ST PETERS HEALTH: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ST PETERS HEALTH (EIN 81-0233121)
Tax period: 2023-06-01 to 2024-05-31
Filed: 2025-04-14
IRS object ID: 202531049349302183
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-04-14T18:51:59+00:00	ReturnTs
Tax Period End	2024-05-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 Ridgefield Court	AddressLine1Txt
City	Asheville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-06-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810233121	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST PETER'S HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STPE	BusinessNameControlTxt
Phone	4064422480	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2475 BROADWAY	AddressLine1Txt
City	HELENA	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WADE JOHNSON	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	4064422480	PhoneNum
Signature	2025-04-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brandon Schulze	PreparerPersonNm
PTIN	P02051564	PTIN
Phone	7194714290	PhoneNum
Preparation	2025-04-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WADE JOHNSON	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2475 BROADWAY	AddressLine1Txt
City	HELENA	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$435,426,623	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SPHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH, WELLNESS AND QUALITY OF LIFE OF THE PEOPLE AND COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2200	TotalEmployeeCnt
Total Volunteers	148	TotalVolunteersCnt
Total Gross UBI	$3,245,052	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,861,689	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,226,955	PYContributionsGrantsAmt
CY Contributions Grants	$5,552,047	CYContributionsGrantsAmt
PY Program Service Revenue	$298,688,701	PYProgramServiceRevenueAmt
CY Program Service Revenue	$332,030,362	CYProgramServiceRevenueAmt
PY Investment Income	$13,675,788	PYInvestmentIncomeAmt
CY Investment Income	$28,186,247	CYInvestmentIncomeAmt
PY Other Revenue	$5,508,829	PYOtherRevenueAmt
CY Other Revenue	$4,343,212	CYOtherRevenueAmt
PY Total Revenue	$321,100,273	PYTotalRevenueAmt
CY Total Revenue	$370,111,868	CYTotalRevenueAmt
PY Grants And Similar Paid	$205,895	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$135,635	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$179,089,427	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$178,409,639	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$881,061	CYTotalFundraisingExpenseAmt
PY Other Expenses	$143,205,858	PYOtherExpensesAmt
CY Other Expenses	$159,097,325	CYOtherExpensesAmt
PY Total Expenses	$322,501,180	PYTotalExpensesAmt
CY Total Expenses	$337,642,599	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,400,907	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$32,469,269	CYRevenuesLessExpensesAmt
Total Assets BOY	$422,143,078	TotalAssetsBOYAmt
Total Assets EOY	$465,064,719	TotalAssetsEOYAmt
Total Liabilities BOY	$83,207,462	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$103,544,712	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$338,935,616	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$361,520,007	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE HEALTH, WELLNESS AND QUALITY OF LIFE OF THE PEOPLE AND COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$204,592,522	ExpenseAmt
Grant	$135,635	GrantAmt
Revenue	$252,617,331	RevenueAmt
Desc	SPH IS A NONPROFIT HEALTH CARE SYSTEM LOCATED IN HELENA, MONTANA. OUR SERVICES INCLUDE BUT ARE NOT LIMITED TO A 99-BED ACUTE CARE HOSPITAL, PHYSICIAN CLINICS, CANCER TREATMENT CENTER, 24-BED BEHAVIORAL HEALTH UNIT, URGENT CARE CLINICS, HOME HEALTH AND HOSPICE CARE, DIALYSIS CENTER AND AMBULANCE SERVICES. WE PROVIDE SERVICES TO OUR RESIDENTS FROM A FIVE-COUNTY AREA (LEWIS AND CLARK BROADWATER, POWELL, MEAGHER AND JEFFERSON COUNTIES). IN ADDITION TO FREE CARE AND/OR SUBSIDIZED CARE, CARE IS ALSO PROVIDED AT BELOW COST RATES TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$61,112,052	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$75,457,125	RevenueAmt
Desc	THE HOSPITAL OPERATES SEVERAL PHYSICIAN CLINICS, EMPLOYING 137 PHYSICIANS AND PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS. WITHOUT THE HOSPITALS ASSISTANCE, LEWIS AND CLARK COUNTY WOULD BE WITHOUT MANY NEEDED MEDICAL AND SURGICAL SPECIALTIES. PHYSICIANS IN THE SPECIALTIES OF FAMILY PRACTICE, INTERNAL MEDICINE, NEUROLOGY, RHEUMATOLOGY, GASTROENTEROLOGY, ENT, CARDIOLOGY, GENERAL SURGERY, ORTHOPEDIC SURGERY, ALLERGY, NEPHROLOGY, RADIATION AND MEDICAL ONCOLOGY HAD APPROXIMATELY 445,030 PATIENT ENCOUNTERS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$265,704,574	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	121	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2200	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NATHAN COBURN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4064422480	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2475 BROADWAY	AddressLine1Txt
City	HELENA	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59601	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JUSTIN MOSNESS
SECRETARY/TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
KERRY HALE
CHIEF OF STAFF, EX OFFICIO	40.0	0.0	Yes (X)	Yes (X)	$282,797	$0	$37,504
LOREN BROWN
VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
RUSS BELL PHD
CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JIM STANGER
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
KELLY PARSLEY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MEG JACOBY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
NATE MCCARTHY
FOUNDATION CHAIR, EX OFFICIO	1.0	1.0	Yes (X)		$0	$0	$0
ROSSLYN DUNCAN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SARA MEDLEY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SENATOR MARY CAFERRO
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
TIM MELDRUM
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM BATEY MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
NATHAN COBURN
CFO	39.0	1.0		Yes (X)	$362,978	$0	$47,664
RYAN WINN
CIO	40.0	0.0		Yes (X)	$275,765	$0	$23,612
SHELLY HARKINS
CMO	40.0	0.0		Yes (X)	$130,865	$0	$36,985
WADE JOHNSON
CEO, EX OFFICIO, NON-VOTING	39.0	1.0		Yes (X)	$744,841	$0	$216,793
BRIAN LEE
VP OF OPERATIONS	40.0	0.0			$262,941	$0	$47,414	Yes (X)
TODD WAMPLER
PRESIDENT SPMG	40.0	0.0			$437,334	$0	$34,918	Yes (X)
BRANDON NEWGARD
MD	40.0	0.0			$1,118,220	$0	$49,234		Yes (X)
CHRISTOPHER LINDSAY
MD	40.0	0.0			$1,259,747	$0	$33,153		Yes (X)
KEVIN BROWN
DO	40.0	0.0			$754,020	$0	$45,807		Yes (X)
LAUREN SHEA
MD	40.0	0.0			$1,398,319	$0	$44,081		Yes (X)
TIMOTHY GROSSMAN
MD	40.0	0.0			$683,630	$0	$33,311		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,711,457	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$650,476	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	254	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDICAL SOLUTIONS LLC
PO BOX 850737	MINNEAPOLIS	MN	55485	CONTRACT LABOR	$6,949,891
SCL HEALTH
PO BOX 912946	DENVER	CO	80291	HOSTING SERVICES	$6,577,947
COMPHEALTH INC
PO BOX 972670	DALLAS	TX	75397	LOCUMS	$3,389,850
DICK ANDERSON CONSTRUCTION INC
3424 E US HWY 12	HELENA	MT	59601	CONSTRUCTION	$2,710,664
THE CHARTIS GROUP LLC
220 WEST KINZIE ST 3RD FLOOR	CHICAGO	IL	60654	CONSULTING	$1,549,344

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	59	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,330,298	RelatedOrganizationsAmt
Government Grants	$1,941,934	GovernmentGrantsAmt
All Other Contributions	$279,815	AllOtherContributionsAmt
Total Contributions	$5,552,047	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621110	$245,659,084	$245,659,084
PHARMACY	456110	$68,772,095	$66,728,847	$2,043,248
INCOME FROM JOINT VENTURES	900099	$2,707,110	$2,310,446	$396,664
340B PHARMACY	621110	$14,005,735	$14,005,735
MEANINGFUL USE	900099	$886,338	$886,338

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$332,030,362	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,060,427	TotalRevenueColumnAmt
Exclusion	$4,060,427	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,386,377	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$398,458	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,987,919	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,987,919	TotalRevenueColumnAmt
Exclusion	$1,987,919	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$88,551,645	SecuritiesAmt
Other	$338,332	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$64,570,368	SecuritiesAmt
Other	$193,789	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$23,981,277	SecuritiesAmt
Other	$144,543	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,125,820	TotalRevenueColumnAmt
Exclusion	$24,125,820	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$538,975	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$152,140	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$386,835	TotalRevenueColumnAmt
Unrelated Business Revenue	$379,638	UnrelatedBusinessRevenueAmt
Exclusion	$7,197	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DAYCARE	722514	$757,803	$416,798	$341,005
CAFETERIA	722514	$671,816	$7,891	$663,925
POPULATION HEALTH	624110	$414,301			$414,301

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$124,538	TotalRevenueColumnAmt
Related Or Exempt Func Income	$123,725	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$813	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,968,458	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$370,111,868	TotalRevenueColumnAmt
Related Or Exempt Func Income	$330,128,476	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,245,052	UnrelatedBusinessRevenueAmt
Exclusion	$31,186,293	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$135,635	TotalAmt
Program Services	$135,635	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,860,546	TotalAmt
Program Services	$2,266,982	ProgramServicesAmt
Management And General	$584,409	ManagementAndGeneralAmt
Fundraising	$9,155	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$145,086,117	TotalAmt
Program Services	$117,987,958	ProgramServicesAmt
Management And General	$26,451,470	ManagementAndGeneralAmt
Fundraising	$646,689	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,193,274	TotalAmt
Program Services	$9,174,034	ProgramServicesAmt
Management And General	$2,014,276	ManagementAndGeneralAmt
Fundraising	$4,964	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,106,684	TotalAmt
Program Services	$8,180,469	ProgramServicesAmt
Management And General	$1,868,263	ManagementAndGeneralAmt
Fundraising	$57,952	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,163,018	TotalAmt
Program Services	$7,499,961	ProgramServicesAmt
Management And General	$1,630,289	ManagementAndGeneralAmt
Fundraising	$32,768	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$89,072	TotalAmt
Management And General	$89,072	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$164,456	TotalAmt
Management And General	$164,456	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$55,883	TotalAmt
Management And General	$55,883	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,206,698	TotalAmt
Management And General	$1,206,698	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$35,803,307	TotalAmt
Program Services	$17,487,064	ProgramServicesAmt
Management And General	$18,309,446	ManagementAndGeneralAmt
Fundraising	$6,797	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$207,790	TotalAmt
Program Services	$1,160	ProgramServicesAmt
Management And General	$205,630	ManagementAndGeneralAmt
Fundraising	$1,000	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,388,980	TotalAmt
Program Services	$2,694,591	ProgramServicesAmt
Management And General	$3,622,965	ManagementAndGeneralAmt
Fundraising	$71,424	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,695,682	TotalAmt
Program Services	$1,695,682	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,248,273	TotalAmt
Program Services	$653,334	ProgramServicesAmt
Management And General	$3,594,939	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$309,576	TotalAmt
Program Services	$163,656	ProgramServicesAmt
Management And General	$140,188	ManagementAndGeneralAmt
Fundraising	$5,732	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,154,109	TotalAmt
Program Services	$389,166	ProgramServicesAmt
Management And General	$763,018	ManagementAndGeneralAmt
Fundraising	$1,925	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$673,760	TotalAmt
Program Services	$666,113	ProgramServicesAmt
Management And General	$7,647	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,063,101	TotalAmt
Program Services	$11,900,529	ProgramServicesAmt
Management And General	$162,021	ManagementAndGeneralAmt
Fundraising	$551	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,507,258	TotalAmt
Program Services	$4,495,087	ProgramServicesAmt
Management And General	$12,171	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES DRUGS	$75,844,788	$75,330,136	$487,399	$27,253
BED TAX	$4,825,025	$4,825,025
MISCELLANEOUS	$441,395	$157,992	$268,552	$14,851
LEGAL SETTLEMENT	$9,418,172		$9,418,172

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$337,642,599	TotalAmt
Program Services	$265,704,574	ProgramServicesAmt
Management And General	$71,056,964	ManagementAndGeneralAmt
Fundraising	$881,061	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$17,889,134	BOYAmt
EOY	$15,973,268	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$264,661	BOYAmt
EOY	$269,737	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$41,649,384	BOYAmt
EOY	$67,536,685	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$1,233,457	BOYAmt
EOY	$3,126,839	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$18,103,497	BOYAmt
EOY	$22,953,927	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,839,973	BOYAmt
EOY	$10,456,718	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,416,649	BOYAmt
EOY	$6,060,450	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$286,946,641	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$142,004,815	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$140,055,025	BOYAmt
EOY	$144,941,826	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$138,210,317	BOYAmt
EOY	$137,797,233	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$16,985,002	BOYAmt
EOY	$12,991,955	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,705,991	BOYAmt
EOY	$4,490,349	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,955,221	BOYAmt
EOY	$1,729,637	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$27,834,767	BOYAmt
EOY	$36,736,095	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$422,143,078	BOYAmt
EOY	$465,064,719	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$31,923,166	BOYAmt
EOY	$44,666,505	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$116,088	BOYAmt
EOY	$106,045	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,613,748	BOYAmt
EOY	$21,790,220	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,823,067	BOYAmt
EOY	$1,330,606	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,731,393	BOYAmt
EOY	$35,651,336	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,207,462	BOYAmt
EOY	$103,544,712	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$313,849,144	BOYAmt
EOY	$332,026,174	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,086,472	BOYAmt
EOY	$29,493,833	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$338,935,616	BOYAmt
EOY	$361,520,007	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$422,143,078	BOYAmt
EOY	$465,064,719	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$32,469,269	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$4,898,833	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$4,986,045	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$55,883	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$55,883	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE HOSPITAL HIRED A CONSULTANT TO PROVIDE LOBBYING SERVICES IN CONNECTION WITH GOVERNMENTAL AFFAIRS REPRESENTATION TO ENSURE HOSPITAL, COMMUNITY, AND EMPLOYEE INTERESTS AND NEEDS ARE REPRESENTED. IN ADDITION, A PORTION OF AHA/MHA DUES ARE ATTRIBUTED TO LOBBYING SERVICES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,602,418	BeginningYearBalanceAmt
Contributions	$1,035,356	ContributionsAmt
Investment Earnings Or Losses	$2,075,448	InvestmentEarningsOrLossesAmt
Other Expenditures	$898,382	OtherExpendituresAmt
End Year Balance	$21,814,840	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,747,431	BeginningYearBalanceAmt
Contributions	$2,725,600	ContributionsAmt
Investment Earnings Or Losses	$610,542	InvestmentEarningsOrLossesAmt
Other Expenditures	$481,155	OtherExpendituresAmt
End Year Balance	$19,602,418	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,797,623	BeginningYearBalanceAmt
Contributions	$429,101	ContributionsAmt
Investment Earnings Or Losses	-$114,759	InvestmentEarningsOrLossesAmt
Other Expenditures	$364,534	OtherExpendituresAmt
End Year Balance	$16,747,431	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,961,992	BeginningYearBalanceAmt
Contributions	$593,529	ContributionsAmt
Investment Earnings Or Losses	$3,314,823	InvestmentEarningsOrLossesAmt
Other Expenditures	$72,721	OtherExpendituresAmt
End Year Balance	$16,797,623	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,109,353	BeginningYearBalanceAmt
Contributions	$74,116	ContributionsAmt
Investment Earnings Or Losses	$818,248	InvestmentEarningsOrLossesAmt
Other Expenditures	$39,725	OtherExpendituresAmt
End Year Balance	$12,961,992	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.595	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.405	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,586,373	OtherCostOrOtherBasisAmt
Book Value	$11,586,373	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,729,827	OtherCostOrOtherBasisAmt
Depreciation	$62,115,015	DepreciationAmt
Book Value	$79,614,812	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,244,765	OtherCostOrOtherBasisAmt
Depreciation	$1,621,295	DepreciationAmt
Book Value	$2,623,470	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$118,021,222	OtherCostOrOtherBasisAmt
Depreciation	$78,268,505	DepreciationAmt
Book Value	$39,752,717	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,364,454	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$11,364,454	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$144,941,826	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENTS IN SPH FOUNDATION	$31,661,323
ROU ASSETS	$5,074,772

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$36,736,095	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
MALPRACTICE ACCRUAL	$14,260,201
PENSION LIABILITY	$16,068,076
ACCRUED INTEREST PAYABLE	$56,132
LEASE LIABILITIES	$5,266,927

Field	Value	IRS element (for citing)
Total Liability	$35,651,336	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$359,400,151	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$4,898,833	NetUnrealizedGainsInvstAmt
Other Revenue	-$4,986,045	OtherRevenueAmt
Revenue Not Reported	-$9,884,878	RevenueNotReportedAmt
Revenue Subtotal	$369,285,029	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,206,698	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$379,859	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$826,839	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$370,111,868	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$336,815,760	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$524,402	OtherExpensesIncludedAmt
Expenses Not Reported	$524,402	ExpensesNotReportedAmt
Expenses Subtotal	$336,291,358	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,206,698	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$144,543	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,351,241	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$337,642,599	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 INTENDED USES OF ENDOWMENT FUNDS	ENDOWMENT FUNDS ARE RESTRICTED FOR SUPPORT OF HOSPITAL PROGRAMS AND SERVICES AND FOR CAPITAL PURCHASES AND IMPROVEMENTS IN ACCORDANCE WITH BOARD POLICIES AND/OR DONOR RESTRICTIONS.
Schedule D, Part X, Line 2 LIABILITY FOR UNCERTAIN TAX POSITIONS	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	Change in interest in foundation - 5469960 Minimum pension liability adjustments - -10456005
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	COST OF GOODS SOLD - -158377 RENTAL EXPENSE NET WITH REVENUE - -398458 RECLASS GAIN ON SALE OF ASSET - 144543 SALES OF INVENTORY INCLUDED IN EXPENSE - 32433
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	COST OF GOODS SOLD - 158377 SALES OF INVENTORY INCLUDED WITH EXPENSE - -32433 RENTAL EXPENSES NET WITH REVENUE - 398458
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	RECLASS GAIN ON SALE OF ASSET - 144543

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	275	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,769,761	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,769,761	NetCommunityBenefitExpnsAmt
Total Expense	0.0082	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,212,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,438,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,774,263	NetCommunityBenefitExpnsAmt
Total Expense	0.0200	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$42,982,307	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,438,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,544,024	NetCommunityBenefitExpnsAmt
Total Expense	0.0282	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,150,688	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,150,688	NetCommunityBenefitExpnsAmt
Total Expense	0.0034	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$635,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$317,618	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$317,519	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,167,058	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,601,836	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,565,222	NetCommunityBenefitExpnsAmt
Total Expense	0.1021	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$100,952,883	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,919,454	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,033,429	NetCommunityBenefitExpnsAmt
Total Expense	0.1065	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$143,935,190	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$98,357,737	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,577,453	NetCommunityBenefitExpnsAmt
Total Expense	0.1346	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,251,939	BadDebtExpenseAmt
Bad Debt Expense Attributable	$154,801	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$102,215,130	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$104,186,027	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,970,897	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	HELENA SURGICENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.005	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0007	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.0043	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST PETER'S HEALTH	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2475 BROADWAY	AddressLine1Txt
City	HELENA	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SPHEALTH.ORG	WebsiteAddressTxt
State License	13346	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PHYSICIAN CLINICS URGENT CARE SERVICES	OtherDesc
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	1	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.SPHEALTH.ORG/SITES/DEFAULT/FILES/2021-08/2021-PRC-CHNA-REPORT- --ST.-PETERS-HEALTH	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.SPHEALTH.ORG/SITES/DEFAULT/FILES/2021-08/2021-PRC-CHNA-REPORT- --ST.-PETERS-HEALTH	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	275.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.sphealth.org/patients-visitors/billing/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.sphealth.org/patients-visitors/billing/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.sphealth.org/patients-visitors/billing/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule H, Part V, Section B, Line 5 Facility 1, 1

Facility 1, 1 - ST. PETER'S HEALTH. A CONSULTANT WAS ENGAGED TO FACILITATE THE COMMUNITY NEEDS ASSESSMENT THROUGH USE OF AN ONLINE KEY INFORMANT SURVEY. THE KEY INFORMANTS REPRESENTED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. THESE KEY INFORMANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS (INCLUDING AFRICAN AMERICAN, HISPANIC AND NATIVE AMERICANS, ASIANS, CHINESE, AND KOREAN, THE DISABLED, DUAL-LANGUAGE LEARNERS, THE ELDERLY, ESL, ETHNIC/RACIAL, EUROPEAN, FOSTER CHILDREN, THE HOMELESS, THE INDIGENT, THOSE WITH INSURANCE BARRIERS, LATIN AMERICANS, LGBT, LOW-INCOME, MEDICARE/MEDICAID RECIPIENTS, MENTALLY ILL/DISABLED, MINORITIES, NIGERIANS, PACIFIC ISLANDERS, RURAL POPULATIONS, SINGLE MOTHERS, UNINSURED/UNDERINSURED, WOMEN, YOUTH), OR OTHER MEDICALLY UNDERSERVED POPULATIONS (INCLUDING ADOLESCENTS RESIDING IN LOCAL GROUP HOMES, ADULTS, THOSE WITH AUTISM, CHILDREN WITH SPECIAL EDUCATION SERVICES, THOSE WITH CHRONIC HEALTH CONDITIONS, THOSE IN CRISIS, DISABLED, ELDERLY, ETHNIC/RACIAL, FOSTER CHILDREN, HIGH-RISK MOTHERS AND INFANTS, THE HOMELESS, THOSE IN JAIL, LGBT, LOW-INCOME/POVERTY, MEDICARE/MEDICAID, MENTALLY ILL/DISABLED, MINORITIES, NATIVE AMERICANS, NEGLECTED CHILDREN, PARENTS WITH YOUNG CHILDREN, PEOPLE VISITING COMMUNITY HEALTH CENTERS, PRE-RELEASE CITIZENS, THOSE RECOVERING FROM ADDICTION, TEEN MOTHERS, THOSE WITH TRAUMA, UNDERINSURED/UNINSURED, UNDOCUMENTED, VETERANS, WOMEN, YOUTH). IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH, AND HOW THESE MIGHT BE BETTER ADDRESSED. FINAL PARTICIPATION INCLUDED REPRESENTATIVES OF THE ORGANIZATION OUTLINED BELOW. AARP ASSOCIATED DERMATOLOGY AUGUSTA AWARE INC. BIG BROTHERS BIG SISTERS BIG SKY WAY BIG SKY BROKERS BIKE WALK HELENA/MONTANA BIKE WALK MONTANA BIKEWALK HELENA BLUE CROSS BLUE SHIELD OF MT BOYD ANDREW CHEMICAL DEPENDENCY BOYD ANDREW COMMUNITY SERVICES CANCER CONTROL COALITION CAPITAL MEDICAL ANESTHESIA CAPITAL TRANSIT ADVISORY COUNCIL CAREER TRAINING INSTITUTE CARROLL COLLEGE CASA CENTER FOR MENTAL HEALTH CHILD CARE CONNECTIONS CHILDWISE INSTITUTE CITY OF HELENA CITY PUBLIC WORKS CITY-COUNTY BOARD OF HEALTH CITY-COUNTY PARKS BOARD COMMUNITY DEVELOPMENT, CITY OF HELENA COMMUNITY RESOURCE MANAGEMENT COUNTY DUI TASK FORCE CRIMINAL JUSTICE SERVICES DEPARTMENT DENTAL CLINIC ADVISORY COUNCIL DISABILITY RIGHTS MONTANA EAST HELENA EAST HELENA CITY COUNCIL EAST HELENA SCHOOL DISTRICT ELKHORN FOOT AND ANKLE CLINIC EPA EXPLORATION WORKS FAMILY OUTREACH FIRST JUDICIAL DISTRICT TREATMENT COURT FLORENCE CRITTENTON HOME GOD'S LOVE HOMELESS SHELTER GOOD SAMARITAN MINISTRIES GOVERNOR'S OFFICE HALLIDAY AND ASSOCIATES HEALTH SERVICES, CARROLL COLLEGE HEALTHY COMMUNITIES COALITION HEALTHY MOTHERS HEALTHY BABIES HELENA BUSINESS IMPROVEMENT DISTRICT HELENA CARDIOLOGY CLINIC HELENA CHAMBER OF COMMERCE HELENA CITIZENS ADVISORY COUNCIL HELENA CITIZENS COUNCIL HELENA CITY COMMISSION HELENA COLLEGE HELENA COMMUNITY CONNECTIONS HELENA EYE CLINIC HELENA FAMILY YMCA HELENA FIRE DEPARTMENT HELENA FOOD SHARE HELENA HIGH SCHOOL HELENA HOUSING AUTHORITY HELENA INDIAN ALLIANCE HELENA MT HELENA OB/GYN HELENA PARKS AND RECREATION HELENA PEDIATRICS CLINIC HELENA PLANNING DEPARTMENT HELENA POLICE DEPARTMENT HELENA PUBLIC SCHOOLS HELENA RECREATIONAL ASSOCIATION HELENA SCHOOL BOARD HELENA SCHOOL DISTRICT 1 HELENA TOURISM ALLIANCE IMPACT MONTANA (NATIONAL GUARD) INDEPENDENT RECORD INTERMOUNTAIN KALMORE DENTAL LEWIS & CLARK PUBLIC HEALTH LEWIS AND CLARK COUNTY LEWIS AND CLARK COUNTY DUI TASK FORCE LEWIS AND CLARK COUNTY SHERIFF'SOFFICE LEWIS AND CLARK EMERGENCY PHYSICIANS LEWIS AND CLARK LITERACY COUNCIL LEWIS AND CLARK PUBLIC HEALTH LOCAL MENTAL HEALTH ADVISORY COUNCIL MISSOURI RIVER DRUG TASK FORCE MONTANA ASSOCIATION OF COUNTIES MONTANA BUSINESS ASSISTANCE CONNECTION MONTANA CATHOLIC CONFERENCE MONTANA HEAD START ASSOCIATION MONTANA LEGISLATURE MONTANA NO KID HUNGRY MORRISON-MAIERLE MOUNTAIN VIEW FAMILY HEALTHCARE MSU EXTENSION SERVICE MT ADDICTIVE & MENTAL DISORDERS DIVISION MT BOARD OF PUBLIC EDUCATION MT DEPT. OF ENVIRONMENTAL QUALITY MT DEPT. OF PUBLIC HEALTH AND HUMAN SERVICES MT INDEPENDENT LIVING PROJECT MT LEGAL SERVICES ASSOCIATION MURRY'S NAMI NARRATE CHURCH NATIONAL GUARD NATURAL MEDICINE PLUS NONMOTORIZED TRAVEL ADVISORY COUNCIL NORTHWESTERN ENERGY OFFICE OF THE ATTORNEY GENERAL OUR PLACE DROP-IN CENTER PACIFICSOURCE PARTNERS IN PEDIATRICS PEDIATRIC DENTISTRY PEERS UNLIMITED PUREVIEW BOARD OF DIRECTORS PUREVIEW HEALTH CENTER QUINN ERWIN RESTORATIVE JUSTICE AND COURT SERVICES RMDC HEAD START ROCKY MOUNTAIN DEVELOPMENT COUNCIL SALVATION ARMY SHERIFF'S OFFICE SHODAIR SHODAIR RESIDENTIAL TREATMENT CENTER SMA ARCHITECTS SMITH AND MCGOWAN ST. PAUL'S METHODIST CHURCH ST. PETER'S BOARD OF DIRECTORS ST. PETER'S HEALTH ST. PETER'S HEALTH FOUNDATION STOP DUI TASK FORCE THE FRIENDSHIP CENTER THE SALVATION ARMY UNITED WAY UNITED WAY OF THE LEWIS AND CLARK AREA US FOREST SERVICE VETERANS ADMINISTRATION HOSPITAL WATER QUALITY PROTECTION DISTRICT WATER QUALITY PROTECTION DISTRICT BOARD WOMEN'S HEALTH CARE CENTER YOUTH CONNECTIONS COALITION YWCA YWCA WINGS PROGRAM

Schedule H, Part V, Section B, Line 11 Facility 1, 1

Facility 1, 1 - ST. PETER'S HEALTH. SEE ATTACHMENT

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HOSPICE AND HOMELINK OF ST PETERS HOSPITAL
201 SOUTH CALIFORNIA	HELENA	MT	59601	HOSPICE AND HOME HEALTH
APEX OF ST PETERS HOSPITAL
201 SOUTH CALIFORNIA	HELENA	MT	59601	HOME OXYGEN SERVICES
ST PETER'S MEDICAL GROUP BROADWAY
2550 BROADWAY	HELENA	MT	59601	PHYSICIAN CLINIC
ST PETER'S MEDICAL GROUP NORTH
3330 PTARMIGAN LANE	HELENA	MT	59602	PHYSICIAN CLINIC
ST PETER'S HEALTH - TOWNSEND CLINIC
515 S FRONT ST	TOWNSEND	MT	59644	PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	ST PETER'S HEALTH USES ASSET LEVELS AND MEDICAL INDIGENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.
Schedule H, Part I, Line 7 DESCRIBE SUBSIDIZED HEALTH SERVICE COSTS	THE ORGANIZATION USED AN INTERNAL COST ALLOCATION SYSTEM FOR LINES 7A, 7B AND 7G. THE COST ALLOCATION SYSTEM ADDRESSES ALL PATIENT SEGMENTS. THE COSTS ARE ESTIMATED BY ALLOCATING DEPARTMENTAL COSTS BASED ON DIRECT COSTS LESS ANY OTHER OPERATING REVENUE, THEN BY DOING AN ALLOCATION OF BENEFITS, DEPRECIATION AND OTHER OVERHEAD COSTS. THE INFORMATION FOR LINES 7E AND 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
Schedule H, Part I, Line 7g Subsidized Health Services	SUBSIDIZED HEALTH SERVICE COSTS: INCLUDED IN SUBSIDIZED SERVICES ARE PHYSICIAN CLINICS, WHICH ARE FREE STANDING CLINICS. TOTAL COST AS REPORTED IN SECTION 7G FOR THESE CLINICS WAS $5,107,548 WHICH INCLUDES ALLOCATED OVERHEAD COSTS. TOTAL CLINIC EXPENSES WITHOUT OVERHEAD ALLOCATIONS WAS $38,028.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	4251939
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BAD DEBT EXPENSE IS REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION.BAD DEBT EXPENSE IS REPORTED NET OF DISCOUNTS AND CONTRACTUAL ALLOWANCES. A PAYMENT ON AN ACCOUNT PREVIOUSLY WRITTEN OFF REDUCES BAD DEBT EXPENSE IN THE CURRENT YEAR.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	TO DETERMINE THE PORTION OF BAD DEBT THAT SHOULD BE CONSIDERED A COMMUNITY A HISTORICAL PERCENTAGE WAS USED. THIS WAS DONE TO RECLASSIFY THE PORTION OF BAD DEBT EXPENSE THAT WOULD HAVE BEEN CONSIDERED CHARITY CARE IF THE INDIVIDUAL WOULD HAVE COMPLETED THE FINANCIAL ASSISTANCE APPLICATION.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ST. PETER'S HEALTH RECOGNIZES ITS RESPONSIBILITY TO RENDER NECESSARY HEALTH CARE SERVICES TO ALL PERSONS IN NEED OF SUCH CARE, REGARDLESS OF RACE, CREED, COLOR OR ECONOMIC CIRCUMSTANCES. ST. PETER'S HEALTH RECOGNIZES THAT PAYMENT FOR SERVICES RENDERED IS DUE AND PAYABLE AT THE TIME OF SERVICE. THE HOSPITAL ACCEPTS INSURANCE ASSIGNMENTS AND SOME OTHER APPROVED ARRANGEMENTS FOR DELAYED PAYMENT. FINANCIAL ASSISTANCE IS AVAILABLE FOR ALL QUALIFIED PATIENTS. PATIENTS NOT COVERED BY INSURANCE OR UNABLE TO PAY IN FULL FOR SERVICES RENDERED MUST CONTACT THE APPROPRIATE PATIENT ACCOUNT REPRESENTATIVE WHO WILL ASSIST THE PATIENT AND/OR FAMILY IN DETERMINING IF HE/SHE QUALIFIES FOR PATIENT ASSISTANCE. COLLECTION ACTIVITY WILL BE SUSPENDED WHILE A FINANCIAL ASSISTANCE APPLICATION IS UNDER REVIEW.
Schedule H, Part V, Section B, Line 16a FAP website	1 - ST PETER'S HEALTH: Line 16a URL: https://www.sphealth.org/patients-visitors/billing/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - ST PETER'S HEALTH: Line 16b URL: https://www.sphealth.org/patients-visitors/billing/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - ST PETER'S HEALTH: Line 16c URL: https://www.sphealth.org/patients-visitors/billing/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	THE NEEDS ASSESSMENT IS A TWO-PART PROCESS. FIRST, IDENTIFY THE HEALTH NEEDS FACING OUR COMMUNITY (CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT, OR CHNA); EVERY THREE YEARS, PARTNER WITH A THIRD-PARTY VENDOR, PROFESSIONAL RESEARCH CONSULTANTS, INC., OF OMAHA, NEBRASKA, TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS CHNA INCLUDED A RANDOM-SAMPLE TELEPHONE SURVEY OF COMMUNITY RESIDENTS ON THEIR HEALTH CONDITIONS, BEHAVIORS, PREFERENCES; IT ALSO INCLUDED AN ONLINE KEY INFORMANT SURVEY TARGETED TO INDIVIDUALS WITH A BROAD HEALTH OF THE COMMUNITY. ST. PETER'S PARTNERED WITH THE LEWIS AND CLARK PUBLIC HEALTH TO PLAN AND DEVELOP THE SURVEY INSTRUMENTS. SECOND, ST. PETER'S HEALTH POPULATION HEALTH TEAM REVIEWS THE CHNA TO UNDERSTAND THE IDENTIFIED COMMUNITY NEEDS TO DEVELOP A MEASURABLE PLAN (AN IMPLEMENTATION STRATEGY) THAT FOCUSES ON THE AREAS OF GREATEST NEEDS,TAKING INTO ACCOUNT THE TOTAL AVAILABLE RESOURCES TO EFFECTIVELY ADDRESS THOSE ISSUES. THE IMPLEMENTATION STRATEGY CREATES A STRATEGIC PLAN TO FOCUS ENERGY, RESOURCES, POLICIES, PROJECTS, AND PROGRAMS THAT WILL BE MOST EFFECTIVE IN IMPROVING THE HEALTH OF OUR COMMUNITY. AFTER A SERIES OF STRATEGIC PLANNING MEETINGS, THE DRAFT IMPLEMENTATION STRATEGY IS PRESENTED TO THE ST. PETER'S HEALTH (SPH) JOINT STRATEGIC OPERATIONS, WHERE THE ORGANIZATION'S LEADERS REVIEW THE PLAN TO ADDRESS THE IDENTIFIED NEEDS WITHIN ST PETER'S HEALTH SERVICE AREA. ONCE THE IMPLEMENTATION STRATEGY IS REVIEWED THROUGH THE EXECUTIVE LEADERSHIP TEAM, IT IS PRESENTED, DISCUSSED, AND APPROVED AT THE ST. PETER'S HEALTH SYSTEM BOARD AND PUBLISHED ON THE SPH WEBSITE.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ST. PETER'S HEALTH (1) POSTS ITS CHARITY CARE POLICY ON ITS WEBSITE AS WELL AS AT THE ADMITTING DESK, EMERGENCY ROOM, ON THE MONTHLY STATEMENTS AND CASHIER AREAS IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT, (2) OFFERS A SUMMARY OF OUR POLICY AND APPLICATION TO SELF-PAY PATIENTS WITH CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS, (3) PROVIDES A COPY OF FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS WITH DISCHARGE MATERIALS, (4) FINANCIAL COUNSELORS DISCUSS WITH PATIENTS EXPECTING TO OWE MORE THAN $500, THE AVAILABILITY OF PATIENT ASSISTANCE AND VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. SOCIETY, GOD'S LOVE, NAMI, SUSAN G. KOMEN, YWCA AND THE FRIENDSHIP CENTER.
Schedule H, Part VI, Line 4 Community information	ST. PETER'S HOSPITAL IS A 123-BED ACUTE CARE HOSPITAL FACILITY SERVING RESIDENTS OF LEWIS AND CLARK COUNTY AND PORTIONS OF JEFFERSON, BROADWATER, MEAGHER, AND POWELL COUNTIES. ST. PETER'S IS THE SOLE FACILITY IN THE PRIMARY SERVICES AREA. THE HOSPITAL FINANCIAL PAYOR MIX CONSISTED OF 1.7% SELF-PAY PATIENTS, 15.5% OF MEDICAID PATIENTS AND 49.4% MEDICARE PATIENTS. APPROXIMATELY 20.3% OF THE POPULATION IS AGE 65 AND OLDER. APPROXIMATELY 8.6% OF THE POPULATION IS BELOW THE FEDERAL POVERTY LEVEL. THE NEAREST HOSPITAL IN THE AREA IS APPROXIMATELY 35 MILES FROM THE ST. PETER'S CAMPUS.
Schedule H, Part VI, Line 5 Promotion of community health	THE ORGANIZATION'S GOVERNING BODY MEMBERS RESIDE IN THE COMMUNITY. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE USED TO MAKE CAPITAL PURCHASES AND UPGRADES TO THE FACILITIES. ST. PETER'S HEALTH IS THE SOLE ACUTE CARE PROVIDER IN THE PRIMARY SERVICE AREA, AND OPERATES AN EMERGENCY ROOM AND TWO URGENT CARE CLINICS. THE PRIMARY SERVICE AREA IS MADE UP OF LEWIS AND CLARK COUNTY AND THE NORTHERN PORTION OF JEFFERSON COUNTY. OUT-MIGRATION IS GENERALLY LIMITED TO TERTIARY SERVICES NOT AVAILABLE AT ST. PETER'S HEALTH INCLUDING, CARDIAC SURGERY AND NEO-NATAL CARE. ST. PETER'S HEALTH PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ST. PETER'S HEALTH MAINTAINS CHARGES AS ONE OF THE LOWEST HOSPITALS WITHIN THE STATE DEPENDING ON THE SERVICES BEINGPROVIDED. ST. PETER'S HEALTH SPONSORS SEVERAL WELLNESS SCREENINGS, HEALTH FAIRS, AND EDUCATIONAL LECTURES, CLASSES, AND EVENTS THROUGHOUT THE YEAR TO IMPROVE THE HEALTH AND WELLBEING OF THE COMMUNITY. ST. PETER'S HEALTH ENSURES THAT ITS PATIENTS, THEIR FAMILIES AND PERSONNEL HAVE SPIRITUAL CARE AVAILABLE TO THEM. SPH RESPECTS NATIVE-AMERICAN CULTURE AND THE CEREMONIES THAT ARE IMPORTANT TO MEET THE SPIRITUAL AND CULTURAL NEEDS AND PROMOTE OPTIMAL HEALING OF NATIVEAMERICAN PATIENTS. IN ORDER TO ENSURE A PATIENT'S RIGHT TO ACCESS THESE CEREMONIES, A PROCEDURE HAS BEEN PUT IN PLACE. CONTINUING EDUCATION IS ALSO PROVIDED TO MEMBERS OF THE MEDICAL COMMUNITY ON AN ON-GOING BASIS. IN ADDITION, ST. PETER'S HEALTH HAD 10,000 VOLUNTEER HOURS FROM THE COMMUNITY ASSISTING IN A VARIETY OF ROLES WITHIN THE ORGANIZATION. ST. PETER'S HEALTH MAKES CASH AND IN-KIND DONATIONS TO A VARIETY OF ORGANIZATIONS WITHIN THE COMMUNITY. THIS INCLUDES, BUT IS NOT LIMITED TO, HELENA FOOD SHARE, HELENA EDUCATION FOUNDATION, CARROLL COLLEGE, NAMI, THE PRICKLY PEAR LAND TRUST, GREAT DIVIDE SKI PATROL, AND MORE. DONATIONS WERE MADE TO ASSIST THESE COMMUNITY SPONSORS IN THEIR VARIOUS PROGRAMS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
HELENA FOOD SHARE
PO BOX 943	HELENA	MT	59624	363507623	501(c)(3)	$20,000	HEALTHY FOOD INITIATIVE
EXPLORATION WORKS
995 CAROUSEL WAY	HELENA	MT	59601	810541491	501(c)(3)	$8,500	SPONSORSHIP OF CHILDREN'S BRAIN EXHIBIT
CARROLL COLLEGE
1601 N BENTON AVE	HELENA	MT	59625	810231774	501(c)(3)	$6,000	SPONSORSHIP OF WELLNESS NIGHT
GIRLS THRIVE
PO BOX 1771	HELENA	MT	59624	810732047	501(c)(3)	$6,000	SPONSORSHIP/DONATION
CANCER SUPPORT COMMUNITY MONTANA
102 S 11TH AVE	BOZEMAN	MT	59715	810542266	501(c)(3)	$5,300	SPONSORSHIP/DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	SUPPORT IS PROVIDED TO ST. PETERS HOSPITAL FOUNDATION, A RELATED ORGANIZATION, FOR THE FOUNDATION'S EMPLOYEE EMERGENCY ASSISTANCE FUND. MONITORING IS DONE BY COMMITTEES THAT MEET INFORMALLY WHEN THERE ARE REQUESTS BY STAFF FOR ASSISTANCE. THE REQUESTS ARE REVIEWED BY THE COMMITTEE TO DETERMINE IF THEY ARE ELIGIBLE, WHETHER THEY HAVE FREQUENT REQUESTS, AND IF THE NEED IS SUCH THAT THE FUNDS SHOULD BE GRANTED. THE ORGANIZATION ALSO PROVIDES SUPPORT TO A VARIETY OF ORGANIZATIONS WITHIN THE COMMUNITY TO ASSIST THEM IN THEIR VARIOUS PROGRAMS. ST. PETER'S HEALTH PR & MARKETING DEPARTMENT CAPTURES SPONSORSHIP AND DONATION REQUESTS [CONTRIBUTION REQUESTS] THROUGH A SPECIFIC APPLICATION AND GUIDELINE FORM BUILT INTO OUR WEBSITE (SPHEALTH.ORG). THE FORM BEGINS WITH OUTLINING THE HOSPITAL'S GUIDELINES FOR GIVING AND SUPPORTING, I.E., MUST BE RELATED TO HEALTH AND WELLNESS, THE ORGANIZATION OR ACTIVITY MUST BE WITHIN OUR FIVE-COUNTY SERVICE AREA, MUST BE A TAX-EXEMPT 501(C)(3) NONPROFIT, PUBLIC AGENCY OR SCHOOL, FUNDS ARE GENERALLY DENIED FOR POLITICAL ACTIVITIES, RELIGIOUS PURPOSES, ETC. ONCE THE REQUEST IS RECEIVED, IT IS REVIEWED BY PR & MARKETING TEAM MEMBERS TO ENSURE THE ASK MEETS OUR GUIDELINES, AND THEN APPROVALS ARE DONE VIA EMAIL. THE APPROVAL EMAIL OUTLINES THE AMOUNT THAT WILL BE COVERED AND VERBALIZES HOW THE FUNDS WILL BE USED (AS OUTLINED PER THE GUIDELINES ON THE ORIGINAL FORM).	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KERRY HALE
CHIEF OF STAFF, EX OFFICIO	$118,772	$0	$126,841	$0	$37,184	$0	$13,344	$0	$24,160	$0	$320,301	$0	$0	$0
SHELLY HARKINS
CMO	$105,585	$0	$0	$0	$25,280	$0	$5,995	$0	$30,990	$0	$167,850	$0	$0	$0
NATHAN COBURN
CFO	$317,019	$0	$0	$0	$45,959	$0	$19,800	$0	$27,864	$0	$410,642	$0	$0	$0
RYAN WINN
CIO	$252,338	$0	$0	$0	$23,427	$0	$7,889	$0	$15,723	$0	$299,377	$0	$0	$0
WADE JOHNSON
CEO, EX OFFICIO, NON-VOTING	$690,428	$0	$0	$0	$54,413	$0	$189,063	$0	$27,730	$0	$961,634	$0	$0	$0
BRIAN LEE
VP OF OPERATIONS	$240,058	$0	$0	$0	$22,883	$0	$16,543	$0	$30,871	$0	$310,355	$0	$0	$0
TODD WAMPLER
PRESIDENT SPMG	$417,422	$0	$0	$0	$19,912	$0	$9,900	$0	$25,018	$0	$472,252	$0	$0	$0
BRANDON NEWGARD
MD	$655,032	$0	$417,560	$0	$45,628	$0	$19,800	$0	$29,434	$0	$1,167,454	$0	$0	$0
CHRISTOPHER LINDSAY
MD	$807,170	$0	$416,592	$0	$35,985	$0	$19,800	$0	$13,353	$0	$1,292,900	$0	$0	$0
KEVIN BROWN
DO	$377,355	$0	$332,587	$0	$44,078	$0	$16,061	$0	$29,746	$0	$799,827	$0	$0	$0
LAUREN SHEA
MD	$631,604	$0	$671,303	$0	$95,412	$0	$19,800	$0	$24,281	$0	$1,442,400	$0	$0	$0
TIMOTHY GROSSMAN
MD	$485,450	$0	$162,952	$0	$35,228	$0	$9,900	$0	$23,411	$0	$716,941	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	THE ORGANIZATION PURCHASED A SOCIAL CLUB MEMBERSHIP UTILIZED FOR DEVELOPMENT AND OTHER APPROPRIATE BUSINESS PURPOSES BY THE CEO AND OTHER EMPLOYEES ON BEHALF OF THE HOSPITAL AND ITS RELATED FOUNDATION.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	NONQUALIFIED RETIREMENT PLAN: THE ORGANIZATION CONTRIBUTED $161,792 TO A 457(F) PLAN ON BEHALF OF WADE JOHNSON.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MONTANA FACILITY FINANCE AUTHORITY
A	810302402	2013-03-13	$21,435,000	REFINANCE 2004 BOND SERIES	false	false	false
MONTANA FACILITY FINANCE AUTHORITY
B	364615155	2015-04-29	$14,945,000	REFINANCE 2007 BOND SERIES	false	false	false
MONTANA FACILITY FINANCE AUTHORITY
C	364615155	2021-05-28	$23,000,000	FINANCE EQUIPMENT	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$19,285,000	$21,435,064	$349,297	$21,085,703	2013	false	Yes (true)	Yes (true)	Yes (true)
B	$11,710,000	$14,945,000	$253,212	$14,691,787	2015	false	Yes (true)	Yes (true)	Yes (true)
C	$6,461,610	$23,000,000	$86,400		2023	false	false	Yes (true)	Yes (true)	$21,070,235	$1,843,365

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part III, Line 4 & 5	THERE IS A SMALL AMOUNT OF USE OF THE FINANCED PROPERTY BY HEALTH CARE ORGANIZATIONS OTHER THAN A 501(C)(3) ORGANIZATION, BUT THE USE QUALIFIED FOR AN EXCEPTION TO UBI, THEREFORE IS NOT CONSIDERED PRIVATE BUSINESS USE.
Schedule K, Part IV, Line 2c COLUMN A	THE REBATE COMPUTATION FOR THE 2013 BOND ISSUE IN COLUMN A WAS PERFORMED ON JULY 31, 2022 FOR THE PERIOD FROM JUNE 2, 2017 THROUGH JUNE 1, 2022.
Schedule K, Part IV, Line 2c COLUMN B	THE REBATE COMPUTATION FOR THE 2015 BOND ISSUE IN COLUMN B WAS PERFORMED ON AUGUST 19,2019 FOR THE PERIOD FROM APRIL 29, 2015 TO JUNE 1, 2019.
Schedule K, Part II, Line 3 Column A	The bond issue on Schedule K, Part II, Line 3 includes investment earnings.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
SHELLY HARKINS
Officer	SPLIT DOLLAR LIFE	Yes (X)	$34,614	$1,536,604	false	Yes (true)	Yes (true)
KERRY HALE
Officer	Split Dollar Life	Yes (X)	$566,915	$1,590,235	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$3,126,839	TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part II	FormAndLineReferenceDesc
Explanation	RELATIONSHIP WITH THE ORGANIZATION: SHELLY HARKINS IS THE CHIEF MEDICAL OFFICER AND A KEY EMPLOYEE OF THE ST. PETER'S HEALTH. SHELLY HARKINS'S LOAN FROM ST. PETER'S HEALTH IS FOR A SPLIT-DOLLAR LIFE INSURANCE POLICY.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a & 15b - Process to Establish Officer Compensation	REVIEW OF CEO AND OTHER OFFICER OR KEY EMPLOYEES COMPENSATION: AN INDEPENDENT CONSULTANT IS HIRED TO REVIEW COMPENSATION FOR THE CEO AND OTHER KEY OFFICERS AND EMPLOYEES. IN AUGUST 2022, SULLIVAN COTTER WAS RETAINED TO COMPLETE A TOTAL COMPENSATION ANALYSIS FOR THE TOP LEADERSHIP TEAM INCLUDING THE CEO. SULLIVAN COTTER EVALUATED THE TOTAL COMPENSATION PROGRAM TO ENSURE THE STRUCTURE OF THE COMPENSATION COMPONENTS AND TOTAL VALUE WERE COMPETITIVE AND ALIGNED WITH THE EXECUTIVE COMPENSATION STRATEGY. IN ADDITION, SULLIVAN COTTER PROVIDED COMPETITIVE MARKET INFORMATION TO SUPPORT RECOMMENDATIONS FOR EACH EXECUTIVE POSITION. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES SALARY ADJUSTMENTS FOR THE CEO AND OTHER KEY OFFICERS.
Form 990, Part VI, Line 3 Delegation of management duties	VP OF PEOPLE SERVICES (HR) IS CURRENTLY HELD BY AN OUTSIDE CONSULTANT NEIL FAUX, SPC ADVISORS INC.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A draft of the Form 990 is reviewed by the CEO, CFO and Finance Committee. A copy of the final form 990 is provided to the full board prior to filing with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	The conflict-of-interest policy covers all board members, officers, senior administration and key employees. The board identifies potential conflicts and determines if voting on related items would be a conflict of interest. If a conflict is determined to exist, the conflicted individual is excluded from voting on the conflicted item. All employees submit a conflict-of-interest form upon hire and annually thereafter. Actual conflicts are reviewed by the Corporate Compliance Officer.
Form 990, Part VI, Line 19 Required documents available to the public	GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	other - Total Revenue: 124538, Related or Exempt Function Revenue: 123725, Unrelated Business Revenue: 813, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PREVENTATIVE MAINTENACE - Total Expense: 9975988, Program Service Expense: 4815824, Management and General Expenses: 5160164, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 11862664, Program Service Expense: 3930705, Management and General Expenses: 7925962, Fundraising Expenses: 5997; PHYSICIAN FEES - Total Expense: 7479304, Program Service Expense: 6583232, Management and General Expenses: 896072, Fundraising Expenses: ; CONSULTING - Total Expense: 3899581, Program Service Expense: 77693, Management and General Expenses: 3821088, Fundraising Expenses: 800; REFERENCE LAB - Total Expense: 2062791, Program Service Expense: 2062791, Management and General Expenses: , Fundraising Expenses: ; COLLECTIONS - Total Expense: 503580, Program Service Expense: , Management and General Expenses: 503580, Fundraising Expenses: ; MEDICAL ADVOCACY - Total Expense: 2580, Program Service Expense: , Management and General Expenses: 2580, Fundraising Expenses: ; ANSWERING SERVICES - Total Expense: 16819, Program Service Expense: 16819, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN INTEREST IN SPH FOUNDATION - 5469960; MINIMUM PENSION LIABILITY ADJUSTMENT - -10456005;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST PETER'S HEALTH FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2475 BROADWAY	AddressLine1Txt
City	HELENA	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59601	ZIPCd

Field	Value	IRS element (for citing)
EIN	810392270	EIN
Primary Activities	FUNDRAISING	PrimaryActivitiesTxt
Legal Domicile State	MT	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	7	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SPH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
PEAK HEALTH REALTY LLC
2475 BROADWAY	HELENA	MT	59601	RENTAL PROPERTY	MT	SPH	Unrelated	$284,809	$3,836,064	false	false	0.6500
PEAK HEALTH HELENA LLC
2475 BROADWAY	HELENA	MT	59601	HEALTH CLUB	MT	SPH	Unrelated	$253,138	$323,476	false	false	0.6500

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST PETER'S HEALTH FOUNDATION
C	$3,625,380	INTERCO AMOUNT
PEAK HEALTH REALTY LLC
S	$260,000	FMV
PEAK HEALTH HELENA LLC
S	$130,000	FMV