SOUTH PENINSULA HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: SOUTH PENINSULA HOSPITAL INC (EIN 92-0037099)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-04
IRS object ID: 202301259349300705
Schema version: 2021v4.0
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	2023-05-04T22:22:41-07:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	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	2023-05-04	SignatureDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	1	TrustedCustomerCd
OOB Security Verification	11	OOBSecurityVerificationCd
Last Submission Rqr OOB	0	LastSubmissionRqrOOBCd
Authentication Assurance Level	AAL2	AuthenticationAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	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	$111,103,111	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	6	VotingMembersIndependentCnt
Total Employee	603	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$15,052,833	PYContributionsGrantsAmt
CY Contributions Grants	$10,760,082	CYContributionsGrantsAmt
PY Program Service Revenue	$85,596,354	PYProgramServiceRevenueAmt
CY Program Service Revenue	$99,822,840	CYProgramServiceRevenueAmt
PY Investment Income	$104,569	PYInvestmentIncomeAmt
CY Investment Income	-$155,225	CYInvestmentIncomeAmt
PY Other Revenue	$635,047	PYOtherRevenueAmt
CY Other Revenue	$675,414	CYOtherRevenueAmt
PY Total Revenue	$101,388,803	PYTotalRevenueAmt
CY Total Revenue	$111,103,111	CYTotalRevenueAmt
PY Grants And Similar Paid	$120,699	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$144,829	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$58,268,610	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$66,839,557	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$30,127,867	PYOtherExpensesAmt
CY Other Expenses	$39,158,033	CYOtherExpensesAmt
PY Total Expenses	$88,517,176	PYTotalExpensesAmt
CY Total Expenses	$106,142,419	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,871,627	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,960,692	CYRevenuesLessExpensesAmt
Total Assets BOY	$110,326,959	TotalAssetsBOYAmt
Total Assets EOY	$113,248,442	TotalAssetsEOYAmt
Total Liabilities BOY	$27,340,834	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$25,393,162	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$82,986,125	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$87,855,280	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	$55,373,526	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$79,485,923	RevenueAmt
Desc	Our 22 bed acute care hospital provided inpatient services to 840 patients for total patient days of 3,867 during FY22. Total outpatient visits for the year were 109,451 which includes 5,180 emergency room visits, 1,344 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	$18,405,416	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$11,325,942	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 32,822 patient visits during FY22.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,881,753	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$7,942,080	RevenueAmt
Desc	The hospital operates a long term care facility that provides skilled nursing care to an average of 19 patients daily for a total of 7,098 resident days during FY22.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,622,240	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,068,895	RevenueAmt
Desc	Our Home Health division caring for patients in the home performed 3,441 home visits during the tax year.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,622,240	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$1,068,895	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$81,282,935	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	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	102	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	603	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	6	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	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 (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
Brent Adcox
Orthopaedic Surgeon	40	0	Yes (X)	$1,527,125	$0	$5,700
Edson Knapp
Director and Radiologist	40	0		$957,917	$0	$5,700	Yes (X)
Todd Boling
Director and General Surgeon	40	0		$724,130	$0	$0	Yes (X)
Ryan Smith
CEO	40	0		$527,254	$0	$5,700		Yes (X)
Miranda Marsh
CRNA	40	0	Yes (X)	$406,108	$0	$5,700
Christy Martinez
Physician	40	0	Yes (X)	$404,863	$0	$5,700
Christina Tuomi
CMO/Physician	40	0		$402,503	$0	$5,700		Yes (X)
Christopher Landess
ER Physician	40	0	Yes (X)	$395,647	$0	$5,700
Paula Godfrey
Physician	40	0	Yes (X)	$390,460	$0	$5,700
Angela Hinnegan
CFO	40	0		$231,989	$0	$8,662		Yes (X)
Angela Johnson
CNO	40	0		$198,146	$0	$5,700		Yes (X)
Rachael Kincaid
CNO	40	0		$167,656	$0	$5,700		Yes (X)
Kelly Cooper
President	2	0		$9,000	$0	$0		Yes (X)
Keri-Ann Baker
Director	2	0		$7,500	$0	$0	Yes (X)
Melissa Jacobsen
Vice President	2	0		$7,500	$0	$0		Yes (X)
Walter Partridge
Treasurer	2	0		$7,500	$0	$0		Yes (X)
Bernadette Wilson
Director	2	0		$6,500	$0	$0	Yes (X)
Matthew Hambrick
Director	2	0		$6,000	$0	$0	Yes (X)
Mary Wythe
Director	2	0		$6,000	$0	$0	Yes (X)
Julie Woodworth
Secretary	2	0		$6,000	$0	$0		Yes (X)
David Groesbeck
Director	2	0		$5,500	$0	$0	Yes (X)
Aaron Weisser
Director	2	0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,395,298	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$65,662	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	134	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
Medical Solutions LLC
PO BOX 310737	Des Moines	IA	503310737	Temporary Contract Staffing	$3,768,489
Robert Lee Gear III
6817 NORTH 57th PLACE	Paradise Valley	AZ	85253	Emergency Room Physician	$443,314
Innovative Employee Solutions
PO Box 841212	Los Angeles	CA	900841212	Contract Staffing	$355,219
COMPHEALTH
PO BOX 972651	Dallas	TX	753972651	Surgical Physician Services	$335,226
Peak Imaging
4438 Towne Heights Ln	Homer	AK	99603	Radiology Services	$316,839

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	18	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$4,689,619	RelatedOrganizationsAmt
Government Grants	$6,068,963	GovernmentGrantsAmt
All Other Contributions	$1,500	AllOtherContributionsAmt
Noncash Contributions	$2,189,818	NoncashContributionsAmt
Total Contributions	$10,760,082	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Hospital	622000	$79,485,923	$79,485,923	$0	$0
Physician Offices	621110	$11,325,942	$11,325,942	$0	$0
Long Term Care	623110	$7,942,080	$7,942,080	$0	$0
Home Health Care	621610	$1,068,895	$1,068,895	$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	$99,822,840	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$155,225	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$155,225	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	$0	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	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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)
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
Cafeteria and Other Revenue	900099	$410,885	$410,885	$0	$0
USAC Internet Subsidies	900099	$203,136	$203,136	$0	$0
Other Operating Income	900099	$61,393	$61,393	$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	$675,414	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$111,103,111	TotalRevenueColumnAmt
Related Or Exempt Func Income	$100,343,029	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$144,829	TotalAmt
Program Services	$144,829	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	$3,460,580	TotalAmt
Program Services	$2,127,430	ProgramServicesAmt
Management And General	$1,333,150	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	$43,636,428	TotalAmt
Program Services	$34,050,788	ProgramServicesAmt
Management And General	$9,585,640	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,006,570	TotalAmt
Program Services	$1,427,497	ProgramServicesAmt
Management And General	$579,073	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,698,599	TotalAmt
Program Services	$10,402,088	ProgramServicesAmt
Management And General	$4,296,511	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,037,380	TotalAmt
Program Services	$2,300,040	ProgramServicesAmt
Management And General	$737,340	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	$67,472	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$67,472	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$151,141	TotalAmt
Management And General	$151,141	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,220	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,220	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	$12,003,051	TotalAmt
Program Services	$11,075,120	ProgramServicesAmt
Management And General	$927,931	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$112,393	TotalAmt
Program Services	$52,410	ProgramServicesAmt
Management And General	$59,983	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,204,487	TotalAmt
Program Services	$13,173,790	ProgramServicesAmt
Management And General	$1,030,697	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,211,309	TotalAmt
Program Services	$685,931	ProgramServicesAmt
Management And General	$1,525,378	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	$1,902,595	TotalAmt
Program Services	$299,677	ProgramServicesAmt
Management And General	$1,602,918	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$149,809	TotalAmt
Program Services	$94,555	ProgramServicesAmt
Management And General	$55,254	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	$402,378	TotalAmt
Program Services	$246,768	ProgramServicesAmt
Management And General	$155,610	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$510,810	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$510,810	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	$3,959,367	TotalAmt
Program Services	$3,563,430	ProgramServicesAmt
Management And General	$395,937	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,200,162	TotalAmt
Program Services	$513,743	ProgramServicesAmt
Management And General	$686,419	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,276,839	TotalAmt
Program Services	$1,124,839	ProgramServicesAmt
Management And General	$1,152,000	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$106,142,419	TotalAmt
Program Services	$81,282,935	ProgramServicesAmt
Management And General	$24,859,484	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$40,673,894	BOYAmt
EOY	$40,998,938	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	$13,855,512	BOYAmt
EOY	$16,295,100	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	$1,808,615	BOYAmt
EOY	$2,062,504	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$654,007	BOYAmt
EOY	$760,219	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$102,562,999	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$61,534,269	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$41,740,348	BOYAmt
EOY	$41,028,730	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	$2,445,559	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,591,897	BOYAmt
EOY	$9,654,706	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$110,326,959	BOYAmt
EOY	$113,248,442	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,804,149	BOYAmt
EOY	$15,745,077	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	$3,571,479	BOYAmt
EOY	$647,712	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,965,206	BOYAmt
EOY	$9,000,373	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	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,340,834	BOYAmt
EOY	$25,393,162	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	$82,986,125	BOYAmt
EOY	$87,795,935	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$59,345	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$82,986,125	BOYAmt
EOY	$87,855,280	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$110,326,959	BOYAmt
EOY	$113,248,442	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$4,960,692	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	-$91,537	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
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	$6,220	OtherActivitiesAmt
Total Lobbying Expenditures	$6,220	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 activities. 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	$67,421,851	OtherCostOrOtherBasisAmt
Depreciation	$34,286,715	DepreciationAmt
Book Value	$33,135,136	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$290,386	OtherCostOrOtherBasisAmt
Depreciation	$126,197	DepreciationAmt
Book Value	$164,189	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$30,084,169	OtherCostOrOtherBasisAmt
Depreciation	$24,367,152	DepreciationAmt
Book Value	$5,717,017	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,371,108	OtherCostOrOtherBasisAmt
Depreciation	$2,754,205	DepreciationAmt
Book Value	$1,616,903	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$41,028,730	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Pension Asset	$4,675,709
Pension Related Deferred Outflow	$4,624,231
Deferred Loss On Refinancing	$354,766

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$9,654,706	TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt	$111,103,111	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	$111,103,111	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$111,103,111	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$106,142,419	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	$106,142,419	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$106,142,419	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	1072	PersonsServedCnt
Total Community Benefit Expns	$130,571	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$130,571	NetCommunityBenefitExpnsAmt
Total Expense	0.001	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	3270	PersonsServedCnt
Total Community Benefit Expns	$15,503,430	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,954,428	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,549,002	NetCommunityBenefitExpnsAmt
Total Expense	0.033	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	4342	PersonsServedCnt
Total Community Benefit Expns	$15,634,001	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,954,428	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,679,573	NetCommunityBenefitExpnsAmt
Total Expense	0.034	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	28285	PersonsServedCnt
Total Community Benefit Expns	$2,611,366	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,000,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,611,018	NetCommunityBenefitExpnsAmt
Total Expense	0.015	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	35	PersonsServedCnt
Total Community Benefit Expns	$15,641	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,619	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,022	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	49785	PersonsServedCnt
Total Community Benefit Expns	$33,175,149	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,839,613	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,335,536	NetCommunityBenefitExpnsAmt
Total Expense	0.14	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	7	ActivitiesOrProgramsCnt
Persons Served	375	PersonsServedCnt
Total Community Benefit Expns	$32,726	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,726	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	50	ActivitiesOrProgramsCnt
Persons Served	78480	PersonsServedCnt
Total Community Benefit Expns	$35,834,882	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,842,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,992,302	NetCommunityBenefitExpnsAmt
Total Expense	0.1553	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	52	ActivitiesOrProgramsCnt
Persons Served	82822	PersonsServedCnt
Total Community Benefit Expns	$51,468,883	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,797,008	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,671,875	NetCommunityBenefitExpnsAmt
Total Expense	0.1893	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	2	ActivitiesOrProgramsCnt
Persons Served	263	PersonsServedCnt
Total Community Benefit Expns	$750	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$750	NetCommunityBenefitExpnsAmt
Total Expense	0	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	4	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$353	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	350	PersonsServedCnt
Total Community Benefit Expns	$5,480	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,480	NetCommunityBenefitExpnsAmt
Total Expense	0	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	8	ActivitiesOrProgramsCnt
Persons Served	663	PersonsServedCnt
Total Community Benefit Expns	$6,583	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,230	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$3,568,228	BadDebtExpenseAmt
Bad Debt Expense Attributable	$122,397	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$34,897,422	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$36,026,820	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,129,398	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	20	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	20	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
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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	Yes, South Peninsula Hospital included Lorne Carrol, Public Health Nurse Team Lead, Homer Office of Alaska Public Health as an advisor in the development of the CHNA. Six meetings were held with public health during the process to determine the goals, designate critical indicators to include, ensure adequate community input, and advise on other items. The steering committee of the local community health coalition (MAPP of the Southern Kenai Peninsula) was kept apprised at monthly meetings of decisions and direction made by South Peninsula Hospital and Public Health, and the status of the assessment. Members include representatives of Seldovia Village Tribe (SVT, FQHC), Kachemak Bay Family Planning, Kachemak Bay UAA Campus, Haven House, City of Homer, South Peninsula Behavioral Health, Sprout Family Services and United Methodist Church. The steering committee was integral with input for informed decisions and helped with data collection. In addition to board, public health advisement in the development, special consideration was given to the broad interest of the community served by ensuring broad, diverse representation in the data collected and community surveyed. Note- Much of this inclusion work was done virtually as the bulk of the CHNA was compiled March-May of 2020 when all work was virtual.
Schedule H, Part V, Section B, Line 11-South Peninsula Hospital	To provide services for a rapidly growing senior population: SPH recruited and now offers weekly neurology clinics; added a hand & shoulder orthopedic surgeon, a second general surgeon and transitioned to full-time hospitalists for more continuity of inpatient care. To help develop senior care offerings within services, SPH offered free weekly yoga for beginners, great for all ages and abilities. To secure space and facilities to support service growth, SPH sponsored Senior Day at the Kenai Peninsula State Fair with education and offerings geared towards seniors and community education was offered on end of life decision making and living wills including medical and legal components. To strengthen Primary and Preventative Care, SPH recruited a psychiatrist and LCSW expanding behavioral health services. To support wellness programs in the community, SPH participated in and assisted with the promotion of multiple community wellness programs. To strengthen relations with other providers in the community for seamless transition of care, SPH participated in annual mental health provider luncheon with partner organizations and collaborated with both private practice and organization based providers through venues including presentations, health fairs, pop up clinics, education outreach and more. Goal provide charity care to those in need. To help individuals access preventive care, free flu shot clinics offered to the community, free COVID 19 vaccinations offered to the community, discounted pediatric immunization clinic offered to the community, community and school based education programming offered both virtually and in person. We offered free financial assistance to patients and non-patients alike and did community outreach during open enrollment. We promoted this program at the annual health fair, on our website, and at quarterly presentations to the Kenai Peninsula Borough. To recruit locally for entry level positions, a SPH incentive program was developed to offer graduates of the Southern Peninsula sign on bonuses; HR participated in multiple job fairs within the Southern Peninsula. To, support local workforce development programs, SPH provided staff instruction for the Certified Nursing Assistant program through KPC. We developed a "earn to learn" program for CNAs. SPH provided clinical representation on local MAPP opioid task force. SPH provides funding for the community task force on addiction. SPH expanded clinic staff to include a MA CDC 1 Provider and created a new clinic for behavioral health services: Serene Waters. SPH increased awareness of MAT programs through presence at community events, offerings, and virtual presence. SPH supports nutrition education, obesity, diabetes, and other related chronic disease care through multiple communications with school based and community educational presentations offered through SPH. The content focused on the science of weight loss, nutrition education, and obesity. To help support and promote physical activity among staff and community residents, SPH offered a staff wellness program aimed at addressing the 8 dimensions of wellness. SPH facilitated yearly staff and community wide community walking challenges, free weekly community yoga programs, free community walks in an indoor space, and free community cirque classes. Priority Support access to good nutrition, education, and dietary habits both as an employer and provider. SPH executed a yearly holiday food drive for local food banks, provided meals at community education events, and offered nutrition education through community presentations, health fairs, and a newsletter. SPH ensured ER, inpatient, and outpatient systems provide necessary safeguards to identify victims of violence. SART/SANE staff provide training and are available for assessments. SPH provides continued support and participation in local Sexual Assault Response Center, and expanded the number of SART/SANE nurses. To ensure our services meet the residents where the need is, SPH had a staff member help coordinate the Rotary Health Fair, Safe and Healthy Kids Fair, and Community Resource Connect which aimed to include services and resources to meet the needs of unique populations. SPH staffed and managed a free Covid-19 testing site 7 days a week during height of pandemic, and was open 33 months. SPH facilitated a 12+ free COVID 19 vaccination clinic for the community vaccinating thousands and provided education outreach to remote/rural areas of the Southern Peninsula. To offer flexible hours of operation such as weekends and holidays, SPH offers multiple clinics including mammogram appointments in the evenings and Saturdays and offers walk in evening visits. To strengthen and promote telehealth services, SPH created a streamlined patient portal with increased accessibility to telehealth services and all primary care practices now offer telehealth. For pandemic response, SPH is now conducting annual drills for emergency preparedness and maintains relations with local emergency response partners by conducting regularly scheduled meetings. Operations teams stayed abreast of current news via weekly state ECHO calls and relayed current information to staff and the community through the PIO. Consistent collaboration and communication among community partners was maintained throughout the height of the pandemic to meet community needs. For the priority of addressing long term health consequences due to individuals delaying care, SPH promoted regular health screenings through annual health fairs for the staff and community and added two new primary care providers to help with increased patient loads. In an effort to make the systems easy and normal to access care, SPH returned to all pre-COVID protocols and systems in regards to seeking care and increased access to care via telehealth offerings. SPH messaging and language developed used a trauma informed/non fear based unbiased approach focusing on the promotion of positive health outcomes and transitioned to become a mask optional facility.
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.

Field	Value	IRS element (for citing)
Facility	9	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 Functional Medicine Clinic
203 W Pioneer Ave Suite 2	Homer	AK	99603	Functional Medicine clinic
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

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	Costs associated with financial assistance were based on the Medicare Cost Report cost to charge ratio for tax year 2021. Costs associated with other benefits are based on actual reported costs per activity or department.
Schedule H, Part I, Line 7g	The hospital included subsidized health service costs associated with several departments providing services for family medicine, behavioral health, functional medicine, orthopedics, sleep clinic, general surgery, long term care, home health, and various other departments.
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 2 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 19,728

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	IRC SectionIRCSectionDesc
G Squared LLC
PO Box 1245	Homer	AK	99603	811770947	$84,829	Support for community MAPP program, mobilizing action through planning and partnerships, a coalition for health improvement on the peninsula. This program also supports All Things Recovery.
Hospice of Homer
PO Box 4174	Homer	AK	99603	920115943	$40,000	Support for the hospice program and community resource for DME and end of life care.	501(c)(3)
Kachemak Bay Family Planning
3959 Ben Walters Ln	Homer	AK	99603	920106486	$20,000	Support for private community STD testing.	501(c)(3)

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	1	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 such as Hospice of Homer, Kachemak Bay Family Planning, and G Squared, support for community MAPP. Records are kept in the facility's accounting system.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (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	$1,523,511	$0	$3,615	$0	$0	$0	$5,700	$0	$58,149	$0	$1,590,975	$0	$0	$0
Edson Knapp
Director and Radiologist	$954,373	$0	$3,545	$0	$0	$0	$5,700	$0	$62,114	$0	$1,025,732	$0	$0	$0
Todd Boling
Director and General Surgeon	$720,647	$0	$3,482	$0	$0	$0	$0	$0	$59,936	$0	$784,065	$0	$0	$0
Ryan Smith
CEO	$420,936	$0	$106,317	$0	$0	$0	$5,700	$0	$46,047	$0	$579,000	$0	$0	$0
Miranda Marsh
CRNA	$391,900	$0	$14,208	$0	$0	$0	$5,700	$0	$57,993	$0	$469,801	$0	$0	$0
Christy Martinez
Physician	$401,309	$0	$3,555	$0	$0	$0	$5,700	$0	$58,058	$0	$468,622	$0	$0	$0
Christopher Landess
ER Physician	$392,669	$0	$2,979	$0	$0	$0	$5,700	$0	$62,613	$0	$463,961	$0	$0	$0
Christina Tuomi
Physician	$389,160	$0	$13,343	$0	$0	$0	$5,700	$0	$54,411	$0	$462,614	$0	$0	$0
Paula Godfrey
Physician	$387,582	$0	$2,878	$0	$0	$0	$5,700	$0	$22,662	$0	$418,822	$0	$0	$0
Angela Hinnegan
CFO	$228,662	$0	$3,327	$0	$0	$0	$8,662	$0	$32,956	$0	$273,607	$0	$0	$0
Angela Johnson
CNO	$194,821	$0	$3,325	$0	$0	$0	$5,700	$0	$43,616	$0	$247,462	$0	$0	$0
Rachael Kincaid
CNO	$164,198	$0	$3,459	$0	$0	$0	$5,700	$0	$40,363	$0	$213,720	$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 membership fees through the wellness program not to exceed $400 per year for union employees and not to exceed $500 per year for managers & confidential employees.
Schedule J, Part I, Line 1b	Although the hospital does not have a written policy governing all the fringe benefits, it does closely follow IRS guidelines for the treatment of those benefits and includes all applicable fringe as taxable earnings and reports them on form W2.
Schedule J, Part I, Line 3	The Board determines the CEO's compensation based on a comparative review of other facility's 990's and wage and compensation surveys done by various agencies including the Alaska Hospital and Healthcare Association.
Schedule J, Part I, Line 4	Employees contributed to and participated 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	$3,095,000	$0	$9,884,491	$0	$0	$0	$0	$0	$0	$0	$0	$0	2009	Yes (1)	Yes (1)	Yes (1)
B	$1,285,000	$0	$3,050,412	$0	$0	$0	$0	$0	$0	$0	$0	$0	2009	Yes (1)	Yes (1)	Yes (1)
C	$1,185,000	$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	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
B	0	0	0	0	0	0	0
C	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 (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Jonas Ridge LLC
Physician & Board Member	$814,193	Purchase of Clinic Building & Property	0
Woodworth Electric
Board Member	$88,974	Electrical Services	0
Jonas Ridge LLC
Board Member & Surgeon	$64,203	Rental of Medical Office Space	0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$895,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Amount Provided by the Donor	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Contract Nursing Labor	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,294,815	NoncashContributionsRptF990Amt
Method Of Determining Revenues	SPH Contract Labor Expense Rate & Contract Hours	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
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 (6 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 a sublease and operating agreement with the Kenai Peninsula Borough. In accordance with that agreement certain key decisions must be approved by the Kenai Peninsula Borough Assembly. Signing of any leases in excess of one year or $100,000 also requires Borough approval. The issuance of tax exempt bonds backed by the revenues of the hospital requires voter approval.
Form 990, Part VI, Section B, Line 11b	Form 990 is prepared by Hospital Finance, reviewed first by the 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.
Form 990, Part IX, Line 11g	Other expenses include $5,926,912 of contract wages which were used to pay for contract staff needed due to challenges in recruiting clinical staff to care for patients. This also included $6,138,639 in professional fees which includes contract physician fees, consulting fees, and collection fees.

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	0	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 (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Kenai Peninsula Borough
e	$10,250,000	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 that date. This amount represents the total outstanding principal on the bonds as of the end of the tax year.
Kenai Peninsula Borough
c	$4,689,619	The hospital receives property taxes and bond proceeds from the Kenai Peninsula Borough service area to assist with its capital repairs and replacement as well as debt service. This amount represents the total received in 2019 for these purposes.
Kenai Peninsula Borough
q	$4,689,619	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.
Kenai Peninsula Borough
k	$1	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.
Kenai Peninsula Borough
r	$3,275,405	South Peninsula Hospital, as part of its sublease and operating agreement with the Kenai Peninsula Borough, is required to transfer any cash on hand in excess of 90 days at the end of each quarter to the Kenai Peninsula Borough for use in Property and Plant Replacement expenses. The total represents the amount transferred during the tax year.
Kenai Peninsula Borough
s	$5,161,198	South Peninsula Hospital transfers cash in excess of 90 days at the end of each quarter to the Kenai Peninsula Borough. The cash is held in a plant replacement and expansion fund. South Peninsula Hospital is able to request use of these funds should their operating cash drop below 90 days. In February 2022, South Peninsula Hospital was down to 70 days cash on hand and requested cash from the plant replacement expansion fund held at the Kenai Peninsula Borough. This dollar amount is the total transferred to South Peninsula Hospital during the tax year.

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	An extension was needed to file the 990, due to late receival of reports from the State of Alaska relating to Coronavirus contributed services provided to the hospital as part of the public health emergency. They delay of receiving this information caused our financial audit to not complete timely and thus delayed the preparation of the hospital's 990.	ExplanationTxt