2017-05-12T12:42:42-05:00 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 ROBERT LETSON CEO 9072358101 2017-05-03 true Key E Getty CPA P00121200 9072788878 2015 2021-01-29 14:40:06Z ROBERT LETSON 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. 10 10 469 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 41642603 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 1638161 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 10 10 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 41642603 41642603 PHYSICIAN OFFICES 8833847 8833847 LONG TERM CARE 9915011 9915011 HOME HEALTH CARE 1638161 1638161 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 17100 17100 0 0 0 9396549 7344173 2052376 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 true X true X 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 19023 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 false true true true true true false true X X X X true true X X true X www.sphosp.org X www.sphosp.org X X X true false X X X X true X false true 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. 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. 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. 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