2021-04-12T18:20:28-05:00 2020-05-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2019-06-01 810233121 ST PETER'S HEALTH % WADE JOHNSONCEO STPE 4064422480 2475 BROADWAY HELENA MT 59601 NATHAN COBURN CFO 4064422480 2021-04-15 true Adam R Smith CPA P00958966 7194714290 2019 2022-09-23 18:48:47Z WADE JOHNSON 2475 BROADWAY HELENA MT 59601 288817446 false X SPHEALTH.ORG X 1883 MT TO IMPROVE THE HEALTH, WELLNESS AND QUALITY OF LIFE OF THE PEOPLE AND COMMUNITIES WE SERVE. 11 10 1883 150 611872 133246 888253 3418873 239823865 244466519 7557323 5693567 2197510 2108479 250466951 255687438 190147 64000 0 0 123864083 142614570 0 0 490568 109993120 107668286 234047350 250346856 16419601 5340582 354554434 409178278 79122618 130230539 275431816 278947739 X ST. PETERS HOSPITAL PARTNERS WITH OUR PATIENTS, COMMUNITY, AND MEDICAL STAFF TO PROVIDE EXCEPTIONAL AND COMPASSIONATE HEALTH CARE. false false 145596102 45576 191606688 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, 2020. THE HOSPITAL PROVIDED AT COST A TOTAL OF $10,840,571 IN COMMUNITY BENEFIT. OF THIS TOTAL, $4,455,920 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. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE. 58856451 18424 52851960 THE HOSPITAL OPERATES SEVERAL PHYSICIAN CLINICS, EMPLOYING 115 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 394,157 PATIENT ENCOUNTERS. 204452553 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true false true true false false false false false true false false false false false false false false false true true true false true 219 0 1883 true true true false false false false false false false false false false false X 11 10 false false false false false false false true true false false true true true true true true true true true true MT X WADE JOHNSONCEO 4064422480 2475 BROADWAY HELENA MT 59601 X THOMAS WEINER MD 40.0 0.0 X 1990718 0 46378 KERRY HALE MD 40.0 0.0 X 908259 0 37021 Christopher Lindsay MD 40.0 0.0 X 856983 0 29551 Brandon Newgard MD 40.0 0.0 X 719795 0 38510 David Bohler MD 40.0 0.0 X 701670 0 41471 Wade Johnson CEO, Ex Officio, Non-Voting 39.0 1.0 X 624658 0 46107 JOHN CASSANI President SPMG 40.0 0.0 X 493456 0 87171 JON GRIFFIN CMIO 40.0 0.0 X 342730 0 66661 Todd Wampler Chief of Staff, Ex-Officio 40.0 0.0 X 344135 0 40885 NATHAN COBURN CFO 39.0 1.0 X 286881 0 76654 BRIAN LEE VP of Operations 40.0 0.0 X 246176 0 77188 SHELLY HARKINS CMO 40.0 0.0 X 170474 0 94155 Mark Taylor Chair 1.0 0.0 X X 0 0 0 Fred Olson MD Vice-Chair 1.0 0.0 X X 0 0 0 Guy Almquist Secretary/Treasurer 1.0 0.0 X X 0 0 0 Bill Northey Member at Large 1.0 0.0 X 0 0 0 Russ Bell PHD Director 1.0 0.0 X 0 0 0 Loren Brown Director 1.0 0.0 X 0 0 0 Sen Mary Caferro Director 1.0 0.0 X 0 0 0 Pete Johnson Foundation Chair, Ex-Officio 1.0 1.0 X 0 0 0 Kelly Parsley Director 1.0 0.0 X 0 0 0 Mick Robinson Director 1.0 0.0 X 0 0 0 7685935 0 681752 174 false true false NAVIGANT 150 N RIVERSIDE SUITE 2100 CHICAGO IL 60506 PROFESSIONAL FEES 1779552 PATIENTMATTERS LLC 518 SOUTH MAGNOLIA ORLANDO FL 32801 PATIENT RECEIVABLES 1475293 MEDEFIS CONSOLIDATED 2121 NORTH 117TH AVENUE OMAHA NE 68164 CONTRACT SERVICES 3799086 DICK ANDERSON CONTRUCTION INC 3424 E US HIGHWAY 12 HELENA MT 59601 GENERAL CONTRACTOR 8011335 SIEMENS HEALTHCARE DIAGNOSTICS PO BOX 6101 NEWARK DE 197146101 LAB SERVICES 1582475 56 482172 2936701 3418873 Patient Service Revenue 621110 170798162 170798162 Pharmacy 446110 66686954 66533590 153364 Income from Joint Ventures 900099 1448925 1100640 348285 340B PAYMENTS 621110 3040433 3040433 Meaningful Use 900099 2459330 2459330 32715 32715 244466519 3541221 3541221 0 0 295253 275095 20158 0 20158 20158 34978235 32270023 555866 2708212 -555866 2152346 2152346 0 0 0 0 0 0 108671 29024 79647 79647 Cafeteria 722514 895780 5136 890644 Misc Program 541519 736690 606764 105087 24839 EE Daycare 624110 221496 221496 154708 154708 2008674 255687438 244571634 611872 7085059 64000 64000 0 0 0 3358746 2742627 606618 9501 0 109623181 87408599 21906060 308522 8483742 6876106 1600905 6731 14120026 11275892 2810258 33876 7028875 5647285 1365697 15893 0 1510074 1510074 105435 105435 97977 97977 0 865316 865316 20702911 12431173 8230726 41012 192910 6763 185172 975 1810503 761011 1033800 15692 2117529 2117529 0 2882409 1245981 1633897 2531 304371 142408 159714 2249 0 427405 233182 193498 725 571658 571658 0 9691918 9609395 82060 463 1699935 1699470 465 Medical Supplies Drugs 59154147 56627488 2489684 36975 Bed Tax 4974463 4974463 Miscellaneous 559325 17523 526379 15423 250346856 204452553 45403735 490568 23674780 50636070 259443 260456 0 0 29869765 27008977 0 0 0 473058 5032321 6244472 5457566 6707887 3375704 2432710 243310115 124600107 103881077 118710008 141969569 157138904 16437201 15861466 3227790 3271510 0 0 21369218 20432760 354554434 409178278 25429266 68837026 0 0 0 20000 23005000 19346247 0 0 0 0 0 479083 0 0 30688352 41548183 79122618 130230539 X 257784538 259759817 17647278 19187922 275431816 278947739 354554434 409178278 X 5340582 9268649 -11093308 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 60872 false true 37106 97978 false SCHEDULE C, PART II-B, LINE 1 DESCRIPTION OF LOBBYING ACTIVITIES: The hospital hired a consultant to provide lobbying services in connection with governmental affairs representation to ensure hospital, community, and employee interests and needs are represented. In addition, a portion of aha/mha dues are attributed to lobbying services. 12109353 74116 818248 39725 12961992 12179588 324576 137738 532549 12109353 11377773 111890 792555 102630 12179588 10361930 162062 867467 13686 11377773 10279171 55723 110467 83431 10361930 0.63477 0.36523 false true true 4472929 4472929 115651055 48688582 66962473 110327039 75057199 35269840 12859092 854326 12004766 118710008 0 MALPRACTICE ACCRUAL 3429000 Pension Liability 38119183 41548183 253857448 9268649 304119 9572768 244284680 865316 10537442 11402758 255687438 250341525 304119 304119 250037406 865316 -555866 309450 250346856 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: 29,024 - Cost of Goods Sold 275,095 - Rental Expense Net With Revenue 304,119 - Total SCHEDULE D, PART XI, LINE 4B REVENUE ON RETURN, NOT ON BOOKS: (555,866) - Reclass Loss on Sale of Asset (1,391,556) - CHANGE IN INTEREST IN SPH FOUNDATION 12,484,864 - MINIMUM PENSION LIABILITY ADJUSTMENT 10,537,442 - TOTAL SCHEDULE D, PART XII, LINE 2D EXPENSE ON BOOKS, NOT ON 29,024 - COST OF GOODS SOLD 275,095 - RENTAL EXPENSES NET WITH REVENUE 304,119 - total SCHEDULE D, PART XII, LINE 4B EXPENSE ON RETURN, NOT ON BOOKS: (555,866) - Reclass of Loss on Sale of Equipment true true X true X 275. true X true true true false false 1774 9283995 19744930 0.00000 26299042 15899683 10399359 0.04100 1774 35583037 35644613 10399359 0.04100 388447 388447 0.00150 42000 42000 0.00020 430447 430447 0.00170 1774 36013484 35644613 10829806 0.04270 true 2997317 202001 56374649 56811439 -436790 X true true HELENA SURGICENTER SURGERY CENTER 0.5 0.066 0.434 1 1 ST PETER'S HEALTH 2475 BROADWAY HELENA MT 59601 WWW.SPHEALTH.ORG 13346 X X X PHYSICIAN CLINICS URGENT CARE SERVICES 1 ST PETER'S HEALTH false false true X X X X X X X X X 18 true false true true X SEE PART V SECTION C FOR URL X true 18 true SEE PART V SECTION C FOR URL false true X 275. 350. X X true true X X X X true X SEE PART V SECTION C FOR URL X SEE PART V SECTION C FOR URL X See part V Section C X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 A CONSULTANT WAS ENGAGED TO FACILITATE THE COMMUNITY NEEDS ASSESSMENT THROUGH USE OF AN ONLINE KEY INFORMANT SURVEY. THE KEY INFORMANTS REPRESENTED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. THESE KEY INFORMANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS (INCLUDING AFRICAN AMERICAN, HISPANIC AND NATIVE AMERICANS, ASIANS, CHINESE, AND KOREAN, THE DISABLED, DUAL-LANGUAGE LEARNERS, THE ELDERLY, ESL, ETHNIC/RACIAL, EUROPEAN, FOSTER CHILDREN, THE HOMELESS, THE INDIGENT, THOSE WITH INSURANCE BARRIERS, LATIN AMERICANS, LGBT, LOW-INCOME, MEDICARE/MEDICAID RECIPIENTS, MENTALLY ILL/DISABLED, MINORITIES, NIGERIANS, PACIFIC ISLANDERS, RURAL POPULATIONS, SINGLE MOTHERS, UNINSURED/UNDERINSURED, WOMEN, YOUTH), OR OTHER MEDICALLY UNDERSERVED POPULATIONS (INCLUDING ADOLESCENTS RESIDING IN LOCAL GROUP HOMES, ADULTS, THOSE WITH AUTISM, CHILDREN WITH SPECIAL EDUCATION SERVICES, THOSE WITH CHRONIC HEALTH CONDITIONS, THOSE IN CRISIS, DISABLED, ELDERLY, ETHNIC/RACIAL, FOSTER CHILDREN, HIGH-RISK MOTHERS AND INFANTS, THE HOMELESS, THOSE IN JAIL, LGBT, LOW-INCOME/POVERTY, MEDICARE/MEDICAID, MENTALLY ILL/DISABLED, MINORITIES, NATIVE AMERICANS, NEGLECTED CHILDREN, PARENTS WITH YOUNG CHILDREN, PEOPLE VISITING COMMUNITY HEALTH CENTERS, PRE-RELEASE CITIZENS, THOSE RECOVERING FROM ADDICTION, TEEN MOTHERS, THOSE WITH TRAUMA, UNDERINSURED/UNINSURED, UNDOCUMENTED, VETERANS, WOMEN, YOUTH). IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH, AND HOW THESE MIGHT BE BETTER ADDRESSED. FINAL PARTICIPATION INCLUDED REPRESENTATIVES OF THE ORGANIZATION OUTLINED BELOW. 5TH AVENUE ADVERTISING AREA IV AGENCY ON AGING AWARE, INC. BIKE WALK HELENA BIKE WALK MONTANA CARROLL COLLEGE (AND WELLNESS CENTER) CHILD CARE PARTNERSHIPS CITY OF EAST HELENA/CITY OF HELENA CITY OF HELENA COMMUNITY DEVELOPMENT DEPARTMENT CITY OF HELENA PUBLIC WORKS COOPERATIVE HEALTH-HEALTHCARE FOR THE HOMELESS DEPARTMENT OF COMMUNITY DEVELOPMENT AND PLANNING DEPARTMENT OF ENVIRONMENTAL QUALITY-REMEDIATION DIVISION DISABILITY RIGHTS MONTANA EXPLORATIONWORKS SCIENCE CENTER FAMILY PROMISE OF GREATER HELENA FLORENCE CRITTENTON HOME AND SERVICES HEALTHY MOTHERS HEALTHY BABIES, THE MONTANA COALITION HELENA AREA CHAMBER OF COMMERCE HELENA BUSINESS IMPROVEMENT DISTRICT HELENA CITIZENS COUNCIL HELENA FAMILY YMCA HELENA FOOD SHARE HELENA HOUSING AUTHORITY HELENA POLICE DEPARTMENT HELENA PUBLIC SCHOOLS HELENA UNITED METHODIST MINISTRIES HOUSE OF REPRESENTATIVES HPC KALMORE DENTAL LEWIS AND CLARK CONSERVATION DISTRICT MONTANA INDEPENDENT LIVING PROJECT MONTANA MENTAL HEALTH OMBUDSMAN OFFICE MONTANA NO KID HUNGRY MONTANA PUBLIC HEALTH LABORATORY MONTANA SCHOOL SERVICES FOUNDATION MONTANA STATE LEGISLATURE MONTANA UNITED INDIAN ASSOCIATION MORRISON MAIERLE, INC. MOUNTAIN VIEW FAMILY HEALTH CARE MT HEAD START ASSOCIATION PUREVIEW HEALTH CENTER ROCKY MOUNTAIN DEVELOPMENT COUNCIL SENIOR COMPANION PROGRAM SAFE ROUTES TO SCHOOL COMMITTEE ODEXO SCHOOL SERVICES K-12 SOUTH HILLS INTERNAL MEDICINE SPH BOARD MEMBER ST. PETER'S HOSPITAL ST. PETER'S MEDICAL GROUP STATE OF MONTANA, DEPARTMENT OF ENVIRONMENTAL QUALITY THE FRIENDSHIP CENTER THE NATIONAL ALLIANCE ON MENTAL ILLNESS-HELENA UNITED WAY OF THE LEWIS AND CLARK AREA YOUTH CONNECTIONS COALITION YWCA OF HELENA SCHEDULE H, PART V, SECTION B, LINE 6B ST. PETER'S HOSPITAL COLLABORATED WITH LEWIS AND CLARK PUBLIC HEALTH TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, SECTION B, LINE 7a https://www.sphealth.org/community-health/community-needs-and-improvements SCHEDULE H, PART V, SECTION B, LINE 10a https://www.sphealth.org/community-health/community-needs-and-improvements SCHEDULE H, PART V, SECTION B, LINE 11 St. Peter's Health is committed to making a positive impact on the health of the community it serves. One of the many strategies we use to do this is by providing for the unique health needs of area residents utilizing the Community Health Improvement Plan (CHIP) process. Community Health Improvement Plan process The goals of these process are to: To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors which have historically had a negative impact on residents' health. To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. This is a two-part process: . First, identify the health needs facing our community (conduct a Community Health Needs Assessment, or CHNA); Every three years, partner with a third party vendor, Professional Research Consultants, Inc., of Omaha, Nebraska, to complete a Community Health Needs Assessment (CHNA). This CHNA included a random-sample telephone survey of community residents on their health conditions, behaviors, preferences; it also included an online "key informant" survey targeted to individuals with a broad interest in the health of the community. St. Peter's partnered with the Lewis & Clark Public Health to plan and develop the survey instruments. . Second, St. Peter's Health Population Health Team reviews the CHNA to understand the identified community needs to develop a measurable plan (a Community Health Improvement Plan, or CHIP) that focuses on the areas of greatest needs, taking into account the total available resources to effectively address those issues. The CHIP creates a common agenda and strategic plan to focus energy, resources, policies, projects, and programs that will be most effective in improving the health of our community. After a series of strategic planning meetings, the draft CHIP is presented to the St. Peter's Health (SPH) Outcomes Committee, a sub-committee of the St. Peter's Health Board, where a multidisciplinary group of key stakeholders review the plan to address the identified needs within the St Peter's Health Service Area. Once the CHIP is approved through the SPH Outcomes Committee, it is presented, discussed, and approved at the St. Peter's Health System Board and published on the SPH Website. In 2018 the following health needs were identified as a priority areas and during 2020 the following actions steps were taken to address the need: 1) Access to healthcare services: a) Barriers to Access: Our interventions focused on decreasing the barriers to accessing health care services were two fold. i) Appointment Availability: One are of focus was increasing appointment availability. The pandemic provided a prime opportunity to rapidly expand appointment availability via telehealth. (1) Telehealth in the outpatient setting: As a result of the Montana's Shelter in Place during 2020 COVID-19 Pandemic, St. Peter's Health had to rapidly implement Telehealth options that were not previously in place within the medical group setting. Over the course of the year we were able to connect 91 of our employed providers to the telehealth platform and completed over 14,000 virtual clinic visits. Additionally, St. Peter's Health partnered with the local assisted and skilled nursing facilities and provided a virtual device that captured vital signs and components of a digital physical assessment so that the patient were able to be assessed by an SPH employed provider, but within the safety of the facility to decrease the risk of COVID-19 exposure. (2) University of Utah Health Telehealth Collaboration: Telestroke is a program that we have in place with the University of Utah Health. It was launched in 2019. This program provides technology that connects an emergency provider to a stroke specialist from University of Utah Health with one click of a button. They can see the patient, get access to CT scans, etc. This allows us to elevate the level of care we're able to provide locally, resulting in improved clinical outcomes and keeping patients closer to home for care. In 2020, we used tele-stroke 100 times in our emergency department, a little under half of all patients presenting with stroke symptoms. (3) Increased Rural Health Access with Implementation of satellite clinic in Townsend: This new clinic opened in 2020 in Townsend, MT located in Broadwater County which is located 30 miles away from our main SPH Campus. The St. Peter's Health - Townsend Clinic provides comprehensive primary care services five days per week as well as rotating specialties including urology, general surgery and orthopedics to Townsend and the greater Broadwater County area. The clinic also houses laboratory services and diagnostic imaging services, like x-ray and ultrasound. ii) Transportation: The other area of focus was addressing limited transportation as a barrier to accessing care. To alleviate this we implemented a community paramedicine program aimed at treating individuals in their environment. This care delivery model allows paramedics to access services in their home with referral from their primary care team and connection via assisted telemedicine back to their PCP. The goal of the community paramedicine program is to provide public health and preventative care in the field to improve health outcomes and access to care. This program can provide many different types of care-blood draws, immunizations, chronic health condition education, facilitation of tele-health visits for those who have access challenges, vital signs monitoring, etc. Patients served through this program have verbalized some aspects of a social determinant of health barriers that prevents them from accessing care in a traditional environment - transportation challenges, COVID-19 diagnosis, and other socio-economic barriers. b) Routine medical care (children): This specific need was not actively addressed in 2020 as the need was not as pressing as other problems and there were insufficient resources, both financial and personnel, to address the need as a result of shifts in organizational priorities to address the global COVID-19 pandemic. c) Ratings of Local Healthcare: In January of 2020, SPH hired a Patient Experience Partner to focus on improving the experience of our community members receiving care within SPH to in turn improve the ratings of the local healthcare provided. The patient experience partner collaborates with leaders across our organization to pinpoint specific patient experience measures we need to improve on. This position helps leaders create improvement plans and actionable steps they can track, to improve the patient experience. Some of these measures for 2020 and 2021 include: . Explanation of the test and treatment (Outpatient Services) . Did my nurse explain things in a way you can understand (Inpatient) . Care Provider Concern for my questions and worries (Medical Practice) . Did the team work together to care for me (Medical Practice) . Information about at home care (Emergency Department) . Communication about delays (Urgent Care) d) Other Access Improvements: St. Peter's Health also continued to address the barriers to accessing mental and other health and social care services outside of our walls by participation in the CONNECT advisory board, working to advocate for and increase the number of services and organizations in the community represented and utilizing the system. The CONNECT electronic referral system is a community and state wide closed-loop referral system which streamlines referrals of patients for needed services. 2) Cancer: a) Cancer is a leading cause of death: i) Improve Community Awareness on Breast Cancer: During 2020 SPH Sponsored Carroll College athletic programming to bring cancer awareness to local students and community members with a focus on breast cancer awareness. SPH also collaborated with key stakeholders to publish three Health Matters Columns within the local newspaper, Helena Independent Record. Topics included: . Health Matters: Breast Cancer in Our Community . Health Matters: Screening, early detection important tools in detecting breast cancer b) Prostate Cancer Deaths: This spec SCHEDULE H, PART V, SECTION B, LINE 16A-16C THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP IS MADE AVAILABLE ON THE HOSPITAL'S WEBSITE: https://www.sphealth.org/patients-visitors/billing/financial-assistance SCHEDULE H, PART V, SECTION B, LINE 16J PATIENTS RECEIVE NOTIFICATION OF THE FINANCIAL ASSISTANCE POLICY UPON DISCHARGE AS WELL AS IN THEIR PATIENT STATEMENTS. 5 HOSPICE AND HOMELINK OF ST PETERS HOSPIT 201 SOUTH CALIFORNIA HELENA MT 59601 HOSPICE AND HOME HEALTH APEX OF ST PETERS HOSPITAL 201 SOUTH CALIFORNIA HELENA MT 59601 HOME OXYGEN SERVICES ST PETER'S MEDICAL GROUP BROADWAY 2550 BROADWAY HELENA MT 59601 PHYSICIAN CLINIC ST PETER'S MEDICAL GROUP NORTH 3330 PTARMIGAN LANE HELENA MT 59602 PHYSICIAN CLINIC ST PETER'S HEALTH - TOWNSEND CLINIC 515 S FRONT ST TOWNSEND MT 59644 PHYSICIAN CLINIC SCHEDULE H, PART I, LINE 3C ST PETER'S HEALTH USES ASSET LEVELS AND MEDICAL INDIGENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART I, LIne 7 THE ORGANIZATION USED AN INTERNAL COST ALLOCATION SYSTEM FOR LINES 7A, 7B AND 7G. THE COST ALLOCATION SYSTEM ADDRESSES ALL PATIENT SEGMENTS. THE COSTS ARE ESTIMATED BY ALLOCATING DEPARTMENTAL COSTS BASed ON DIRECT COSTS LESS ANY OTHER OPERATING REVENUE, THEN BY DOING AN ALLOCATION OF BENEFITS, DEPRECIATION AND OTHER OVERHEAD COSTS. THE INFORMATION FOR LINES 7E AND 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. SCHEDULE H, PART 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 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 2019, 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. 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 1.8% SELF-PAY PATIENTS, 14.1% OF MEDICAID PATIENTS AND 49.1% MEDICARE PATIENTS. APPROXIMATELY 17% OF THE POPULATION IS AGE 65 AND OLDER. APPROXIMATELY 11.4% OF THE POPULATION IS BELOW THE FEDERAL POVERTY LEVEL. THE NEAREST HOSPITAL IN THE AREA IS APPROXIMATELY 35 MILES FROM THE ST. PETER'S CAMPUS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE ORGANIZATION'S GOVERNING BODY MEMBERS RESIDE IN THE COMMUNITY. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE USED TO MAKE CAPITAL PURCHASES AND UPGRADES TO THE FACILITIES. ST. PETER'S 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 92,170. 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 12,000 VOLUNTEER HOURS FROM THE COMMUNITY ASSISTING IN A VARIETY OF ROLES WITHIN THE ORGANIZATION. ST. PETER'S HOSPITAL MADE $88,000 OF CASH AND IN-KIND DONATIONS TO A VARIETY OF ORGANIZATIONS WITHIN THE COMMUNITY. THIS INCLUDES, BUT IS NOT LIMITED TO, SMALL FRY FOOTBALL, CARROLL COLLEGE, FAMILY FUN FEST, BREAST CANCER AWARENESS, HEALTHY MOTHERS HEALTHY BABIES, HELENA FOOD SHARE, NAMI, GIRLS THRIVE INC, 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. true Carroll College 1601 North Benton Avenue Helena MT 59625 810231774 501(c)(3) 12000 Sponsorship HELENA FOOD SHARE 1616 Lewis Street HELENA MT 59624 363507623 501(c)(3) 26000 Healthy Food Initiative Helena Family YMCA 1200 North Last Chance Gulch Helena MT 59601 810231815 501(c)(3) 16000 After School Program 3 SCHEDULE I, PART I, LINE 2 ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS: SUPPORT IS PROVIDED TO ST. PETERS HOSPITAL FOUNDATION, A RELATED ORGANIZATION, FOR THE FOUNDATION'S EMPLOYEE EMERGENCY ASSISTANCE FUND. MONITORING IS DONE BY COMMITTEES THAT MEET INFORMALLY WHEN THERE ARE REQUESTS BY STAFF FOR ASSISTANCE. THE REQUESTS ARE REVIEWED BY THE COMMITTEE TO DETERMINE IF THEY ARE ELIGIBLE, WHETHER THEY HAVE FREQUENT REQUESTS, AND IF THE NEED IS SUCH THAT THE FUNDS SHOULD BE GRANTED. THE ORGANIZATION ALSO PROVIDES SUPPORT TO A VARIETY OF ORGANIZATIONS WITHIN THE COMMUNITY TO ASSIST THEM IN THEIR VARIOUS PROGRAMS. X true true X X X X false false false false false false false true false THOMAS WEINER MD 1762937 0 185445 0 42336 0 19537 0 26841 0 2037096 0 KERRY HALE MD 704192 0 167036 0 37031 0 16800 0 20221 0 945280 0 Christopher Lindsay MD 641379 0 177604 0 38000 0 16800 0 12751 0 886534 0 Brandon Newgard MD 530449 0 169351 0 19995 0 16800 0 21710 0 758305 0 David Bohler MD 525204 0 157409 0 19057 0 16800 0 24671 0 743141 0 Wade Johnson CEO, Ex Officio, Non-Voting 467213 0 137334 0 20111 0 16800 0 29307 0 670765 0 Todd Wampler Chief of Staff, Ex-Officio 266183 0 39513 0 38439 0 12163 0 28722 0 385020 0 NATHAN COBURN CFO 229458 0 45081 0 12342 0 44956 0 31698 0 363535 0 26297 SHELLY HARKINS CMO 65588 0 77975 0 26911 0 55320 0 38835 0 264629 0 45485 JOHN CASSANI President SPMG 365441 0 79966 0 48049 0 60731 0 26440 0 580627 0 46647 JON GRIFFIN CMIO 271553 0 56992 0 14185 0 49547 0 17114 0 409391 0 33245 BRIAN LEE VP of Operations 185152 0 41768 0 19256 0 39706 0 37482 0 323364 0 SCHEDULE J, PART I, LINE 1A INFORMATION REGARDING BENEFITS PROVIDED: THE PRESIDENT/CEO RECEIVES REIMBURSEMENT FOR MEMBERSHIP DUES PAID TO A SOCIAL CLUB. ALL AMOUNTS ARE REPORTED AS TAXABLE COMPENSATION. 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 6/1/2019 - 12/31/2019. THE ACCRUAL APPEARS UNDER OTHER DEFERRED COMPENSATION UNDER SCHEDULE, J, PART II, COLUMN C. - JOHN CASSANI $45,966 - JOHN GRIFFIN $32,747 - NATHAN COBURN $28,156 - SHELLY HARKINS $44,805 - Brian Lee $24,742 Schedule J, Part II, Column (f) Description of Compensation reported in a prior period: The amounts listed in Column F are the accrual payouts of the bonuses that line 7 discusses. The amounts in column f are the accruals from 2018 calendar year that are paid out in 2019. $46,647 - John Cassani $26,297 - Nathan Coburn $45,485 - Shelly Harkins $33,245 - Jon Griffin A MONTANA FACILITY FINANCE AUTHORITY 364615155 2013-03-13 21435000 REFINANCE 2004 BOND SERIES false false false B MONTANA FACILITY FINANCE AUTHORITY 364615155 2015-04-29 14945000 REFINANCE 2007 BOND SERIES false false false A 11135000 0 21435064 0 0 0 349297 0 0 0 21085703 0 2013 false true true true B 5625000 0 14945000 0 0 14691787 253212 0 0 0 0 0 2015 false true true true A false true false false 0 false false false true B false true false false 0 false false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true A true B true SCHEDULE K, PART IV, LINE 2C THE REBATE COMPUTATION FOR THE 2013 BOND ISSUE IN COLUMN A WAS PERFORMED ON OCTOBER 9, 2017 FOR THE PERIOD FROM MARCH 13, 2013 THROUGH JUNE 1, 2017. SCHEDULE K, PART 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. Shelly HArkins See PArt V Split Dollar Life X 34614 473058 false true true 473058 Dr Lee Harrison See Part V Employment Wages DR LEE HARRISON SEE PART V EMPLOYMENT WAGES SCHEDULE L, PART II, COLUMN B RELATIONSHIP With THE ORGANIZATION: Shelly Harkins is the Chief Medical Officer and a Key Employee of the St. Peter's Health. Shelly Harkins's loan from St. Peter's Health is For a Split-Dollar Life Insurance policy. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: A DRAFT OF THE FORM 990 IS REVIEWED BY THE CEO, CFO AND FINANCE COMMITTEE. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE FULL BOARD prior to filing with the IRS. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS, OFFICERS, SENIOR ADMINISTRATION AND KEY EMPLOYEES. THE BOARD IDENTIFIES POTENTIAL CONFLICTS AND DETERMINES IF VOTING ON RELATED ITEMS WOULD BE A CONFLICT OF INTEREST. IF A CONFLICT IS DETERMINED TO EXIST, THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE CONFLICTED ITEM. FORM 990, PART VI, SECTION B, LINE 15A & 15b REVIEW OF CEO AND OTHER OFFICER OR KEY EMPLOYEES COMPENSATION: 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 OVER THE LAST FEW YEARS, 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. ST PETER'S WILL BE REACHING OUT TO SULLIVAN COTTER THIS NEXT FISCAL YEAR TO CONDUCT ANOTHER EXECUTIVE MARKET ANALYSIS. The compensation decision are documented in each employees personnel files. 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: 1,391,556 - CHANGE IN INTEREST IN SPH FOUNDATION (12,484,864) - MINIMUM PENSION LIABILITY ADJUSTMENT (11,093,308) - TOTAL ST PETER'S HEALTH FOUNDATION 2475 BROADWAY HELENA MT 59601 810392270 FUNDRAISING MT 501(C)(3) 7 SPH true PEAK HEALTH REALTY LLC 2475 BROADWAY HELENA MT 59601 272492966 RENTAL PROPER MT SPH UNRELATED 276249 4055516 false false 0.65000 PEAK HEALTH HELENA LLC 2475 BROADWAY HELENA MT 59601 272493096 HEALTH CLUB MT SPH UNRELATED 185030 345356 false false 0.65000 false true true false false false false false false false false true true true true false false false false ST PETERS HOSPITAL FOUNDATION C 482172 InterCo Amount