2023-05-04T22:22:41-07:00 2022-06-30 990 2021-07-01 920037099 SOUTH PENINSULA HOSPITAL INC SOUT 9072358101 4300 Bartlett Street Homer AK 99603 Anna Hermanson Chief Financial Officer 9072350912 2023-05-04 1 11 0 AAL2 2021 2023-04-26 12:10:37Z Ryan Smith 4300 Bartlett St Homer AK 99603 111103111 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 6 603 12 0 0 15052833 10760082 85596354 99822840 104569 -155225 635047 675414 101388803 111103111 120699 144829 0 0 58268610 66839557 0 0 0 30127867 39158033 88517176 106142419 12871627 4960692 110326959 113248442 27340834 25393162 82986125 87855280 South Peninsula Hospital promotes community health and wellness by providing personalized, high-quality, locally coordinated healthcare. 0 0 55373526 0 79485923 Our 22 bed acute care hospital provided inpatient services to 840 patients for total patient days of 3,867 during FY22. Total outpatient visits for the year were 109,451 which includes 5,180 emergency room visits, 1,344 ambulatory surgery visits, and other outpatient services such as imaging, laboratory, physical therapy, infusion, chemotherapy, and sleep lab. 18405416 0 11325942 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 32,822 patient visits during FY22. 5881753 0 7942080 The hospital operates a long term care facility that provides skilled nursing care to an average of 19 patients daily for a total of 7,098 resident days during FY22. 1622240 0 1068895 Our Home Health division caring for patients in the home performed 3,441 home visits during the tax year. 1622240 0 1068895 81282935 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 1 0 0 1 0 0 0 0 1 0 0 0 1 102 0 1 603 1 0 0 0 0 0 0 0 0 X 11 6 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 0 X 1527125 0 5700 Edson Knapp Director and Radiologist 40 0 X 957917 0 5700 Todd Boling Director and General Surgeon 40 0 X 724130 0 0 Ryan Smith CEO 40 0 X 527254 0 5700 Miranda Marsh CRNA 40 0 X 406108 0 5700 Christy Martinez Physician 40 0 X 404863 0 5700 Christina Tuomi CMO/Physician 40 0 X 402503 0 5700 Christopher Landess ER Physician 40 0 X 395647 0 5700 Paula Godfrey Physician 40 0 X 390460 0 5700 Angela Hinnegan CFO 40 0 X 231989 0 8662 Angela Johnson CNO 40 0 X 198146 0 5700 Rachael Kincaid CNO 40 0 X 167656 0 5700 Kelly Cooper President 2 0 X 9000 0 0 Keri-Ann Baker Director 2 0 X 7500 0 0 Melissa Jacobsen Vice President 2 0 X 7500 0 0 Walter Partridge Treasurer 2 0 X 7500 0 0 Bernadette Wilson Director 2 0 X 6500 0 0 Matthew Hambrick Director 2 0 X 6000 0 0 Mary Wythe Director 2 0 X 6000 0 0 Julie Woodworth Secretary 2 0 X 6000 0 0 David Groesbeck Director 2 0 X 5500 0 0 Aaron Weisser Director 2 0 X 0 0 0 6395298 0 65662 134 0 1 0 Medical Solutions LLC PO BOX 310737 Des Moines IA 503310737 Temporary Contract Staffing 3768489 Robert Lee Gear III 6817 NORTH 57th PLACE Paradise Valley AZ 85253 Emergency Room Physician 443314 Innovative Employee Solutions PO Box 841212 Los Angeles CA 900841212 Contract Staffing 355219 COMPHEALTH PO BOX 972651 Dallas TX 753972651 Surgical Physician Services 335226 Peak Imaging 4438 Towne Heights Ln Homer AK 99603 Radiology Services 316839 18 0 0 0 4689619 6068963 1500 2189818 10760082 Hospital 622000 79485923 79485923 0 0 Physician Offices 621110 11325942 11325942 0 0 Long Term Care 623110 7942080 7942080 0 0 Home Health Care 621610 1068895 1068895 0 0 0 0 0 0 99822840 -155225 -155225 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria and Other Revenue 900099 410885 410885 0 0 USAC Internet Subsidies 900099 203136 203136 0 0 Other Operating Income 900099 61393 61393 0 0 0 0 0 0 675414 111103111 100343029 0 0 X 144829 144829 0 0 0 0 0 0 3460580 2127430 1333150 0 0 0 0 0 43636428 34050788 9585640 0 2006570 1427497 579073 0 14698599 10402088 4296511 0 3037380 2300040 737340 0 0 0 0 0 67472 0 67472 0 151141 151141 0 6220 0 6220 0 0 0 0 0 0 0 12003051 11075120 927931 0 112393 52410 59983 0 14204487 13173790 1030697 0 2211309 685931 1525378 0 0 0 0 0 1902595 299677 1602918 0 149809 94555 55254 0 0 0 0 0 402378 246768 155610 0 510810 0 510810 0 0 0 0 0 3959367 3563430 395937 0 1200162 513743 686419 0 2276839 1124839 1152000 0 106142419 81282935 24859484 0 2686 2686 40673894 40998938 0 0 13855512 16295100 0 0 0 0 0 0 1808615 2062504 654007 760219 102562999 61534269 41740348 41028730 0 0 0 0 0 0 0 2445559 11591897 9654706 110326959 113248442 12804149 15745077 0 0 3571479 647712 10965206 9000373 0 0 0 0 0 0 0 0 27340834 25393162 X 82986125 87795935 0 59345 82986125 87855280 110326959 113248442 4960692 0 0 0 -91537 0 X 0 1 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6220 6220 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 67421851 34286715 33135136 0 290386 126197 164189 0 30084169 24367152 5717017 0 4371108 2754205 1616903 41028730 Pension Asset 4675709 Pension Related Deferred Outflow 4624231 Deferred Loss On Refinancing 354766 9654706 111103111 0 0 0 0 0 111103111 0 0 0 111103111 106142419 0 0 0 0 0 106142419 0 0 0 106142419 1 1 X 1 X 1 X 1 1 0 0 1 1072 130571 0 130571 0.001 1 3270 15503430 11954428 3549002 0.033 0 0 0 0 0 0 2 4342 15634001 11954428 3679573 0.034 21 28285 2611366 1000348 1611018 0.015 9 35 15641 2619 13022 0 13 49785 33175149 18839613 14335536 0.14 0 0 0 0 0 0 7 375 32726 0 32726 0.0003 50 78480 35834882 19842580 15992302 0.1553 52 82822 51468883 31797008 19671875 0.1893 0 0 0 0 0 0 0 0 0 0 0 0 2 263 750 0 750 0 0 0 0 0 0 0 0 0 0 0 0 0 4 50 353 0 0 0 2 350 5480 0 5480 0 0 0 0 0 0 0 0 0 0 0 0 0 8 663 6583 0 6230 0 0 3568228 122397 34897422 36026820 -1129398 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 20 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 X X X X 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 Yes, South Peninsula Hospital included Lorne Carrol, Public Health Nurse Team Lead, Homer Office of Alaska Public Health as an advisor in the development of the CHNA. Six meetings were held with public health during the process to determine the goals, designate critical indicators to include, ensure adequate community input, and advise on other items. The steering committee of the local community health coalition (MAPP of the Southern Kenai Peninsula) was kept apprised at monthly meetings of decisions and direction made by South Peninsula Hospital and Public Health, and the status of the assessment. Members include representatives of Seldovia Village Tribe (SVT, FQHC), Kachemak Bay Family Planning, Kachemak Bay UAA Campus, Haven House, City of Homer, South Peninsula Behavioral Health, Sprout Family Services and United Methodist Church. The steering committee was integral with input for informed decisions and helped with data collection. In addition to board, public health advisement in the development, special consideration was given to the broad interest of the community served by ensuring broad, diverse representation in the data collected and community surveyed. Note- Much of this inclusion work was done virtually as the bulk of the CHNA was compiled March-May of 2020 when all work was virtual. Schedule H, Part V, Section B, Line 11-South Peninsula Hospital To provide services for a rapidly growing senior population: SPH recruited and now offers weekly neurology clinics; added 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. To strengthen Primary and Preventative Care, SPH recruited 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. 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 created 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. SPH staffed and managed a free Covid-19 testing site 7 days a week during height of pandemic, and was open 33 months. SPH facilitated a 12+ free COVID 19 vaccination clinic for the community vaccinating thousands and provided education outreach to remote/rural areas of the Southern Peninsula. 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. 9 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 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 2021. 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, and various other departments. 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 2 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 84829 Support for community MAPP program, mobilizing action through planning and partnerships, a coalition for health improvement on the peninsula. This program also supports All Things Recovery. Hospice of Homer PO Box 4174 Homer AK 99603 920115943 501(c)(3) 40000 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 501(c)(3) 20000 Support for private community STD testing. 2 1 Schedule I, Part I, Line 2 Assistance was provided to healthcare non-profits which support the community health needs such as Hospice of Homer, Kachemak Bay Family Planning, and G Squared, support for community MAPP. Records are kept in the facility's accounting system. X X 0 1 X X X X 0 1 0 0 0 0 0 0 0 Brent Adcox Orthopaedic Surgeon 1523511 0 3615 0 0 0 5700 0 58149 0 1590975 0 0 0 Edson Knapp Director and Radiologist 954373 0 3545 0 0 0 5700 0 62114 0 1025732 0 0 0 Todd Boling Director and General Surgeon 720647 0 3482 0 0 0 0 0 59936 0 784065 0 0 0 Ryan Smith CEO 420936 0 106317 0 0 0 5700 0 46047 0 579000 0 0 0 Miranda Marsh CRNA 391900 0 14208 0 0 0 5700 0 57993 0 469801 0 0 0 Christy Martinez Physician 401309 0 3555 0 0 0 5700 0 58058 0 468622 0 0 0 Christopher Landess ER Physician 392669 0 2979 0 0 0 5700 0 62613 0 463961 0 0 0 Christina Tuomi Physician 389160 0 13343 0 0 0 5700 0 54411 0 462614 0 0 0 Paula Godfrey Physician 387582 0 2878 0 0 0 5700 0 22662 0 418822 0 0 0 Angela Hinnegan CFO 228662 0 3327 0 0 0 8662 0 32956 0 273607 0 0 0 Angela Johnson CNO 194821 0 3325 0 0 0 5700 0 43616 0 247462 0 0 0 Rachael Kincaid CNO 164198 0 3459 0 0 0 5700 0 40363 0 213720 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 membership fees through the wellness program not to exceed $400 per year for union employees and not to exceed $500 per year for managers & confidential employees. Schedule J, Part I, Line 1b Although the hospital does not have a written policy governing all the fringe benefits, it does closely follow IRS guidelines for the treatment of those benefits and includes all applicable fringe as taxable earnings and reports them on form W2. 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 Employees contributed to and participated 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 3095000 0 9884491 0 0 0 0 0 0 0 0 0 2009 0 1 1 1 B 1285000 0 3050412 0 0 0 0 0 0 0 0 0 2009 0 1 1 1 C 1185000 0 4795700 0 62086 0 23647 0 0 4779254 0 23254 2018 0 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 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 Jonas Ridge LLC Physician & Board Member 814193 Purchase of Clinic Building & Property 0 Woodworth Electric Board Member 88974 Electrical Services 0 Jonas Ridge LLC Board Member & Surgeon 64203 Rental of Medical Office Space 0 X 2 895000 Amount Provided by the Donor X Contract Nursing Labor 1 1294815 SPH Contract Labor Expense Rate & Contract Hours 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 IX, Line 11g Other expenses include $5,926,912 of contract wages which were used to pay for contract staff needed due to challenges in recruiting clinical staff to care for patients. This also included $6,138,639 in professional fees which includes contract physician fees, consulting fees, and collection fees. 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 10250000 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 4689619 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 4689619 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 Inc operates the hospital on behalf of the Kenai Peninsula Borough through a sublease and operating agreement for a cost of $1 per annum. Kenai Peninsula Borough r 3275405 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. Kenai Peninsula Borough s 5161198 South Peninsula Hospital transfers cash in excess of 90 days at the end of each quarter to the Kenai Peninsula Borough. The cash is held in a plant replacement and expansion fund. South Peninsula Hospital is able to request use of these funds should their operating cash drop below 90 days. In February 2022, South Peninsula Hospital was down to 70 days cash on hand and requested cash from the plant replacement expansion fund held at the Kenai Peninsula Borough. This dollar amount is the total transferred to South Peninsula Hospital during the tax year. An extension was needed to file the 990, due to late receival of reports from the State of Alaska relating to Coronavirus contributed services provided to the hospital as part of the public health emergency. They delay of receiving this information caused our financial audit to not complete timely and thus delayed the preparation of the hospital's 990.