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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <AddressLine1Txt>2475 BROADWAY</AddressLine1Txt>
          <CityNm>HELENA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59601</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.SPHEALTH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>13346</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>PHYSICIAN CLINICS URGENT CARE SERVICES</OtherDesc>
        <FacilityReportingGroupCd>1</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>1</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://WWW.SPHEALTH.ORG/SITES/DEFAULT/FILES/2021-08/2021-PRC-CHNA-REPORT- --ST.-PETERS-HEALTH</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://WWW.SPHEALTH.ORG/SITES/DEFAULT/FILES/2021-08/2021-PRC-CHNA-REPORT- --ST.-PETERS-HEALTH</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>275.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>350.0</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://www.sphealth.org/patients-visitors/billing/financial-assistance</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://www.sphealth.org/patients-visitors/billing/financial-assistance</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://www.sphealth.org/patients-visitors/billing/financial-assistance</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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 &amp; 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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - ST. PETER'S HEALTH. SEE ATTACHMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>0</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HOSPICE AND HOMELINK OF ST PETERS HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 SOUTH CALIFORNIA</AddressLine1Txt>
            <CityNm>HELENA</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59601</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPICE AND HOME HEALTH</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>APEX OF ST PETERS HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 SOUTH CALIFORNIA</AddressLine1Txt>
            <CityNm>HELENA</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59601</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME OXYGEN SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST PETER'S MEDICAL GROUP BROADWAY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2550 BROADWAY</AddressLine1Txt>
            <CityNm>HELENA</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59601</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST PETER'S MEDICAL GROUP NORTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3330 PTARMIGAN LANE</AddressLine1Txt>
            <CityNm>HELENA</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59602</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST PETER'S HEALTH - TOWNSEND CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>515 S FRONT ST</AddressLine1Txt>
            <CityNm>TOWNSEND</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59644</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>ST PETER'S HEALTH USES ASSET LEVELS AND MEDICAL INDIGENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 DESCRIBE SUBSIDIZED HEALTH SERVICE COSTS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>4251939</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - ST PETER'S HEALTH: Line 16a URL: https://www.sphealth.org/patients-visitors/billing/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - ST PETER'S HEALTH: Line 16b URL: https://www.sphealth.org/patients-visitors/billing/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - ST PETER'S HEALTH: Line 16c URL: https://www.sphealth.org/patients-visitors/billing/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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          <BusinessNameLine1Txt>HELENA FOOD SHARE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 943</AddressLine1Txt>
          <CityNm>HELENA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59624</ZIPCd>
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        <RecipientEIN>363507623</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>HEALTHY FOOD INITIATIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EXPLORATION WORKS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>995 CAROUSEL WAY</AddressLine1Txt>
          <CityNm>HELENA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP OF CHILDREN'S BRAIN EXHIBIT</PurposeOfGrantTxt>
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          <AddressLine1Txt>102 S 11TH AVE</AddressLine1Txt>
          <CityNm>BOZEMAN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>35228</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9900</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23411</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>716941</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>NONQUALIFIED RETIREMENT PLAN: THE ORGANIZATION CONTRIBUTED $161,792 TO A 457(F) PLAN ON BEHALF OF WADE JOHNSON.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MONTANA FACILITY FINANCE AUTHORITY</BusinessNameLine1Txt>
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        <BondIssuerEIN>810302402</BondIssuerEIN>
        <BondIssuedDt>2013-03-13</BondIssuedDt>
        <IssuePriceAmt>21435000</IssuePriceAmt>
        <PurposeDesc>REFINANCE 2004 BOND SERIES</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MONTANA FACILITY FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>364615155</BondIssuerEIN>
        <BondIssuedDt>2015-04-29</BondIssuedDt>
        <IssuePriceAmt>14945000</IssuePriceAmt>
        <PurposeDesc>REFINANCE 2007 BOND SERIES</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MONTANA FACILITY FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>364615155</BondIssuerEIN>
        <BondIssuedDt>2021-05-28</BondIssuedDt>
        <IssuePriceAmt>23000000</IssuePriceAmt>
        <PurposeDesc>FINANCE EQUIPMENT</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>19285000</RetiredAmt>
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        <OtherSpentProceedsAmt>21085703</OtherSpentProceedsAmt>
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        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
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        <IssuanceCostsFromProceedsAmt>253212</IssuanceCostsFromProceedsAmt>
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        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
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        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>6461610</RetiredAmt>
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        <IssuanceCostsFromProceedsAmt>86400</IssuanceCostsFromProceedsAmt>
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        <UnspentAmt>1843365</UnspentAmt>
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        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
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        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
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        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
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        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
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        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <FormAndLineReferenceDesc>Schedule K, Part III, Line 4 &amp; 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3 Column A</FormAndLineReferenceDesc>
        <ExplanationTxt>The bond issue on Schedule K, Part II, Line 3 includes investment earnings.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
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        <BusinessName>
          <BusinessNameLine1Txt>SHELLY HARKINS</BusinessNameLine1Txt>
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        <RelationshipWithOrgTxt>Officer</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SPLIT DOLLAR LIFE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>34614</OriginalPrincipalAmt>
        <BalanceDueAmt>1536604</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
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      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>KERRY HALE</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>Officer</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Split Dollar Life</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>566915</OriginalPrincipalAmt>
        <BalanceDueAmt>1590235</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
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      <TotalBalanceDueAmt>3126839</TotalBalanceDueAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a &amp; 15b - Process to Establish Officer Compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3 Delegation of management duties</FormAndLineReferenceDesc>
        <ExplanationTxt>VP OF PEOPLE SERVICES (HR) IS CURRENTLY HELD BY AN OUTSIDE CONSULTANT NEIL FAUX, SPC ADVISORS INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>other - Total Revenue: 124538, Related or Exempt Function Revenue: 123725, Unrelated Business Revenue: 813, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>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: ;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN SPH FOUNDATION - 5469960; MINIMUM PENSION LIABILITY ADJUSTMENT - -10456005;</ExplanationTxt>
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          <BusinessNameLine1Txt>ST PETER'S HEALTH FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>2475 BROADWAY</AddressLine1Txt>
          <CityNm>HELENA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <AddressLine1Txt>2475 BROADWAY</AddressLine1Txt>
          <CityNm>HELENA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59601</ZIPCd>
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        <PrimaryActivitiesTxt>RENTAL PROPERTY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SPH</BusinessNameLine1Txt>
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        <ShareOfTotalIncomeAmt>284809</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>3836064</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.6500</OwnershipPct>
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          <BusinessNameLine1Txt>PEAK HEALTH HELENA LLC</BusinessNameLine1Txt>
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          <CityNm>HELENA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59601</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTH CLUB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SPH</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>Unrelated</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>253138</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>323476</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.6500</OwnershipPct>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>ST PETER'S HEALTH FOUNDATION</BusinessNameLine1Txt>
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        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>3625380</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>INTERCO AMOUNT</MethodOfAmountDeterminationTxt>
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        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>260000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PEAK HEALTH HELENA LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>130000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>