CENTRAL PENINSULA GENERAL HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL PENINSULA GENERAL HOSPITAL INC (EIN 92-0077523)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-12-17
- IRS object ID
- 201343519349300744
- Schema version
- 2012v2.0
- 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 L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-12-17T12:51:34-07:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920077523 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL PENINSULA GENERAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CENT | NameControl |
| Phone | 9077144404 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Hospital Place | AddressLine1 |
| City | Soldotna | City |
| State | AK | State |
| ZIP Code | 99669 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Shaun Keef | Name |
| Title | Chief Financial Officer | Title |
| Phone | 9077144722 | Phone |
| Date Signed | 2013-12-17 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Peninsula Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Richard Davis CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Hospital Place | AddressLine1 |
| City | Soldotna | City |
| State | AK | State |
| ZIP Code | 99669 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 221259277 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.cpgh.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | AK | StateLegalDomicile |
| Activity Or Mission Description | 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 offering the highest quality patient and resident centered care in a healing environment. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 893 | TotalNbrEmployees |
| Total Nbr Volunteers | 239 | TotalNbrVolunteers |
| Total Gross UBI | 27713 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 56069 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1122562 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2802938 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 196563665 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 215314333 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 267126 | InvestmentIncomePriorYear |
| Investment Income Current Year | 45397 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1305676 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2849386 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 199259029 | TotalRevenuePriorYear |
| Total Revenue Current Year | 221012054 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 179256 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 182869 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 67350906 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 67730487 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 122895004 | OtherExpensePriorYear |
| Other Expenses Current Year | 138890586 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 190425166 | TotalExpensesPriorYear |
| Total Expenses Current Year | 206803942 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8833863 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 14208112 | RevenuesLessExpensesCY |
| Total Assets BOY | 132450612 | TotalAssetsBOY |
| Total Assets EOY | 146313507 | TotalAssetsEOY |
| Total Liabilities BOY | 48651475 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 48306258 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 83799137 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 98007249 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 181753977 | Expense |
| Revenue | 188648203 | Revenue |
| Description | Our 49 bed hospital provided patient and ancillary services to 2,403 inpatients and 84,606 outpatients during the 2012 tax year. The hospital provides emergency medical services regardless of ability to pay. Emergency medical services were provided to 17,260 individuals, and 1,396 of those individuals were admitted to the hospital. 4,071 surgical procedures were performed in the hospital during the tax year. The imaging department performed 38,951 procedures. Over 62,180 physical therapy procedures were provided to area residents. During the 2012 tax year, free medical services in the amount of $9,031,980 (gross charges) were provided to patients eligible for charity care. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10152548 | Expense |
| Revenue | 11529884 | Revenue |
| Description | 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 2012 tax year were 74 and total resident days of care were 19,799. An average of 54 residents per day were provided long term care and nursing. Ancillary services for residents included 12,778 physical therapy treatments, while outpatients received 3,100 therapy treatments. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 12916809 | Expense |
| Revenue | 15136246 | Revenue |
| Description | The hospital operates 6 family and specialty physician services clinics providing care in the following areas: Family medicine, Pediatrics, Neurology, Pain Management, Surgery, and Orthopedics. Other outpatient clinics include Wound care, Sleep studies, Forensic services, and the provision of Durable medical equipment. During the 2012 tax year physician and specialty services were provided for 23,926 patients. Over 3,306 wound care procedures, 165 forensic exams, and 208 sleep studies were also performed. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 204823334 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 1 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 108 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 893 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Other Explain In Sch O | X | OtherExplainInSchO |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Peninsula Hospital | BusinessNameLine1 |
| Business Name Line2 | Finance Department | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9077144525 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Hospital Place | AddressLine1 |
| City | Soldotna | City |
| State | AK | State |
| ZIP Code | 99669 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | OfficerOfficer |
|---|---|---|---|---|---|---|---|
| John Hoyt | |||||||
| Board Member | 4 | X | 3050 | 0 | 0 | ||
| Silverio Mattero | |||||||
| Board Member | 4 | X | 4325 | 0 | 0 | ||
| Richard Ross | |||||||
| Board Member | 4 | X | 3425 | 0 | 0 | ||
| Judith Salo | |||||||
| Board Member | 4 | X | 5150 | 0 | 0 | ||
| Alyson Stogsdill | |||||||
| President | 6 | X | 4750 | 0 | 0 | ||
| Trena Richardson | |||||||
| Board Vice President | 6 | X | 5250 | 0 | 0 | ||
| Loren Wiemer | |||||||
| Board Member | 4 | X | 14173 | 0 | 0 | ||
| Irving Carlisle | |||||||
| Secretary/Treasurer | 6 | X | 2975 | 0 | 0 | ||
| Henry Peter Sprague | |||||||
| Board Member | 4 | X | 3525 | 0 | 0 | ||
| Gregg Motonaga | |||||||
| Anesthesia PhD/Board Member | 44 | X | 582238 | 0 | 39485 | X | |
| Mark Dixon | |||||||
| Board Member | 4 | X | 0 | 0 | 0 | ||
| Mark Premo | |||||||
| Board Member | 4 | X | 0 | 0 | 0 | ||
| Joseph Bujak | |||||||
| Board Member | 4 | X | 0 | 0 | 0 | ||
| Andrea D Posey | |||||||
| CNO | 40 | 181476 | 0 | 38636 | X | ||
| Johnny L Dodd | |||||||
| VP of Human Resources | 40 | 159591 | 0 | 28580 | X | ||
| Matthew Dammeyer | |||||||
| Chief Operating Officer | 40 | 195150 | 0 | 38709 | X | ||
| Richard Davis | |||||||
| CEO | 40 | 381841 | 0 | 27432 | X | ||
| Shaun Keef | |||||||
| Chief Financial Officer | 40 | 117772 | 0 | 20142 | X | ||
| David S Innes | |||||||
| Orthopedic Surgeon | 40 | 1188083 | 0 | 35082 | X | ||
| Cynthia Kahn | |||||||
| Pain Management Physician | 40 | 550791 | 0 | 15240 | X | ||
| Justin Evans | |||||||
| Anethesia PhD | 40 | 484983 | 0 | 52082 | X | ||
| Jason Lattin | |||||||
| Surgeon | 40 | 533133 | 0 | 35082 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4421681 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 330470 | TotalOtherCompensation |
| Number Individuals GT100 K | 69 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2 | Address Line2AddressOfContractor/AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|
| Sound Physicians | |||||||
| 1123 Pacific Avenue | Tacoma | WA | 98402 | Physician Services | 897498 | ||
| Molloy Schmidt LLC | |||||||
| 110 South Willow St Suite 101 | Kenai | AK | 99611 | Attorney Services | 503991 | ||
| C&A Industries | |||||||
| PO Box 3037 | Omaha | NE | 68103 | Contract Labor Provider | 319085 | Aureus | |
| KL Gates | |||||||
| 210 Sixth Ave | Pittsburgh | PA | 15222 | Attorney Services | 254269 | ||
| Alaska Surgical Services LLC | |||||||
| 6339 E Speedway Blvd | Tucson | AZ | 85710 | Surgical medical professional services | 157067 | Suite 201 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 249999 | RelatedOrganizations |
| Government Grants | 2527177 | GovernmentGrants |
| All Other Contributions | 25762 | AllOtherContributions |
| Noncash Contributions | 5762 | NoncashContributions |
| Total Contributions | 2802938 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Hospital Service Revenue | 622000 | 188648203 | 188648203 | 0 | $0 |
| Long-term Care Revenue | 623000 | 11529884 | 11529884 | 0 | $0 |
| Physician Clinic Revenue | 621110 | 15136246 | 15136246 | 0 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 215314333 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44523 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $44,523 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 167562 | Real |
| Personal | 0 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 139849 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 27713 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27713 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 27713 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 874 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 874 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 874 | TotalRevenueColumn |
| Related Or Exempt Function Income | 874 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
| Gross Sales Of Inventory | 457650 | GrossSalesOfInventory |
| Cost Of Goods Sold | 107374 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 350276 | TotalRevenueColumn |
| Related Or Exempt Function Income | 350276 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Property tax | 900099 | 94695 | 94695 | 0 | $0 |
| USAC Telephone service revenue | 900099 | 474984 | 474984 | 0 | $0 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1901718 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1901718 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2471397 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 221012054 | TotalRevenueColumn |
| Related Or Exempt Function Income | 218136880 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 27713 | UnrelatedBusinessRevenue |
| Exclusion | $44,523 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 182869 | Total |
| Program Services | 182869 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5052979 | Total |
| Program Services | 3684748 | ProgramServices |
| Management And General | 1368231 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43346833 | Total |
| Program Services | 43346833 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1459592 | Total |
| Program Services | 1459592 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14642503 | Total |
| Program Services | 14642503 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3228580 | Total |
| Program Services | 3228580 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 518714 | Total |
| Management And General | 518714 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76330 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 76330 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17333 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 17333 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3127034 | Total |
| Program Services | 3127034 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292711 | Total |
| Program Services | 292711 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19926254 | Total |
| Program Services | 19926254 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3461763 | Total |
| Program Services | 3461763 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2338895 | Total |
| Program Services | 2338895 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296383 | Total |
| Program Services | 296383 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245138 | Total |
| Program Services | 245138 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1218937 | Total |
| Program Services | 1218937 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7897232 | Total |
| Program Services | 7897232 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 954971 | Total |
| Program Services | 954971 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medicare patient deductions from revenue | 42557717 | 42557717 | 0 | 0 |
| Medicaid patient deductions from revenue | 16522878 | 16522878 | 0 | 0 |
| Charity care | 9031980 | 9031980 | 0 | 0 |
| Commercial, Gov't, Other deductions from revenue | 17110066 | 17110066 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13296250 | Total |
| Program Services | 13296250 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206803942 | Total |
| Program Services | 204823334 | ProgramServices |
| Management And General | 1980608 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27803487 | BOY |
| EOY | 35197813 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128492 | BOY |
| EOY | 31686 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19371223 | BOY |
| EOY | 22175972 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 322465 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3539385 | BOY |
| EOY | 4247583 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1341753 | BOY |
| EOY | 1219529 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 121913366 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 52483407 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64853893 | BOY |
| EOY | 69429959 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 500000 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14589914 | BOY |
| EOY | 13510965 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132450612 | BOY |
| EOY | 146313507 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12807111 | BOY |
| EOY | 13438967 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14194 | BOY |
| EOY | 14006 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35830170 | BOY |
| EOY | 34853285 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48651475 | BOY |
| EOY | 48306258 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83299137 | BOY |
| EOY | 97507249 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 500000 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83799137 | BOY |
| EOY | 98007249 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132450612 | BOY |
| EOY | 146313507 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 14208112 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 0 | ReconciliationUnrealizedInvest |
| Reconcilation Donated Services | 0 | ReconcilationDonatedServices |
| Reconcilation Invest Expenses | 0 | ReconcilationInvestExpenses |
| Reconcilation Prior Adjustment | 0 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $6,313 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $11,020 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 17333 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchC_P2B_S00_L01 | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | The Hospital engages in very little lobbying. Educational discussions with lawmakers and general support of healthcare legislation does occur on occasion. Total labor and travel expense for the tax year amounted to $6,313. Certain organizations to which Central Peninsula Hospital pays membership dues, engage in lobbying activities. The amount reported on this line represents the % of those membership dues which are spent on lobbying type activities. Total Hospital dues spent on lobbying activities by other organizations was $11,020. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preservation For Public Use | X | PreservationForPublicUse |
| Total Number Of Easements | 1 | TotalNumberOfEasements |
| Total Acreage | 40 | TotalAcreage |
| Nmbr Hist Struct Easements | 0 | NmbrHistStructEasements |
| Nmbr Hist Struct Easements After | 0 | NmbrHistStructEasementsAfter |
| Nmbr Easements Modified | 0 | NmbrEasementsModified |
| Nmbr States In Which Easements Held | 1 | NmbrStatesInWhichEasementsHeld |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoring |
| Staff Hours Spent On Enforcement | 0 | StaffHoursSpentOnEnforcement |
| Expenses Incurred For Enforcement | 0 | ExpensesIncurredForEnforcement |
| Sect170h Requirements Satisfied | 0 | Sect170hRequirementsSatisfied |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1942517 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Book Value | 1942517 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 76321508 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 34493798 | Depreciation |
| Book Value | 41827710 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 551163 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 201831 | Depreciation |
| Book Value | 349332 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 39257315 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 17029992 | Depreciation |
| Book Value | 22227323 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3840863 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 757786 | Depreciation |
| Book Value | 3083077 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 69429959 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Plant Replacement and Expansion Fund | 11322729 |
| Deferred loss on bond refunding | 1499047 |
| Excess consideration paid for business acquisition | 689189 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 13510965 | TotalBookValueOtherAssets |
| Tot Revenue Etc Audited Fincl Stmt | 136036636 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 247223 | OtherRevenues |
| Revenue Not Rptd F990 | 247223 | RevenueNotRptdF990 |
| Revenue Subtotal | 135789413 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 85222641 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 85222641 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 221012054 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 121828524 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 247223 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 247223 | ExpensesNotRptdF990 |
| Expenses Subtotal | 121581301 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 85222641 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 85222641 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 206803942 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P02_S00_L09 | 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 use of the land for agricultural purposes pursuant to AK statute 38.05.321. The building is used by the Hospital's chemical dependency unit. There is no value placed on the easement itself and therefore it does not appear in the hospital financials statements or footnotes. The cost of the real property is recorded on the Hospital's balance sheet at its net book value. |
| SchD_P11_S00_L02d | Schedule D, Part XI, Line 2d | Part VIII revenues are reported net of certain items which appear as expenses in the audited financial statements. These items are Cost of Good Sold on durable medical equipment ($107,374) and expenses pertaining to unrelated business income ($139,849). |
| SchD_P11_S00_L04b | Schedule D, Part XI, Line 4b | These expenses represent the total deductions from revenue for third party payors (Medicare, Medicaid, etc) and the amount of Charity care discounts. The audited financials report revenue net of contractual allowances, rather than gross. |
| SchD_P12_S00_L02d | Schedule D, Part XII, Line 2d | These expenses reported on the audited financial statements have been reclassified to Part VIII in accordance with 990 instructions for cost of goods sold on inventory ($107,374) and expenses pertaining to unrelated business income ($139,849). |
| SchD_P12_S00_L04b | Schedule D, Part XII, Line 4b | These are contractual allowances which are not reported as 'expenses' on the audited financial statements as patient revenue is instead reported net of contractual write-offs from Medicare, Medicaid, and other payor classes. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 6224 | PersonsServed |
| Total Community Benefit Expense | 4242806 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4242806 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0384 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 12958 | PersonsServed |
| Total Community Benefit Expense | 19483235 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17397271 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2085964 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0189 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 194 | PersonsServed |
| Total Community Benefit Expense | 61442 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37685 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23757 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0002 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 19376 | PersonsServed |
| Total Community Benefit Expense | 23787483 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17434956 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6352527 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0575 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 472 | NumberOfActivitiesOrPrograms |
| Persons Served | 28653 | PersonsServed |
| Total Community Benefit Expense | 685759 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 130244 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 555515 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.005 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 123 | NumberOfActivitiesOrPrograms |
| Persons Served | 1390 | PersonsServed |
| Total Community Benefit Expense | 81067 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8525 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 72542 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0007 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 24761 | PersonsServed |
| Total Community Benefit Expense | 3471950 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1549458 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1922492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0174 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 288 | NumberOfActivitiesOrPrograms |
| Persons Served | 1712 | PersonsServed |
| Total Community Benefit Expense | 192399 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 192399 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0017 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 894 | NumberOfActivitiesOrPrograms |
| Persons Served | 56516 | PersonsServed |
| Total Community Benefit Expense | 4431175 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1688227 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2742948 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0248 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 897 | NumberOfActivitiesOrPrograms |
| Persons Served | 75892 | PersonsServed |
| Total Community Benefit Expense | 28218658 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19123183 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9095475 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0823 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 25 | PersonsServed |
| Total Community Building Expense | 648 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 648 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 2602 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 2602 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 168 | PersonsServed |
| Total Community Building Expense | 46205 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 46205 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0004 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 193 | PersonsServed |
| Total Community Building Expense | 49455 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 49455 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0004 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $4,716,532 | BadDebtExpenseAmount |
| Amount Attributable To | 3631730 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 23890270 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 26164858 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2274588 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Peninsula Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Hospital Place | AddressLine1 |
| City | Soldotna | City |
| State | AK | State |
| ZIP Code | 99669 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Peninsula Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 09 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 16 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (19 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|
| 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 | |||||
| 198 West Corral | Soldotna | AK | 99669 | Neurology clinic | |
| Central Peninsula Family Practice Kenai | |||||
| 506 Lake Street | Kenai | AK | 99611 | Family practice clinic | |
| Kenai Physical Medicine | |||||
| 130 Willow Street | Kenai | AK | 99611 | Physical therapy clinic | Unit 1 |
| Soldotna Physical Medicine | |||||
| 35551 Kenai Spur Hwy | 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 Practice Kobuk | |||||
| 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 |
| Central Peninsula Family Practice Fireweed | |||||
| 245 N Binkley Street | Soldotna | AK | 99669 | Family practice clinic | Suite 101 |
| 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 | |
| Vacant building | |||||
| 166 W Corral Street | Soldotna | AK | 99669 | Vacant building for remodel | |
| Medical Office Space | |||||
| 108 E Corral St | Soldotna | AK | 99669 | Medical office building purchased - leased to Kenai Spine | |
| Radiation Oncology Building | |||||
| 240 Hospital Place | Soldotna | AK | 99669 | Radiation Oncology Building - leased to RBS Evolution | |
| Vacant Building - Kenai Physical Medicine | |||||
| 260 Caviar Street | Kenai | AK | 99611 | Building purchased during the tax year but still under renovation at June 30, 2013. | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | In areas where costs were reasonably able to be compiled we used actual costs. For activities such as charity care and the cost to provide such care, we used the cost to charge ratios as calculated by figures reported on our most recently filed Medicare cost report. |
| SchH_P01_S00_L072f | Schedule H, Part I, Line 7, Column f | Bad debt was reported at gross charges in 990 Part IX, line 25 or $9,941,178. However for the purposes of this schedule H we have used the cost to charge ratio calculated herein (47.44%) to reduce these bad debts to the estimated cost to provide this care $4,716,532. Of this balance, approximately 73% is estimated to be attributable to patients who may have been eligible to receive free or discounted care under the Hospital's financial assistance policy but failed to apply for free care. |
| SchH_P02_S00_L00 | Schedule H, Part II | The Hospital supported local community job fairs for high school students and jobless community members. Additionally, the Hospital served as a sponsoring organization and host to the SEARCH program in cooperation with the Kenai Peninsula Borough School District to train, provide mentoring, shadowing, and internships for at risk teens with learning or behavioral disabilities. |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | Bad Debt Footnote per audited financial statements: 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 receivable payor composition and aging, and historical write-off experience by payor category. The amount reported in Schedule H, Part III is based on the estimated cost to provide care for individual patient accounts which were classified as bad debt during the year. The amount which may be attributable to patients who qualify for charitable assistance of 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 they refused to do so. It is our belief that all of these bad debts should be considered community benefits as they provide a necessary and vital health benefit to members of our service area free of charge. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | It is our belief that all of 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 the patients co-pay or deductible and may not engage in collection efforts for the remainder. The Medicare costs reported herein are based on actual costs as reported on the fiscal year 2013 Medicare cost report. |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | The Hospital's collection policy PFS-546 addresses the various classes of 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 the collectors first to the charity care policy for instructions on determining eligibility. As noted in Part I, the charity care policy is based on FPG which are the bases for a sliding scale between 200% and 400% of those guidelines. Applicants on the upper end of the scale (400%) are eligible for partial write-off, while those on the lower end (200%) are eligible for free care. |
| SchH_P05_S0B_L05 | Schedule H, Part V, Section B, Line 5 | In addition to the above methods of disbursement, the Health Needs Assessment was also provided via email to Administrators, Hospital Board members, and supervisory staff of Central Peninsula Hospital. |
| SchH_P05_S0B_L06 | Schedule H, Part V, Section B, Line 6 | Hospital management and the board of directors address the needs assessment findings through frequent strategic planning and the implementation of new services whenever financially viable. Additionally, the hospital supports the provision of health services by community health partners when it cannot supply those needs itself. |
| SchH_P05_S0B_L07 | Schedule H, Part V, Section B, Line 7 | Two of the 2013 CHNA health findings require long-term planning or community collaboration to meet the health need: 1. Respiratory Health and COPD affect over 10% of the population surveyed. Although the service area reports lower rates of smoking than peer communities, COPD rates remain the same. Additional attention on smoking cessation is needed. The Hospital does treat patients admitted for services with smoking cessation patches free of charge. However, an external campaign to reduce smoking rates has not yet been developed and it is unclear at this time what community collaboration effort would best serve this need. 2. Diabetes - nearly 10% of the population surveyed reported a diagnosis of diabetes. Age and obesity are major risk factors in developing diabetes, and nearly 68% of the population is either overweight or obese. The Hospital has therefore focused much of it's attention not on diabetes itself but on prevention through one of its major risk factors, obesity. The Healthy Lifestyles department specifically targets healthy eating and healthy living habits which can help lower the occurrence of diabetes. |
| SchH_P05_S0B_L13 | Schedule H, Part V, Section B, Line 13 | The hospital employs 2 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 financial assistance application process. In addition, the Hospital has purchased advertising space in the local newspaper to notify the public at large or its financial assistance program and how patients can reach our financial counselors to apply. |
| SchH_P05_S0B_L14 | Schedule H, Part V, Section B, Line 14 | The Hospital has published its financial assistance policy and forms on it's public website and has also purchased advertising space in the local newspaper to widely publicize it's financial assistance program to the community at large. |
| SchH_P05_S0B_L20 | Schedule H, Part V, Section B, Line 20 | The Hospital offers all self pay patients a prompt pay discount of 25% on hospital gross charges, which is more advantageous that substantially all of our commercial rates. For those patients who are unable to pay because they are financially or medically indigent they are given the opportunity to enroll in our financial assistance policy for a further discount, or free care. |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | In addition to having a CHNA performed and creating a strategic plan to address those needs, the Hospital also determines health needs of the community through a variety of other ways. Hospital officials meet regularly with an advisory committee comprised of areas residents and former patients to determine the adequacy of facilities and services which meet the health needs of the community. The Hospital periodically employs consultants to determine the physician and specialty physician needs of the community in order to direct strategic planning and physician recruiting. Finally, open dialogue between Hospital management and patients, staff, and area medical staff is another source of determining what additional community health needs exist. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | The Hospital attempts to provide a financial assistance program brochure to every patient during discharge. The brochures is also available upon request, and on the Hospital's website under Patient Financial Services. Financial counselors personally contact patients and explain the financial assistance policy, assist with completion of the application, and set up payment plans if necessary. Finally, the Hospital has begun advertising the existence of our financial assistance program in the local newspaper. |
| SchH_P06_S00_L04 | 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 approximately 36,000 residents according to the 2010 census. The geographic region is in the Central Kenai peninsula in the state of Alaska. Based on the 2010 Census, approximately 11% of the population is age 65 or older, 32% are between 45 and 64, and 32% are between age 19 and 44. Basic social and economic 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 US average and equal to the state average. |
| SchH_P06_S00_L05 | Schedule H, Part VI, Line 5 | The Hospital engages in numerous community efforts year-round to improve health awareness and education in our service areas. Monetary donations to local non-profits that support health initiatives and healthy living, personnel support of local non-profits, public service announcements, conference room space for community organizations and support groups, health speakers bureaus, child safety program, health fairs, immunization clinics, community health newsletters and numerous other programs, initiatives, and collaborations. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 | Business Name Line2RecipientNameBusiness/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|
| Southcentral Foundation | |||||||||
| 4501 Diplomacy Drive | Anchorage | AK | 99508 | 920086076 | 501c3 | 6250 | Monetary support for the All Alaska Pediatric Partnership. | ||
| Kenai River Professional Guide Association | |||||||||
| PO Box 3674 | Soldotna | AK | 99669 | 920162358 | 501c3 | 10000 | Monetary donation to support the Wounded Warrior Program. | ||
| Kenai Peninsula Food Bank | |||||||||
| 33955 Community College Drive | Soldotna | AK | 99669 | 943112445 | 501c3 | 5001 | Monetary support for the Food bank which provides low-cost or free nutritious food to families with financial need. | ||
| Hospice of the Central Peninsula | |||||||||
| PO Box 2584 | Soldotna | AK | 99669 | 920118694 | 501c3 | 29200 | Monetary donation to support the Hospice Bereavement Program as well as general contributions to support the entity. | ||
| Boys & Girls Club | |||||||||
| 705 Frontage Road | Kenai | AK | 99611 | 943067142 | 501c3 | 40000 | Monetary donations for annual support of the Boys & Girls club for two program years. The club provides safe after-school programs, breakfast programs, and healthy activities for local children. | Suite B | |
| Kenai Peninsula Youth Foundation | |||||||||
| PO Box 2605 | Soldotna | AK | 99669 | 262580744 | 501c3 | 7500 | Monetary support for 2012-2013 season sponsorship. The Kenai Peninsula Youth Foundation is an organization dedicated to providing developmental programs for aspiring student athletes. | Kenai River Brown Bears | |
| Bridges Community Resource Network | |||||||||
| PO Box 1612 | Soldotna | AK | 99669 | 920151271 | 501c3 | 9100 | Monetary support for the Imagination Library program, and the Pink Ribbon Rally for breast cancer awareness. | ||
| Kenai Peninsula United Way | |||||||||
| 11355 Frontage Road | Kenai | AK | 99611 | 920111698 | 501c3 | 10000 | Monetary support of United Way of the Kenai Peninsula which promotes healthy living, financial stability, and education improvement through its many community program. | Benco Building Suite 101 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 8 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchI_P01_S00_L02 | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | The Hospital does not provide 'grants' but cash contributions to local organizations which support community initiatives and healthy living on the Kenai Peninsula. Contributions are only made to organization in good community standing. Hospital officers are responsible for approving all assistance payments to outside organizations and do so with discretion. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David S Innes | |||||||||||||
| Orthopedic Surgeon | 760496 | 0 | 353992 | 0 | 78126 | 0 | 5550 | 0 | 32814 | 0 | 1230978 | 0 | 0 |
| Gregg Motonaga | |||||||||||||
| Anesthesia PhD/Board Member | 555760 | 0 | 27460 | 0 | 1239 | 0 | 22550 | 0 | 22207 | 0 | 629216 | 0 | 0 |
| Justin Evans | |||||||||||||
| Anethesia PhD | 455947 | 0 | 32743 | 0 | 824 | 0 | 22550 | 0 | 32814 | 0 | 544878 | 0 | 0 |
| Jason Lattin | |||||||||||||
| Surgeon | 391427 | 0 | 37689 | 0 | 107299 | 0 | 5550 | 0 | 32814 | 0 | 574779 | 0 | 0 |
| Cynthia Kahn | |||||||||||||
| Pain Management Physician | 416654 | 0 | 77625 | 0 | 57589 | 0 | 5550 | 0 | 10766 | 0 | 568184 | 0 | 0 |
| Richard Davis | |||||||||||||
| CEO | 295854 | 0 | 69236 | 0 | 20222 | 0 | 7446 | 0 | 22207 | 0 | 414965 | 0 | 0 |
| Shaun Keef | |||||||||||||
| Chief Financial Officer | 113172 | 0 | 0 | 0 | 6573 | 0 | 2385 | 0 | 19730 | 0 | 141860 | 0 | 0 |
| Andrea D Posey | |||||||||||||
| CNO | 133870 | 0 | 22084 | 0 | 28803 | 0 | 9104 | 0 | 32814 | 0 | 226675 | 0 | 0 |
| Johnny L Dodd | |||||||||||||
| VP of Human Resources | 131506 | 0 | 7877 | 0 | 22928 | 0 | 8594 | 0 | 22207 | 0 | 193112 | 0 | 0 |
| Matthew Dammeyer | |||||||||||||
| Chief Operating Officer | 165659 | 0 | 9437 | 0 | 22076 | 0 | 9176 | 0 | 32814 | 0 | 239162 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchJ_P01_S00_L01a | Schedule J, Part I, Line 1a | Gross up payments are made for certain taxable fringe benefits and for the value of 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. Also among the fringe benefits offered to employees are health club discounts. The hospital pays for one-half of gym membership dues to promote the health and welfare of its employees and their family members. The health club benefit has been discontinued in fiscal year 2014. |
| SchJ_P01_S00_L01b | 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 of the hospital and is not governed by a written policy. The hospital maintains that at some future date, employees may be required to pay their own FICA taxes on fringe benefits. Similarly, payment of one-half of gym fees is also not a written policy. Due to the rising costs of gym membership fees, the Hospital decided not to continue to extend this benefit for fiscal year 2014. |
| SchJ_P01_S00_L03 | Schedule J, Part I, Line 3 | The hospital contracts with an independent consultant every 3 years to perform a review of all executive salaries and benefits using comparable data. 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 with the organization. The CEO is responsible for hiring the remainder of the Hospital's executive staff and for using comparable data studies for setting their salaries. |
| SchJ_P01_S00_L04 | 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 ($17,402), Justin Evans ($17,406), Richard Davis ($7,518), Shaun Keef ($3,863), Andrea Posey ($3,600), Johnny Dodd ($3,128), and Matthew Dammeyer ($4,165). |
| SchJ_P01_S00_L05 | Schedule J, Part I, Line 5 | In accordance with their employment contract, Emergency Room Physicians receive a percentage of their professional physician fees billed. This compensation is not based on the entity's overall revenue. |
| SchJ_P01_S00_L06 | Schedule J, Part I, Line 6 | The hospital pays an annual incentive plan bonus to all employees, supervisors, and executives based on a series of 4 operational and quality measures. One of these 4 measures is meeting the hospital's net earnings budget. This element comprises only one-fourth of the potential plan bonus payment. The remaining measures are 1)patient satisfaction, 2)quality, and 3)utilization. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Kenai Peninsula Borough | ||||||||
| A | 920030894 | 488530NF9 | 2003-12-18 | 47985000 | Hospital expansion project 2003 GO bonds | 0 | 0 | 0 |
| Kenai Peninsula Borough | ||||||||
| B | 920030894 | 01179PX51 | 2011-09-15 | 27905000 | Refunding bonds - 2011 GO | 0 | 0 | 1 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 43635000 | 0 | 53963243 | 0 | 3376615 | 32616814 | 544896 | 0 | 0 | 53418347 | 0 | 0 | 2008 | 0 | 0 | 1 | 1 |
| B | 0 | 0 | 32616814 | 0 | 0 | 0 | 201610 | 0 | 0 | 0 | 0 | 0 | 2008 | 0 | 1 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue |
|---|---|---|---|---|---|---|---|---|---|
| A | 1 | 1 | 0 | 0 | 1 | 0 | |||
| B | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Charles Weimer | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Spouse of Board Member | Relationship |
| Amount Of Transaction | 12000 | AmountOfTransaction |
| Description Of Transaction | Leases rease estate at FMV to Hospital | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0A_L07b | Form 990, Part VI, Section A, Line 7b | Central Peninsula Hospital Inc. operates the Hospital through a lease and operating agreement (LOA) with the Kenai Peninsula Borough. The CPGH Board's 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 Borough constituents if greater than $1.0 million. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | The 990 is prepared by the Hospital's Finance Department and submitted to Hospital management for review. Management then returns any edits to the Finance Committee for preparation of a 2nd draft. The 2nd Draft and all schedules and statements are then submitted to each member of the Board for review and comment. Final edits are provided to the Finance Department and made prior electronic submission by the CFO or Board President. |
| F990_P06_S0B_L12c | 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 also reviews and discusses any conflicts of interest which arise throughout the year and take appropriate action if needed. |
| F990_P06_S0B_L15 | 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 by the Haygroup was performed in 2012. Remuneration reports are submitted to the Board for review and used to set the wage scales for the CEO, CFO, CNO, COO, and VP of Human Resources. Contemporaneous documentation exists for this study. |
| F990_P06_S0C_L18 | Form 990, Part VI, Section C, Line 18 | The Hospital publishes its 3 most recent 990s on it's own website at www.cpgh.org. The Hospital's 990 is also published on Guidestar.com and is available upon request via email. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The Hospital makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon request. It's audited financials are also published on it's public website. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Central Peninsula Health Foundation | ||
| n | 14545 | The Hospital provides office space to Central Peninsula Health Foundation. The value of the space is determined based on our most recently filed Medicare Cost Report (2012) expenses for facility, administration, and support services allocated per square foot. |
| Central Peninsula Health Foundation | ||
| o | 63983 | The Hospital shares certain paid employees for directorship, and accounting functions necessary to operate Central Peninsula Health Foundation. |
| Central Peninsula Health Foundation | ||
| q | 53712 | Actual expenses incurred by the Hospital are stated at the dollar value paid which is reimbursed at cost by Central Peninsula Health Foundation. |
| 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 stated in the agreement is $1 per annum. |
| Kenai Peninsula Borough | ||
| p | 3951514 | The Hospital reimburses the Kenai Peninsula Borough for expenses related to it's debt service on bonds, property insurance premiums, refuse, and sales tax. This amount represents actual cash transfers to the borough for these expenses. |
| Kenai Peninsula Borough | ||
| r | 8630696 | Per the lease and operating agreement with the Kenai Peninsula Borough, all cash >90 days operating must be transferred to an account held by the Borough for Plant replacement and Expansion of facilities at the hospital. This is the total amount of cash transferred to the borough during FY13. |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | N/A - An extension was filed and accepted by the IRS | Explanation |