SOUTH PENINSULA HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SOUTH PENINSULA HOSPITAL INC (EIN 92-0037099)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-12
- IRS object ID
- 201721329349304057
- Schema version
- 2015v3.0
- Note
- A later return for the same period supersedes this one.
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-12T12:42:42-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | 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 | 2015-07-01 | 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 | % SOUTH PENINSULA HOSPITAL | 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 | ROBERT LETSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9072358101 | PhoneNum |
| Signature | 2017-05-03 | 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 | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT LETSON | 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 | $66,526,394 | 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 | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 469 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,933,828 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,418,819 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,345,704 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $62,029,622 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,870 | PYInvestmentIncomeAmt |
| CY Investment Income | $77,953 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $61,294,402 | PYTotalRevenueAmt |
| CY Total Revenue | $66,526,394 | 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 | $37,068,291 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $39,610,657 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,555,316 | PYOtherExpensesAmt |
| CY Other Expenses | $26,012,760 | CYOtherExpensesAmt |
| PY Total Expenses | $58,623,607 | PYTotalExpensesAmt |
| CY Total Expenses | $65,623,417 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,670,795 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $902,977 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $69,160,250 | TotalAssetsBOYAmt |
| Total Assets EOY | $69,581,307 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,930,356 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,448,436 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $41,229,894 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $42,132,871 | 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 | $34,399,517 | ExpenseAmt |
| Revenue | $41,642,603 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,113,769 | ExpenseAmt |
| Revenue | $8,833,847 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,116,963 | ExpenseAmt |
| Revenue | $9,915,011 | RevenueAmt |
| Desc | Our Long Term Care facility served an average 27 patients daily and total resident days of 9,676. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,476,543 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,638,161 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $53,106,792 | 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 | 126 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 469 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | SOUTH PENINSULA HOSPITAL | 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 |
|---|---|---|---|---|---|---|---|---|
| JULIE WOODWORTH | ||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| THOMAS CLARK | ||||||||
| DIRECTOR | 5.0 | 0.0 | Yes (X) | $1,800 | $0 | $0 | ||
| SUSAN DRATHMAN | ||||||||
| DIRECTOR | 2.5 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| MATTHEW HAMBRICK | ||||||||
| 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 NORTH | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| BERNADETTE WILSON | ||||||||
| DIRECTOR | 4.25 | 0.0 | Yes (X) | $1,200 | $0 | $0 | ||
| M TODD BOLING DO | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $300 | $0 | $0 | ||
| DAVID GROESBECK | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $300 | $0 | $0 | ||
| ROBERT LETSON | ||||||||
| CEO | 50.0 | 0.0 | $240,781 | $0 | $82,446 | Yes (X) | ||
| LORI SKAGGS | ||||||||
| CFO | 45.0 | 0.0 | $148,422 | $0 | $60,623 | Yes (X) | ||
| BRENT ADCOX | ||||||||
| M.D. | 40.0 | 0.0 | $1,329,606 | $0 | $267,546 | Yes (X) | ||
| GREGORY HOUGH | ||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | $669,771 | $0 | $155,163 | Yes (X) | ||
| BRIAN MILLER | ||||||||
| CRNA | 40.0 | 0.0 | $300,537 | $0 | $92,615 | Yes (X) | ||
| WILLIAM BELL | ||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | $243,621 | $0 | $45,589 | Yes (X) | ||
| GIULIA TORTORA | ||||||||
| M.D. | 40.0 | 0.0 | $239,914 | $0 | $64,869 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,182,252 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $768,851 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 50 | 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 |
|---|---|---|---|---|---|
| PARK IMAGING | |||||
| 4438 TOWNE HEIGHTS LN | HOMER | AK | 99603 | RADIOLOGIST | $1,441,105 |
| RAYMOND D FOWLER MD | |||||
| 40914 CRESTED CRANE ST | HOMER | AK | 99603 | ANESTHSIOLOGIST | $587,699 |
| Q RADIOLOGY LLC | |||||
| 5643 WOODMANSEE WAY | LIBERTY TWP | OH | 45011 | RADIOLOGIST | $458,253 |
| KATHRYN H OSTROM | |||||
| 2017 ADLER DR | ANCHORAGE | AK | 99508 | OB/GYN | $285,604 |
| CLAYBURN AUDIO SPEAKER SYS | |||||
| 181 MOUNTAIN VIEW 3 | HOMER | AK | 99603 | IT WIRING | $229,518 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,133,650 | GovernmentGrantsAmt |
| All Other Contributions | $285,169 | AllOtherContributionsAmt |
| Total Contributions | $4,418,819 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| HOSPITAL | $41,642,603 | $41,642,603 |
| PHYSICIAN OFFICES | $8,833,847 | $8,833,847 |
| LONG TERM CARE | $9,915,011 | $9,915,011 |
| HOME HEALTH CARE | $1,638,161 | $1,638,161 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $62,029,622 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,641 | TotalRevenueColumnAmt |
| Exclusion | $77,641 | 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 | $312 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $312 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $312 | TotalRevenueColumnAmt |
| Exclusion | $312 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $66,526,394 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,029,622 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $77,953 | 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 | $405,564 | TotalAmt |
| Program Services | $202,782 | ProgramServicesAmt |
| Management And General | $202,782 | 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 | $27,942,244 | TotalAmt |
| Program Services | $22,282,967 | ProgramServicesAmt |
| Management And General | $5,659,277 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,667,678 | TotalAmt |
| Program Services | $1,334,142 | ProgramServicesAmt |
| Management And General | $333,536 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,682,076 | TotalAmt |
| Program Services | $5,586,475 | ProgramServicesAmt |
| Management And General | $2,095,601 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,913,095 | TotalAmt |
| Program Services | $1,419,589 | ProgramServicesAmt |
| Management And General | $493,506 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,825 | TotalAmt |
| Program Services | $192,825 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,211 | TotalAmt |
| Management And General | $105,211 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,100 | TotalAmt |
| Management And General | $17,100 | 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 | $9,396,549 | TotalAmt |
| Program Services | $7,344,173 | ProgramServicesAmt |
| Management And General | $2,052,376 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,770 | TotalAmt |
| Program Services | $88,885 | ProgramServicesAmt |
| Management And General | $88,885 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,600,503 | TotalAmt |
| Program Services | $5,969,521 | ProgramServicesAmt |
| Management And General | $630,982 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $864,091 | TotalAmt |
| Program Services | $691,273 | ProgramServicesAmt |
| Management And General | $172,818 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,493,052 | TotalAmt |
| Program Services | $1,194,442 | ProgramServicesAmt |
| Management And General | $298,610 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,816 | TotalAmt |
| Program Services | $109,361 | ProgramServicesAmt |
| Management And General | $75,455 | 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 | $184,027 | TotalAmt |
| Program Services | $134,913 | ProgramServicesAmt |
| Management And General | $49,114 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $717,878 | TotalAmt |
| Program Services | $693,325 | ProgramServicesAmt |
| Management And General | $24,553 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,115,128 | TotalAmt |
| Program Services | $3,115,128 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,285,380 | TotalAmt |
| Program Services | $1,285,380 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | $1,351,924 | $1,216,732 | $135,192 |
| DUES, BOOKS, AND SUBSCRIPTIONS | $326,506 | $244,879 | $81,627 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,623,417 | TotalAmt |
| Program Services | $53,106,792 | ProgramServicesAmt |
| Management And General | $12,516,625 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,429 | BOYAmt |
| EOY | $2,179 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,938,774 | BOYAmt |
| EOY | $13,344,674 | 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 | $11,845,605 | BOYAmt |
| EOY | $10,969,470 | 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 | $1,580,787 | BOYAmt |
| EOY | $1,885,610 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $567,402 | BOYAmt |
| EOY | $516,227 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $82,265,007 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $41,846,577 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,393,747 | BOYAmt |
| EOY | $40,418,430 | 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 | $1,831,506 | BOYAmt |
| EOY | $2,444,717 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,160,250 | BOYAmt |
| EOY | $69,581,307 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,379,275 | BOYAmt |
| EOY | $9,115,390 | 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 | $496,591 | BOYAmt |
| EOY | $566,671 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,682,450 | BOYAmt |
| EOY | $15,347,161 | 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 | $285,807 | BOYAmt |
| EOY | $215,221 | 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 | $1,086,233 | BOYAmt |
| EOY | $2,203,993 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,930,356 | BOYAmt |
| EOY | $27,448,436 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,204,608 | BOYAmt |
| EOY | $42,107,585 | 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 | $41,229,894 | BOYAmt |
| EOY | $42,132,871 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,160,250 | BOYAmt |
| EOY | $69,581,307 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $902,977 | 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) |
|---|---|---|
| Investment Cost Or Other Basis | $188,508 | InvestmentCostOrOtherBasisAmt |
| Book Value | $188,508 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $56,205,401 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $22,693,458 | DepreciationAmt |
| Book Value | $33,511,943 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $140,475 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $46,051 | DepreciationAmt |
| Book Value | $94,424 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $21,747,175 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $17,434,085 | DepreciationAmt |
| Book Value | $4,313,090 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $3,983,448 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,672,983 | DepreciationAmt |
| Book Value | $2,310,465 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $40,418,430 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PENSION LIABILITY | Desc |
| Amt | $2,203,993 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,203,993 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $66,526,394 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $66,526,394 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $66,526,394 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $65,623,417 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $65,623,417 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $65,623,417 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| 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 | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,100,873 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,100,873 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01680 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,100,873 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,100,873 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01680 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $137,569 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,742 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $134,827 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $114,292 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,803 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $108,489 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,935,569 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $720,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,214,729 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01850 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,187,430 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $729,385 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,458,045 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02230 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,288,303 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $729,385 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,558,918 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03910 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,902,296 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $19,023 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,929,220 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,033,282 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$104,062 | 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 | false | CHNAConductedInd |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.sphosp.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.sphosp.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5: | South Peninsula Hospital Inc - The hospital assured appropriate representation of the community in the following ways: a) By utilizing the MAPP framework (Mobilizing to Action through Planning and Partnerships) for the assessment, which is directed by a community Steering Committee and consists of four sub-assessments: Local Public Health System, Community Themes and Strengths, Health Status, and Forces of Change. b) By nature of the makeup of the Steering Committee which directed the assessment. Steering Committee members represent local agencies in the fields of physical health, public health, education, behavioral health, domestic violence prevention, substance abuse prevention, community health centers, environment sustainability, city planning, and economic development. c) The Community Themes and Strengths sub-assessment conducted a "Perceptions of Community Health" survey of 1,212 residents from throughout the service area. The majority of respondents were from households with two individuals and between 46-64 years old. Respondents' age and income closely mirrored that of our service area based on the US Census report. 24% of the respondents were in the less than $25,000 income range; 11 % was in the $25,000 - $33,000; 11 % was in the $33,000-$51,000; 20% was in the $51, 000-$76, 999; and 31% was in the $76,000 plus. d) The Community Themes and Strengths sub-assessment conducted interviews with 86 key Informants In the community (100 Invitations were sent) based on a broad definition of health: cultural, economic, educational, environmental, mental, physical, and spiritual. Informants included but were not limited to: police officers, mental health workers, pastors, daycare providers, public health nurses, physicians, senior care providers, senior center director, hospital director, clinic directors, city officials, business owners, prevention workers, EMT responders, public assistance providers, educators, and school nurses. e) The Health Status assessment includes data from 100 different service providers in the local and service area community, including hospital, clinics, police department, prevention agencies, churches, youth development programs, schools, economic development organizations, utility providers, local college, DOT and more. f) A complete breakdown of representatives can be found in the assessments, located at www.mappofskp.net |
| Schedule H, Part V, Section B, Line 6b: | South Peninsula Hospital Inc - The hospitals Community Health Needs Assessment was conducted by a local coalition made up of the following partners: o Public Health Office, State of Alaska o South Peninsula Behavioral Health o Haven House o Kachemak Bay Family Planning o Cook Inlet Council on Alcohol and Drug Abuse o Kachemak Bay Campus/Kenai Peninsula College o Sustainable Homer o Seldovia Village Tribe Health Clinic o City of Homer o South Peninsula Hospital o Sprout Family Services |
| Schedule H, Part V, Section B, Line 7d: | South Peninsula Hospital Inc - A total of 120 bound reports were made and distributed as follows: CHNA reports were distributed to all board members and leadership positions of the partnership agencies listed above; CHNA reports are provided to all new physicians and mid level providers to South Peninsula Hospital; CHNA presentations and reports were provided to City of Homer Council, local Rotary meeting, Chamber of Commerce meetings and various other public meetings. |
| Schedule H, Part V, Section B, Line 11: | South Peninsula Hospital Inc - South Peninsula Hospital has taken numerous actions based on the prominent findings of the CHNA. Listed here are but a few: *Economic and Affordability Issues: - Developed and promoted attractive self-pay and prompt pay discounts for patients. - Provided free enrollment assistance for service area residents into the marketplace insurance plans. - Continued special promotions of screenings. - Worked with the local rotary club to offer reduced rate and free health fair offerings, including comprehensive wellness blood panel, flu shots and more at the annual health fair. *ACES (Adverse Childhood Experiences) & Family Issues: - Recruited and employed a Behavioral Health Nurse Practitioner. - Recruited and employed an Addiction Medicine provider, and offers a regular Addiction Medicine clinic. - Adopted new intake tools in primary care to better screen for ACES in pediatric care. - Provided ACES training for providers and hospital employees. *Access to Care and Services (lack of insurance, transportation and awareness of services): - Supports the development and maintenance of www.POP411.org, an online listing of local service providers. - Developed a Medical Staff Development Plan utilizing the results of the CHNA. - Supported the development of Emergency Food & Housing Assistance booklet which is updated annually and lists resources which offer immediate assistance to those at risk. - Hospital is the matching agency for a local public transportation grant, in which every dollar the hospital spends on transporting a patient to or from care is matched by a grant to provide matched dollars for public taxi vouchers; hospital staff serves on leadership team of said grant. - Hospital provides free enrollment assistance for service area residents into the marketplace insurance plans; hospital offers certified enrollment specialists for Medicaid presumptive eligibility, to more quickly enroll patients in Medicaid. - Hospital sponsors numerous local specialty clinics, welcoming visiting specialists from all around Alaska for weekly and monthly clinics at the hospital. - Hospital sponsors a two-day a week VA Clinic, facilitating visiting VA providers to offer care at the local level. - Hospital co-sponsored a VA StandDown, in which over 100 veterans were enrolled into VA benefits. - Received grant funding to transition hospital primary care practice into Patient Centered Medical Home model of care, which focused on increased care coordination. - Developed a community task force Care Transitions, to ensure discharged patients are transitioned seamlessly to primary care, home health, hospice, or appropriate provider. *Aging Population (rapidly growing senior segment of the population): - Hospital developed a 5-year Long Term Care Strategic Plan to better position the organization for the rapidly increase to our senior population. - Hospital recruited numerous specialists to provide local clinics in areas of importance to senior health and chronic diseases, including urology, diabetes, cardiology, neurology, sleep medicine and more. - Hospital contracted with Providence Alaska Medical Center to offer e-ICU, to allow for local ICU admissions, with monitoring done by the Providence ICU team in Anchorage, allowing for ICU care close to home. - The hospital's community health educator has developed an education plan tailored to address the needs of the senior population. - The hospital has recommitted to Home Health services, contracting a consultant to assess the service and organizational model and make changes to the department to best meet the needs of the patients we serve in a sustainable manner. - The hospital was the recipient of a Senior In Home Services grant, which provided supplemental coverage for uninsured and underinsured senior residents for in-home nursing care. - SPH Foundation provides subsidies for underinsured and uninsured patients seeking diabetes education and needed supplies. *Substance Abuse (lack of treatment options and prevention): - Recruited and employed an Addiction Medicine provider, and offers a regular Addiction Medicine clinic. - Recruited and employed a Behavioral Health Nurse Practitioner; offering independent appointments, as well as care as part of the Patient Centered Medical Home. - Hospital staff served on the leadership team and implementation team of the Homer Prevention Project, a SAMSHA funded grant aimed at reducing underage drinking and adult heavy and binge drinking. |
| Schedule H, Part V, Section B, Line 22d: | South Peninsula Hospital Inc - All patients are charged gross charges. Discounts are applied to gross charges for all patients. |
| Schedule H, Part V, Section B, Line 24: | South Peninsula Hospital Inc - All patients are charged gross charges. Discounts are applied to gross charges for all patients. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 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 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 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 | false | 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT LETSON | ||||||||||||
| CEO | $240,781 | $0 | $0 | $0 | $0 | $0 | $19,262 | $0 | $63,184 | $0 | $323,227 | $0 |
| LORI SKAGGS | ||||||||||||
| CFO | $148,422 | $0 | $0 | $0 | $0 | $0 | $11,874 | $0 | $48,749 | $0 | $209,045 | $0 |
| BRENT ADCOX | ||||||||||||
| M.D. | $1,329,606 | $0 | $0 | $0 | $0 | $0 | $106,368 | $0 | $161,178 | $0 | $1,597,152 | $0 |
| GREGORY HOUGH | ||||||||||||
| MEDICAL DIRECTOR | $669,771 | $0 | $0 | $0 | $0 | $0 | $53,582 | $0 | $101,581 | $0 | $824,934 | $0 |
| BRIAN MILLER | ||||||||||||
| CRNA | $300,537 | $0 | $0 | $0 | $0 | $0 | $24,043 | $0 | $68,572 | $0 | $393,152 | $0 |
| WILLIAM BELL | ||||||||||||
| MEDICAL DIRECTOR | $243,621 | $0 | $0 | $0 | $0 | $0 | $19,490 | $0 | $26,099 | $0 | $289,210 | $0 |
| GIULIA TORTORA | ||||||||||||
| M.D. | $239,914 | $0 | $0 | $0 | $0 | $0 | $19,193 | $0 | $45,676 | $0 | $304,783 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 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 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. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| Kenai Peninsula Borough | |||||||
| A | 920030894 | 2003-09-30 | $10,290,000 | Hospital Expansion | false | false | false |
| Kenai Peninsula Borough | |||||||
| B | 920030894 | 2007-08-28 | $14,555,000 | Hospital Expansion | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2009 | false | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2010 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | 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 | 0.00000 | 0.00000 | 0.00000 | false | false | false | false |
| B | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | false | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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 | false | false | false | 0 | false | false |
| 0 | ||||||||||
| B | false | false | false | false | false | false | false | 0 | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Woodworth Electric | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Spouse of Board Member | RelationshipDescriptionTxt |
| Transaction | $105,463 | TransactionAmt |
| Transaction | Electrical Contracting | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
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 Brinkley 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 | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| 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 | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kenai Peninsula Borough | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | c | TransactionTypeTxt |
| Involved | $3,953,665 | InvolvedAmt |
| Method Of Amount Determination | Cash | MethodOfAmountDeterminationTxt |