FURP.ORG / PUBLIC DATA EXPLORER

SOUTH PENINSULA HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SOUTH PENINSULA HOSPITAL INC (EIN 92-0037099)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-01
IRS object ID
201230659349300898
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-03-01T12:30:29-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN920037099EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTH PENINSULA HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone9072358101Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14300 Bartlett StreetAddressLine1
CityHomerCity
StateAKState
ZIP Code99603ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRobert LetsonName
TitleCEOTitle
Phone9072350324Phone
Date Signed2011-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRobert F LetsonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14300 Bartlett StAddressLine1
CityHomerCity
StateAKState
ZIP Code99603ZIPCode
FieldValueIRS element (for citing)
Gross Receipts38207127GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.sphosp.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileAKStateLegalDomicile
Activity Or Mission DescriptionSouth Peninsula Hospital promotes community health and wellness by providing personalized, high quality, locally coordinated healthcare.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees382TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4138538ContributionsGrantsPriorYear
Contributions Grants Current Year3826627ContributionsGrantsCurrentYear
Program Service Revenue Prior Year30465640ProgramServiceRevenuePriorYear
Program Service Revenue CY34374543ProgramServiceRevenueCY
Investment Income Prior Year10917InvestmentIncomePriorYear
Investment Income Current Year-29364InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year34615095TotalRevenuePriorYear
Total Revenue Current Year38171806TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18576453SalariesEtcPriorYear
Salaries Etc Current Year22178537SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14677734OtherExpensePriorYear
Other Expenses Current Year16198707OtherExpensesCurrentYear
Total Expenses Prior Year33254187TotalExpensesPriorYear
Total Expenses Current Year38377244TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1360908RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-205438RevenuesLessExpensesCY
Total Assets BOY60883752TotalAssetsBOY
Total Assets EOY59764131TotalAssetsEOY
Total Liabilities BOY25884343TotalLiabilitiesBOY
Total Liabilities EOY24970160TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY34999409NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY34793971NetAssetsOrFundBalancesEOY
Mission DescriptionSouth Peninsula Hospital promotes community health and wellness by providing personalized, high quality, locally coordinated healthcare.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense23870004Expense
Grants0Grants
Revenue27868901Revenue
DescriptionOur 22 bed hospital provided inpatient services to 966 patients for total patient days of 3,302 for the 2010 tax year. Total outpatient visits for the year were 29,607 and include 4,495 emergency department visits, 960 ambulatory surgery visits, and 9,625 imaging visits. Other outpaient services included laboratory, physical therapy, occupational therapy, speech therapy, infusion and chemo therapy, and sleep lab.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4189411Expense
Grants0Grants
Revenue5780547Revenue
DescriptionOur 38 bed Long Term Care facility served 35 resident during the 2010 tax year with an average daily census of 25 and total resident days of 9,295.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense926242Expense
Grants0Grants
Revenue598452Revenue
DescriptionOur community health services department provides home health care, chire and respite services, and other home care serrvices to more than 300 local residents. 4,532 visits were made to clinet homes in the 2010 tax year.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense0Expense
Grants0Grants
Revenue126637Revenue
DescriptionOther program services include revenue from cafeteria and vendings machines, medical record copies, and other program related sources.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev126637TotalOfOtherProgramServiceRev
Total Program Service Expense28985657TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109695NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees382NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1South Peninsula HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9072358101TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14300 Bartlett StreetAddressLine1
CityHomerCity
StateAKState
ZIP Code99603ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Kelly Cooper
Director2.5X000
Vickey Hodnik
Director3X000
Kent Haina
Director3X000
Julie Woodworth
Director5X000
Nina Allen
Director1.5X000
Bernadette Wilson
Director4X000
Matthew North
Director2X000
Matthew Hambrick
Director3X000
Clyde Boyer
Director3X000
Walter Partridge
Director3.75X000
Robert F Letson
Chief Executive Officer50126958052619X
Robert A Barnes
Chief Financial Officer45.0038137015806X
Lori I Meyer
Controller/Acting CFO45106794044262X
Larry R Tripp
CRNA4028056200X
Diane G Peterson
Pharmacist40126323052356X
Christine K Anderson
Chief Nursing Officer/Clinical Informatics Analyst40120981050142X
Douglas J Westphal
Rehabiltation Manager40107337044487X
Michael J Toner
Pharmacy Manager40107134044403X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1014226TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation304075TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Eris Radiology LLC
PO Box 2434HomerAK99603Radiologists441182
Raymond Fowler
40914 Crested Crane StHomerAK99603Anesthesiologist287886
Jeffrey Quam
PO Box 1592HomerAK99603Radiologist264484
James Peterson
PO Box 58HomerAK99603Anesthesiologist179884
The Owens Group LLC
3705 Artic Blvd suite 2717AnchorageAK99503Consulting145904
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants3821365GovernmentGrants
All Other Contributions5262AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions3826627TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Hospital62200027868907278689070$0
Long Term Care623000578054757805470$0
Community Health Services6216105984525984520$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column126637TotalRevenueColumn
Related Or Exempt Function Income126637RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue34374543TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5957TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,957ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other35321Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other-35321Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-35321TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$35,321ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column38171806TotalRevenueColumn
Related Or Exempt Function Income34374543RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$29,364ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total376951Total
Program Services0ProgramServices
Management And General376951ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15330329Total
Program Services11530925ProgramServices
Management And General3799404ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total682553Total
Program Services513392ProgramServices
Management And General169161ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4591154Total
Program Services3432626ProgramServices
Management And General1158528ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1197550Total
Program Services898163ProgramServices
Management And General299387ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total116360Total
Program Services116360ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total302874Total
Program Services0ProgramServices
Management And General302874ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22060Total
Program Services0ProgramServices
Management And General22060ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4626978Total
Program Services3802882ProgramServices
Management And General824096ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total88716Total
Program Services0ProgramServices
Management And General88716ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3743938Total
Program Services3300197ProgramServices
Management And General443741ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total496195Total
Program Services437385ProgramServices
Management And General58810ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1389976Total
Program Services81253ProgramServices
Management And General1308723ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total112648Total
Program Services50733ProgramServices
Management And General61915ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total106457Total
Program Services60578ProgramServices
Management And General45879ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total940582Total
Program Services940010ProgramServices
Management And General572ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2738347Total
Program Services2738347ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total387311Total
Program Services387311ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Repairs & Maintenance9421396582122839270
Dues, Books & Subscriptions184126372831468430

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38377244Total
Program Services28985657ProgramServices
Management And General9391587ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1655BOY
EOY1605EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8910714BOY
EOY6052721EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6162779BOY
EOY6774323EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1199624BOY
EOY1160194EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1235533BOY
EOY1111326EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis71959779LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27295817LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY43373447BOY
EOY44663962EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY60883752BOY
EOY59764131EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3302534BOY
EOY3104838EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY394540BOY
EOY370714EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY22187269BOY
EOY21237144EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY257464EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25884343BOY
EOY24970160EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY34974123BOY
EOY34768685EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY25286BOY
EOY25286EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34999409BOY
EOY34793971EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY60883752BOY
EOY59764131EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-205438ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis188508OtherCostOrOtherBasis
Book Value188508BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis47742303OtherCostOrOtherBasis
Depreciation9822989Depreciation
Book Value37919314BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis58662OtherCostOrOtherBasis
Depreciation10459Depreciation
Book Value48203BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis23342783OtherCostOrOtherBasis
Depreciation17462369Depreciation
Book Value5880414BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis627523OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value627523BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings44663962TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionNote Payable to Kenai Peninsula BoroughDescription
Amount$257,464Amount
FieldValueIRS element (for citing)
Total Of Amounts257464TotalOfAmounts
Total Revenue38171806TotalRevenue
Total Expenses38377244TotalExpenses
Excess Or Deficit For Year-205438ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-205438ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt38171806TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal38171806RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99038171806TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38377244TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal38377244ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99038377244TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense623959TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense623959NetCommunityBenefitExpense
Percent Of Total Expense0.016PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10438694TotalCommunityBenefitExpense
Direct Offsetting Revenue9503258DirectOffsettingRevenue
Net Community Benefit Expense935436NetCommunityBenefitExpense
Percent Of Total Expense0.024PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense983443TotalCommunityBenefitExpense
Direct Offsetting Revenue521630DirectOffsettingRevenue
Net Community Benefit Expense461813NetCommunityBenefitExpense
Percent Of Total Expense0.011PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense12046096TotalCommunityBenefitExpense
Direct Offsetting Revenue10024888DirectOffsettingRevenue
Net Community Benefit Expense2021208NetCommunityBenefitExpense
Percent Of Total Expense0.051PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense96168TotalCommunityBenefitExpense
Direct Offsetting Revenue2241DirectOffsettingRevenue
Net Community Benefit Expense93927NetCommunityBenefitExpense
Percent Of Total Expense0.002PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense111311TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense111311NetCommunityBenefitExpense
Percent Of Total Expense0.003PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense977547TotalCommunityBenefitExpense
Direct Offsetting Revenue598452DirectOffsettingRevenue
Net Community Benefit Expense379095NetCommunityBenefitExpense
Percent Of Total Expense0.01PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense105013TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense105013NetCommunityBenefitExpense
Percent Of Total Expense0.003PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense1290039TotalCommunityBenefitExpense
Direct Offsetting Revenue600693DirectOffsettingRevenue
Net Community Benefit Expense689346NetCommunityBenefitExpense
Percent Of Total Expense0.018PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense13336135TotalCommunityBenefitExpense
Direct Offsetting Revenue10625581DirectOffsettingRevenue
Net Community Benefit Expense2710554NetCommunityBenefitExpense
Percent Of Total Expense0.069PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,292,944BadDebtExpenseAmount
Amount Attributable To129294AmountAttributableTo
Amount Reimbursed By Medicare10734673AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare12415518CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1680845MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy0WrittenDebtCollectionPolicy
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1South Peninsula Hospital IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line14300 Bartlett StreetAddressLine1
CityHomerCity
StateAKState
ZIP Code99603ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1South Peninsula Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted09NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures0IncludesPublicityMeasures
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Business Name Line2Name/BusinessNameLine2Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
South Peninsula Hospital
Long Term Care4300 Bartlett StreetHomerAK99603Long Term Care skilled nursing facility.
South Peninsula Hospital
Community Health Services4300 Bartlett StreetHomerAK99603Home health care services.

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchH_P01_S00_L07Schedule H, Part I, Line 7Used worksheets provided in the instructions for Schedule H and cost to charge ratio.
SchH_P01_S00_L072fSchedule H, Part I, Line 7, Column fNo bad debt expense is included in Form 990, Part IX, line 25.
SchH_P01_S00_L07gSchedule H, Part I, Line 7gSubsidized health services do not include any costs attributable to a physician clinic.
SchH_P03_S0A_L04Schedule H, Part III, Section A, Line 4Bad debts and charity care are subtracted from patient service revenue to arrive at net patient revenue. Line 2 is calculated by bad debt expense times cost to charge ratio. Line 3 is estimated at ten percent of bad debt at cost. The cost of providing uncompensated care should be treated as community benefit because it cost the hospital that amount to provide care to patients unwilling or unable to pay for treatment.
SchH_P03_S0B_L08Schedule H, Part III, Section B, Line 8The shortfall should be treated as community benefit because it cost the hospital that amount to provide care to Medicare beneficiaries for which it was not compensated. Worksheet B in the schedule H instructions and cost to charge ratio was used to determine the amount reported on line 6.
SchH_P05_S0B_L05Schedule H, Part V, Section B, Line 5The assessment process and tolls were made widely available via the community health fair, city hall, survey monkey, community meetings, hospital website and more. The assessment report continues to be available on the hospital website, numerous partner websites, and at our community MAPP website www.mappofskp.net.
SchH_P05_S0B_L07Schedule H, Part V, Section B, Line 7Some of the priority needs are currently being addressed by the hospital or by community work grorups through the community health improvement plan (CHIP). Additional needs will be addressed by community workgroups in the furture. Specific needs for the hospital are being addressed by the hospital.
SchH_P05_S0B_L19Schedule H, Part V, Section B, Line 19Hospital provides individuals with no insurance with a self pay discount.
SchH_P05_S0B_L21Schedule H, Part V, Section B, Line 21All patients are charged at gross charges. Discounts are applied to gross charges for all patients.
SchH_P06_S00_L02Schedule H, Part VI, Line 2The hospital served as the lead organization in a community assessment utilizing MAPP (Mobilzing to Action through Planning and Partnership). MAPP is the community assessment model endorsed by the CDC and the State of Alaska Department of Health and Social Services. MAPP uses four types of assessments to establish the overall communnity assessment: 1) community data (reportable statistics from numerous groups and agencies), 2) community leader/public opinion (community surveys and interviews), 3) local public health assessment (CDC scoring of our local public health) and 4) forces of change (a look at local, state, national and international forces which impact the community. All of this is compiled into one community assessment. The year-long process is coordinated by the hospital, but utilizes a steering committee made up of representatives from local partners in health and wellness. Over 50 partnering agencies are involved in our communnity assess and health improvement plan. A copy of the assessment can be found at www.skpcommunitiesproject.net. In addition, the hospital conducts its own satifaction surveys with patients which ask for input on needed services, does monthly community outreach forums where we also solicit input, and take input from local physicians and providers.
SchH_P06_S00_L03Schedule H, Part VI, Line 3During patient registration, each private pay patient is offered a Financial Assistance packet and business card for the financial counselor. The financial counselor assists any interested parties with Medicaid applications and/or the hospital's internal financial assistance application.
SchH_P06_S00_L04Schedule H, Part VI, Line 4The South Peninsula Hospital Service Area (SPHSA) was formed in 1969 by the Kenai Peninsula Borough. It was determined that hospital services were needed within the South Peninsula area and that such services would be best provided by the establishment of a Service Area. The population of the SPHSA is 12,472 and covers 8317.66 square miles. South Peninsula Hospital is locatted in Homer, Alaska, at the southern tip of the Kenai Peninsula and close to the westerly most highway point in the country. The next closest hospital is Central Peninsula Hospital in Soldotna, 76 miles north of South Peninsula Hospital but as many as 80-90 miles for many of the resident in the SPHSA. Close to half of the population is largely in or in close proximity to the City of Homer. The remaining half is scattered in small neighbohoods throughout a vast Service Area encompassing 8,317 square miles and 491 miles of built roads. Some of the communities in the SPHSA are accessible only by air and water. Homer is the commerce hub of the Service Area, and the area attracts over 100,000 visitors each year. According to Alaska Department of Labor the estimated population in 2007, based on the 2000 U.S. Census, of the SPHSA was 12,719. The primary and Secondary Service Area combined, including Nanwalek (217), Port Graham (134) and Seldovia (429) is estimated at 13,499.
SchH_P06_S00_L05Schedule H, Part VI, Line 5The governing body of South Peninsula Hospital is comprised of persons who reside in the hospital service area who are neither employees nor independent contractors, nor family members of the hospital. South Peninsula Hospital extends medical staff privileges to all qualified physicians in its community. South Peninsula Hospital is committed to applying surplus funds to improvements in patient care.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Robert F Letson
1269580000053700472490179577000
Robert A Barnes
38137000001613014193053943000
Lori I Meyer
1067940000045170397450151056000
Larry R Tripp
15678401237780000000280562000
Diane G Peterson
1263230000053430470130178679000
Christine K Anderson
1209810000051180450240171123000
Douglas J Westphal
1073370000045400399460151823000
Michael J Toner
1071340000045320398710151537000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L01aSchedule J, Part I, Line 1aReimbursement of health club dues at 50% of cost up to a maximum of $400 per year.
SchJ_P01_S00_L03Schedule J, Part I, Line 3Annually, an evaluation subcommittee 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 team 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.
SchJ_P01_S00_L05Schedule J, Part I, Line 5The CRNA receives a bonus based on revenue generated for his services.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Kenai Peninsula Borough
9200308942003-09-3010621278Hospital Expansion000
Kenai Peninsula Borough
9200308942007-04-053086211Hospital Expansion000
Kenai Peninsula Borough
9200308942007-08-2814703525Hospital Expansion000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
001055201100014255001055201105501220070011
003062070000241410030620700020070111
00146835250002000000135803500020100011

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000010000
000010000
000010000

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11aForm 990, Part VI, Section B, Line 11aForm 990 is prepared by the organization's controller with input from other members of the organization. The form 990 is reviewed by the Finance Committee of the board of directors. The fifnal for 990 is approved by the board of directors before submission to the Internal Revenue Service.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cAll employees complete a conflict of interest questionnaire upon hire. Officer, Directors and Managers complete a conflict of interest questionnaire annually each December. The possible existence of conflicts of interest are required to be reported to the Corporate Compliance Officer for investigation.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15In 2007 the board of directors reviewed Horty Springer website to verify salary range appropriate when searching for a new CEO. Annually, an evaluation subcommittee 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 team are asked to do a confidential evaluation as well as having the CEO complete a self evaulation. The CEO's compensation is reviewed annually and any increases are a board decision based on performance.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19All 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Kenai Peninsula BoroughBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1144 N Binkley StreetAddressLine1
CitySoldotnaCity
StateAKState
ZIP Code99669ZIPCode
FieldValueIRS element (for citing)
EIN920030894EIN
Primary ActivitiesLocal GovernmentPrimaryActivities
Legal Domicile StateAKLegalDomicileState
Exempt Code Section115ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Kenai Peninsula Borough
c3708764
Kenai Peninsula Borough
e313831