SOUTH PENINSULA HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SOUTH PENINSULA HOSPITAL INC (EIN 92-0037099)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-04-29
IRS object ID: 202041219349300019
Schema version: 2018v3.0
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 K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-04-29T19:01:11-07:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	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	Angela Hinnegan	PersonNm
Person Title	CFO, CPA	PersonTitleTxt
Phone	9072358101	PhoneNum
Signature	2020-04-29	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	216.67.102.194	IPv4AddressTxt

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	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 Street	AddressLine1Txt
City	Homer	CityNm
State Abbreviation	AK	StateAbbreviationCd
ZIP	99603	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$86,694,819	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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	535	TotalEmployeeCnt
Total Volunteers	25	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,518,929	PYContributionsGrantsAmt
CY Contributions Grants	$4,535,325	CYContributionsGrantsAmt
PY Program Service Revenue	$73,059,515	PYProgramServiceRevenueAmt
CY Program Service Revenue	$81,114,175	CYProgramServiceRevenueAmt
PY Investment Income	$105,172	PYInvestmentIncomeAmt
CY Investment Income	$469,323	CYInvestmentIncomeAmt
PY Other Revenue	$2,065,971	PYOtherRevenueAmt
CY Other Revenue	$575,996	CYOtherRevenueAmt
PY Total Revenue	$79,749,587	PYTotalRevenueAmt
CY Total Revenue	$86,694,819	CYTotalRevenueAmt
PY Grants And Similar Paid	$45,550	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$59,400	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$47,361,002	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$49,409,929	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$28,334,081	PYOtherExpensesAmt
CY Other Expenses	$25,769,357	CYOtherExpensesAmt
PY Total Expenses	$75,740,633	PYTotalExpensesAmt
CY Total Expenses	$75,238,686	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,008,954	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,456,133	CYRevenuesLessExpensesAmt
Total Assets BOY	$82,986,015	TotalAssetsBOYAmt
Total Assets EOY	$91,033,079	TotalAssetsEOYAmt
Total Liabilities BOY	$34,458,770	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$31,049,701	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$48,527,245	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$59,983,378	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	$36,105,749	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$59,888,989	RevenueAmt
Desc	Our 22 bed acute care hospital provided inpatient services to 813 patients for total patient days of 2875 during the 2018 tax year. Total outpatient visits for the year were 49301 which includes 6173 emergency rooms visits, 1376 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	$14,068,368	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$11,574,876	RevenueAmt
Desc	The Hospital operates several provider based clinics which include family medicine, orthopaedics, general surgery, neurology, internal medicine, and urology. These various outpatient provider based clinics had 29218 patient visits during the 2018 tax year.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,737,483	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$8,546,175	RevenueAmt
Desc	The Hospital operates a long-term care facility provides skilled nursing care to an average of 24 patients daily for a total of 8740 resident days during the 2018 tax year.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,618,711	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,104,135	RevenueAmt
Desc	Our Home Health division caring for patients in the home performed 4290 home visits during the tax year to an average of 54 patients per month.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,618,711	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$1,104,135	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$58,530,311	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	111	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	535	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	10	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
Upon Request	Yes (X)	UponRequestInd

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	9072350324	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 (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Bernadette Wilson
Secretary	2	Yes (X)	$8,025	$0	$0
Julie Woodworth
Director	2	Yes (X)	$6,525	$0	$0
Vickey Hodnik
Director	2	Yes (X)	$5,900	$0	$0
Matthew Hambrick
Director	2	Yes (X)	$6,600	$0	$17,350
Thomas Clark
Vice President	2	Yes (X)	$7,900	$0	$0
David Groesbeck
President	4	Yes (X)	$9,525	$0	$0
Lane Chesley
Treasurer	2	Yes (X)	$7,900	$0	$0
Keri-Ann Baker
Director	2	Yes (X)	$5,000	$0	$0
Walter Partridge
Director	2	Yes (X)	$7,000	$0	$0
Todd Boling
Director and General Surgeon	2	Yes (X)	$4,500	$0	$0
Robert Letson
Former CEO	50		$413,679	$0	$5,000	Yes (X)	Yes (X)
Holly Torres
Former CFO	50		$172,839	$0	$4,044	Yes (X)	Yes (X)
Joseph Woodin
Chief Executive Officer	50		$319,734	$0	$5,000	Yes (X)
Lee Yale
Former CNO	50		$165,232	$0	$0	Yes (X)	Yes (X)
Shaun Keef
Former CFO	50		$54,465	$0	$0	Yes (X)	Yes (X)
Noel Rea
CEO	50		$0	$0	$0	Yes (X)
James Basch
CFO	50		$0	$0	$0	Yes (X)
Brent Adcox
Orthopaedic Surgeon	50		$1,151,213	$0	$5,000			Yes (X)
Edson Knapp
Radiologist	50		$712,083	$0	$5,000			Yes (X)
Gregory Hough
General Surgeon	50		$781,917	$0	$5,000			Yes (X)
Brian Miller
CRNA	50		$350,247	$0	$5,000			Yes (X)
Kathryn Ostrom
OB/GYN Physician	50		$346,332	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,536,616	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$51,394	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	57	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Peak Imaging
4438 Towne Heights Ln	Homer	AK	99603	Radiology Services	$727,953
Raymond Fowler
23867 5th AVE W	Dujoe Key	FL	33042	Anesthesia Services	$634,167
Peak Neurology and Sleep
2741 DEBARR ROAD SUITE C	Anchorage	AK	99508	Neurology and Sleep Services	$586,454
Alaska Urology LLC
PO BOX 200754	Anchorage	AK	99520	Urology Physician Services	$439,753
Robert Lee Gear III
6817 NORTH 57th PLACE	Paradise Valley	AZ	85253	Emergency Room Physician	$346,600

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$4,530,430	GovernmentGrantsAmt
All Other Contributions	$4,895	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$4,535,325	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Hospital	622000	$59,888,989	$59,888,989	$0	$0
PHYSICIAN OFFICES	621110	$11,574,876	$11,574,876	$0	$0
LONG TERM CARE	623110	$8,546,175	$8,546,175	$0	$0
HOME HEALTH CARE	621610	$1,104,135	$1,104,135	$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	$81,114,175	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$441,832	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$441,832	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	$27,491	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	$27,491	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,491	TotalRevenueColumnAmt
Related Or Exempt Func Income	$27,491	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 (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
USAC INTERNET SUBIDIES	900099	$191,436	$191,436	$0	$0
CAFETERIA AND OTHER REVENUE	900099	$304,517	$304,517	$0	$0
OTHER OPERATING INCOME	900099	$80,043	$80,043	$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	$575,996	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$86,694,819	TotalRevenueColumnAmt
Related Or Exempt Func Income	$81,717,662	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$441,832	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$59,400	TotalAmt
Program Services	$59,400	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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	$1,300,544	TotalAmt
Program Services	$650,272	ProgramServicesAmt
Management And General	$650,272	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$33,696,689	TotalAmt
Program Services	$26,620,384	ProgramServicesAmt
Management And General	$7,076,305	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,560,858	TotalAmt
Program Services	$1,233,078	ProgramServicesAmt
Management And General	$327,780	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,630,287	TotalAmt
Program Services	$7,526,422	ProgramServicesAmt
Management And General	$3,103,865	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,221,551	TotalAmt
Program Services	$1,746,404	ProgramServicesAmt
Management And General	$475,147	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$191,764	TotalAmt
Management And General	$191,764	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$66,704	TotalAmt
Management And General	$66,704	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,060	TotalAmt
Management And General	$5,060	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,617,272	TotalAmt
Program Services	$5,269,121	ProgramServicesAmt
Management And General	$1,348,151	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$68,098	TotalAmt
Program Services	$34,049	ProgramServicesAmt
Management And General	$34,049	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,869,585	TotalAmt
Program Services	$6,268,689	ProgramServicesAmt
Management And General	$1,600,896	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,022,278	TotalAmt
Program Services	$1,609,045	ProgramServicesAmt
Management And General	$413,233	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,572,723	TotalAmt
Program Services	$1,251,352	ProgramServicesAmt
Management And General	$321,371	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$354,209	TotalAmt
Program Services	$120,276	ProgramServicesAmt
Management And General	$233,933	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$235,887	TotalAmt
Program Services	$187,686	ProgramServicesAmt
Management And General	$48,201	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$689,881	TotalAmt
Program Services	$666,287	ProgramServicesAmt
Management And General	$23,594	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,285,034	TotalAmt
Program Services	$2,956,531	ProgramServicesAmt
Management And General	$328,503	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,061,324	TotalAmt
Program Services	$955,192	ProgramServicesAmt
Management And General	$106,132	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Repairs and Maintenance (less IT)	$1,155,407	$919,310	$236,097
Dues, Books, Subs (less IT)	$216,570	$172,316	$44,254
Recruitment	$357,561	$284,497	$73,064

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$75,238,686	TotalAmt
Program Services	$58,530,311	ProgramServicesAmt
Management And General	$16,708,375	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,179	BOYAmt
EOY	$2,275	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,601,347	BOYAmt
EOY	$29,892,362	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	$16,215,774	BOYAmt
EOY	$14,001,568	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	$1,700,305	BOYAmt
EOY	$1,670,856	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$598,655	BOYAmt
EOY	$627,662	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$91,733,336	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$51,068,674	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$42,351,400	BOYAmt
EOY	$40,664,662	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	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,516,355	BOYAmt
EOY	$4,173,694	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$82,986,015	BOYAmt
EOY	$91,033,079	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,652,193	BOYAmt
EOY	$15,065,835	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	$943,503	BOYAmt
EOY	$1,034,933	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,773,247	BOYAmt
EOY	$14,939,435	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)
BOY	$89,827	BOYAmt
EOY	$9,498	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,458,770	BOYAmt
EOY	$31,049,701	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$48,501,959	BOYAmt
EOY	$59,958,092	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,286	BOYAmt
EOY	$25,286	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$48,527,245	BOYAmt
EOY	$59,983,378	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$82,986,015	BOYAmt
EOY	$91,033,079	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$11,456,133	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	0	FederalGrantAuditRequiredInd

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	$5,060	OtherActivitiesAmt
Total Lobbying Expenditures	$5,060	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	Schedule C, Part II-B, Line 1- The hospital pays annual dues to entities that perform lobbying activities. Those entities are the Alaska State Hospital and Nursing Home Association, The American Hospital Association, and the American Healthcare Association. The amount reported on schedule H Part IV is based on the estimated percentage of lobbying activities as reported by these entities for 2018.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$188,508	OtherCostOrOtherBasisAmt
Book Value	$188,508	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$62,334,004	OtherCostOrOtherBasisAmt
Depreciation	$27,854,952	DepreciationAmt
Book Value	$34,479,052	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$140,475	OtherCostOrOtherBasisAmt
Depreciation	$83,752	DepreciationAmt
Book Value	$56,723	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$24,979,904	OtherCostOrOtherBasisAmt
Depreciation	$20,909,468	DepreciationAmt
Book Value	$4,070,436	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,090,445	OtherCostOrOtherBasisAmt
Depreciation	$2,220,502	DepreciationAmt
Book Value	$1,869,943	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$40,664,662	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$86,694,819	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	$86,694,819	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$86,694,819	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$75,238,686	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	$75,238,686	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$75,238,686	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	899	PersonsServedCnt
Total Community Benefit Expns	$512,429	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$512,429	NetCommunityBenefitExpnsAmt
Total Expense	0.0069	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11847	ActivitiesOrProgramsCnt
Persons Served	2707	PersonsServedCnt
Total Community Benefit Expns	$20,523,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,122,464	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,401,534	NetCommunityBenefitExpnsAmt
Total Expense	0.0322	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	47	PersonsServedCnt
Total Community Benefit Expns	$35,084	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,195	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	11848	ActivitiesOrProgramsCnt
Persons Served	3653	PersonsServedCnt
Total Community Benefit Expns	$21,071,510	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,128,353	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,943,158	NetCommunityBenefitExpnsAmt
Total Expense	0.0395	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	160	ActivitiesOrProgramsCnt
Persons Served	3345	PersonsServedCnt
Total Community Benefit Expns	$729,397	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$122,795	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$606,602	NetCommunityBenefitExpnsAmt
Total Expense	0.0081	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	58696	PersonsServedCnt
Total Community Benefit Expns	$22,335,138	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,486,710	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,848,428	NetCommunityBenefitExpnsAmt
Total Expense	0.0785	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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$55,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,600	NetCommunityBenefitExpnsAmt
Total Expense	0.000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	184	ActivitiesOrProgramsCnt
Persons Served	62041	PersonsServedCnt
Total Community Benefit Expns	$23,120,135	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,609,505	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,510,630	NetCommunityBenefitExpnsAmt
Total Expense	0.0866	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12032	ActivitiesOrProgramsCnt
Persons Served	65694	PersonsServedCnt
Total Community Benefit Expns	$44,191,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,737,858	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,453,788	NetCommunityBenefitExpnsAmt
Total Expense	0.1261	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

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$794,189	BadDebtExpenseAmt
Bad Debt Expense Attributable	$257,317	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$16,547,456	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$24,464,361	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,916,905	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	0	WrittenDebtCollectionPolicyInd
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	16	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	www.sphosp.org/about-sph/health-needs-assessment/	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://mappofskp.net/about-us/community-health-needs-assessment/	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	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
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
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	www.sphosp.org/wp-content/uploads/2018/05/HW-074-Patient-Financial-Assistance.pdf	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.sphosp.org/wp-content/uploads/2018/02/Copy-of-2018-FAP-Application.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.sphosp.org/wp-content/uploads/2018/08/Finnacial-Assistance-brochure.pdf	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-South Peninsula Hospital	Schedule H, Part V, Section B, Line 5- South Peninsula Hospital- The assessment was conducted using the MAPP model for assessments (mobilizing to action through planning and partnerships), a model designed by the centers for disease control in conjunction with the National Association of City and County Health Officials. This type of assessment is designed to include the eight dimensions of wellness, and incorporate both leadership and input from broad interest of the community we serve. Our assessment was the collaborative effort of South Peninsula Hospital, AK Dept of Public Health, South Peninsula Behavioral Health, Sprout Family Services, Kachemak Bay UAA Campus, Haven House, Sustainable Homer, City of Homer, Seldovia Village Tribe, FQHC, Kachemak Family Planning, and Cook Inlet Council on Alcohol and Drug Abuse. The input for the assessment came from staff and clients of those organizations, key interviews in subject areas, focus groups, and the general population via surveys and specific outreach to the underserved.
Schedule H, Part V, Section B, Line 11-South Peninsula Hospital	1. ACES (Adverse Childhood Experiences)-SPH is one of five local agencies working to implement Trauma Informed Care practices throughout it's facility, and support our goal of becoming Alaska's first Trauma-Informed community. The Hospital's Health and Wellness serves on the MAPP resilience coalition leadership team, while the Hospital helps to implement resilience coalition work group strategies. SPH provides administration for the local MAPP Health Coalition. Our clinic screen for ACES upon patient intake. 2. Childcare/daycare-SPH has an active task force working to address the severe shortage of affordable day care in the service area. The hospital is the lead agency in programs such as Safe Sitter and Safe Kids, and also sponsors the annual Health Kids Fair. SPH offers spiritual care for patients and staff, and attends annual kindergarten roundup to connect parents and guardians with necessary care for newly enrolled students. SPH offers quarterly baby sitting classes to youth in grades 6-8. Free sports physicals are offered to high school students during the sports physical clinic. 3. Access to Care: SPH works with local agencies to support a wheel chair accessible tax. SPH also has a representative on the Kenai Peninsula Borough Transportation planning committee to advocate for affordable local transportation. The hospital offers taxi vouchers to patients who do not have transportation, and coordinates with Medicaid for patient travel. The hospital adheres to Patient Centered Medical Home Level II standards which supports evening and weekend appointments as well as 24/7 online access. The electronic health patient portal offers immediate messaging to providers, health information, data tracking, bill pay, and more. The Homer Medical Center was expanded by more than 5,200 square feet during the tax year 2017 which allowed for 7 additional exam rooms as well as onsite ancillary services such as lab and xray. An additional family medicine provider was added, and the hospital has contracted with a midlevel to assist in our orthopedic clinic. The hospital offers certified enrollment and financial counselors 5 days a week to help patients qualify for programs, enroll in insurance marketplace, or other qualified assistance programs. Financial assistance information is readily available both at our registration desk and also on our public website. We offer a self pay discount for patients without insurance. We also offer promotional screenings and labs at annual community health fairs. 4. Substance Abuse and misuse, mental health, domestic violence- SPH cosponsors community forums on addiction and supports the development of a community wide task force for the opioid crisis. SPH employees serve on that task force and several other on subcommittees. The hospital continued to provide SART/SANE nursing services through the emergency department. SPH continues to monitor the need for an inpatient addiction/detox facility due to a clear lack in the community due to lack of reimbursements, facilities, and certified staffing. Further a lack of sober living options exist in the community forcing detoxed patients back into sometimes unstable living conditions. The hospital continues to work with the opioid task force and local officials to research this dilemma. The hospital provides training for medical and nursing staff related to the science of addiction to resources in the community. The hospital hosts a community needle exchange program bi-weekly in the training center. The hospital is the lead agency for at-risk maternal and newborn working groups which address addiction related to concerns in this population. SPH also offers a CDC approved pain management program at Homer Medical Center seeking to empower patients to manage their pain with alternate therapies. The hospital sponsors community training to the first responders to overdoses and distributes drug disposal bags with narcotics prescriptions in both the clinic and ER setting. 5. Aging population/physical health- The hospital offers specialty clinics which encompass cardiology, urology, oncology, pulmonology, dementia, geriatric psychiatry, and depression, gastrointestinal, wound care, ophthalmology, podiatry, and medication management, and other age related health concerns. The majority of our community health and wellness offering focus on chronic disease prevention and management, including a 6 session disease management program. Our diabetes education program is now certified with the American Diabetes Association and appointments are offered onsite at the specialty clinic and evenings at Homer Medical Center, as well as regular office visits or accompanying inpatient stays. The hospital also offers cancer care with a full time infusion clinic and visits from area oncologists. The hospital sponsors a Senior Day at the peninsula fair to encourage multi-generational socializing, and also provides home health services to enable seniors to receive care in their own surroundings. 6. Chronic Illness0 This community need is being managed in multiple ways beginning with healthy lifestyle training to cover nutrition and exercise as obesity and poor nutrition is one of the root causes of chronic illness. The hospital employs a full time functional medicine physician who teaches patients how to target the root cause of many chronic illnesses through nutrition, supplements, healthy eating, exercise, and reduction of stress. The hospital offered a neurology clinic to provide care for alzheimers and dementia patients. 7. Healthcare professional recruitment and retention. The hospital consistently works with recruiters and advertising resources to attract talented providers. The hospital also supports a nurse residency program to promote the education and advancement of local nursing students. 8. Poor local economy/jobs- The hospital is one of the largest employers in the service area and works hard to pay competitive wages/benefits to area residents. The hospital provides scholarships and support students and residents who whish to receive healthcare related education and training. CNA course scholarships are offered and the hospital supports the UAA Kachemak Bay campus by providing clinical rotation opportunities. 9. Partnerships and Collaborations-part of the hospital's strategic plan is to continue building collaborative relationships with local healthcare providers and agencies in order to improve community health. The MAPP program is the largest example of this multi-agency collaborative effort. The hospital continues to take the lead on training and education for local agencies including Basic Life Saver courses, CPR, body mechanics, lifting and patient transfer techniques, and the importance of ergonomics. The hospital collaborates with local schools, colleges, mental health agencies, and law enforcement. 10. Environmental concerns. The hospital proactively changed all of its lighting to LED bulbs decreasing its consumption of electrical resources in the facility and parking lots. Additionally, lighting in areas not staff 24 hours were placed on motion sensors to decrease the amount of energy consumption.
Schedule H, Part V, Section B, Line 13h-South Peninsula Hospital	In addition to other FAP eligible patients, deceased patients without an estate are also eligible for financial assistance.
Schedule H, Part V, Section B, Line 16j-South Peninsula Hospital	The financial assistance policy is displayed throughout our facility, at registration desks, on bulletin boards, in waiting rooms, at the annual health fair, on our public website, and in our financial counseling offices.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 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 Clinic
4201 Bartlett St	Homer	AK	99603	Orthopaedics, General Surgery, Neurology, Urology, and other Specialty physicians
SPH West Wing Clinic
4117 Bartlett St	Homer	AK	99603	OBGYN and Women's health services
SPH Behavioral Health
4251 Bartlett St	Homer	AK	99603	Behavioral health services
SPH Functional Medicine Clinic
203 W Pioneer Ave Suite 2	Homer	AK	99603	Functional Medicine 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 Reports cost to charge ratio for tax year 2018. Costs associated with other benefits e-j are based on actual reported cost per activity or department for the tax year 2018.
Schedule H, Part I, Line 7g	The hospital included in subsidized health services costs associated with the physician clinics for family medicine, diabetes and internal medicine, functional medicine, Orthopedics, and other specialty physicians.
Schedule H, Part I, Line 7i	Cash contributions were made to the Kachemak Bay Family Planning clinic, Hospice of Homer, Behavioral Health Community Support, Homer West Elementary School, Kachemak Bay Running Club, and The Foraker Group (strategic planning for the opioid task force).
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 true cost
Schedule H, Part III, Section B, Line 8	This data was obtained from the CMS website on our Provider Statistical & Reimbursement Report for the tax year. We believe the shortfall in line 8 should be considered community benefit due to the provision of care to Medicare patients regardless of their ability to pay. Further the hospital is not allowed to collect from the contractual write-offs from patients despite the deficit in the cost to provide services to this population.
Schedule H, Part VI, Line 2	Hospital uses a collaborative effort with state and local agencies and also community members and focus groups to identify the community health needs. This effort is spearheaded by an entity called MAPP.
Schedule H, Part VI, Line 3	The hospital employs 2 financial counselors that are available to meet with patients to discuss bills, payment plans, and financial assistance options. The counselors can also assist patients with completing the charity application. Additionally, a copy of the FAP is available at all registration 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 South Peninsula Hospital Service Area located in the Kenai Peninsula Borough. That service area encompasses several communities in South Central Alaska to include Anchor Point, Diamond Ridge, Fox River, Fritz Creek, Happy Valley, Homer, Kachemack City, Nanwalek, Nikolaevsk, Ninilchik, Port Graham, and Seldovia for an estimated population of 13,969 as of the 2014 census.
Schedule H, Part VI, Line 5	South Peninsula Hospital is the leader in the community for healthcare provision and education. The hospital uses its staff and resources to deploy flu shots, provide annual lab and health screenings to over 1,000 residents, provides training and health advocacy, sponsors local health care initiatives and businesses, and invests resources back into the community. The board of directors is comprised of community members who work to span the differences between health care services and community health need. The hospital uses all surplus monies to reinvest back into the hospital plant, operations, and community through programs, services, and facilities.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Kachemak Bay Family Planning
PO Box 1017	Homer	AK	99603	920106486	$15,400	$0	Support community for STD testing
Hospice of Homer
PO Box 4174	Homer	AK	99603	920115943	$22,000	$0	Support of Hospice program for community resource for DME and end of life care
Behavioral Health Community Support
3948 Ben Walters Lane	Homer	AK	99603	920072562	$10,000	$0	Behavioral health community support
The Foraker Group
161 Klevin St Suite 101	Anchorage	AK	99508	920177787	$7,500	$0	Strategic planning for the opiodi task force

Field	Value	IRS element (for citing)
Total501c3 Org	4	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	Other assistance was provided to local healthcare non-profits which support the community health needs such as Hospice of Homer, West Homer Elementary, Kachemack Bay Running Club, Kachemak Bay Family Planning, and MAPP.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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 (20 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
Robert Letson
Former CEO	$9,140	$0	$0	$0	$404,538	$0	$5,000	$0	$3,697	$0	$422,375	$0	$0	$0
Holly Torres
Former CFO	$104,321	$0	-$4,240	$0	$72,758	$0	$4,044	$0	$17,644	$0	$194,527	$0	$0	$0
Shaun Keef
Former CFO	$50,998	$0	$0	$0	$3,467	$0	$0	$0	$0	$0	$54,465	$0	$0	$0
Joseph Woodin
Chief Executive Officer	$319,734	$0	$0	$0	$0	$0	$5,000	$0	$21,614	$0	$346,348	$0	$0	$0
Brian Miller
CRNA	$335,382	$0	$14,965	$0	$0	$0	$5,000	$0	$48,060	$0	$403,407	$0	$0	$0
Brent Adcox
Orthopaedic Surgeon	$899,463	$0	$251,750	$0	$0	$0	$5,000	$0	$48,060	$0	$1,204,273	$0	$0	$0
Edson Knapp
Radiologist	$712,083	$0	$0	$0	$0	$0	$5,000	$0	$48,060	$0	$765,143	$0	$0	$0
Gregory Hough
General Surgeon	$605,017	$0	$149,212	$0	$27,688	$0	$5,000	$0	$48,060	$0	$834,977	$0	$0	$0
Kathryn Ostrom
OB/GYN Physician	$319,427	$0	$24,042	$0	$2,864	$0	$0	$0	$48,060	$0	$394,393	$0	$0	$0
Lee Yale
Former CNO	$158,857	$0	$6,375	$0	$0	$0	$0	$0	$37,181	$0	$202,413	$0	$0	$0
Bernadette Wilson
Secretary	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Julie Woodworth
Director	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Vickey Hodnik
Director	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Matthew Hambrick
Director	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Thomas Clark
Vice President	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
David Groesbeck
President	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Lane Chesley
Treasurer	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Keri-Ann Baker
Director	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Todd Boling
Director and General Surgeon	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
Walter Partridge
Director	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	Schedule J, Part I, Line 1a- The Hospital provided corporate housing to its CEO and other professional employees as a recruiting incentive due to the rural nature of the facility and the related housing shortage. That housing subsidy was grossed-up when it was included as taxable earnings. The Hospital also provides as a 'wellness benefit' the use of local health facilities and pays up to half of gym membership fees through the wellness program, not to exceed $400 a year.
Schedule J, Part I, Line 1b	Although the Hospital does not have a written policy governing all fringe benefits, it does closely follow IRS guidelines for the treatment of those benefits and includes all applicable fringe as taxable earnings and reports them on Form W-2.
Schedule J, Part I, Line 4	Severance payments made to form officers and several employees participated in the nonqualified 457 compensation plan.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 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	2011 Refunding Bonds	920030894	2011-09-15	$3,285,000	Refunding bonds	0	0	0
Kenai Peninsula Borough
B	2015 Refunding Bonds	920030894	2015-06-04	$8,655,000	Refunding Bonds	0	0	0
Kenai Peninsula Borough
C	2016 Refunding Bonds	920030894	2016-11-03	$2,660,000	Refunding Bonds	0	0	0
Kenai Peninsula Borough
D	Revenue Bonds	920030894	2017-04-27	$4,500,000	Hospital Expansion and Maintenance	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 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	$2,685,000	$0	$3,802,589	$0	$0	$0	$0	$0	$0	$0	$0	$0	2009	Yes (1)	Yes (1)	Yes (1)
B	$805,000	$0	$9,884,491	$0	$0	$0	$0	$0	$0	$0	$0	$0	2009	Yes (1)	Yes (1)	Yes (1)
C	$20,000	$0	$3,050,412	$0	$0	$0	$0	$0	$0	$0	$0	$0	2009	Yes (1)	Yes (1)	Yes (1)
D	$440,000	$0	$4,795,700	$0	$62,086	$0	$23,647	$0	$0	$4,715,946	$0	$119,994	2018	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	0
C	0	0	0	0	0	0	0
D	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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	0	0	0	0	0
B	0	0	0	0	Yes (1)	0	0	0	0
C	0	0	0	0	0	0	0	0	0
D	0	0	0	0	Yes (1)	0	0	0	0

Schedule K IRS990ScheduleK

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Woodworth Electric
Board Member	$83,077	Electrician Services	0
Bay Safety
Board Member	$3,920	Fire Safety Equipment Inspection	0
Matt Hambrick
Board Member	$19,200	Apartment Rent for Travellers	0
Katie Ostrom
Employee	$19,000	Rental of equipment from medical staff	0
Jonas Ridge
Owned by Board Member	$77,271	Rental of Med Office Space at FMV	0
Peninsula Surgical Clinic Inc
Locums Surgeon	$285,377	Locums Surgeon	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 7b	The Hospital is operated by South Peninsula Hospital Inc. through a sublease and operating agreement with the Kenai Peninsula Borough. In accordance with that agreement certain key decisions must be approved by the Kenai Peninsula Borough assembly and the Mayor. For example, the purchase of property, plant, and equipment in excess of $250,000 dollars requires Borough assembly approval. Signing of any leases in excess of one year or $100,000 dollars also requires Borough approval. The issuance of tax exempt bonds backed by the revenues of the hospital require voter approval.
Form 990, Part VI, Section B, Line 11b	Form 990 is prepared by Hospital Finance, reviewed first by the CFO and CEO and then distributed to the Board of Directors for review and approval. The Board of Directors then approved the CFO to sign and submit the return electronically.
Form 990, Part VI, Section B, Line 12c	The Board of directors signs an annual conflict of interest attestation indicating whether any conflicts of interest exist. In matters where Board action is required, any members with an identified conflict of interest state their conflict and refrain from voting.
Form 990, Part VI, Section B, Line 15	South Peninsula Hospital does have independent remuneration studies performed periodically to ensure that wages are reasonable and customary for key positions. 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 it's governing documents, 990, form 1023, and financial statements available upon request. It also provides a financial overview to the public during it's monthly board meetings, as well as a quarterly financial overview at 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
PO Box 2548	Homer	AK	99603	830354063	Fundraising and Community Health Support	AK	501c3	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	0	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	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Kenai Peninsula Borough
c	$4,530,430	Cash
Kenai Peninsula Borough
e	$15,150,000	Bond Value
Kenai Peninsula Borough
q	$4,530,430	Cash
Kenai Peninsula Borough
s	$4,530,430	CASH
Kenai Peninsula Borough
k	$1	Cash

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule R, Part V, Line 1c	The hospital receives property taxes and bond proceeds from the Kenai peninsula borough service area to assist with its capital repairs and replacement as well as debt service. This amount represents the total received in 2018 for these purposes.
Schedule R, Part V, Line 1e	The Kenai Peninsula Borough acts as the loan guarantor on certain bond issuances in the event that South Peninsula Hospital Inc ceased to exist prior to retirement of that date. This amount represents the total outstanding principal on bonds as of the end of the tax year.
Schedule R, Part V, Line 1k	South Peninsula Hospital Inc operates the hospital on behalf of the Kenai Peninsula Borough through a sublease and operating agreement for a cost of $1 per annum.
Schedule R, Part V, Line 1q	The Kenai Peninsula Borough reimbursed South Peninsula Hospital for certain organizational expenses such as the annual audit, property insurance, professional fees for the community health needs assessment, capital expenses, and the debt service on behalf of the hospital. This amount represents the total of those payments during the tax year.
Schedule R, Part V, Line 1s	The Kenai Peninsula Borough transfers to South Peninsula Hospital or its debtors, cash from property tax revenues for use in operations, capital reimbursement, and debt service.

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Due to transition in key financial positions within the Hospital, filing was delayed to ensure accuracy of 990. There were several changes with the CEO and CFO positions during the filing year.	ExplanationTxt