "from": "cms-owner:amy-croover:15",
        "to": "facility:270057",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2024"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 398134556,
      "latestValue": 413499189,
      "absoluteChange": 15364633,
      "percentChange": 3.859155847803374,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 419843619,
      "latestValue": 450698356,
      "absoluteChange": 30854737,
      "percentChange": 7.349102285629831,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 20370936,
      "latestValue": 15909882,
      "absoluteChange": -4461054,
      "percentChange": -21.899111557760527,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 645555894,
      "latestValue": 571200796,
      "absoluteChange": -74355098,
      "percentChange": -11.517995372837538,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 252930007,
      "latestValue": 224094392,
      "absoluteChange": -28835615,
      "percentChange": -11.400630293739722,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 23799211,
      "latestValue": 9149417,
      "absoluteChange": -14649794,
      "percentChange": -61.55579695478141,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1690.75,
      "latestValue": 1697.42,
      "absoluteChange": 6.670000000000073,
      "percentChange": 0.39449948247819444,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 124,
      "latestValue": 139,
      "absoluteChange": 15,
      "percentChange": 12.096774193548388,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 30582,
      "latestValue": 26221,
      "absoluteChange": -4361,
      "percentChange": -14.260022235301811,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 6667,
      "latestValue": 6143,
      "absoluteChange": -524,
      "percentChange": -7.859607019649017,
      "unit": "discharges"
    }
  ]
}
