2022-04-14T11:15:21-05:00 2021-05-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2020-06-01 810233121 ST PETER'S HEALTH % NATHAN COBURN CFO STPE 4064422480 2475 BROADWAY HELENA MT 59601 NATHAN COBURN CFO 4064422480 2022-04-15 true NATHAN COBURN 999009999 Adam R Smith CPA P00958966 7194714290 2 2020 2022-09-23 18:48:47Z WADE JOHNSON 2475 BROADWAY HELENA MT 59601 331739231 false X SPHEALTH.ORG X 1883 MT TO IMPROVE THE HEALTH, WELLNESS AND QUALITY OF LIFE OF THE PEOPLE AND COMMUNITIES WE SERVE. 11 10 2076 93 720525 524124 3418873 10872566 244466519 276513984 5693567 18205415 2108479 2994281 255687438 308586246 64000 121122 0 0 142614570 161176914 0 0 508370 107668286 124252655 250346856 285550691 5340582 23035555 409178278 492755059 130230539 128702681 278947739 364052378 ST. PETERS HOSPITAL PARTNERS WITH OUR PATIENTS, COMMUNITY, AND MEDICAL STAFF TO PROVIDE EXCEPTIONAL AND COMPASSIONATE HEALTH CARE. false false 159825447 82879 213068866 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 AN ESTIMATED 97,000 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. 73748168 38243 65853592 THE HOSPITAL OPERATES SEVERAL PHYSICIAN CLINICS, EMPLOYING 131 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 412,065 PATIENT ENCOUNTERS. 233573615 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true true false true false false false false false false false false false false false false false true true true false false false 217 0 2076 true true true false false false false false false false false false false false X 11 10 false false false false false false false true true false false true true true true true true true true true true MT X NATHAN COBURN CFO 4064422480 2475 BROADWAY HELENA MT 59601 X THOMAS WEINER MD 40.0 0.0 X 1810952 0 29416 Christopher Lindsay MD 40.0 0.0 X 868547 0 30816 KERRY HALE MD 40.0 0.0 X 799454 0 53385 Brandon Newgard MD 40.0 0.0 X 758413 0 43938 Wade Johnson CEO, Ex Officio, Non-Voting 39.0 1.0 X 676728 0 50634 MARK MOZER MD 40.0 0.0 X 632613 0 48463 JON GRIFFIN CMIO 40.0 0.0 X 367248 0 94446 NATHAN COBURN CFO 39.0 1.0 X 324486 0 113627 TODD WAMPLER President SPMG 40.0 0.0 X 338441 0 51167 BRIAN LEE VP of Operations 40.0 0.0 X 259117 0 98901 James Tarver Chief of Staff, Ex Officio 40.0 0.0 X X 291661 0 49325 Mark Taylor Chair 1.0 0.0 X X 0 0 0 Guy Almquist Secretary/Treasurer 1.0 0.0 X X 0 0 0 Russ Bell PHD Vice Chair 1.0 0.0 X X 0 0 0 Loren Brown Director 1.0 0.0 X 0 0 0 Sen Mary Caferro Director 1.0 0.0 X 0 0 0 Kelly Parsley Director 1.0 0.0 X 0 0 0 Mick Robinson Director 1.0 0.0 X 0 0 0 Justin Mosness Director 1.0 0.0 X 0 0 0 Nate McCarthy Foundation Chair, Ex-Officio 1.0 1.0 X 0 0 0 William Northey Director 1.0 0.0 X 0 0 0 7127660 0 664118 214 false true false MEDICAL INFORMATION TECHNOLOGY PO BOX 74569 CHICAGO IL 74569 SOFTWARE 923405 EMTEC CONSULTING SERVICES PO BOX 85092 CHICAGO IL 60680 ORACLE CONSULTANT 850128 GLOBAL MEDICAL STAFFING 339 W 13490 S200 DRAPER UT 84020 TEMP LABOR 773633 WEATHERBY LOCUMS INC 6451 North Federal Highway Suite 7 FORT LAUDERDALE FL 33308 TEMP LABOR 714069 DICK ANDERSON CONSTRUCTION INC 3424 E US HIGHWAY 12 HELENA MT 59601 GENERAL CONTRACTOR 639558 45 385777 10486789 10872566 Patient Service Revenue 621110 200659842 200659842 Pharmacy 446110 62851358 62374295 477063 Income from Joint Ventures 900099 1726826 1594132 132694 340b Pharmacy 621110 9740855 9740855 Meaningful Use 900099 1500372 1500372 34731 34731 276513984 3663160 3663160 0 0 276171 337498 -61327 0 -61327 -61327 37318693 12250 22626980 161708 14691713 -149458 14542255 14542255 0 0 0 0 0 0 19087 26799 -7712 -7712 Cafeteria 722514 500883 3562 497321 POPULATION HEALTH 900099 729428 729428 EE Daycare 624110 207315 207315 1625694 1338009 107206 180479 3063320 308586246 277971664 720525 19021491 X 121122 121122 0 0 0 2271356 1810497 453816 7043 0 124905137 100105634 24401772 397731 11648286 7131739 4504556 11991 14491352 11826668 2634659 30025 7860783 6415281 1428754 16748 0 821309 821309 108055 108055 60000 60000 0 1043631 1043631 28859290 18722204 10135500 1586 252232 30899 217304 4029 2293478 837029 1442501 13948 1985487 1984031 1456 0 2547836 1702623 845213 0 167068 141591 24319 1158 0 411220 138948 271377 895 460649 460649 0 11402414 11246982 155009 423 1976330 1973425 2905 Medical Supplies Drugs 65544206 62617954 2905305 20947 Bed Tax 6060530 6060530 Miscellaneous 258920 245809 11265 1846 285550691 233573615 51468706 508370 50636070 27171644 260456 262624 0 0 27008977 39031282 0 0 473058 0 6244472 9525202 6707887 7386433 2432710 2844480 256343365 133718181 118710008 122625184 157138904 231836713 15861466 20858406 3271510 3499836 0 0 20432760 27713255 409178278 492755059 68837026 60080405 0 0 20000 219307 19346247 38865113 0 0 0 0 479083 496123 0 0 41548183 29041733 130230539 128702681 X 259759817 339479467 19187922 24572911 278947739 364052378 409178278 492755059 X 23035555 39294474 22774610 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 60000 false false 60000 false SCHEDULE C, PART II-B, LINE 1 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. 12961992 593529 3314823 72721 16797623 12109353 74116 818248 39725 12961992 12179588 324576 137738 532549 12109353 11377773 111890 792555 102630 12179588 10361930 162062 867467 13686 11377773 0.53338 0.46662 false true true 4997241 4997241 121881834 52484819 69397015 123769861 80336711 43433150 5694429 896651 4797778 122625184 Investments in SPH Foundation 26818255 Insurance Receivable 797500 Bond Issuance Cost 97500 27713255 0 Malpractice Accrual 3368535 Pension Liability 25673198 29041733 370125454 39294474 364297 39658771 330466683 1043631 -22924068 -21880437 308586246 285020815 364297 364297 284656518 1043631 -149458 894173 285550691 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: 26,799 - Cost of Goods Sold 337,498 - Rental Expense Net With Revenue 364,297 - Total SCHEDULE D, PART XI, LINE 4B REVENUE ON RETURN, NOT ON BOOKS: (149,458) - Reclass Loss on Sale of Asset (7,355,496) - CHANGE IN INTEREST IN SPH FOUNDATION (15,419,114) - MINIMUM PENSION LIABILITY ADJUSTMENT (22,924,068) - TOTAL SCHEDULE D, PART XII, LINE 2D EXPENSE ON BOOKS, NOT ON 26,799 - COST OF GOODS SOLD 337,498 - RENTAL EXPENSES NET WITH REVENUE 364,297 - total SCHEDULE D, PART XII, LINE 4B EXPENSE ON RETURN, NOT ON BOOKS: (149,458) - Reclass of Loss on Sale of Equipment true true X true X 275. true X true true false false 3151845 3151845 0.01090 30185707 31081857 0.00000 33337552 31081857 3151845 0.01090 414422 414422 0.00140 439171 189800 249371 0.00090 55524842 41612281 13912561 0.04420 34549 34549 0.00010 56412984 41802081 14610903 0.04660 89750536 72883938 17762748 0.05750 3192 3192 0.00000 2628 2628 0.00000 69252 69252 0.00030 75072 75072 0.00030 true 1311161 95911 57799760 54859789 2939971 X true true HELENA SURGICENTER SURGERY CENTER 0.5 0.066 0.434 1 1 ST PETER'S HEALTH 2475 BROADWAY HELENA MT 59601 WWW.SPHEALTH.ORG 13346 X X X PHYSICIAN CLINICS URGENT CARE SERVICES 1 ST PETER'S HEALTH false false true X X X X X X X X 18 true false true true X SEE PART V SECTION C FOR URL X true 18 true SEE PART V SECTION C FOR URL false true X 275. 350. X X true true X X X X true X SEE PART V SECTION C FOR URL X SEE PART V SECTION C FOR URL X See part V Section C X X X X X X X false X false X X X X true X false false 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. 5TH AVENUE ADVERTISING AREA IV AGENCY ON AGING AWARE, INC. BIKE WALK HELENA BIKE WALK MONTANA CARROLL COLLEGE (AND WELLNESS CENTER) CHILD CARE PARTNERSHIPS CITY OF EAST HELENA/CITY OF HELENA CITY OF HELENA COMMUNITY DEVELOPMENT DEPARTMENT CITY OF HELENA PUBLIC WORKS COOPERATIVE HEALTH-HEALTHCARE FOR THE HOMELESS DEPARTMENT OF COMMUNITY DEVELOPMENT AND PLANNING DEPARTMENT OF ENVIRONMENTAL QUALITY-REMEDIATION DIVISION DISABILITY RIGHTS MONTANA EXPLORATIONWORKS SCIENCE CENTER FAMILY PROMISE OF GREATER HELENA FLORENCE CRITTENTON HOME AND SERVICES HEALTHY MOTHERS HEALTHY BABIES, THE MONTANA COALITION HELENA AREA CHAMBER OF COMMERCE HELENA BUSINESS IMPROVEMENT DISTRICT HELENA CITIZENS COUNCIL HELENA FAMILY YMCA HELENA FOOD SHARE HELENA HOUSING AUTHORITY HELENA POLICE DEPARTMENT HELENA PUBLIC SCHOOLS HELENA UNITED METHODIST MINISTRIES HOUSE OF REPRESENTATIVES HPC KALMORE DENTAL LEWIS AND CLARK CONSERVATION DISTRICT MONTANA INDEPENDENT LIVING PROJECT MONTANA MENTAL HEALTH OMBUDSMAN OFFICE MONTANA NO KID HUNGRY MONTANA PUBLIC HEALTH LABORATORY MONTANA SCHOOL SERVICES FOUNDATION MONTANA STATE LEGISLATURE MONTANA UNITED INDIAN ASSOCIATION MORRISON MAIERLE, INC. MOUNTAIN VIEW FAMILY HEALTH CARE MT HEAD START ASSOCIATION PUREVIEW HEALTH CENTER ROCKY MOUNTAIN DEVELOPMENT COUNCIL SENIOR COMPANION PROGRAM SAFE ROUTES TO SCHOOL COMMITTEE ODEXO SCHOOL SERVICES K-12 SOUTH HILLS INTERNAL MEDICINE SPH BOARD MEMBER ST. PETER'S HOSPITAL ST. PETER'S MEDICAL GROUP STATE OF MONTANA, DEPARTMENT OF ENVIRONMENTAL QUALITY THE FRIENDSHIP CENTER THE NATIONAL ALLIANCE ON MENTAL ILLNESS-HELENA UNITED WAY OF THE LEWIS AND CLARK AREA YOUTH CONNECTIONS COALITION YWCA OF HELENA SCHEDULE H, PART V, SECTION B, LINE 6B ST. PETER'S HOSPITAL COLLABORATED WITH LEWIS AND CLARK PUBLIC HEALTH TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, SECTION B, LINE 7D WWW.SPHEALTH.ORG/COMMUNITY-HEALTH/COMMUNITY-NEEDS-AND-IMPROVEMENTS SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.SPHEALTH.ORG/COMMUNITY-HEALTH/COMMUNITY-NEEDS-AND-IMPROVEMENTS 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 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 process are to: 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 socio-economic 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. This 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 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, 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 Committee (JSOC), 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 JSOC, it is presented, discussed, and approved at the St. Peter's Health System Board and published on the SPH Website. In 2018 the following health needs were identified as priority areas and during Fiscal Year 2021 (FY21) the following actions steps were taken to address the needs: 1. Access to healthcare services: a. Barriers to Access: Our interventions continued to focus on decreasing the barriers to accessing health care services and were two fold. i. Appointment Availability: One area of focus was increasing appointment availability. The pandemic provided a prime opportunity to rapidly expand appointment availability via telehealth. 1. Telehealth in the outpatient setting: During FY21, as a result of the COVID-19 pandemic, St. Peter's Health's medical clinics, with 91 providers, were connected to the telehealth platform and began utilizing this resource frequently. Over the course of FY21, 8,069 virtual clinic visits were completed. Additionally, St. Peter's Health continued to grow the partnership with local assisted and skilled nursing facilities by providing virtual TytoCare devices that captured vital signs and components of a digital physical assessment so that the patients were able to be assessed by an SPH employed provider, but within the safety of the facility to decrease the risk of COVID-19 exposure. 2. University of Utah Health Telehealth Collaboration: Through a partnership with the University of Utah, SPH is able to access a Tele-suite of offerings to include Tele-stroke, Tele-ICU and Tele-burn sub-programs, all utilized frequently throughout FY21. Tele-stroke, for example, launched in 2019 and provides technology that connects an emergency provider to a stroke specialist from University of Utah Health with one click of a button. They can see the patient, get access to CT scans, etc. This allows us to elevate the level of care we're able to provide locally, resulting in improved clinical outcomes and keeping patients closer to home for care. 3. Telepsychiatry Program: A partnership with Frontier Psychiatry and the Montana Hospital Association allowed the launch of the telepsychiatry program that gave the Mobile Crisis Response Team on-demand access to psychiatrists in the field and the emergency department and pediatric clinicians immediate access to psychiatrists for youth under the age of 18 experiencing crisis on their units. 4. Increased Rural Health Access with growth of Satelite clinic in Townsend: This new clinic opened in early 2020 in Townsend and provides comprehensive primary care services five days per week as well as rotating specialties including urology, general surgery and orthopedics to Townsend and the greater Broadwater County area. The clinic also houses laboratory services and diagnostic imaging services, like x-ray and ultrasound. In FY21 the clinic specialty services grew to include one new primary care provider and six rotating specialists. The clinic access grew to include 5,034 visits during this time. 5. Opening of Outpatient Wound Care Center (WCC): Opening in February 2021, The WCC offers specialized, physician-led care for community members with chronic wounds or wounds that have resisted traditional treatment. The opening brought state-of-the-art therapies, including hyperbaric oxygen therapy, and a new dedicated space to help people with wounds heal. 6. Online Appointment Scheduling for Outpatient Lab and Urgent Care: All three of the SPH outpatient labs moved to more convenient appointment scheduling in FY21 utilizing an online platform accessible via computer, phone or tablet. ii. Transportation: The other area addressing access to care was focusing and working to address the limitations surrounding transportation within the St. Peter's Health Service area. St. Peter's has worked on addressing this issue in two ways: 1. continued funding to support the community paramedicine program implemented in 2020 and 2. System referrals to the St. Peter's Health Foundation to help with financial transportation barriers. The Community paramedicine program works in partnership with the primary care teams and aims at treating individuals in their environment to help improve health outcomes and access to care. This program provides many different types of care, to which most care provided in through this program are non billable services. These services include at-home blood draws, immunizations, chronic health condition education, facilitation of tele-health visits for those who have access challenges, vital signs monitoring, etc. In FY21, the community paramedicine teams served 547 unique patients through 2,299 home-based visits. b. Routine medical care (children): During FY21, St. Peter's Population Health Team partnered with the St. Peter's Primary Care Teams to identify children who had a gap in care for childhood immunizations. 619 reminder postcards were sent to the parents and children to help prompt the need to come in to complete the routine childhood medical care. c. Ratings of Local Healthcare: This specific need was not actively addressed in FY21 as the need was not as pressing as other problems and there were insufficient resources, both financial and personnel, to address the need as a result of shifts in organizational priorities to address the global COVID-19 pandemic. d. Other Access Improvements: St. Peter's Health also continued to address the barriers to accessing mental and other health and social care services outside of our walls by participation in the CONNECT Electronic Referral System advisory board, working to advocate for and increase the number of services and organizations in the community represented and utilizing the system. The CONNECT electronic referral system is a community and state wide closed-loop referral system which streamlines referrals of patients for needed services. 2. Cancer: a. Cancer is a leading cause of death: i. Improve Breast Cancer Community Awareness: In FY21, SP 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. 5 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 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 $21,525,500, which includes allocated overhead costs. Total clinic expenses without overhead allocations was $16,925,434. 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 E 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 JSOC, 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, 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 1.8% SELF-PAY PATIENTS, 14.1% OF MEDICAID PATIENTS AND 49.1% 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. THERE IS A POPULATION OF APPROXIMATELY 92,170. 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 12,000 VOLUNTEER HOURS FROM THE COMMUNITY ASSISTING IN A VARIETY OF ROLES WITHIN THE ORGANIZATION. ST. PETER'S HEALTH MADE $88,000 OF CASH AND IN-KIND DONATIONS TO A VARIETY OF ORGANIZATIONS WITHIN THE COMMUNITY. THIS INCLUDES, BUT IS NOT LIMITED TO, HELENA FOOD SHARE, NAMI, HELENA EDUCATION FOUNDATION, CARROLL COLLEGE, THE PRICKLY PEAR LAND TRUST, GREAT DIVIDE SKI PATROL, AND MORE. DONATIONS WERE MADE TO ASSIST THESE COMMUNITY SPONSORS IN THEIR VARIOUS PROGRAMS. true ST PETERS HOSPITAL FOUNDATION 2475 BROADWAY HELENA MT 59601 810392270 501(c)(3) 97050 Carroll College 1601 North Benton Avenue Helena MT 59625 810231774 501(c)(3) 8500 Sponsorship HELENA FOOD SHARE 1616 Lewis Street HELENA MT 59624 363507623 501(c)(3) 20000 Healthy Food Initiative Exploration Works 995 Carousel Way Helena MT 59601 810541491 501(c)(3) 20180 Sponsorship Helena School District 1300 Billings Avenue Helena MT 59601 816005570 Helena SchlDist 5882 Support Program 5 SCHEDULE I, PART I, LINE 2 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. X true true X X X X false false false false false false false true false THOMAS WEINER MD 1546809 0 220075 0 44068 0 0 0 29416 1840368 0 KERRY HALE MD 568177 0 193764 0 37513 0 17100 0 36285 852839 0 Christopher Lindsay MD 645635 0 183912 0 39000 0 17100 0 13716 899363 0 Brandon Newgard MD 516065 0 221867 0 20481 0 17100 0 26838 802351 0 MARK MOZER MD 496328 0 116691 0 19594 0 17100 0 31363 681076 0 James Tarver Chief of Staff, Ex Officio 48200 0 236729 0 6732 0 14409 0 34916 340986 0 Wade Johnson CEO, Ex Officio, Non-Voting 511797 0 144182 0 20749 0 17100 0 33534 727362 0 NATHAN COBURN CFO 256839 0 48268 0 19379 0 78298 0 35329 438113 0 28156 TODD WAMPLER President SPMG 298819 0 21508 0 18114 0 17100 0 34067 389608 0 JON GRIFFIN CMIO 295929 0 56138 0 15181 0 76392 0 18054 461694 0 32747 BRIAN LEE VP of Operations 196951 0 42415 0 19751 0 63112 0 35789 358018 0 24742 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 6/1/2020 - 12/31/2020. THE ACCRUAL APPEARS UNDER OTHER DEFERRED COMPENSATION UNDER SCHEDULE, J, PART II, COLUMN C. $59,292 - JOHN GRIFFIN $61,1698 - NATHAN COBURN $47,453 - 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. $28,156 - Nathan Coburn $32,747 - Jon Griffin $24,742 - Brian Lee A MONTANA FACILITY FINANCE AUTHORITY 810302402 2013-03-13 21435000 REFINANCE 2004 BOND SERIES false false false B MONTANA FACILITY FINANCE AUTHORITY 364615155 2015-04-29 14945000 REFINANCE 2007 BOND SERIES false false false C MONTANA FACILITY FINANCE AUTHORITY 364615155 2021-05-28 23000000 FINANCE EQUIPMENT false false false A 13105000 0 21435064 0 0 0 349297 0 0 0 21085703 0 2013 false true true true B 7100000 0 14945000 0 0 0 253212 0 0 0 14691787 0 2015 false true true true C 0 0 23000000 0 0 0 86400 0 0 0 0 22913600 false false false true A false true false false 0 false false false true B false true false false 0 false false false true C false false false false 0 false false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true 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. 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. 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: 7,355,496 - CHANGE IN INTEREST IN SPH FOUNDATION 15,419,114 - MINIMUM PENSION LIABILITY ADJUSTMENT 22,774,610 - TOTAL FORM 990 PART IX LINE 11G DESCRIPTION:PMAS FEE TOTAL FEES:7202251 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:4337772 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION TOTAL FEES:857526 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:9246938 FORM 990 PART IX LINE 11G DESCRIPTION:ANSWERING SERVICE TOTAL FEES:18373 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL ADVOCACY TOTAL FEES:159993 FORM 990 PART IX LINE 11G DESCRIPTION:LAB FEES TOTAL FEES:1854305 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION FEES TOTAL FEES:9991 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:5172141 ST PETER'S HEALTH FOUNDATION 2475 BROADWAY HELENA MT 59601 810392270 FUNDRAISING MT 501(C)(3) 7 SPH true PEAK HEALTH REALTY LLC 2475 BROADWAY HELENA MT 59601 272492966 RENTAL PROPER MT SPH UNRELATED 313473 4011198 false false 0.65000 PEAK HEALTH HELENA LLC 2475 BROADWAY HELENA MT 59601 272493096 HEALTH CLUB MT SPH UNRELATED -52862 85827 false false 0.65000 false true true false false false false false false false false true true true true false false false true ST PETER'S HEALTH FOUNDATION B 97050 INTERCO AMOUNT ST PETER'S HEALTH FOUNDATION C 385777 INTERCO AMOUNT PEAK HEALTH REALTY LLC S 182000 FMV PEAK HEALTH HELENA LLC S 130000 FMV