Civic Intelligence

St Peter'S Health

990 • Fiscal year 2021 • EIN 81-0233121

Jun 01, 2020 to May 31, 2021 • Filed on Apr 15, 2022

Organization ProfileSPHEALTH.ORG

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2475 BroadwayHelena, MT 59601

(406) 442-2480

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

46th percentile

0.26x

Higher debt load relative to assets than 46% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Liabilities / Revenue

40th percentile

0.42x

Higher debt load relative to revenue than 40% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Net Margin

47th percentile

7.5%

Higher net margin than 47% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Top Officer Pay

81st percentile

$1,840,368

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Asset Growth

72nd percentile

20%

Faster asset growth than 72% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Revenue Growth

70th percentile

21%

Faster revenue growth than 70% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets46th percentile

Assets

Flat

$492,755,059

Flat from 2021

Net Assets

Flat

$364,052,378

Flat from 2021

Liabilities

Flat

$128,702,681

Flat from 2021

Revenue And Expenses
Liabilities / Revenue40th percentileNet Margin47th percentile

Revenue

Flat

$308,586,246

Flat from 2021

Expenses

Flat

$285,550,691

Flat from 2021

Net Income

Flat

$23,035,555

Flat from 2021

Historical Trend

Balance Sheet Trend

Asset Growth72nd percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600M$400M$200M$0Assets 2010: $216,324,765Liabilities 2010: $74,218,407Net Assets 2010: $142,106,3582010Assets 2011: $233,863,046Liabilities 2011: $75,498,434Net Assets 2011: $158,364,6122011Assets 2012: $232,092,045Liabilities 2012: $82,889,308Net Assets 2012: $149,202,7372012Assets 2013: $251,823,454Liabilities 2013: $78,667,157Net Assets 2013: $173,156,2972013Assets 2014: $270,879,956Liabilities 2014: $75,692,392Net Assets 2014: $195,187,5642014Assets 2015: $289,326,725Liabilities 2015: $79,251,655Net Assets 2015: $210,075,0702015Assets 2016: $298,572,660Liabilities 2016: $87,784,901Net Assets 2016: $210,787,7592016Assets 2017: $324,101,020Liabilities 2017: $81,896,236Net Assets 2017: $242,204,7842017Assets 2018: $341,163,302Liabilities 2018: $77,699,325Net Assets 2018: $263,463,9772018Assets 2020: $409,178,278Liabilities 2020: $130,230,539Net Assets 2020: $278,947,7392020Assets 2021: $492,755,059Liabilities 2021: $128,702,681Net Assets 2021: $364,052,3782021Assets 2021: $492,755,059Liabilities 2021: $128,702,681Net Assets 2021: $364,052,3782021Assets 2022: $451,491,963Liabilities 2022: $114,420,415Net Assets 2022: $337,071,5482022Assets 2023: $422,143,078Liabilities 2023: $83,207,462Net Assets 2023: $338,935,6162023

Highlighted filing

2021

Assets$492,755,059
Liabilities$128,702,681
Net Assets$364,052,378
Open 2021 Filing

Operations Trend

Revenue Growth70th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400M$300M$200M$100M$0-$100MExpenses 2010: $129,460,5102010Expenses 2011: $139,802,2242011Expenses 2012: $160,312,5512012Expenses 2013: $173,251,4742013Revenue 2014: $196,211,335Expenses 2014: $181,792,458Net Income 2014: $14,418,8772014Revenue 2015: $203,563,128Expenses 2015: $187,679,558Net Income 2015: $15,883,5702015Revenue 2016: $209,514,885Expenses 2016: $203,202,762Net Income 2016: $6,312,1232016Revenue 2017: $221,388,072Expenses 2017: $208,768,609Net Income 2017: $12,619,4632017Revenue 2018: $237,827,672Expenses 2018: $220,463,124Net Income 2018: $17,364,5482018Revenue 2020: $255,687,438Expenses 2020: $250,346,856Net Income 2020: $5,340,5822020Revenue 2021: $308,586,246Expenses 2021: $285,550,691Net Income 2021: $23,035,5552021Revenue 2021: $308,586,246Expenses 2021: $285,550,691Net Income 2021: $23,035,5552021Revenue 2022: $316,195,673Expenses 2022: $307,685,104Net Income 2022: $8,510,5692022Revenue 2023: $321,100,273Expenses 2023: $322,501,180Net Income 2023: -$1,400,9072023

Highlighted filing

2021

Revenue$308,586,246
Expenses$285,550,691
Net Income$23,035,555
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jun 1, 2020 to May 31, 2021
Signed
Apr 15, 2022
Return Version
2020v4.1
Gross Receipts
$331,739,231
Mission and Program Overview

Mission

To improve the health, wellness and quality of life of the people and communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$157,138,904$231,836,713▲ $74,697,809
Land, Buildings, and Equipment, Net$118,710,008$122,625,184▲ $3,915,176
Accounts Receivable$27,008,977$39,031,282▲ $12,022,305
Cash and Non-Interest-Bearing Accounts$50,636,070$27,171,644▼ $23,464,426
Investments Other Securities$15,861,466$20,858,406▲ $4,996,940
Other Notes and Loans Receivable, Net$6,244,472$9,525,202▲ $3,280,730
Inventories for Sale or Use$6,707,887$7,386,433▲ $678,546
Investments Program Related$3,271,510$3,499,836▲ $228,326
Prepaid Expenses and Deferred Charges$2,432,710$2,844,480▲ $411,770
Receivable From Disqualified Prsn$473,058$0▼ $473,058
Savings and Temporary Cash Investments$260,456$262,624▲ $2,168
Pledges and Grants Receivable$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$409,178,278$492,755,059▲ $83,576,781
Other Assets Total$20,432,760$27,713,255▲ $7,280,495
Liabilities
Accounts Payable and Accrued Expenses$68,837,026$60,080,405▼ $8,756,621
Tax Exempt Bond Liabilities$19,346,247$38,865,113▲ $19,518,866
Other Liabilities$41,548,183$29,041,733▼ $12,506,450
Mortgage Notes Payable Secured by Investment Property$479,083$496,123▲ $17,040
Deferred Revenue$20,000$219,307▲ $199,307
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$130,230,539$128,702,681▼ $1,527,858
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$259,759,817$339,479,467▲ $79,719,650
Net Assets With Donor Restrictions$19,187,922$24,572,911▲ $5,384,989
Total Net Assets Fund Balance$278,947,739$364,052,378▲ $85,104,639
Total Liabilities and Net Assets / Fund Balance$409,178,278$492,755,059▲ $83,576,781

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$43,433,150$80,336,711$123,769,861
Buildings$69,397,015$52,484,819$121,881,834
Other Land Buildings$4,797,778$896,651$5,694,429
Land$4,997,241-$4,997,241
Other Assets Org$97,500--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$12,961,992$593,529▲ $3,314,823$72,721$16,797,623
2019$12,109,353$74,116▲ $818,248$39,725$12,961,992
2018$12,179,588$324,576▲ $137,738$532,549$12,109,353
2017$11,377,773$111,890▲ $792,555$102,630$12,179,588
2016$10,361,930$162,062▲ $867,467$13,686$11,377,773
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Thomas WeinerMdFT$1,546,809$293,559$1,840,368
Christopher LindsayMdFT$645,635$253,728$899,363
Kerry HaleMdFT$568,177$284,662$852,839
Brandon NewgardMdFT$516,065$286,286$802,351
Wade JohnsonCEO, Ex Officio, Non-VotingFT$511,797$215,565$727,362
Mark MozerMdFT$496,328$184,748$681,076
Jon GriffinCmioFT$295,929$165,765$461,694
Nathan CoburnCFOFT$256,839$181,274$438,113
Todd WamplerPresident SPMGFT$298,819$90,789$389,608
Brian LeeVP of OperationsFT$196,951$161,067$358,018
James TarverChief of Staff, Ex OfficioFT$48,200$292,786$340,986

Board Members and Trustees

NameTitle
Mark TaylorChair
Nate McCarthyFoundation Chair, Ex-Officio
Russ Bell PHDVice Chair
Justin MosnessDirector
Kelly ParsleyDirector
Loren BrownDirector
Mick RobinsonDirector
Sen Mary CaferroDirector
William NortheyDirector
Guy AlmquistSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Medical Information TechnologySoftwarePO BOX 74569, Chicago, IL 74569$923,405
Emtec Consulting ServicesOracle ConsultantPO BOX 85092, Chicago, IL 60680$850,128
Global Medical StaffingTemp Labor339 W 13490 S200, Draper, UT 84020$773,633
Weatherby Locums INCTemp Labor6451 North Federal Highway Suite 7, Fort Lauderdale, FL 33308$714,069
Dick Anderson Construction INCGeneral Contractor3424 E US HIGHWAY 12, Helena, MT 59601$639,558
Revenue and Support

Revenue Composition

Contributions and Grants
$10,872,566
Program Service Revenue
$276,513,984
Investment Income
$18,205,415
Other Revenue
$2,994,281
Change in Net Assets
$23,035,555

Audited Revenue Reconciliation

Revenue per Audited Statements
$330,466,683
Revenue Not Reported on Financial Statements
$-21,880,437
Revenue Not Reported on Form 990
$39,658,771
Other Revenue Adjustments
$-22,924,068
Total Revenue per Audited Statements
$370,125,454
Total Revenue per Form 990
$308,586,246
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$161,176,914
Other Expenses$124,252,655
Total Fundraising Expense$508,370
Grants and Similar Amounts Paid$121,122
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$100,105,634$24,401,772$397,731$124,905,137
Fees for Services Other$18,722,204$10,135,500$1,586$28,859,290
Other Employee Benefits$11,826,668$2,634,659$30,025$14,491,352
Pension Plan Contributions$7,131,739$4,504,556$11,991$11,648,286
Depreciation Depletion$11,246,982$155,009$423$11,402,414
Payroll Taxes$6,415,281$1,428,754$16,748$7,860,783
Occupancy$1,702,623$845,213$0$2,547,836
Office Expenses$837,029$1,442,501$13,948$2,293,478
Current Officers, Directors, Trustees, and Key Employees$1,810,497$453,816$7,043$2,271,356
Information Technology$1,984,031$1,456-$1,985,487
Insurance$1,973,425$2,905-$1,976,330
Fees for Service Investment Mgmnt Fees-$1,043,631-$1,043,631
Fees for Services Legal-$821,309-$821,309
Interest$460,649--$460,649
Conferences and Meetings$138,948$271,377$895$411,220
Other Expenses$245,809$11,265$1,846$258,920
Advertising$30,899$217,304$4,029$252,232
Travel$141,591$24,319$1,158$167,068
Grants to Domestic Orgs$121,122--$121,122
Fees for Services Accounting-$108,055-$108,055
Fees for Services Lobbying-$60,000-$60,000
Total Functional Expenses$233,573,615$51,468,706$508,370$285,550,691

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$285,550,691
Total Expenses per Audited Statements$285,020,815
Expenses per Audited Statements$284,656,518
Expenses Not Reported on Financial Statements$894,173
Expenses Not Reported on Form 990$364,297
Other Expense Adjustments$-149,458
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
St Peters Hospital FoundationHelena, MT501(c)(3)Sponsorship$97,050
Exploration WorksHelena, MT501(c)(3)Support Program$20,180
Helena Food ShareHelena, MT501(c)(3)Sponsorship$20,000
Carroll CollegeHelena, MT501(c)(3)Healthy Food Initiative$8,500
Helena School DistrictHelena, MTHelena SchlDist-$5,882
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons$473,058$0▼ $473,058
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Pension Liability$25,673,198
Malpractice Accrual$3,368,535

Bond Issues

BondIssuerIssuedIssue PricePurpose
CMontana Facility Finance Authority2021-05-28$23,000,000FINANCE EQUIPMENT
AMontana Facility Finance Authority2013-03-13$21,435,000Refinance 2004 bond series
BMontana Facility Finance Authority2015-04-29$14,945,000Refinance 2007 bond series

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
C$23,000,000$0$0$86,400
A$21,435,064$21,085,703$13,105,000$349,297
B$14,945,000$14,691,787$7,100,000$253,212

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“Process to review the form 990: a draft of the form 990 is reviewed by the ceo, cfo and finance committee. A copy of the final form 990 is provided to the full board prior to filing with the irs.”

Form 990, Part VI, Section B, Line 12C

“Process for monitoring compliance with conflict of interest policy: the conflict of interest policy covers all board members, officers, senior administration and key employees. The board identifies potential conflicts and determines if voting on related items would be a conflict of interest. If a conflict is determined to exist, the conflicted individual is excluded from voting on the conflicted item.”

Form 990, Part VI, Section B, Line 15A & 15B

“Review of ceo and other officer or key employees compensation: an independent consultant is hired to review compensation for the ceo and other key officers and employees. In october 2020, sullivan cotter was retained to complete a total compensation analysis for the top leadership team including the ceo. Sullivan cotter evaluated the total compensation program to ensure the structure of the compensation components and total value were competitive and aligned with the executive compensation strategy. In addition, sullivan cotter provided competitive market information to support recommendations for each executive position. The executive committee of the board of directors reviews and approves salary adjustments for the ceo and other key officers.”

Form 990, Part VI, Section C, Line 19

“Governing documents available to the public: the governing documents, conflict of interest policy, and financial statements are made available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
ST PETER'S HEALTH
EIN
81-0233121
In Care Of
% NATHAN COBURN CFO
Phone
4064422480
Address
2475 BROADWAY, HELENA, MT 59601

Signing Officer

Name
Nathan Coburn
Title
CFO
Phone
4064422480
Signed
2022-04-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Wade Johnson
Formed
1883
Legal Domicile
Mt
Voting Board Members
11
Independent Board Members
10
Employees
2,076
Volunteers
93

Preparer

Firm
Bkd Llp
Address
111 South Tejon Suite 800, Colorado Springs, CO 80903-9848
Preparer
Adam R Smith CPA
Phone
7194714290
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“Other change in net assets: 7,355,496 - change in interest in sph foundation 15,419,114 - minimum pension liability adjustment 22,774,610 - total”

Form 990 Part IX Line 11G

“Description:pmas fee total fees:7202251”

Form 990 Part IX Line 11G

“Description:consulting total fees:4337772”

Form 990 Part IX Line 11G

“Description:collection total fees:857526”

Form 990 Part IX Line 11G

“Description:physician fees total fees:9246938”

Form 990 Part IX Line 11G

“Description:answering service total fees:18373”

Form 990 Part IX Line 11G

“Description:medical advocacy total fees:159993”

Form 990 Part IX Line 11G

“Description:lab fees total fees:1854305”

Form 990 Part IX Line 11G

“Description:transcription fees total fees:9991”

Form 990 Part IX Line 11G

“Description:other fees total fees:5172141”

Financial Statement Notes

Schedule D, Part V, Line 4

“Describe the intended uses of the organization's endowment funds: endowment funds are restricted for support of hospital programs and services and for capital purchases and improvements in accordance with board policies and/or donor restrictions.”

Schedule D, Part X, Line 2

“Uncertain tax positions: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”

Schedule D, Part XI, Line 2D

“REVENUE ON BOOKS, NOT ON RETURN: 26,799 - Cost of Goods Sold 337,498 - Rental Expense Net With Revenue 364,297 - Total”

Schedule D, Part XI, Line 4B

“REVENUE ON RETURN, NOT ON BOOKS: (149,458) - Reclass Loss on Sale of Asset (7,355,496) - CHANGE IN INTEREST IN SPH FOUNDATION (15,419,114) - MINIMUM PENSION LIABILITY ADJUSTMENT (22,924,068) - TOTAL”

Schedule D, Part XII, Line 2D

“EXPENSE ON BOOKS, NOT ON 26,799 - COST OF GOODS SOLD 337,498 - RENTAL EXPENSES NET WITH REVENUE 364,297 - total”

Schedule D, Part XII, Line 4B

“EXPENSE ON RETURN, NOT ON BOOKS: (149,458) - Reclass of Loss on Sale of Equipment”

Raw XML AppendixShowing 400 of 1,453 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0SPH IS A NONPROFIT HEALTH CARE SYSTEM LOCATED IN HELENA, MONTANA. OUR SERVICES INCLUDE BUT ARE NOT LIMITED TO A 99-BED ACUTE CARE HOSPITAL, PHYSICIAN CLINICS, CANCER TREATMENT CENTER, 24-BED BEHAVIORAL HEALTH UNIT, URGENT CARE CLINICS, HOME HEALTH AND HOSPICE CARE, DIALYSIS CENTER AND AMBULANCE SERVICES. WE PROVIDE SERVICES TO AN ESTIMATED 97,000 RESIDENTS FROM A FIVE-COUNTY AREA (LEWIS AND CLARK, BROADWATER, POWELL, MEAGHER AND JEFFERSON COUNTIES). IN ADDITION TO FREE CARE AND/OR SUBSIDIZED CARE, CARE IS ALSO PROVIDED AT BELOW COST RATES TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS.
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Document Assets

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Filings

Displayed year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$492,755,059
Liabilities
$128,702,681
Net assets
$364,052,378
Revenue
$308,586,246
Expenses
$285,550,691
Net income
$23,035,555
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$422$83.2$339$321$323$1.40
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$451$114$337$316$308$8.51
2021Detailed filing. Detailed filing data is available for this year.$493$129$364$309$286$23.0
2021Summary only. Only limited summary data is available for this year.$493$129$364$309$286$23.0
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$409$130$279$256$250$5.34
2018Summary only. Only limited summary data is available for this year.$341$77.7$263$238$220$17.4
2017Summary only. Only limited summary data is available for this year.$324$81.9$242$221$209$12.6
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$299$87.8$211$210$203$6.31
2015Detailed filing. Detailed filing data is available for this year.$289$79.3$210$204$188$15.9
2014Detailed filing. Detailed filing data is available for this year.$271$75.7$195$196$182$14.4
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$252$78.7$173$173
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$232$82.9$149$160
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$234$75.5$158$140
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$216$74.2$142$129