2007

• Top 100 Most Wired Small and Rural Hospitals by Hospitals & Health Networks (also awarded in 2000 and 2001 by Modern Healthcare)
  
• 2007 Leadership Award for excellence in cardiac care by VHA, Inc,
  
• One of the nation's Top Hospitals for Community Value by Cleverly and Associates
• A3 Bond Rating by Moddy's
• Townie Award for the best website in Helena from Downtown Helena

2006

• Most Improved Wired Hospital by Hospitals & Health Networks
• Community Five-Star Rating from Cleverly and Associates for the hospital's success in charge structure, operations efficiency, and capital investment.
• Quality Improvement Recognition by Mountain Pacific Quality Health Foundation
• Community Event Best Practice: Heart of the Matter by the American Hospital Association
• A3 Bond Rating by Moody's

2005

• Top 100 Most Improved Wireless Hospitals by Hospitals & Health Networks
• Top 100 Performance Improvement Leaders by Solucient
• Clinical Excellence Award by VHA Mountain States
• National Supply Savings Chain Award by VHA, Inc
• Quality Improvement Recognition by Mountain Pacific Quality Health Foundation
• Diabetes Education Recognition by the American Diabetes Association

2004

• Public Health Award by Cooperative health Center
• 5-Star Community Value by Cleverly and Associates

2003

• 2003 VHA Leadership Award