ST PETERS HEALTH: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: ST PETERS HEALTH (EIN 81-0233121)
Tax period: 2014-06-01 to 2015-05-31
Filed: 2016-03-30
IRS object ID: 201640909349300129
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-03-30T13:19:07-05:00	ReturnTs
Tax Period End	2015-05-31	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	2014-06-01	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	% JOHN GREEN CFO	InCareOfNm
Business Name Control	STPE	BusinessNameControlTxt
Phone	4064422480	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN GREEN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4064422480	PhoneNum
Signature	2016-03-28	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rita F Worster CPA	PreparerPersonNm
PTIN	P00290681	PTIN
Phone	7194714290	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	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	NATHAN C OLSON	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	$251,554,792	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	STPETES.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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1481	TotalEmployeeCnt
Total Volunteers	147	TotalVolunteersCnt
Total Gross UBI	$441,475	TotalGrossUBIAmt
PY Contributions Grants	$368,808	PYContributionsGrantsAmt
CY Contributions Grants	$1,272,510	CYContributionsGrantsAmt
PY Program Service Revenue	$188,857,015	PYProgramServiceRevenueAmt
CY Program Service Revenue	$191,730,710	CYProgramServiceRevenueAmt
PY Investment Income	$6,911,026	PYInvestmentIncomeAmt
CY Investment Income	$8,198,670	CYInvestmentIncomeAmt
PY Other Revenue	$74,486	PYOtherRevenueAmt
CY Other Revenue	$2,361,238	CYOtherRevenueAmt
PY Total Revenue	$196,211,335	PYTotalRevenueAmt
CY Total Revenue	$203,563,128	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$132,777	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$88,376,462	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$89,300,453	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$507,488	CYTotalFundraisingExpenseAmt
PY Other Expenses	$93,415,996	PYOtherExpensesAmt
CY Other Expenses	$98,246,328	CYOtherExpensesAmt
PY Total Expenses	$181,792,458	PYTotalExpensesAmt
CY Total Expenses	$187,679,558	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,418,877	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$15,883,570	CYRevenuesLessExpensesAmt
Total Assets BOY	$270,879,956	TotalAssetsBOYAmt
Total Assets EOY	$289,326,725	TotalAssetsEOYAmt
Total Liabilities BOY	$75,692,392	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$79,251,655	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$195,187,564	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$210,075,070	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	$128,889,845	ExpenseAmt
Grant	$132,777	GrantAmt
Revenue	$154,709,060	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, 2015. The hospital provided at cost a total of $19,851,733 in community benefit. Of this total, $3,601,217 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 $2,560,615. The hospital provided $13,194,027 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	$32,216,657	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$38,138,030	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 228,888 patient encounters.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$161,106,502	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	Yes (true)	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	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln 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	148	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1481	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	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	JOHN GREEN CFO	PersonNm
Phone	4064422480	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
NATHAN OLSON
CEO	39.0	1.0	Yes (X)	Yes (X)	$599,475	$0	$53,517
GUY ALMQUIST
TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GEORGE 'RUSS' BELL
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
DUANE BRUCE
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
JOHN GALT MD
BOARD MEMBER/CHIEF OF STAFF	40.0	0.0	Yes (X)		$384,298	$0	$45,308
MICHAEL S HAY MD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MICK ROBINSON
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
GAYLE SHIRLEY
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
ROGER STONE
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
THOMAS A STRIZICH MD - BOARD
MEMBER/PAST CHIEF OF STAFF	1.0	0.0	Yes (X)		$12,000	$0	$0
MARK TAYLOR
VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
KAREN Z HICKS
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
ANDREW MALANY MD - BOARD
MEMBER/CHIEF OF STAFF - ELECT	1.0	0.0	Yes (X)		$6,000	$0	$0
WILLIAM T NORTHEY
CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
KELLY PARSLEY
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
PATTY NELSON
BOARD MEMBER THROUGH 06/2014	1.0	0.0	Yes (X)		$0	$0	$0
JOHN GREEN
CFO	40.0	0.0		Yes (X)	$292,057	$0	$69,569
ANN KJOSA
COO/CXO	40.0	0.0		Yes (X)	$292,736	$0	$66,346
MARIA BRAMAN
VP OF MEDICAL STAFF	40.0	0.0			$358,222	$0	$73,648	Yes (X)
THOMAS WEINER
MD	40.0	0.0			$1,719,857	$0	$62,487		Yes (X)
MICHAEL LEE
MD	40.0	0.0			$804,038	$0	$28,764		Yes (X)
JAMES TARVER
MD	40.0	0.0			$609,597	$0	$45,855		Yes (X)
KRIS GODLEWSKI
MD	40.0	0.0			$536,993	$0	$45,817		Yes (X)
JEFFREY GEORGIA
MD	40.0	0.0			$534,029	$0	$48,689		Yes (X)
THOMAS GREGG
FORMER INTERIM CEO	0.0	0.0			$176,144	$0	$4,271			Yes (X)
JOHN SOLHEIM
FORMER CEO	0.0	0.0			$317,617	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,643,063	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$544,271	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	99	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	$3,213,443
WEATHERBY LOCUMS
PO BOX 972633	DALLAS	TX	753972633	LOCUM COVERAGE	$1,176,093
CAPITAL MEDICAL ANESTHESIA
PO BOX 5179	HELENA	MT	596045179	ANESTHESIA COVERAGE	$699,996
GE HEALTHCARE
PO BOX 414-SN471	MILWAUKEE	WI	53201	BIOMEDICAL SERVICES	$842,825
SIEMENS MEDICAL SOLUTIONS
51 VALLEY STREAM PARKWAY	MALVERN	PA	19355	PREV MAINT AGREEMENT	$801,304

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	40	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$713,073	RelatedOrganizationsAmt
Government Grants	$119,566	GovernmentGrantsAmt
All Other Contributions	$439,871	AllOtherContributionsAmt
Total Contributions	$1,272,510	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621110	$129,660,027	$129,660,027
PHARMACY	446110	$59,906,531	$59,787,762	$118,769
INCOME FROM JOINT VENTURES	900099	$1,258,423	$1,052,683	$205,740
MEANINGFUL USE PAYMENTS	621110	$747,100	$747,100
PATIENT CENTERED MEDICAL HOME PAYMENTS	621110	$125,914	$125,914

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	$191,730,710	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,309,486	TotalRevenueColumnAmt
Exclusion	$2,309,486	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	$300,606	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$219,243	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$81,363	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$81,363	TotalRevenueColumnAmt
Exclusion	$81,363	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$53,590,837	SecuritiesAmt
Other	$3,700	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$47,667,888	SecuritiesAmt
Other	$37,465	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,922,949	SecuritiesAmt
Other	-$33,765	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,889,184	TotalRevenueColumnAmt
Exclusion	$5,889,184	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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	$118,489	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$67,068	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,421	TotalRevenueColumnAmt
Exclusion	$51,421	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OTHER INCOME	900099	$1,026,046	$853,316	$103,005	$69,725
CAFETERIA	722514	$721,862		$5,771	$716,091
DAYCARE FOR EMPLOYEES	624110	$334,448		$8,190	$326,258

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$146,098	TotalRevenueColumnAmt
Related Or Exempt Func Income	$146,098	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,228,454	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$203,563,128	TotalRevenueColumnAmt
Related Or Exempt Func Income	$192,405,615	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$441,475	UnrelatedBusinessRevenueAmt
Exclusion	$9,443,528	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$132,777	TotalAmt
Program Services	$132,777	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	$2,177,530	TotalAmt
Program Services	$1,053,730	ProgramServicesAmt
Management And General	$1,123,800	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$68,799,514	TotalAmt
Program Services	$56,545,628	ProgramServicesAmt
Management And General	$11,988,115	ManagementAndGeneralAmt
Fundraising	$265,771	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,622,407	TotalAmt
Program Services	$5,570,027	ProgramServicesAmt
Management And General	$1,033,826	ManagementAndGeneralAmt
Fundraising	$18,554	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,167,244	TotalAmt
Program Services	$5,927,345	ProgramServicesAmt
Management And General	$1,219,492	ManagementAndGeneralAmt
Fundraising	$20,407	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,533,758	TotalAmt
Program Services	$3,831,755	ProgramServicesAmt
Management And General	$687,377	ManagementAndGeneralAmt
Fundraising	$14,626	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	$342,258	TotalAmt
Program Services	$7,480	ProgramServicesAmt
Management And General	$334,778	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$67,296	TotalAmt
Management And General	$67,296	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$54,578	TotalAmt
Management And General	$54,578	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	$542,333	TotalAmt
Management And General	$542,333	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,853,771	TotalAmt
Program Services	$13,448,908	ProgramServicesAmt
Management And General	$3,397,909	ManagementAndGeneralAmt
Fundraising	$6,954	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$178,637	TotalAmt
Program Services	$42,231	ProgramServicesAmt
Management And General	$127,804	ManagementAndGeneralAmt
Fundraising	$8,602	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,257,810	TotalAmt
Program Services	$3,046,966	ProgramServicesAmt
Management And General	$1,199,956	ManagementAndGeneralAmt
Fundraising	$10,888	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,573,392	TotalAmt
Program Services	$460,207	ProgramServicesAmt
Management And General	$1,113,185	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,036,942	TotalAmt
Program Services	$1,763,596	ProgramServicesAmt
Management And General	$252,598	ManagementAndGeneralAmt
Fundraising	$20,748	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$320,342	TotalAmt
Program Services	$220,117	ProgramServicesAmt
Management And General	$99,554	ManagementAndGeneralAmt
Fundraising	$671	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	$265,751	TotalAmt
Program Services	$162,281	ProgramServicesAmt
Management And General	$100,925	ManagementAndGeneralAmt
Fundraising	$2,545	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,172,272	TotalAmt
Program Services	$996,431	ProgramServicesAmt
Management And General	$164,118	ManagementAndGeneralAmt
Fundraising	$11,723	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,219,407	TotalAmt
Program Services	$7,937,967	ProgramServicesAmt
Management And General	$1,188,052	ManagementAndGeneralAmt
Fundraising	$93,388	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,893,578	TotalAmt
Program Services	$2,459,541	ProgramServicesAmt
Management And General	$405,101	ManagementAndGeneralAmt
Fundraising	$28,936	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES/DRUGS	$42,564,762	$42,564,762
BAD DEBT EXPENSE	$10,865,307	$10,865,307
BED TAX	$1,481,650	$1,481,650
LOSS ON DEBT REFINANCE	$1,070,456	$1,070,456

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,485,786	TotalAmt
Program Services	$1,517,340	ProgramServicesAmt
Management And General	$964,771	ManagementAndGeneralAmt
Fundraising	$3,675	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$187,679,558	TotalAmt
Program Services	$161,106,502	ProgramServicesAmt
Management And General	$26,065,568	ManagementAndGeneralAmt
Fundraising	$507,488	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$20,440,051	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$24,245,876	BOYAmt
EOY	$4,180,182	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	$30,653,779	BOYAmt
EOY	$29,137,457	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$12,256	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	$3,455,205	BOYAmt
EOY	$3,004,907	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,864,513	BOYAmt
EOY	$4,184,063	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,737,361	BOYAmt
EOY	$2,586,327	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$181,599,685	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$89,541,022	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$92,278,804	BOYAmt
EOY	$92,058,663	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$92,410,541	BOYAmt
EOY	$110,249,527	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$20,660,730	BOYAmt
EOY	$3,239,226	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,597,393	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	$573,147	BOYAmt
EOY	$17,636,673	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$270,879,956	BOYAmt
EOY	$289,326,725	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,230,433	BOYAmt
EOY	$17,777,311	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	$36,816,993	BOYAmt
EOY	$34,470,000	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	$23,644,966	BOYAmt
EOY	$27,004,344	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$75,692,392	BOYAmt
EOY	$79,251,655	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$181,554,614	BOYAmt
EOY	$195,980,647	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,203,325	BOYAmt
EOY	$5,591,847	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,429,625	BOYAmt
EOY	$8,502,576	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$195,187,564	BOYAmt
EOY	$210,075,070	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$270,879,956	BOYAmt
EOY	$289,326,725	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$15,883,570	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,025,944	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$29,880	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	$50	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$200	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$54,578	OtherActivitiesAmt
Total Lobbying Expenditures	$54,828	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,709,927	BeginningYearBalanceAmt
Contributions	$489,607	ContributionsAmt
Investment Earnings Or Losses	-$542,431	InvestmentEarningsOrLossesAmt
Other Expenditures	$58,752	OtherExpendituresAmt
End Year Balance	$10,598,351	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,692,852	BeginningYearBalanceAmt
Contributions	$127,911	ContributionsAmt
Investment Earnings Or Losses	$1,052,329	InvestmentEarningsOrLossesAmt
Other Expenditures	$163,165	OtherExpendituresAmt
End Year Balance	$10,709,927	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.04416	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.64893	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.39523	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	$3,745,203	OtherCostOrOtherBasisAmt
Book Value	$3,745,203	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$96,583,386	OtherCostOrOtherBasisAmt
Depreciation	$31,747,854	DepreciationAmt
Book Value	$64,835,532	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$77,525,867	OtherCostOrOtherBasisAmt
Depreciation	$57,114,067	DepreciationAmt
Book Value	$20,411,800	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,745,229	OtherCostOrOtherBasisAmt
Depreciation	$679,101	DepreciationAmt
Book Value	$3,066,128	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$92,058,663	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATE	$51,640
INSURANCE RECEIVABLE	$2,853,959
DEFERRED COMP ASSET	$3,091
INVESTMENT IN SPH FOUNDATION	$14,202,902
BOND ISSUANCE COSTS	$525,081

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$17,636,673	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO MEDICARE	$1,210,856
BOND INTEREST PAYABLE	$254,854
MALPRACTICE ACCRUAL	$4,180,607
PENSION LIABILITY	$21,354,936
DEFERRED COMP LIABILITY	$3,091

Field	Value	IRS element (for citing)
Total Liability	$27,004,344	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$190,375,279	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,025,944	NetUnrealizedGainsInvstAmt
Other Revenue	$494,359	OtherRevenueAmt
Revenue Not Reported	-$531,585	RevenueNotReportedAmt
Revenue Subtotal	$190,906,864	RevenueSubtotalAmt
Investment Expenses Not Incld	$542,333	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$12,113,931	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$12,656,264	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$203,563,128	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$175,487,773	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$286,311	OtherExpensesIncludedAmt
Expenses Not Reported	$286,311	ExpensesNotReportedAmt
Expenses Subtotal	$175,201,462	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$542,333	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$11,935,763	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$12,478,096	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$187,679,558	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 67,068 RENTAL EXPENSES NET WITH REVENUE 219,243 MINIMUM PENSION LIABILITY ADJUSTMENT 208,048 TOTAL 494,359
SCHEDULE D, PART XI, LINE 4B	REVENUE ON RETURN, NOT ON BOOKS: PROVISION FOR BAD DEBTS NET WITH REVENUE ON FINANCIALS 10,865,307 LOSS ON DEBT REFINANCE RECLASSED TO EXPENSE 1,070,456 CHANGE IN INTEREST IN SPH FOUNDATION 178,168 TOTAL 12,113,931
SCHEDULE D, PART XII, LINE 2D	EXPENSE ON BOOKS, NOT ON RETURN: COST OF GOODS SOLD 67,068 RENTAL EXPENSES NET WITH REVENUE 219,243 TOTAL 286,311
SCHEDULE D, PART XII, LINE 4B	EXPENSE ON RETURN, NOT ON BOOKS: PROVISION FOR BAD DEBTS NET WITH REVENUE ON FINANCIALS 10,865,307 LOSS ON DEBT REFINANCE RECLASSED TO EXPENSE 1,070,456 TOTAL 11,935,763

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$18,371	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$18,371	SubtotalSpentAmt
Total Spent	$18,371	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

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
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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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)
Total Community Benefit Expns	$7,166,838	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,565,621	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,601,217	NetCommunityBenefitExpnsAmt
Total Expense	0.02010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,587,750	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,027,135	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,560,615	NetCommunityBenefitExpnsAmt
Total Expense	0.01430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,754,588	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,592,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,161,832	NetCommunityBenefitExpnsAmt
Total Expense	0.03440	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$559,972	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$216,885	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$343,087	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,500	NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,304,806	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,110,779	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,194,027	NetCommunityBenefitExpnsAmt
Total Expense	0.07360	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$151,287	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$151,287	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,017,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,327,664	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,689,901	NetCommunityBenefitExpnsAmt
Total Expense	0.07630	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,772,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,920,420	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,851,733	NetCommunityBenefitExpnsAmt
Total Expense	0.11070	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,242	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,242	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,773	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,773	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,015	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,015	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,978,826	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$68,054,564	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$74,197,145	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,142,581	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	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.06120	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.43880	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.stpetes.org/CHNA	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.stpetes.org/sites/default/files/CHIP-13	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
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART VI SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART VI SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
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 interviews and focus groups. One focus group was held on December 5, 2012. Participants included 15 key informants, with representatives from public health; physicians; other health professionals; social service providers, and other community leaders. A list of recommended participants for the focus group was provided by the sponsors. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Participants included a representative of public health, as well as several individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. Focus group candidates were first contacted by letter to request their participation. Follow-up phone calls were then made to ascertain whether or not they would be able to attend. Confirmation calls were placed the day before the groups were scheduled to ensure a reasonable turnout.
SCHEDULE H, PART V, SECTION B, LINE 11	In 2012, St. Peter's conducted a Community Health Needs Assessment (CHNA). With the results of this CHNA, St. Peter's partnered with Lewis and Clark City-County Health Department to analyze and prioritize the identified health improvement opportunities, then jointly developed and implemented a three-year (2013-2016) Community Health Improvement Plan (CHIP) to improve the health of the Helena region. Background: - Retained Professional Research Consultants, Inc., of Omaha, Nebraska (national experts, completed surveys in 300 communities across the United States) to conduct Community Health Needs Assessment (CHNA) - Partnered with Lewis & Clark City-County Health Department to develop Community Health Improvement Plan (CHIP) Project: 400 random-sample telephone interviews - St. Peter's survey area (L&C, Jefferson, Broadwater, Meagher, and Powell counties) - Mid-September through November 2012 - 145 survey items; 20-25 minute interview - 3.7% maximum error One key informant focus group: - Solicited input and buy-in from important community partners (physicians, other health providers, employers, social service professionals, and community leaders), held December 5 - Identified top five health needs for the community: 1. Access to healthcare services 2. Mental Health 3. Obesity, including nutrition and physician activity 4. Substance abuse 5. Health education and prevention Project Goal: - To improve residents' health status, increase their life spans, and elevate their overall quality of life. - To reduce the health disparities among residents. - To increase accessibility to preventive services for all community residents. Identified Areas of Opportunity: - Access to health services - Difficulty getting a medical appointment - Cervical cancer screening (pap smear) - Routine checkups (children) - Distance/lack of transportation - Insufficient numbers of primary care providers - Cost of medical care - Hearing and other sensory or communication disorders Deafness/trouble hearing - Injury and violence prevention Seat belt usage (adults) Firearms in the home - Mental health and mental disorders Inadequate number of providers and services Lack of child and adolescent services Suicides - Substance abuse Prevalence of drug use Availability of treatment options Early prevention and education Community Health Improvement Plan Priorities: The final Community Health Improvement Plan (CHIP) outlined the following priorities. Please note: Not all the opportunities identified in the CHNA were addressed in the CHIP. Opportunities not addressed, and reasons why, are noted at the end of this section. 1. Mental Health 2. Substance Abuse 3. Chronic Disease 4. Child and Family Health 5. Access to Health Care Opportunities not addressed in this plan: - Hearing and other sensory or communication disorders (Did not address due to lack of community-wide support and available resources; need to focus limited resources on top five priorities) - Deafness/trouble hearing - Injury and violence prevention (Did not address due to lack of community-wide support and available resources; need to focus limited resources on top five priorities) - Seat belt usage (adults) - Firearms in the home
SCHEDULE H, PART V, SECTION B, LINE 16A-16C	THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP WAS AVAILABLE ON THE HOSPITAL'S WEBSITE: https://www.stpetes.org/patient-assistance
SCHEDULE H, PART V, SECTION B, LINE 16I	PATIENTS RECEIVE NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY UPON DISCHARGE AS WELL AS IN THEIR PATIENT STATEMENTS.
SCHEDULE H, PART V, SECTION B, LINE 22D	Uninsured patients are given a 3% discount on their bill prior to determination of qualifying for patient assistance. Upon determination that patients do qualify for patient assistance, a discount is applied based on the qualifying level for a discount between 15% and 100%. The organization updated the sliding scale on an annual basis as the poverty guidelines are published. In the current year, in excess of 75% of the assistance given was at the 100% level. The lowest level of 15% is nearly 190% of the average of the three lowest negotiated commercial insurance rates.

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.
SCHEDULE H, PART I, LINE 7, COLUMN F	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 $10,978,826.
SCHEDULE H, PART II	The Hospital provided the following community building activities during the year. Line 3 Community support: Lewis & Clark County Fairgrounds - Donation allows for continued operation of the fairgrounds facilities for a variety of community events, particularly events to raise awareness and funds for various health-related causes and events. The fairgrounds facilities are able to accommodate events with attendance of 1,000+, including events for The Friendship Center (domestic abuse and sexual assault), Florence Crittendon (pregnancy support for teen mothers), YWCA (transitional housing for women and children experiencing homelessness), and St. Peter's Foundation (medical care to benefit residents of the Helena region) among others. Donations to the Schools - Donations provide support for physical education and athletics programs to promote healthy lifestyles and physical activity to our community's youth. Figure Skating club - Donation provides support for athletics programs to promote healthy lifestyles and physical activity to our community's youth. Rotary - Donation provides support for Rotary activities in our community that support health and wellness, specifically educational opportunities for community's youth. Townsend Heritage Gardens - Donation supports costs to build and develop section of garden designed to provide fresh produce for Townsend-based nutrition and food share efforts for Townsend area residents. Fusion Robotics Association - Donation supports education and development of local students in pursuit of medical careers through STEM (science, technology, engineering, math) programs. Such programs are used to expose students to careers and work in the medical field. Symphony Under the Stars - Donation supports production of one of Helena's largest summertime events, used to raise awareness of and donation of non-perishable foods for Helena region residents. The event collected more than 40,000 lbs of food for people experiencing hunger in our community. Helena Chamber of Commerce - Donation supports development of community-wide initiatives to increase prosperity of Helena region. The Chamber hosts events including legislative events (including debates/perspectives on Medicaid Expansion) to business networking events that expose a cross-section of local industry leaders to the health services offered by St. Peter's. Line 9 Other: Meeting room space - Donation of meeting room space to various health-related community groups provides a venue for planning, implementing, and monitoring various community health initiatives. Groups using space include cancer caregiver support groups to community-wide meetings for development of Community Health Improvement Plan.
SCHEDULE H, PART III, Section A, LINE 2	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 4	The footnote to the organization's financial statements that describes bad debt expenses is located in footnote 1 on page 10 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.
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 2014, 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 2014, 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 5.6% self-pay patients, 7.1% of Medicaid patients and 47.4% Medicare patients. Approximately 15.6% of the population is age 65 and older. The average per capita income is $29,785 and approximately 13.5% 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 76,850. 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 14,175 volunteer hours from the community assisting in a variety of roles within the organization. St. Peter's Hospital made $151,287 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 Critten Home, Montana Senior Olympics, American Cancer Society Relay for Life, Rocky Mountain Development Council, Susan G Komen Foundation, March of Dimes, Carroll College Fitness Center, Helena High School, Lewis and Clark County for Crisis Response Team, Archie Bray Foundation, Helena Police Department for 911 Emergency 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, Kay McKenna Youth Foundation to provide safe summer youth activities, and Big Brothers and Sisters. 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)	$17,475
Carroll College
1601 North Benton Avenue	Helena	MT	59625	810231774	501(c)(3)	$20,000
HELENA POLICE DEPARTMENT
221 BRECKENRIDGE	HELENA	MT	59601	816001276		$6,956
MONTANA MENTAL HEALTH TRUST
2601 BRAODWAY	HELENA	MT	59601	466395023	501(c)(3)	$80,000

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, 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
NATHAN OLSON
CEO	$437,286	$0	$160,937	$0	$1,252	$0	$33,100	$0	$20,417	$0	$652,992	$0	$0	$0
JOHN GREEN
CFO	$235,245	$0	$42,906	$0	$13,906	$0	$41,285	$0	$28,284	$0	$361,626	$0	$0	$0
THOMAS GREGG
FORMER INTERIM CEO	$0	$0	$12,708	$0	$163,436	$0	$0	$0	$4,271	$0	$180,415	$0	$0	$0
JOHN SOLHEIM
FORMER CEO	$0	$0	$0	$0	$317,617	$0	$0	$0	$0	$0	$317,617	$0	$0	$0
ANN KJOSA
COO/CXO	$228,193	$0	$63,733	$0	$810	$0	$35,456	$0	$30,890	$0	$359,082	$0	$0	$0
THOMAS WEINER
MD	$1,716,688	$0	$0	$0	$3,169	$0	$32,490	$0	$29,997	$0	$1,782,344	$0	$0	$0
MICHAEL LEE
MD	$802,718	$0	$0	$0	$1,320	$0	$9,350	$0	$19,414	$0	$832,802	$0	$0	$0
JAMES TARVER
MD	$609,432	$0	$0	$0	$165	$0	$15,600	$0	$30,255	$0	$655,452	$0	$0	$0
KRIS GODLEWSKI
MD	$535,488	$0	$0	$0	$1,505	$0	$25,940	$0	$19,877	$0	$582,810	$0	$0	$0
JEFFREY GEORGIA
MD	$533,580	$0	$0	$0	$449	$0	$15,600	$0	$33,089	$0	$582,718	$0	$0	$0
MARIA BRAMAN
VP OF MEDICAL STAFF	$298,341	$0	$53,781	$0	$6,100	$0	$43,278	$0	$30,370	$0	$431,870	$0	$0	$0
JOHN GALT MD
BOARD MEMBER/CHIEF OF STAFF	$382,982	$0	$1,316	$0	$0	$0	$15,247	$0	$30,061	$0	$429,606	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 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. ALL AMOUNTS ARE REPORTED AS TAXABLE COMPENSATION. THESE ARE BENEFITS THAT WERE AVAILABLE TO THE CEO, BUT WERE NOT UTILIZED IN 2014.
SCHEDULE J, PART I, LINE 4A	SEVERANCE: John Solheim and Tom Gregg each received severance for the change in control. These amounts are reported as Other reportable compensation on Schedule J, Part II, column B(iii). THE FINAL PAYMENTS WERE MADE DURING CALENDAR YEAR 2014.
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 6/1/2014 - 12/31/2014. THE ACCRUAL APPEARS UNDER OTHER DEFERRED COMPENSATION UNDER SCHEDULE, J, PART II, COLUMN C. - JOHN GREEN - ANN KJOSA - MARIA BRAMAN

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	$1,910,000	$0	$21,435,064	$0	$0	$0	$349,297	$0	$0	$0	$21,085,767	$0	2013	false	Yes (true)	Yes (true)	Yes (true)
B	$0	$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	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	0.00000	0.00000	0.00000	false	false	0.00000	false	Yes (true)
B	false	Yes (true)	false	false	0.00000	0.00000	0.00000	false	false	0.00000	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	Yes (true)	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 III, 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

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	JAMES TARVER LOAN	PersonNm
Relationship With Org	EMPLOYED MD	RelationshipWithOrgTxt
Loan Purpose	MORTGAGE	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$200,000	OriginalPrincipalAmt
Balance Due	$12,256	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	false	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$12,256	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JOHN GALT	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	EMPLOYED PHYSICIAN	RelationshipDescriptionTxt
Transaction	OWNS 6.6002% SURGICENTER	TransactionDesc

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	Changes to Organizational Documents since Prior 990: The organization amended its bylaws in May 2015. The amendments include updating the number of total members to 15, and allowing the past chief of staff to replace the SPMG President as one of the five members that serve by virtue of office.
FORM 990, PART VI, SECTION A, LINE 9	Addresses of those Who Cannot be Reached at Organization's Mailing Address: MARIA BRAMAN PO BOX 431 JEFFERSON CITY, MT 59638
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 AND CFO AS WELL AS THE FINANCE COMMITTEE PRIOR TO FULL BOARD APPROVAL OF THE FINAL FORM 990 PRIOR TO FILING.
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	Review of CEO or Top Mgmt Official Compensation: AN INDEPENDENT COMPENSATION CONSULTANT PERFORMS A REVIEW OF SALARIES AND BENEFITS USING DATA FROM COMPARABLE HEALTHCARE FACILITIES. A REPORT IS PREPARED AND PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH USES THE REPORT TO DETERMINE EXECUTIVE COMPENSATION. THE INFORMATION IS THEN REVIEWED WITH THE BOARD OF DIRECTORS. THE ANNUAL PROCESS WAS PERFORMED DURING 2014.
FORM 990, PART VI, SECTION B, LINE 15B	Review of Other Officer or Key Employees Compensation: AN INDEPENDENT COMPENSATION CONSULTANT PERFORMS A REVIEW OF SALARIES AND BENEFITS USING DATA FROM COMPARABLE HEALTHCARE FACILITIES A REPORT IS PREPARED AND PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH USES THE REPORT TO DETERMINE OTHER OFFICER AND SENIOR MANAGEMENT COMPENSATION. THE INFORMATION IS THEN REVIEWED WITH THE BOARD OF DIRECTORS. THE ANNUAL PROCESS WAS PERFORMED DURING 2014.
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 (178,168) MINIMUM PENSION LIABILITY ADJUSTMENT 208,048 TOTAL 29,880

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	$9,676	$2,021,640	false	$0	false	0.65000
PEAK HEALTH REALTY LLC
2475 BROADWAY	HELENA	MT	59601	272492966	RENTAL PROPERTY	MT	SPCH	UNRELATED	-$78,704	$5,513,894	false	$0	false	0.65000
PEAK HEALTH HELENA LLC
2475 BROADWAY	HELENA	MT	59601	272493096	HEALTH CLUB	MT	SPCH	UNRELATED	$282,010	$219,383	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	Yes (true)	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	$713,073	INTERCO AMOUNT
PEAK HEALTH
D	$51,640	INTERCO AMOUNT
ST PETERS HOSPITAL FOUNDATION
P	$364,794	FUNCT ALLOC