2022-05-13T15:32:52-07:00 2021-06-30 990 2020-07-01 920037099 SOUTH PENINSULA HOSPITAL INC SOUT 9072358101 4300 Bartlett Street Homer AK 99603 Angela Hinnegan CFO, CPA 9072358101 2022-05-13 1 11 0 AAL2 2020 2022-09-23 18:48:47Z Ryan Smith 4300 Bartlett St Homer AK 99603 101388803 0 X https://www.sphosp.org/ X 1969 AK South Peninsula Hospital promotes community health and wellness by providing personalized, high-quality, locally coordinated healthcare. 11 7 578 26 0 0 10120594 15052833 76079287 85596354 508982 104569 597503 635047 87306366 101388803 72140 120699 0 0 50461372 58268610 0 0 0 26641734 30127867 77175246 88517176 10131120 12871627 115136067 110326959 45021569 27340834 70114498 82986125 South Peninsula Hospital promotes community health and wellness by providing personalized, high-quality, locally coordinated healthcare. 0 0 48366330 0 69015945 Our 22 bed acute care hospital provided inpatient services to 794 patients for total patient days of 3,420 during FY21. Total outpatient visits for the year were 93,961 which includes 4,382 emergency room visits, 1,327 ambulatory surgery visits, and other outpatient services such as imaging, laboratory, physical therapy, infusion, chemotherapy, and sleep lab. 16376236 0 9433452 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 29,320 patient visits during FY21. 5734030 0 6031627 The hospital operates a long term care facility that provides skilled nursing care to an average of 18 patients daily for a total of 6,460 resident days during FY21. 1491591 0 1115330 Our Home Health division caring for patients in the home performed 4,143 home visits during the tax year. 1491591 0 1115330 71968187 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 1 110 0 1 578 1 0 0 0 0 0 0 0 0 X 11 7 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AK X X SPH Finance Department 9072350912 4300 Bartlett Street Homer AK 99603 Brent Adcox Orthopaedic Surgeon 50 0 X 1493737 0 5700 Edson Knapp Director and Radiologist 50 0 X X 948052 0 5700 Jeffrey Larsen General Surgeon 50 0 X 552146 0 0 Todd Boling Director and General Surgeon 50 0 X X 542146 0 0 Ryan Smith CEO 50 0 X X 499173 0 5700 Christy Martinez Physician 50 0 X 414239 0 5700 Christopher Landess ER Physician 50 0 X 406521 0 0 Christina Tuomi Physician 50 0 X 398044 0 0 Angela Hinnegan CFO 50 0 X 233193 0 5700 Angela Johnson CNO 50 0 X 183942 0 5700 Thomas Clark President 5 0 X 8000 0 0 Walter Partridge Vice President 5 X 7500 0 0 Matthew Hambrick Treasurer 2 0 X 7500 0 0 Melissa Jacobsen Secretary 2.00 0 X 7375 0 0 David Groesbeck Director 2.00 X 6250 0 0 Bernadette Wilson Director 2.00 X 6125 0 0 Keri-Ann Baker Director 2.00 0 X 6000 0 0 Mary Wythe Director 5 0 X 6000 0 0 Julie Woodworth Director 2.00 0 X 6000 0 0 Robert Letson Former CEO 0 0 X 3327 0 0 5735270 0 34200 76 0 1 1 MEDEFIS Consolidated PO BOX 5068 New York NY 10087 Temporary Contract Staffing 1639315 Robert Lee Gear III 6817 NORTH 57th PLACE Paradise Valley AZ 85253 Emergency Room Physician 478373 Medical Solutions LLC PO Box 310737 Des Moines IA 503310737 Contract Staffing 396414 Alaska Urology LLC 3841 Piper St STE T300 Anchorage AK 99508 Urology Services 358018 Peak Imaging 4438 Towne Heights Ln Homer AK 99603 Radiology Services 346532 13 0 0 0 0 11314811 3738022 187648 15052833 Hospital 622000 69015945 69015945 0 0 Physician Offices 621110 9433452 9433452 0 0 Long Term Care 623110 6031627 6031627 0 0 Home Health Care 621610 1115330 1115330 0 0 0 0 0 0 85596354 72520 72520 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32049 0 0 0 32049 32049 32049 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria and Other Revenue 900099 332533 332533 0 0 USAC Internet Subsidies 900099 203136 203136 0 0 Other Operating Income 900099 99378 99378 0 0 0 0 0 0 635047 101388803 86335970 0 0 120699 120699 0 0 0 0 0 0 1009294 504647 504647 0 0 0 0 0 42927100 36070021 6857079 0 1224020 1028498 195522 0 10320034 7306758 3013276 0 2788162 2574070 214092 0 0 0 0 0 45298 0 45298 0 110046 0 110046 0 6607 0 6607 0 0 0 0 0 0 0 8270049 6580142 1689907 0 98226 49113 49113 0 10047796 7994623 2053173 0 1154081 918255 235826 0 0 0 0 0 1985058 1579430 405628 0 58956 46909 12047 0 0 0 0 0 365068 290470 74598 0 493738 476852 16886 0 0 0 0 0 3555630 3200067 355563 0 1040670 936603 104067 0 Repairs and Maintenance 2363976 1880920 483056 0 Dues, Books, Subscriptions 240891 191667 49224 0 Recruitment 135317 107666 27651 0 156460 110777 45683 0 88517176 71968187 16548989 0 2686 2686 55464966 40673894 0 0 12134689 13855512 0 0 0 0 0 0 1557289 1808615 704806 654007 99388458 57648110 39627684 41740348 0 0 0 0 0 0 0 0 5643947 11591897 115136067 110326959 25926618 12804149 0 0 2333304 3571479 12880577 10965206 0 0 0 0 0 0 3881070 0 45021569 27340834 X 70114498 82986125 0 0 70114498 82986125 115136067 110326959 12871627 0 0 0 0 0 X 0 1 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 1113 0 1 5494 6607 0 Schedule C, Part II-B, Line 1 The hospital pays annual dues to entities that perform lobbying activities. Those entities are the Alaska State Hospital and Nursing Home Association, the American Hospital Association, and the American Healthcare Association. The amount reported on Schedule H Part IV is based on the estimated percentage of lobbying activities as reported by these entities for 2020. The hospital CEO also took a trip to our capital to work with legislators on matters related to healthcare delivery and reimbursement. 0 229208 229208 0 66244668 31908780 34335888 0 213357 105330 108027 0 28687804 23057964 5629840 0 4013421 2576036 1437385 41740348 Net Pension Asset 8600712 Pension Related Deferred Outflow 2536008 Deferred Loss on Refinancing 426177 Goodwill 29000 11591897 101388803 0 0 0 0 0 101388803 0 0 0 101388803 88517176 0 0 0 0 0 88517176 0 0 0 88517176 1 1 X 1 X 1 X 1 1 1 0 0 1 678 539888 0 539888 0.0061 1 2571 13431313 12453438 977875 0.0111 1 67 31396 9132 22265 0.0003 3 3316 14002597 12462570 1540028 0.0175 27 38653 3995251 1276751 2718499 0.0309 4 48 1687 0 1687 0 16 48022 31413883 16781213 14632700 0.1665 0 0 0 0 0 0 15 1444 45563 0 45563 0.0005 62 88167 35456384 18057964 17398449 0.1979 65 91483 49458981 30520534 18938477 0.2154 0 0 0 0 0 0 0 0 0 0 0 0 1 10 150 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 600 18593 0 18593 0.0002 0 0 0 0 0 0 0 0 0 0 0 0 5 610 18743 0 18743 0.0002 0 3332151 523275 31075754 33293268 -2217514 X 1 1 1 1 South Peninsula Hospital 4300 Bartlett St Homer AK 99603 www.sphosp.org GACH-010 X X X X South Peninsula Hospital 1 0 0 1 X X X X X X X X 20 1 0 0 1 X https://www.sphosp.org/about-sph/health-needs-assessment/ X 1 20 1 https://www.sphosp.org/about-sph/health-needs-assessment/ 0 0 1 X 100 300 X X X X 1 1 X X X 1 X https://www.sphosp.org/for-patients/financial-assistance/ X https://www.sphosp.org/wp-content/uploads/2021/02/2021-FAP-Application.pdf X https://www.sphosp.org/wp-content/uploads/2018/08/Financial-Assistance-Brochure.pdf X X X X X X 1 X 0 X X X X 1 0 0 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 apprise 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 SVT Village Tribe (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 broad, public health advisement in the development, special consideration was given to the broad interest of the community served by ensuring broad 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 Priority finding #1: Health needs of an aging community: SPH will focus on services for a rapidly growing senior population including: a) Specialty provider retention and recruitment; b) Strengthen senior based services, including but not limited to outpatient surgery, rehabilitation, swing bed, home health, etc. c) Develop specific senior care offerings within services (i.e., fall risk assessments, senior walking programs, senior promotions, etc.); d) Explore alternate funding opportunities such as grants and other means based programs to support equipment and service needs of the growing senior population; and e) Secure space and facilities to support service growth. Priority finding #2: Strengthen Primary and Preventative Care: SPH will focus on mental health and emotional wellness by a) recruiting and retaining ample outpatient and inpatient psychiatric providers; b) Supporting wellness programs in the community and d) strengthening relations with other providers in the community for seamless transition of care. SPH will support resident economic security and social supports by a) providing charity care to those in need; b) Offering promotions and education that help individuals access preventive (free flu shot clinics, sports physical day, vaccine outreach, etc.); c) offering insurance consult and enrollment services to residents; d) exploring and apply for alternate funding opportunities such as grants and other needs based programs to support economic and social community programs; e) ensuring financial aid is widely publicized and easy to access; f) recruiting locally for entry level position and g) supporting local workforce development programs. In our efforts to better address substance use, misuse and addiction, SPH will: a) strengthen relations between inpatient, Emergency Department, outpatient clinics and local opioid task force resources to ensure seamless transition of care; b) Provide SPH clinical representation on local MAPP opioid task force; c) Develop and strengthen outpatient addiction services - M.A.T.; d) Adopt critical recommendations put forth by SPH Substance Use, Misuse and Addiction Task Force which will improve addiction related care and services; e) Support prevention provider practices and f) Explore and apply for alternate funding opportunities such as grants and means based programs to support substance abuse treatment programs, equipment, and support. To address Chronic disease / Obesity, SPH will : a) Support nutrition education, obesity, diabetes and other related chronic disease care; b) Support and promote physical activity among staff and community residents; c) Support access to good nutrition, education and dietary habits, both as an employer and provider; d) Utilize Health and Wellness to provide outreach to community and e) Ensure inpatient has seamless connection to outpatient referral for chronic disease management needs upon discharge. To address growing interpersonal violence, we will a) Ensure E.R., inpatient and outpatient systems provide necessary safeguards to identify victims of violence; b) Ensure seamless connection to necessary care and services; and c) Support local Center of Excellence, continuing SPH role with clinical services and financial support. To improve Access to Care, we will a) Adopt trauma-informed care practices system wide, ensuring all residents feel welcomed seeking services at SPH; b) Review and ensure our services meet the residents where the need is (Homeless Connect, Health Fairs, etc.); c) Consider or promote flexible hours of operation, such as evenings and weekends; d) Continue to strengthen and promote telehealth services and e) Promote and assist with insurance enrollment, consult and financial aid. Priority Finding #3: COVID-19 Pandemic; SPH will improve emergency preparedness readiness by a) Providing annual training that supports H.I.C.S. event management; b) Drill and exercise regularly; c) Maintain relations with local emergency response partners and d) Develop and train backup staff for key positions in the incident command structure. SPPH will a) offer safe, timely, best practices for COVID testing, treatment, patient care and vaccination, b) monitor for and respond to long term consequences in the community due to one year in conditions of the pandemic (schools closed, job loss, social distancing, quarantines, layoffs), c) monitor for and respond to long term health consequences to individuals from the disease, d) address long term health consequences due to individuals delaying care because of the pandemic, and e) monitor for potential impact to staff and organizational systems, such as supply availability, wellness programs and employee engagement. Schedule H, Part V, Section B, Line 16j-South Peninsula Hospital Financial assistance information is displayed throughout our facility at registration desks, on bulletin boards, in waiting rooms, at the annual health fair, on our public website, and in our financial counseling offices. 8 SPH Long Term Care 4300 Bartlett Street Homer AK 99603 Long term care skilled nursing facility SPH Home Health 203 W Pioneer Homer AK 99603 Home Health Services Homer Medical Center 4136 Bartlett St Homer AK 99603 Family Practice Medical Clinic SPH Specialty Physician & Family Care Clinic 4201 Bartlett St Homer AK 99603 Orthopaedics, General Surgery, Urology, Primary Care, and other Specialty physicians SPH West Wing Clinic 4117 Bartlett St Homer AK 99603 OBGYN and Women's health services SPH Infusion Clinic 4251 Bartlett St Homer AK 99603 Infusion Treatments SPH Functional Medicine Clinic 203 W Pioneer Ave Suite 2 Homer AK 99603 Functional Medicine clinic SPH-Peninsula Surgical Clinic 203 W Pioneer Ave Ste 2B Homer AK 99603 General Surgery Clinic SPH Neurology & Sleep Clinic 4300 Bartlett St Homer AK 99603 Neurology & Sleep Clinic Schedule H, Part I, Line 7 Costs associated with financial assistance were based on the Medicare Cost Report costs to charge ratio for tax year 2020. 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 services 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 specialties. Schedule H, Part II Community building activities included activities in the community such as Breast Cancer Awareness, Colorectal Cancer Awareness education programs as well as activities to get community members more physically active. 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 write offs 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 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 application. Additionally, a copy of the FAP is available at all registration reas, displayed prominently in the emergency rooms and waiting rooms, and published on our website. Schedule H, Part VI, Line 4 The hospital serves the South Peninsula Hospital 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. 1 G Squared LLC PO Box 1245 Homer AK 99603 811770947 79899 Support for community MAPP program, mobilizing action through planning and partnerships. Coalition for health improvement on the peninsula. Hospice of HOmer PO Box 4174 Homer AK 99603 920115943 501(c)(3) 27900 Support for the hospice program and community resource for DME and end of life care. Kachemak Bay Family Planning 3959 Ben Walters Ln Homer AK 99603 920106486 501(c)(3) 12900 Support for private community STD testing 2 1 Schedule I, Part I, Line 2 Assistance was provided to healthcare non-profits which support the community health needs such as Hospice of Homer, Kachemak Bay Family Planning, and G Squared, support for community MAPP. Records are kept in the facility's accounting system. X X X 0 1 X X X X 0 1 0 0 0 0 0 0 0 Brent Adcox Orthopaedic Surgeon 1101362 0 356476 0 35889 0 5700 0 50508 0 1549935 0 0 0 Edson Knapp Director and Radiologist 946669 0 1268 0 115 0 5700 0 50508 0 1004260 0 0 0 Jeffrey Larsen General Surgeon 535842 0 16304 0 0 0 0 0 46622 0 598768 0 0 0 Todd Boling Director and General Surgeon 540842 0 1304 0 0 0 0 0 46622 0 588768 0 0 0 Ryan Smith CEO 379328 0 51302 0 68543 0 5700 0 42086 0 546959 0 0 0 Christopher Landess ER Physician 405315 0 1206 0 0 0 0 0 50508 0 457029 0 0 0 Christina Tuomi Physician 390550 0 7494 0 0 0 0 0 47523 0 445567 0 0 0 Christy Martinez Physician 411172 0 3067 0 0 0 5700 0 50243 0 470182 0 0 0 Angela Hinnegan CFO 212576 0 18317 0 2300 0 5700 0 23797 0 262690 0 0 0 Angela Johnson CNO 175688 0 1315 0 6939 0 5700 0 37627 0 227269 0 0 0 Robert Letson Former CEO 0 0 0 0 3327 0 0 0 0 0 3327 0 0 0 Schedule J, Part I, Line 1a The hospital provided corporate housing to its CEO and other professional employees as a recruiting incentive due to the rural nature of the facility and the related housing shortage. That housing subsidy was grossed up when it was included as taxable earnings The hospital also provides a wellness benefit, the use of local health facilities and pays up to half of gym membership fees through the wellness program not to exceed $400 per year for union employees and not to exceed $500 per year for managers & 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 as taxable earnings and reports them on Form W2. Schedule J, Part I, Line 4 Employee payments were made to employees who participated in the nonqualified 457 compensation plans. A Kenai Peninsula Borough 2015 Refunding Bonds 920030894 2015-06-04 8655000 Refunding Bonds 0 0 0 B Kenai Peninsula Borough 2016 Refunding Bonds 920030894 2016-11-03 2660000 Refunding Bonds 0 0 0 C Kenai Peninsula Borough Revenue Bonds 920030894 2017-04-27 4500000 Hospital Expansion and Maintenance 0 0 0 A 2295000 0 9884491 0 0 0 0 0 0 0 0 0 2009 0 1 1 1 B 640000 0 3050412 0 0 0 0 0 0 0 0 0 2009 0 1 1 1 C 925000 0 4795700 0 62086 0 23647 0 0 4779254 0 23838 2018 0 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 1 A 0 0 0 0 1 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 1 0 0 0 0 Woodworth Electric LLC Board Member 280073 Electrical Services 0 Jonas Ridge LLC Board Member & Surgeon 118094 Rental of Medical Office Space 0 Matthew Hambrick Board Member 19200 Apartment Rental for traveling staff 0 X HVAC O2 Prime Ionization 1 187648 Capital Asset Value of Item 0 0 0 0 Form 990, Part VI, Section A, Line 7b Hospital is operated by South Peninsula Hospital Inc. through a sublease and operating agreement with the Kenai Peninsula Borough. In accordance with that agreement certain key decisions must be approved by the Kenai Peninsula Borough Assembly. Signing of any leases in excess of one year or $100,000 also requires Borough approval. The issuance of tax exempt bonds backed by the revenues of the hospital requires voter approval. Form 990, Part VI, Section B, Line 11b Form 990 is prepared by Hospital Finance, reviewed first by the CFO and CEO, and then distributed to the Board of Directors for review and approval. The Board of Directors then approved the CFO to sign and submit the return electronically. Form 990, Part VI, Section B, Line 12c The Board of Directors signs an annual conflict of interest attestation indicating whether any conflicts of interest exist. In matters where Board action is required, any members with an identified conflict of interest state their conflict and refrain from voting. Form 990, Part VI, Section B, Line 15 South Peninsula Hospital does have independent compensation review studies performed periodically to ensure that the wages are reasonable and customary for key positions. Comparative industry compensation data is utilized in determining compensation levels for key staff. The Board of Directors discusses and sets the wage for the CEO based on market and other available data. Form 990, Part VI, Section C, Line 19 The hospital makes its governing documents, 990, form 1023, and financial statements available upon request. It also provides a financial overview to the public during its monthly board meetings, as well as quarterly financial overview presentations at the quarterly Borough Assembly meetings. Kenai Peninsula Borough 144 N Binkley St Soldotna AK 99669 920030894 Local area government AK 115 N/A N/A 0 South Peninsula Hospital Foundation PO Box 2548 Homer AK 99603 830354063 Fundraising and Community Health Support AK 501c3 public charity N/A 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 0 1 1 1 Kenai Peninsula Borough e 11955000 Bond Value Kenai Peninsula Borough r 7858095 cash Kenai Peninsula Borough c 4691422 cash Kenai Peninsula Borough q 4691422 Cash Kenai Peninsula Borough s 4691422 Cash Kenai Peninsula Borough k 1 Cash Kenai Peninsula Borough c 678553 Cash COVID-19 Funding for eligible expense reimbursement. Kenai Peninsula Borough c 187648 This was to provide HVAC Ionization equipment for the hospital. Schedule R, Part V, Line 1c The hospital receives property taxes and bond proceeds from the Kenai Peninsula Borough service area to assist with its capital repairs and replacement as well as debt service. This amount represents the total received in 2019 for these purposes. Schedule R, Part V, Line 1e The Kenai Peninsula Borough acts as the loan guarantor on certain bond issuances in the event that South Peninsula Hospital Inc ceased to exist prior to the retirement of that date. This amount represents the total outstanding principal on bonds as of the end of the tax year. Schedule R, Part V, Line 1k South Peninsula Hospital Inc operates the hospital on behalf of the Kenai Peninsula Borough through a sublease and operating agreement for a cost of $1 per annum. Schedule R, Part V, Line 1q The Kenai Peninsula Borough reimbursed South Peninsula Hospital for certain organizational expenses such as the annual audit, property insurance, professional fees for the community health needs assessment, capital expenses, and the debt service on behalf of the hospital. This amount represents the total of those payments during the tax year. Schedule R, Part V, Line 1r South Peninsula Hospital, as part of its Sublease and Operating agreement with the Kenai Peninsula Borough, is required to transfer any cash on hand in excess of 90 days at the end of each quarter, to the Kenai Peninsula Borough for use in Property, Plant Replacement, expenses. This total represents the amount transferred in the 2020 tax year. Schedule R, Part V, Line 1s The Kenai Peninsula Borough transfers to South Peninsula Hospital or its debtors, cash from property tax revenues for use in operations, capital reimbursement, and debt service. Additional time was needed to finalize the 990 due to the impact COVID-19 had on hospital operations. Staffing was very tight and our hospital was very very busy handling the increased demands on the hospital.