2020-04-29T19:01:11-07:00 2019-06-30 990 2018-07-01 920037099 SOUTH PENINSULA HOSPITAL INC SOUT 9072358101 4300 Bartlett Street Homer AK 99603 Angela Hinnegan CFO, CPA 9072358101 2020-04-29 216.67.102.194 2018 2020-09-23 17:36:50Z Ryan Smith 4300 Bartlett Street Homer AK 99603 86694819 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. 10 7 535 25 0 0 4518929 4535325 73059515 81114175 105172 469323 2065971 575996 79749587 86694819 45550 59400 0 0 47361002 49409929 0 0 0 28334081 25769357 75740633 75238686 4008954 11456133 82986015 91033079 34458770 31049701 48527245 59983378 South Peninsula Hospital promotes community health and wellness by providing personalized, high-quality, locally coordinated healthcare. 0 0 36105749 0 59888989 Our 22 bed acute care hospital provided inpatient services to 813 patients for total patient days of 2875 during the 2018 tax year. Total outpatient visits for the year were 49301 which includes 6173 emergency rooms visits, 1376 ambulatory surgery visits, and other outpatient services such as imaging, laboratory, physical therapy, infusion, chemotherapy, and sleep lab. 14068368 0 11574876 The Hospital operates several provider based clinics which include family medicine, orthopaedics, general surgery, neurology, internal medicine, and urology. These various outpatient provider based clinics had 29218 patient visits during the 2018 tax year. 6737483 0 8546175 The Hospital operates a long-term care facility provides skilled nursing care to an average of 24 patients daily for a total of 8740 resident days during the 2018 tax year. 1618711 0 1104135 Our Home Health division caring for patients in the home performed 4290 home visits during the tax year to an average of 54 patients per month. 1618711 0 1104135 58530311 1 1 0 1 0 0 0 0 0 0 1 0 0 0 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 1 0 0 0 0 0 0 1 0 0 0 1 111 0 1 535 1 0 0 0 0 0 0 0 0 X 10 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 9072350324 4300 Bartlett Street Homer AK 99603 Bernadette Wilson Secretary 2 X 8025 0 0 Julie Woodworth Director 2 X 6525 0 0 Vickey Hodnik Director 2 X 5900 0 0 Matthew Hambrick Director 2 X 6600 0 17350 Thomas Clark Vice President 2 X 7900 0 0 David Groesbeck President 4 X 9525 0 0 Lane Chesley Treasurer 2 X 7900 0 0 Keri-Ann Baker Director 2 X 5000 0 0 Walter Partridge Director 2 X 7000 0 0 Todd Boling Director and General Surgeon 2 X 4500 0 0 Robert Letson Former CEO 50 X X 413679 0 5000 Holly Torres Former CFO 50 X X 172839 0 4044 Joseph Woodin Chief Executive Officer 50 X 319734 0 5000 Lee Yale Former CNO 50 X X 165232 0 0 Shaun Keef Former CFO 50 X X 54465 0 0 Noel Rea CEO 50 X 0 0 0 James Basch CFO 50 X 0 0 0 Brent Adcox Orthopaedic Surgeon 50 X 1151213 0 5000 Edson Knapp Radiologist 50 X 712083 0 5000 Gregory Hough General Surgeon 50 X 781917 0 5000 Brian Miller CRNA 50 X 350247 0 5000 Kathryn Ostrom OB/GYN Physician 50 X 346332 0 0 4536616 0 51394 57 1 1 1 Peak Imaging 4438 Towne Heights Ln Homer AK 99603 Radiology Services 727953 Raymond Fowler 23867 5th AVE W Dujoe Key FL 33042 Anesthesia Services 634167 Peak Neurology and Sleep 2741 DEBARR ROAD SUITE C Anchorage AK 99508 Neurology and Sleep Services 586454 Alaska Urology LLC PO BOX 200754 Anchorage AK 99520 Urology Physician Services 439753 Robert Lee Gear III 6817 NORTH 57th PLACE Paradise Valley AZ 85253 Emergency Room Physician 346600 17 0 0 0 0 4530430 4895 0 4535325 Hospital 622000 59888989 59888989 0 0 PHYSICIAN OFFICES 621110 11574876 11574876 0 0 LONG TERM CARE 623110 8546175 8546175 0 0 HOME HEALTH CARE 621610 1104135 1104135 0 0 0 0 0 0 81114175 441832 0 0 441832 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27491 0 0 0 27491 27491 27491 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 USAC INTERNET SUBIDIES 900099 191436 191436 0 0 CAFETERIA AND OTHER REVENUE 900099 304517 304517 0 0 OTHER OPERATING INCOME 900099 80043 80043 0 0 0 0 0 0 575996 86694819 81717662 0 441832 59400 59400 0 0 1300544 650272 650272 33696689 26620384 7076305 1560858 1233078 327780 10630287 7526422 3103865 2221551 1746404 475147 0 191764 191764 66704 66704 5060 5060 6617272 5269121 1348151 68098 34049 34049 7869585 6268689 1600896 2022278 1609045 413233 1572723 1251352 321371 354209 120276 233933 235887 187686 48201 689881 666287 23594 3285034 2956531 328503 1061324 955192 106132 Repairs and Maintenance (less IT) 1155407 919310 236097 Dues, Books, Subs (less IT) 216570 172316 44254 Recruitment 357561 284497 73064 75238686 58530311 16708375 0 2179 2275 19601347 29892362 0 0 16215774 14001568 0 0 0 0 0 0 1700305 1670856 598655 627662 91733336 51068674 42351400 40664662 0 0 0 0 0 0 0 0 2516355 4173694 82986015 91033079 16652193 15065835 0 0 943503 1034933 16773247 14939435 0 0 0 0 89827 9498 0 0 0 34458770 31049701 X 48501959 59958092 25286 25286 0 0 48527245 59983378 82986015 91033079 11456133 0 0 0 0 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5060 5060 0 Schedule C, Part II-B, Line 1 Schedule C, Part II-B, Line 1- The hospital pays annual dues to entities that perform lobbying activities. Those entities are the Alaska State Hospital and Nursing Home Association, The American Hospital Association, and the American Healthcare Association. The amount reported on schedule H Part IV is based on the estimated percentage of lobbying activities as reported by these entities for 2018. 0 188508 188508 0 62334004 27854952 34479052 0 140475 83752 56723 0 24979904 20909468 4070436 0 4090445 2220502 1869943 40664662 86694819 0 0 0 0 0 86694819 0 0 0 86694819 75238686 0 0 0 0 0 75238686 0 0 0 75238686 1 1 X 1 X 1 X 1 1 0 0 1 899 512429 0 512429 0.0069 11847 2707 20523997 18122464 2401534 0.0322 0 47 35084 5889 29195 0.0004 11848 3653 21071510 18128353 2943158 0.0395 160 3345 729397 122795 606602 0.0081 0 0 18 58696 22335138 16486710 5848428 0.0785 0 0 0 0 6 0 55600 0 55600 0.000 184 62041 23120135 16609505 6510630 0.0866 12032 65694 44191645 34737858 9453788 0.1261 0 0 0 0 0 0 0 794189 257317 16547456 24464361 -7916905 X 0 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 16 1 0 0 1 X www.sphosp.org/about-sph/health-needs-assessment/ X http://mappofskp.net/about-us/community-health-needs-assessment/ X 1 17 1 www.sphosp.org/about-sph/health-needs-assessment/ 0 0 1 X 100 300 X X X X X 1 1 X X X 1 X www.sphosp.org/wp-content/uploads/2018/05/HW-074-Patient-Financial-Assistance.pdf X www.sphosp.org/wp-content/uploads/2018/02/Copy-of-2018-FAP-Application.pdf X www.sphosp.org/wp-content/uploads/2018/08/Finnacial-Assistance-brochure.pdf 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 Schedule H, Part V, Section B, Line 5- South Peninsula Hospital- The assessment was conducted using the MAPP model for assessments (mobilizing to action through planning and partnerships), a model designed by the centers for disease control in conjunction with the National Association of City and County Health Officials. This type of assessment is designed to include the eight dimensions of wellness, and incorporate both leadership and input from broad interest of the community we serve. Our assessment was the collaborative effort of South Peninsula Hospital, AK Dept of Public Health, South Peninsula Behavioral Health, Sprout Family Services, Kachemak Bay UAA Campus, Haven House, Sustainable Homer, City of Homer, Seldovia Village Tribe, FQHC, Kachemak Family Planning, and Cook Inlet Council on Alcohol and Drug Abuse. The input for the assessment came from staff and clients of those organizations, key interviews in subject areas, focus groups, and the general population via surveys and specific outreach to the underserved. Schedule H, Part V, Section B, Line 11-South Peninsula Hospital 1. ACES (Adverse Childhood Experiences)-SPH is one of five local agencies working to implement Trauma Informed Care practices throughout it's facility, and support our goal of becoming Alaska's first Trauma-Informed community. The Hospital's Health and Wellness serves on the MAPP resilience coalition leadership team, while the Hospital helps to implement resilience coalition work group strategies. SPH provides administration for the local MAPP Health Coalition. Our clinic screen for ACES upon patient intake. 2. Childcare/daycare-SPH has an active task force working to address the severe shortage of affordable day care in the service area. The hospital is the lead agency in programs such as Safe Sitter and Safe Kids, and also sponsors the annual Health Kids Fair. SPH offers spiritual care for patients and staff, and attends annual kindergarten roundup to connect parents and guardians with necessary care for newly enrolled students. SPH offers quarterly baby sitting classes to youth in grades 6-8. Free sports physicals are offered to high school students during the sports physical clinic. 3. Access to Care: SPH works with local agencies to support a wheel chair accessible tax. SPH also has a representative on the Kenai Peninsula Borough Transportation planning committee to advocate for affordable local transportation. The hospital offers taxi vouchers to patients who do not have transportation, and coordinates with Medicaid for patient travel. The hospital adheres to Patient Centered Medical Home Level II standards which supports evening and weekend appointments as well as 24/7 online access. The electronic health patient portal offers immediate messaging to providers, health information, data tracking, bill pay, and more. The Homer Medical Center was expanded by more than 5,200 square feet during the tax year 2017 which allowed for 7 additional exam rooms as well as onsite ancillary services such as lab and xray. An additional family medicine provider was added, and the hospital has contracted with a midlevel to assist in our orthopedic clinic. The hospital offers certified enrollment and financial counselors 5 days a week to help patients qualify for programs, enroll in insurance marketplace, or other qualified assistance programs. Financial assistance information is readily available both at our registration desk and also on our public website. We offer a self pay discount for patients without insurance. We also offer promotional screenings and labs at annual community health fairs. 4. Substance Abuse and misuse, mental health, domestic violence- SPH cosponsors community forums on addiction and supports the development of a community wide task force for the opioid crisis. SPH employees serve on that task force and several other on subcommittees. The hospital continued to provide SART/SANE nursing services through the emergency department. SPH continues to monitor the need for an inpatient addiction/detox facility due to a clear lack in the community due to lack of reimbursements, facilities, and certified staffing. Further a lack of sober living options exist in the community forcing detoxed patients back into sometimes unstable living conditions. The hospital continues to work with the opioid task force and local officials to research this dilemma. The hospital provides training for medical and nursing staff related to the science of addiction to resources in the community. The hospital hosts a community needle exchange program bi-weekly in the training center. The hospital is the lead agency for at-risk maternal and newborn working groups which address addiction related to concerns in this population. SPH also offers a CDC approved pain management program at Homer Medical Center seeking to empower patients to manage their pain with alternate therapies. The hospital sponsors community training to the first responders to overdoses and distributes drug disposal bags with narcotics prescriptions in both the clinic and ER setting. 5. Aging population/physical health- The hospital offers specialty clinics which encompass cardiology, urology, oncology, pulmonology, dementia, geriatric psychiatry, and depression, gastrointestinal, wound care, ophthalmology, podiatry, and medication management, and other age related health concerns. The majority of our community health and wellness offering focus on chronic disease prevention and management, including a 6 session disease management program. Our diabetes education program is now certified with the American Diabetes Association and appointments are offered onsite at the specialty clinic and evenings at Homer Medical Center, as well as regular office visits or accompanying inpatient stays. The hospital also offers cancer care with a full time infusion clinic and visits from area oncologists. The hospital sponsors a Senior Day at the peninsula fair to encourage multi-generational socializing, and also provides home health services to enable seniors to receive care in their own surroundings. 6. Chronic Illness0 This community need is being managed in multiple ways beginning with healthy lifestyle training to cover nutrition and exercise as obesity and poor nutrition is one of the root causes of chronic illness. The hospital employs a full time functional medicine physician who teaches patients how to target the root cause of many chronic illnesses through nutrition, supplements, healthy eating, exercise, and reduction of stress. The hospital offered a neurology clinic to provide care for alzheimers and dementia patients. 7. Healthcare professional recruitment and retention. The hospital consistently works with recruiters and advertising resources to attract talented providers. The hospital also supports a nurse residency program to promote the education and advancement of local nursing students. 8. Poor local economy/jobs- The hospital is one of the largest employers in the service area and works hard to pay competitive wages/benefits to area residents. The hospital provides scholarships and support students and residents who whish to receive healthcare related education and training. CNA course scholarships are offered and the hospital supports the UAA Kachemak Bay campus by providing clinical rotation opportunities. 9. Partnerships and Collaborations-part of the hospital's strategic plan is to continue building collaborative relationships with local healthcare providers and agencies in order to improve community health. The MAPP program is the largest example of this multi-agency collaborative effort. The hospital continues to take the lead on training and education for local agencies including Basic Life Saver courses, CPR, body mechanics, lifting and patient transfer techniques, and the importance of ergonomics. The hospital collaborates with local schools, colleges, mental health agencies, and law enforcement. 10. Environmental concerns. The hospital proactively changed all of its lighting to LED bulbs decreasing its consumption of electrical resources in the facility and parking lots. Additionally, lighting in areas not staff 24 hours were placed on motion sensors to decrease the amount of energy consumption. Schedule H, Part V, Section B, Line 13h-South Peninsula Hospital In addition to other FAP eligible patients, deceased patients without an estate are also eligible for financial assistance. Schedule H, Part V, Section B, Line 16j-South Peninsula Hospital The financial assistance policy is displayed throughout our facility, at registration desks, on bulletin boards, in waiting rooms, at the annual health fair, on our public website, and in our financial counseling offices. 7 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 Clinic 4201 Bartlett St Homer AK 99603 Orthopaedics, General Surgery, Neurology, Urology, and other Specialty physicians SPH West Wing Clinic 4117 Bartlett St Homer AK 99603 OBGYN and Women's health services SPH Behavioral Health 4251 Bartlett St Homer AK 99603 Behavioral health services SPH Functional Medicine Clinic 203 W Pioneer Ave Suite 2 Homer AK 99603 Functional Medicine clinic Schedule H, Part I, Line 7 Costs associated with financial assistance were based on the Medicare Cost Reports cost to charge ratio for tax year 2018. Costs associated with other benefits e-j are based on actual reported cost per activity or department for the tax year 2018. Schedule H, Part I, Line 7g The hospital included in subsidized health services costs associated with the physician clinics for family medicine, diabetes and internal medicine, functional medicine, Orthopedics, and other specialty physicians. Schedule H, Part I, Line 7i Cash contributions were made to the Kachemak Bay Family Planning clinic, Hospice of Homer, Behavioral Health Community Support, Homer West Elementary School, Kachemak Bay Running Club, and The Foraker Group (strategic planning for the opioid task force). 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 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 write-offs from patients despite the deficit in the cost to provide services to this population. Schedule H, Part VI, Line 2 Hospital uses a collaborative effort with state and local agencies and also community members and focus groups to identify the community health needs. This effort is spearheaded by an entity called MAPP. Schedule H, Part VI, Line 3 The hospital employs 2 financial counselors 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 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 South Peninsula Hospital 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, Ninilchik, Port Graham, and Seldovia for an estimated population of 13,969 as of the 2014 census. Schedule H, Part VI, Line 5 South Peninsula Hospital is the leader in the community for healthcare provision and education. The hospital uses its staff and resources to deploy flu shots, provide annual lab and health screenings to over 1,000 residents, provides training and health advocacy, sponsors local health care initiatives and businesses, and invests resources back into the community. The board of directors is comprised of community members who work to span the differences between health care services and community health need. The hospital uses all surplus monies to reinvest back into the hospital plant, operations, and community through programs, services, and facilities. 1 Kachemak Bay Family Planning PO Box 1017 Homer AK 99603 920106486 15400 0 Support community for STD testing Hospice of Homer PO Box 4174 Homer AK 99603 920115943 22000 0 Support of Hospice program for community resource for DME and end of life care Behavioral Health Community Support 3948 Ben Walters Lane Homer AK 99603 920072562 10000 0 Behavioral health community support The Foraker Group 161 Klevin St Suite 101 Anchorage AK 99508 920177787 7500 0 Strategic planning for the opiodi task force 4 0 Schedule I, Part I, Line 2 Other assistance was provided to local healthcare non-profits which support the community health needs such as Hospice of Homer, West Homer Elementary, Kachemack Bay Running Club, Kachemak Bay Family Planning, and MAPP. X X X 0 1 X X X 1 1 0 0 0 0 0 0 0 Robert Letson Former CEO 9140 0 0 0 404538 0 5000 0 3697 0 422375 0 0 0 Holly Torres Former CFO 104321 0 -4240 0 72758 0 4044 0 17644 0 194527 0 0 0 Shaun Keef Former CFO 50998 0 0 0 3467 0 0 0 0 0 54465 0 0 0 Joseph Woodin Chief Executive Officer 319734 0 0 0 0 0 5000 0 21614 0 346348 0 0 0 Brian Miller CRNA 335382 0 14965 0 0 0 5000 0 48060 0 403407 0 0 0 Brent Adcox Orthopaedic Surgeon 899463 0 251750 0 0 0 5000 0 48060 0 1204273 0 0 0 Edson Knapp Radiologist 712083 0 0 0 0 0 5000 0 48060 0 765143 0 0 0 Gregory Hough General Surgeon 605017 0 149212 0 27688 0 5000 0 48060 0 834977 0 0 0 Kathryn Ostrom OB/GYN Physician 319427 0 24042 0 2864 0 0 0 48060 0 394393 0 0 0 Lee Yale Former CNO 158857 0 6375 0 0 0 0 0 37181 0 202413 0 0 0 Bernadette Wilson Secretary 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Julie Woodworth Director 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Vickey Hodnik Director 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Matthew Hambrick Director 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Thomas Clark Vice President 0 0 0 0 0 0 0 0 0 0 0 0 0 0 David Groesbeck President 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Lane Chesley Treasurer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Keri-Ann Baker Director 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Todd Boling Director and General Surgeon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Walter Partridge Director 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schedule J, Part I, Line 1a Schedule J, Part I, Line 1a- The Hospital provided corporate housing to its CEO and other professional employees as a recruiting incentive due to the rural nature of the facility and the related housing shortage. That housing subsidy was grossed-up when it was included as taxable earnings. The Hospital also provides as 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 a year. 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 as taxable earnings and reports them on Form W-2. Schedule J, Part I, Line 4 Severance payments made to form officers and several employees participated in the nonqualified 457 compensation plan. A Kenai Peninsula Borough 2011 Refunding Bonds 920030894 2011-09-15 3285000 Refunding bonds 0 0 0 B Kenai Peninsula Borough 2015 Refunding Bonds 920030894 2015-06-04 8655000 Refunding Bonds 0 0 0 C Kenai Peninsula Borough 2016 Refunding Bonds 920030894 2016-11-03 2660000 Refunding Bonds 0 0 0 D Kenai Peninsula Borough Revenue Bonds 920030894 2017-04-27 4500000 Hospital Expansion and Maintenance 0 0 0 A 2685000 0 3802589 0 0 0 0 0 0 0 0 0 2009 0 1 1 1 B 805000 0 9884491 0 0 0 0 0 0 0 0 0 2009 0 1 1 1 C 20000 0 3050412 0 0 0 0 0 0 0 0 0 2009 0 1 1 1 D 440000 0 4795700 0 62086 0 23647 0 0 4715946 0 119994 2018 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 1 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 1 0 0 0 0 Woodworth Electric Board Member 83077 Electrician Services 0 Bay Safety Board Member 3920 Fire Safety Equipment Inspection 0 Matt Hambrick Board Member 19200 Apartment Rent for Travellers 0 Katie Ostrom Employee 19000 Rental of equipment from medical staff 0 Jonas Ridge Owned by Board Member 77271 Rental of Med Office Space at FMV 0 Peninsula Surgical Clinic Inc Locums Surgeon 285377 Locums Surgeon 0 Form 990, Part VI, Section A, Line 7b The 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 and the Mayor. For example, the purchase of property, plant, and equipment in excess of $250,000 dollars requires Borough assembly approval. Signing of any leases in excess of one year or $100,000 dollars also requires Borough approval. The issuance of tax exempt bonds backed by the revenues of the hospital require voter approval. Form 990, Part VI, Section B, Line 11b Form 990 is prepared by Hospital Finance, reviewed first by the CFO 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 remuneration studies performed periodically to ensure that wages are reasonable and customary for key positions. 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 it's governing documents, 990, form 1023, and financial statements available upon request. It also provides a financial overview to the public during it's monthly board meetings, as well as a quarterly financial overview at quarterly Borough assembly meetings. 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 1 0 1 0 1 Kenai Peninsula Borough c 4530430 Cash Kenai Peninsula Borough e 15150000 Bond Value Kenai Peninsula Borough q 4530430 Cash Kenai Peninsula Borough s 4530430 CASH Kenai Peninsula Borough k 1 Cash Schedule R, Part V, Line 1c 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 2018 for these purposes. Schedule R, Part V, Line 1e 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 retirement of that date. This amount represents the total outstanding principal on bonds as of the end of the tax year. Schedule R, Part V, Line 1k 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. Schedule R, Part V, Line 1q 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. This amount represents the total of those payments during the tax year. Schedule R, Part V, Line 1s The Kenai Peninsula Borough transfers to South Peninsula Hospital or its debtors, cash from property tax revenues for use in operations, capital reimbursement, and debt service. Due to transition in key financial positions within the Hospital, filing was delayed to ensure accuracy of 990. There were several changes with the CEO and CFO positions during the filing year.