SOUTH PENINSULA HOSPITAL INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SOUTH PENINSULA HOSPITAL INC (EIN 92-0037099)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-08
- IRS object ID
- 201821289349301492
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-08T15:11:25-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3601 C STREET STE 600 | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920037099 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH PENINSULA HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ANGELA HINNEGAN | InCareOfNm |
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 9072358101 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 BARTLETT ST | AddressLine1Txt |
| City | HOMER | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99603 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HOLLY TORRES | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9072358101 | PhoneNum |
| Signature | 2018-05-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Key E Getty CPA | PreparerPersonNm |
| PTIN | P00121200 | PTIN |
| Phone | 9072788878 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | HOLLY TORRES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 BARTLETT ST | AddressLine1Txt |
| City | HOMER | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99603 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $74,231,758 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.sphosp.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | AK | LegalDomicileStateCd |
| Activity Or Mission | SOUTH PENINSULA HOSPITAL PROMOTES COMMUNITY HEALTH AND WELLNESS BY PROVIDING PERSONALIZED, HIGH-QUALITY, LOCALLY COORDINATED HEALTHCARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 512 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,418,819 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,059,943 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $62,029,622 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $70,126,895 | CYProgramServiceRevenueAmt |
| PY Investment Income | $77,953 | PYInvestmentIncomeAmt |
| CY Investment Income | $44,920 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $66,526,394 | PYTotalRevenueAmt |
| CY Total Revenue | $74,231,758 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $39,610,657 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $45,021,953 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $26,012,760 | PYOtherExpensesAmt |
| CY Other Expenses | $26,824,385 | CYOtherExpensesAmt |
| PY Total Expenses | $65,623,417 | PYTotalExpensesAmt |
| CY Total Expenses | $71,846,338 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $902,977 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,385,420 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $69,581,307 | TotalAssetsBOYAmt |
| Total Assets EOY | $79,565,579 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,448,436 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,047,288 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $42,132,871 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $44,518,291 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SOUTH PENINSULA HOSPITAL PROMOTES COMMUNITY HEALTH AND WELLNESS BY PROVIDING PERSONALIZED, HIGH-QUALITY, LOCALLY COORDINATED HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $38,430,898 | ExpenseAmt |
| Revenue | $51,406,600 | RevenueAmt |
| Desc | Our 22 bed hospital provided inpatient services to 804 patients for total patient days of 3,539 for the 2016 tax year. Total outpatient visits for the year were 49,544, and include 5,216 emergency department visits, 1,286 ambulatory surgery visits, and other outpatient services including radiology, laboratory, physical therapy, occupational therapy, infusion and chemotherapy, and sleep lab. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,206,752 | ExpenseAmt |
| Revenue | $9,656,766 | RevenueAmt |
| Desc | The hospital has provider-based clinics including primary care, orthopedic, and general surgery. The clinics had 20,537 patient visits during the 2016 tax year. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,392,334 | ExpenseAmt |
| Revenue | $8,086,676 | RevenueAmt |
| Desc | Our Long Term Care facility served an average 26 patients daily and total resident days of 9,551. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,245,207 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $976,853 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $56,275,191 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 131 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 512 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANGELA HINNEGAN | PersonNm |
| Phone | 9072358101 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 BARTLETT ST | AddressLine1Txt |
| City | HOMER | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99603 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Bernadette Wilson | ||||||||
| Secretary | 4.0 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| Matt North | ||||||||
| Financial Advisor | 4.0 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| Julie Woodworth | ||||||||
| Director | 2.0 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| Vickey Hodnik | ||||||||
| Director | 2.0 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| Matthew Hambrick | ||||||||
| Director | 2.0 | 0.0 | Yes (X) | $1,800 | $0 | $0 | ||
| Thomas Clark | ||||||||
| Vice President | 5.0 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| David Groesbeck | ||||||||
| President | 10.0 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| Lane Chesley | ||||||||
| Treasurer | 5.0 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| Susan Drathman | ||||||||
| Member | 2.0 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| Robert Letson | ||||||||
| CEO | 50.0 | 0.0 | $248,798 | $0 | $79,348 | Yes (X) | ||
| Lori Skaggs | ||||||||
| CFO (Former) | 50.0 | 0.0 | $75,321 | $0 | $26,390 | Yes (X) | ||
| Brent Adcox | ||||||||
| Orthopaedic Surgeon | 40.0 | 0.0 | $1,454,840 | $0 | $125,126 | Yes (X) | ||
| Gregory Hough | ||||||||
| Orthopaedic Surgeon | 40.0 | 0.0 | $790,890 | $0 | $91,412 | Yes (X) | ||
| Edson Knapp | ||||||||
| Physician | 40.0 | 0.0 | $536,123 | $0 | $108,859 | Yes (X) | ||
| Brian Miller | ||||||||
| CRNA | 40.0 | 0.0 | $349,358 | $0 | $97,368 | Yes (X) | ||
| Kathryn Ostrom | ||||||||
| Physician | 40.0 | 0.0 | $285,261 | $0 | $37,852 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,751,991 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $566,355 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 49 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PEAK IMAGING | |||||
| 4438 TOWNE HEIGHTS LN | HOMER | AK | 99603 | RADIOLOGY SERVICES | $971,175 |
| RAYMOND D FOWLER MD | |||||
| 40914 CRESTED CRANE ST | HOMER | AK | 99603 | ANESTHESIOLOGY SRVCS | $730,650 |
| CLAYBURN AUDIO SPEAKER SYS | |||||
| 181 MOUNTAIN VIEW 3 | HOMER | AK | 99603 | IT WIRING | $256,969 |
| Martha Cotten | |||||
| PO Box 6405 | HALIBUT COVE | AK | 99603 | Physician | $223,972 |
| Alaska Urology LLC | |||||
| PO Box 200754 | ANCHORAGE | AK | 99520 | Urology Services | $220,895 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,047,193 | GovernmentGrantsAmt |
| All Other Contributions | $12,750 | AllOtherContributionsAmt |
| Total Contributions | $4,059,943 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| HOSPITAL | $51,406,600 | $51,406,600 |
| PHYSICIAN OFFICES | $9,656,766 | $9,656,766 |
| LONG TERM CARE | $8,086,676 | $8,086,676 |
| HOME HEALTH CARE | $976,853 | $976,853 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $70,126,895 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,524 | TotalRevenueColumnAmt |
| Exclusion | $33,524 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $11,396 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $11,396 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,396 | TotalRevenueColumnAmt |
| Exclusion | $11,396 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,231,758 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,126,895 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $44,920 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,496 | TotalAmt |
| Program Services | $218,248 | ProgramServicesAmt |
| Management And General | $218,248 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,605,271 | TotalAmt |
| Program Services | $24,110,356 | ProgramServicesAmt |
| Management And General | $6,494,915 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,044,451 | TotalAmt |
| Program Services | $1,615,116 | ProgramServicesAmt |
| Management And General | $429,335 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,850,873 | TotalAmt |
| Program Services | $6,968,033 | ProgramServicesAmt |
| Management And General | $2,882,840 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,084,862 | TotalAmt |
| Program Services | $1,600,706 | ProgramServicesAmt |
| Management And General | $484,156 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,897 | TotalAmt |
| Management And General | $149,897 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,073 | TotalAmt |
| Management And General | $80,073 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,045,542 | TotalAmt |
| Program Services | $6,447,308 | ProgramServicesAmt |
| Management And General | $1,598,234 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,300 | TotalAmt |
| Program Services | $63,150 | ProgramServicesAmt |
| Management And General | $63,150 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,852,859 | TotalAmt |
| Program Services | $6,422,549 | ProgramServicesAmt |
| Management And General | $430,310 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,027,533 | TotalAmt |
| Program Services | $817,566 | ProgramServicesAmt |
| Management And General | $209,967 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,653,396 | TotalAmt |
| Program Services | $1,315,698 | ProgramServicesAmt |
| Management And General | $337,698 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,201 | TotalAmt |
| Program Services | $120,276 | ProgramServicesAmt |
| Management And General | $54,925 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,376 | TotalAmt |
| Program Services | $155,473 | ProgramServicesAmt |
| Management And General | $47,903 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,144 | TotalAmt |
| Program Services | $491,731 | ProgramServicesAmt |
| Management And General | $17,413 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,890,287 | TotalAmt |
| Program Services | $2,601,258 | ProgramServicesAmt |
| Management And General | $289,029 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,044,346 | TotalAmt |
| Program Services | $991,578 | ProgramServicesAmt |
| Management And General | $52,768 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | $1,315,240 | $891,150 | $424,090 |
| DUES, BOOKS, AND SUBSCRIPTIONS | $353,614 | $118,244 | $235,370 |
| RECRUITMENT | $832,910 | $457,265 | $375,645 |
| MISCELLANEOUS | $1,564,667 | $869,486 | $695,181 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,846,338 | TotalAmt |
| Program Services | $56,275,191 | ProgramServicesAmt |
| Management And General | $15,571,147 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,179 | BOYAmt |
| EOY | $2,179 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,344,674 | BOYAmt |
| EOY | $18,352,772 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,969,470 | BOYAmt |
| EOY | $14,449,174 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,885,610 | BOYAmt |
| EOY | $1,825,791 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $516,227 | BOYAmt |
| EOY | $604,764 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $86,459,326 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $44,736,864 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,418,430 | BOYAmt |
| EOY | $41,722,462 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,444,717 | BOYAmt |
| EOY | $2,608,437 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,581,307 | BOYAmt |
| EOY | $79,565,579 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,115,390 | BOYAmt |
| EOY | $13,190,063 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,671 | BOYAmt |
| EOY | $1,209,867 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,347,161 | BOYAmt |
| EOY | $18,537,061 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,221 | BOYAmt |
| EOY | $156,080 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,203,993 | BOYAmt |
| EOY | $1,954,217 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,448,436 | BOYAmt |
| EOY | $35,047,288 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,107,585 | BOYAmt |
| EOY | $44,493,005 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,286 | BOYAmt |
| EOY | $25,286 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,132,871 | BOYAmt |
| EOY | $44,518,291 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,581,307 | BOYAmt |
| EOY | $79,565,579 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,385,420 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $188,508 | OtherCostOrOtherBasisAmt |
| Book Value | $188,508 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,384,720 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,251,844 | DepreciationAmt |
| Book Value | $32,132,876 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $140,475 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,688 | DepreciationAmt |
| Book Value | $81,787 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,648,433 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,570,878 | DepreciationAmt |
| Book Value | $4,077,555 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,097,190 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,855,454 | DepreciationAmt |
| Book Value | $5,241,736 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $41,722,462 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PENSION LIABILITY | Desc |
| Amt | $1,954,217 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,954,217 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $74,231,758 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $74,231,758 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $74,231,758 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $71,846,338 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $71,846,338 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $71,846,338 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,228,260 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,228,260 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01710 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,228,260 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,228,260 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01710 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $156,320 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,697 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $146,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $274,252 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $270,252 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,338,294 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,452,030 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,886,264 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02630 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,768,866 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,465,727 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,303,139 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,997,126 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,465,727 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,531,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04920 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $284,747 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $284,747 | DirectOffsettingRevenueAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $284,747 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $284,747 | DirectOffsettingRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,085,945 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $651,567 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,473,600 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,284,178 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,810,578 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicyInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Peninsula Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 Bartlett St | AddressLine1Txt |
| City | Homer | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99603 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.sphosp.org | WebsiteAddressTxt |
| State License | GACH-010 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Peninsula Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.sphosp.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.mappofskp.net | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5: | The assessment was conducted utilizing the MAPP model for assessments (Mobilizing to Action through Planning and Partnerships), a model designed by the Centers for Disease Control in conjunction with 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 interests of the community we serve. Specifically, our assessment was spearheaded by South Peninsula Hospital, Alaska Department of Public Health Homer Office, South Peninsula Behavioral Health, Sprout Family Services, Kachemak Bay College, Haven House, Sustainable Homer, City of Homer, Seldovia Village Tribe FQHC, Family Planning and Cook Inlet Council on Alcohol and Drug Abuse. The input for the assessment came from staff and clientele of these organizations, key informant interviews in subject areas, focus groups through LPHA assessment, general population through surveys and specific outreach to the underserved. |
| Schedule H, Part V, Section B, Line 10a: | The location of the implementation strategy is: https://www.sphosp.org/wp-content/uploads/2017/08/2017-SPH-Implementation- Strategy-APPROVED.pdf |
| Schedule H, Part V, Section B, Line 11: | ACES (Adverse Childhood Experiences): - SPH is one of the five local agencies working to adopt Trauma Informed Care practices, and support the goal to become Alaskas first trauma-informed community. - SPH Health and Wellness RN serves on the MAPP Resilience Coalition leadership team. - SPH helps implement Resilience Coalition work group strategies. - SPH provides administration for the local MAPP health coalition. - Clinic intake incorporates ACE (Adverse Childhood Experiences) screening. - Trauma-informed care practices are being adopted, including the addition of Trauma Informed Care to the annual clinical skills fair and manager trainings. - SPH has an active task force working to address affordable day care - SPH is a lead agency in the community Safe & Healthy Kids Fair. - SPH offers spiritual care for patients and staff. - Attends Kindergarten Roundup to connect parents and guardians with the necessary care for the newly enrolled students. - SPH offers quarterly Safe Sitter babysitting classes to youth in grades six through eight. - Worked with high school to provide a special free sports physical clinic to make it easy for high school students to enroll in activities. - Underwrote "Week of Mindfulness" with Jerry Braza, leader in teaching mindfulness practices. Offered three trainings, one for healthcare professionals, one for community/parents and one for train the trainer. Access to Care: - Work with local agencies to support a wheel chair accessible taxi van available in the community, and have a representative on the Kenai Peninsula Borough Transportation Planning Committee to advocate for affordable local transportation. - Offer taxi vouchers for patients who do not have transportation, or coordinate with Medicaid for patient travel. - Maintain all elements of Patient Centered Medical Home Level II, which supports evening and weekend appointments and 24/7 online access. - We promote our clinic electronic health patient portal which offers immediate messaging to providers, health information, data tracking and more. - We expanded the Homer Medical Center primary care facility by more than 5,200 square feet, and have added seven additional exam rooms and onsite ancillary services to allow for additional providers and improved access to primary care. - We have added two new full time providers to our Primary Care clinic, and have a contract for a third to begin this summer. - We offer certified enrollment and financial counselors seven days a week to help patients qualify for programs or enroll in the insurance marketplace or other qualified insurance programs. - Our financial assistance information and application is readily available to patients at time of registration, and is posted on the hospital website. - We offer a self-pay discount price for high-dollar advanced imaging procedures. - We offer promotions on vital screenings or services including colonoscopy, PSA, cholesterol, vitamin D, thyroid, prostate, A1C, swallowing screening and heart health labs. - We offer Saturday appointments (when fully staffed) in our Physical Therapy department. - We offer same-day appointments in primary care, and a twice-weekly evening walk-in clinic. - We are exploring opportunities for home-visiting. - Our follow-up care phone call ratio is greatly improving, which is critical in connecting patients to the care they need post-hospital stay. - Wrote off $2,220 in uncompensated diabetes education not covered by Medicaid. - Provided 57 free sports physicals to uninsured or underinsured high school students. - Attends Kindergarten Roundup to connect parents and guardians with the necessary care for the newly enrolled students. - Participated in the annual health fair, with numerous reduced rate and free screenings, including free flu shots, reduced rate blood tests, fitness tests, swallowing screenings and more. Substance Abuse & Misuse, Mental Health and Domestic Violence: - SPH co-sponsored two community forums on addiction - Supported the development of a community-wide task force for Opioid crisis. Three hospital employees serve on the task force, and several more on sub-committees. - Continue to provide SART/SANE nursing services through the Emergency Department. - There is growing community opinion that inpatient treatment is needed locally, but gathering the EXACT data to prove this is challenging. A defined formula or needs assessment specific to "inpatient treatment" that would address both need and feasibility would be very helpful for rural communities. SPH, South Peninsula Behavioral Health and Public Health meet regularly to share data in the exploration of an inpatient treatment center. - There is a lack of sober living options in the community, mostly due to inadequate funding or reimbursement for this type of service. We continue to work with the opioid task force local officials to help change this, otherwise treatment is not effective when forced back into the same living environment. - Provided training for medical and nursing staff on the science of addiction to better reduce the stigma associated with addiction. - Ensure ER staff are trained with up to date information on available local resources. - Host the community needle-exchange program bi-weekly in the hospitals training center. - Serve as the lead agency for the At Risk Maternal and Newborn working group which is working to address addiction-related concerns in this population and improve related processes. - Offer a CDC approved pain-management program at Homer Medical Center with the goal of empowering patients to successfully manage their pain with alternate therapies to narcotics. - Sponsored numerous community trainings for responding to overdoses. - Distribute drug-disposal bags with narcotics prescriptions in clinic and ER setting. - Work with MAPP of the southern Kenai Peninsula to help fill identified gaps in the local pathway to recovery. Aging Population/Physical Health: - Offer specialty care in cardiology, urology, oncology, pulmonary, dementia, cholesterol, geriatric psychiatry and depression, circulatory, gastrointestinal, wound care, ophthalmology, podiatry, medication management, and other age-related health concerns. - Majority of community health and wellness offerings focus on chronic disease prevention and management; We offer a quarterly 6-session disease management class. - Sponsored a community-wide steps challenge to encourage physical activity. - We offer promotions on vital screenings or services including colonoscopy, PSA, cholesterol, vitamin D, thyroid, prostate, A1C, swallowing screening and heart health labs. - Our Diabetes ed program is now certified with the American Diabetes Association; Appointments are now offered onsite at specialty clinic and evenings at Homer Medical Center, in addition to regular outpatient visits and inpatient care. - Added neurology to our specialty clinic services. - Offered 1,000 reduced rate lab screenings for the Rotary Health Fair. - Offer cancer care with a part time oncologist and fully functional infusion clinic. - Addressing chronic illness was identified specifically as an FY 18 Strategic Action Item in support of the five year strategic plan. - Renovated the surgery department to modernize the operating rooms to better accommodate growing demand from an aging population and the procedures they require. - Expanded the primary care clinic to be able to grow provider capacity to better meet the demand of an aging population. - Prioritized Swing Bed resources to best meet the demand for this level of care. - Sponsored senior day at the county fair to encourage multi-generational socializing; subsidized nearly 300 seniors admission. - Had a booth at the county fair to promote Strong Women strength building practices for senior injury prevention and improved health. - Participated in the annual health fair, with numerous reduced rate and free screenings, including free flu shots, reduced rate blood tests, fitness tests, swallowing screenings and more. - Provided stroke awareness education at local Rotary club and on local radio. - Sponsored two visiting "Chefs at the market" at our local farmers market to promote nutrition and the importance of eating local. - Specialized care for Alzheimers and dementia, both outpatient and residential, is an unmet need; The sustainability of this specialized care in a small community isnt feasible. Subsidized facility development (or adaptation) and subsidized care would be necessary. Healthcare Professionals Recruitment and Retention: - Work with local providers to share recruiting strategies and costs, including advertising and job fair booth costs. - Support a nurse residence program. - A lack of licensed RNs and MDs continues to be a problem. Expedited licensing when recruiting from another state (or reciprocity) is necessary. Poor local economy / Lack of jobs: - Information on self-pay and prompt pay discounts, and financial assistance is readily ava |
| Schedule H, Part V, Section B, Line 13h: | Deceased FAP, if no estate. |
| Schedule H, Part V, Section B, Line 16a: | The FAP is located at: https://www.sphosp.org/for-patients/financial-assistance/ |
| Schedule H, Part V, Section B, Line 16b: | The FAP application form was widely available at: https://www.sphosp.org/wp-content/uploads/2018/02/Copy-of-2018-FAP-Applica tion.pdf |
| Schedule H, Part V, Section B, Line 16c: | A plain language summary of the FAP was widely avalable at: https://www.sphosp.org/for-patients/financial-assistance/ |
| Schedule H, Part V, Section B, Line 16j: | The FAP summary is displayed throughout our community: at registration desks, on bulletin boards, in waiting rooms, at the annual health fair with knowledgeable staff on hand to discuss, and more. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| South Peninsula Hospital Long Term Care | ||||
| 4300 Bartlett St | Homer | AK | 99603 | Long Term Care skilled nursing facility. |
| South Peninsula Hosp Comm Hlth Services | ||||
| 203 W Pioneer | Homer | AK | 99603 | Home health care services. |
| Homer Medical Center | ||||
| 4136 Bartlett St | Homer | AK | 99603 | Medical Clinic |
| Kachemak Bay Medical Clinic | ||||
| 4201 Bartlett St | Homer | AK | 99603 | Specialty Clinics |
| West Wing Homer Medical Clinic | ||||
| 4117 Bartlett St | Homer | AK | 99603 | Women's Health Care |
| South Peninsula Hospital Sleep Center | ||||
| 4251 Bartlett St | Homer | AK | 99603 | Sleep Lab Behavioral Health |
| South Peninsula Functional Medicine | ||||
| 203 W Pioneer Ave Suite 3 | Homer | AK | 99603 | Functional Medicine |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c: | When sufficient income data is not available to determine FPG eligibility, or when a patient is underinsured and experiences a catastrophic loss, review and approval for charity may still be approved by the CFO. |
| Schedule H, Part III, Section A, Line 4: | See Footnote 3 on page 11 of the attached audited financial statements. |
| Schedule H, Part III, Section A, Line 8: | We believe that the shortfall in line 7 should be considered Community Benefit due to the provision of care to Medicare patients regardless of their ability to pay. We are not allowed to collect the contractual write-offs from patients regardless of the deficit in the cost to provide care to this underserved population. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert Letson | |||||||||||||
| CEO | $248,798 | $0 | $0 | $0 | $0 | $0 | $20,329 | $0 | $59,019 | $0 | $328,146 | $0 | $0 |
| Brent Adcox | |||||||||||||
| Orthopaedic Surgeon | $1,454,840 | $0 | $0 | $0 | $0 | $0 | $23,000 | $0 | $102,126 | $0 | $1,579,966 | $0 | $0 |
| Gregory Hough | |||||||||||||
| Orthopaedic Surgeon | $790,890 | $0 | $0 | $0 | $0 | $0 | $22,500 | $0 | $68,912 | $0 | $882,302 | $0 | $0 |
| Edson Knapp | |||||||||||||
| Physician | $536,123 | $0 | $0 | $0 | $0 | $0 | $27,000 | $0 | $81,859 | $0 | $644,982 | $0 | $0 |
| Brian Miller | |||||||||||||
| CRNA | $349,358 | $0 | $0 | $0 | $0 | $0 | $22,550 | $0 | $74,818 | $0 | $446,726 | $0 | $0 |
| Kathryn Ostrom | |||||||||||||
| Physician | $285,261 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $37,852 | $0 | $323,113 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a: | Reimbursement of health club dues at 50% of cost up to a maximum of $500 per year. |
| Schedule J, Part I, Line 3: | Annually, an evaluation committee comprised of board members is appointed and they review the existing evaluation form and make any necessary adjustments to the format and content of questions asked. The entire board of directors and senior management are asked to do a confidential evaluation as well as having the CEO complete a self-evaluation. The CEO's compensation is reviewed annually and any increases are a board decision based on performance and salary survey data. |
| Schedule J, Part I, Line 4b: | The following individuals participated in a 457(b) "Top Hat" nonqualified plan: - Robert Letson - Brent Adcox - Gregory Hough - Brian Miller |
| Schedule J, Part I, Line 6a: | The medical doctors may receive a bonus based on net earnings of their clinic operations. |
| Schedule J, Part I, Line 7: | Medical Doctors may receive a productivity bonus based on Relative Value Units performed. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| Kenai Peninsula Borough | |||||||
| A | 920030894 | 2007-08-28 | $14,555,000 | Hospital Expansion | false | false | false |
| Kenai Peninsula Borough | |||||||
| B | 920030894 | 2011-09-15 | $3,285,000 | Refunding Bonds | false | false | false |
| Kenai Peninsula Borough | |||||||
| C | 920030894 | 2015-06-04 | $8,655,000 | Refunding Bonds | false | false | false |
| Kenai Peninsula Borough | |||||||
| D | 920030894 | 2016-11-03 | $2,660,000 | Refunding Bonds | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $650,000 | $0 | $14,800,009 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2010 | false | false | Yes (true) | Yes (true) |
| B | $525,000 | $0 | $3,802,589 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2009 | false | Yes (true) | Yes (true) | Yes (true) |
| C | $5,000 | $0 | $9,884,491 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2009 | false | Yes (true) | Yes (true) | Yes (true) |
| D | $20,000 | $0 | $3,050,412 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2009 | false | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | false | Yes (true) |
| B | false | false | false | false | 0 | false | false | false | Yes (true) |
| C | false | false | false | false | 0 | false | false | false | Yes (true) |
| D | false | false | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | false | false | false | Yes (true) | false | false | 0 | false | false |
| 0 | ||||||||||
| B | false | false | false | false | false | false | false | 0 | false | false |
| 0 | ||||||||||
| C | false | false | false | false | Yes (true) | false | false | 0 | false | false |
| 0 | ||||||||||
| D | false | false | false | false | false | false | false | 0 | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kenai Peninsula Borough | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 920030894 | BondIssuerEIN |
| Bond Issued | 2017-04-27 | BondIssuedDt |
| Issue Price | $4,500,000 | IssuePriceAmt |
| Purpose | Hospital Expansion | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $4,795,700 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $0 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $3,100,443 | UnspentAmt |
| Substantial Completion | 2018 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Woodworth Electric | |||
| Spouse of Board Member | $161,728 | Electrical Contracting | false |
| CMI | |||
| Owned by Board Member | $87,400 | Parking Lot Improvements | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: | Our home health department provides skilled nursing, physical therapy, occupational therapy, speech therapy and CNA services in patients homes as well as home health aide and respite services to veterans, and installation of lifeline alert systems. 5,085 visits were made to client homes during fiscal year 2017. The lifeline program has an average of 22 lifelines in place. Expenses - $1,245,207 Grants - $0 Revenue - $1,169,685 |
| Form 990, Part VI, Section B, Line 11b: | The form is reviewed by the finance committee of the board of directors. The final form 990 is approved by the board of directors before submission to the internal revenue service. |
| Form 990, Part VI, Section B, Line 12c: | All employees complete a conflict of interest questionnaire upon hire. Officers, directors, and managers complete a conflict of interest questionnaire annually each December. The possible existence of conflicts are required to be reported to the corporate compliance officer for investigation. |
| Form 990, Part VI, Section B, Line 15: | Annually, an evaluation committee comprised of board members is appointed and they review the existing evaluation form and make any necessary adjustments to the format and content of the questions being asked. The committee also reviews industry salary surveys. The entire board of directors and senior management team are asked to do a confidential evaluation aswell as having the CEO complete a self evaluation. The CEO's compensation is reviewed annually and any increases are a board decision based on performance. |
| Form 990, Part VI, Section C, Line 19: | All governing documents, conflict of interest policy, and financial statements are available to the public by providing copies upon request. Board of directors meeting minutes are available on the hospital website www.sphosp.org. |
| Form 990, Part IX, Line 11g: | Includes contract staffing, physician fees, other professional fees. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kenai Peninsula Borough | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 N Binkley St | AddressLine1Txt |
| City | Soldotna | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99669 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920030894 | EIN |
| Primary Activities | Local Gov't | PrimaryActivitiesTxt |
| Legal Domicile State | AK | LegalDomicileStateCd |
| Exempt Code Section | 115 | ExemptCodeSectionTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Kenai Peninsula Borough | ||
| c | $4,026,425 | Cash |
| Kenai Peninsula Borough | ||
| e | $18,085,000 | Bond Value |
| Kenai Peninsula Borough | ||
| o | $58,770 | Cash |
| Kenai Peninsula Borough | ||
| q | $4,293,886 | Cash |
| Kenai Peninsula Borough | ||
| s | $4,293,887 | Cash |