2025-11-12T13:11:00-06:00 2024-12-31 911194016 CLARK NUBER PS 555 110TH AVE NE SUITE 700 BELLEVUE WA 98004 990 2024-01-01 813021580 FOUNDATION HEALTH LLC FOUN 9074585550 1650 COWLES STREET FAIRBANKS AK 99701 ANTHONY SUDDUTH CFO 9074585550 2025-11-11 1 1 MEGAN R RYAN P00737884 4254544919 2025-11-11 2024 2025-03-06 01:10:19Z ANTHONY SUDDUTH 1650 COWLES STREET FAIRBANKS AK 99701 401394943 0 X WWW.FOUNDATIONHEALTH.ORG X LLC 2016 AK A LIFETIME OF EXCELLENT CARE PROVIDED BY YOUR COMMUNITY HEALTH CARE TEAM. 15 15 2362 82 1261823 468703 2406344 838908 351137528 395654026 201184 201794 3790405 4556277 357535461 401251005 75000 75000 0 0 219088410 223542393 0 0 0 145372388 159443142 364535798 383060535 -7000337 18190470 99164331 97994805 46262035 26902039 52902296 71092766 A LIFETIME OF EXCELLENT CARE PROVIDED BY YOUR COMMUNITY HEALTH CARE TEAM. 0 0 340294265 75000 395811848 FOUNDATION HEALTH LLC OWNS AND OPERATES FAIRBANKS MEMORIAL HOSPITAL (HOSPITAL), DENALI CENTER (HOME), AND TANANA VALLEY CLINIC (CLINIC). THE HOSPITAL IS A GENERAL ACUTE, SOLE COMMUNITY, 152 BED FACILITY. THE HOSPITAL SERVES PATIENTS FROM FAIRBANKS AND THROUGHOUT THE INTERIOR OF ALASKA PROVIDING INPATIENT CARE, EMERGENCY CARE AND A BROAD ARRAY OF OUTPATIENT MEDICAL SERVICES. THE HOME IS A 90 BED SKILLED NURSING CARE HOME THAT PROVIDES POST ACUTE CARE FOR SHORT TERM PATIENTS, AS WELL AS LONG TERM CARE FOR OTHER PATIENTS. THE CLINIC IS A MULTISPECIALTY CLINIC THAT OFFERS 14 MEDICAL SPECIALITIES AND OPERATES A WALK-IN CLINIC WITH AFTER HOURS SERVICES. THE HOSPITAL SERVED 51,860 PATIENTS IN 2024, INCLUDING 960 BABIES DELIVERED. THE HOME SERVED 185 INDIVIDUALS AND THE CLINIC PROVIDED ACCESS TO CARE FOR 41,383 PEOPLE. 340294265 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 54 0 2362 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ANTHONY SUDDUTH CFO 9074583310 1650 COWLES STREET FAIRBANKS AK 99701 SCOTT BELL BOARD PRESIDENT 1.80 2.60 X X 0 0 0 JOE FAULHABER BOARD VICE PRESIDENT 0.60 0.80 X X 0 0 0 STEVE FRANK BOARD TREASURER 1.70 2.70 X X 0 0 0 KAREN PERDUE BOARD SECRETARY 1.30 2.20 X X 0 0 0 JEFF COOK BOARD MEMBER 1.00 1.60 X 0 0 0 BERNARD GATEWOOD BOARD MEMBER 0.80 1.90 X 0 0 0 CHERYL KILGORE BOARD MEMBER 1.30 2.50 X 0 0 0 DOUG TANSY BOARD MEMBER 0.30 0.30 X 0 0 0 ELIZABETH SCHOK BOARD MEMBER 1.10 2.10 X 0 0 0 GALEN JOHNSON BOARD MEMBER 1.10 2.30 X 0 0 0 MARGARET SODEN BOARD MEMBER 1.10 2.30 X 0 0 0 MIKE WRIGHT BOARD MEMBER 0.50 0.30 X 0 0 0 RICH SEIFERT BOARD MEMBER 0.60 3.00 X 0 0 0 RICHARD HATTAN BOARD MEMBER 0.70 1.90 X 0 0 0 RYAN BINKLEY BOARD MEMBER 0.50 1.60 X 0 0 0 SHELLEY EBENAL CEO FHP 40.00 0.00 X 500094 0 47050 ANGELIQUE RAMIREZ CHIEF OF QUALITY/TRANSFORM OFF. 40.00 0.00 X 480342 0 51075 ANTHONY SUDDUTH CHIEF FINANCIAL OFFICER 40.00 0.00 X 442286 0 23402 CLINT BROOKS CHIEF OF SHARED SERVICES 40.00 0.00 X 356627 0 12852 JENNIFER N WELCH CHIEF HR OFFICER 40.00 0.00 X 288146 0 44768 SARAH MARTIN CHIEF OF NURSING OFFICER 40.00 0.00 X 281539 0 44986 KARI BURRELL CHIEF STRATEGY OFFICER 40.00 0.00 X 234443 0 23017 STEPHEN HEFFINGTON CMO FHP 40.00 0.00 X 226014 0 8816 ELIZABETH WOODYARD CHIEF OPERATING OFFICER 40.00 0.00 X 154165 0 2579 ROY ROEHL IT SENIOR DIRECTOR 40.00 0.00 X 200425 0 43186 STEPHEN DUPREY OPERATION SENIOR DIRECTOR 40.00 0.00 X 192821 0 50680 HALEY CARTER CLINIC OPS SR DIRECTOR 40.00 0.00 X 180174 0 46730 JENNIFER HOUSE FIN AND REV SENIOR DIRECTOR 40.00 0.00 X 199723 0 22157 JENNIFER CARLSON CLINIC OPS SR DIRECTOR 40.00 0.00 X 210147 0 8320 STEWART M KERR PHYSICIAN 40.00 0.00 X 1752496 0 1708 DAVID JINICH PHYSICIAN 40.00 0.00 X 1427735 0 38497 ROMEL C WRENN PHYSICIAN 40.00 0.00 X 1294143 0 38403 MARK OMBRELLARO PHYSICIAN 40.00 0.00 X 1031797 0 23951 KRISTIN A FLOWERS PHYSICIAN 40.00 0.00 X 773287 0 35081 ZACK WERLE PHYSICIAN/FORMER BOARD MEMBER 40.00 0.00 X 472596 0 54797 LAURA BRUNNER PHYSICIAN/FORMER BOARD MEMBER 40.00 0.00 X 535596 0 18269 11234596 0 640324 384 1 1 0 FAVORITE HEALTHCARE STAFFING 7255 WEST 98TH TERRACE OVERLAND PARK KS 66212 MEDICAL STAFFING 16782623 HEALTH CAROUSEL LLC 3805 EDWARDS RD STE 700 CINCINNATI OH 45209 MEDICAL STAFFING 2637656 ELEVATE PO BOX 771850 CHICAGO IL 60671 BUSINESS CONSULTING 1917028 MAYO COLLABORATIVE SVCS INC PO 9146 MINNEAPOLIS MN 55480 REFERENCE LAB SERVICES AND CONSULTING 1763813 CLEAN & SERENE 765 SUNCREST DR FAIRBANKS AK 99712 JANITORIAL SERVICES 986310 54 389567 449341 838908 OUTPATIENT REVENUE 621500 178976676 177742503 1234173 INPATIENT REVENUE 621110 135124449 135124449 CLINIC 623990 49708329 49708329 NURSING HOME 621110 22089471 22089471 PHARMACY 456110 5911112 5883462 27650 3843989 3843989 395654026 198691 198691 457129 0 457129 457129 457129 3103 0 3103 3103 3103 174188 143938 30250 30250 CAFETERIA/MEALS 722514 2873724 2873724 DAY CARE CENTER 624410 567444 567444 SERVICE INCOME 900099 433520 433520 194210 157822 36388 4068898 401251005 394550025 1261823 4600249 75000 75000 4376564 1971345 2405219 1081259 1003993 77266 188344943 168194552 20150391 4220927 3222318 998609 13808915 12429482 1379433 11709785 9636796 2072989 579140 8711 570429 218721 24350 194371 145250 145250 11527253 10030536 1496717 232165 228479 3686 1752468 169491 1582977 14588767 13478574 1110193 51598027 47644816 3953211 435895 313549 122346 12849 1727 11122 1715799 1329826 385973 MEDICAL SUPPLIES 27087939 27034475 53464 REPAIRS AND MAINTENANCE 20859950 17256698 3603252 PHARMACEUTICAL SUPPLIES 14933716 14655175 278541 NON MEDICAL SUPPLIES 8344694 7810469 534225 5410509 3773903 1636606 383060535 340294265 42766270 0 23063472 13554091 6702479 2850594 51345657 64066157 8635156 10033691 4585095 4581772 4832472 2908500 99164331 97994805 44648978 25177919 37721 46243 1575336 1677877 46262035 26902039 X 52902296 71092766 52902296 71092766 99164331 97994805 18190470 0 X 0 1 X 1 0 X 0 0 0 0 0 0 1 145250 0 1 36898 182148 0 FORM II-B, LINE 1, LOBBYING ACTIVITIES FOUNDATION HEALTH (FH) ENGAGED AN INDEPENDENT CONTRACTOR TO PROVIDE GOVERNMENT RELATIONS AND LOBBYING CONSULTING SERVICES. THE CONTRACTOR WORKED WITH THE ALASKA STATE LEGISLATURE AND GOVERNMENT ON COMPLEX ISSUES RELATED TO FH'S CHARITABLE MISSION. IN 2024 FH PAID $145,250.00 FOR THESE SERVICES. FORM II-B, LINE 1, LOBBYING ACTIVITIES LINE 1I: ALASKA STATE HOSPITAL AND NURSING HOME ASSOCIATION USE 30% OF ALL DUES PAID TO THEM FOR SPECIFIC LOBBYING EXPENSES. 0 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1677877 1677877 401226904 0 401226904 24101 24101 401251005 383036434 -24101 -24101 383060535 0 383060535 PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -143,938. INTEREST INCOME 168,039. PART XII, LINE 2D - OTHER ADJUSTMENTS: INTEREST INCOME -168,039. COST OF GOODS SOLD 143,938. 1 1 X 1 X 1 X 1 1 0 0 5098301 5098301 0.01330 83497272 72255772 11241500 0.02930 88595573 72255772 16339801 0.04260 304509 304509 0.00080 431107 431107 0.00110 116240 116240 0.00030 851856 851856 0.00220 89447429 72255772 17191657 0.04480 19097 19097 0.00000 65869 65869 0.00020 84966 84966 0.00020 1 19088928 82704954 77490878 5214076 X 1 1 1 1 FAIRBANKS MEMORIAL HOSPITAL 1650 COWLES STREET FAIRBANKS AK 99701 HTTPS://WWW.FOUNDATIONHEALTH.ORG GACH-004 X X X FAIRBANKS MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X WWW.FOUNDATIONHEALTH.ORG/OUR_COMMUNITY/COMMUNITY_HEALTH X 1 23 1 WWW.FOUNDATIONHEALTH.ORG/OUR_COMMUNITY/COMMUNITY_HEALTH 0 1 X 100.000000000000 350.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 FAIRBANKS MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE 2022 CHNA INPUT PERIOD BEGAN 11 MONTHS PRIOR TO THE GOVERNING BOARD APPROVAL OF THE RESULTING REPORT. THE PROCESS WAS OVERSEEN BY THE COMMUNITY BENEFIT STEERING COMMITTEE (CBSC) AND THE COMMUNITY ADVISORY COMMITTEE (CAC). METHODS, PROCESS, PROGRESS, DATA, AND PRIORITIZATION WERE REVIEWED BY BOTH THE CBSC AND THE CAC. AN ALL-INCLUSIVE LIST OF ENTITIES IS INCLUDED IN THE APPENDIX OF THE CHNA REPORT ON THE ORGANIZATIONS' PUBLIC WEB PAGE. AMONG THE ORGANIZATIONS PROVIDING INPUT: ALASKA PUBLIC HEALTH REGIONAL NURSING, TRIBAL ENTITIES INCLUDING TANANA CHIEFS CONFERENCE AND FAIRBANKS NATIVE ASSOCIATION, GOVERNMENT, AND EDUCATION PROGRAMS SUCH AS THE FAIRBANKS NORTH STAR BOROUGH SCHOOL DISTRICT, UNIVERSITY OF ALASKA FAIRBANKS, CITY OF FAIRBANKS, AND FAIRBANKS NORTH STAR BOROUGH PARKS AND RECREATION. HEALTH AND SOCIAL SERVICE ENTITIES INCLUDED THE INTERIOR COMMUNITY HEALTH CENTER, FAIRBANKS SENIOR CENTER, FAIRBANKS COMMUNITY FOOD BANK, FAIRBANKS RESOURCE CENTER, RESOURCE CENTER FOR PARENTS & CHILDREN, HOMELESS COALITION, RE-ENTRY PROGRAM, NAMI FAIRBANKS, AK BEHAVIORAL HEALTH, FAMILY CENTERED SERVICES OF ALASKA, ALZHEIMERS RESOURCES ALASKA, UNITED WAY OF THE TANANA VALLEY, INTERIOR CENTER FOR NON-VIOLENT LIVING, NORTH STAR COUNCIL ON AGING, STONE SOUP CAFE, NORTH STAR FOUNDATION, ALASKA HEALTH FAIR, AND US ARMY FT. WW MEDICAL. THE CHNA PROCESS INCLUDED A PUBLIC INPUT SURVEY WHICH WAS CONDUCTED IN SPRING 2022 WITH RESULTS REVEIWED BY THE CAC. FAIRBANKS MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: FRONTIER REGION OF ALASKA'S DIVISION OF PUBLIC HEALTH AND INTERIOR COMMUNITY HEALTH CENTER. FAIRBANKS MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: 1) ALCOHOL: EXPLORE CREATION OF AN ALCOHOL USE DISORDER SERVICES COLLABORATION. REDUCE ALCOHOL MISUSE IN OUR COMMUNITY, REDUCE ADULT BINGE DRINKING IN THE FAIRBANKS NORTH STAR BOROUGH. 2) SOCIAL ISOLATION: PROMOTE OPPORTUNITIES TO REDUCE SOCIAL ISOLATION AND INCREASE COMMUNITY CONNECTEDNESS ACROSS ALL AGE GROUPS IN THE FAIRBANKS AREA. IMPROVE AWARENESS AND ENGAGEMENT OF COMMUNITY MEMBERS IN ACTIVITIES AND EVENTS THAT SUPPORT DEVELOPMENT OF HEALTHY CONNECTIONS TO OTHERS. 3) CARE OF ELDERS/SENIORS. ENSURE THE RAPIDLY GROWING SENIOR-AGE POPULATION CAN LIVE SAFELY IN THEIR HOME COMMUNITY AND IN THE LEAST RESTRICTIVE ENVIRONMENT FOR AS LONG AS POSSIBLE. SUPPORT SAFETY, MENTAL, AND PHYSICAL HEALTH OF SENIORS IN THE COMMUNITY. 4) FACILITATE IMPROVEMENT IN PEDIATRIC BEHAVIORAL HEALTH CONTINUUM OF CARE. IDENTIFY ROADBLOCKS TO GROWTH OF THE CONTINUUM AND DEVELOP COMMUNITY PLAN FOR RESOLVING GAPS IN THE SYSTEM OF CARE. CHILDCARE AND HOUSING WAS RANKED HIGH IN THE COMMUNITY NEEDS ASSESSMENT AND THE ORGANIZATION DETERMINED THESE TO BE BEYOND THE REASONABLE SCOPE OR DOMAIN OF WHAT THE ORGANIZATION AND EXISTING COLLABORATORS COULD ADDRESS WITH EFFECTIVE STRATEGIES AS THIS TIME. THESE ARE ALSO KNOWN TO BE PRIORITIES CONSIDERED IN LOCAL GOVERNMENT PLANNING GROUPS AND WILL INCLUDE INPUT FROM HEALTH AND SOCIAL SERVICE ENTITIES AS ASSESSMENTS AND PLANS DEVELOP. FAIRBANKS MEMORIAL HOSPITAL PART V, SECTION B, LINE 13B: THE ORGANIZATION USES A FIXED DOLLAR HOUSEHOLD INCOME AMOUNT TO IDENTIFY PATIENTS ELIGIBLE FOR DISCOUNTED CARE. FAIRBANKS MEMORIAL HOSPITAL PART V, SECTION B, LINE 13H: COVERAGE THROUGH OTHER PROGRAMS OR INSURANCE MUST BE EXHAUSTED OR DENIED. FAMILY SIZE. PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE PRIORITIZED AS A RESULT OF IDENTIFYING COMMUNITY HEALTH NEEDS THROUGH THE CHNA PROCESS. THE ANALYSES PROCESS INCLUDED AN EVALUATION OF EACH IDENTIFIED HEALTH FACTOR AND OUTCOME NEED RELATIVE TO FACTORS INCLUDING SERIOUSNESS OF THE ISSUE, SIZE OF THE ISSUE, CLEAR DISPARITIES OR INEQUITIES, LOCAL NEED BEING WORSE THAN NATIONAL RATES, AND ABILITY TO IMPACT. THESE WERE ALSO EVALUATED RELATIVE TO ACTIVE EXISTING COMMUNITY COLLABORATIONS, PROGRAMS, RESOURCES, AND PLANS. THE 2022 CHNA WAS CONDUCTED COLLABORATIVELY WITH THE STATE OF ALASKA PUBLIC HEALTH NURSING FOR THE NORTHERN REGION AND THE INTERIOR COMMUNITY HEALTH CLINIC. THE RESULTING PRIORITIZED NEEDS; BECOMING THE FOCUS OF THE 2023-2025 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE PRIORITIES IDENTIFIED AND COMMITTED TO BY THE ORGANIZATIONS' GOVERNING BOARD ARE SENIOR CARE/AGING, ALCOHOL USE/ABUSE, SOCIAL ISOLATION, AND PEDIATRIC BEHAVIORAL HEALTH. PART V, SECTION B, LINE 16: WEBSITE APPLICABLE FOR LINES 16A, 16B, 16C:HTTPS://WWW.FOUNDATIONHEALTH.ORG/PATIENTS_AND_VISITORS/BILL_PAY/FINANCIAL_ASSISTANCE 2 1 - TANANA VALLEY CLINIC LLC 1001 NOBLE STREET FAIRBANKS AK 99701 MULTI SPECIALTY CLINIC 2 - DENALI CENTER 1510 19TH AVENUE FAIRBANKS AK 99701 SKILLED NURSING FACILITY PART I, LINE 3C: THE ORGANIZATION USES A FIXED DOLLAR HOUSEHOLD INCOME AMOUNT TO IDENTIFY PATIENTS ELIGIBLE FOR DISCOUNTED CARE. PART I, LINE 7: THE ORGANIZATION USED THE COST TO CHARGE RATIO FROM WORKSHEET 2 TO CALCULATE THE AMOUNTS REPORTED ON PART I, LINE 7. PART I, LINE 7G: FOUNDATION HEALTH OPERATES TANANA VALLEY CLINIC, WHICH IS A MULTI-SPECIALTY CLINIC OFFERING FAMILY PRACTICE, PEDIATRIC, OB-GYN SERVICES AMONG OTHERS. THE CLINIC ACCEPTS ALL GOVERNMENT PAYERS INCLUDING MEDICARE AND MEDICAID WITH NO LIMITATIONS. THE CLINIC ALSO PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO QUALIFY. PART II: COMMUNITY BUILDING ACTIVITIES PROVIDE COALITION LEADERSHIP AND PARTICIPATION IN ESTABLISHED COMMUNITY COALITIONS FOR SUBSTANCE USE, BEHAVIORAL HEALTH CARE, AND PUBLIC HEALTH SERVICES SERVING THE INTERIOR OF ALASKA. PROMOTE COMMUNITY HEALTH VIA REPRESENTATION IN COMMUNITY COALITIONS FOR WELLNESS (SUICIDE PREVENTION, ALCOHOL MISUSE, SOCIAL ISOLATION), FAIRBANKS NORTH STAR BOROUGH SENIOR CITIZENS ADVISORY COMMISSION, AGENET (SENIORS) AND ALASKA COMMISSION ON AGING (SENIORS). PROVIDE SPACE AND EMPLOYMENT COACHING SUPPORT SERVICES FOR HEALTH CARE WORKFORCE DEVELOPMENT AMONG PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (SEARCH PROGRAM) AS WELL AS FOR STUDENTS AND ENTY-LEVEL WORKERS IN PROGRAMS TO INTRODUCE HEALTH RELATED OCCUPATIONS PART III, LINE 2: CONTRACTUAL (CT) AND BAD DEBT (BD) ALLOWANCES FOR HOSPITAL ACCOUNTS RECEIVABLE (A/R) BALANCES ARE CALCULATED EACH MONTH BY COMPARING TARGET ADJUSTMENTS TO OBSERVED ADJUSTMENTS; THE DIFFERENCE BETWEEN TARGET ADJUSTMENTS AND OBSERVED ADJUSTMENTS IS BOOKED AS AN ALLOWANCE. TARGET ADJUSTMENTS ARE FOUND BY APPLYING TARGET PERCENTAGES TO THE GROSS CHARGES THAT RESULTED IN CURRENT A/R BALANCES. TARGET PERCENTAGES ARE DERIVED FROM HISTORICAL ADJUSTMENT DATA, ON CLOSED ACCOUNTS, IN A LOOKBACK PERIOD CONTAINING 12 MONTHS. THE CT LOOKBACK PERIOD IS THE 12 MONTH PERIOD ENDING 3 MONTHS PRIOR TO THE CURRENT PERIOD. THE BD LOOKBACK PERIOD IS THE 12 MONTH PERIOD ENDING 15 MONTHS PRIOR TO THE CURRENT PERIOD. TARGET ADJUSTMENT PERCENTAGES ARE UPDATED EACH MONTH AND CALCULATED FOR ACCOUNT PORTFOLIOS BASED ON INPATIENT/OUTPATIENT DESIGNATION AND FINANCIAL CLASS. ACTUAL COLLECTIONS ON PRIOR PERIOD A/R BALANCES ARE REVIEWED TO ENSURE THE ALLOWANCE METHODOLOGY IS APPROPRIATE AND RELIABLY ESTIMATES A/R COLLECTABILITY. PART III, LINE 4: SEE AUDITED FINANCIAL STATEMENTS, PAGE 12 FOR DISCUSSION REGARDING THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 IS FROM THE MEDICARE COST REPORT. PART III, LINE 9B: PATIENTS THAT WE BELIEVE MAY QUALIFY FOR FINANCIAL ASSISTANCE ARE TOLD ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND GIVEN AN APPLICATION (IF WANTED) DURING THE ADMISSIONS PROCESS. IF THE PATIENT APPLIES AND QUALIFIES, THE BALANCE IS WRITTEN OFF IN PART OR IN FULL. IF THE ACCOUNT IS NOT WRITTEN OFF ENTIRELY, THE REDUCED BALANCE IS TREATED IN THE SAME MANNER AS ACCOUNTS FOR PATIENTS WITHOUT INSURANCE, WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. THE COLLECTION POLICY INCLUDES 8 PATIENT STATEMENTS AND 2 REMINDER LETTERS SENT TO THE PATIENT. PAYMENT PLANS ARE MADE AVAILABLE; ATTEMPTS ARE MADE TO VERIFY PHYSICAL ADDRESSES OF PATIENTS; AND EFFORTS USED TO DETERMINE IF THE PATIENT MAY BE MEDICAID ELIGIBLE. OUR BILLING STAFF ATTEMPTS TO CONTACT AS MANY PATIENTS AS POSSIBLE. PART VI, LINE 2: THE ORGANIZATION CONTINUOUSLY SEEKS AND RESPONDS TO COMMMUNITY INPUT REGARDING HEALTH CARE NEEDS. A LINK FOR COMMUNITY FEEDBACK IS ON THE ORGANIZATION WEBSITE AND IS DELIVERED TO THE DIRECTOR OF COMMUNICATIONS. THE COMMUNICATIONS DIRECTOR IS ACCOUNTABLE FOR ADDRESSING THE FEEDBACK AND REFERRING COMMUNITY NEED INPUT TO THE DIRECTOR, INTERNAL AND EXTERNAL AFFAIRS. THE TRAUMA TEAM OF THE EMERGENCY SERVICES AND THE CANCER TREATMENT PROGRAM CONDUCT FORMAL COMMUNITY NEEDS ASSESSMENTS ACCORDING TO ACCREDITATION STANDARDS. THE OUTCOME OF THEIR NEEDS ASSESSMENTS IS EVALUATED BY THE EXECUTIVE LEADERSHIP AND IS MERGED WITH ONGOING INPUT FOR THE CONTINUATION OF COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING TIMELINES. THE ADMINISTRATIVE TEAM OF THE HOSPITAL MAINTAINS FORMAL AND INFORMAL RELATIONSHIPS WITH GOVERNMENT, BUSINESS, PROVIDER, AND HEALTH SYSTEM CONSUMER GROUPS AND ROUTINELY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY AS REPRESENTED BY INPUT FROM THESE ENTITIES. PART VI, LINE 3: REGISTRATION STAFF OFFERS FINANCIAL ASSISTANCE INFORMATION AT THE TIME OF REGISTRATION FOR PATIENTS LACKING INSURANCE COVERAGE. MONTHLY BILLING STATEMENTS INCLUDE A PHONE NUMBER TO CALL FOR INFORMATION ON FINANCIAL ASSISTANCE AND POSSIBLE ELIGIBILITY FOR OTHER PROGRAMS. INPATIENTS WITH NO INSURANCE ARE CONTACTED BY OUR INPATIENT FINANCIAL SERVICES REPRESENTATIVE FOR MEDICAID SCREENING. WE ALSO CONTRACT WITH A THIRD-PARTY VENDOR TO CONDUCT OUTREACH TO DISCHARGED PATIENTS WITH SELF PAY BILLS TO ASSIST THEM TO APPLY TO OTHER PROGRAMS SUCH AS MEDICAID. MEDICARE FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE IN THE EMERGENCY DEPARTMENT AND OTHER REGISTRATION AREAS. INFORMATION REGARDING OUR FINANCIAL ASSISTANCE PROGRAM IS PUBLISHED ON OUR WEBSITE. PART VI, LINE 4: FAIRBANKS MEMORIAL HOSPITAL IS THE SOLE COMMUNITY PROVIDER AND THE ONLY STATE LICENSED HOSPITAL IN ITS PRIMARY AND SECONDARY SERVICE AREAS. - THE PRIMARY AREA INCLUDES THE 7,400 SQUARE MILE FAIRBANKS NORTH STAR BOROUGH (FNSB) POPULATION 94,951.- THE SECONDARY AREA IS APPROXIMATELY 127,000 SQUARE MILES OF WHAT IS REFERRED TO AS INTERIOR OR NORTHERN ALASKA - WITH VERY FEW OF THE COMMUNITIES IN THIS AREA ACCESSIBLE BY ROAD. - OVERALL, THE HOSPITAL'S SERVICE POPULATION IS ESTIMATED TO BE A POPULATION OF APPROXIMATELY 131,000 WITH 89 PERCENT OF THE HOSPITAL BUSINESS SERVING THE PRIMARY AREA; FAIRBANKS NORTH STAR BOROUGH POPULATION 94,951.- THE NEXT CLOSEST HOSPITAL IS 350 MILES SOUTH OF FAIRBANKS.- THOSE WHO ARE NOT SERVED BY THIS HOSPITAL ARE POTENTIALLY RECEIVING SERVICES FROM TANANA CHIEFS CONFERENCE - CHIEF ANDREW ISAAC HEALTH CENTER (AN INDIAN HEALTH SERVICE), BASSETT ARMY COMMUNITY HOSPITAL (FOR MILITARY BENEFICIARIES), AND AN AMBULATORY SURGERY CENTER. PER U.S. CENSUS BUREAU, THE FAIRBANKS NORTH STAR BOROUGH POPULATION IS 75% WHITE, 8% ALASKA NATIVE/AMERICAN INDIAN, 5% BLACK, AND SMALLER PERCENTAGES ARE ASIAN, HISPANIC, AND TWO OR MORE RACIAL DESCENTS. THE MEDIAN AGE IS 33.2 YEARS WITH LARGEST AGE GROUP BEING 20-29 YEARS OLD (19%) AND ALL AGE GROUPS BETWEEN 20 AND 40 YEARS EXCEED U.S. AVERAGE; AND 12.6% ARE 65 AND OLDER; LOWER THAN U.S. AVERAGE YET INCREASING.- MEDIAN HOUSEHOLD INCOME IS $86,391, PER CAPITA INCOME $43,340; ABOUT THE SAME AS U.S.AVERAGE. MEDIAN HOUSE VALUE $285,700 AND 64% OF HOUSING IS OWNER OCCUPIED. OF ALL PERSONS, 6.9% PERSONS ARE BELOW THE POVERTY LINE WITH SENIORS (65 AND OLDER) AT 2%, CHILDREN 3%. VETERANS COMPRISE 14.2% OF THE POPULATION; MAJORITY BEING FROM GULF 2001, SECOND TO GULF 1990'S, THEN, VIETNAM. FOREIGN BORN PERSONS COMPRISE 3.9%. NO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE FNSB. PART VI, LINE 5: FAIRBANKS MEMORIAL HOSPITAL IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF VOLUNTEER COMMUNITY REPRESENTATIVES. THE BOARD ESTABLISHES THE ORGANIZATIONS PRIORITIES, ENSURES OPERATIONS ARE CONSISTENT WITH THE NON-PROFIT PURPOSE AND MISSION, AND REINVESTS IN NEW EQUIPMENT AND TECHNOLOGY, NEW OR EXPANDED PATIENT SERVICES, AND MAINTAINS EXISTING ASSETS TO MEET COMMUNITY NEED AND LONG TERM HEALTH. FMH UTILIZES AN OPEN MEDICAL STAFF MODEL; THE HOSPITAL AND CLINIC ALSO EMPLOY AND CONTRACT WITH PROVIDERS TO ENSURE EFFICIENT, EVIDENCE-BASED, AND HIGH QUALITY CLINICAL CARE WITHIN AN INTEGRATED SYSTEM ALONG THE FULL CONTINUUM OF CARE. THE HOSPITAL FUNCTIONS IN A BOROUGH AND CITY GOVERNMENT STRUCTURE THAT DOES NOT INCLUDE A PUBLIC HEALTH INFRASTRUCTURE OUTSIDE THE STATE SYSTEM RESOURCES; THEREFORE; FOR ALL PUBLIC HEALTH INITIATIVES AND EMERGENCIES, THE HOSPITAL FUNCTIONS AS CRITICAL PUBLIC HEALTH FACILIATOR, PLANNER, AND PROVIDER. THE HOSPITAL ALSO FUNCTIONS IN COLLABORATION WITH ALASKA TRIBAL HEALTH PROVIDERS AND ARMY-AIRFORCE HEALTH PROVIDERS, ALL OF WHICH PARTNER FOR EMERGENCY PREPAREDNESS. PART VI, LINE 6: FOUNDATION HEALTH LLC IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7: ALASKA DOES NOT REQUIRE FILING OF A COMMUNITY BENEFIT REPORT. 1 UNIVERSITY OF ALASKA 3211 PROVIDENCE DRIVE ANCHORAGE AK 995088030 926000147 GOVERNMENT 75000 0 SCHOOL OF NURSING EXPANSION 1 0 PART I, LINE 2: FOUNDATION HEALTH MAINTAIN RECORDS SHOWING GRANT RECEIPTS AND GRANT EXPENDITURES. THE GRANT MANAGERS MAINTAIN INFORMATION REGARDING HOW EXPENSES WERE SPENT. THE GRANT ACCOUNTANT CONFIRMS WITH GRANT MANAGERS WHETHER OR NOT THEY HAVE PROOF OF ELIGIBILITY AND SELECTION CRITERIA. GRANT FUNDS ARE OVERSEEN BY THE GRANT MANAGERS. EXPENSES ARE PROCESSED THROUGH ACCOUNTS PAYABLE AND CODED TO EACH GRANT ACTIVITY CODE. ACCOUNTING COMPLETES INVOICES TO GRANT ADMINISTRATORS AND RECONCILES MONEY SPENT TO MONEY INVOICED. WHEN ACCOUNTING CREATES THE INVOICE, THE GRANT MANAGERS REVIEW AND APPROVE THE INVOICES PRIOR TO SENDING THE INVOICE TO THE GRANT ADMINISTRATOR. X X X 0 0 0 1 0 1 0 0 0 STEWART M KERR PHYSICIAN 1749820 0 0 0 2676 0 0 0 1708 0 1754204 0 0 0 DAVID JINICH PHYSICIAN 973804 0 439599 0 14332 0 4264 0 34233 0 1466232 0 0 0 ROMEL C WRENN PHYSICIAN 911936 0 372008 0 10199 0 13800 0 24603 0 1332546 0 0 0 MARK OMBRELLARO PHYSICIAN 805680 0 220702 0 5415 0 0 0 23951 0 1055748 0 0 0 KRISTIN A FLOWERS PHYSICIAN 437142 0 314709 0 21436 0 2865 0 32216 0 808368 0 0 0 LAURA BRUNNER PHYSICIAN/FORMER BOARD MEMBER 463208 0 49811 0 22577 0 13538 0 4731 0 553865 0 0 0 SHELLEY EBENAL CEO FHP 411678 0 56550 0 31866 0 13800 0 33250 0 547144 0 0 0 ANGELIQUE RAMIREZ CHIEF OF QUALITY/TRANSFORM OFF. 397369 0 54470 0 28503 0 11310 0 39765 0 531417 0 0 0 ZACK WERLE PHYSICIAN/FORMER BOARD MEMBER 337913 0 110280 0 24403 0 13569 0 41228 0 527393 0 0 0 ANTHONY SUDDUTH CHIEF FINANCIAL OFFICER 350837 0 79133 0 12316 0 0 0 23402 0 465688 0 0 0 CLINT BROOKS CHIEF OF SHARED SERVICES 315258 0 39159 0 2210 0 12329 0 523 0 369479 0 0 0 JENNIFER N WELCH CHIEF HR OFFICER 281365 0 5088 0 1693 0 10528 0 34240 0 332914 0 0 0 SARAH MARTIN CHIEF OF NURSING OFFICER 243708 0 32110 0 5721 0 9321 0 35665 0 326525 0 0 0 KARI BURRELL CHIEF STRATEGY OFFICER 223981 0 9538 0 924 0 7286 0 15731 0 257460 0 0 0 ROY ROEHL IT SENIOR DIRECTOR 182489 0 10956 0 6980 0 8016 0 35170 0 243611 0 0 0 STEPHEN DUPREY OPERATION SENIOR DIRECTOR 171915 0 19457 0 1449 0 7614 0 43066 0 243501 0 0 0 STEPHEN HEFFINGTON CMO FHP 88426 0 120000 0 17588 0 0 0 8816 0 234830 0 0 0 HALEY CARTER CLINIC OPS SR DIRECTOR 170350 0 9694 0 130 0 7402 0 39328 0 226904 0 0 0 JENNIFER HOUSE FIN AND REV SENIOR DIRECTOR 188893 0 9681 0 1149 0 6107 0 16050 0 221880 0 0 0 JENNIFER CARLSON CLINIC OPS SR DIRECTOR 194938 0 14809 0 400 0 7797 0 523 0 218467 0 0 0 ELIZABETH WOODYARD CHIEF OPERATING OFFICER 103554 0 49998 0 613 0 2461 0 118 0 156744 0 0 0 PART I, LINE 5 THE PROVIDER INCENTIVE PLAN (PIP) IS AN INCENTIVE PAY PLAN DESIGNED TO REWARD AND RECOGNIZE FHP PROVIDERS FOR ORGANIZATIONAL PERFORMANCE. IT IS A VARIABLE COMPONENT OF FOUNDATION HEALTH PARTNERS' TOTAL REWARDS PROGRAM. THE PROVIDER INCENTIVE PLAN IS A BONUS AND NOT A GUARANTEE. THE POTENTIAL ANNUAL PAYOUT OF THE AWARD IS $10,000 FOR PHYSICIANS AND $5,000 FOR APP STAFF. PIP OFFERS ANNUAL PERFORMANCE MEASURES AND WEIGHTINGS ALIGNED WITH OUR KEY OBJECTIVES AND STRATEGIES, ALONG WITH THE FLEXIBILITY TO PROVIDE PRORATED PAYOUT OPPORTUNITIES BETWEEN PERFORMANCE LEVELS. PHYSICIANS RECEIVE PRODUCTION PAY IN ADDITION TO THEIR BASE COMPENSATION. A SET SPECIFIC RATE OF PAY IS PAID PER WORK RVU PERFORMED OVER AN AGGREGATE THRESHOLD. PART I, LINE 6 THE EXECUTIVE PERFORMANCE INCENTIVE (EPI) IS AN INCENTIVE PAY PLAN DESIGNED TO REWARD AND RECOGNIZE EXECUTIVES FOR ORGANIZATION PERFORMANCE. THE AMOUNT OF THE ACTUAL AWARD IS DETERMINED AS A PERCENTAGE OF BASE PAY AND THE LEVEL OF PERFORMANCE ACHIEVED AGAINST FHP'S OPERATING PRIORITIES. EACH ELIGIBLE EXECUTIVE IS ELIGIBLE FOR A 15% TARGET / 20% MAXIMUM AWARD AS A PERCENTAGE OF BASE SALARY. IF ORGANIZATION PERFORMANCE FALLS ABOVE THE TARGET BUT BELOW THE MAXIMUM, THEN THE AWARD WOULD BE PRORATED TO BE PAID AS THE PERCENTAGE BETWEEN THE TARGET AND MAXIMUM RATE BASED ON THE GOAL RESULT. RESULTS ABOVE THE MAXIMUM WOULD BE PAID AT THE MAXIMUM PERCENTAGE. THE SR LEADER PERFORMANCE INCENTIVE (SLPI) IS AN INCENTIVE PAY PLAN DESIGNED TO REWARD AND RECOGNIZE SENIOR LEADERS FOR ORGANIZATION PERFORMANCE. THE AMOUNT OF THE ACTUAL AWARD IS DETERMINED AS A PERCENTAGE OF BASE PAY AND THE LEVEL OF PERFORMANCE ACHIEVED AGAINST FHP'S OPERATING PRIORITIES. EACH ELIGIBLE SENIOR LEADER IS ELIGIBLE FOR A 5% TARGET / 10% MAXIMUM AWARD AS A PERCENTAGE OF BASE SALARY. IF ORGANIZATION PERFORMANCE FALLS ABOVE THE TARGET BUT BELOW THE MAXIMUM, THEN THE AWARD WOULD BE PRORATED TO BE PAID AS THE PERCENTAGE BETWEEN THE TARGET AND MAXIMUM RATE BASED ON THE GOAL RESULT. RESULTS ABOVE THE MAXIMUM WOULD BE PAID AT THE MAXIMUM PERCENTAGE. FORM 990, PART I, LINE 6: VOLUNTEER HOURS ARE REPORTED AND LOGGED INTO OUR VOLGISTICS PROGRAM. THE TOTAL HOURS VOLUNTEERS SERVED IN 2024 WAS 3,389 HOURS. VOLUNTEERS WERE USED FOR CLERICAL SUPPORT, VOLUNTEER DOG VISITS BOOSTING MORAL FOR PATIENTS AND STAFF, AND PATIENT BEDSIDE COMFORT AND COMPANIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 FOUNDATION HEALTH'S SOLE MEMBER IS GREATER FAIRBANKS COMMUNITY HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A FOUNDATION HEALTH'S BOARD IS COMPRISED OF THE EXECUTIVE BOARD OF ITS SOLE MEMBER, GREATER FAIRBANKS COMMUNITY HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS REQUIRE APPROVAL BY THE ORGANIZATION'S SOLE MEMBER: 1) SALE OF ALL OR SUBSTANTIALLY ALL ASSETS OF THE COMPANY; 2) SUBSTANTIALLY CHANGING THE NATURE OR SCOPE OF THE BUSINESS OF THE COMPANY; 3) THE PARTICIPATION IN PARTNERSHIP AGREEMENTS, JOINT VENTURES, OR OTHER ASSOCIATIONS OF ANY KIND WITH ANY PERSON OR PERSONS; 4) EQUIPMENT PURCHASES EXCEEDING $5,000 AND EXCEEDING THE APPROVED OPERATING BUDGET; 5) ENTERING INTO GUARANTIES; INCURRING LIABILITIES; BORROWING MONEY, ISSUING NOTES, BONDS, AND OTHER OBLIGATIONS; OR SECURING ANY COMPANY OBLIGATION BY MORTGAGE OR PLEDGE OR ANY COMPANY PROPERTY OR INCOME; AND 6) LENDING MONEY, INVESTMENT OR REINVESTMENT OF THE COMPANY'S FUNDS, OR RECEIPT AND HOLDING OF PROPERTY AS SECURITY FOR REPAYMENT, INCLUDING, WITHOUT LIMITATION, LOANING MONEY TO, AND OTHERWISE HELPING THE MEMBER, ANY OFFICERS, EMPLOYEES, OR AGENTS. FORM 990, PART VI, SECTION B, LINE 11B A FULL COPY OF THE FORM 990 WILL BE EMAILED TO THE BOARD FOR THEIR REVIEW PRIOR TO SUBMISSION. ANY QUESTIONS WILL BE RESOLVED PRIOR TO OBTAINING THE SIGNATURE OF THE CFO. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS AND THE QUALITY AND COMPLIANCE COMMITTEE MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST THAT MAY GIVE RISE TO A CONFLICT OF INTEREST PROMPTLY TO THE QUALITY AND COMPLIANCE COMMITTEE BOARD. THE COMMITTEE MUST THEN CONSIDER THE DISCLOSED INTEREST AND EITHER AUTHORIZE THE CONTINUATION OF THE POTENTIAL FINANCIAL INTEREST AND ANY RELATED TRANSACTION WITH APPROPRIATE PROTECTIONS, OR DISAPPROVE OF IT. OTHER FH EMPLOYEES MUST GO THROUGH A SIMILAR PROCESS OF DISCLOSURE TO THEIR RESPECTIVE SUPERVISOR AND TO THE QUALITY AND COMPLIANCE COMMITTEE. ALL BOARD MEMBERS, MEMBERS OF LOCAL BOARDS OF OWNED FACILITIES, OFFICERS OF FHP, ADMINISTRATORS, EMPLOYED PHYSICIANS, AND OTHER EMPLOYEES AND INDIVIDUALS DESIGNATED BY THEIR SUPERVISORS OR BY THE CHIEF COMPLIANCE OFFICER MUST COMPLETE AN ANNUAL SURVEY THAT IS DISTRIBUTED UNDER THE SUPERVISION OF THE CHIEF COMPLIANCE OFFICER. THE SURVEY INCLUDES A QUESTIONNAIRE THAT IS DESIGNED TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, AS WELL AS OTHER TRANSACTIONS AND RELATIONSHIPS REQUIRED TO BE DISCLOSED IN THE FORM 990 AND SCHEDULE L. FORM 990, PART VI, SECTION B, LINE 15 FOUNDATION HEALTH PARTNERS USES A PAY RATE CALCULATOR IN ORDER TO DETERMINE COMPENSATION. THE FHP COMPENSATION BOARD APPROVES THE FHP PAY RATE CALCULATOR (PRC) GUIDELINES WHICH IS USED EVERY TIME AN OFFER OR PAY CHANGE IS MADE FOR AN EMPLOYEE. ANY OFFER OUTSIDE OF THE RECOMMENDED RANGE WILL REQUIRE AN APPROVAL. OFFER APPROVALS GO TO THE COMPENSATION AND BENEFITS TEAM, WHICH WILL THEN DECIDE WHAT TYPE OF APPROVAL IS ULTIMATELY REQUIRED. UNDER THE FHP PHILOSOPHY, AN EXCEPTION COMMITTEE WILL BE CREATED TO REVIEW REQUESTED EXCEPTIONS THAT ARE OTHERWISE CONTRARY TO FHP'S COMPENSATION PHILOSOPHY. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. 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