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Benefis discontinuing some local services in financial restructure

Benefis Health System notified employees this morning that it was restructuring some services in Great Falls.

The changes will begin implementation on Dec. 19 and continue into the new year, Benefis officials told The Electric.

An employee update was emailed at 9:42 a.m. Nov. 3 and said that “the financial environment is very difficult for hospitals and health systems,” particularly for “safety net hospitals/health systems such as Benefis” where 75 percent of patients are covered by governmental programs.

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The hospital is making changes to prevent slipping from its current break-even situation to financial losses, according to the update, and to protect Benefis’ financial health, employees and prepare for an “even more financially challenging year in 2027.”

To adjust, Benefis told staff on Nov. 3 that:

In the employee update, officials wrote that leadership was communicting communicating directly with those affected by these changes, providing additional information, timing and next steps.

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A registered nurse who works at Benefis and asked not to be identified told The Electric that she learned Nov. 2 that the behavioral health services and inpatient rehab floor were closing. She said that will impact hundreds of patients and about 100 employees. She said the change means no outpatient therapy, psychology or psychiatric medication management services and that the Meadowlark Initiative, a program providing perinatal counseling services to women, will close.

Benefis officials did not confirm that information to The Electric.

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Benefis owns the property at 25 14th Ave. N.W., where it operates a 7,600-square-foot clinic offering urgent care and primary care services, including lab and X-ray, pediatrics and family medicine and specialized procedure rooms.

The inpatient rehabilitation facility at West Campus is a 20-bed speciality unit that provides care after injury or a medical event, according to Benefis’ website. Patients there work with “a multidisciplinary team that includes a physiatrist; neuropsychologist; nurse practitioners; nurse specialists; registered nurses; physical, occupational, and speech- language therapists; and liaisons. If needed, specialists can assist patients with nutrition concerns, wound care, and prosthetic or other mobility devices.”

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Kaci Husted, a Benefis senior vice president, told The Electric that the changes won’t impact 72-hour mental health holds, which are handled as acute inpatient care.

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Many Rivers was selected as one of four Certified Community Behavioral Health Clinics in Montana through a federal program, as part of which Many Rivers must offer nine core services, including:

According to Benefis’ 990 tax form filed in November 2025, the most recent available, the system reported $135,695,035 in revenue and $126,543,023 in expenses for a net income of $9,152,012 and net assets of $439,551,557.

In that filing, Benefis reported that it paid key employees:

  • John Goodnow, director/chief executive officer: $1,816,431
  • Dr. Gregory Tierney, executive vice president for clinical operations, who left Benefis earlier this fall: $1,387,376
  • Forrest Ehlinger, chief financial/business operations officer through September 2024: $1,087,402

The bulk of revenue that year, or 88.2 percent, came through program services for $119,646,911.

In the 2024 tax year filing, notable expenses were:

  • executive compensation: $6,698,742
  • other salaries and wages: $15,470,949

*Benefis photo

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