2015-05-14T13:03:39-05:00 2014-06-30 BDO USA LLP 3601 C STREET STE 600 ANCHORAGE AK 99503 990 2013-07-01 926001607 PETERSBURG MEDICAL CENTER % ELIZABETH WOODYARD PETE 9077724291 PO BOX 589 Suite PETERSBURG AK 99833 ELIZABETH WOODYARD CEO 9077724291 2015-05-13 true Key E Getty CPA P00121200 9077724291 2013 2016-02-25 16:41:14Z ELIZABETH WOODYARD PO BOX 589 Petersburg AK 99833 15944497 false X www.pmcak.org X COMP 1993 AK OUR MISSION IS TO PROVIDE EXCELLENT HEALTHCARE AND TO PROMOTE WELLNESS IN OUR COMMUNITY 7 6 142 15 0 1098094 1659679 12948321 11867845 97972 253593 130899 142285 14275286 13923402 0 0 0 0 8925363 9212669 0 0 8650 4651493 4828482 13576856 14041151 698430 -117749 13725987 13533451 2844115 2603657 10881872 10929794 X OUR MISSION IS TO PROVIDE EXCELLENT HEALTHCARE AND TO PROMOTE WELLNESS IN OUR COMMUNITY. false false 2307871 2609080 NURSING SERVICES PROVIDED IN ACUTE CARE, INTENSIVE CARE, SWINGBED, EMERGENCY ROOM, OPERATING ROOM AND HOME HEALTH SAVINGS. THESE SERVICES ARE PROVIDED IN A SEMI-REMOTE RURAL AREA OF ALASKA. ACCESS TO THE AREA IS BY AIR OR WATER ONLY. 2717361 4457799 OTHER HEALTHCARE SERVICES. THESE SERVICES ARE PROVIDED IN A SEMI-REMOTE AREA OF RURAL ALASKA. ACCESS TO THE AREA IS BY AIR OR WATER ONLY. THE SERVICES INCLUDE LABORATORY, IMAGING, AND PHYSICAL THERAPY. 2248141 1910293 CLINIC. WE PROVIDE CLINIC SERVICES TO SEMI-REMOTE AREAS OF ALASKA ACCESSIBLE BY AIR OR WATER ONLY. NURSING HOME. WE PROVIDE NURSING HOME SERVICES IN A SEMI-REMOTE AREA OF RURAL ALASKA. ACCESSIBLE BY AIR OR WATER ONLY. 1911553 2890675 LONG TERM CARE 1911553 2890675 9184926 true true false false false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false true false false false false false false true false false false true 62 0 true 142 true false false false false false false false false false false X 7 6 false false false false false false false true true false false true false false false true true false X ELIZABETH WOODYARD 9077724291 PO BOX 589 PETERSBURG AK 99833 TOM ABBOTT PRESIDENT 4.0 X X JEANETTE NESS SECRETARY 2.0 X X KRIS KISSINGER BOARD MEMBER 2.0 X TIM KOENEMAN VICE PRESIDENT 2.0 X X DARLENE WHITEHORN SECRETARY 2.0 X X ROCIO TEJERA BOARD MEMBER 2.0 X STEVEN SAMUELSON BOARD MEMBER 2.0 X Elizabeth Woodyard CHIEF EXECUTIVE OFFICER 40.0 X 200013 0 14002 JENNIFER BRYNER DIRECTOR OF NURSING 40.0 X 124123 0 42202 Alice Hulebak Physician 40.0 X 150510 0 21072 Jennifer Hyer Physician 40.0 X 182214 0 30977 MARK TUCCILLO PHYSICIAN 40.0 X 210127 0 52532 KRISTOFOR SARGENT PHYSICIAN 40.0 X 174486 55336 1041473 0 216121 7 false true false INNOVATIVE EMPLOYEE SOLUTIONS 9665 GRANITE RIDGE 420 SAN DIEGO CA 92123 TRAVELER NURSES 191695 DELTA HEALTHCARE PLACEMENT PO BOX 202940 DALLAS TX 753202056 RECRUITMENT 253210 HEALTHCARE RESOURCE GROUP 800 12610 E MIRABEAU PKY SPOKANE WA 99216 INTERIM FISCAL SERVI 185413 PARKER SMITH FEEK PO BOX 84232 SEATTLE WA 98124 INSURANCE 160332 COMPHEALTH 9910 LONG POINT ROAD HOUSTIN TX 77080 CONTRACT STAFFING 160662 7 1659679 1659679 PATIENT SERVICES 624100 11867845 11867845 11867845 47962 47962 0 0 18490 18490 0 18490 18490 2226726 2021095 205631 205631 0 0 0 OTHER OPERATING REVENUE 900099 123148 123148 OTHER NON-OPERTING REVENUE 900099 647 647 123795 13923402 11867845 190247 0 0 0 0 383937 169923 214014 0 8828732 6647992 2180740 0 0 0 0 0 0 0 0 8650 8650 0 0 0 0 0 0 0 0 0 0 0 878803 878803 57045 57045 NURSING SERVICES 844599 701840 142759 ADMINISTRATIVE AND FISCAL SER 1117905 1117905 MAINTENANCE 256309 256309 PHYSICIANS 1316761 1316761 348410 348410 14041151 9184926 4847575 8650 95032 2588879 7268 2709 0 0 4720658 2812850 0 0 0 0 0 0 188835 206904 90790 101861 18875365 13947391 4474055 4927974 4035851 2846069 0 0 0 0 0 0 113498 46205 13725987 13533451 1218060 2223905 0 0 0 0 0 0 0 0 0 0 1398367 176500 0 0 227688 203252 2844115 2603657 X 6691170 6306163 0 0 4190702 4623631 10881872 10929794 13725987 13533451 -117749 165671 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 347944 347944 0 12402414 9626423 2775991 0 125327 111290 14037 0 5999680 4209678 1790002 0 4927974 0 PAYABLE TO FOUNDATION 29204 CAPITAL LEASE 174048 203252 14080423 165671 -8650 157021 13923402 13923402 14032501 14032501 8650 8650 14041151 Schedule D, Part XI, Line 2d Investment fees netted against revenue originally for $8,650 relcassed to expenses. Schedule D, Part XII, Line 4b Investment fees netted against revenue originally for $8,650 relcassed to expenses. true true X true X true X 175. true true true false false 36061 36601 0.00250 36061 36601 0.00250 36061 36601 0.00250 false 1211344 3703054 3781508 -78454 X true true NONE 1 1 PETERSBURG MEDICAL CENTER 103 FRAM ST PO BOX 589 PETERSBURG AK 99833 X NURSING HOME OUTPATIENT CLINIC PETERSBURG MEDICAL CENTER true X X X X X X X 13 true false false false false true true 100 true 175. true X X X X X true true X X true false X X true X false true PART I, LINE 7: THE % OF FINANCIAL ASSISTANCE IS THE AMOUNT OF FINANCIAL ASSISTANCE AT COST $36,061 DIVIDED BY TOTAL EXPENSES OF $14,032,501. PART III, LINE 2: THE AMOOUNT OF BAD DEBT EXPENSE IS THE NET DOLLAR AMOUNT OF PATIENT CHARGES TURNED OVER TO COLLECTION AGENCIES DURING THE YEAR. PART III, LINE 4: THERE IS NO FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT EXPENSE. PART III, LINE 8: MEDICARE REVENUES EXCEED MEDICARE EXPENSES - THERE IS NO SHORTFALL. MEDICARE COSTS AND EXPENSES ARE FROM THE COST REPORT. PART III, LINE 9B: IF A PATIENT STATES OR IMPLIES HAVING A LIMITED MEANS TO PAY, BUSINESS OFFICE STAFF SPECIFICALLY NOTIFY THEM OF THE CHARITY POLICY. PART V, LINE 12H: AD ADDITIONAL FACTOR USED TO DETERMINE AMOUNTS CHARGED TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY IS FAMILY SIZE. PART V, LINE 20D AND 22: ALL PATIENTS ARE CHARGED THE GROSS CHARGE ESTABLISHED IN THE CHARGEMASTER. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSITANCE POLICY, THE CHARGES ARE REDUCED TO THE AMOUNTS PERMITTED BY THE POLICY. PART VI, LINE 2: NEEDS ASSESSMENT The organization's board maintains an awareness of the health care needs of the community and attempts to provide for those needs while remaining financially viable. PART VI, LINE 3: PATIENT EDUCATION OF ELIBIBILITY FOR ASSITANCE The organization's staff informs any patient for whom they become aware of possible elgibility for financial assistance of the existance of such assistance. The same applies to possible federal and state assistance. applies to possible federal and state assistance. PART VI, LINE 4: COMMUNITY INFORMATION The organization operates on an island off the southeast coast of Alaska. The island is accessed only by air or water. The core population is 3,000. The primary industry is fishing. A once thriving timber industry has now ceased to exist. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH The organization operates under the direction of a board of locally elected citizens. The board is not compensated. They serve because they want to have the best possible health services within the community given the limited resources. PART V, LINE 3: A steering committee oversaw the community health needs assessment. That committee, in addition to three members of the Petersburg Medical Center staff, included representatives from Petersburg Mental Health, Petersburg Fire and Emergency Services, the Petersburg Indian Association, Petersburg Public Health, the Petersburg Ministerial Association, the Petersburg School District, and the City of Petersburg. Key informant interviews were conducted with diverse members of the community asked a standardized set of questions. Those key informants were a businessman, a fisherman, a healthcare employee, a high school student, an elder, and a person with a chronic disability. Additionally, a community round table where all members of the community were invited was a part of the assessment. true X X X false false false false false false false false false Elizabeth Woodyard CHIEF EXECUTIVE OFFICER 200013 0 0 0 0 0 10001 0 4001 0 214015 0 0 0 JENNIFER BRYNER DIRECTOR OF NURSING 124123 0 0 0 0 0 27307 0 14895 0 166325 0 0 0 Alice Hulebak Physician 150510 0 0 0 0 0 7526 0 13546 0 171582 0 0 0 Jennifer Hyer Physician 182214 0 0 0 0 0 9111 0 21866 0 213191 0 0 0 MARK TUCCILLO PHYSICIAN 210127 0 0 0 0 0 46228 0 6304 0 262659 0 0 0 KRISTOFOR SARGENT PHYSICIAN 174486 38387 16949 229822 0 elizabeth hart spouse of board president 90088 wages false SCH L, PART IV: (A) NAME OF PERSON: ELIZABETH HART (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SPOUSE OF BOARD PRESIDENT FORM 990, PART I, ITEM K, OTHER ORGANIZATION TYPE: COMPONENT UNIT OT PETERSBURG BOROUGH, AK FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES NURSING HOME. WE PROVIDE NURSING HOME SERVICES IN A SEMI REMOTE AREA OF RURAL ALASKA. ACCESS TO THE AREA IS BY AIR OR WATER ONLY. EXPENSES $2,307,871. INCLUDING GRANTS OF $0. REVENUE $2,611,745. FORM 990, PART VI, SECTION B, LINE 11: THE CHIEF FINANCIAL OFFICER AND THE CHIEF EXECUTIVE OFFICER WILL EACH REVIEW THE COMPLETED RETURN SEPARATELY AND THEN RESOLVE ANY ISSUES WHICH ARISE PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 15: THE CHIEF EXECUTIVE OFFICERS SALARY IS DETERMINED BY THE BOARD OF DIRECTORS AFTER REVIEWING SALARIES FOR SIMILAR POSITIONS IN COMPARABLE ORGANIZATIONS OF THE HEALTHCARE INDUSTRY. A SALARY HISTORY OF THE POSITION IS PART OF THE REVIEW. THE COMPENSATION REVIEW IS MADE IN CONJUNCTION WITH THE CEOS ANNUAL EVALUATION. FORM 990, PART VI, SECTION C, LINE 19: PETERSBURG MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PETERSBURG MEDICAL CENTER FND PO BOX 589 PETERSBURG AK 99833 920134279 SEE PAGE 5 AK 501(C)(3) 509(A)(3) PETERSBURG true false false true false true false false false false false false false false true true false false false false SCHEDULE R, PART II, LINE1: A: PETERSBURG MEDICAL CENTER, PO BOX 589, PETERSBURG, AK 99833, 92-0134279 B: CARRY OUT FUNDRAISING & CHARITABLE ACTIVITIES FOR PETERSBURG MEDICAL CENTER C: AK D: 501(C)(3) E: 509(A)(3) F: PETERSBURG G: YES