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Nonprofiteer
← SOUTH PENINSULA HOSPITAL INC

Form 990 for tax year 2022

Filed by SOUTH PENINSULA HOSPITAL INC.

Totals

Total revenue
$113,484,050
Total expenses
$110,793,354
Contributions and grants received
$5,226,148
Grants paid
$141,658
Program service revenue
$106,939,029
Investment income
$563,017
Other revenue
$755,856
Total assets, end of year
$114,392,821
Total liabilities, end of year
$23,724,518
Net assets or fund balances, end of year
$90,668,303
Program services expenses (Part IX)
$85,872,676
Management and general expenses
$24,920,678
Fundraising expenses
$0
Program service expenses (Part III)
$85,872,676

Program services were 77.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $4,933,781

  • 1e · Government grants (contributions)

    $292,367

  • 1f · All other contributions, gifts and grants

    $0

  • 1g · Noncash contributions included above

    $212,160

  • 2a · Program service revenue: Hospital

    total $83,513,387 · related or exempt $83,513,387 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: Physician Offices

    total $12,890,575 · related or exempt $12,890,575 · unrelated business $0 · excluded $0

  • 2c · Program service revenue: Long Term Care

    total $9,267,807 · related or exempt $9,267,807 · unrelated business $0 · excluded $0

  • 2d · Program service revenue: Home Health Care

    total $1,267,260 · related or exempt $1,267,260 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $556,445 · related or exempt $556,445 · unrelated business $0 · excluded $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $0 · personal property $0

  • 6b · Less rental expenses

    real property $0 · personal property $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 7a · Gross sales of assets other than inventory

    securities $0 · other assets $6,572

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $6,572

  • 7d · Net gain or loss

    total $6,572 · related or exempt $6,572 · unrelated business $0 · excluded $0

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0 · unrelated business $0 · excluded $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11a · Other revenue: Cafeteria and Other Revenues

    total $531,225 · related or exempt $531,225 · unrelated business $0 · excluded $0

  • 11b · Other revenue: USAC Internet Subsidies

    total $203,136 · related or exempt $203,136 · unrelated business $0 · excluded $0

  • 11c · Other revenue: Other Operating Income

    total $21,495 · related or exempt $21,495 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $755,856

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $141,658 · program services $141,658

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $3,286,620 · program services $1,839,598 · management and general $1,447,022 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $48,404,147 · program services $39,106,837 · management and general $9,297,310 · fundraising $0

  • 8 · Pension plan contributions

    total $2,957,206 · program services $2,129,188 · management and general $828,018 · fundraising $0

  • 9 · Other employee benefits

    total $16,062,006 · program services $11,618,899 · management and general $4,443,107 · fundraising $0

  • 10 · Payroll taxes

    total $3,463,714 · program services $2,728,858 · management and general $734,856 · fundraising $0

  • 11a · Fees: management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $100,356 · program services $0 · management and general $100,356 · fundraising $0

  • 11c · Fees: accounting

    total $97,975 · program services $0 · management and general $97,975 · fundraising $0

  • 11d · Fees: lobbying

    total $7,271 · program services $0 · management and general $7,271 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $9,383,030 · program services $8,483,009 · management and general $900,021 · fundraising $0

  • 12 · Advertising and promotion

    total $71,650 · program services $4,744 · management and general $66,906 · fundraising $0

  • 13 · Office expenses

    total $12,547,236 · program services $11,609,904 · management and general $937,332 · fundraising $0

  • 14 · Information technology

    total $1,554,092 · program services $605,959 · management and general $948,133 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $2,063,957 · program services $287,330 · management and general $1,776,627 · fundraising $0

  • 17 · Travel

    total $225,487 · program services $141,409 · management and general $84,078 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $392,658 · program services $253,104 · management and general $139,554 · fundraising $0

  • 20 · Interest

    total $502,349 · program services $0 · management and general $502,349 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $4,747,177 · program services $4,272,459 · management and general $474,718 · fundraising $0

  • 23 · Insurance

    total $1,287,578 · program services $566,652 · management and general $720,926 · fundraising $0

  • 24a · Other expenses: Repairs and Maintenance

    total $1,905,204 · program services $982,727 · management and general $922,477 · fundraising $0

  • 24b · Other expenses: Due and Subscriptions

    total $215,318 · program services $59,327 · management and general $155,991 · fundraising $0

  • 24c · Other expenses: Recruitment

    total $1,185,502 · program services $922,995 · management and general $262,507 · fundraising $0

  • 24d · Other expenses: Miscellaneous

    total $191,163 · program services $118,019 · management and general $73,144 · fundraising $0

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,686 · end of year $2,686

  • 2 · Savings and temporary cash investments

    beginning of year $40,998,938 · end of year $42,940,215

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $16,295,100 · end of year $15,489,824

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $2,062,504 · end of year $2,130,034

  • 9 · Prepaid expenses and deferred charges

    beginning of year $760,219 · end of year $737,230

  • 10a · Land, buildings and equipment: cost or other basis

    $102,464,824

  • 10b · Land, buildings and equipment: accumulated depreciation

    $59,087,989

  • 10c · Land, buildings and equipment, net

    beginning of year $43,456,289 · end of year $43,376,835

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $18,000 · end of year $5,000

  • 15 · Other assets

    beginning of year $9,654,706 · end of year $9,710,997

  • 17 · Accounts payable and accrued expenses

    beginning of year $15,745,077 · end of year $14,240,037

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $647,712 · end of year $630,113

  • 20 · Tax-exempt bond liabilities

    beginning of year $9,000,373 · end of year $8,854,368

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $87,795,935 · end of year $90,612,815

  • 28 · Net assets with donor restrictions

    beginning of year $59,345 · end of year $55,488

Mission and programs · 2022

Mission

South Peninsula Hospital promotes community health and wellness by providing personalized, high-quality, locally coordinated healthcare.

  • Our 22 bed acute care hospital provided inpatient services to 665 patients for total patient days of 3,373 during FY23. Total outpatient visits for the year were 91,793 which includes 5,502 emergency room visits, 1,464 ambulatory surgery visits, and other outpatient services such as imaging, laboratory, physical therapy, infusion, chemotherapy, and sleep lab.

    Expenses $56,360,856 · Revenue $83,513,387

  • 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 37,001 patient visits during FY23.

    Expenses $21,186,426 · Revenue $12,890,575

  • The hospital operates a long term care facility that provides skilled nursing care to an average of 23 patients daily for a total of 8,398 resident days during FY23.

    Expenses $6,568,828 · Revenue $9,267,807

  • Our Home Health division caring for patients in the home performed 4,168 home visits during the tax year.

    Expenses $1,756,566 · Revenue $1,267,260

As filed on the 2022 return.

Listed in Part VII

  • Brent Adcox

    Orthopaedic Surgeon

    Total calculated
    $1,607,447
    From this org
    $1,601,347
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,565,755
    Bonus
    $35,321
    Other
    $271
    Deferred
    $6,100
    Nontaxable benefits
    $52,546
    Filer's total
    $1,659,993
  • Edson Knapp

    Director and Radiologist

    Total calculated
    $1,038,063
    From this org
    $1,031,963
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,018,753
    Bonus
    $3,763
    Other
    $9,447
    Deferred
    $6,100
    Nontaxable benefits
    $53,030
    Filer's total
    $1,091,093
  • Ryan Smith

    CEO

    Total calculated
    $551,976
    From this org
    $545,876
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $428,927
    Bonus
    $106,435
    Other
    $10,514
    Deferred
    $6,100
    Nontaxable benefits
    $39,913
    Filer's total
    $591,889
  • Nathan Kincaid

    Physician

    Total calculated
    $548,155
    From this org
    $542,055
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $260,595
    Bonus
    $54,467
    Other
    $226,993
    Deferred
    $6,100
    Nontaxable benefits
    $44,995
    Filer's total
    $593,150
  • Michael Boiling

    Director and General Surgeon

    Total calculated
    $545,278
    From this org
    $545,278
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $535,604
    Bonus
    $3,760
    Other
    $5,914
    Deferred
    $0
    Nontaxable benefits
    $52,730
    Filer's total
    $598,008
  • Christy Martinez

    Physician

    Total calculated
    $477,307
    From this org
    $471,207
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $390,551
    Bonus
    $79,983
    Other
    $673
    Deferred
    $6,100
    Nontaxable benefits
    $50,255
    Filer's total
    $527,562
  • Sarah Roberts

    Physician

    Total calculated
    $473,510
    From this org
    $467,410
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $394,531
    Bonus
    $72,499
    Other
    $380
    Deferred
    $6,100
    Nontaxable benefits
    $52,411
    Filer's total
    $525,921
  • Christopher Landess

    ER Physician

    Total calculated
    $443,177
    From this org
    $437,077
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $356,421
    Bonus
    $79,983
    Other
    $673
    Deferred
    $6,100
    Nontaxable benefits
    $50,255
    Filer's total
    $493,432
  • Christina Tuomi

    CMO

    Total calculated
    $400,156
    From this org
    $394,056
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $389,624
    Bonus
    $3,764
    Other
    $668
    Deferred
    $6,100
    Nontaxable benefits
    $50,102
    Filer's total
    $450,258
  • Angela Hinnegan

    COO

    Total calculated
    $267,218
    From this org
    $261,118
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $249,127
    Bonus
    $5,355
    Other
    $6,636
    Deferred
    $6,100
    Nontaxable benefits
    $30,285
    Filer's total
    $297,503
  • Rachael Kincaid

    CNO

    Total calculated
    $210,964
    From this org
    $204,864
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $200,440
    Bonus
    $3,763
    Other
    $661
    Deferred
    $6,100
    Nontaxable benefits
    $52,384
    Filer's total
    $263,348
  • Anna Hermanson

    CFO

    Total calculated
    $164,521
    From this org
    $163,071
    From related orgs
    $0
    Other
    $1,450
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $155,428
    Bonus
    $7,014
    Other
    $629
    Deferred
    $1,450
    Nontaxable benefits
    $30,107
    Filer's total
    $194,628
  • Angela Johnson

    CNO

    Total calculated
    $77,541
    From this org
    $77,394
    From related orgs
    $0
    Other
    $147
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $67,304
    Bonus
    $10,069
    Other
    $21
    Deferred
    $147
    Nontaxable benefits
    $2,933
    Filer's total
    $80,474
  • Kelly Cooper

    President

    Total calculated
    $9,000
    From this org
    $9,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    2
  • Julie Woodworth

    Secretary

    Total calculated
    $7,500
    From this org
    $7,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    2
  • Melissa Jacobsen

    Director

    Total calculated
    $7,500
    From this org
    $7,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    2
  • Bernadette Wilson

    Director

    Total calculated
    $7,500
    From this org
    $7,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    2
  • Walter Partridge

    Treasurer

    Total calculated
    $7,500
    From this org
    $7,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    2
  • Mary Wythe

    Director

    Total calculated
    $6,000
    From this org
    $6,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    2
  • Aaron Weisser

    Vice President

    Total calculated
    $6,000
    From this org
    $6,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    2
  • Kari-Ann Calderwood Baker

    Director

    Total calculated
    $6,000
    From this org
    $6,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    2
  • Matt Hambrick

    Director

    Total calculated
    $6,000
    From this org
    $6,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1a · Health or social club dues or initiation fees
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 1b · Written policy on the line-1a expenses
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 1a
The hospital provides gift cards for special events. The taxes on those gift cards are grossed up and covered by the employer. The hospital also provides a wellness benefit, the use of local health facilities, and pays up to half of gym memberships through the wellness program not to exceed $400 per year for union employees and not to exceed $500 per year for managers and confidential employees.
Schedule J, Part I, Line 1b
Although the hospital does not have a written policy governing all fringe benefits, it does closely follow IRS guidelines for the treatment of those benefits and includes all applicable fringe benefits as taxable earrings and reports them on form W-2.
Schedule J, Part I, Line 3
The Board determines the CEO's compensation based on a comparative review of other facility's 990's and wage and compensation surveys done by various agencies including the Alaska Hospital and Healthcare Association.
Schedule J, Part I, Line 4
4a Angela Johnson severance payment of 49,543. 4b Employees contribute to and participate in a nonqualified 457 compensation plan.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

  • G Squared LLC

    $78,458

    Support for community MAPP program, mobilizing action through planning and partnerships, a coalition for health improvement on the peninsula. This program supports All Things Recovery.

  • Support for the hospice program and community resource for DME and end of life care.

  • Support for private community STD testing.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
26 April 2024
IRS schema version
2022v5.0
Source object
202411189349300506

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