2018-04-23T12:08:58-05:00 2016-06-30 BDO USA LLP 3601 C STREET STE 600 ANCHORAGE AK 99503 990 2015-07-01 920037099 South Peninsula Hospital Inc % SOUTH PENINSULA HOSPITAL SOUT 9072358101 4300 BARTLETT ST HOMER AK 99603 HOLLY TORRES CFO 9072358101 2018-04-09 true Key E Getty CPA P00121200 9072788878 2015 2021-01-29 14:40:06Z X HOLLY TORRES 4300 BARTLETT ST HOMER AK 99603 66526394 false X www.sphosp.org X 1969 AK SOUTH PENINSULA HOSPITAL PROMOTES COMMUNITY HEALTH AND WELLNESS BY PROVIDING PERSONALIZED, HIGH-QUALITY, LOCALLY COORDINATED HEALTHCARE. 9 8 469 0 0 3933828 4418819 57345704 62029622 14870 77953 0 0 61294402 66526394 0 0 0 0 37068291 39610657 0 0 0 21555316 26012760 58623607 65623417 2670795 902977 69160250 69581307 27930356 27448436 41229894 42132871 X SOUTH PENINSULA HOSPITAL PROMOTES COMMUNITY HEALTH AND WELLNESS BY PROVIDING PERSONALIZED, HIGH-QUALITY, LOCALLY COORDINATED HEALTHCARE. false false 34399517 42219887 Our 22 bed hospital provided inpatient services to 945 patients for total patient days of 3,698 for the 2015 tax year. Total outpatient visits for the year were 59,110 and include 4,860 emergency department visits, 1,112 ambulatory surgery visits, and other outpatient services include radiology, laboratory, physical therapy, occupational therapy, infusion and chemotherapy, and sleep lab. 10113769 8833847 The hospital has provider-based clinics including primary care, orthopedic and general surgery. The clinics had 24,036 patient visits during the 2015 tax year. 6116963 9915011 Our Long Term Care facility served an average 27 patients daily and total resident days of 9,676. 2476543 1060877 53106792 true true false false false false false false false false true false false false true false true false false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true false false false true 126 0 true 469 true false false false false false false X 9 8 false false false false false false false true true false false true true true true false true true false X SOUTH PENINSULA HOSPITAL 9072358101 4300 BARTLETT ST HOMER AK 99603 JULIE WOODWORTH DIRECTOR 3.0 0.0 X 1200 0 0 THOMAS CLARK DIRECTOR 5.0 0.0 X 1800 0 0 SUSAN DRATHMAN DIRECTOR 2.5 0.0 X 1200 0 0 MATTHEW HAMBRICK DIRECTOR 2.0 0.0 X 1200 0 0 VICKEY HODNIK DIRECTOR 2.0 0.0 X 1200 0 0 MATTHEW NORTH DIRECTOR 2.0 0.0 X 1200 0 0 BERNADETTE WILSON DIRECTOR 4.25 0.0 X 1200 0 0 M TODD BOLING DO DIRECTOR 2.0 0.0 X 300 0 0 DAVID GROESBECK DIRECTOR 2.0 0.0 X 300 0 0 ROBERT LETSON CEO 50.0 0.0 X 240781 0 82446 LORI SKAGGS CFO 45.0 0.0 X 148422 0 60623 BRENT ADCOX M.D. 40.0 0.0 X 1329606 0 267546 GREGORY HOUGH MEDICAL DIRECTOR 40.0 0.0 X 669771 0 155163 BRIAN MILLER CRNA 40.0 0.0 X 300537 0 92615 WILLIAM BELL MEDICAL DIRECTOR 40.0 0.0 X 243621 0 45589 GIULIA TORTORA M.D. 40.0 0.0 X 239914 0 64869 3182252 0 768851 50 false true false PARK IMAGING 4438 TOWNE HEIGHTS LN HOMER AK 99603 RADIOLOGIST 1441105 RAYMOND D FOWLER MD 40914 CRESTED CRANE ST HOMER AK 99603 ANESTHSIOLOGIST 587699 Q RADIOLOGY LLC 5643 WOODMANSEE WAY LIBERTY TWP OH 45011 RADIOLOGIST 458253 KATHRYN H OSTROM 2017 ADLER DR ANCHORAGE AK 99508 OB/GYN 285604 CLAYBURN AUDIO SPEAKER SYS 181 MOUNTAIN VIEW 3 HOMER AK 99603 IT WIRING 229518 18 4133650 285169 4418819 HOSPITAL 42219887 42219887 PHYSICIAN OFFICES 8833847 8833847 LONG TERM CARE 9915011 9915011 HOME HEALTH CARE 1060877 1060877 62029622 77641 77641 0 0 0 0 0 312 312 312 312 0 0 0 0 66526394 62029622 77953 0 0 0 0 405564 202782 202782 0 27942244 22282967 5659277 1667678 1334142 333536 7682076 5586475 2095601 1913095 1419589 493506 192825 192825 105211 105211 72822 72822 0 0 0 9340827 7344173 1996654 177770 88885 88885 6600503 5969521 630982 864091 691273 172818 0 1493052 1194442 298610 184816 109361 75455 0 184027 134913 49114 717878 693325 24553 0 3115128 3115128 1285380 1285380 REPAIRS AND MAINTENANCE 1351924 1216732 135192 DUES, BOOKS, AND SUBSCRIPTIONS 326506 244879 81627 65623417 53106792 12516625 0 2429 2179 12938774 13344674 0 0 11845605 10969470 0 0 0 0 0 0 1580787 1885610 567402 516227 82265007 41846577 40393747 40418430 0 0 0 0 0 0 0 0 1831506 2444717 69160250 69581307 9379275 9115390 0 0 496591 566671 16682450 15347161 0 0 0 0 285807 215221 0 0 1086233 2203993 27930356 27448436 X 41204608 42107585 25286 25286 0 0 41229894 42132871 69160250 69581307 902977 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 188508 188508 56205401 22693458 33511943 140475 46051 94424 21747175 17434085 4313090 3983448 1672983 2310465 40418430 0 NET PENSION LIABILITY 2203993 2203993 66526394 66526394 66526394 65623417 65623417 65623417 true true X true X true X true true true false false 1100873 1100873 0.01680 1100873 1100873 0.01680 137569 2742 134827 0.00210 114292 5803 108489 0.00170 1935569 720840 1214729 0.01850 2187430 729385 1458045 0.02230 3288303 729385 2558918 0.03910 false 1902296 684827 16929220 17033282 -104062 X false 1 1 South Peninsula Hospital Inc 4300 Bartlett St Homer AK 99603 www.sphosp.org GACH-010 X X X X South Peninsula Hospital Inc 1 false false true X X X X X X X 13 true false false true X www.sphosp.org X www.mappofskp.net X true 15 true SEE PART V, SECTION C false true X 100 300. X X X X X true true X X X true X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X true X false X X X X true X false false 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 16i: The FAP summary was displayed at the annual health fair with knowledgeable staff on hand to discuss. Schedule H, Part V, Section B, line 22: The hospital facility used a prospective Medicare or Medicaid method. 3 South Peninsula Hospital Long Term Care 4300 Bartlett St Homer AK 99603 Long Term Care skilled nursing facility. South Peninsula Hosp Prov Based Clinics 4300 Bartlett St Homer AK 99603 Provider based physician clinics. South Peninsula Hosp Comm Hlth Services 4300 Bartlett St Homer AK 99603 Home health care services. 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. X true true false false false false false true true false ROBERT LETSON CEO 240781 0 0 0 0 0 19262 0 63184 0 323227 0 LORI SKAGGS CFO 148422 0 0 0 0 0 11874 0 48749 0 209045 0 BRENT ADCOX M.D. 1329606 0 0 0 0 0 106368 0 161178 0 1597152 0 GREGORY HOUGH MEDICAL DIRECTOR 669771 0 0 0 0 0 53582 0 101581 0 824934 0 BRIAN MILLER CRNA 300537 0 0 0 0 0 24043 0 68572 0 393152 0 WILLIAM BELL MEDICAL DIRECTOR 243621 0 0 0 0 0 19490 0 26099 0 289210 0 GIULIA TORTORA M.D. 239914 0 0 0 0 0 19193 0 45676 0 304783 0 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 6: 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. A Kenai Peninsula Borough 920030894 2003-09-30 10290000 Hospital Expansion false false false B Kenai Peninsula Borough 920030894 2007-08-28 14555000 Hospital Expansion false false false A 0 0 0 0 0 0 0 0 0 0 0 0 2009 false false true true B 0 0 0 0 0 0 0 0 0 0 0 0 2010 false false true true A false false false false 0.00000 0.00000 0.00000 false false false false B false false false false 0.00000 0.00000 0.00000 false false false false A false false false false false false 0 false 0 false false B false false false false false false 0 false 0 false false A true B true Woodworth Electric Spouse of Board Member 105463 Electrical Contracting false Form 990, Part III, Line 4d: Our community health services department provides home health care, chore and respite services, and other home care services to more than 493 local residents. 4,791 visits were made to client homes in the 2015. Other program services include revenue from cafeteria and vendings machines, medical record copies, and other program related sources. Expenses - $2,370,493 Grants - $0 Revenue - $1,638,161 Form 990, Part VI, Section B, Line 11b: Form 990 is prepared by the organization Chief Financial Officer with input from other staff. 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. FORM 990, LINE B: REASON FOR AMENDMENT: TO CORRECT INACCURATE AND INCOMPLETE INFORMATION CONTAINED IN SCHEDULE H INCLUDING PART V, SECTION B, LINES 4, 9, 16A, 16B, 16C AND 18. Kenai Peninsula Borough 144 N Brinkley St Soldotna AK 99669 920030894 Local Gov't AK 115 NA false false false true false false false false false false false true false false false false false false false false Kenai Peninsula Borough c 3953665 Cash