ST PETERS HEALTH: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: ST PETERS HEALTH (EIN 81-0233121)
Tax period: 2021-06-01 to 2022-05-31
Filed: 2023-04-20
IRS object ID: 202341109349301224
Schema version: 2021v4.2
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-04-20T13:19:57-05:00	ReturnTs
Tax Period End	2022-05-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 South Tejon Suite 800	AddressLine1Txt
City	Colorado Springs	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809039848	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-06-01	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)
In Care Of	% NATHAN COBURN CFO	InCareOfNm
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	NATHAN COBURN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4064422480	PhoneNum
Signature	2023-04-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	NATHAN	PersonFirstNm
Person Last	COBURN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Adam R Smith CPA	PreparerPersonNm
PTIN	P00958966	PTIN
Phone	7194714290	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	WADE JOHNSON	PrincipalOfficerNm

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	$362,033,946	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SPHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1883	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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2121	TotalEmployeeCnt
Total Volunteers	136	TotalVolunteersCnt
Total Gross UBI	$972,050	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$525,613	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,872,566	PYContributionsGrantsAmt
CY Contributions Grants	$2,735,787	CYContributionsGrantsAmt
PY Program Service Revenue	$276,513,984	PYProgramServiceRevenueAmt
CY Program Service Revenue	$279,028,035	CYProgramServiceRevenueAmt
PY Investment Income	$18,205,415	PYInvestmentIncomeAmt
CY Investment Income	$30,447,296	CYInvestmentIncomeAmt
PY Other Revenue	$2,994,281	PYOtherRevenueAmt
CY Other Revenue	$3,984,555	CYOtherRevenueAmt
PY Total Revenue	$308,586,246	PYTotalRevenueAmt
CY Total Revenue	$316,195,673	CYTotalRevenueAmt
PY Grants And Similar Paid	$121,122	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$265,010	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$161,176,914	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$173,052,224	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$705,804	CYTotalFundraisingExpenseAmt
PY Other Expenses	$124,252,655	PYOtherExpensesAmt
CY Other Expenses	$134,367,870	CYOtherExpensesAmt
PY Total Expenses	$285,550,691	PYTotalExpensesAmt
CY Total Expenses	$307,685,104	CYTotalExpensesAmt
PY Revenues Less Expenses	$23,035,555	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,510,569	CYRevenuesLessExpensesAmt
Total Assets BOY	$492,755,059	TotalAssetsBOYAmt
Total Assets EOY	$451,491,963	TotalAssetsEOYAmt
Total Liabilities BOY	$128,702,681	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$114,420,415	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$364,052,378	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$337,071,548	NetAssetsOrFundBalancesEOYAmt
Mission	ST. PETERS HOSPITAL PARTNERS WITH OUR PATIENTS, COMMUNITY, AND MEDICAL STAFF TO PROVIDE EXCEPTIONAL AND COMPASSIONATE HEALTH CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$192,875,360	ExpenseAmt
Grant	$265,010	GrantAmt
Revenue	$212,581,863	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	$60,908,009	ExpenseAmt
Revenue	$67,131,114	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	$253,783,369	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
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	Yes (true)	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	false	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	251	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2121	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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

Field	Value	IRS element (for citing)
Person	NATHAN COBURN CFO	PersonNm
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 (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CHRISTOPHER LINDSAY
MD	40.0	0.0	Yes (X)	$1,059,053	$0	$27,299
BRANDON NEWGARD
MD	40.0	0.0	Yes (X)	$872,990	$0	$42,372
CHRISTOPHER GABEL
MD	40.0	0.0	Yes (X)	$762,378	$0	$41,883
WADE JOHNSON
CEO, Ex Officio, Non-Voting	39.0	1.0		$743,086	$0	$51,235	Yes (X)
MICHAEL LEE
MD	40.0	0.0	Yes (X)	$722,675	$0	$33,099
TIMOTHY GROSSMAN
MD	40.0	0.0	Yes (X)	$632,834	$0	$30,176
TODD WAMPLER
PRESIDENT SPMG	40.0	0.0		$416,070	$0	$75,589		Yes (X)
NATHAN COBURN
CFO	39.0	1.0		$373,866	$0	$90,724	Yes (X)
JAMES TARVER
CHIEF OF STAFF, EX OFFICIO	1.0	0.0		$309,578	$0	$42,488	Yes (X)		Yes (X)
BRIAN LEE
VP of Operations	40.0	0.0		$274,596	$0	$72,717		Yes (X)
RYAN WINN
CIO	40.0	0.0		$199,930	$0	$64,724		Yes (X)
RUSS BELL PHD
CHAIR	1.0	0.0		$0	$0	$0	Yes (X)		Yes (X)
GUY ALMQUIST
VICE CHAIR	1.0	0.0		$0	$0	$0	Yes (X)		Yes (X)
JUSTIN MOSNESS
SECRETARY CHAIR	1.0	0.0		$0	$0	$0	Yes (X)		Yes (X)
NATE MCCARTHY
FOUNDATION CHAIR, EX OFFICIO	1.0	1.0		$0	$0	$0			Yes (X)
SENATOR MARY CAFERRO
DIRECTOR	1.0	0.0		$0	$0	$0			Yes (X)
KELLY PARSLEY
DIRECTOR	1.0	0.0		$0	$0	$0			Yes (X)
ROSS DUNCAN
DIRECTOR	1.0	0.0		$0	$0	$0			Yes (X)
TIM MELDRUM
DIRECTOR	1.0	0.0		$0	$0	$0			Yes (X)
LOREN BROWN
DIRECTOR	1.0	0.0		$0	$0	$0			Yes (X)
MARK TAYLOR
Immediate Past Chair	1.0	0.0		$0	$0	$0	Yes (X)		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,367,056	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$572,306	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	215	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
COMPHEALTH
PO BOX 972670	DALLAS	TX	753972670	LOCUMS	$2,877,241
MEDICAL SOLUTIONS
PO BOX 850737	MINNEAPOLIS	MN	55485	CONTRACT LABOR	$5,391,238
EMTEC CONSULTING SERVICES
PO BOX 778812	CHICAGO	IL	60677	ORACLE CONSULTANT	$1,866,259
DICK ANDERSON CONSTRUCTION
3424 E US HIGHWAY 12	HELENA	MT	59601	CONSTRUCTION	$2,429,028
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	LOCUMS	$1,760,124

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	34	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,024,441	RelatedOrganizationsAmt
Government Grants	$682,346	GovernmentGrantsAmt
All Other Contributions	$29,000	AllOtherContributionsAmt
Total Contributions	$2,735,787	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Revenue	621110	$213,731,805	$213,731,805
Pharmacy	446110	$53,969,225	$53,505,755	$463,470
Income from Joint Ventures	900099	$2,611,936	$2,408,747	$203,189
340b Pharmacy	621110	$6,092,616	$6,092,616
Meaningful Use	900099	$2,599,176	$2,599,176

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,277	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23,277	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$279,028,035	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,906,980	TotalRevenueColumnAmt
Exclusion	$1,906,980	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,162,500	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$246,583	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$915,917	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$915,917	TotalRevenueColumnAmt
Exclusion	$915,917	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$73,951,076	SecuritiesAmt
Other	$129,471	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$45,234,494	SecuritiesAmt
Other	$305,737	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$28,716,582	SecuritiesAmt
Other	-$176,266	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,540,316	TotalRevenueColumnAmt
Exclusion	$28,540,316	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$567,145	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$51,459	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$515,686	TotalRevenueColumnAmt
Unrelated Business Revenue	$244,704	UnrelatedBusinessRevenueAmt
Exclusion	$270,982	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria	722514	$517,279	$7,129	$510,150
Population Health	900099	$1,413,370			$1,413,370
EE Daycare	624110	$377,107		$377,107

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$245,196	TotalRevenueColumnAmt
Related Or Exempt Func Income	$191,638	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$53,558	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,552,952	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$316,195,673	TotalRevenueColumnAmt
Related Or Exempt Func Income	$279,966,384	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$972,050	UnrelatedBusinessRevenueAmt
Exclusion	$32,521,452	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$265,010	TotalAmt
Program Services	$265,010	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,475,221	TotalAmt
Program Services	$1,961,612	ProgramServicesAmt
Management And General	$505,687	ManagementAndGeneralAmt
Fundraising	$7,922	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$135,224,958	TotalAmt
Program Services	$108,665,622	ProgramServicesAmt
Management And General	$26,088,356	ManagementAndGeneralAmt
Fundraising	$470,980	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,439,108	TotalAmt
Program Services	$10,029,951	ProgramServicesAmt
Management And General	$2,380,545	ManagementAndGeneralAmt
Fundraising	$28,612	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,681,412	TotalAmt
Program Services	$12,430,184	ProgramServicesAmt
Management And General	$2,210,929	ManagementAndGeneralAmt
Fundraising	$40,299	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,231,525	TotalAmt
Program Services	$6,908,819	ProgramServicesAmt
Management And General	$1,302,452	ManagementAndGeneralAmt
Fundraising	$20,254	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,828,954	TotalAmt
Management And General	$1,828,954	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$64,852	TotalAmt
Management And General	$64,852	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$60,000	TotalAmt
Management And General	$60,000	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,125,096	TotalAmt
Management And General	$1,125,096	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$30,291,407	TotalAmt
Program Services	$19,534,842	ProgramServicesAmt
Management And General	$10,732,553	ManagementAndGeneralAmt
Fundraising	$24,012	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$251,719	TotalAmt
Program Services	$4,895	ProgramServicesAmt
Management And General	$239,771	ManagementAndGeneralAmt
Fundraising	$7,053	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,711,197	TotalAmt
Program Services	$824,606	ProgramServicesAmt
Management And General	$1,818,079	ManagementAndGeneralAmt
Fundraising	$68,512	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,185,439	TotalAmt
Program Services	$1,185,439	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,707,048	TotalAmt
Program Services	$2,054,581	ProgramServicesAmt
Management And General	$652,467	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$510,389	TotalAmt
Program Services	$154,000	ProgramServicesAmt
Management And General	$353,810	ManagementAndGeneralAmt
Fundraising	$2,579	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$463,120	TotalAmt
Program Services	$313,656	ProgramServicesAmt
Management And General	$147,961	ManagementAndGeneralAmt
Fundraising	$1,503	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$805,779	TotalAmt
Program Services	$805,779	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,852,500	TotalAmt
Program Services	$13,691,219	ProgramServicesAmt
Management And General	$160,655	ManagementAndGeneralAmt
Fundraising	$626	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,636,851	TotalAmt
Program Services	$2,247,270	ProgramServicesAmt
Management And General	$389,581	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies Drugs	$70,222,007	$67,178,165	$3,020,983	$22,859
Bed Tax	$5,479,500	$5,479,500
Miscellaneous	$172,012	$48,219	$113,200	$10,593

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$307,685,104	TotalAmt
Program Services	$253,783,369	ProgramServicesAmt
Management And General	$53,195,931	ManagementAndGeneralAmt
Fundraising	$705,804	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$27,171,644	BOYAmt
EOY	$16,277,526	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$262,624	BOYAmt
EOY	$262,624	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,031,282	BOYAmt
EOY	$50,515,307	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$9,525,202	BOYAmt
EOY	$13,747,225	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,386,433	BOYAmt
EOY	$7,418,876	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,844,480	BOYAmt
EOY	$4,022,542	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$273,579,223	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$146,272,055	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$122,625,184	BOYAmt
EOY	$127,307,168	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$231,836,713	BOYAmt
EOY	$176,598,041	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$20,858,406	BOYAmt
EOY	$23,927,737	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,499,836	BOYAmt
EOY	$4,182,840	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$27,713,255	BOYAmt
EOY	$27,232,077	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$492,755,059	BOYAmt
EOY	$451,491,963	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$60,080,405	BOYAmt
EOY	$50,994,348	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$219,307	BOYAmt
EOY	$201,190	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$38,865,113	BOYAmt
EOY	$33,121,570	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$496,123	BOYAmt
EOY	$2,817,150	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,041,733	BOYAmt
EOY	$27,286,157	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$128,702,681	BOYAmt
EOY	$114,420,415	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	$339,479,467	BOYAmt
EOY	$312,343,308	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,572,911	BOYAmt
EOY	$24,728,240	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$364,052,378	BOYAmt
EOY	$337,071,548	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$492,755,059	BOYAmt
EOY	$451,491,963	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,510,569	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$38,955,495	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,464,096	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$60,000	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$60,000	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	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF LOBBYING ACTIVITIES: 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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,179,588	BeginningYearBalanceAmt
Contributions	$324,576	ContributionsAmt
Investment Earnings Or Losses	$137,738	InvestmentEarningsOrLossesAmt
Other Expenditures	$532,549	OtherExpendituresAmt
End Year Balance	$12,109,353	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,377,773	BeginningYearBalanceAmt
Contributions	$111,890	ContributionsAmt
Investment Earnings Or Losses	$792,555	InvestmentEarningsOrLossesAmt
Other Expenditures	$102,630	OtherExpendituresAmt
End Year Balance	$12,179,588	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.55320	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.44680	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	$4,997,241	OtherCostOrOtherBasisAmt
Book Value	$4,997,241	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,978,219	OtherCostOrOtherBasisAmt
Depreciation	$57,114,916	DepreciationAmt
Book Value	$84,863,303	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,297,038	OtherCostOrOtherBasisAmt
Depreciation	$1,153,541	DepreciationAmt
Book Value	$3,143,497	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$117,460,207	OtherCostOrOtherBasisAmt
Depreciation	$88,003,598	DepreciationAmt
Book Value	$29,456,609	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,846,518	OtherCostOrOtherBasisAmt
Book Value	$4,846,518	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$127,307,168	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Captive Insurance	$205,148
Alternative Investments	$23,722,589

Field	Value	IRS element (for citing)
Total Book Value Securities	$23,927,737	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Investments in SPH Foundation	$24,957,004
Investment in Sounds Health	$2,275,073

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$27,232,077	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Malpractice Accrual	$3,416,500
Pension Liability	$23,669,657
CONTINGENT CONSIDERATION LIAB.	$200,000

Field	Value	IRS element (for citing)
Total Liability	$27,286,157	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$280,022,052	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$38,955,495	NetUnrealizedGainsInvstAmt
Other Revenue	$266,608	OtherRevenueAmt
Revenue Not Reported	-$38,688,887	RevenueNotReportedAmt
Revenue Subtotal	$318,710,939	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,125,096	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$3,640,362	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$2,515,266	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$316,195,673	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$307,002,882	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$266,608	OtherExpensesIncludedAmt
Expenses Not Reported	$266,608	ExpensesNotReportedAmt
Expenses Subtotal	$306,736,274	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,125,096	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	-$176,266	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$948,830	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$307,685,104	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	DESCRIBE THE INTENDED USES OF THE ORGANIZATION'S 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	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 2D	REVENUE ON BOOKS, NOT ON RETURN: 20,025 - Cost of Goods Sold 246,583 - Rental Expense Net With Revenue 266,608 - Total
SCHEDULE D, PART XI, LINE 4B	REVENUE ON RETURN, NOT ON BOOKS: (176,266) - Reclass Loss on Sale of Asset 1,861,251 - CHANGE IN INTEREST IN SPH FOUNDATION (5,325,347) - MINIMUM PENSION LIABILITY ADJUSTMENT (3,640,362) - TOTAL
SCHEDULE D, PART XII, LINE 2D	EXPENSE ON BOOKS, NOT ON 20,025 - COST OF GOODS SOLD 246,583 - RENTAL EXPENSES NET WITH REVENUE 266,608 - total
SCHEDULE D, PART XII, LINE 4B	EXPENSE ON RETURN, NOT ON BOOKS: (176,266) - Reclass of Loss on Sale of Equipment

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	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	false	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,164,386	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,164,386	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,209,835	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,829,366	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,380,469	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,374,221	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,829,366	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,544,855	NetCommunityBenefitExpnsAmt
Total Expense	0.01770	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$350,793	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$350,793	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$466,723	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$298,116	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$168,607	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,812,745	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,358,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,454,071	NetCommunityBenefitExpnsAmt
Total Expense	0.06250	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,028	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$106,028	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,736,289	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,656,790	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,079,499	NetCommunityBenefitExpnsAmt
Total Expense	0.06440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,110,510	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,486,156	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,624,354	NetCommunityBenefitExpnsAmt
Total Expense	0.08210	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,914,414	BadDebtExpenseAmt
Bad Debt Expense Attributable	$9,877	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$68,282,649	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$51,983,592	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$16,299,057	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	0.5	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.066	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.434	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	ST PETER'S HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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
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	SEE PART V SECTION C FOR URL	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V SECTION C FOR URL	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.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.	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	SEE PART V SECTION C FOR URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V SECTION C FOR URL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See part V Section C	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	false	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	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 7A	https://www.sphealth.org/sites/default/files/2021-08/2021-prc-chna-report- --st.-peters-health.pdf?1677192417009
SCHEDULE H, PART V, SECTION B, LINE 10a	https://www.sphealth.org/sites/default/files/FY22-24%20SPH%20CHNA%20Implem entation%20Strategy.pdf?1677195507293
SCHEDULE H, PART V, SECTION B, LINE 11	St. Peter's Health is committed to making a positive impact on the health of the community it serves. One of the many strategies we use to do this is by providing for the unique health needs of area residents by utilizing the Community Health Needs Assessment and resulting Community Health Improvement Planning & Implementation Strategy process. Community Health Improvement Planning and Implementation Strategy Process The goals of these processes are: To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socioeconomic factors which have historically had a negative impact on residents' health. To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. A Two-Part Process: - first, identify the health needs facing our community (conduct a Community Health Needs Assessment, or CHNA); every three years and 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 interest in the health of the community. St. Peter's partnered with the Lewis & Clark Public Health to plan and develop the survey instruments. Second, the 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) Executive Leadership Team (ELT), where the organization's leaders review the plan to address the identified needs within the St Peter's Health Service Area. Once the Implementation Strategy is reviewed through ELT, it is presented, discussed, and approved at the St. Peter's Health System Board and published on the SPH Website. In the 2021 CHNA, the following health needs were identified as priority areas and during Fiscal Year 2022 (FY22) the following actions steps were taken to address the needs: 1) Mental health a) Health Promotion: i) Suicide Prevention and Education: During September, National Suicide Prevention Month, St. Peter's Health, community organizations and people from across our community once again worked together to host free activities, training opportunities and more to support people affected by suicide and raise awareness. SPH contributed to the educational offerings and supportive activities of this month through their annual "We Speak Mental Health Week" outlined below. (1) TAKE ACTION with us: St. Peter's team circulated information on ways you can take action and assess the Mental Health of Yourself and those Around You 1. Check in with yourself 2. Check in with a coworker and a loved one 3. If needed, check in with your provider. (2) RAISE AWARENESS with us: St. Peter's Population Health Team partnered with a local coffee shop to share information about mental health and support services at SPH and in our larger community. (3) Ask the BHU: Our SPH Behavioral Health Unit team hosted a virtual presentation and question/answer session on Sept 24th giving an overview of the unit, sharing pictures of the space, and answering questions about their work. (4) LEARN with us: St. Peter's partnered with community organizations to co-host a number of FREE mental health trainings in the month of September (a) Question, Persuade, Refer (QPR) Suicide Prevention Training: September 216 (b) Youth Mental Health First Aid: September 22nd (5) WALK with us: St. Peter's sponsored a team and provided interested employees the opportunity to take part in the Walk to End Alzheimer's which raises funds surrounding Alzheimer's disease and other dementias. The National Alliance on Mental Illness is hosting its Annual NAMI Walk to raise awareness around mental illness the walk took place on Sunday, September 19. ii) Standardized Process QPR Education for New Employee Orientation: In late FY21 SPH began including QPR (Question, Persuade, Refer) Suicide Prevention as required education for all new employees. We have maintained and standardized this process throughout FY22 and have provided education to 499 new SPH staff members. iii) Chaplain Services and Therapy Dog Program: In FY22 SPH continued to include 2 chaplains and therapy dogs as support for patients and community members. In FY22 the dogs were able to serve at numerous mass vaccination clinics in the community offering support and warmth to children and adults alike. iv) Community Involvement/Giving: St. Peter's Health is an active member of several community coalitions and groups focused on the mental health and wellbeing of the community as well as those specifically focused on suicide prevention. St. Peter's Health leadership is represented in the Lewis and Clark County Suicide Prevention Coalition, the Lewis and Clark County Mental Health Local Advisory Council, Mental and Social Wellbeing Workgroup, the LOSS team (Local Outreach to Suicide Survivor) of Lewis and Clark County Area, Lewis and Clark County Behavioral Health System Leadership Team, Elevate MT Helena Affiliate, and the Maternal Mental Health Task Force. Additionally, SPH is a major sponsor of local suicide prevention and mental health activities and nonprofits, including NAMI Montana and the Man Therapy Campaign, sponsorship of the Art for Survival program through the Holter Museum of Art, support of the Montana Psychiatry Conference, support of Pediatric Disaster Response and Emergency Preparedness training, support of the local American Foundation for Suicide Prevention's Out of the Darkness Walk. v) Postpartum Recovery community education: St. Peter's Education department provides free community classes focused on postpartum recovery to ensure new parents are knowledgeable about signs of perinatal mood or anxiety disorders and how to find support. Quarterly classes were provided which provided education to 57 community members in FY22. b) Universal Screening/Services i) Screening for Depression: In FY22 St. Peter's Health continued to focus on increasing the completion rate for depression screening (PHQ-9) at least annually for all primary care patients ages 12+ including the use of evidence-based tools to screen perinatal patients using the Edinburgh Postnatal Depression Scale. During FY22 SPH completed 96,606 PHQ9 screenings, and 808 Edinburgh screenings. This represents a 163% increase from FY21. ii) Screening for Anxiety: In FY22 St. Peter's Health continued to focus on increasing the completion rate for anxiety screening (GAD-7) for patients when clinically indicated. During FY22 SPH completed 4,206 GAD-7 screenings. If depression, suicidal ideation or anxiety is identified during the screen, support and care provided by the primary care providers is also augmented by the Behavioral Health Professionals integrated into primary care for timely intervention and follow up (see Integrated Behavioral Health for more information). c) Enhanced Support Services: i) Integrated Behavioral Health within Primary Care: During FY22 St. Peter's Health has maintained an Integrated Behavioral Health (IBH) Team practicing within the Behaviorist Model and the SPH Team has begun to expand access to SPH patients through the implementation of the Collaborative Care Model. Patients are able to access the support for any Behavioral Health Professionals via virtual and telephonic visits in addition to face-to-face visits. (1) Behaviorist Model: The BHPs at St. Peter's Health Medical Group are employed licensure candidates as well as fully Licensed Clinical Social Workers (LCSWs) and Licensed Clinical Professional Counselors (LCPCs), who work with the identified patien
SCHEDULE H, PART V, SECTION B, LINE 16A-16C	THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP IS MADE AVAILABLE ON THE HOSPITAL'S WEBSITE: https://www.sphealth.org/patients-visitors/billing/financial-assistance
SCHEDULE H, PART V, SECTION B, LINE 16J	PATIENTS RECEIVE NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY UPON DISCHARGE AS WELL AS IN THEIR PATIENT STATEMENTS.

Field	Value	IRS element (for citing)
Facility	5	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 HOSPIT
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 (11 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	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 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 $26,247,786, WHICH INCLUDES ALLOCATED OVERHEAD COSTS. TOTAL CLINIC EXPENSES WITHOUT OVERHEAD ALLOCATIONS WAS $20,620,345.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: ST. PETER'S COMMUNITY HOSPITAL COMMUNTIY BUILDING ACITIVITES INCLUDE ADVOCACY FOR PATIENT CARE, HEALTH CARE AND COMMUNITY HEALTH AND EDUCATION PROGRAMS FOR THE COMMUNITY.
SCHEDULE H, PART III, SECTION A, LINE 2	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, SECTION A, LINE 3	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, SECTION C, LINE 9B	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 VI, LINE 2	DESCRIPTION OF NEED 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 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 1.9% SELF-PAY PATIENTS, 14.7% OF MEDICAID PATIENTS AND 48.3% MEDICARE PATIENTS. APPROXIMATELY 17% OF THE POPULATION IS AGE 65 AND OLDER. APPROXIMATELY 11.4% 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 BEING PROVIDED. 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 NATIVE- AMERICAN 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 MADE $106,000 OF 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 (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ST PETERS HOSPITAL FOUNDATION
2475 BROADWAY	HELENA	MT	59601	810392270	501(c)(3)	$136,860
HELENA FOOD SHARE
1616 Lewis Street	HELENA	MT	59624	363507623	501(c)(3)	$40,000	Healthy Food Initiative
Exploration Works
995 Carousel Way	Helena	MT	59601	810541491	501(c)(3)	$6,500	Sponsorship
Girls Thrive
PO BOX 943	HELENA	MT	59624	810732047	501(c)(3)	$6,650	Support Organization

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS: 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 501C3 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	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
CHRISTOPHER LINDSAY
MD	$673,041	$0	$366,512	$0	$19,500	$0	$17,400	$0	$9,899	$0	$1,086,352	$0
BRANDON NEWGARD
MD	$439,448	$0	$432,214	$0	$1,328	$0	$17,400	$0	$24,972	$0	$915,362	$0
CHRISTOPHER GABEL
MD	$484,021	$0	$258,183	$0	$20,174	$0	$14,785	$0	$27,098	$0	$804,261	$0
MICHAEL LEE
MD	$592,699	$0	$129,644	$0	$332	$0	$8,609	$0	$24,490	$0	$755,774	$0
TIMOTHY GROSSMAN
MD	$435,200	$0	$176,851	$0	$20,783	$0	$0	$0	$30,176	$0	$663,010	$0
WADE JOHNSON
CEO, Ex Officio, Non-Voting	$569,752	$0	$152,500	$0	$20,834	$0	$17,400	$0	$33,835	$0	$794,321	$0
TODD WAMPLER
PRESIDENT SPMG	$339,212	$0	$76,360	$0	$498	$0	$41,268	$0	$34,321	$0	$491,659	$0	$40,460
NATHAN COBURN
CFO	$292,345	$0	$61,198	$0	$20,323	$0	$53,966	$0	$36,758	$0	$464,590	$0	$35,699
RYAN WINN
CIO	$189,621	$0	$10,000	$0	$309	$0	$45,985	$0	$18,739	$0	$264,654	$0
BRIAN LEE
VP of Operations	$225,228	$0	$47,453	$0	$1,915	$0	$44,482	$0	$28,235	$0	$347,313	$0	$27,681
JAMES TARVER
CHIEF OF STAFF, EX OFFICIO	$0	$0	$301,585	$0	$7,993	$0	$14,172	$0	$28,316	$0	$352,066	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	INFORMATION REGARDING BENEFITS PROVIDED: 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 7	NON-FIXED PAYMENTS: THE ORGANIZATION HAS INCENTIVE BONUS POLICIES FOR EXECUTIVES, ALL OF WHICH HAVE SPECIFIC METRICS THAT MUST BE MET IN ORDER TO BE PAID OUT. NOT ALL INCENTIVES THAT ARE ACCRUED AT FYE ARE PAID OUT WITHIN 2.5 MONTHS AFTER YEAR END. THE FOLLOWING INDIVIDUALS DID NOT RECEIVE THEIR INCENTIVE PAYOUTS WITHIN THAT TIME; THEREFORE, AN ACCRUAL WAS MADE FOR 7 MONTHS OF THE INCENTIVE WHICH COVERED THE TIMEFRAME 6/1/2021 - 12/31/2021. THE ACCRUAL APPEARS UNDER OTHER DEFERRED COMPENSATION UNDER SCHEDULE, J, PART II, COLUMN C. $36,412 - Nathan Coburn $41,268 - Todd Wampler $35,000 - Ryan Winn $28,235 - Brian Lee
Schedule J, Part II, Column (f)	Description of Compensation reported in a prior period: The amounts listed in Column F are the accrual payouts of the bonuses that line 7 discusses. The amounts in column f are the accruals from 2019 calendar year that are paid out in 2020. $35,699 - Nathan Coburn $40,460 - Todd Wampler $27,681 - Brian Lee

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	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$15,120,000	$0	$21,435,064	$0	$0	$0	$349,297	$0	$0	$0	$21,085,703	$0	2013	false	Yes (true)	Yes (true)	Yes (true)
B	$8,605,000	$0	$14,945,000	$0	$0	$0	$253,212	$0	$0	$0	$14,691,787	$0	2015	false	Yes (true)	Yes (true)	Yes (true)
C	$2,114,386	$0	$23,000,000	$0	$0	$0	$86,400	$0	$0	$3,317,161	$0	$19,596,439		false	false	false	Yes (true)

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	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false	Yes (true)
C	false	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	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	false	false	0	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 (3 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 OCTOBER 9, 2017 FOR THE PERIOD FROM MARCH 13, 2013 THROUGH JUNE 1, 2017
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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	DESCRIPTION OF SIGNIFICANT CHANGES TO BYLAWS: THE FOLLOWING ITEMS ARE THE SIGNIFICANT CHANGES TO THE BYLAWS: - THE MAXIMUM NUMBER OF BOARD DIRECTORS HAS BEEN REDUCED TO ELEVEN. - THE NUMBER OF THREE-YEAR TERMS A DIRECTOR CAN SERVE HAS INCREASED FROM TWO TO THREE. - REDUCED THE NUMBER OF MEETINGS TO SIX MEETINGS PER FISCAL YEAR. - CHANGE OF EXECUTIVE LEADERSHIP REQUIRES TWO-THIRDS VOTE OF DIRECTORS IN OFFICE AND REQUIRES A SEVEN DAY NOTICE BEFORE THE VOTE.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW THE FORM 990: 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, SECTION B, LINE 12C	PROCESS FOR MONITORING COMPLIANCE WITH 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, SECTION B, LINE 15A & 15B	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 OCTOBER 2020, 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, SECTION C, LINE 19	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 XI, LINE 9	OTHER CHANGE IN NET ASSETS: (1,861,251) - CHANGE IN INTEREST IN SPH FOUNDATION 5,325,347 - MINIMUM PENSION LIABILITY ADJUSTMENT 3,464,096 - TOTAL

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	EINEIN	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	272492966	RENTAL PROPER	MT	SPH	UNRELATED	$337,879	$3,972,569	false	false	0.65000
PEAK HEALTH HELENA LLC
2475 BROADWAY	HELENA	MT	59601	272493096	HEALTH CLUB	MT	SPH	UNRELATED	$7,294	$162,877	false	false	0.65000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SOUND HEALTH IMAGING INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	214 Solomon Mountain Road	AddressLine1Txt
City	Clancy	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59634	ZIPCd

Field	Value	IRS element (for citing)
EIN	810489518	EIN
Primary Activities	Imaging	PrimaryActivitiesTxt
Legal Domicile State	MT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	S CORP	EntityTypeTxt
Share Of Total Income	$409,722	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,343,378	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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	Yes (true)	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
B	$136,860	INTERCO AMOUNT
ST PETER'S HEALTH FOUNDATION
C	$2,024,441	INTERCO AMOUNT
PEAK HEALTH REALTY LLC
S	$240,500	FMV