2024-04-26T18:58:01-07:00 2023-06-30 990 2022-07-01 920037099 SOUTH PENINSULA HOSPITAL INC SOUT 9072358101 4300 Bartlett Street Homer AK 99603 Anna Hermanson Chief Financial Officer 9072350912 2024-04-26 Anna Hermanson 999009999 1 1 11 0 AAL2 2022 2023-04-26 12:10:37Z Ryan Smith 4300 Bartlett St Homer AK 99603 113484050 0 X https://www.sphosp.org/ X 1969 AK South Peninsula Hospital promotes community health and wellness by providing personalized, high-quality, locally coordinated healthcare. 11 7 655 12 0 0 10760082 5226148 99822840 106939029 -155225 563017 675414 755856 111103111 113484050 144829 141658 0 0 66839557 74173693 0 0 0 39158033 36478003 106142419 110793354 4960692 2690696 113248442 114392821 25393162 23724518 87855280 90668303 South Peninsula Hospital promotes community health and wellness by providing personalized, high-quality, locally coordinated healthcare. 0 0 56360856 83513387 Our 22 bed acute care hospital provided inpatient services to 665 patients for total patient days of 3,373 during FY23. Total outpatient visits for the year were 91,793 which includes 5,502 emergency room visits, 1,464 ambulatory surgery visits, and other outpatient services such as imaging, laboratory, physical therapy, infusion, chemotherapy, and sleep lab. 21186426 12890575 The hospital operates several provider based clinics which include family medicine, orthopedics, general surgery, neurology, internal medicine, mental health, OBGYN, and urology. These various outpatient provider based clinics had 37,001 patient visits during FY23. 6568828 9267807 The hospital operates a long term care facility that provides skilled nursing care to an average of 23 patients daily for a total of 8,398 resident days during FY23. 1756566 1267260 Our Home Health division caring for patients in the home performed 4,168 home visits during the tax year. 1756566 0 1267260 85872676 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 1 118 0 1 655 1 0 0 0 0 0 0 0 0 X 11 7 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AK X X SPH Finance Department 9072350912 4300 Bartlett Street Homer AK 99603 Brent Adcox Orthopaedic Surgeon 40 X 1601347 0 6100 Edson Knapp Director and Radiologist 40 X 1031963 0 6100 Ryan Smith CEO 40 X 545876 0 6100 Nathan Kincaid Physician 40 X 542055 0 6100 Michael Boiling Director and General Surgeon 40 X 545278 0 0 Christy Martinez Physician 40 X 471207 0 6100 Sarah Roberts Physician 40 X 467410 0 6100 Christopher Landess ER Physician 40 X 437077 0 6100 Christina Tuomi CMO 40 X 394056 0 6100 Angela Hinnegan COO 40 X 261118 0 6100 Rachael Kincaid CNO 40 X 204864 0 6100 Anna Hermanson CFO 40 X 163071 0 1450 Angela Johnson CNO 40 0 X 77394 0 147 Kelly Cooper President 2 X 9000 0 0 Julie Woodworth Secretary 2 X 7500 0 0 Melissa Jacobsen Director 2 X 7500 0 0 Bernadette Wilson Director 2 X 7500 0 0 Walter Partridge Treasurer 2 X 7500 0 0 Mary Wythe Director 2 X 6000 0 0 Aaron Weisser Vice President 2 X 6000 0 0 Kari-Ann Calderwood Baker Director 2 X 6000 0 0 Matt Hambrick Director 2 X 6000 0 0 6805716 0 62597 128 0 1 0 Medical Solutions LLC PO BOX 310737 Des Moines IA 503310737 Temporary Contract Staffing 3216159 Robert Lee Gear III 6817 NORTH 57th PLACE Paradise Valley AZ 85253 Emergency Room Physician 493650 Alaska Urology LLC 3841 PIPER ST ANCHORAGE AK 99508 Contract Staffing 400422 Kurt Mentzer 12000 LILAC DR ANCHORAGE AK 99516 Physician Services 378629 Jerry Tanner 35555 KENAI SPUR HWY PMB345 SOLDOTNA AK 99669 Physician Services 375298 20 0 0 0 4933781 292367 0 212160 5226148 Hospital 622000 83513387 83513387 0 0 Physician Offices 621110 12890575 12890575 0 0 Long Term Care 623110 9267807 9267807 0 0 Home Health Care 621610 1267260 1267260 0 0 0 0 0 0 106939029 556445 556445 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6572 0 0 0 6572 6572 6572 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria and Other Revenues 900099 531225 531225 0 0 USAC Internet Subsidies 900099 203136 203136 0 0 Other Operating Income 900099 21495 21495 0 0 0 0 0 0 755856 113484050 108257902 0 0 141658 141658 0 0 0 0 0 0 3286620 1839598 1447022 0 0 0 0 0 48404147 39106837 9297310 0 2957206 2129188 828018 0 16062006 11618899 4443107 0 3463714 2728858 734856 0 0 0 0 0 100356 0 100356 0 97975 0 97975 0 7271 0 7271 0 0 0 0 0 0 0 9383030 8483009 900021 0 71650 4744 66906 0 12547236 11609904 937332 0 1554092 605959 948133 0 0 0 0 0 2063957 287330 1776627 0 225487 141409 84078 0 0 0 0 0 392658 253104 139554 0 502349 0 502349 0 0 0 0 0 4747177 4272459 474718 0 1287578 566652 720926 0 Repairs and Maintenance 1905204 982727 922477 0 Due and Subscriptions 215318 59327 155991 0 Recruitment 1185502 922995 262507 0 Miscellaneous 191163 118019 73144 0 0 0 0 0 110793354 85872676 24920678 0 2686 2686 40998938 42940215 0 0 16295100 15489824 0 0 0 0 0 0 2062504 2130034 760219 737230 102464824 59087989 43456289 43376835 0 0 0 0 0 0 18000 5000 9654706 9710997 113248442 114392821 15745077 14240037 0 0 647712 630113 9000373 8854368 0 0 0 0 0 25393162 23724518 X 87795935 90612815 59345 55488 87855280 90668303 113248442 114392821 X 2690696 0 0 0 0 122327 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7271 7271 0 Schedule C, Part II-B, Line 1 The hospital pays annual dues to entities that perform lobbying activities. Those entities are the Alaska Hospital and Healthcare Association, the American Hospital Association, and the American Healthcare Association. The amount reported on the Schedule H Part IV is based on the estimated percentage of lobbying activities reported for the year. 0 395485 395485 0 63523803 30111661 33412142 0 311331 117677 193654 0 34993250 27959568 7033682 0 3240955 899083 2341872 43376835 Pension Asset 3559619 Pension Related Deferred Outflow 5864259 Deferred Loss on Refinancing 287119 9710997 113484050 0 0 0 0 0 113484050 0 0 0 113484050 110793354 0 0 0 0 0 110793354 0 0 0 110793354 1 1 X 1 X 1 X 1 1 0 0 1 1288 1122945 0 1122945 0.01 1 1235 27173982 23512914 3661068 0.033 0 0 0 0 0 0 2 2523 28296927 23512914 4784013 0.043 35 1578 348862 109468 239394 0.0022 5 53 7276 2413 4863 0.00004 16 70975 42356193 25675200 16826163 0.152 0 0 0 0 0 0 4 350 31227 0 31227 0.00028 60 72956 42743558 25787081 17101647 0.15452 62 75479 71040485 49299995 21885660 0.19752 0 0 0 0 0 0 0 0 0 0 0 0 41 1025 56000 0 56000 0.001 0 0 0 0 0 0 0 0 0 0 0 0 4 100 18730 18730 0.0002 8 200 781 781 0.00001 53 1325 75511 0 75511 0.00121 0 3204750 695053 35651930 41836332 -6184402 X 1 1 1 1 South Peninsula Hospital 4300 Bartlett St Homer AK 99603 www.sphosp.org GACH-010 X X X X South Peninsula Hospital 1 0 0 1 X X X X X X X X 23 1 0 0 1 X https://www.sphosp.org/about-sph/health-needs-assessment/ X 1 20 1 https://www.sphosp.org/about-sph/health-needs-assessment/ 0 0 1 X 100 300 1 1 X X X 1 X https://www.sphosp.org/for-patients/financial-assistance/ X https://www.sphosp.org/wp-content/uploads/2021/02/2021-FAP-Application.pdf X https://www.sphosp.org/wp-content/uploads/2018/08/Financial-Assistance-Brochure.pdf X X X X X X 1 X 0 X X X X 1 0 0 Schedule H, Part V, Section B, Line 5-South Peninsula Hospital From Fall 2022 through April, 2023, South Peninsula Hospital conducted a community health needs assessment (CHNA) in the southern Kenai Peninsula. This CHNA was conducted in compliance with IRS Section 501(r), and identified health needs of the 14,000+ residents of the South Kenai Peninsula Hospital Service Area of the Kenai Peninsula Borough. The final assessment was adopted by the SPH Board of Directors on June 28and made available to the public on the organization's website at www.sphosp.org free of charge. The complete CHNA report can be found in the separate document link titled CHNA on the South Peninsula Hospital website. Numerous presentations were made of the report during Fall of 2023, including at meetings of the hospital's Board of Directors, publicly elected Service Area Board, Rotary Club of Homer Kachemak Bay, hospital General Medical Staff and MAPP of the Southern Kenai Peninsula, the local community health coalition made up of twelve partnering local agencies representing the eight dimensions of wellness. An implementation strategy was developed, adopted by the board of directors in December 2023 and posted on the hospital website. However, the implementation strategy of the 2020 Health Needs Assessment was still in effect during the 2023 fiscal year, and is reported on below. Schedule H, Part V, Section B, Line 11-South Peninsula Hospital To provide services for a rapidly growing senior population: SPH offers monthly audiology clinics and weekly neurology clinics; a hand & shoulder orthopedic surgeon, a second general surgeon and transitioned to full-time hospitalists for more continuity of inpatient care. To help develop senior care offerings within services, SPH offered free weekly yoga for beginners, great for all ages and abilities. To secure space and facilities to support service growth, SPH sponsored Senior Day at the Kenai Peninsula State Fair with education and offerings geared towards seniors and community education was offered on end of life decision making and living wills including medical and legal components. In the current year SPH added an orthopedic surgeon specializing in upper extremities, allowing existing surgeon to focus on hips and knees. To strengthen Primary and Preventative Care, SPH employees a psychiatrist and LCSW expanding behavioral health services. To support wellness programs in the community, SPH participated in and assisted with the promotion of multiple community wellness programs including implementation of our Wellness Wednesday programming: a free weekly program that includes a meal, a rotating health topic, and yoga. To strengthen relations with other providers in the community for seamless transition of care, SPH participated in annual mental health provider luncheon with partner organizations and collaborated with both private practice and organization based providers through venues including presentations, health fairs, pop up clinics, education outreach and more. Goal provide charity care to those in need. To help individuals access preventive care, free flu shot clinics offered to the community, free COVID 19 vaccinations offered to the community, discounted pediatric immunization clinic offered to the community, community and school based education programming offered both virtually and in person. We offered free financial assistance to patients and non-patients alike and did community outreach during open enrollment. We promoted this program at the annual health fair, on our website, and at quarterly presentations to the Kenai Peninsula Borough. To recruit locally for entry level positions, a SPH incentive program was developed to offer graduates of the Southern Peninsula sign on bonuses; HR participated in multiple job fairs within the Southern Peninsula. To, support local workforce development programs, SPH provided staff instruction for the Certified Nursing Assistant program through KPC. We developed a "earn to learn" program for CNAs. SPH provided clinical representation on local MAPP opioid task force. SPH provides funding for the community task force on addiction. SPH expanded clinic staff to include a MA CDC 1 Provider and operates a new clinic for behavioral health services: Serene Waters. SPH increased awareness of MAT programs through presence at community events, offerings, and virtual presence. SPH supports nutrition education, obesity, diabetes, and other related chronic disease care through multiple communications with school based and community educational presentations offered through SPH. The content focused on the science of weight loss, nutrition education, and obesity. To help support and promote physical activity among staff and community residents, SPH offered a staff wellness program aimed at addressing the 8 dimensions of wellness. SPH facilitated yearly staff and community wide community walking challenges, free weekly community yoga programs, free community walks in an indoor space, and free community cirque classes. Priority Support access to good nutrition, education, and dietary habits both as an employer and provider. SPH executed a yearly holiday food drive for local food banks, provided meals at community education events, and offered nutrition education through community presentations, health fairs, and a newsletter. SPH ensured ER, inpatient, and outpatient systems provide necessary safeguards to identify victims of violence. SART/SANE staff provide training and are available for assessments. SPH provides continued support and participation in local Sexual Assault Response Center, and expanded the number of SART/SANE nurses. To ensure our services meet the residents where the need is, SPH had a staff member help coordinate the Rotary Health Fair, Safe and Healthy Kids Fair, and Community Resource Connect which aimed to include services and resources to meet the needs of unique populations. To offer flexible hours of operation such as weekends and holidays, SPH offers multiple clinics including mammogram appointments in the evenings and Saturdays and offers walk in evening visits. To strengthen and promote telehealth services, SPH created a streamlined patient portal with increased accessibility to telehealth services and all primary care practices now offer telehealth. For pandemic response, SPH is now conducting annual drills for emergency preparedness and maintains relations with local emergency response partners by conducting regularly scheduled meetings. Operations teams stayed abreast of current news via weekly state ECHO calls and relayed current information to staff and the community through the PIO. Consistent collaboration and communication among community partners was maintained throughout the height of the pandemic to meet community needs. For the priority of addressing long term health consequences due to individuals delaying care, SPH promoted regular health screenings through annual health fairs for the staff and community and added two new primary care providers to help with increased patient loads. In an effort to make the systems easy and normal to access care, SPH returned to all pre-COVID protocols and systems in regards to seeking care and increased access to care via telehealth offerings. SPH messaging and language developed used a trauma informed/non fear based unbiased approach focusing on the promotion of positive health outcomes and transitioned to become a mask optional facility. Schedule H, Part V, Section B, Line 16j-South Peninsula Hospital Financial Assistance information is provided on patient statements and as financial navigators call patients to discuss bills, financial assistance program information is shared. SPH also offers free consults through the Financial Navigators for seniors accessing and signing up for Medicare. SPH's financial aid counselor office moved to the front, main entrance of the hospital for easy access and financial aid counselors are represented at community fairs. 11 SPH Long Term Care 4300 Bartlett Street Homer AK 99603 Long term care skilled nursing facility SPH Home Health 203 W Pioneer Homer AK 99603 Home Health Services Homer Medical Center 4136 Bartlett St Homer AK 99603 Family Practice Medical Clinic SPH Specialty Physician & Family Care Clinic 4201 Bartlett St Homer AK 99603 Orthopaedics, General Surgery, Urology, Primary Care, and other Specialty physicians SPH West Wing Clinic 4117 Bartlett St Homer AK 99603 OBGYN and Women's health services SPH Infusion Clinic 4251 Bartlett St Homer AK 99603 Infusion Treatments SPH Functional Medicine Clinic 203 W Pioneer Ave Suite 2 Homer AK 99603 Functional Medicine clinic SPH-Peninsula Surgical Clinic 4252 Hohe St Suite B Homer AK 99603 General Surgery Clinic SPH Neurology & Sleep Clinic 4300 Bartlett St Homer AK 99603 Neurology & Sleep Clinic Serene Waters Mental Health Services 4135 Hohe St Homer AK 99603 Mental Health Outpatient Services SPH OBGYN Medical Clinic 263 W Fairview Ave Homer AK 99603 OBGYN Medical Clinic Schedule H, Part I, Line 7 Costs associated with financial assistance were based on the Medicare Cost Report cost to charge ratio for tax year 2022. Costs associated with other benefits are based on actual reported costs per activity or department. Schedule H, Part I, Line 7g The hospital included subsidized health service costs associated with several departments providing services for family medicine, behavioral health, functional medicine, orthopedics, sleep clinic, general surgery, long term care, home health, obstetrician and gynecologist, and various other departments. Schedule H, Part II Schedule H, Part II - Community building activities included activities in the community such as working with project homeless connect, the Southern Kenai Peninsula Resiliency Coalition, sponsoring support services for mothers and babies at the farmers market, and working to promote community wellness. Schedule H, Part III, Section A, Line 4 Percentage of self pay writeoffs that are charity care times the cost to charge ratio to get the true cost. Schedule H, Part III, Section B, Line 8 This data was obtained from the CMS website on our Provider Statistical & Reimbursement Report for the tax year. We believe the shortfall in line 8 should be considered community benefit due to the provision of care to Medicare patients regardless of their ability to pay. Further the hospital is not allowed to collect from the contractual writeoffs from patients despite the deficit in the cost to provide the services to this population. Schedule H, Part III, Section C, Line 9b The facility has a debt collection policy. The policy allows for any funds sent to bad debt that are eligible for financial assistance to be pulled back from a collection agency. Schedule H, Part VI, Line 2 South Peninsula Hospital uses a collaborative effort within state and local agencies and also community members and focus groups to identify the community health needs. Schedule H, Part VI, Line 3 The hospital employs 2 financial counselors and 3 financial navigators that are available to meet with patients to discuss bills, payment plans, and financial assistance options. The counselors can also assist patients with completing the charity care application. Additionally, a copy of the FAP is available at all registration areas, displayed prominently in the emergency rooms and waiting rooms, and published on our website. Schedule H, Part VI, Line 4 The hospital serves the Southern Kenai Peninsula Service Area located in the Kenai Peninsula Borough. That service area encompasses several communities in South Central Alaska to include Anchor Point, Diamond Ridge, Fox River, Fritz Creek, Happy Valley, Homer, Kachemack City, Nanwalek, Nikolaevsk, Ninilchick, Port Graham, and Seldovia for an estimated population of 19,728. 1 G Squared LLC PO Box 1245 Homer AK 99603 811770947 78458 Support for community MAPP program, mobilizing action through planning and partnerships, a coalition for health improvement on the peninsula. This program supports All Things Recovery. Hospice of Homer PO Box 4174 Homer AK 99603 920115943 43200 Support for the hospice program and community resource for DME and end of life care. Kachemak Bay Family Planning 3959 Ben Walters Ln Homer AK 99603 920106486 20000 Support for private community STD testing. 2 1 Schedule I, Part I, Line 2 Schedule I, Part I, Line 2 - Assistance was provided to healthcare non-profits which support the community health needs. Records are kept in the facility's accounting system. X X 0 1 X X X X 1 1 0 0 0 0 0 0 0 Brent Adcox Orthopaedic Surgeon 1565755 0 35321 0 271 0 6100 0 52546 0 1659993 0 0 0 Edson Knapp Director and Radiologist 1018753 0 3763 0 9447 0 6100 0 53030 0 1091093 0 0 0 Ryan Smith CEO 428927 0 106435 0 10514 0 6100 0 39913 0 591889 0 0 0 Michael Boiling Director and General Surgeon 535604 0 3760 0 5914 0 0 0 52730 0 598008 0 0 0 Nathan Kincaid Physician 260595 0 54467 0 226993 0 6100 0 44995 0 593150 0 0 0 Christy Martinez Physician 390551 0 79983 0 673 0 6100 0 50255 0 527562 0 0 0 Sarah Roberts Physician 394531 0 72499 0 380 0 6100 0 52411 0 525921 0 0 0 Christopher Landess ER Physician 356421 0 79983 0 673 0 6100 0 50255 0 493432 0 0 0 Christina Tuomi CMO 389624 0 3764 0 668 0 6100 0 50102 0 450258 0 0 0 Angela Hinnegan COO 249127 0 5355 0 6636 0 6100 0 30285 0 297503 0 0 0 Rachael Kincaid CNO 200440 0 3763 0 661 0 6100 0 52384 0 263348 0 0 0 Anna Hermanson CFO 155428 0 7014 0 629 0 1450 0 30107 0 194628 0 0 0 Angela Johnson CNO 67304 0 10069 0 21 0 147 0 2933 0 80474 0 0 0 Schedule J, Part I, Line 1a The hospital provides gift cards for special events. The taxes on those gift cards are grossed up and covered by the employer. The hospital also provides a wellness benefit, the use of local health facilities, and pays up to half of gym memberships through the wellness program not to exceed $400 per year for union employees and not to exceed $500 per year for managers and confidential employees. Schedule J, Part I, Line 1b Although the hospital does not have a written policy governing all fringe benefits, it does closely follow IRS guidelines for the treatment of those benefits and includes all applicable fringe benefits as taxable earrings and reports them on form W-2. Schedule J, Part I, Line 3 The Board determines the CEO's compensation based on a comparative review of other facility's 990's and wage and compensation surveys done by various agencies including the Alaska Hospital and Healthcare Association. Schedule J, Part I, Line 4 4a Angela Johnson severance payment of 49,543. 4b Employees contribute to and participate in a nonqualified 457 compensation plan. A Kenai Peninsula Borough 2015 Refunding Bonds 920030894 2015-06-04 8655000 Refunding Bonds 0 0 0 B Kenai Peninsula Borough 2016 Refunding Bonds 920030894 2016-11-03 2660000 Refunding Bonds 0 0 0 C Kenai Peninsula Borough Revenue Bonds 920030894 2017-04-27 4500000 Hospital Expansion and Maintenance 0 0 0 A 3935000 0 9884491 0 0 0 0 0 0 0 0 0 2009 0 1 1 1 B 1955000 0 3050412 0 0 0 0 0 0 0 0 0 2009 0 1 1 1 C 1460000 0 4795700 0 62086 0 23647 0 0 4779254 0 23254 2018 0 0 0 1 A 0 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 1 A 0 0 0 0 1 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 1 0 0 0 0 A 0 B 0 C 0 Rhoda Ostman Director's Family Member 88843 Employment 0 Renda Knapp Director's Family Member 394506 Employment 0 Katelyn Wythe Director's Family Member 48532 Employment 0 Emily Knapp Director's Family Member 50561 Employment 0 X 2 212160 FMV 0 0 0 0 Form 990, Part VI, Section A, Line 7b South Peninsula Hospital is operated by South Peninsula Hospital Inc. through a sublease and operating agreement with the Kenai Peninsula Borough. In accordance with that agreement certain key decisions must be approved by the Kenai Peninsula Borough Assembly. Signing of any leases in excess of one year or $100,000 also requires Borough approval. The issuance of tax exempt bonds backed by the revenues of the hospital requires voter approval. Form 990, Part VI, Section B, Line 11b Form 990 is prepared by Hospital Finance, reviewed first by the Executive Team which includes the CFO, COO, and CEO, and then distributed to the Board of Directors for review and approval. The Board of Directors then approved the CFO to sign and submit the return electronically. Form 990, Part VI, Section B, Line 12c The Board of Directors signs an annual conflict of interest attestation indicating whether any conflicts of interest exist. In matters where Board action is required, any members with an identified conflict of interest state their conflict and refrain from voting. Form 990, Part VI, Section B, Line 15 South Peninsula Hospital does have independent compensation review studies performed periodically to ensure that the wages are reasonable and customary for key positions. Comparative industry compensation data is utilized determining compensation levels for key staff. The Board of Directors discusses and sets the wage for the CEO based on market and other available data. Form 990, Part VI, Section C, Line 19 The hospital makes its governing documents, 990, form 1023, and financial statements available upon request. It also provides a financial overview to the public during its monthly board meetings, as well as quarterly financial overview presentations at the quarterly Borough Assembly meetings. Form 990, Part XI, Line 9 GASB 96 Restatement Kenai Peninsula Borough 144 N Binkley St Soldotna AK 99669 920030894 Local area government AK 115 N/A N/A 0 South Peninsula Hospital Foundation PO Box 2548 Homer AK 99603 830354063 Fundraising and Community Health Support AK 501c3 public charity N/A 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 1 1 1 Kenai Peninsula Borough e 8465000 The Kenai Peninsula Borough acts as the loan guarantor on certain bond issuances in the event that South Peninsula Hospital Inc. ceased to exist prior to the retirement of that date. This amount represents the total outstanding principal on the bonds as of the end of the tax year. Kenai Peninsula Borough c 4933781 The Hospital receives property taxes and bond proceeds from the Kenai Peninsula Borough service area to assist with its capital repairs and replacement as well as debt service. This amount represents the total received in 2019 for these purposes. Kenai Peninsula Borough q 4933781 The Kenai Peninsula Borough reimbursed South Peninsula Hospital for certain organizational expenses such as the annual audit property insurance, professional fees for the community health needs assessment, capital expenses, and the debt service on behalf of the hospital. The amount represents the total of these payments during the tax year. Kenai Peninsula Borough k 1 South Peninsula Hospital operates the hospital on behalf of the Kenai Peninsula Borough through a sublease and operating agreement for a cost of $1 per annum. South Peninsula Hospital Foundation r 1276373 South Peninsula Hospital, as part of its sublease and operating agreement with the Kenai Peninsula Borough, is required to transfer any cash on hand in excess of 90 days at the end of each quarter to the Kenai Peninsula Borough for use in Property and Plant Replacement expenses. The total represents the amount transferred during the tax year. An extension was needed to file the 990 as the financial audit was not complete and delayed the preparation of the hospital's 990.