CENTRAL PENINSULA GENERAL HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CENTRAL PENINSULA GENERAL HOSPITAL INC (EIN 92-0077523)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-04-18
IRS object ID: 201901089349301450
Schema version: 2017v2.0
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	2019-04-18T17:29:53-07:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	920077523	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	CENT	BusinessNameControlTxt
Phone	9077144404	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Hospital Place	AddressLine1Txt
City	Soldotna	CityNm
State Abbreviation	AK	StateAbbreviationCd
ZIP	99669	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Lance Spindler	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9077144722	PhoneNum
Signature	2019-04-18	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	107.77.205.13	IPv4AddressTxt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	Rick Davis	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Hospital Place	AddressLine1Txt
City	Soldotna	CityNm
State Abbreviation	AK	StateAbbreviationCd
ZIP	99669	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$361,189,266	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.cpgh.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	AK	LegalDomicileStateCd
Activity Or Mission	We are a community initiated and community nurtured organization dedicated to promoting wellness and providing high quality health care that ensures the confidence and loyalty of our patients. We strive to improve individual and community health and achieve national standards of excellence.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1019	TotalEmployeeCnt
Total Volunteers	195	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,435,192	PYContributionsGrantsAmt
CY Contributions Grants	$2,293,293	CYContributionsGrantsAmt
PY Program Service Revenue	$299,302,632	PYProgramServiceRevenueAmt
CY Program Service Revenue	$353,751,803	CYProgramServiceRevenueAmt
PY Investment Income	$44,845	PYInvestmentIncomeAmt
CY Investment Income	$319,536	CYInvestmentIncomeAmt
PY Other Revenue	$4,051,309	PYOtherRevenueAmt
CY Other Revenue	$3,706,679	CYOtherRevenueAmt
PY Total Revenue	$304,833,978	PYTotalRevenueAmt
CY Total Revenue	$360,071,311	CYTotalRevenueAmt
PY Grants And Similar Paid	$214,739	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$106,967	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$89,599,715	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$94,672,527	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$214,467,872	PYOtherExpensesAmt
CY Other Expenses	$257,281,285	CYOtherExpensesAmt
PY Total Expenses	$304,282,326	PYTotalExpensesAmt
CY Total Expenses	$352,060,779	CYTotalExpensesAmt
PY Revenues Less Expenses	$551,652	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,010,532	CYRevenuesLessExpensesAmt
Total Assets BOY	$226,141,503	TotalAssetsBOYAmt
Total Assets EOY	$262,953,280	TotalAssetsEOYAmt
Total Liabilities BOY	$73,142,827	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$101,944,072	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$152,998,676	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$161,009,208	NetAssetsOrFundBalancesEOYAmt
Mission	We are a community initiated and community nurtured organization dedicated to promoting wellness and providing high quality health care that ensures the confidence and loyalty of our patients. We strive to improve individual and community health and achieve national standards of excellence. We are dedicated to providing the highest quality patient and resident centered care in a healing environment.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$317,553,269	ExpenseAmt
Revenue	$321,303,712	RevenueAmt
Desc	Our 49 bed hospital provided patient and ancillary services to 2,704 inpatients and 133,194 outpatients during the 2017 tax year. The hospital provides emergency medical services regardless of ability to pay. Emergency medical services were provided to 16,811 individuals, and 1,748 of those individuals were admitted to the hospital. 4,395 surgical procedures were performed in the hospital during the tax year. The imaging department performed 48,108 procedures. 63,185 physical therapy 15-minute procedures were provided to area residents. During the 2017 tax year, free medical services in the amount of $3,375,097 (gross charges) were provided to patients eligible for charity care.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$11,698,885	ExpenseAmt
Revenue	$11,000,031	RevenueAmt
Desc	Skilled nursing and long term care services were provided by our 60 bed skilled nursing facility. Heritage Place provides healing and compassionate residential care in a home like setting. Total admissions for the 2017 tax year were 137 and total resident days of care were 18,606. An average of 51 residents per day were provided long term care and nursing. Ancillary services for residents included 7,249 physical therapy treatments, while outpatients received 1,017 therapy treatments.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$20,929,346	ExpenseAmt
Revenue	$21,448,060	RevenueAmt
Desc	The hospital operates 10 family and specialty physician services clinics providing care in the following areas: Family Medicine, Pediatrics, Neurology, Pain Management, Surgery, Urology, Podiatry, Internal Medicine, Women's Health, and Orthopedics. Other outpatient clinics include Wound care, Sleep studies, and the provision of Durable medical equipment. During the 2017 tax year physician and specialty services were provided for 28,446 visits. 6,062 wound care procedures and 185 sleep studies were performed.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$350,181,500	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	Yes (1)	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	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	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 With Officer Ent	Yes (1)	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	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	147	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1019	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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
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	Central Peninsula Hospital	BusinessNameLine1Txt
Business Name Line2	Finance Department	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Phone	9077144525	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Hospital Place	AddressLine1Txt
City	Soldotna	CityNm
State Abbreviation	AK	StateAbbreviationCd
ZIP	99669	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	OfficerOfficerInd
Silverio Mattero
Board Member	4	Yes (X)	$4,350	$0	$0
Trena Richardson
President	8	Yes (X)	$13,750	$0	$0
Gregg Motonaga
Anesthesia MD/Board Member	44	Yes (X)	$716,229	$0	$38,126	Yes (X)
Mark Dixson
Board Member	4	Yes (X)	$4,400	$0	$0
Mark Premo
Board Member	4	Yes (X)	$3,300	$0	$0
Steven Manley
Board Member	4	Yes (X)	$0	$0	$0
James McHale
Vice President	4	Yes (X)	$4,350	$0	$0
Debra Shuey
Board Member	4	Yes (X)	$3,850	$0	$0
John Bramante
Board Member	4	Yes (X)	$2,600	$0	$0
Irv Carlisle
Sec/Treasurer	6	Yes (X)	$2,750	$0	$0
Lynda Columbia
Board Member	4	Yes (X)	$3,650	$0	$0
Matthew Dammeyer
COO	40		$320,114	$0	$32,427		Yes (X)
Richard Davis
CEO	40		$520,615	$0	$34,677		Yes (X)
Lance Spindler
CFO	40		$262,744	$0	$31,103		Yes (X)
Karen Scoggins
CNO	40		$220,101	$0	$25,110		Yes (X)
David S Innes
Orthopedic Surgeon	40		$874,301	$0	$0	Yes (X)
Robert Cadoff
Urologist	40		$1,260,009	$0	$31,763	Yes (X)
Jason Lattin
Surgeon	40		$886,161	$0	$49,549	Yes (X)
Aaron Wonnacott
MD	40		$758,635	$0	$35,593	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,861,909	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$278,348	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	119	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)

Business Name Line2ContractorName/BusinessName/BusinessNameLine2Txt	Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
C&A Industries
dba Focus One Solutions	PO Box 3037	Omaha	NE	68103	Contract Labor Provider	$1,596,286
Alaska Hospitalist Group LLC
	4300 B Street	Anchorage	AK	99503	Physician Services	$750,875	Suite 200
Roger Brecheen dba Wilson Gynecolog
	PO Box 243	Wilson	WY	83014	OBGYN Locums Physician	$371,570
Curtis Buchholz
	44455 Sterling Hwy	Soldotna	AK	996697936	Pathology services	$320,178
QCentrix
	Dept CH19901	Palatine	IL	60055	Quality Improvement	$254,341

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$14,374	RelatedOrganizationsAmt
Government Grants	$1,962,802	GovernmentGrantsAmt
All Other Contributions	$316,117	AllOtherContributionsAmt
Noncash Contributions	$13,592	NoncashContributionsAmt
Total Contributions	$2,293,293	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Hospital service revenue	622000	$321,303,712	$321,303,712	$0	$0
Skilled nursing revenue	623000	$11,000,031	$11,000,031	$0	$0
Outpatient Physician clinic revenue	621110	$21,448,060	$21,448,060	$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	$353,751,803	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$316,549	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$316,549	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	$734,045	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$976,992	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$242,947	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$242,947	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$242,947	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$2,987	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	$2,987	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,987	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,987	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	$559,390	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$140,963	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$418,427	TotalRevenueColumnAmt
Related Or Exempt Func Income	$418,427	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
Property tax revenue	622000	$43,918	$43,918	$0	$0
USAC telephone subsidy	622000	$1,363,606	$1,363,606	$0	$0
Electronic Health Records incentives	622000	$249,530	$249,530	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,874,145	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,874,145	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,531,199	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$360,071,311	TotalRevenueColumnAmt
Related Or Exempt Func Income	$357,461,469	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$316,549	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$106,967	TotalAmt
Program Services	$106,967	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	$5,826,234	TotalAmt
Program Services	$4,218,481	ProgramServicesAmt
Management And General	$1,607,753	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	$60,205,221	TotalAmt
Program Services	$60,205,221	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,879,491	TotalAmt
Program Services	$1,879,491	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,519,818	TotalAmt
Program Services	$22,519,818	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,241,763	TotalAmt
Program Services	$4,241,763	ProgramServicesAmt
Management And General	$0	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	$212,528	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$212,528	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$38,483	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$38,483	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$20,515	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$20,515	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	$6,156,762	TotalAmt
Program Services	$6,156,762	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$298,501	TotalAmt
Program Services	$298,501	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,239,103	TotalAmt
Program Services	$25,239,103	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,031,113	TotalAmt
Program Services	$7,031,113	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,547,205	TotalAmt
Program Services	$2,547,205	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$337,481	TotalAmt
Program Services	$337,481	ProgramServicesAmt
Management And General	$0	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	$362,805	TotalAmt
Program Services	$362,805	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,899,679	TotalAmt
Program Services	$1,899,679	ProgramServicesAmt
Management And General	$0	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	$14,496,331	TotalAmt
Program Services	$14,496,331	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,034,237	TotalAmt
Program Services	$1,034,237	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medicare Deductions from Revenue	$93,310,400	$93,310,400	$0	$0
Medicaid Deductions from Revenue	$55,345,784	$55,345,784	$0	$0
Commercial, Gov't and Other Deductions from Revenue	$36,332,607	$36,332,607	$0	$0
Uncompensated Care (Bad Debt & Charity)	$9,874,204	$9,874,204	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,743,547	TotalAmt
Program Services	$2,743,547	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$352,060,779	TotalAmt
Program Services	$350,181,500	ProgramServicesAmt
Management And General	$1,879,279	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$35,482,840	BOYAmt
EOY	$40,477,767	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,957,556	BOYAmt
EOY	$4,960,629	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$326,591	BOYAmt
EOY	$199,953	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$29,807,497	BOYAmt
EOY	$29,552,245	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	$5,778,418	BOYAmt
EOY	$6,278,415	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,795,376	BOYAmt
EOY	$2,239,425	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$173,086,826	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$65,537,730	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$111,211,292	BOYAmt
EOY	$107,549,096	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	$500,000	BOYAmt
EOY	$500,000	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	$1,301,191	BOYAmt
EOY	$869,045	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$34,980,742	BOYAmt
EOY	$70,326,705	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$226,141,503	BOYAmt
EOY	$262,953,280	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,935,395	BOYAmt
EOY	$17,412,202	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	$12,245	BOYAmt
EOY	$12,653	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$58,145,490	BOYAmt
EOY	$83,513,417	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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,697	BOYAmt
EOY	$1,005,800	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$73,142,827	BOYAmt
EOY	$101,944,072	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$146,099,651	BOYAmt
EOY	$122,430,538	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,899,025	BOYAmt
EOY	$38,578,670	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	$152,998,676	BOYAmt
EOY	$161,009,208	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$226,141,503	BOYAmt
EOY	$262,953,280	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$8,010,532	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$12,050	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$8,465	OtherActivitiesAmt
Total Lobbying Expenditures	$20,515	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	Line 1(g) consists of travel expenses and compensation of employees for 2 trips to Washington D.C. to meet with federal legislators regarding Medicaid expansion and continuation of the Medicare Rural Community Hospital Demonstration Project. Line 1(i) consists of the portion of membership dues paid to organizations that were spent on lobbying activities. These outside organizations include the American Hospital Association and the Alaska Hospital and Nursing Home Association.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Preservation Public Use	Yes (X)	PreservationPublicUseInd
Total Easements	1	TotalEasementsCnt
Total Acreage	40	TotalAcreageCnt
Historic Structure Easements	0	HistoricStructureEasementsCnt
Historic Strctr Easements Aftr	0	HistoricStrctrEasementsAftrCnt
Modified Easements	0	ModifiedEasementsCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	0	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	0	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$0	ExpensesIncurredEnforcementAmt
Section170h Rqr Stsfd	0	Section170hRqrStsfdInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,452,117	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Book Value	$2,452,117	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$89,548,658	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$32,510,894	DepreciationAmt
Book Value	$57,037,764	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$622,459	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$470,647	DepreciationAmt
Book Value	$151,812	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$71,565,720	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$31,475,268	DepreciationAmt
Book Value	$40,090,452	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$8,897,872	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$1,080,921	DepreciationAmt
Book Value	$7,816,951	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$107,549,096	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Plant replacement and expansion fund	$32,703,493
Bond proceeds reserved for capital projects	$29,217,909
Debt service reserve fund	$7,637,498
Deferred loss on 2011 bond refunding	$767,805

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$70,326,705	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Other Liabilities - cash held for others	$42,437
Other Liabilities - due to/from third party payors	$963,363

Field	Value	IRS element (for citing)
Total Liability	$1,005,800	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$172,171,574	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$0	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$464,151	OtherRevenueAmt
Revenue Not Reported	$464,151	RevenueNotReportedAmt
Revenue Subtotal	$171,707,423	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$188,363,888	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$188,363,888	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$360,071,311	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$164,167,558	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$470,667	OtherExpensesIncludedAmt
Expenses Not Reported	$470,667	ExpensesNotReportedAmt
Expenses Subtotal	$163,696,891	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$188,363,888	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$188,363,888	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$352,060,779	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part II, Line 9	In 2008 the Hospital purchased a building which resides on 40 acres of land subject to a perpetual covenant for the benefit of all Alaska residents, restricting the use of the land for agricultural purposes pursuant to AK Statute 38.05.321. The building on this property is used by the Hospital's chemical dependency unit. There is no value placed on the easement itself and therefore it does not appear on the Financial Statements or footnotes. However, the cost of the real property is recorded in the Hospital's Balance Sheet at its net book value.
Schedule D, Part XI, Line 2d	Cost of Goods sold in the amount of $140,963 reported in Part Viii line 10b are reported as expenses on the audited financial statements. Revenue from Central Peninsula Health Foundation in the amount of $323,188 are included in the audited financial statements, however they are excluded from the 990 Part VIII. The Foundation is a separate legal entity and although it is reported as a blended component unit of the Hospital's financials, it files its own Form 990.
Schedule D, Part XI, Line 4b	Deductions from revenue in the amount of $188,363,888 are reported as expenses in Part IX, line 24 a-d on the 990, however they are reported net of revenue on the audited financial statements.
Schedule D, Part XII, Line 2d	Cost of Goods sold in the amount of $140,963 reported in Part VIII line 10b are reported as expenses on the audited financial statements. Expenses of Central Peninsula Health Foundation in the amount of $329,704 are included in the audited financial statements, however they are excluded from the 990 Part VIII. The Foundation is a separate legal entity and although it is reported as a blended component unit of the Hospital's financials, it files its own Form 990.
Schedule D, Part XII, Line 4b	Deductions from revenue in the amount of $188,363,888 are reported as expenses in Part IX, line 24 a-d on the 990, however they are reported net of revenue on the audited financial statements.

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
Percent200	Yes (X)	Percent200Ind
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	1424	PersonsServedCnt
Total Community Benefit Expns	$1,372,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,372,341	NetCommunityBenefitExpnsAmt
Total Expense	0.0087	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	18000	PersonsServedCnt
Total Community Benefit Expns	$32,248,437	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,588,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,659,948	NetCommunityBenefitExpnsAmt
Total Expense	0.0296	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	19424	PersonsServedCnt
Total Community Benefit Expns	$33,620,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,588,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,032,289	NetCommunityBenefitExpnsAmt
Total Expense	0.0383	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	432	ActivitiesOrProgramsCnt
Persons Served	9920	PersonsServedCnt
Total Community Benefit Expns	$885,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$94,292	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$791,157	NetCommunityBenefitExpnsAmt
Total Expense	0.005	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	113	ActivitiesOrProgramsCnt
Persons Served	181	PersonsServedCnt
Total Community Benefit Expns	$71,259	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,410	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,849	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	36360	PersonsServedCnt
Total Community Benefit Expns	$16,063,107	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,910,888	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,152,219	NetCommunityBenefitExpnsAmt
Total Expense	0.0519	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	92	PersonsServedCnt
Total Community Benefit Expns	$7,978	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,678	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1037	ActivitiesOrProgramsCnt
Persons Served	135	PersonsServedCnt
Total Community Benefit Expns	$160,891	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$160,891	NetCommunityBenefitExpnsAmt
Total Expense	0.001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1603	ActivitiesOrProgramsCnt
Persons Served	46688	PersonsServedCnt
Total Community Benefit Expns	$17,188,684	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,013,890	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,174,794	NetCommunityBenefitExpnsAmt
Total Expense	0.0583	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1605	ActivitiesOrProgramsCnt
Persons Served	66112	PersonsServedCnt
Total Community Benefit Expns	$50,809,466	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,602,379	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,207,083	NetCommunityBenefitExpnsAmt
Total Expense	0.0966	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	9	ActivitiesOrProgramsCnt
Persons Served	90	PersonsServedCnt
Total Community Benefit Expns	$2,541	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,541	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Community Support CommunitySupportGrp

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

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	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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

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	9	ActivitiesOrProgramsCnt
Persons Served	90	PersonsServedCnt
Total Community Benefit Expns	$2,541	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,541	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$2,727,791	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,909,453	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$39,348,369	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$46,041,915	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,693,546	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Hospital Place	AddressLine1Txt
City	Soldotna	CityNm
State Abbreviation	AK	StateAbbreviationCd
ZIP	99669	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.cpgh.org	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Central 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
Other	Yes (X)	OtherInd
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	http://www.cpgh.org/workfiles/CPH%202016%20Community%20Health%20Needs%20Assessment.pdf	OwnWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	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	200	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.cpgh.org/Patient Financial Services	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.cpgh.org/PatientFinancialServices	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.cpgh.org/PatientFinancialServices	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 Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Collection Activities	Yes (1)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3-Central Peninsula Hospital	The 2016 Community Health Needs Assessment (CHNA) was prepared by an independent contractor who conducted phone interviews with a broad cross section of the local community through randomly selected landlines for 600 respondents (14.7% of total landlines). The contractor also used 2014 US Census Bureau estimates, 2015 AK Department of Labor statistics, and health data for the community, state, and nation in the needs assessment. Hospital management provides additional information for the report through its partnerships and collaboration with other healthcare entities throughout the state. Other sources of data include the Alaska Hospital Nursing Home Association, Rural Healthcare and Small Hospital Association, the Kenai Peninsula Borough Assembly, and the Hospital Patient Advisory Committee.
Schedule H, Part V, Section B, Line 5-Central Peninsula Hospital	In addition to the CHNA, the Hospital collaborates with local area medical providers, patients, hospital associations, and the local government to determine whether community health needs are being met, and where unmet opportunities exist.
Schedule H, Part V, Section B, Line 7d-Central Peninsula Hospital	The most recently published CHNA identified the top ten community health needs as follows: 1) Alzheimer's services, 2) Alcohol and drug abuse treatment services, 3) Cardiology services, 4) Mental health services, 5) Assisted living services, 6) Wellness services, 7) Pulmonary services, 8) End of life care services, 9) Dialysis services, and 10) Primary care services. Of these ten identified needs, the Hospital's Board and Executive Team have prioritized the top health initiatives to be addressed and has designed an Implementation Plan to outline those needs and track progress in meeting initiatives. The Implementation Plan lists the Hospital's priorities as follows: Priority #1) Cardiovascular Health, Priority #2) Substance abuse and mental health services, Priority #3) End of life services, Priority #4) Primary Care access, Priority #5) Wellness services for kids and adults, and Priority #6) Alzheimer's care. While the Hospital recognizes the importance of the remaining health needs identified in the CHNA, these needs either cannot be achieved by the Hospital in the near future, or are being addressed by an outside organization. Dialysis services are currently offered in the service area by another non-hospital owned organization. No inpatient dialysis services are provided at the Hospital due to the absence of physicians specializing in kidney care. Currently, the volume of pulmonary patients in the service area does not support the recruitment of a full-time Pulmonologist; these services are provided in Anchorage. Preventative care and wellness services are being provided by the Hospital in order to reduce the need for these services. In recent years, approximately 100 assisted living beds have been added to the service area by local for profit entities. The Hospital believes these entities, along with Home Health Care entities, will continue to meet community needs.
Schedule H, Part V, Section B, Line 11-Central Peninsula Hospital	Every three years, the Hospital produces a Community Health Needs Assessment (CHNA) providing an analysis of the health needs facing our community. This report is made available to the public, and can be used by community members to better understand the present state of the region and to make decisions and plans for the future. The last CHNA was completed in July 2016. Each year, the Hospital prioritizes and updates its Implementation Plan. The following describes updates to the Plan as of the December 2018 update. Priority #1) Cardiovascular Health - In order to meet the needs of an aging population, the Hospital has increased ICU/cardiovascular capability of nursing staff and Hospitalists by having a full-time Cardiologist on staff and working with the Alaska Heart Institute to recruit a second. We have also added a swing shift Hospitalist for additional coverage and hired a new ICU Director, who is implementing a more intensive education program. The Hospital is building a new Cath Lab that is on track for a November 2019 opening. Other efforts to address community health needs such as obesity and cholesterol management are ongoing. Priority #2) Substance Abuse and Mental Health Services - we have opened a new transitional housing facility that is up and running with good success. We are addressing the need to promote Primary Care Medical Home models with behavioral health integration by developing a value based program for our employee health plan. Priority #3) End of Life Services - a Palliative Care Committee has been formalized and continues to meet to address the issue of a lack of robust Hospice or Palliative Care programs, which results in high readmission rates and less than favorable utilization of hospital beds. Priority #4) Primary Care Access - Steps are being taken in order to address the lack of primary care access that results in inappropriate Emergency Department utilization and poor care coordination. We have actively supported recruitment of new providers, increased access within our primary clinics by implementing 10 hour scheduling, and are working on developing a Primary Care Medical Home model to provide more coordinated care from the primary care level. Priority #5) Wellness Services for kids and adults - we are working to increase early wellness education and lifestyle changes by supporting wellness activities in our community, such as Safe Kids, health fairs, and sponsorship of community activities that promote exercise, such as little league baseball and local runs. Priority #6) Alzheimer's Care - we are working to coordinate services that are already available by conducting surveys and promoting better coordination of community resources and sponsoring programs for family education and coping mechanisms.
Schedule H, Part V, Section B, Line 16j-Central Peninsula Hospital	Hospital admissions staff attempt to provide a financial assistance brochure to every patient during the admission or discharge process. The brochure is also available in hard copy at each hospital entrance, upon request, and on the Hospital's public website. It is also published in the local newspaper, at least quarterly, and reported in each Hospital report to the local governing body's public assembly meetings. Financial counselors personally contact all patients with past due balances and explain the financial assistance policy. They offer assistance with filling out the application, and also set up monthly payment plans for patients who do not qualify for 100% assistance. The Hospital employs 5 financial counselors that meet personally with patients to review their bills, set up payment arrangements, and assist with the financial assistance application process. The policy and assistance opportunities are published in the local newspaper, along with contact information for the Hospital's counselors.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
Heritage Place
232 Rockwell Ave	Soldotna	AK	99669	Skilled nursing facility, longterm care
Serenity House
47480 Kristina Way	Soldotna	AK	99669	Chemical dependency treatment center
Central Peninsula Neurology
262 N Binkley Street	Soldotna	AK	99669	Neurology clinic
Central Peninsula Family Practice Kenai
506 Lake Street	Kenai	AK	99611	Family practice clinic
Kenai Physical Medicine
260 Caviar St	Kenai	AK	99611	Physical therapy clinic
Soldotna Physical Medicine
245 N Binkley	Soldotna	AK	99669	Physical Therapy clinic
Kenai Health Center
630 Barnacle Way	Kenai	AK	99611	Diagnostic imaging, lab, and domestic violence services
Central Peninsula Family & Pediatrics
245 N Binkley St	Soldotna	AK	99669	Family practice clinic	Suite 101
Central Peninsula Specialty Physician Building
240 Hospital Place	Soldotna	AK	99669	Specialty Physician Offices, Oncology, Imaging, Physical Therapy and leased Medical office space
Serenity House intake office
245 N Binkley Street	Soldotna	AK	99669	Chemical dependency intake, behavioral health clinic	Suite 203
Peninsula Medical Center
265 N Binkley Street	Soldotna	AK	99669	Owned medical office building
Central Peninsula Medical Center
245 N Binkley Street	Soldotna	AK	99669	Owned medical office building
CP Maintenance & Plant Ops
158 Corral Street	Soldotna	AK	99669	Maintenance and plant ops
Foundation & Marketing
166 W Corral Street	Soldotna	AK	99669	Foundation and marketing offices
Central Peninsula Internal Medicine
108 E Corral St	Soldotna	AK	99669	Internal Medicine Physician Offices
Radiation Oncology Building
240 Hospital Place	Soldotna	AK	99669	Radiation Oncology Building - leased to RBS Evolution
Central Peninsula Billing Office
198 W Corral	Soldotna	AK	99669	Office space for Physician Clinic billing
Accounting
146 W Corral Street	Soldotna	AK	99669	Accounting offices
Central Peninsula Hospital
262 N Binkley St	Soldotna	AK	99669	Vacant Physician Office space
Central Peninsula Hospital Transitional Living Ctr
362 Tyee Street	Soldotna	AK	99669	Transitional Living Center
Central Peninsula Care Transitions
354 Tyee St	Soldotna	AK	99669	Detox Center - Undergoing remodel during tax year 2016
CP Womens Health
289 N Fireweed Street	Soldotna	AK	99669	OB/Gyn Physician Medical Office	Suite C/D
Patient Financial Services
254 N Binkley Street	Soldotna	AK	99669	Patient Financial Services

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	In most cases, the costs listed in Line 7 are actual costs associated with these programs. In cases where the costs for certain activities is too cumbersome to compile, the cost to charge ratio from the most recently filed Medicare Cost Report (FY2018) was used.
Schedule H, Part I, Line 7, Column f	Bad debt expense of $6,499,107 were reported gross in Part IX, line 25 functional expenses. However, they were reported at cost in Schedule H based on the cost to charge ratio.
Schedule H, Part I, Line 7g	The Hospital did include losses from certain subsidized Physician Clinics in Part I. line 7g for both family practice and specialty physician practices. These losses are as follows: Soldotna Family Practice and Pediatrics ($967,410), Neurology ($169,943), Women's Health ($644,692), Foot & Ankle ($456,183), Internal Medicine ($770,404), and Kenai Family Practice ($291,363).
Schedule H, Part II	The Hospital supports local educational and workforce institutions through monetary donations, job fairs, job shadowing programs, internships, community partnerships, coalitions, and skills training. Community workforce development and health education improves the quality of life and the health of the community by fostering positive activities for area residents and engaging the community in health initiatives.
Schedule H, Part III, Section A, Line 4	Bad debt provisions are made for the amount of revenue that will not be collected from patients to whom services were billed but not paid. The Hospital has determined these patients are neither medically nor financially indigent and do not qualify for the Hospital's charity care program. Bad debt provisions are determined by Management's assessment with consideration of business and economic conditions, changes and trends in the healthcare coverage, and other collection indicators. The adequacy of this provision is periodically reviewed and further modified based upon the accounts receivable payor mix and aging, and historical write-off trends by payor class. Schedule H, Part III amounts are based on the combined Medicare and Medicaid cost to charge ratio for tax year 2017 per our filed cost report. The amount which may be attributable to patients who qualify for charitable assistance or free care is estimated to be about 70% of the total. These are accounts which our financial counselors have made every effort to contact and assist patients with financial assistance applications, but the patient refused to apply. It is our belief that all of these bad debts should be considered community benefit because they provide a necessary and vital health benefit to community members regardless of ability to pay.
Schedule H, Part III, Section B, Line 8	It is our belief that the shortfall in actual receipts from Medicare compared to the cost to provide care to Medicare patients should be considered a community benefit. The reason for this stance is that the Hospital is required to write off all contractual allowances for Medicare patients regardless of the amount of the shortfall. The Hospital may only collect the portion which is a patient's co-pay or deductible and may not engage in collection efforts for the remainder. Medicare patients comprise a significant percentage of our community members, and our community Hospital must provide needed medical services to this population irrespective of the payments received. Costs included within this Schedule H are based on the as filed 2018 Medicare cost report (tax year 2017).
Schedule H, Part III, Section C, Line 9b	The Hospital's collection policy PFS-546 addresses private pay patients and defines the individuals which are eligible to receive financial assistance based on either financial or medical indigence. The collection policy refers to the charity care policy for instructions for determining eligibility. As noted in Part I, the charity care policy is based on FPG which is the basis for a sliding scale between 200 and 300% of those guidelines. Applicants on the upper end of the scale are eligible for a discount on their bills, while those on the lower end of the scale are eligible for free care.
Schedule H, Part VI, Line 2	In addition to the Community Health Needs Assessment and strategic plan, the Hospital also determines health deficiencies in the community through a variety of other means. Hospital Administrators round on patients and meet regularly with an advisory committee comprised of area residents and former patients to determine the physician and specialty services necessary to meet the health concerns of the community. The Hospital also peridoically hires consultants to determine the physician and specialty service needs in the community and to assist with physician recruiting. Lastly, an open dialogue exists between Hospital management, community leaders, the local governing body, patients, staff and medical providers. This community engagement is another source of identifying community health needs.
Schedule H, Part VI, Line 3	Hospital admissions staff attempt to provide a financial assistance brochure to every patient during the admission or discharge process. The brochure is also available in hard copy at each hospital entrance, upon request, and on the Hospital's public website. It is also published in the local newspaper, at least quarterly, and reported in each Hospital report to the local governing body's public assembly meetings. Financial counselors personally contact all patients with past due balances and explain the financial assistance policy. They offer assistance with filling out the application, and also set up monthly payment plans for patients who do not qualify for 100% assistance. The Hospital employs 5 financial counselors that meet personally with patients to review their bills, set up payment arrangements, and assist with the financial assistance application process. The policy and assistance opportunities are published in the local newspaper, along with contact information for the Hospital's counselors.
Schedule H, Part VI, Line 4	The area served by the Hospital is located on the Kenai Peninsula in South central Alaska. The service area if comprised of 13 towns, and contains 65% of the population of the Kenai Peninsula Borough. According to the 2015 AK Department of Labor estimates, nearly 38,000 residents live in the geographic area serviced by the Hospital. According to the most recently completed CHNA (2016), the number of uninsured individuals between the ages of 18 and 64 has dropped from 22% in 2012 to 12% in 2016 as a result of Medicaid expansion and the Healthcare exchange.
Schedule H, Part VI, Line 5	The Hospital engages in numerous community initiatives year-round to improve health and awareness and education in our service area. It also makes monetary donations to support healthcare efforts, healthy living programs, personnel support to local non-profits such as Hospice, makes public service announcements on important healthcare issues, provides health professional education, holds health fairs, immunization clinics, publishes community health newsletters, and provides meeting space for health and community activities.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceDesc
Kenai River Brown Bears
PO Box 2613	Kenai	AK	99611	262580744	501c3	$20,000	$0	Actual monetary donation	2017/2018 season sponsorship for local athletes.
Kenai Peninsula Boys and Girls Club
227 Caviar Street	Kenai	AK	99611	943067142	501c3	$15,000	$0	Actual monetary donation	This cash donation supports the operations of the Kenai Peninsula Boys and Girls Club, a local nonprofit dedicated to providing safe after school activities for area children.
Kenai River Foundation
PO Box 3944	Soldotna	AK	99669	271570362	501c3	$12,000	$0	Actual monetary donation	Sponsorship of the Wounded Heroes event.
Kenai Peninsula Food Bank
33955 Community College Drive	Soldotna	AK	99669	943112445	501c3	$5,000	$7,121	Actual monetary donation	Soup supper fundraiser donation and donation of hams and turkeys for local residents and customers of the food bank.	Actual cost of donated hams and turkeys
Bridges Community Resource Network
PO Box 1612	Soldotna	AK	99669	920151271	501c4	$7,500	$0	Actual monetary donation	Imagination library program sponsorship.

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	The Hospital provides cash contributions to local organizations which support community initiatives and healthy living on the Kenai Peninsula. Contributions are only made to organizations in good community standing. Hospital officials are responsible for approving all assistance to outside organizations and do so with discretion.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
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	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	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 (9 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 Cadoff
Urologist	$1,240,058	$0	$17,572	$0	$2,379	$0	$5,996	$0	$31,898	$0	$1,297,903	$0	$0	$0
Jason Lattin
Surgeon	$885,301	$0	$30	$0	$830	$0	$5,996	$0	$47,516	$0	$939,673	$0	$0	$0
David S Innes
Orthopedic Surgeon	$873,958	$0	$20	$0	$323	$0	$5,996	$0	$11,897	$0	$892,194	$0	$0	$0
Aaron Wonnacott
MD	$748,370	$0	$9,728	$0	$527	$0	$5,996	$0	$29,323	$0	$793,944	$0	$0	$0
Gregg Motonaga
Anesthesia MD/Board Member	$682,640	$0	$32,734	$0	$856	$0	$20,541	$0	$19,845	$0	$756,616	$0	$0	$0
Richard Davis
CEO	$390,243	$0	$64,853	$0	$65,520	$0	$16,467	$0	$22,419	$0	$559,502	$0	$0	$0
Matthew Dammeyer
COO	$240,280	$0	$29,371	$0	$50,464	$0	$12,461	$0	$29,322	$0	$361,898	$0	$0	$0
Lance Spindler
CFO	$212,930	$0	$28,834	$0	$20,980	$0	$11,344	$0	$29,448	$0	$303,536	$0	$0	$0
Karen Scoggins
CNO	$169,977	$0	$24,905	$0	$25,219	$0	$10,463	$0	$20,720	$0	$251,284	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	Gross up payments are made for certain taxable fringe benefits including life insurance over $50,000. A year-end wage adjustment is made for all affected employees to include the gross up for fringe benefits and excess life insurance benefits. The Hospital has historically paid all social security and Medicare taxes on such benefits while the employee is responsible for federal income taxes.
Schedule J, Part I, Line 1b	The year end gross up adjustment for fringe benefits and life insurance over $50,000 is based on historical practice and is not based on written policy. The Hospital maintains that at some future date, employees may be required to pay their own FICA taxes on these benefits.
Schedule J, Part I, Line 3	The Hospital contracts with an independent consultant every 3 years to perform a review of executive salaries and benefits. The most recent review was completed in August 2017. The resulting report is provided to the Board and Management for review. The Board then sets compensation levels for the CEO through a written employment contract or amendment. The CEO is responsible for hiring the remainder of the Hospital's executive team and for using comparable data studies to set their salaries.
Schedule J, Part I, Line 4	The Hospital provides a 457 top hat plan to certain key employees and executives. The individuals listed on Schedule J participated in the plan and either deferred their own compensation or received hospital contributions into the plan during the tax year.
Schedule J, Part I, Line 5	In accordance with their employment contracts, Emergency Room physicians and surgeons receive a percentage of their professional fees billed as compensation. The compensation is not based directly on the Hospital's overall revenue, but rather on the individual charges that are generated by the Physician. This compensation method is considered reasonable and customary for these employed physicians.
Schedule J, Part I, Line 6	The Hospital pays an annual incentive plan bonus to all employees, supervisors, and executive staff based on a series of operational and quality measures in order to maintain the highest standard of patient care. One of the measures is meeting the Hospital's financial budget. There is a knock-out provision for the other measures if the financial budget is not met. The bonus is not calculated based on the Hospital's net earnings. Other measures are Quality of Care and Patient Satisfaction.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Kenai Peninsula Borough
A	920030894	01179PX51	2011-09-15	$27,905,000	Refunding bonds - 2011 GO	0	0	Yes (1)
Kenai Peninsula Borough
B	920030894	01179RDP5	2014-02-20	$32,490,000	2014 Medical Office Building construction bonds	0	0	Yes (1)
Kenai Peninsula Borough
C	920030894	001179RJV	2015-06-15	$3,200,000	2015 Medical Office Building construction bonds	0	0	0
Kenai Peninsula Borough
D	920030894	000000000	2016-06-09	$3,050,000	2016 Medical Office Building construction bonds	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	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$32,616,814	$0	$0	$0	$201,610	$0	$0	$0	$0	$0	2008	Yes (1)	Yes (1)	Yes (1)
B	$0	$0	$34,999,563	$3,700,147	$1,813,599	$996,410	$127,595	$0	$0	$35,043,223	$0	$0	2016	0	Yes (1)	Yes (1)
C	$0	$0	$3,200,000	$544,993	$35,169	$146,736	$22,868	$0	$0	$3,200,000	$0	$0	2016	0	Yes (1)	Yes (1)
D	$0	$0	$3,067,913	$563,191	$0	$143,621	$17,500	$0	$0	$2,799,968	$0	$267,944	2016	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	Yes (1)
B	Yes (1)	0.11	0.11	Yes (1)	Yes (1)
C	Yes (1)	0.11	0.11	Yes (1)	Yes (1)
D	Yes (1)	0.11	0.11	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Kenai Peninsula Borough	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	920030894	BondIssuerEIN
CUSIP	01179RXH1	CUSIPNum
Bond Issued	2017-11-29	BondIssuedDt
Issue Price	$28,955,000	IssuePriceAmt
Purpose	2018 Cath Lab and OB construction bonds	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	Yes (1)	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$29,395,334	TotalProceedsAmt
In Reserve Fund	$2,684,471	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$614,852	RefundingEscrowAmt
Issuance Costs From Proceeds	$436,394	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$445,370	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$28,949,965	UnspentAmt
Substantial Completion	2019	SubstantialCompletionYr
Current Refunding	0	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.11	PrivateBusUseByOthersPct
Total Private Business Use	0.11	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (1)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Gregg Motonaga
Dr. Motonaga is an employed physician and Board Member	$775,985	Total FY18 employee compensation and benefits	0
Irving Carlisle
Board Member	$2,880	rent for storage space from a company for which he is a 50% owner	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 7b	Central Peninsula Hospital Inc. operates the Hospital through a lease and operating agreement with the Kenai Peninsula Borough. Hospital Board decisions regarding the acquisition of significant capital assets, or real property are subject to the approval of the Kenai Peninsula Borough Assembly. Bonds, loans, and capital expenditures not funded from the Hospital's Plant Replacement Fund must be approved by a vote of the Borough's constituents if greater than $1.5 million.
Form 990, Part VI, Section B, Line 11b	The 990 is prepared by the Hospital's Finance Department and submitted to Hospital Administrators for review. Management then returns any edits to the Finance Department for preparation of a second draft. The second draft of the 990 and all schedules and statements are submitted to each member of the Board for review and comment. The Board proposes any edits to the Finance Department and gives authority to the CFO or Board President to sign and file the return.
Form 990, Part VI, Section B, Line 12c	Both senior leadership an members of the Board of Directors complete annual conflict of interest statements which are reviewed by management and the Finance team to assess independence. The Board reviews and discusses any conflicts of interest which arise throughout the year and takes appropriate action. If a conflict arises, the Board Member in conflict will abstain from voting on the applicable resolution at the Board Meeting.
Form 990, Part VI, Section B, Line 15	An independent professional executive compensation study is performed every 3 years. The most recent study was completed in August 2017. These reports are submitted to the Board for review and used to set the wage scale for the CEO, CFO, CNO, COO and VP of Human Resources.
Form 990, Part VI, Section C, Line 19	The Hospital makes its audited financial statements and governing documents available to the public for inspection upon request. Paper copies of the audited financial statements are supplied to the Board, Hospital Administrators, and the Kenai Peninsula Borough. The Hospital's 990 is widely available to the public on Guidestar.com and other websites.

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
Central Peninsula Health Foundation
250 Hospital Place	Soldotna	AK	99669	202778670	To support quality healthcare activities	AK	501(c)3	Public Charity	N/A	0
Kenai Peninsula Borough
144 N Binkley Street	Soldotna	AK	99669	920030894	Local Government which owns the hospital assets.	AK	115		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	0	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Central Peninsula Health Foundation
c	$270,528	This amount represents total contributions received from the Foundation in payment for programs, capital, and grants to individuals for assistance. The Hospital initially paid or each of these expenses, and the Foundation reimbursed the Hospital from either restricted or unrestricted funds depending on the expenditure type.
Central Peninsula Health Foundation
j	$12,789	The Hospital provides office space to the Foundation Director for the average monthly cost of $1,066 per month. This amount includes janitorial, rent, utilities, and overhead, and is based on the facility costs per the 2016 Medicare Cost Report.
Kenai Peninsula Borough
k	$1	The Hospital is operated by Central Peninsula General Hospital, Inc. through a lease and operating agreement with the Kenai Peninsula Borough. The amount of the lease, as stated in that agreement is $1 per annum.
Central Peninsula Health Foundation
m	$270,528	The Foundation performs fundraising activities for which substantially all of the donations are intended for the Hospital and its programs. The value of those programs and services for which the Foundation transferred or solicited funds during the year was $270,528.
Central Peninsula Health Foundation
n	$12,789	The Hospital provides office space to the Foundation Director for the average monthly cost of $1,066 per month. This amount includes janitorial, rent, utilities, and overhead, and is based on the facility costs per the 2016 Medicare Cost Report.
Central Peninsula Health Foundation
o	$70,400	The Hospital shares certain paid employees for directorship and accounting functions necessary to operate the Foundation. This amount represents the salaries and benefits paid to those persons.
Kenai Peninsula Borough
p	$6,252,707	During tax year 2017, the Hospital reimbursed the Kenai Peninsula Borough for bond debt service, refuse, insurance premiums, and sales tax. This amount represents the actual cash payments to the Borough for these expenses.
Kenai Peninsula Borough
r	$12,982,780	Central Peninsula Hospital operates the Hospital on behalf of the Kenai Peninsula Borough through a lease and operating agreement. That agreement requires that all operating cash in excess of 90 days expenses at the end of each quarter be transferred to a Plant Replacement Fund held at the Borough. This is the total amount of cash transferred into that fund during the year.

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	The annual audited financial statements of the Hospital were not completed in time to enable timely filing of the 990 informational return.	ExplanationTxt