SOUTH PENINSULA HOSPITAL INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: SOUTH PENINSULA HOSPITAL INC (EIN 92-0037099)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-06
IRS object ID: 202641269349303754
Schema version: 2024v5.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-06T17:03:40-07:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	920037099	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH PENINSULA HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SOUT	BusinessNameControlTxt
Phone	9072358101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 Bartlett Street	AddressLine1Txt
City	Homer	CityNm
State Abbreviation	AK	StateAbbreviationCd
ZIP	99603	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Anna Hermanson	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Phone	9072350912	PhoneNum
Signature	2026-05-06	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Ryan Smith	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 Bartlett St	AddressLine1Txt
City	Homer	CityNm
State Abbreviation	AK	StateAbbreviationCd
ZIP	99603	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$155,301,934	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.sphosp.org/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1969	FormationYr
Legal Domicile State	AK	LegalDomicileStateCd
Activity Or Mission	South Peninsula Hospital promotes community health and wellness by providing personalized, high-quality, locally coordinated healthcare.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	763	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,921,282	PYContributionsGrantsAmt
CY Contributions Grants	$5,545,548	CYContributionsGrantsAmt
PY Program Service Revenue	$123,974,590	PYProgramServiceRevenueAmt
CY Program Service Revenue	$146,904,025	CYProgramServiceRevenueAmt
PY Investment Income	$1,567,300	PYInvestmentIncomeAmt
CY Investment Income	$1,664,527	CYInvestmentIncomeAmt
PY Other Revenue	$736,794	PYOtherRevenueAmt
CY Other Revenue	$1,187,834	CYOtherRevenueAmt
PY Total Revenue	$133,199,966	PYTotalRevenueAmt
CY Total Revenue	$155,301,934	CYTotalRevenueAmt
PY Grants And Similar Paid	$152,223	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$92,022	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$86,841,496	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$99,106,403	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$42,411,525	PYOtherExpensesAmt
CY Other Expenses	$47,091,382	CYOtherExpensesAmt
PY Total Expenses	$129,405,244	PYTotalExpensesAmt
CY Total Expenses	$146,289,807	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,794,722	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,012,127	CYRevenuesLessExpensesAmt
Total Assets BOY	$121,999,892	TotalAssetsBOYAmt
Total Assets EOY	$133,055,475	TotalAssetsEOYAmt
Total Liabilities BOY	$27,536,867	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$33,686,668	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$94,463,025	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$99,368,807	NetAssetsOrFundBalancesEOYAmt
Mission	South Peninsula Hospital promotes community health and wellness by providing personalized, high-quality, locally coordinated healthcare.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$66,589,516	ExpenseAmt
Revenue	$105,561,040	RevenueAmt
Desc	Our 22 bed acute care hospital provided inpatient services to 623 patients for total patient days of 3,180 during FY24. Total outpatient visits for the year were 101,153 which includes 5,823 emergency room visits, 1,549 ambulatory surgery visits, and other outpatient services such as imaging, laboratory, physical therapy, infusion, chemotherapy, and sleep lab.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$32,351,007	ExpenseAmt
Revenue	$25,076,463	RevenueAmt
Desc	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 43,130 patient visits during FY24.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,569,225	ExpenseAmt
Revenue	$14,873,849	RevenueAmt
Desc	The hospital operates a long term care facility that provides skilled nursing care to an average of 24 patients daily for a total of 8581 resident days during FY24.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$2,755,719	ExpenseAmt
Revenue	$1,392,673	RevenueAmt
Desc	Our Home Health division caring for patients in the home performed 4,413 home visits during the tax year.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$2,755,719	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$1,392,673	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$110,265,467	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	144	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	763	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	0	Form8899Filedind
Form1098 C Filed	0	Form1098CFiledInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SPH Finance Department	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9072350912	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 Bartlett Street	AddressLine1Txt
City	Homer	CityNm
State Abbreviation	AK	StateAbbreviationCd
ZIP	99603	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
Brent Adcox
Orthopedic Surgeon	40	Yes (X)	$1,443,870	$0	$6,900
Edson Knapp
Director and Radiologist	40		$1,036,513	$0	$6,900	Yes (X)
Kurt Mentzer
Orthopedic Surgeon	40	Yes (X)	$1,022,638	$0	$6,900
Nathan Kincaid
Physician	40	Yes (X)	$691,047	$0	$0
Ryan Smith
CEO	40		$604,043	$0	$6,900		Yes (X)
Christopher Landess
Director and ER Physician	40		$539,221	$0	$6,900	Yes (X)
Christy Martinez
Physician	40	Yes (X)	$453,158	$0	$6,900
Lucy Fisher
Physician	40	Yes (X)	$447,448	$0	$6,900
Christina Tuomi
CMO	40		$416,896	$0	$6,900		Yes (X)
Angela Hinnegan
COO	40		$338,054	$0	$6,900		Yes (X)
Anna Hermanson
CFO	40		$270,766	$0	$6,900		Yes (X)
Rachael Kincaid
CNO / COO	40		$267,339	$0	$6,900		Yes (X)
Amber Gall
CNO	40		$215,629	$0	$0		Yes (X)
Aaron Weisser
President	2		$8,875	$0	$0	Yes (X)
Walter Partridge
Treasurer	2		$7,500	$0	$0	Yes (X)
Mary Wythe
Secretary	2		$7,375	$0	$0	Yes (X)
Preston Simmons
Director	2		$6,375	$0	$0	Yes (X)
Bernadette Wilson
Director	2		$6,000	$0	$0	Yes (X)
Matt Hambrick
Director	2		$6,000	$0	$0	Yes (X)
Matthew Bullard
Director	2		$6,000	$0	$0	Yes (X)
Melissa Jacobsen
Vice President	2		$5,500	$0	$0	Yes (X)
Jared Baker
Director	2		$3,000	$0	$0	Yes (X)
Michael Dye
Director	2		$1,500	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,804,747	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$75,900	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	186	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
The Good Life Medstaff
PO Box 3544	Omaha	NE	68103	Temporary Contract Staffing	$1,046,526
Peak Imaging
9339 NE 5th ST	Terrebonne	OR	97760	Physician Services Imaging	$581,378
Hudson Staffing
PLLC 4409 Ivan Creek DR	Franklin	TN	37064	Temporary Contract Staffing	$495,315
J Ross Tanner
3841 PIPER ST	Soldotna	AK	99669	Physician Services	$413,600	DO 35555 Kenai Spur HWY PMB345
Michael Hennigan
20764 Southwood St	Fairhope	AL	36532	Physician Services	$295,700

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	18	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$3,982,176	RelatedOrganizationsAmt
Government Grants	$1,563,372	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$5,545,548	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Hospital	622000	$105,561,040	$105,561,040	$0	$0
Physician Offices	621110	$25,076,463	$25,076,463	$0	$0
Long Term Care	623311	$14,873,849	$14,873,849	$0	$0
Home Health Care	621610	$1,392,673	$1,392,673	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$146,904,025	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,664,527	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,664,527	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Field	Value	IRS element (for citing)
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Cafeteria and Other revenues	900099	$1,130,623	$1,130,623	$0	$0
Other Operating Revenues	900099	$57,211	$57,211	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,187,834	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$155,301,934	TotalRevenueColumnAmt
Related Or Exempt Func Income	$149,756,386	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$92,022	TotalAmt
Program Services	$92,022	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,458,397	TotalAmt
Program Services	$1,575,735	ProgramServicesAmt
Management And General	$1,882,662	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$64,780,810	TotalAmt
Program Services	$52,280,192	ProgramServicesAmt
Management And General	$12,500,618	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,586,406	TotalAmt
Program Services	$3,596,845	ProgramServicesAmt
Management And General	$989,561	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,897,965	TotalAmt
Program Services	$13,909,561	ProgramServicesAmt
Management And General	$7,988,404	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,382,825	TotalAmt
Program Services	$3,412,691	ProgramServicesAmt
Management And General	$970,134	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$136,160	TotalAmt
Management And General	$136,160	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$138,992	TotalAmt
Management And General	$138,992	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$60,589	TotalAmt
Management And General	$60,589	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,601,250	TotalAmt
Program Services	$9,524,415	ProgramServicesAmt
Management And General	$1,076,835	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$69,143	TotalAmt
Program Services	$19,303	ProgramServicesAmt
Management And General	$49,840	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,753,496	TotalAmt
Program Services	$16,011,296	ProgramServicesAmt
Management And General	$1,742,200	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,773,581	TotalAmt
Program Services	$904,049	ProgramServicesAmt
Management And General	$1,869,532	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,070,762	TotalAmt
Program Services	$105,803	ProgramServicesAmt
Management And General	$1,964,959	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$292,155	TotalAmt
Program Services	$186,735	ProgramServicesAmt
Management And General	$105,420	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$481,850	TotalAmt
Program Services	$332,114	ProgramServicesAmt
Management And General	$149,736	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$676,231	TotalAmt
Program Services	$178,166	ProgramServicesAmt
Management And General	$498,065	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,848,418	TotalAmt
Program Services	$5,156,131	ProgramServicesAmt
Management And General	$692,287	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,933,953	TotalAmt
Program Services	$622,078	ProgramServicesAmt
Management And General	$1,311,875	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Repairs & Maintenance	$2,264,223	$1,155,003	$1,109,220
Dues & Subscriptions	$283,605	$90,500	$193,105
Recruitment	$1,267,301	$999,941	$267,360
Miscellaneous	$439,673	$112,887	$326,786

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$146,289,807	TotalAmt
Program Services	$110,265,467	ProgramServicesAmt
Management And General	$36,024,340	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,876	BOYAmt
EOY	$3,307	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$42,730,141	BOYAmt
EOY	$46,589,127	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,440,376	BOYAmt
EOY	$24,404,011	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,340,672	BOYAmt
EOY	$2,663,363	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$885,529	BOYAmt
EOY	$1,169,457	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$116,540,904	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$64,840,666	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$46,790,949	BOYAmt
EOY	$51,700,238	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,809,349	BOYAmt
EOY	$6,525,972	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$121,999,892	BOYAmt
EOY	$133,055,475	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,087,059	BOYAmt
EOY	$27,184,478	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,562,958	BOYAmt
EOY	$901,149	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,886,850	BOYAmt
EOY	$5,601,041	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,536,867	BOYAmt
EOY	$33,686,668	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$85,874,223	BOYAmt
EOY	$97,853,286	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,588,802	BOYAmt
EOY	$1,515,521	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$94,463,025	BOYAmt
EOY	$99,368,807	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$121,999,892	BOYAmt
EOY	$133,055,475	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$9,012,127	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	-$4,106,345	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$60,589	OtherActivitiesAmt
Total Lobbying Expenditures	$60,589	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	The Hospital pays annual dues to entities that perform lobbying activates. Those entities are the Alaska Hospital and Healthcare Association, the American Hospital Association, and the American Healthcare Association. The amount reported on the Schedule H Part IV is based on the estimated percentage of lobbying activities reported for the year. The Hospital made a onetime contribution for an informational campaign, which was to be used to educate the community about the election on October 1, 2024, on the ballot proposition concerning the proposed issuance of Services Area general obligation bonds to pay for the cost of planning, designing, acquiring property, renovating, constructing, and equipping capital improvements to, and for, the South Peninsula Hospital and campus.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$395,485	OtherCostOrOtherBasisAmt
Book Value	$395,485	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$69,426,401	OtherCostOrOtherBasisAmt
Depreciation	$35,727,321	DepreciationAmt
Book Value	$33,699,080	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,521,513	OtherCostOrOtherBasisAmt
Depreciation	$477,443	DepreciationAmt
Book Value	$1,044,070	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$36,913,726	OtherCostOrOtherBasisAmt
Depreciation	$27,981,878	DepreciationAmt
Book Value	$8,931,848	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$8,283,779	OtherCostOrOtherBasisAmt
Depreciation	$654,024	DepreciationAmt
Book Value	$7,629,755	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$51,700,238	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$155,301,934	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$0	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$155,301,934	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$155,301,934	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$146,289,807	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$146,289,807	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$146,289,807	TotalExpensesPerForm990Amt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1570	PersonsServedCnt
Total Community Benefit Expns	$1,409,406	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,409,406	NetCommunityBenefitExpnsAmt
Total Expense	0.01	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	3354	PersonsServedCnt
Total Community Benefit Expns	$30,523,233	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,074,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,449,065	NetCommunityBenefitExpnsAmt
Total Expense	0.017	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	4924	PersonsServedCnt
Total Community Benefit Expns	$31,932,639	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,074,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,858,471	NetCommunityBenefitExpnsAmt
Total Expense	0.027	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	188	ActivitiesOrProgramsCnt
Persons Served	7930	PersonsServedCnt
Total Community Benefit Expns	$499,288	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,418	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$383,869	NetCommunityBenefitExpnsAmt
Total Expense	0.00003	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	13	PersonsServedCnt
Total Community Benefit Expns	$4,551	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,551	NetCommunityBenefitExpnsAmt
Total Expense	0.00003	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	49082	PersonsServedCnt
Total Community Benefit Expns	$53,369,208	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,980,861	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,659,113	NetCommunityBenefitExpnsAmt
Total Expense	0.121	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$138,399	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$138,399	NetCommunityBenefitExpnsAmt
Total Expense	0.00095	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	220	ActivitiesOrProgramsCnt
Persons Served	57025	PersonsServedCnt
Total Community Benefit Expns	$54,011,446	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,096,279	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,185,932	NetCommunityBenefitExpnsAmt
Total Expense	0.12201	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	222	ActivitiesOrProgramsCnt
Persons Served	61949	PersonsServedCnt
Total Community Benefit Expns	$85,944,085	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,170,447	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,044,403	NetCommunityBenefitExpnsAmt
Total Expense	0.14901	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	3801	PersonsServedCnt
Total Community Benefit Expns	$283,793	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,419	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$168,375	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$147,482	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$147,482	NetCommunityBenefitExpnsAmt
Total Expense	0.001	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	57	ActivitiesOrProgramsCnt
Persons Served	2095	PersonsServedCnt
Total Community Benefit Expns	$106,372	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$106,372	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	2047	PersonsServedCnt
Total Community Benefit Expns	$104,590	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$104,590	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	90	ActivitiesOrProgramsCnt
Persons Served	7943	PersonsServedCnt
Total Community Benefit Expns	$642,237	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,419	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$526,819	NetCommunityBenefitExpnsAmt
Total Expense	0.0036	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,529,144	BadDebtExpenseAmt
Bad Debt Expense Attributable	$832,745	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$36,840,708	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$37,524,528	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$683,820	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	South Peninsula Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 Bartlett St	AddressLine1Txt
City	Homer	CityNm
State Abbreviation	AK	StateAbbreviationCd
ZIP	99603	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.sphosp.org	WebsiteAddressTxt
State License	GACH-010	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	South Peninsula Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.sphosp.org/about-sph/health-needs-assessment/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.sphosp.org/about-sph/health-needs-assessment/	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.sphosp.org/for-patients/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.sphosp.org/wp-content/uploads/2021/02/2021-FAP-Application.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.sphosp.org/wp-content/uploads/2018/08/Financial-Assistance-Brochure.pdf	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-South Peninsula Hospital	South Peninsula Hospital conducted a community health needs assessment (CHNA) for the southern Kenai Peninsula in 2023, in cooperation with MAPP of SKP Health Coalition. This CHNA was conducted in compliance with IRS Section 501(r), and identified health needs of the residents of the South Kenai Peninsula Hospital Service Area of the Kenai Peninsula Borough. The final assessment was adopted by the SPH Board of Directors on June 28, 2023, and made available to the public on the organization's website www.sphosp.org free of charge. The complete CHNA report can be found in the separate document link titled CHNA on the South Peninsula Hospital website www.sphosp.org. Numerous presentations were made of the report findings from June through October, including at meetings of the hospital's Board of Directors, Homer City Council, SPH general hospital staff, SPH general medical staff, Rotary and MAPP of the Southern Kenai Peninsula local community health coalition made up of twelve partnering local agencies representing the eight dimensions of wellness
Schedule H, Part V, Section B, Line 11-South Peninsula Hospital	In our efforts to address mental health needs in the last year, SPH hired a Mental Health Nurse Practitioner and Counselor via a state behavioral health grant as part of a plan for integrated behavioral health for women at Seaside Women's Care; and recruited an additional full-time Psychiatric Mental Health Nurse Practitioner at our outpatient Serene Waters Behavioral Health, increasing the number of full-time psychiatric providers there to three. We continued to address youth needs by participating in Planet Youth Homer, a data-driven model based on the Icelandic Prevention Model, to help identify and address youth needs across the community. We improved our incident stress debriefing program and added contracted positions for a staff chaplain. SPH continued to address the finding of lack of affordable housing by breaking ground on a 26-unit housing complex, offering efficiency, one bedroom and two bedroom units for SPH traveling nurses, visiting MDs and as a launch pad for new hires to the community. We sent representatives to the local community housing forum, our health coalition coordinator served on a borough-wide task force to address housing solutions, and staff contributed to the City's comp plan revisions via meeting attendance and interview. SPH continued to address substance use, misuse and abuse by supporting Megan's Place Needle exchange by providing a free location, advocacy assistance, and support. We Have a representative on the board of Kachemak Bay Recovery Connection, the local nonprofit with a mission of recovery ready community. SPH provides support as part of an inkind match for state funding and provides administrative support for additional grant acquisition and management. We hopes that the adoption of Epic electronic health record ensuring all staff will have access to up to date resources to assist those needing connection to addiction care upon discharge of ER and Acute Care. We continued with community trainings on overdose response, implementing a protocol to allow staff to distribute Narcan kits to patients and community members; training Acute Care staff on Narcan administration and kit distribution procedures, and provided overdose response trainings at numerous community events and highly popular music festivals. For the finding of lack of childcare, SPH finalized renovations of an existing building to be an SPH employee childcare center. We hired and trained several staff, purchased furnishings and equipment, developed curriculum and policies and applied for state licensure. Three safe-sitter classes were offered throughout the year, including on in the nearby Russian village. SPH staff and MAPP staff were active in a local childcare solutions workgroup, and sponsored the first "networking" breakfast that brought together childcare providers across the service area. In responding to the need to improve physical health of local residents, we contracted a social media manager to do more regular health screening promotions and wellness tips; Worked on a plan to merge OB/GYN and Midwifery as one clinic, in one location. Set to move in July 2025. We increased marketing for the under-utilized Family Care Clinic and walk in laboratory; we opened the Renew Clinic, staffed by a full-time plastic surgeon, and dedicated care team, to expand access to specialized physical health services in the community; we added a full time Nurse Practitioner and Nurse to the Seaworthy Functional Medicine team and started promoting the "Medicare Wellness Visits" at Homer Medical Center. We continued to support access to vaccines, offering free vaccines at health fair blood draws, health fair and numerous times at the local food pantry. We integrated clinic data with state vaccine tracking to reduce need for manual entry, and provided "roving" vaccine stations with the hospital for employee ease of vaccinations. We added the use of video to social media to share pertinent messages from subject matter experts related to health screenings. Examples include colonoscopy screening, heart health, kidney health, etc. And SPH sponsored video health educational segments at local movie theater pre-movie screenings. We hired a second full time nutritionist, and launched a free weekly community walking group at the SPARC to support physical activity and wellness for all community members. To address the growing need of an aging population, we continue with project planning for infusion clinic expansion, finalizing the drawings and sponsoring community meetings; we opened plastic surgery clinic and recruited dermatology; Launched an annual senior-centered wellness fair to improve access to health education, screenings, and community resources. SPH expanded collaboration with the Senior Center to better coordinate services and strengthen supports for older adults in the service area. SPH sponsored Senior Day at the Kenai Peninsula State Fair to increase outreach and health messaging to the senior population. In responding to barriers to care, SPH acute care nurses initiated data collection as part of CMS Social Determinants of Health with all hospitalized patients. We launched a media campaign to promote our financial assistance program, and finalized guidelines for a Patient Assistance fund to help outpatient travel with free taxi vouchers as needed. We continued a relationship with Homer Kachemak Bay Rotary to offer greatly reduced blood draws as part of annual health fair, with 714 individuals getting reduced tests, and 400 people attending the one day educational fair. We updated campus and outpatient building signage to improve wayfinding and enhance the overall patient experience. To address social isolation, our Community Health & Wellness offerings included a community wide steps challenge, the addition of free weekly walks, and the expansion of Wellness Wednesdays. We expanded our volunteer program and the developed of a companion program for our swing bed patients. SPH regularly sponsors local programs and offerings that make for robust social offerings in the community. SPH continued to address the worker shortage by hosting high school career tours, the University of Alaska healthcare boot camp, and consolidating HR efforts to recruit and serve. The addition of childcare and housing will be a big attraction for new employees.
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. SPH also offers free consults through the financial navigators for seniors accessing and signing up for Medicare. SPH's financial aid counselor office is located in the main entrance of the hospital for easy access and financial aid counselors are represented at community events.

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SPH Long Term Care
4300 Bartlett Street	Homer	AK	99603	Long term care skilled nursing facility
SPH Vacant
203 W Pioneer	Homer	AK	99603	Vacant - Remodeling Space
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, Specialty physicians, and Home Health
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-Peninsula Surgical Clinic
4252 Hohe St Suite B	Homer	AK	99603	General Surgery Clinic
SPH Neurology & Sleep Clinic
4300 Bartlett St	Homer	AK	99603	Neurology & Sleep Clinic
Serene Waters Mental Health Services
4135 Hohe St	Homer	AK	99603	Mental Health Outpatient Services
SPH OBGYN Medical Clinic
263 W Fairview Ave	Homer	AK	99603	OBGYN Medical Clinic

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2024. 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, obstetrician and gynecologist, and various other departments
Schedule H, Part II	Community building activities included activities in the community such as conferences and community health fairs along with coalitions with Southern Kenai Peninsula Resiliency Coalition, Hospice of Homer, Kachemak Bay Family Planning, and many other agencies, and various sponsoring support services for families across the Hospital network.
Schedule H, Part III, Section A, Line 4	Bad Debts and charity care are subtracted from patient service revenue to arrive at net patient revenue. Percentage of self-pay write-off's 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-off's 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 5 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 check in area 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 20,000.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Elemental Consulting
PO Box 547	Homer	AK	99603	933149508	$82,277	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.
Hospice of Homer
PO Box 4174	Homer	AK	99603	920015943	$36,118	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	$20,004	Support for private community STD testing.

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	Assistance was provided to healthcare non-profits which support the community health needs. Records are kept in the Hospital's accounting system.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Payments For Use Of Residence	Yes (X)	PaymentsForUseOfResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Brent Adcox
Orthopedic Surgeon	$1,397,027	$0	$46,573	$0	$270	$0	$6,900	$0	$65,137	$0	$1,515,907	$0	$0	$0
Edson Knapp
Director and Radiologist	$1,024,504	$0	$1,964	$0	$10,045	$0	$6,900	$0	$65,682	$0	$1,109,095	$0	$0	$0
Kurt Mentzer
Orthopedic Surgeon	$1,020,434	$0	$1,668	$0	$536	$0	$6,900	$0	$29,776	$0	$1,059,314	$0	$0	$0
Nathan Kincaid
Physician	$631,136	$0	$39,498	$0	$20,413	$0	$0	$0	$68,661	$0	$759,708	$0	$0	$0
Ryan Smith
CEO	$474,373	$0	$118,886	$0	$10,784	$0	$6,900	$0	$49,602	$0	$660,545	$0	$0	$0
Christopher Landess
ER Physician	$521,099	$0	$1,911	$0	$16,211	$0	$6,900	$0	$65,826	$0	$611,947	$0	$0	$0
Christy Martinez
Physician	$450,514	$0	$1,964	$0	$680	$0	$6,900	$0	$65,059	$0	$525,117	$0	$0	$0
Lucy Fisher
Physician	$407,662	$0	$15,788	$0	$23,998	$0	$6,900	$0	$65,681	$0	$520,029	$0	$0	$0
Christina Tuomi
CMO	$384,162	$0	$31,964	$0	$770	$0	$6,900	$0	$65,105	$0	$488,901	$0	$0	$0
Angela Hinnegan
COO	$305,245	$0	$31,964	$0	$845	$0	$6,900	$0	$37,408	$0	$382,362	$0	$0	$0
Anna Hermanson
CFO	$229,003	$0	$31,964	$0	$9,799	$0	$6,900	$0	$65,051	$0	$342,717	$0	$0	$0
Rachael Kincaid
CNO / COO	$217,352	$0	$31,964	$0	$18,023	$0	$6,900	$0	$65,017	$0	$339,256	$0	$0	$0
Amber Gall
CNO	$185,038	$0	$29,664	$0	$927	$0	$0	$0	$47,573	$0	$263,202	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. The hospital provides housing as part of recruiting contracts. These allowances are included on the employees w-2.
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 determine 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	4b Employees contribute to and participate in a nonqualified 457 compensation plan.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Business Name Line2IssuerName/BusinessNameLine2Txt	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Kenai Peninsula Borough
A	2015 Refunding Bonds	920030894	2015-06-04	$8,655,000	Refunding Bonds	0	0	0
Kenai Peninsula Borough
B	Revenue Bonds	920030894	2017-04-27	$4,500,000	Hospital Expansion and Maintenance	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,690,000	$0	$9,884,491	$0	$0	$0	$0	$0	$0	$0	$0	$0	2009	0	Yes (1)	Yes (1)	Yes (1)
B	$2,045,000	$0	$4,795,700	$0	$0	$0	$0	$0	$0	$0	$0	$0	2018	0	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	0	Yes (1)	0	0	0	0
B	0	0	0	0	Yes (1)	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Renda Knapp
Director's Family Member	$445,741	Employment	0
Rhoda Ostman
Director's Family Member	$98,802	Employment	0
Emily Knapp
Director's Family Member	$58,284	Employment	0
Katelyn Wythe
Director's Family Member	$49,931	Employment	0
Hannah Knapp
Director's Family Member	$46,438	Employment	0
Daniel Weisser
Director's Family Member	$6,921	Employment	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 7b	Form 990, Part VI, Section A, Line 7b - South Peninsula Hospital is operated by South Peninsula Hospital Inc. through an 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, Part VI, Section B, Line 11b - Form 990 is prepared by Hospital Finance, reviewed first by the Executive Team which includes the CFO, COO, 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	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	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 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	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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
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
4300 Bartlett St	Homer	AK	99603	830354063	Fundraising and Community Health Support	AK	501(c)3	Public Charity	N/A	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Kenai Peninsula Borough
c	$3,982,176	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 the current year for these purposes.
Kenai Peninsula Borough
e	$5,420,000	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 the debt. This amount represents the total outstanding principal on the bonds as of the end of the tax year.
Kenai Peninsula Borough
e	$1,102,780	The Hospital received a $7,000,000 loan from the Kenai Peninsula Borough to finance the replacement of the Hospital's EMR software. This amount represents the total outstanding principal on the note as of the end of the tax year.
Kenai Peninsula Borough
k	$1	South Peninsula Hospital operates the hospital on behalf of the Kenai Peninsula Borough through a sublease and operating agreement for a cost of $1 per annum
Kenai Peninsula Borough
q	$3,982,176	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. The amount represents the total of these payments during the tax year.
South Peninsula Hospital Foundation
c	$50,000	South Peninsula Hospital received $50000 in grants from the South Peninsula Hospital Foundation to support the Hospitals mission.
South Peninsula Hospital Foundation
n	$4,551	South Peninsula Hospital supplied a office, equipment, and supplies to the South Peninsula Hospital Foundation's Executive Director. This amount presented the estimated cost of those items for the current fiscal year.
South Peninsula Hospital Foundation
o	$112,811	South Peninsula Hospital supplied paid employees to the South Peninsula Hospital Foundation's which included an Executive Director and accounting staff. This amount presented the estimated payroll and related cost of those employees.

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	An extension was needed to file the 990 as the financial audit was not complete and delayed the preparation of the Hospital's 990.	ExplanationTxt