CENTRAL PENINSULA GENERAL HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL PENINSULA GENERAL HOSPITAL INC (EIN 92-0077523)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-01-30
- IRS object ID
- 201720319349300917
- Schema version
- 2015v3.0
- 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 | 2017-01-30T13:36:53-07:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | 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 | 2017-01-30 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | Richard 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 | $312,430,431 | 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 | 9 | VotingMembersIndependentCnt |
| Total Employee | 942 | TotalEmployeeCnt |
| Total Volunteers | 256 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $599,171 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,323,581 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $268,614,128 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $305,468,571 | CYProgramServiceRevenueAmt |
| PY Investment Income | $249,248 | PYInvestmentIncomeAmt |
| CY Investment Income | $554,917 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,396,380 | PYOtherRevenueAmt |
| CY Other Revenue | $4,398,828 | CYOtherRevenueAmt |
| PY Total Revenue | $274,858,927 | PYTotalRevenueAmt |
| CY Total Revenue | $311,745,897 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $205,388 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $137,919 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $76,976,428 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $77,486,796 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $180,500,141 | PYOtherExpensesAmt |
| CY Other Expenses | $210,085,444 | CYOtherExpensesAmt |
| PY Total Expenses | $257,681,957 | PYTotalExpensesAmt |
| CY Total Expenses | $287,710,159 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,176,970 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $24,035,738 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $212,108,821 | TotalAssetsBOYAmt |
| Total Assets EOY | $230,377,060 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $83,697,535 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $77,930,036 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $128,411,286 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $152,447,024 | 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 | $257,057,629 | ExpenseAmt |
| Revenue | $273,948,766 | RevenueAmt |
| Desc | Our 49 bed hospital provided patient and ancillary services to 2575 inpatients and 102,921 outpatients during the 2015 tax year. The hospital provides emergency medical services regardless of ability to pay. Emergency medical services were provided to 17,883 individuals, and 1,708 of those individuals were admitted to the hospital. 4,505 surgical procedures were performed in the hospital during the tax year. The imaging department performed 47,967 procedures. Over 75,709 physical therapy 15-minute procedures were provided to area residents. During the 2015 tax year, free medical services in the amount of $5,924,413 (gross charges) were provided to patients eligible for charity care. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,563,463 | ExpenseAmt |
| Revenue | $12,336,198 | 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 2015 tax year were 169 and total resident days of care were 18,658. An average of 51 residents per day were provided long term care and nursing. Ancillary services for residents included 18,658 physical therapy treatments, while outpatients received 6,893 therapy treatments. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,460,148 | ExpenseAmt |
| Revenue | $19,183,607 | RevenueAmt |
| Desc | The hospital operates 11 family and specialty physician services clinics providing care in the following areas: Family medicine, Pediatrics, Neurology, Pain Management, Surgery, Urology, Podiatry, Internal Medicine, Womens Health, and Orthopedics. Other outpatient clinics include Wound care, Sleep studies, Forensic services, and the provision of Durable medical equipment. During the 2015 tax year physician and specialty services were provided for 29,278patients. Over 3,422 wound care procedures, 85 forensic exams, and 233 sleep studies were also 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 | $286,081,240 | 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 | 127 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 942 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Silverio Mattero | |||||||||
| Board Member | 4 | Yes (X) | $2,525 | $0 | $0 | ||||
| Trena Richardson | |||||||||
| President | 8 | Yes (X) | $12,525 | $0 | $0 | 0 | |||
| Gregg Motonaga | |||||||||
| Anesthesia MD/Board Member | 44.00 | Yes (X) | $684,614 | $0 | $41,841 | 0 | Yes (X) | ||
| Mark Dixson | |||||||||
| Board Member | 4 | Yes (X) | $3,625 | $0 | $0 | ||||
| Mark Premo | |||||||||
| Board Member | 4 | Yes (X) | $2,775 | $0 | $0 | ||||
| Steven Manley | |||||||||
| Board Member | 4 | Yes (X) | $0 | $0 | $0 | 0 | |||
| Stephen Horn | |||||||||
| Board Member | 4 | Yes (X) | $3,075 | $0 | $0 | ||||
| James McHale | |||||||||
| Board Member | 4 | Yes (X) | $3,325 | $0 | $0 | 0 | |||
| Debra Shuey | |||||||||
| Board Member | 4 | Yes (X) | $3,925 | $0 | $0 | 0 | |||
| John Bramante | |||||||||
| Board Member | 4 | Yes (X) | $2,625 | $0 | $0 | 0 | |||
| Irv Carlisle | |||||||||
| Sec/Treasurer | 40 | Yes (X) | $3,475 | $0 | $0 | 0 | |||
| Matthew Dammeyer | |||||||||
| COO | 40 | $299,752 | $0 | $37,053 | 0 | Yes (X) | |||
| Richard Davis | |||||||||
| CEO | 40 | $445,989 | $0 | $31,489 | 0 | Yes (X) | |||
| Lance Spindler | |||||||||
| CFO | 40 | $246,471 | $0 | $35,614 | 0 | Yes (X) | |||
| Karen Scoggins | |||||||||
| CNO | 40 | $190,418 | $0 | $24,768 | 0 | Yes (X) | |||
| Justin Evans | |||||||||
| Anethesia MD | 40 | $594,068 | $0 | $55,141 | 0 | Yes (X) | |||
| David S Innes | |||||||||
| Orthopedic Surgeon | 40 | $2,239,156 | $0 | $37,141 | 0 | Yes (X) | |||
| Robert Cadoff | |||||||||
| Urologist | 40 | $799,526 | $0 | $26,588 | 0 | Yes (X) | |||
| Jason Lattin | |||||||||
| Surgeon | 40 | $831,535 | $0 | $37,141 | 0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,369,404 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $326,776 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 100 | 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 | $1,035,450 | |
| Alaska Hospitalist Group LLC | |||||||
| 4300 B Street | Anchorage | AK | 99503 | Physician Services | $748,007 | Suite 200 | |
| Curtis Buchholz | |||||||
| 44455 Sterling Hwy | Soldotna | AK | 996697936 | Pathology services | $287,333 | ||
| Derek Leichliter | |||||||
| 46113 Sather Ct | Soldotna | AK | 99669 | Electrical Contractor | $274,591 | ||
| Talos Practice Services | |||||||
| PO Box 96024 | Las Vegas | NV | 89193 | Surgical professional svcs | $207,463 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $3,963 | RelatedOrganizationsAmt |
| Government Grants | $1,318,618 | GovernmentGrantsAmt |
| All Other Contributions | $1,000 | AllOtherContributionsAmt |
| Noncash Contributions | $7,925 | NoncashContributionsAmt |
| Total Contributions | $1,323,581 | 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 | $273,948,766 | $273,948,766 | $0 | $0 |
| Skilled Nursing Revenue | 623000 | $12,336,198 | $12,336,198 | $0 | $0 |
| Physician Clinic revenue | 621110 | $19,183,607 | $19,183,607 | $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 | $305,468,571 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $553,256 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $553,256 | 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 | $440,765 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $535,280 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$94,515 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$94,515 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$94,515 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $1,661 | 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 | $1,661 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,661 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,661 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Gross Sales Of Inventory | $425,797 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $149,254 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $276,543 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $276,543 | 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 | 900099 | $51,278 | $51,278 | $0 | $0 |
| USAC Telephone grant | 900099 | $597,570 | $597,570 | $0 | $0 |
| EHR Incentive payments | 900099 | $589,444 | $589,444 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,978,508 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,978,508 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,216,800 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $311,745,897 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $309,869,060 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $553,256 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,919 | TotalAmt |
| Program Services | $137,919 | 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 | $7,206,323 | TotalAmt |
| Program Services | $5,812,914 | ProgramServicesAmt |
| Management And General | $1,393,409 | 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 | $51,150,893 | TotalAmt |
| Program Services | $51,150,893 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,617,583 | TotalAmt |
| Program Services | $1,617,583 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,822,693 | TotalAmt |
| Program Services | $13,822,693 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,689,304 | TotalAmt |
| Program Services | $3,689,304 | 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 | $171,786 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $171,786 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,924 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $38,924 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,800 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $24,800 | 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 | $4,813,531 | TotalAmt |
| Program Services | $4,813,531 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,617 | TotalAmt |
| Program Services | $294,617 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,651,449 | TotalAmt |
| Program Services | $25,651,449 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,731,999 | TotalAmt |
| Program Services | $4,731,999 | 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 | $2,892,618 | TotalAmt |
| Program Services | $2,892,618 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $328,385 | TotalAmt |
| Program Services | $328,385 | 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 | $351,321 | TotalAmt |
| Program Services | $351,321 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,205,993 | TotalAmt |
| Program Services | $1,205,993 | 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 | $10,152,657 | TotalAmt |
| Program Services | $10,152,657 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,466,731 | TotalAmt |
| Program Services | $1,466,731 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medicare deductions | $74,032,765 | $74,032,765 | $0 | $0 |
| Medicaid deductions | $32,174,022 | $32,174,022 | $0 | $0 |
| Uncompensated care | $15,861,460 | $15,861,460 | $0 | $0 |
| Commercial deductions | $28,696,074 | $28,696,074 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,196,312 | TotalAmt |
| Program Services | $7,196,312 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,710,159 | TotalAmt |
| Program Services | $286,081,240 | ProgramServicesAmt |
| Management And General | $1,628,919 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,905,467 | BOYAmt |
| EOY | $32,654,348 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,732,944 | BOYAmt |
| EOY | $4,394,414 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,290 | BOYAmt |
| EOY | $80,710 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,938,252 | BOYAmt |
| EOY | $30,397,574 | 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 | $5,169,890 | BOYAmt |
| EOY | $5,837,172 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,409,211 | BOYAmt |
| EOY | $1,967,254 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $175,526,071 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $66,272,903 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,151,047 | BOYAmt |
| EOY | $109,253,168 | 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 | $2,169,698 | BOYAmt |
| EOY | $1,772,446 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,083,022 | BOYAmt |
| EOY | $43,519,974 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,108,821 | BOYAmt |
| EOY | $230,377,060 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,817,431 | BOYAmt |
| EOY | $13,919,812 | 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 | $11,005 | BOYAmt |
| EOY | $12,906 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,878,691 | BOYAmt |
| EOY | $63,767,341 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,411 | BOYAmt |
| EOY | $27,993 | 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 | $900,997 | BOYAmt |
| EOY | $201,984 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,697,535 | BOYAmt |
| EOY | $77,930,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,377,174 | BOYAmt |
| EOY | $144,322,706 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,034,112 | BOYAmt |
| EOY | $8,124,318 | 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 | $128,411,286 | BOYAmt |
| EOY | $152,447,024 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,108,821 | BOYAmt |
| EOY | $230,377,060 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $24,035,738 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 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 | $14,933 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $9,867 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $24,800 | 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 consist of travel expenses and compensation of employees for three trips to Juneau, AK to meet with state legislators regarding Medicaid expansion and two trips to Washington DC to meet with federal legislators regarding continuation of the Rural community hospital demonstration project. Line 1i consists of the portion of dues paid to outside organizations that were spent on lobbying. 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 | $2,400,217 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $2,400,217 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $100,134,816 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,104,626 | DepreciationAmt |
| Book Value | $59,030,190 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $562,002 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $347,019 | DepreciationAmt |
| Book Value | $214,983 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $63,646,379 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,836,365 | DepreciationAmt |
| Book Value | $39,810,014 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $8,782,657 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $984,893 | DepreciationAmt |
| Book Value | $7,797,764 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $109,253,168 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Plant replacement and expansion fund | $36,058,619 |
| Debt service reserve fund | $4,725,834 |
| Bond proceeds reserved for capital projects | $1,675,220 |
| Deferred loss on 2011 bond refunding | $1,060,301 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $43,519,974 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Amounts due to Medicare program | $150,000 |
| Other current liabilities | $51,984 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $201,984 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $171,067,876 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $149,254 | OtherRevenueAmt |
| Revenue Not Reported | $149,254 | RevenueNotReportedAmt |
| Revenue Subtotal | $170,918,622 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $140,827,275 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $140,827,275 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $311,745,897 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $147,032,138 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $149,254 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $149,254 | ExpensesNotReportedAmt |
| Expenses Subtotal | $146,882,884 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $140,827,275 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $140,827,275 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $287,710,159 | 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 purposed pursuant to AK statute 38.05.321. The building on the 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 Hospital Financial statements or footnotes. However, the cost of the real property is recorded on the Hospital's balance sheet at its net book value. |
| Schedule D, Part XI, Line 2d | On IRS Form 990, expenses related to cost of goods sold for inventory are reported in Part VIII as a reduction of revenue. For financial statement purposes, these expenses are reported in operating expenses. |
| Schedule D, Part XI, Line 4b | On IRS Form 990, all Hospital revenues are reported gross and related deductions from third party payers such as Medicare, Medicaid, VA, and uncompensated care such as Charity and Bad debt are reported as expenses in Part IX. However, in accordance with General accepted accounting principles all revenues on the audited financial statements are reported net of these deductions. |
| Schedule D, Part XII, Line 2d | On IRS Form 990 expenses related to cost of goods sold for inventory sales are reported as a reduction of revenues in Part VIII whereas these costs are reported as operating expenses on the audited financial statements. |
| Schedule D, Part XII, Line 4b | On IRS Form 990 all uncompensated care and unpaid deductions from revenue from third party payers such as Medicare, Medicaid, and others are reported in Part IX on the statement of functional expenses. However on our audited financial statements, deductions are reported net of patient revenues in accordance with Generally Accepted Accounting principles. |
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 | 3527 | PersonsServedCnt |
| Total Community Benefit Expns | $2,312,186 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,312,186 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0171 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 19638 | PersonsServedCnt |
| Total Community Benefit Expns | $17,783,836 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,240,961 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$3,457,125 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 102 | PersonsServedCnt |
| Total Community Benefit Expns | $22,615 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,107 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,508 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 23267 | PersonsServedCnt |
| Total Community Benefit Expns | $20,118,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,257,068 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$1,138,431 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0171 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 422 | ActivitiesOrProgramsCnt |
| Persons Served | 10655 | PersonsServedCnt |
| Total Community Benefit Expns | $711,653 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $87,124 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $624,528 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0046 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 119 | ActivitiesOrProgramsCnt |
| Persons Served | 425 | PersonsServedCnt |
| Total Community Benefit Expns | $60,892 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,565 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,327 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 16 | ActivitiesOrProgramsCnt |
| Persons Served | 26916 | PersonsServedCnt |
| Total Community Benefit Expns | $11,987,511 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,813,214 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,174,297 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0382 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 63 | PersonsServedCnt |
| Total Community Benefit Expns | $11,467 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,050 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,417 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1051 | ActivitiesOrProgramsCnt |
| Persons Served | 519 | PersonsServedCnt |
| Total Community Benefit Expns | $203,443 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $203,443 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0015 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1612 | ActivitiesOrProgramsCnt |
| Persons Served | 38578 | PersonsServedCnt |
| Total Community Benefit Expns | $12,974,966 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,909,953 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,065,012 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0448 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1615 | ActivitiesOrProgramsCnt |
| Persons Served | 61845 | PersonsServedCnt |
| Total Community Benefit Expns | $33,093,603 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,167,021 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,926,581 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0619 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $108 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $108 | 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 | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 195 | PersonsServedCnt |
| Total Community Benefit Expns | $63,383 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $63,383 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | 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 | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 195 | PersonsServedCnt |
| Total Community Benefit Expns | $63,491 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $63,491 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,043,163 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,830,209 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $32,047,904 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $38,216,765 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,168,861 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.cpgh.org | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.cpgh.org/2016CommunityHealthNeedsAssessment | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 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 | http://www.cpgh.org/PatientFinancialServices | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.cpgh.org/PatientFinancialServices | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http: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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| 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 |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3-Central Peninsula Hospital | Central Peninsula Hospital - in conducting a community health needs assessment (CHNA), an independent contractor reached out to a broad cross section of the local community in order to gather health data through phone interviews. The contractor also used published census and health data for the community, state, and nation in the needs assessment. Hospital management supplements health information provided in the CHNHA by partnerships and collaborations around the state and the nations through involvement in the Alaska State Hospital and Nursing Home Association, Rural Healthcare and Small Hospital Association, and also on a local level with the Kenai Peninsula Borough, the Patient Advisory committee, and the Borough Assembly. |
| Schedule H, Part V, Section B, Line 5-Central Peninsula Hospital | In addition to the CHNA, the Hospital also confers with local medical staff, patients, hospital associations, and the local government to ascertain community health needs. |
| Schedule H, Part V, Section B, Line 7d-Central Peninsula Hospital | In addition to the above methods of disbursement, the CHNA was also provided through email to all Hospital Administrators, Board members, and supervisory staff. |
| Schedule H, Part V, Section B, Line 11-Central Peninsula Hospital | The most recently published CHNA identified the top ten community health needs as follows: Access to primary care physicians, Alcohol and drug abuse treatment, Mental health services, Alzheimer services, Cardiology services, Assisted living services, Pulmonary services, Dialysis services, Wellness services, and End of life care. Of these 10 identified needs, the Hospital Board has prioritized the top 7 Community health initiatives which will help to be address these needs. time. Those initiatives are as follows: 1)Cardiovascular health, 2)Substance abuse, 3)Mental health services, 4)End of life services, 5)Primary care physician access, 6)Wellness services, and 7)Alzheimers care. Although the Hospital recognized the importance of all needs identified by the CHNA, three needs cannot be addressed at this time due to various reasons. These three items are: 1)Dialysis services - No nephrology physicians are currently working full time in the service area with which to collaborate to cover this need. Nephrology and dialysis are currently supported by physicians in Anchorage which come to the peninsula monthly to see patients at the local outpatient dialysis center. 2)Assisted living - in recent months approximately 100 assisted living beds have been added to the service area which are managed my private entities. The Hospital believes this will meet the community needs. 3)Pulmonary services - currently the volume of pulmonary patients residing in the service area are not sufficient to support a full-term Pulmonologist and therefore this service is not able to be addressed at this time. |
| Schedule H, Part V, Section B, Line 16i-Central Peninsula Hospital | The Hospital makes its financial assistance policy widely available to the public and to its patients through various means. Financial assistance brochures are displayed at each of the main entrances to the Hospital as well as in the Emergency Department waiting area. During the discharge process, admissions staff attempt to provide a copy of the financial assistance policy to every patient. Additionally, financial counselors contact patients about their bills and discuss the financial assistance policy with them over the phone or in person. They also offer assistance in completing the applications. The Financial assistance policy is posted on our website at www.cpgh.org and is reported quarterly at meetings of the local governing body. Finally, the policy is advertised in the local newspaper to the general public, along with instructions for how to contact a financial counselor. |
| Schedule H, Part V, Section B, Line 22d-Central Peninsula Hospital | In accordance with 501r, the Hospital uses a blend of the Medicare rates and the most advantageous commercial rates to determine the maximum amount that can be charged to FAP-eligible individuals. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 21 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 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 Pain Management | |||||
| 289 N Fireweed | Soldotna | AK | 99669 | Pain management clinic | Unit C/D |
| Central Peninsula Neurology | |||||
| 289 N Fireweed St | Soldotna | AK | 99669 | Neurology clinic | Suite C/D |
| 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 Surgical Services | |||||
| 289 N Fireweed St | Soldotna | AK | 99669 | Surgical clinic | Unit B |
| 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 | |
| Vacant building | |||||
| 158 Corral Street | Soldotna | AK | 99669 | Vacant building for remodel | |
| Serenity House transitional housing | |||||
| 166 W Corral Street | Soldotna | AK | 99669 | Transitional housing for Serenity House clients | |
| Kenai Spine Ctr | |||||
| 108 E Corral St | Soldotna | AK | 99669 | Medical office building partly leased to Kenai Spine, CP Radiology and Physical medicine | |
| Radiation Oncology Building | |||||
| 240 Hospital Place | Soldotna | AK | 99669 | Radiation Oncology Building - leased to RBS Evolution | |
| CP Foot & Ankle Clinic | |||||
| 198 W Corral | Soldotna | AK | 99669 | Hospital owned physician clinic | |
| Serenity House transitional housing II | |||||
| 146 W Corral Street | Soldotna | AK | 99669 | Residential building providing transitional housing to patients leaving chemical dependency | |
| CP Urology Clinic | |||||
| 262 N Binkley St | Soldotna | AK | 99669 | Urology Physician clinic | |
| Central Peninsula Hospital Transitional Living Ctr | |||||
| 362 Tyee Street | Soldotna | AK | 99669 | Transitional Living Center | |
Supplemental Information Detail SupplementalInformationDetail (10 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 cost for certain activities is too cumbersome to compile, the cost to charge ratio from the most recently filed Medicare Cost Report (FY2016) was used. |
| Schedule H, Part I, Line 7g | The Hospital did include costs from Physician clinics in Part I, line 7g for both family practice and specialized physician services. These costs are as follows; Womens Health clinic -$375,929, Family and Pediatrics -$286,936, Internal medicine -$113,333, Pain Management -$238,641, Orthopaedics -$332,110, and Urology -$332,477. |
| 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 and by engaging the community in health initiatives. |
| Schedule H, Part III, Section A, Line 4 | Footnote: 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 healthcare coverage, and other collection indicators. The adequacy of this provision is periodically reviewed and further modified based upon the accounts receibable payor composition and aging, and historical writeoff experience by payor class. Schedule H, Part III is based on the estimated cost to provide care for individuals whose accounts were classified as bad debt during the year. The amount which may be attributable to patients who qualify for charitable assistance or free care is estimated at approximately 73% of that total. These are accounts which our financial counselors made every effort to contact and assist patients to apply for financial assistance, but the patient refused to do so. 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 without the expectation of compensation. |
| 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 patients co-pay for deductible and may not engage in collection efforts for the remainder. As Medicare patients comprise a significant percentage of our community members, our community Hospital must provide needed medical services to this population irrespective of the payments received. The Medicare costs reported herein are based on the fiscal year 2016 Medicare cost report filed. |
| 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 on 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 (300%) are eligible for a discount on their bills, while those on the lower end (200%) are eligible for free care. |
| Schedule H, Part VI, Line 2 | In addition to the preparation of a Community Health Needs Assessment (CHNA) and a strategic plan to meet those needs, the Hospital also determines health deficiencies in the community through a variety of other ways. 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 needs of the community. The Hospital periodically employs consultants to determine the physician and specialty services needed in the community for strategic planning and physician recruiting. Finally, an open dialogue exists between Hospital management and patients, staff, and area medical providers which is another source of identifying community health needs. |
| Schedule H, Part VI, Line 3 | Hospital staff attempt to provide a financial assistance brochure to every patient during the admission or discharge process. The brochure is also available at each entrance, upon request, on the Hospital's public website, and is published in the local newspaper. Financial counselors personally contact patients with past due balances and explain the financial assistance policy, assist with applications for assistance, and set up payment plans if necessary. The Hospital employs 3 full time financial counselors that meet personally with patients to review their bills, set up payment arrangements, explain the financial assistance policy, and assist with the application process. In addition, the Hospital purchases advertising space in the local newspaper to notify the public of it financial assistant program and explain how patients can contact a financial counselor to apply. |
| Schedule H, Part VI, Line 4 | The area served by the Hospital is comprised of 13 census designated places or towns and has a total population of 36,000 residents according to the 2010 census, approximately 11% of the population is 65 years or older, 32% are between 45 and 664, and 32% are between 19 and 44. Basic socioeconomic characteristics of the region indicate an 8.6% unemployment rate with a median household income of $60,378, while 8.9% of residents live below the federal poverty line. More than 22% of adults age 18 to 64 years are uninsured, just 1% higher than the National average. |
| Schedule H, Part VI, Line 5 | The Hospital engages in numerous community efforts year-round to improve health awareness and education in our service area. Monetary donations to local non-profits that support health initiatives, healthy living programs, personnel support to local non-profits, public service announcements, conference room space for community organizations and support groups, health speaker bureaus, child safety programs, health professions education, health fairs, immunization clinics, community health newsletters, and numerous other programs, initiatives and collaborations. |
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 | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| Kenai River Professional Guide Assn | ||||||||
| PO 3674 | Soldotna | AK | 99669 | 920162358 | 501c3 | $10,000 | cash | Wounded Heroes event sponsorship |
| Kenai Peninsula Food Bank | ||||||||
| 33955 Community College Dr | Soldotna | AK | 99669 | 943112445 | 501c3 | $5,100 | cash | Soup Supper fundraiser donation and Gloria Wisecarver memorial donation |
| Hospice of the Central Peninsula | ||||||||
| PO Box 2584 | Soldotna | AK | 99669 | 920118694 | 501c3 | $31,200 | cash | Bereavement program sponsorship, and annual fundraiser donation |
| Kenai River Brown Bears | ||||||||
| PO Box 2605 | Soldotna | AK | 99669 | 262580744 | 501c3 | $20,000 | cash | 2015/2016 Season sponsorship and Cancer awareness night event |
| Kenai Peninsula United Way | ||||||||
| 11355 Frontage Rd | Kenai | AK | 99611 | 920111698 | 501c3 | $10,000 | cash | Employer match of employee contributions. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | The Hospital provides cash contributions to local organization which support community initiatives and healthy living on the Kenai Peninsula. Contributions are only made to organization 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gregg Motonaga | ||||||||||||||
| Anesthesia MD/Board Member | $654,320 | $0 | $31,852 | $0 | $1,222 | $0 | $23,848 | $0 | $20,774 | $0 | $732,016 | $0 | $0 | $0 |
| Justin Evans | ||||||||||||||
| Anethesia MD | $569,587 | $0 | $29,152 | $0 | $851 | $0 | $23,848 | $0 | $36,815 | $0 | $660,253 | $0 | $0 | $0 |
| David S Innes | ||||||||||||||
| Orthopedic Surgeon | $2,245,102 | $0 | $30 | $0 | $821 | $0 | $5,848 | $0 | $36,815 | $0 | $2,288,616 | $0 | $0 | $0 |
| Jason Lattin | ||||||||||||||
| Surgeon | $836,206 | $0 | $30 | $0 | $821 | $0 | $5,848 | $0 | $36,815 | $0 | $879,720 | $0 | $0 | $0 |
| Robert Cadoff | ||||||||||||||
| Urologist | $314,836 | $0 | $62,995 | $0 | $73,925 | $0 | $13,116 | $0 | $21,616 | $0 | $486,488 | $0 | $0 | $0 |
| Richard Davis | ||||||||||||||
| CEO | $302,446 | $0 | $32,386 | $0 | $65,625 | $0 | $12,732 | $0 | $22,962 | $0 | $436,151 | $0 | $0 | $0 |
| Lance Spindler | ||||||||||||||
| CFO | $201,048 | $0 | $22,795 | $0 | $28,151 | $0 | $4,321 | $0 | $36,815 | $0 | $293,130 | $0 | $0 | $0 |
| Karen Scoggins | ||||||||||||||
| CNO | $162,100 | $0 | $14,738 | $0 | $18,068 | $0 | $3,591 | $0 | $24,915 | $0 | $223,412 | $0 | $0 | $0 |
| Matthew Dammeyer | ||||||||||||||
| COO | $211,182 | $0 | $31,607 | $0 | $61,072 | $0 | $10,466 | $0 | $30,696 | $0 | $345,023 | $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 a written policy. The hospital maintains that at some future date, employees may be required to pay their own FICA taxes on these fringe benefits. |
| Schedule J, Part I, Line 3 | The Hospital contracts with an independent consultant every two years to perform a review of executive salaries and benefits. The most recent review was performed in October 2016. The resulting report is provided to the Board of Directors 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 staff 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 following individuals on Schedule J participated in the 457 plan and either deferred their own compensation or received hospital contributions into the plan during the tax year: Gregg Motonaga $18,773, Justin Evans $18,773, Richard Davis $7,374, Lance Spindler $4,369, Karen Scoggins $3,671, and Matthew Dammeyer $4,700. |
| 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 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 4 operational and quality measures in order to maintain the highest standard of patient care. One of these 4 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 Hospitals net earnings. The remaining three measures are 1)Quality of care, 2)Patient satisfaction, and 3)Utilization. |
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 | Current RefundingCurrentRefundingInd | 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 | 0 | Yes (1) | Yes (1) | Yes (1) |
| B | $0 | $0 | $34,999,563 | $3,700,147 | $1,813,599 | $989,352 | $127,595 | $0 | $0 | $35,043,226 | $0 | $0 | 2016 | 0 | 0 | 0 | Yes (1) |
| C | $0 | $0 | $3,200,000 | $544,993 | $35,169 | $145,714 | $22,868 | $0 | $0 | $3,200,000 | $0 | $0 | 2016 | 0 | 0 | 0 | Yes (1) |
| D | $0 | $0 | $3,050,000 | $563,191 | $0 | $0 | $17,500 | $0 | $0 | $0 | $0 | $1,675,220 | 2016 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0.11 | 0 | 0.11 | Yes (1) | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0.11 | 0 | 0.11 | Yes (1) | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 0.11 | 0 | 0.11 | Yes (1) | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 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
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 | $732,016 | Total employee compensation and benefits | 0 |
| John Bramante | |||
| Dr. Bramante is a board member, and an employed physician of Peninsula Internal Medicine | $59,081 | Total invoices paid to Peninsula Internal Medicine during FY16 | 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. The CPGH Boards decisions regarding the acquisition of significant capital assets and plant expansion are subject to the approval of the Kenai Peninsula Borough assembly. Bonds, loans, and capital expenditures not funded through the Hospital's plant replacement fund must be approved by a vote of the Borough 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 then 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 and members of the Board of Directors complete an annual conflict of interest statement which is reviewed by management and the finance team. The board reviews and discusses any conflict of interests which arise throughout the year and takes appropriate action. If a conflict arises, the board member in conflict, will abstain from voting on the resolution at the board meeting. |
| Form 990, Part VI, Section B, Line 15 | An independent professional executive remuneration study is performed every 2-3 years. The most recently performed study was performed in October 2016. Remuneration reports are submitted to the Board for review and used to se the wage scale for the CEO, CFO, CNO, COO, and VP of Human Resources. Contemporaneous documentation exists for this study. |
| Form 990, Part VI, Section C, Line 19 | The Hospital makes its audited financial statements and governing documents available for inspection upon request. The Hospital's 990 is widely available 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 | Yes (1) | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Central Peninsula Health Foundation | ||
| c | $194,786 | This represents the amount of total contributions received from the Foundation in payment for programs, capital, and grants to individuals for assistance. The Hospital initially paid for each of these program expenses, capital, or grants, and the Foundation reimbursed the Hospital with either restricted or unrestricted funds depending on the expenditure type. |
| Central Peninsula Health Foundation | ||
| j | $15,036 | The Hospital provides office space to the Foundation Director for the cost of $1,253 per month. This amount included janitorial services, and utilities. |
| 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 | $194,786 | The Foundation performs fundraising for which a portion benefits the Hospital and its programs. The value of those programs for which the Foundation transferred solicited funds during tax year 2015 was $194,786. |
| Central Peninsula Health Foundation | ||
| n | $15,036 | The Hospital provides office space to Central Peninsula Health Foundation. The value of the space is determined based on the most recently filed Medicare Cost report (2016)expenses for facility, admin, and support services per square foot. During the 2015 tax year, the Foundation began to pay for the portion of their operating expenses which exceeded $4,000 per month. The office space expense was included in that $4,000 donation to the Foundation. |
| Central Peninsula Health Foundation | ||
| o | $72,224 | The Hospital shares certain paid employees for directorship and accounting functions necessary to operate the Foundation. The Foundation in return pays the Hospital for any operating, facility, or staff costs which exceed $4,000 per month. |
| Kenai Peninsula Borough | ||
| p | $6,721,666 | The Hospital reimbursed the Kenai Peninsula Borough for debt service, property insurance premiums, refuse, and sales tax. This amount represents the actual cash payments to the borough for these expenses. |
| Central Peninsula Health Foundation | ||
| q | $70,167 | The Foundation is billed for operating expenses incurred by the Hospital which exceed $4,000 per month. This represents the actual cash value of those expenses which were billed to the Foundation and reimbursed to the Hospital. These expenses include facilities, staffing, supplies, and other operating expenses. |
| Kenai Peninsula Borough | ||
| r | $22,730,784 | 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 into a Plant Replacement and Expansion fund at the Kenai Peninsula Borough. This is the total amount of cash transferred to the borough during FY2016. |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | The audited financial statements were no issued by the filing deadline, so an extension was requested and granted. | ExplanationTxt |