SOUTH PENINSULA HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: SOUTH PENINSULA HOSPITAL INC (EIN 92-0037099)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-05
IRS object ID: 202501259349302165
Schema version: 2023v6.0
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 M
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-05T12:11:21-07:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	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	2025-05-05	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd
Tax	2023	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	$133,199,966	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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	704	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,226,148	PYContributionsGrantsAmt
CY Contributions Grants	$6,921,282	CYContributionsGrantsAmt
PY Program Service Revenue	$106,939,029	PYProgramServiceRevenueAmt
CY Program Service Revenue	$123,974,590	CYProgramServiceRevenueAmt
PY Investment Income	$563,017	PYInvestmentIncomeAmt
CY Investment Income	$1,567,300	CYInvestmentIncomeAmt
PY Other Revenue	$755,856	PYOtherRevenueAmt
CY Other Revenue	$736,794	CYOtherRevenueAmt
PY Total Revenue	$113,484,050	PYTotalRevenueAmt
CY Total Revenue	$133,199,966	CYTotalRevenueAmt
PY Grants And Similar Paid	$141,658	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$152,223	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$74,173,693	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$86,841,496	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$36,478,003	PYOtherExpensesAmt
CY Other Expenses	$42,411,525	CYOtherExpensesAmt
PY Total Expenses	$110,793,354	PYTotalExpensesAmt
CY Total Expenses	$129,405,244	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,690,696	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,794,722	CYRevenuesLessExpensesAmt
Total Assets BOY	$114,392,821	TotalAssetsBOYAmt
Total Assets EOY	$121,999,892	TotalAssetsEOYAmt
Total Liabilities BOY	$23,724,518	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$27,536,867	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$90,668,303	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$94,463,025	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	$66,029,129	ExpenseAmt
Revenue	$93,667,980	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	$24,643,680	ExpenseAmt
Revenue	$16,085,481	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	$7,486,131	ExpenseAmt
Revenue	$12,903,381	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	$2,444,296	ExpenseAmt
Revenue	$1,317,748	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	$2,444,296	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$1,317,748	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$100,603,236	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	Yes (1)	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	Yes (1)	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	119	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	704	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
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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 (24 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
Orthopaedic Surgeon	40	Yes (X)	$1,507,619	$0	$6,600
Edson Knapp
Director and Radiologist	40		$999,329	$0	$6,600	Yes (X)
Ryan Smith
CEO	40		$629,779	$0	$6,600		Yes (X)
Nathan Kincaid
Physician	40	Yes (X)	$615,235	$0	$6,600
Michael Boling
Director and General Surgeon	40		$511,651	$0	$0	Yes (X)
Christopher Landess
ER Physician	40	Yes (X)	$489,225	$0	$6,600
Paula Godfrey
Physician	40	Yes (X)	$458,488	$0	$6,600
Lucy Fisher
Physician	40	Yes (X)	$437,316	$0	$6,600
Christina Tuomi
CMO	40		$402,525	$0	$6,600		Yes (X)
Angela Hinnegan
COO	40		$304,668	$0	$6,600		Yes (X)
Rachael Kincaid
CNO	40		$259,403	$0	$6,600		Yes (X)
Anna Hermanson
CFO	40		$240,515	$0	$6,600		Yes (X)
Aaron Weisser
President	2		$8,125	$0	$0	Yes (X)
Walter Partridge
Treasurer	2		$7,500	$0	$0	Yes (X)
Mary Wythe
Secretary	2		$6,625	$0	$0	Yes (X)
Melissa Jacobsen
Vice President	2		$6,625	$0	$0	Yes (X)
Bernadette Wilson
Director	2		$6,000	$0	$0	Yes (X)
Matt Hambrick
Director	2		$6,000	$0	$0	Yes (X)
Julie Woodworth
Director	2		$3,750	$0	$0	Yes (X)
Kelly Cooper
Director	2		$3,750	$0	$0	Yes (X)
Kari-Ann Calderwood Baker
Director	2		$3,000	$0	$0	Yes (X)
Matthew Bullard
Director	2		$3,000	$0	$0	Yes (X)
Preston Simmons
Director	2		$3,000	$0	$0	Yes (X)
Jared Baker
Director	2		$2,500	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,915,628	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$72,600	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	146	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
Hudson Staffing
PLLC 4409 Ivan Creek DR	Franklin	TN	37064	Temporary Contract Staffing	$698,104
The Good Life Medstaff
PO Box 3544	Omaha	NE	68103	Temporary Contract Staffing	$461,035
J Ross Tanner
3841 PIPER ST	Soldotna	AK	99669	Physician Services	$396,350	DO 35555 Kenai Spur HWY PMB345
Kurt Mentzer
12000 Lilac DR	Anchorage	AK	99516	Physician Services	$376,223
Peak Imaging
9339 NE 5th ST	Terrebonne	OR	97760	Physician Services Imaging	$370,376

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$5,160,918	RelatedOrganizationsAmt
Government Grants	$1,760,364	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$93,172	NoncashContributionsAmt
Total Contributions	$6,921,282	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Hosspital	622000	$93,667,980	$93,667,980	$0	$0
Physician Offices	621110	$16,085,481	$16,085,481	$0	$0
Long Term Care	623311	$12,903,381	$12,903,381	$0	$0
Home Health Care	621610	$1,317,748	$1,317,748	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$123,974,590	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,558,025	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,558,025	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

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$9,275	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$9,275	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,275	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,275	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

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	$696,806	$696,806	$0	$0
Other Operating Revenues	900099	$39,988	$39,988	$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	$736,794	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$133,199,966	TotalRevenueColumnAmt
Related Or Exempt Func Income	$126,278,684	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$152,223	TotalAmt
Program Services	$152,223	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,407,745	TotalAmt
Program Services	$1,745,964	ProgramServicesAmt
Management And General	$1,661,781	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$56,889,129	TotalAmt
Program Services	$46,059,310	ProgramServicesAmt
Management And General	$10,829,819	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,745,105	TotalAmt
Program Services	$2,996,084	ProgramServicesAmt
Management And General	$749,021	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,804,587	TotalAmt
Program Services	$14,234,863	ProgramServicesAmt
Management And General	$4,569,724	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,994,930	TotalAmt
Program Services	$3,165,947	ProgramServicesAmt
Management And General	$828,983	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$28,089	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$28,089	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$142,571	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$142,571	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,496	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$10,496	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,294,113	TotalAmt
Program Services	$9,391,662	ProgramServicesAmt
Management And General	$902,451	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$61,225	TotalAmt
Program Services	$28,242	ProgramServicesAmt
Management And General	$32,983	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,944,368	TotalAmt
Program Services	$13,423,575	ProgramServicesAmt
Management And General	$1,520,793	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,058,701	TotalAmt
Program Services	$853,479	ProgramServicesAmt
Management And General	$1,205,222	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,342,111	TotalAmt
Program Services	$348,479	ProgramServicesAmt
Management And General	$1,993,632	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$260,385	TotalAmt
Program Services	$178,772	ProgramServicesAmt
Management And General	$81,613	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$500,662	TotalAmt
Program Services	$360,029	ProgramServicesAmt
Management And General	$140,633	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$540,922	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$540,922	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,057,595	TotalAmt
Program Services	$4,551,835	ProgramServicesAmt
Management And General	$505,760	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,337,102	TotalAmt
Program Services	$492,398	ProgramServicesAmt
Management And General	$844,704	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Repairs and Maintenance	$2,321,242	$983,237	$1,338,005	$0
Dues and Subscriptions	$278,000	$67,838	$210,162	$0
Recruitment	$1,923,311	$1,388,070	$535,241	$0
Miscellaneous	$310,632	$181,229	$129,403	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$129,405,244	TotalAmt
Program Services	$100,603,236	ProgramServicesAmt
Management And General	$28,802,008	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,686	BOYAmt
EOY	$2,876	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$42,940,215	BOYAmt
EOY	$42,730,141	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,489,824	BOYAmt
EOY	$20,440,376	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,130,034	BOYAmt
EOY	$2,340,672	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$737,230	BOYAmt
EOY	$885,529	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$111,575,270	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$64,784,321	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$43,376,835	BOYAmt
EOY	$46,790,949	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,000	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,710,997	BOYAmt
EOY	$8,809,349	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$114,392,821	BOYAmt
EOY	$121,999,892	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,240,037	BOYAmt
EOY	$19,087,059	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$630,113	BOYAmt
EOY	$1,562,958	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,854,368	BOYAmt
EOY	$6,886,850	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,724,518	BOYAmt
EOY	$27,536,867	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	$90,612,815	BOYAmt
EOY	$85,874,223	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$55,488	BOYAmt
EOY	$8,588,802	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$90,668,303	BOYAmt
EOY	$94,463,025	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$114,392,821	BOYAmt
EOY	$121,999,892	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$3,794,722	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	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	$10,496	OtherActivitiesAmt
Total Lobbying Expenditures	$10,496	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.	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	$67,990,446	OtherCostOrOtherBasisAmt
Depreciation	$32,281,026	DepreciationAmt
Book Value	$35,709,420	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$926,889	OtherCostOrOtherBasisAmt
Depreciation	$30,742,891	DepreciationAmt
Book Value	-$29,816,002	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$38,248,054	OtherCostOrOtherBasisAmt
Depreciation	$215,065	DepreciationAmt
Book Value	$38,032,989	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,014,396	OtherCostOrOtherBasisAmt
Depreciation	$1,545,339	DepreciationAmt
Book Value	$2,469,057	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$46,790,949	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Pension Related Deferred Outflow	$5,360,446
Deferred Loss on Refunding	$223,835
Pension Asset	$3,225,068

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$8,809,349	TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt	$133,199,966	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	$133,199,966	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$133,199,966	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$129,405,244	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	$129,405,244	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$129,405,244	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	1392	PersonsServedCnt
Total Community Benefit Expns	$938,545	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$938,545	NetCommunityBenefitExpnsAmt
Total Expense	0.007	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	2761	PersonsServedCnt
Total Community Benefit Expns	$29,339,184	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,983,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,355,661	NetCommunityBenefitExpnsAmt
Total Expense	0.034	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	4153	PersonsServedCnt
Total Community Benefit Expns	$30,277,729	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,983,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,294,206	NetCommunityBenefitExpnsAmt
Total Expense	0.041	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Persons Served	1277	PersonsServedCnt
Total Community Benefit Expns	$312,317	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$108,984	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$203,333	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	15	PersonsServedCnt
Total Community Benefit Expns	$5,062	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,062	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	75569	PersonsServedCnt
Total Community Benefit Expns	$42,356,193	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,081,293	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,727,032	NetCommunityBenefitExpnsAmt
Total Expense	0.145	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	550	PersonsServedCnt
Total Community Benefit Expns	$152,223	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$152,223	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	77411	PersonsServedCnt
Total Community Benefit Expns	$42,825,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,190,277	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,087,650	NetCommunityBenefitExpnsAmt
Total Expense	0.1478	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	47	ActivitiesOrProgramsCnt
Persons Served	81564	PersonsServedCnt
Total Community Benefit Expns	$73,103,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,173,800	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,381,856	NetCommunityBenefitExpnsAmt
Total Expense	0.1888	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	46	ActivitiesOrProgramsCnt
Persons Served	1150	PersonsServedCnt
Total Community Benefit Expns	$121,643	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$121,643	NetCommunityBenefitExpnsAmt
Total Expense	0.001	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	7	ActivitiesOrProgramsCnt
Persons Served	175	PersonsServedCnt
Total Community Benefit Expns	$83,777	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,777	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$27,975	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,975	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	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	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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	57	ActivitiesOrProgramsCnt
Persons Served	1425	PersonsServedCnt
Total Community Benefit Expns	$233,395	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$233,395	NetCommunityBenefitExpnsAmt
Total Expense	0.0018	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,711,094	BadDebtExpenseAmt
Bad Debt Expense Attributable	$644,536	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$41,236,377	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$48,915,333	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,678,956	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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	300	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. The findings were reviewed internally by management and input received during presentations was taken into account in order to prioritize the most significant health needs to address. Consideration was given to the magnitude of the issue, consequences if issue was not addressed, and feasibility to affect change. Impact of the pandemic was found to be wide spread. Complete assessment findings, details and breakdown of the data can be found in the complete assessment report.
Schedule H, Part V, Section B, Line 11-South Peninsula Hospital	To address mental health needs identified in the 2023 CHNA, SPH applied for a behavioral health grant to add behavioral health component to women's health, provided a community resource guide pamphlet and ensure updated version remains in circulation, both on paper and electronically and continued to support regular, free wellness programs in the community through various programs including Wellness Wednesday. SPH is working with South Peninsula Behavioral Health to consider co-location of some mental health providers. SPH offered trainings and certifications for SPH staff in teen mental health first aid and our Community Health and Wellness Educator Nurse was trained in Teen Mental Health First Aid program. Teen mental health first aid training was offered at parent nights and to the communities of Nanwalek and Port Graham. We continue to participate as a lead agency in the community Safe & Healthy Kids Fair and offer activities and lunch and learns with a focused towards mental health. In FY 2024 the Spring Health employee assistance program was added in addition to the continuation of the wellness reimbursement program which includes coverage for a wide array of mental health supports. To address housing needs SPH solicited for proposals and selected a contractor for a 26 unit housing complex. SPH continues to participate in and facilitate community meetings regarding housing including involvement in Guiding Growth forum, MAPP taskforce on housing solutions as part of the community health improvement plan (CHIP) and the City of Homer Comprehensive Plan update. To address substance use we continue our partnership with local addiction prevention and harm reduction agencies to co-design solutions to advance community health. Staff participated and supported All Things Recovery Coalition. Free facility, advocacy assistance, and support was provided to Megan's Place Needle exchange. SPH provided a grant writer to Kachemak Bay Recovery Connection who successfully wrote an opioid settlement grant application to expand recovery efforts; SPH has a representative on the board and provides funding for administrative support for additional grant acquisition and management. Our MAT nurse staffed the community resource (homeless) connect, the food pantry, the rotary health fair and the Kenai Peninsula fair. A training on responding to overdoses was provided at the local theater in advance of the movie and we continued harm reduction trainings both planned as well as offered upon request. To address the childcare shortage SPH is in the process of opening a childcare facility for staff, to be open by summer of 2025, which will free up more than thirty spots in the community currently occupied by children of SPH staff. Quarterly safe sitter babysitting course for youth in grades 6th-8th, expanding outreach to rural parts of the service area. Three trainings were offered at SPH; and one in the village. SPH focused on marketing and outreach to increase the number of annual or wellness visits a year by hiring a full time in house marketing assistant with focus on marketing/outreach expansion efforts, increased announcements of available PCPs and evening clinic offerings, hosted Brake for Breakfast in October, giving out free breakfast with important health tips including breast health and cancer prevention and hired additional PCP to meet growing demand of clinic visits. Free vaccines were offered during health fair blood draws and clinics offered free kids flu shots during designated hours. SPH contracts with Kachemak Bay Family Planning to offer free STD testing at the clinic and at the needle exchange. This year Weekly Wellness Wednesday programming, free and open to all, included a health presentation, a meal, and movement activity. SPH hosted Homer Steps Up free walking challenge, where over 700 individuals enrolled. Sunrise Medical Weight loss offered community education presentations and Homer Medical has a Certified Diabetes Educator nurse. To support our aging population SPH host a Senior Day at State fair and senior focused offerings through Health Fair and Wellness Wednesdays. To increase services for a rapidly growing senior population, a free standing wound care clinic to care for patients with referrals from any of the family practice providers in the service area is being formulated within the primary care clinic; set to relocate in 2025. SPH continues to seek funding and community support for an expanded Oncology/Infusion Clinic unit, and the addition of nuclear medicine. Audiology has joined the specialty clinic, an upper extremity expert joined orthopedics and a full time neurologist has started a practice. The Rehabilitation clinic has relocated to a downtown location for easier access and parking. To address barriers to care, training and planning was conducted for determining the social determinants of health (SDOH) at time of admission to ensure patients receive the appropriate support services when discharged. SPH will work with local, borough and statewide coalitions and resources to identify and help address significant gaps of services and resources in the hospital's service area. Starting 2025, SPH will fully implement SDOH screenings for food insecurity, housing instability, transportation needs, utility difficulties and interpersonal safety, work to connect patients to services upon discharge, and report measures and data to CMS. Training and planning was conducted for this project. Numerous financial navigators were hired to strengthen awareness of financial assistance options and brochures are at registration windows. The SPH foundation has developed a Patient Assistance fund for taxi vouchers and travel reimbursement for patients experiencing transportation or travel cost barriers to seeking much needed care. SPH continues to partner with the Kachemak Bay Rotary Club to offer deeply discounted blood draws on an annual basis with over 800 individuals taking advantage in 2023. To address social isolation SPH continues to offer free community seasonal offerings and event such as Wellness Wednesday and Homer Steps up. Hospital representatives continue to work on collective improved community health through participation in MAPP of the Southern Kenai Peninsula local health coalition and MAPP workgroups. SPH offers volunteer opportunities at the hospital such as gift shop, pet therapy, long term care visitors and event assistance. To address Staff Workforce Shortages SPH prioritizes retaining current staff through increased job and employee satisfaction. We have added an internal C.N.A. earn to learn program with around 6 students per semester. The SPH Foundation scholarship funds provided scholarships for allied health programs and C.N.A. training. SPH supports the Kachemak Bay Campus in their C.N.A., nursing and allied health curriculums and clinical rotations. We hosted three tours to high school students of all departments, with emphasis on career tracks. We partnered with UAA and HHS to be the site for an annual AHEC career boot camp. Seventeen students participated in a one day job shadow program.
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 fairs.

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 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-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 (8 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 2023. Costs associated with other benefits are based on actual reported costs per activity or department.
Schedule H, Part II	Community building activities included activities in the community such as working with project homeless connect, the Southern Kenai Peninsula Resiliency Coalition, sponsoring support services for mothers and babies at the farmers market, and working to promote community wellness.
Schedule H, Part III, Section A, Line 4	Percentage of self pay writeoffs that are charity care times the cost to charge ratio to get the true cost.
Schedule H, Part III, Section B, Line 8	This data was obtained from the CMS website on our Provider Statistical & Reimbursement Report for the tax year. We believe the shortfall in line 8 should be considered community benefit due to the provision of care to Medicare patients regardless of their ability to pay. Further the hospital is not allowed to collect from the contractual writeoffs from patients despite the deficit in the cost to provide the services to this population.
Schedule H, Part III, Section C, Line 9b	The facility has a debt collection policy. The policy allows for any funds sent to bad debt that are eligible for financial assistance to be pulled back from a collection agency.
Schedule H, Part VI, Line 2	South Peninsula Hospital uses a collaborative effort within state and local agencies and also community members and focus groups to identify the community health needs.
Schedule H, Part VI, Line 3	The hospital employs 2 financial counselors and 3 financial navigators that are available to meet with patients to discuss bills, payment plans, and financial assistance options. The counselors can also assist patients with completing the charity care application. Additionally, a copy of the FAP is available at all registration areas, displayed prominently in the emergency rooms and waiting rooms, and published on our website.
Schedule H, Part VI, Line 4	The hospital serves the Southern Kenai Peninsula Service Area located in the Kenai Peninsula Borough. That service area encompasses several communities in South Central Alaska to include Anchor Point, Diamond Ridge, Fox River, Fritz Creek, Happy Valley, Homer, Kachemack City, Nanwalek, Nikolaevsk, Ninilchick, Port Graham, and Seldovia for an estimated population of 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	$80,577	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	$51,540	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	$20,106	Support for private community STD testing.

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	3	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	Yes (1)	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 (12 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
Orthopaedic Surgeon	$1,454,653	$0	$52,696	$0	$270	$0	$6,600	$0	$59,680	$0	$1,573,899	$0	$0	$0
Edson Knapp
Director and Radiologist	$987,915	$0	$1,331	$0	$10,082	$0	$6,600	$0	$60,229	$0	$1,066,157	$0	$0	$0
Ryan Smith
CEO	$445,536	$0	$173,494	$0	$10,749	$0	$6,600	$0	$45,341	$0	$681,720	$0	$0	$0
Nathan Kincaid
Physician	$554,055	$0	$34,685	$0	$26,495	$0	$6,600	$0	$56,114	$0	$677,949	$0	$0	$0
Michael Boling
Director and General Surgeon	$504,939	$0	$198	$0	$6,514	$0	$0	$0	$46,790	$0	$558,441	$0	$0	$0
Christopher Landess
ER Physician	$468,126	$0	$1,247	$0	$19,852	$0	$6,600	$0	$60,206	$0	$556,031	$0	$0	$0
Paula Godfrey
Physician	$456,926	$0	$196	$0	$1,366	$0	$6,600	$0	$22,205	$0	$487,293	$0	$0	$0
Lucy Fisher
Physician	$402,254	$0	$12,494	$0	$22,568	$0	$6,600	$0	$60,223	$0	$504,139	$0	$0	$0
Christina Tuomi
CMO	$385,363	$0	$16,394	$0	$768	$0	$6,600	$0	$58,540	$0	$467,665	$0	$0	$0
Angela Hinnegan
COO	$287,753	$0	$16,340	$0	$575	$0	$6,600	$0	$34,291	$0	$345,559	$0	$0	$0
Rachael Kincaid
CNO	$205,532	$0	$53,595	$0	$276	$0	$6,600	$0	$59,512	$0	$325,515	$0	$0	$0
Anna Hermanson
CFO	$216,590	$0	$23,274	$0	$651	$0	$6,600	$0	$34,123	$0	$281,238	$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 $500 per year. The hospital provides housing as part of recruiting contracts and a stipend for business use of a personal residence. 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 earnings 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	4a Paula Godfrey severance payment of 76,140. 4b Employees contribute to and participate in a nonqualified 457 compensation plan.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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	2016 Refunding Bonds	920030894	2016-11-03	$2,660,000	Refunding Bonds	0	0	0
Kenai Peninsula Borough
C	Revenue Bonds	920030894	2017-04-27	$4,500,000	Hospital Expansion and Maintenance	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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 Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,790,000	$0	$9,884,491	$0	$0	$0	$0	$0	$0	$0	$0	$0	2009	Yes (1)	Yes (1)	Yes (1)
B	$2,660,000	$0	$3,050,412	$0	$0	$0	$0	$0	$0	$0	$0	$0	2209	Yes (1)	Yes (1)	Yes (1)
C	$1,750,000	$0	$4,795,700	$0	$62,086	$0	$23,647	$0	$0	$4,779,254	$0	$23,254	2018	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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	0
C	0	0	0	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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	0	0	0	0	0
C	0	0	0	0	Yes (1)	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Renda Knapp MD
Director's Family Members	$410,744	Employment	0
Rhoda Ostman
Director's Family Members	$93,119	Employment	0
Emily Knapp
Director's Family Members	$49,889	Employment	0
Katelyn Wythe
Director's Family Members	$47,226	Employment	0
Hannah Knapp
Director's Family Members	$13,433	Employment	0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Equipment and construction	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$93,172	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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	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 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.

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	$5,160,918	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	$6,615,000	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	$45,450	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	$5,160,918	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	$15,517	South Peninsula Hospital received $15,517 in grants from the South Peninsula Hospital Foundation to support the Hospitals mission.
South Peninsula Hospital Foundation
n	$4,100	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	$95,118	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