ST PETERS HEALTH: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ST PETERS HEALTH (EIN 81-0233121)
Tax period: 2016-06-01 to 2017-05-31
Filed: 2018-04-13
IRS object ID: 201811039349300516
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-04-13T10:55:38-05:00	ReturnTs
Tax Period End	2017-05-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD 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	2016-06-01	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 Community Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% WADE JOHNSONCEO	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	WADE JOHNSON	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	4064422480	PhoneNum
Signature	2018-04-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	84022720181035000038	FederalOriginalSubmissionId
Federal Original Submission Id	2018-04-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B98F60208C01E221655A9D02B96D47F177C0D12C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	ED42049D66F1046E576A4D4BB44938B540F74564	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	St Peter's Hospital	BusinessNameLine1Txt

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	$246,798,158	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	PROVIDE EXCEPTIONAL AND COMPASSIONATE HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1616	TotalEmployeeCnt
Total Volunteers	255	TotalVolunteersCnt
Total Gross UBI	$417,709	TotalGrossUBIAmt
PY Contributions Grants	$604,080	PYContributionsGrantsAmt
CY Contributions Grants	$446,381	CYContributionsGrantsAmt
PY Program Service Revenue	$206,562,128	PYProgramServiceRevenueAmt
CY Program Service Revenue	$213,688,178	CYProgramServiceRevenueAmt
PY Investment Income	$327,669	PYInvestmentIncomeAmt
CY Investment Income	$5,102,536	CYInvestmentIncomeAmt
PY Other Revenue	$2,021,008	PYOtherRevenueAmt
CY Other Revenue	$2,150,977	CYOtherRevenueAmt
PY Total Revenue	$209,514,885	PYTotalRevenueAmt
CY Total Revenue	$221,388,072	CYTotalRevenueAmt
PY Grants And Similar Paid	$81,800	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$76,976	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$95,328,452	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$104,210,387	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$482,083	CYTotalFundraisingExpenseAmt
PY Other Expenses	$107,792,510	PYOtherExpensesAmt
CY Other Expenses	$104,481,246	CYOtherExpensesAmt
PY Total Expenses	$203,202,762	PYTotalExpensesAmt
CY Total Expenses	$208,768,609	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,312,123	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,619,463	CYRevenuesLessExpensesAmt
Total Assets BOY	$298,572,660	TotalAssetsBOYAmt
Total Assets EOY	$324,101,020	TotalAssetsEOYAmt
Total Liabilities BOY	$87,784,901	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$81,896,236	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$210,787,759	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$242,204,784	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	$143,685,000	ExpenseAmt
Grant	$76,976	GrantAmt
Revenue	$163,095,692	RevenueAmt
Desc	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 peters was the sole facility in the primary service area during the year ended May 31, 2017. The hospital provided at cost a total of $17,977,235 in community benefit. Of this total, $921,840 was for medical services to individuals who were determined unable to purchase such services under the hospitals charity care policy. In addition to free care and/or subsidized care, care is also provided at below cost rates to persons covered by governmental programs. The total operating loss for providing care to Medicaid patients was $2,526,559. The hospital provided $13,364,111 in subsidized health services during the year, including acute patient care for pediatric patients, outpatient pharmacy, pulmonary rehab, clinical nutrition, rehab, hospitalists services, physician clinics and in-home nursing and oxygen services. To fulfill its mission of community service, the organization provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the organization does not pursue collection of amounts determined to qualify as charity care, they are not reported as patient service revenue.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$32,216,658	ExpenseAmt
Revenue	$51,002,578	RevenueAmt
Desc	The hospital operates several physician clinics, employing 66 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 271,522 patient encounters.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$175,901,658	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	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	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
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
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	198	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1616	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	Yes (true)	Form8282PropertyDisposedOfInd
Form8282 Filed	1	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	Yes (true)	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
States Where Copy Of Return Is Fld	MT	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	WADE JOHNSONCEO	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
THOMAS A STRIZICH MD - BOARD
MEMBER/PAST CHIEF OF STAFF	1.0	0.0	Yes (X)	$0	$0	$0
KELLY PARSLEY
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
RANDY RILEY
BOARD MEMBER	1.0	0.0	Yes (X)	$1,558	$0	$0
Andrew Malany MD - Board
Member/Chief of Staff - Elect	1.0	0.0	Yes (X)	$36,740	$0	$0
Duane Bruce
Board Member	1.0	0.0	Yes (X)	$0	$0	$0
Fred Olson MD
Interim CEO	40.0	0.0	Yes (X)	$185,050	$0	$0	Yes (X)
Gayle Shirley
Board Member	1.0	0.0	Yes (X)	$0	$0	$0
guy Almquist
Treasurer	1.0	0.0	Yes (X)	$1,879	$0	$0	Yes (X)
John Galt MD
Board Member/Chief of Staff	40.0	0.0	Yes (X)	$439,242	$0	$34,337
Karen Z Hicks
Board Member	1.0	0.0	Yes (X)	$1,609	$0	$0
Mark Taylor
Chair	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
MIck Robinson
Board member	1.0	0.0	Yes (X)	$1,328	$0	$0
Todd Wampler MD
Board Member	1.0	0.0	Yes (X)	$227,186	$0	$7,974
William T Northey
Past Chair	1.0	0.0	Yes (X)	$0	$0	$0
JOHN GREEN
CFO	40.0	0.0		$294,337	$0	$56,025	Yes (X)
Ann Kjosa
COO/CXO - Through 1/2017	40.0	0.0		$303,820	$0	$24,140	Yes (X)
Thomas Weiner
MD	40.0	0.0		$1,787,532	$0	$39,962		Yes (X)
Michael Lee
MD	40.0	0.0		$751,250	$0	$13,659		Yes (X)
Chris Gabel
MD	40.0	0.0		$594,960	$0	$21,642		Yes (X)
Dr Peter POP
MD	40.0	0.0		$580,280	$0	$22,023		Yes (X)
Kerry Hale
MD	40.0	0.0		$600,593	$0	$27,545		Yes (X)
Nathan Olson
CEO - through 5/16	40.0	0.0		$562,413	$0	$32,330			Yes (X)
Maria Braman
VP of Medical Staff	40.0	0.0		$352,953	$0	$16,919			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,722,730	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$296,556	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	93	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
HORIZON MENTAL HEALTH MANAGEMENT
1965 LAKE POINT DR SUITE 100	LEWISVILLE	TX	75057	MANAGEMENT SERVICES	$3,301,740
GE HEALTHCARE
PO BOX 414-SN471	MILWAUKEE	WI	53201	BIOMEDICAL SERVICES	$1,048,030
SIEMENS MEDICAL SOLUTIONS
51 VALLEY STREAM PARKWAY	MALVERN	PA	19355	PREV MAINT AGREEMENT	$1,569,930
PatientMatters LLC
518 South Magnolia	ORLANDO	FL	32801	Patient Receivables	$1,399,172
LC ER Physicians
3060 Cabernet Drv Suite 2	HELENA	MT	59601	Urgent Care Coverage	$816,981

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	54	CntrctRcvdGreaterThan100KCnt
Related Organizations	$273,948	RelatedOrganizationsAmt
Government Grants	$167,933	GovernmentGrantsAmt
All Other Contributions	$4,500	AllOtherContributionsAmt
Total Contributions	$446,381	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621110	$149,510,737	$149,510,737
PHARMACY	446110	$62,427,727	$62,263,560	$164,167
INCOME FROM JOINT VENTURES	900099	$1,317,159	$1,188,347	$128,812
MEANINGFUL USE PAYMENTS	621110	$167,433	$167,433
PATIENT CENTERED MEDICAL HOME PAYMENTS	621110	$232,407	$232,407

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,715	TotalRevenueColumnAmt
Related Or Exempt Func Income	$32,715	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$213,688,178	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,660,084	TotalRevenueColumnAmt
Exclusion	$2,660,084	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	$291,068	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$179,182	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$111,886	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$111,886	TotalRevenueColumnAmt
Exclusion	$111,886	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$27,509,024	SecuritiesAmt
Other	$86,991	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$25,018,876	SecuritiesAmt
Other	$134,687	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,490,148	SecuritiesAmt
Other	-$47,696	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,442,452	TotalRevenueColumnAmt
Exclusion	$2,442,452	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	$118,292	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$77,341	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,951	TotalRevenueColumnAmt
Exclusion	$40,951	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OTHER INCOME	900099	$685,836	$514,326	$105,547	$65,963
CAFETERIA	722514	$917,881		$11,638	$906,243
DAYCARE FOR EMPLOYEES	624110	$288,460		$7,545	$280,915

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,963	TotalRevenueColumnAmt
Exclusion	$105,963	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,998,140	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$221,388,072	TotalRevenueColumnAmt
Related Or Exempt Func Income	$213,909,525	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$417,709	UnrelatedBusinessRevenueAmt
Exclusion	$6,614,457	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$76,976	TotalAmt
Program Services	$76,976	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	$2,782,582	TotalAmt
Program Services	$1,079,551	ProgramServicesAmt
Management And General	$1,703,031	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$303,578	TotalAmt
Program Services	$261,124	ProgramServicesAmt
Management And General	$42,454	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$79,834,536	TotalAmt
Program Services	$65,709,707	ProgramServicesAmt
Management And General	$13,831,566	ManagementAndGeneralAmt
Fundraising	$293,263	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,014,956	TotalAmt
Program Services	$5,923,994	ProgramServicesAmt
Management And General	$1,070,581	ManagementAndGeneralAmt
Fundraising	$20,381	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,221,954	TotalAmt
Program Services	$7,525,721	ProgramServicesAmt
Management And General	$1,668,851	ManagementAndGeneralAmt
Fundraising	$27,382	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,052,781	TotalAmt
Program Services	$4,238,386	ProgramServicesAmt
Management And General	$797,105	ManagementAndGeneralAmt
Fundraising	$17,290	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	$576,947	TotalAmt
Management And General	$576,675	ManagementAndGeneralAmt
Fundraising	$272	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$72,802	TotalAmt
Management And General	$72,386	ManagementAndGeneralAmt
Fundraising	$416	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$90,311	TotalAmt
Management And General	$90,311	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	$642,134	TotalAmt
Management And General	$642,134	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,611,747	TotalAmt
Program Services	$13,497,989	ProgramServicesAmt
Management And General	$6,105,956	ManagementAndGeneralAmt
Fundraising	$7,802	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$330,909	TotalAmt
Program Services	$108,439	ProgramServicesAmt
Management And General	$214,534	ManagementAndGeneralAmt
Fundraising	$7,936	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,782,810	TotalAmt
Program Services	$566,664	ProgramServicesAmt
Management And General	$1,208,509	ManagementAndGeneralAmt
Fundraising	$7,637	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,670,991	TotalAmt
Program Services	$3,384,673	ProgramServicesAmt
Management And General	$286,318	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,016,577	TotalAmt
Program Services	$1,740,980	ProgramServicesAmt
Management And General	$255,115	ManagementAndGeneralAmt
Fundraising	$20,482	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$240,109	TotalAmt
Program Services	$129,781	ProgramServicesAmt
Management And General	$108,810	ManagementAndGeneralAmt
Fundraising	$1,518	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	$376,889	TotalAmt
Program Services	$221,570	ProgramServicesAmt
Management And General	$155,089	ManagementAndGeneralAmt
Fundraising	$230	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$698,378	TotalAmt
Management And General	$698,378	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,486,047	TotalAmt
Program Services	$5,601,348	ProgramServicesAmt
Management And General	$818,801	ManagementAndGeneralAmt
Fundraising	$65,898	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,445,467	TotalAmt
Program Services	$2,297,761	ProgramServicesAmt
Management And General	$146,728	ManagementAndGeneralAmt
Fundraising	$978	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES/DRUGS	$55,913,758	$54,444,335	$1,458,825	$10,598
BAD DEBT EXPENSE	$7,620,117	$7,620,117
BED TAX	$1,418,750	$1,418,750
MISCELLANEOUS	$486,503	$53,792	$432,711

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$208,768,609	TotalAmt
Program Services	$175,901,658	ProgramServicesAmt
Management And General	$32,384,868	ManagementAndGeneralAmt
Fundraising	$482,083	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$28,079,540	BOYAmt
EOY	$25,950,560	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,991,682	BOYAmt
EOY	$4,610,505	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	$30,445,906	BOYAmt
EOY	$29,608,832	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	$3,315,074	BOYAmt
EOY	$3,723,125	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,199,383	BOYAmt
EOY	$4,384,732	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,321,631	BOYAmt
EOY	$3,336,555	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$196,695,867	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$104,085,239	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$88,649,785	BOYAmt
EOY	$92,610,628	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$103,137,359	BOYAmt
EOY	$122,487,018	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$8,194,087	BOYAmt
EOY	$13,047,342	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,087,330	BOYAmt
EOY	$2,149,621	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	$18,150,883	BOYAmt
EOY	$22,192,102	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$298,572,660	BOYAmt
EOY	$324,101,020	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,237,323	BOYAmt
EOY	$25,379,132	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	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,705,000	BOYAmt
EOY	$29,540,000	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	$0	BOYAmt
EOY	$0	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	$31,842,578	BOYAmt
EOY	$26,977,104	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,784,901	BOYAmt
EOY	$81,896,236	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$196,607,823	BOYAmt
EOY	$226,526,940	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,724,253	BOYAmt
EOY	$7,058,150	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,455,683	BOYAmt
EOY	$8,619,694	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$210,787,759	BOYAmt
EOY	$242,204,784	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$298,572,660	BOYAmt
EOY	$324,101,020	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,619,463	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$11,333,999	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$7,463,563	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	false	FederalGrantAuditRequiredInd

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	Yes (true)	MailingsMembersInd
Mailings Members	$100	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$1,758	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$88,453	OtherActivitiesAmt
Total Lobbying Expenditures	$90,311	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	$13,054,624	BeginningYearBalanceAmt
Contributions	$162,062	ContributionsAmt
Investment Earnings Or Losses	$1,126,301	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,500	OtherExpendituresAmt
End Year Balance	$14,335,487	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,102,447	BeginningYearBalanceAmt
Contributions	$55,722	ContributionsAmt
Investment Earnings Or Losses	-$120,076	InvestmentEarningsOrLossesAmt
Other Expenditures	-$16,531	OtherExpendituresAmt
End Year Balance	$13,054,624	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,693,936	BeginningYearBalanceAmt
Contributions	$127,333	ContributionsAmt
Investment Earnings Or Losses	$369,446	InvestmentEarningsOrLossesAmt
Other Expenditures	$88,268	OtherExpendituresAmt
End Year Balance	$13,102,447	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,606,682	BeginningYearBalanceAmt
Contributions	$393,168	ContributionsAmt
Investment Earnings Or Losses	$968,936	InvestmentEarningsOrLossesAmt
Other Expenditures	$274,850	OtherExpendituresAmt
End Year Balance	$12,693,936	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,598,351	BeginningYearBalanceAmt
Contributions	$64,337	ContributionsAmt
Investment Earnings Or Losses	$979,412	InvestmentEarningsOrLossesAmt
Other Expenditures	$35,418	OtherExpendituresAmt
End Year Balance	$11,606,682	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.06080	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.60130	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.45950	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	$2,961,630	OtherCostOrOtherBasisAmt
Book Value	$2,961,630	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$99,817,910	OtherCostOrOtherBasisAmt
Depreciation	$38,349,015	DepreciationAmt
Book Value	$61,468,895	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$89,105,853	OtherCostOrOtherBasisAmt
Depreciation	$64,896,031	DepreciationAmt
Book Value	$24,209,822	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,810,474	OtherCostOrOtherBasisAmt
Depreciation	$840,193	DepreciationAmt
Book Value	$3,970,281	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$92,610,628	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATE	$13,644
INSURANCE RECEIVABLE	$5,893,329
INVESTMENT IN SPH FOUNDATION	$15,860,578
BOND ISSUANCE COSTS	$424,551

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$22,192,102	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
MALPRACTICE ACCRUAL	$8,287,078
PENSION LIABILITY	$18,690,026

Field	Value	IRS element (for citing)
Total Liability	$26,977,104	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$232,179,906	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$11,333,999	NetUnrealizedGainsInvstAmt
Other Revenue	$256,523	OtherRevenueAmt
Revenue Not Reported	$11,590,522	RevenueNotReportedAmt
Revenue Subtotal	$220,589,384	RevenueSubtotalAmt
Investment Expenses Not Incld	$642,134	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$156,554	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$798,688	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$221,388,072	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$200,762,881	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$256,523	OtherExpensesIncludedAmt
Expenses Not Reported	$256,523	ExpensesNotReportedAmt
Expenses Subtotal	$200,506,358	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$642,134	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$7,620,117	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$8,262,251	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$208,768,609	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: COST OF GOODS SOLD 77,341 RENTAL EXPENSES NET WITH REVENUE 179,182 TOTAL 256,523
SCHEDULE D, PART XI, LINE 4B	REVENUE ON RETURN, NOT ON BOOKS: PROVISION FOR BAD DEBTS NET WITH REVENUE ON FINANCIALS 7,620,117 CHANGE IN INTEREST IN SPH FOUNDATION (1,805,151) MINIMUM PENSION LIABILITY ADJUSTMENT (5,658,412) TOTAL 156,554
SCHEDULE D, PART XII, LINE 2D	EXPENSE ON BOOKS, NOT ON RETURN: COST OF GOODS SOLD 77,341 RENTAL EXPENSES NET WITH REVENUE 179,182 TOTAL 256,523
SCHEDULE D, PART XII, LINE 4B	EXPENSE ON RETURN, NOT ON BOOKS: PROVISION FOR BAD DEBTS NET WITH REVENUE ON FINANCIALS 7,620,117

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	175.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
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	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	4777	PersonsServedCnt
Total Community Benefit Expns	$7,080,389	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,158,549	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$921,840	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	43717	PersonsServedCnt
Total Community Benefit Expns	$25,398,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,871,467	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,526,559	NetCommunityBenefitExpnsAmt
Total Expense	0.01240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	48494	PersonsServedCnt
Total Community Benefit Expns	$32,478,415	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,030,016	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,448,399	NetCommunityBenefitExpnsAmt
Total Expense	0.01710	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	3600	PersonsServedCnt
Total Community Benefit Expns	$1,302,058	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$214,309	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,087,749	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	217526	PersonsServedCnt
Total Community Benefit Expns	$49,657,128	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,293,017	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,364,111	NetCommunityBenefitExpnsAmt
Total Expense	0.06560	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,976	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$76,796	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	221126	PersonsServedCnt
Total Community Benefit Expns	$51,036,162	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,507,326	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,528,656	NetCommunityBenefitExpnsAmt
Total Expense	0.07130	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	269620	PersonsServedCnt
Total Community Benefit Expns	$83,514,577	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,537,342	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,977,055	NetCommunityBenefitExpnsAmt
Total Expense	0.08840	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,723,637	BadDebtExpenseAmt
Bad Debt Expense Attributable	$961,932	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$77,721,130	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$84,996,514	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,275,384	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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	0.06325	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.43675	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 hospital	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.stpetes.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 hospital	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.sphealth.org/CHNA	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.SPHealth.org/CHIP	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	175.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
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 VI SECTION C FOR URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART VI SECTION C FOR URL	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 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 organizations 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 HealthHealthcare for the Homeless Department of Community Development and Planning Department of Environmental QualityRemediation 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 College \| University of Montana 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 Sodexo School Services K-12 South Hills Internal Medicine SPH Board Member St. Peters Hospital St. Peters Medical Group State of Montana, Department of Environmental Quality The Friendship Center The National Alliance on Mental IllnessHelena United Way of the Lewis and Clark Area Youth Connections Coalition YWCA of Helena
SCHEDULE H, PART V, SECTION B, LINE 11	St. Peter's 2015 CHNA identified the following health needs: 1) Access to Health Care Services; 2) Cancer; 3) Heart Disease & Stroke; 4) Injury & Violence; 5) Mental Health; 6) Nutrition, Physical Activity, & Weight; 7) Potentially Disabling Conditions (i.e. back pain, hearing); 8) Respiratory Diseases; and 9) Substance Abuse. Through the 2016 Community Health Improvement Plan (CHIP), developed in partnership with Lewis and Clark County Public Health and other community health partners, all of these priority needs are being addressed by St. Peter's directly or in partnership with other community organizations. 1) Assisting the community with navigating the healthcare system by educating community on advanced practitioners in order to increase utilization; hiring an Emergency Room case manager to help establish a source of primary care for frequent users of the ER; 2) Improve lifestyle and behavioral factors that contribute to cancer through education opportunities, such as chronic disease mgmt, tobacco cessation, Inch by Inch program courses as well as community education through large events, screenings, and lectures; 3) Same as #2; 4) St. Peter's is not addressing directly as SPH does not have resources or programs to effectively address violence issues; however SPH does partner with outside agencies (Public Health, law enforcement, local social welfare agencies) when appropriate for patients; 5) Increasing mental health providers in the county, most recently with additional psychiatrist signed March 2017; 6) Same as #2; 7) Same as #2; 8) Same as #2; 9) St. Peter's Pharmacy actively involved in the creation of the statewide Prescription Drug Registry.
SCHEDULE H, PART V, SECTION B, LINE 16A & 16b	THE FINANCIAL ASSISTANCE POLICY (FAP) and FAP APPLICATION FORM, are MADE AVAILABLE ON THE HOSPITAL'S WEBSITE: https://www.sphealth.org/patient-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.
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.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, 7f, and 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits.
SCHEDULE H, PART I, LINE 7G	Subsidized health services include physician clinics that provide care during extended hours and on weekends, as well as provide specialties that are only offered at these locations. The total costs related to the physician clinics included on line 7g are $31,308,338, with direct offsetting revenue of $22,262,832, resulting in a net community benefit expense of $9,045,506.
7,723,637	The amount of bad debt, which also include the organization's share of joint ventures bad debt that are removed from the denominator of this calculation are $7,723,637.
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 A, LINE 4	The footnote to the organization's financial statements that describes bad debt expenses is located in footnote 1 on page 12 of the attached financial statements.
SCHEDULE H, PART III, Section B, LINE 8	No allocation of the Medicare shortfall was treated as a community benefit. The organization utilizes an internal cost allocation system. The costs are estimated by allocating departmental costs based on direct costs less any other operating revenue, then by completing an allocation of benefits, depreciation and other overhead costs.
SCHEDULE H, PART III, Section C, LINE 9b	St. peter's hospital 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 hospital 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	Need Assessment: St. Peter's Hospital conducts a community survey every three years. The community survey is performed by an independent contractor that selects an adequate sample size for the area. The homes of St. Peter's Hospital employees are excluded from the survey. The survey includes questions related to evaluating the community's experience and ability to access healthcare. The survey helps to identify specialty areas of concern. The results of the surveys are reviewed by the senior management team as well as the Board to identify the areas of focus. In 2015, the St. Peter's Board of Directors, made up of community members, physicians, and senior management, and worked with a consultant to develop St. Peter's Community Health Improvement Plan (CHIP). Based on the findings of the Community Health Needs Assessment (CHNA), the Board and its Community Relations Committee prioritized community health needs for the organization. The Community Relations Committee represents a broad range of community interests and gives final approval of the CHNA and CHIP. The Public Relations and Marketing Department is responsible for the facilitation and implementation of the CHNA and CHIP. During 2015, the combined community and committee continued to work on the various aspects of the report.
SCHEDULE H, PART VI, LINE 3	Patient Education Eligibility for assistance: St. Peter's Hospital (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.
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 2.0% SELF-PAY PATIENTS, 14.9% OF MEDICAID PATIENTS AND 47.3% MEDICARE PATIENTS. APPROXIMATELY 17.9% OF THE POPULATION IS AGE 65 AND OLDER. THE AVERAGE PER CAPITA INCOME IS $29,892 AND APPROXIMATELY 10.4% 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 HOSPITAL 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 79,135. OUT-MIGRATION IS GENERALLY LIMITED TO TERTIARY SERVICES NOT AVAILABLE AT ST. PETER'S HOSPITAL INCLUDING, CARDIAC SURGERY AND NEO-NATAL CARE. ST. PETER'S HOSPITAL PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ST. PETER'S HOSPITAL MAINTAINS CHARGES AS ONE OF THE LOWEST HOSPITALS WITHIN THE STATE DEPENDING ON THE SERVICES BEING PROVIDED. ST. PETER'S HOSPITAL SPONSORS SEVERAL WELLNESS SCREENINGS, HEALTH FAIRS, AND EDUCATIONAL LECTURES, CLASSES, AND EVENTS THROUGHOUT THE YEAR TO PROMOTE BETTER LIVING, NUTRITION AND GOOD HEALTH. ST. PETER'S (SPH) 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 HOSPITAL HAD 12,647 VOLUNTEER HOURS FROM THE COMMUNITY ASSISTING IN A VARIETY OF ROLES WITHIN THE ORGANIZATION. ST. PETER'S HOSPITAL MADE $76,976 OF CASH AND IN-KIND DONATIONS TO A VARIETY OF ORGANIZATIONS WITHIN THE COMMUNITY. THIS INCLUDES, BUT IS NOT LIMITED TO, THE MONTANA RACE FOR THE CURE, HELENA YMCA, FLORENCE CRITTENDON HOME, MONTANA SENIOR OLYMPICS, AMERICAN CANCER SOCIETY RELAY FOR LIFE, ROCKY MOUNTAIN DEVELOPMENT COUNCIL, SUSAN G KOMEN FOUNDATION, GIRLS THRIVE INC, NAMI MONTANA, HELENA FOOD SHARE, CARROLL COLLEGE FITNESS CENTER, HELENA SCHOOLS,HELENA POLICE DEPARTMENT TRAINING, CARROLL COLLEGE ATHLETICS WITH EMERGENCY SERVICES AT EVENTS, UNITED WAY TO ASSIST LOW-INCOME AND HOMELESS RESIDENTS WITH BASIC NEEDS, SPIRIT OF SERVICE CAMPAIGN BY PROVIDING SUPPLIES AND VOLUNTEERS TO HELP ELDERLY RESIDENTS AND OTHERS WITH SPECIAL NEEDS IMPROVE THEIR HOMES AND YARDS AND YOUTH FOUNDATION, THE PRICKLY PEAR LAND TRUST, WHICH HELPS PRESERVE AND MAINTAIN ACCESS TO TRAILS AND OPEN LAND FOR THE COMMUNITY. THE 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
ST PETERS HOSPITAL FOUNDATION
2475 BROADWAY	HELENA	MT	59601	810392270	501(c)(3)	$5,213
Carroll College
1601 North Benton Avenue	Helena	MT	59625	810231774	501(c)(3)	$20,000
HELENA POLICE DEPARTMENT
221 BRECKENRIDGE	HELENA	MT	59601	816001276	govt	$10,000
HELENA FOOD SHARE
1616 Lewis Street	HELENA	MT	59624	363507623	501(c)(3)	$10,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Question 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
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
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	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 (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN GREEN
CFO	$240,065	$0	$42,402	$0	$11,870	$0	$45,481	$0	$10,544	$0	$350,362	$0	$27,909	$0
Ann Kjosa
COO/CXO - Through 1/2017	$237,749	$0	$42,323	$0	$23,748	$0	$14,223	$0	$9,917	$0	$327,960	$0	$26,968	$0
Fred Olson MD
Interim CEO	$185,000	$0	$0	$0	$50	$0	$0	$0	$0	$0	$185,050	$0	$0	$0
John Galt MD
Board Member/Chief of Staff	$432,732	$0	$3,500	$0	$3,010	$0	$23,892	$0	$10,445	$0	$473,579	$0	$0	$0
Nathan Olson
CEO - through 5/16	$212,106	$0	$0	$0	$350,307	$0	$26,967	$0	$5,363	$0	$594,743	$0	$284,616	$0
Todd Wampler MD
Board Member	$221,354	$0	$5,500	$0	$332	$0	$0	$0	$7,974	$0	$235,160	$0	$0	$0
Thomas Weiner
MD	$1,787,482	$0	$0	$0	$50	$0	$30,410	$0	$9,552	$0	$1,827,494	$0	$0	$0
Michael Lee
MD	$750,918	$0	$0	$0	$332	$0	$9,428	$0	$4,231	$0	$764,909	$0	$0	$0
Chris Gabel
MD	$594,628	$0	$0	$0	$332	$0	$15,900	$0	$5,742	$0	$616,602	$0	$0	$0
Dr Peter POP
MD	$579,948	$0	$0	$0	$332	$0	$15,900	$0	$6,123	$0	$602,303	$0	$0	$0
Kerry Hale
MD	$577,151	$0	$23,077	$0	$365	$0	$18,000	$0	$9,545	$0	$628,138	$0	$0	$0
Maria Braman
VP of Medical Staff	$0	$0	$0	$0	$352,953	$0	$14,600	$0	$2,319	$0	$369,872	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	INFORMATION REGARDING BENEFITS PROVIDED: THE PRESIDENT/CEO RECEIVES REIMBURSEMENT FOR MEMBERSHIP DUES PAID TO A SOCIAL CLUB. THE PRESIDENT/CEO IS ALSO PROVIDED TRAVEL FOR A COMPANION FOR ONE BUSINESS FUNCTION PER YEAR. Board members are also provided travel for a companion for one business function per year. ALL AMOUNTS ARE REPORTED AS TAXABLE COMPENSATION.
SCHEDULE J, PART I, LINE 4A	SEVERANCE: Maria Braman received severance payments in the amount of $52,947 during 2016. Nathan Olson received severance payments in the amount of $284,616 during 2016. These amounts are reported as Other reportable compensation on Schedule J, Part II, column B(iii).
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 6/1/2016 - 12/31/2016. THE ACCRUAL APPEARS UNDER OTHER DEFERRED COMPENSATION UNDER SCHEDULE, J, PART II, COLUMN C. - John GREEN $28,606
Schedule J, Part II, Column (f)	Description of Compensation reported in a prior period: The amounts for John Green and Ann Kjosa are the accrual payouts of the bonuses that line 7 discusses. The amounts in column f are the accruals from 2015 calendar year that are paid out in 2016. The amount for Nathan Olson is the severance payment that was approved in 2015 and paid out in 2016.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MONTANA FACILITY FINANCE AUTHORITY
A	364615155	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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,475,000	$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	$1,365,000	$0	$14,945,000	$0	$0	$14,691,787	$253,213	$0	$0	$0	$0	$0	2015	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	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	0	false	false	false	Yes (true)
B	false	Yes (true)	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	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	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	false	false	0	false	Yes (true)	Yes (true)	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART IV, LINE 2C	THE REBATE COMPUTATION FOR THE 2013 BOND ISSUE IN COLUMN A WAS PERFORMED ON JULY 22, 2014 FOR THE PERIOD FROM MARCH 13, 2013 THROUGH JUNE 1, 2014.
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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
FAITH KJOSA
SEE PART V	$40,977	EMPLOYMENT WAGES	false
Dr Lee Harrison
See Part V	$232,550	Employment Wages	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, COLUMN B	FormAndLineReferenceDesc
Explanation	RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: FAITH KJOSA RECEIVED COMPENSATION FROM THE ORGANIZATION AS AN EMPLOYEE. FAITH IS A FAMILY MEMBER OF ANN KJOSA, WHO IS AN OFFICER OF THE ORGANIZATION. Dr. Lee Harrison received compensation from the organization as an employee. Dr. Lee is family member of Fred Olson, who is an Officer of the Organization.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 9	Addresses of those Who Cannot be Reached at Organization's Mailing Address: ANN KJOSA - 215 Whisper Cove Idaho Falls, ID 83404 MARIA BRAMAN - 205 ROCKRIDGE RD HAZARD, KY 41701 John Green - 6 Saddle Mountain Drive Montana City, MT 59634 Fred Olson - 1 Cloverview Drive Helena, Mt. 59601
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 FOR APPROVAL 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: DURING 2015 AN INDEPENDENT COMPENSATION CONSULTANT PERFORMED A REVIEW OF SALARIES AND BENEFITS USING DATA FROM COMPARABLE HEALTHCARE FACILITIES. A REPORT WAS PREPARED AND PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH USED THE REPORT TO DETERMINE EXECUTIVE AND OTHER OFFICER AND SENIOR MANAGEMENT COMPENSATION. WITH THE SIGNIFICANT CHANGES IN THE SENIOR MANAGEMENT TEAM DURING 2016 AND 2017 AN OUTSIDE RECRUITMENT FIRM WAS HIRED TO CONDUCT THE SEARCHES FOR A CEO, CNO, CMO AND PRESIDENT OF ST. PETER'S MEDICAL GROUP. THIS FIRM ESTABLISHED COMPETITIVE MARKET DRIVEN SALARIES FOR EACH OF THESE POSITIONS. SULLIVAN COTTER COMPLETED THE COMPENSATION REVIEW IN 2015. B.E. SMITH COMPLETED THE COMPENSATION REVIEW AND SEARCHES IN 2016 AND 2017. The CNO and SPMG-Broadway President were hired in late FY 2017 and the CMO and CEO postions were filled in July of 2017.
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 CHANGES IN NET ASSETS: CHANGE IN INTEREST IN SPH FOUNDATION 1,805,151 MINIMUM PENSION LIABILITY ADJUSTMENT 5,658,412 TOTAL 7,463,563

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST PETERS HOSPITAL 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	line 7	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 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	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
PEAK HEALTH LLC
2475 BROADWAY	HELENA	MT	59601	271863807	HEALTH CLUB	MT	SPCH	Unrelated	$9,705	$2,040,227	false	$0	false	0.65000
PEAK HEALTH REALTY LLC
2475 BROADWAY	HELENA	MT	59601	272492966	RENTAL PROPER	MT	SPCH	Unrelated	-$101,444	$4,837,877	false	$0	false	0.65000
PEAK HEALTH HELENA LLC
2475 BROADWAY	HELENA	MT	59601	272493096	HEALTH CLUB	MT	SPCH	Unrelated	$230,264	$429,060	false	$0	false	0.65000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	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	Yes (true)	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 PETERS HOSPITAL FOUNDATION
C	$273,948	INTERCO AMOUNT
Peak Health LLC
S	$97,500	Interco Amount
Peak Health Realty LLC
S	$65,000	Interco Amount