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South Peninsula Hospital Inc

South Peninsula Hospital
4300 Bartlett St
Homer, AK 99603
Bed count22Medicare provider number021313Member of the Council of Teaching HospitalsNOChildren's hospitalNO
EIN: 920037099
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
18.53%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 106,142,419
      Total amount spent on community benefits
      as % of operating expenses
      		$ 19,671,875
      18.53 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 130,571
        0.12 %
        Medicaid
        as % of operating expenses
        		$ 3,549,002
        3.34 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 0
        0 %
        Health professions education
        as % of operating expenses
        		$ 13,022
        0.01 %
        Subsidized health services
        as % of operating expenses
        		$ 14,335,536
        13.51 %
        Research
        as % of operating expenses
        		$ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        		$ 1,611,018
        1.52 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 32,726
        0.03 %
        Community building*
        as % of operating expenses        		$ 6,230
        0.01 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)8
          Physical improvements and housing0
          Economic development0
          Community support2
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building4
          Community health improvement advocacy2
          Workforce development0
          Other0
          Persons served (optional)663
          Physical improvements and housing0
          Economic development0
          Community support263
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building50
          Community health improvement advocacy350
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses          		$ 6,230
          0.01 %
          Physical improvements and housing
          as % of community building expenses
          		$ 0
          0 %
          Economic development
          as % of community building expenses
          		$ 0
          0 %
          Community support
          as % of community building expenses
          		$ 750
          12.04 %
          Environmental improvements
          as % of community building expenses
          		$ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          		$ 0
          0 %
          Coalition building
          as % of community building expenses
          		$ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          		$ 5,480
          87.96 %
          Workforce development
          as % of community building expenses
          		$ 0
          0 %
          Other
          as % of community building expenses
          		$ 0
          0 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses        		$ 3,568,228
        3.36 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses        		$ 122,397
        3.43 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available

    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES

    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available

    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
      • 4A (Expenses $ 55373526 including grants of $ 0) (Revenue $ 79485923)
Our 22 bed acute care hospital provided inpatient services to 840 patients for total patient days of 3,867 during FY22. Total outpatient visits for the year were 109,451 which includes 5,180 emergency room visits, 1,344 ambulatory surgery visits, and other outpatient services such as imaging, laboratory, physical therapy, infusion, chemotherapy, and sleep lab.
      4B (Expenses $ 18405416 including grants of $ 0) (Revenue $ 11325942)
The hospital operates several provider based clinics which include family medicine, orthopedics, general surgery, neurology, internal medicine, mental health, OBGYN, and urology. These various outpatient provider based clinics had 32,822 patient visits during FY22.
      4C (Expenses $ 5881753 including grants of $ 0) (Revenue $ 7942080)
The hospital operates a long term care facility that provides skilled nursing care to an average of 19 patients daily for a total of 7,098 resident days during FY22.
      4D (Expenses $ 1622240 including grants of $ 0) (Revenue $ 1068895)
Our Home Health division caring for patients in the home performed 3,441 home visits during the tax year.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      Schedule H, Part V, Section B, Line 5-South Peninsula Hospital
Yes, South Peninsula Hospital included Lorne Carrol, Public Health Nurse Team Lead, Homer Office of Alaska Public Health as an advisor in the development of the CHNA. Six meetings were held with public health during the process to determine the goals, designate critical indicators to include, ensure adequate community input, and advise on other items. The steering committee of the local community health coalition (MAPP of the Southern Kenai Peninsula) was kept apprised at monthly meetings of decisions and direction made by South Peninsula Hospital and Public Health, and the status of the assessment. Members include representatives of Seldovia Village Tribe (SVT, FQHC), Kachemak Bay Family Planning, Kachemak Bay UAA Campus, Haven House, City of Homer, South Peninsula Behavioral Health, Sprout Family Services and United Methodist Church. The steering committee was integral with input for informed decisions and helped with data collection. In addition to board, public health advisement in the development, special consideration was given to the broad interest of the community served by ensuring broad, diverse representation in the data collected and community surveyed. Note- Much of this inclusion work was done virtually as the bulk of the CHNA was compiled March-May of 2020 when all work was virtual.
      Schedule H, Part V, Section B, Line 11-South Peninsula Hospital
"To provide services for a rapidly growing senior population: SPH recruited and now offers weekly neurology clinics; added a hand & shoulder orthopedic surgeon, a second general surgeon and transitioned to full-time hospitalists for more continuity of inpatient care. To help develop senior care offerings within services, SPH offered free weekly yoga for beginners, great for all ages and abilities. To secure space and facilities to support service growth, SPH sponsored Senior Day at the Kenai Peninsula State Fair with education and offerings geared towards seniors and community education was offered on end of life decision making and living wills including medical and legal components. To strengthen Primary and Preventative Care, SPH recruited a psychiatrist and LCSW expanding behavioral health services. To support wellness programs in the community, SPH participated in and assisted with the promotion of multiple community wellness programs. To strengthen relations with other providers in the community for seamless transition of care, SPH participated in annual mental health provider luncheon with partner organizations and collaborated with both private practice and organization based providers through venues including presentations, health fairs, pop up clinics, education outreach and more. Goal provide charity care to those in need. To help individuals access preventive care, free flu shot clinics offered to the community, free COVID 19 vaccinations offered to the community, discounted pediatric immunization clinic offered to the community, community and school based education programming offered both virtually and in person. We offered free financial assistance to patients and non-patients alike and did community outreach during open enrollment. We promoted this program at the annual health fair, on our website, and at quarterly presentations to the Kenai Peninsula Borough. To recruit locally for entry level positions, a SPH incentive program was developed to offer graduates of the Southern Peninsula sign on bonuses; HR participated in multiple job fairs within the Southern Peninsula. To, support local workforce development programs, SPH provided staff instruction for the Certified Nursing Assistant program through KPC. We developed a ""earn to learn"" program for CNAs. SPH provided clinical representation on local MAPP opioid task force. SPH provides funding for the community task force on addiction. SPH expanded clinic staff to include a MA CDC 1 Provider and created a new clinic for behavioral health services: Serene Waters. SPH increased awareness of MAT programs through presence at community events, offerings, and virtual presence. SPH supports nutrition education, obesity, diabetes, and other related chronic disease care through multiple communications with school based and community educational presentations offered through SPH. The content focused on the science of weight loss, nutrition education, and obesity. To help support and promote physical activity among staff and community residents, SPH offered a staff wellness program aimed at addressing the 8 dimensions of wellness. SPH facilitated yearly staff and community wide community walking challenges, free weekly community yoga programs, free community walks in an indoor space, and free community cirque classes. Priority Support access to good nutrition, education, and dietary habits both as an employer and provider. SPH executed a yearly holiday food drive for local food banks, provided meals at community education events, and offered nutrition education through community presentations, health fairs, and a newsletter. SPH ensured ER, inpatient, and outpatient systems provide necessary safeguards to identify victims of violence. SART/SANE staff provide training and are available for assessments. SPH provides continued support and participation in local Sexual Assault Response Center, and expanded the number of SART/SANE nurses. To ensure our services meet the residents where the need is, SPH had a staff member help coordinate the Rotary Health Fair, Safe and Healthy Kids Fair, and Community Resource Connect which aimed to include services and resources to meet the needs of unique populations. SPH staffed and managed a free Covid-19 testing site 7 days a week during height of pandemic, and was open 33 months. SPH facilitated a 12+ free COVID 19 vaccination clinic for the community vaccinating thousands and provided education outreach to remote/rural areas of the Southern Peninsula. To offer flexible hours of operation such as weekends and holidays, SPH offers multiple clinics including mammogram appointments in the evenings and Saturdays and offers walk in evening visits. To strengthen and promote telehealth services, SPH created a streamlined patient portal with increased accessibility to telehealth services and all primary care practices now offer telehealth. For pandemic response, SPH is now conducting annual drills for emergency preparedness and maintains relations with local emergency response partners by conducting regularly scheduled meetings. Operations teams stayed abreast of current news via weekly state ECHO calls and relayed current information to staff and the community through the PIO. Consistent collaboration and communication among community partners was maintained throughout the height of the pandemic to meet community needs. For the priority of addressing long term health consequences due to individuals delaying care, SPH promoted regular health screenings through annual health fairs for the staff and community and added two new primary care providers to help with increased patient loads. In an effort to make the systems easy and normal to access care, SPH returned to all pre-COVID protocols and systems in regards to seeking care and increased access to care via telehealth offerings. SPH messaging and language developed used a trauma informed/non fear based unbiased approach focusing on the promotion of positive health outcomes and transitioned to become a mask optional facility."
      Schedule H, Part V, Section B, Line 16j-South Peninsula Hospital
Financial Assistance information is provided on patient statements and as financial navigators call patients to discuss bills, financial assistance program information is shared.
      Supplemental Information
      Schedule H (Form 990) Part VI
      Schedule H, Part I, Line 7
Costs associated with financial assistance were based on the Medicare Cost Report cost to charge ratio for tax year 2021. Costs associated with other benefits are based on actual reported costs per activity or department.
      Schedule H, Part I, Line 7g
The hospital included subsidized health service costs associated with several departments providing services for family medicine, behavioral health, functional medicine, orthopedics, sleep clinic, general surgery, long term care, home health, and various other departments.
      Schedule H, Part II
Community building activities included activities in the community such as working with project homeless connect, the Southern Kenai Peninsula Resiliency Coalition, sponsoring support services for mothers and babies at the farmers market, and working to promote community wellness.
      Schedule H, Part III, Section A, Line 4
Percentage of self pay writeoffs that are charity care times the cost to charge ratio to get the true cost
      Schedule H, Part III, Section B, Line 8
This data was obtained from the CMS website on our Provider Statistical & Reimbursement Report for the tax year. We believe the shortfall in line 8 should be considered community benefit due to the provision of care to Medicare patients regardless of their ability to pay. Further the hospital is not allowed to collect from the contractual writeoffs from patients despite the deficit in the cost to provide the services to this population.
      Schedule H, Part III, Section C, Line 9b
The facility has a debt collection policy. The policy allows for any funds sent to bad debt that are eligible for financial assistance to be pulled back from a collection agency.
      Schedule H, Part VI, Line 2
South Peninsula Hospital uses a collaborative effort within state and local agencies and also community members and focus groups to identify the community health needs
      Schedule H, Part VI, Line 3
The hospital employs 2 financial counselors and 2 financial navigators that are available to meet with patients to discuss bills, payment plans, and financial assistance options. The counselors can also assist patients with completing the charity care application. Additionally, a copy of the FAP is available at all registration areas, displayed prominently in the emergency rooms and waiting rooms, and published on our website.
      Schedule H, Part VI, Line 4
The hospital serves the Southern Kenai Peninsula Service Area located in the Kenai Peninsula Borough. That service area encompasses several communities in South Central Alaska to include Anchor Point, Diamond Ridge, Fox River, Fritz Creek, Happy Valley, Homer, Kachemack City, Nanwalek, Nikolaevsk, Ninilchick, Port Graham, and Seldovia for an estimated population of 19,728