City of Nome Equalization Board v. Norton Sound Health Corporation

Alaska Supreme Court·Decided August 7, 2026·No. S-18833·Published

Opinion

2026 WL 2277634
Only the Westlaw citation is currently available.
NOTICE: THIS DECISION DOES NOT SERVE AS PRECEDENT. THE CASE WAS ENTERED IN THE WESTLAW DATABASE BEFORE THE TIME FOR REHEARING HAD EXPIRED. IT IS POSSIBLE THAT REHEARING HAS BEEN SOUGHT, GRANTED OR DENIED.
Supreme Court of Alaska.

CITY OF NOME EQUALIZATION BOARD, Appellant,
v.
NORTON SOUND HEALTH CORPORATION, Appellee.

Supreme Court No. S-18833
August 7, 2026
Superior Court No. 2NO-22-00095 CI
Appeal from the Superior Court of the State of Alaska, Second Judicial District, Nome, Paul A. Roetman, Judge.

Attorneys and Law Firms

Appearances: Charles Cacciola, Munson, Cacciola & Severin, LLP, Anchorage, for Appellant. Geoffrey D. Strommer, Hobbs, Straus, Dean & Walker, LLP, Portland, Oregon, for Appellee. Sean B. Kelley, Soldotna, for Amicus Curiae Kenai Peninsula Borough. Glenn J. Brown, Ketchikan, for Amicus Curiae Ketchikan Gateway Borough. Scott A. Brandt-Erichsen, Keene & Currall, PPC, Ketchikan, for Kodiak Island Borough. Laura Wolff, Assistant Attorney General, Anchorage, and Treg Taylor, Attorney General, Juneau, for Amicus Curiae State of Alaska. M. Scott Broadwell, Davis Wright Tremaine, LLP, Anchorage, for Amicus Curiae Bristol Bay Area Health Corporation. Richard D. Monkman, Sonosky, Chambers, Sachse, Miller & Monkman, LLP, Juneau, and K. Amanda Saunders and Steven C. Wilfong, Sonosky, Chambers, Sachse, Miller & Monkman, LLP, Anchorage, for Amicus Curiae Alaska Tribal Health Organizations. Charles W. Scarborough and Martin Totaro, Attorneys, Appellate Staff Civil Division, Washington, D.C., Bryan M. Boynton, Principal Deputy Assistant Attorney General, Washington, D.C., and Josh Traini, Assistant United States Attorney, U.S. Attorney's Office, Anchorage, for Amicus Curiae United States.
Before: Carney, Borghesan, Henderson, and Pate, Justices, and Eastaugh, Senior Justice.* [Maassen, Chief Justice, not participating.]

OPINION
BORGHESAN, Justice.
I. INTRODUCTION
Star page 1*1 Alaska law authorizes local governments to levy a tax on property but exempts from taxation property used exclusively for hospital purposes. Norton Sound Health Corporation (NSHC), a tribally owned nonprofit corporation that provides health care in the Bering Strait region, sought a tax exemption for an apartment building it owns in Nome. NSHC uses the apartment building, which is close to the hospital NSHC operates, to house doctors, nurses, and other hospital staff. The City of Nome denied the requested exemption on the ground that the apartment was not used exclusively for hospital purposes. On appeal the superior court reversed the decision of the City's Board of Equalization and ruled that the apartment building was exempt from taxation. The City appealed the decision to us.
We affirm the superior court's ruling that the apartment building is exempt from taxation. The apartment is used by NSHC to facilitate its hospital operations by keeping medical staff close by in case of emergency. But the apartment is not used exclusively for hospital purposes because it is used for private residential purposes as well. Nevertheless, we have long recognized that property is exempt from taxation if it is directly incidental to and vitally necessary to the exempt use of other property. The apartment building is directly incidental to and vitally necessary to NSHC's hospital because it is used to house medical staff recruited from outside the Bering Strait region who must quickly respond to medical emergencies on short notice, and there is a dearth of short-term rental housing in Nome that can meet this need. Therefore, the property satisfies the requirement for exempt use.
The City argues for the first time on appeal that rents NSHC charges to some of the property's tenants, in an amount NSHC describes as “nominal,” make the property ineligible for a tax exemption. But because the City did not raise this argument below, the record does not contain findings that conclusively establish whether these rents are disqualifying. Therefore, we affirm the superior court's decision exempting the property from tax.
II. FACTS AND PROCEEDINGS
A. Background
NSHC is a tribally owned and operated nonprofit healthcare organization founded to meet the health care needs of the Bering Strait region. NSHC operates health care facilities pursuant to the Alaska Tribal Health Compact. The Compact is a multitribe self-governance compact with the federal Indian Health Service (IHS) under Title V of the Indian Self-Determination and Education Assistance Act (ISDEAA).1 NSHC has a funding agreement with IHS, negotiated every year to fund the programs, services, functions, and activities that NSHC performs on behalf of IHS. Among the required services and programs are the operation of hospital facilities in Nome and the provision of “[s]upport services” for NSHC's health services. Support services include “the provision of staff housing.”
In January 2022 NSHC submitted applications for municipal tax exemptions for several of the properties it owns in Nome. Only “Property 1” is the subject of this appeal.
Star page 2*2 According to NSHC, Property 1 is a seven-unit apartment building located within walking distance of the inpatient hospital facility. The building houses doctors, nurses, and newly hired employees who work at the hospital. NSHC represents that 98% of the “occupancy” of the building is by medical staff.

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