2026-05-05T17:07:26-07:00 2025-06-30 990 2024-07-01 920077523 CENTRAL PENINSULA GENERAL HOSPITAL INC CENT 9077144404 250 Hospital Place Soldotna AK 99669 Camiella Patterson CFO 9077144722 2026-05-05 1 2024 2025-03-06 01:10:19Z Central Peninsula Hospital Angela Hinnegan 250 Hospital Place Soldotna AK 99669 743125887 0 X www.cpgh.org X 1994 AK The mission of Central Peninsula Hospital is to nurture our community by promoting health and wellness through quality healthcare. Our vision is to focus on the needs of individuals guided by people's preferences and values, in a culture of quality, compassion, and partnership. 11 9 1502 122 0 0 1911646 2040432 647720535 729424479 4510277 7100592 3551276 3916288 657693734 742481791 83900 170220 0 0 136876964 164098238 0 0 0 504044907 572594746 641005771 736863204 16687963 5618587 318187566 325331975 68344862 72199636 249842704 253132339 The mission of Central Peninsula Hospital is to nurture our community by promoting health and wellness through quality healthcare. Our vision is to focus on the needs of individuals guided by people's preferences and values, in a culture of quality, compassion, and partnership. 0 0 616767436 0 618953757 Our 49 bed hospital provided patient and ancillary services to 2,753 inpatients and 205,606 outpatients during the 2024 tax year. The hospital provides emergency medical services regardless of ability to pay. Emergency medical services were provided to 18,788 individuals, and 2,250 of those individuals were admitted to the hospital. 6,120 surgical procedures were performed in the hospital during the tax year. The imaging department performed 63,684 procedures. 86,401 physical medicine 15-minute procedures were provided to area residents. During the 2024 tax year, free medical services in the amount of $12,519,145 (gross charges) were provided to patients eligible for charity care. 15650897 0 13871772 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 resident days of care for the 2024 tax year were 16,586 days. An average of 46 residents per day were provided long term care and nursing. Ancillary services for residents included 4,059 therapy treatments. 101374971 0 96598950 The hospital operates 16 family and specialty physician service clinics providing care in the following areas: Family Medicine, Pediatrics, Neurology, Surgery, Urology, Podiatry, Internal Medicine, Women's Health, Orthopedics, Oncology, Pain Management, Spine, Diabetes Management, Gastroenterology, Mental Wellness and outpatient substance abuse treatment. During the 2024 tax year physician and specialty services were provided for 61,109 visits. The Urgent Care clinic provided emergent care visits outside of the hospital for 8,395 visits during the year. 0 0 0 733793304 1 1 0 1 0 0 1 0 0 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 1 147 0 1 1502 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Central Peninsula Hospital Finance Department 9077144627 250 Hospital Place Soldotna AK 99669 Michael Reyes Orthopedic Surgeon 40 0 X X 1391695 0 32518 Aaron Humphreys Orthopedic Surgeon 40 0 X 1020647 0 11799 John Andreshak Spine Surgeon 40 0 X 984521 0 34017 Steven Humphreys Spine Surgeon 40 0 X 971247 0 44628 Robert Cadoff Urologist 40 0 X 940730 0 19455 Gregg Motonaga Anesthesiologist/Board Member 40 0 X 791960 0 32518 Shaun Keef CEO 40 0 X 730596 0 59341 John Bramante Physician/Board Member 40 0 X 582443 0 44628 Charles Mickelson CMO 40 0 X 426794 0 89004 Karen Scoggins COO 40 0 X 352102 0 39418 Michael Haggerty CFO 40 0 X 320351 0 25867 Denise Plano CNO 40 0 X 279671 0 30994 Marshall Pearson CIO 40 0 X 136878 0 20065 Steve Horn Board President 8.00 0 X 15000 0 0 Jay Rohloff Board Member 4 0 X 4300 0 0 Carrie Couey Board Secretary/Treasurer 4 0 X 3700 0 0 Trena Richardson Board Member 4 0 X 3700 0 0 Maxwell Best Vice President 4 0 X 3500 0 0 Silverio Mattero Board Member 4 0 X 3400 0 0 Paul Ostrander Board Member 4 0 X 2900 0 0 Bradley Cross Board Member 4 0 X 2750 0 0 Stephanie Queen Board Member 4 0 X 2700 0 0 Jesse Kincaid Board Member 4 0 X 2250 0 0 Barb Belluomini Board Member 4 0 X 0 0 0 8973835 0 484252 305 1 1 0 Medical Solutions LLC dba Focusone Solutions LLC 1010 N 102nd St Ste 300 Omaha NE 68114 Contract Employee Provider 9775897 Heath Systems Informatics PO Box 10388 Bainbridge Island WA 98110 Healthcare Consulting Svcs 1380874 Alaska Hospitalist Group LLC 4300 B Street Suite 200 Anchorage AK 99503 Physician Services - Hospitalist 2354358 Ettain Group PO Box 60070 Charlotte NC 282600070 IT Professional Resourcing 2067022 Blazy Construction 36130 Kenai Spur Hwy Soldotna AK 99669 Construction Contractor 2116613 25 0 0 0 141136 1899296 0 73420 2040432 Hospital Service Revenue 622000 618953757 618953757 0 0 Skilled Nursing Revenue 623000 13871772 13871772 0 0 Outpatient Physician Clinic Revenue 621110 96598950 96598950 0 0 0 0 0 0 729424479 7100592 7100592 0 0 0 0 0 0 0 0 0 0 437013 0 403711 0 33302 0 33302 33302 0 0 0 0 0 1039638 240385 799253 799253 0 0 USAC Telephone Subsidy 622000 1174018 1174018 0 0 340b Pharmacy Rebate Program 622000 1578568 1578568 0 0 Property Tax Revenue 622000 70476 70476 0 0 260671 260671 0 0 3083733 742481791 740441359 0 0 170220 170220 0 0 0 0 0 0 9417909 6734209 2683700 0 0 0 0 0 119901753 119901753 0 0 3152801 3152801 0 0 23709324 23709324 0 7916451 7916451 0 0 0 0 0 0 233270 0 233270 0 130506 0 130506 0 22424 0 22424 0 0 0 0 0 0 0 19680843 19680843 0 0 243390 243390 0 0 2777671 2777671 0 0 11246078 11246078 0 0 0 0 0 0 3812017 3812017 0 0 299397 299397 0 0 0 0 0 0 536920 536920 0 0 1632561 1632561 0 0 0 0 0 0 18188178 18188178 0 0 1343301 1343301 0 0 Medicare Deductions 238203619 238203619 0 0 Medicaid Deductions 96059969 96059969 0 0 All other deductions 103757507 103757507 0 0 Medical Supplies, includes drugs and IV solutions 38109940 38109940 0 0 36317155 36317155 0 0 736863204 733793304 3069900 0 51225887 56837759 4179400 4410438 321093 177050 48471732 49297747 0 0 0 0 0 0 10148167 10867255 2107661 1772147 270044995 158099591 112377533 111945404 5014 5014 0 0 0 0 1177000 1177000 88174079 88842161 318187566 325331975 24455558 33700006 0 0 5344442 5612330 37468675 30981595 0 0 0 0 0 0 0 0 1076187 1905705 68344862 72199636 X 249842704 253132339 0 0 249842704 253132339 318187566 325331975 5618587 0 0 0 -2328952 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 1656 0 1 20768 22424 0 Schedule C, Part II-B, Line 1 Line 1(g) consists of compensation for employees to meet with representatives regarding Medicaid expansion, the Save Our Lone Emergency Services (SOLES) Act, and the Medicare Rural Community Demonstration project. Line 1(i) consists of the portion of membership dues paid to organizations that were spent on lobbying activities. These organizations were the Alaska Hospital Healthcare Association and the American Hospital Association. X 1 40 0 0 0 1 0 0 0 0 6835913 0 6835913 114961114 0 68402694 46558420 3008536 0 1165640 1842896 114151511 0 76521344 37630167 31087921 0 12009913 19078008 111945404 Plant Replacement Fund 79182239 Debt Service Account 1605473 Goodwill 2894348 Bond Reserve held in escrow 4264457 Cash from bond proceeds 895644 88842161 0 Due to Third Parties 1542416 Other Current Liabilities 363289 1905705 293346753 0 0 0 1405202 1405202 291941551 0 450540240 450540240 742481791 287409973 0 0 0 1087009 1087009 286322964 0 450540240 450540240 736863204 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 Alaskan residents, restricting the use of the land for agricultural purposes pursuant to the AK Statute 38.05.321. The building on this property is used by the Hospital's chemical dependency unit. There is no value placed on the easement itself and therefore it does not appear on the financial statements. However, the cost of the real property is recorded on the Hospital's balance sheet as its net book value. Schedule D, Part XI, Line 2d Cost of goods sold in the amount of $240,385 are required to be reported at net for durable medical equipment on the 990 Part VIII Line 10b. Rental expenses in the amount of $403,711 are deducted from revenue on the 990 Part VIII Line 6b. Revenue from the Foundation in the amount of $761,106 are also included in the audited financial statements, however they are excluded from Part VIII totals. The Foundation is a separate legal entity and although it is reported in consolidated statements with the Hospital, it files its own 990. Schedule D, Part XI, Line 4b Deductions from revenue in the amount of $450,540,240 are reported as expenses in Part IX lines 24a-d on the 990. However, they are reported net of revenue on the audited financial statements. Schedule D, Part XII, Line 2d Cost of goods sold in the amount of $240,385 are required to be reported at net for durable medical equipment on the 990 Part VIII Line 10b. Rental expenses in the amount of $403,711 are deducted from revenue on the 990 Part VIII Line 6b. Expenses from the Foundation in the amount of $442,913 are also included in the audited financial statements, however they are excluded from Part IX totals. The Foundation is a separate legal entity and although it is reported in consolidated statements with the Hospital, it files its own 990. Schedule D, Part XII, Line 4b Deductions from revenue in the amount of $450,540,240 are reported as expenses in Part IX lines 24a-d on the 990. However, they are reported net of revenue on the audited financial statements. 1 1 X 1 X 1 X 1 1 1 0 0 0 4204 4092208 0 4092208 0.0149 1 0 40390871 36107665 4283206 0.0156 0 0 0 0 0 0 1 4204 44483079 36107665 8375414 0.0305 537 57299 1354659 56260 1298399 0.0047 54 731 225415 7729 217686 0.0008 22 0 53750028 30165549 23584478 0.0859 4 127 6809 3595 3214 0.00 784 1024 318540 0 318540 0.0012 1401 59181 55655451 30233133 25422317 0.0926 1402 63385 100138530 66340798 33797731 0.1231 0 0 0 0 0 0 2 0 36 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 36 0 36 0 1 11059539 0 63413729 86409722 -22995993 X 1 1 1 1 Central Peninsula Hospital 250 Hospital Place Soldotna AK 99669 www.cpgh.org X X X Central Peninsula Hospital 1 0 0 1 X X X X X X X X 24 1 0 0 1 X www.cpgh.org 1 23 1 www.cpgh.org 0 0 1 X 200 300 X X X X X 1 1 X X X 1 X www.cpgh.org/patientfinancialservices/financial-assistance/ X www.cpgh.org/patientfinancialservices/financial-assistance/ X www.cpgh.org/patientfinancialservices/financial-assistance/ X X X X X X 1 X 0 X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-Central Peninsula Hospital Every three years, the Hospital conducts a Community Health Needs Assessment to evaluate the needs of the community. This report is prepared by an independent contractor who conducts surveys and interviews community members. The most recent report was prepared for FY2023-FY2025 and indicates that the categories showing the largest increase in perceived need from the prior reporting period were Mental Health & Substance Abuse Services, Nutrition and Obesity, Cardiovascular Health, Access to Health Care Services, and Cancer Care. In response to these findings, the Hospital actively recruited for a staff Psychiatrist and opened a Mental Wellness Clinic. Other service lines added to address community needs are the Diabetes Center and the Gastroenterology Clinic. The Hospital also added additional family practice, neurology, and orthopedic physicians to address the Access to Health Care Services need. The Hospital entered into an agreement with the University of Washington to implement an Internal Medicine Residency Program. Two Hematology/Oncology physicians who are both dual Board Certified in Hematology and Oncology, began seeing patients in November 2023. In addition, the Care Transitions Detox Center has increased their bed capacity from 7 beds to 10 beds. Two interventional pain physicians were added to the staff to focus on chronic pain. The Hospital has added several community health education activities such as a Women and Babies Health Fair and continues to partner with other local medical providers, patients, hospital associations, and local governments to determine whether community health needs are being met and where opportunities for improvement may exist. Schedule H, Part V, Section B, Line 11-Central Peninsula Hospital Every three years, the Hospital conducts a Community Health Needs Assessment to evaluate the needs of the community. This report is prepared by an independent contractor who conducts surveys and interviews community members. The most recent report was prepared for FY2023-FY2025 and indicates that the categories showing the largest increase in perceived need from the prior reporting period were Mental Health & Substance Abuse Services, Nutrition and Obesity, Cardiovascular Health, Access to Health Care Services, and Cancer Care. In response to these findings, the Hospital actively recruited for a staff Psychiatrist and opened a Mental Wellness Clinic. Other service lines added to address community needs are the Diabetes Center and the Gastroenterology Clinic. The Hospital also added additional family practice, neurology, orthopedic, and women's health physicians to address the Access to Health Care Services need. The Hospital entered into an agreement with the University of Washington to implement an Internal Medicine Residency Program. Two Hematology/Oncology physicians who are both dual Board Certified in Hematology and Oncology, began seeing patients in November 2023. In addition, the Care Transitions Detox Center has increased their bed capacity from 7 beds to 10 beds. Two interventional pain physicians were added to the staff to focus on chronic pain. The Hospital has added several community health education activities such as a Women and Babies Health Fair and sponsorship of free senior access to the new Soldotna Field House indoor walking track. The Hospital continues to partner with other local medical providers, patients, hospital associations, and local governments to determine whether community health needs are being met and where opportunities for improvement may exist. Schedule H, Part V, Section B, Line 13h-Central Peninsula Hospital Employment status, family size, and catastrophic circumstances. Schedule H, Part V, Section B, Line 16j-Central Peninsula Hospital Hospital admissions staff attempt to provide a financial assistance brochure to each patient during admission or discharge. The brochure is also available in hard copy at Hospital entrances and in the various departments and clinics. It is also available on our website. Financial counselors personally contact all patients with past due balances to explain the policy and their options. They offer assistance with filling out the application and are able to set up monthly payment plans as needed. The financial assistance brochure is made available to community members at the Hospital sponsored community events (such as health fairs and Wednesday in the Park) 25 River Tower Outpatient Imaging 240 Hospital Place Suite 102 Soldotna AK 99669 Outpatient imaging services Kenai Spine 240 Hospital Place Suite 104 Soldotna AK 99669 Spine clinic Heritage Place 232 Rockwell Ave Soldotna AK 99669 Skilled nursing facility, longterm care Central Peninsula Bone & Joint Center 240 Hospital Place Suite 204 Soldotna AK 99669 Orthopedic clinic Kenai Physical Medicine 260 Caviar St Kenai AK 99611 Physical therapy clinic Central Peninsula Internal Medicine 247 N Fireweed St Suite A Soldotna AK 99669 Internal Medicine physicians Central Peninsula Urology 240 Hospital Place Suite 303 Soldotna AK 99669 Urology clinic Serenity House 47480 Kristina Way Soldotna AK 99669 Chemical dependency treatment center Soldotna Physical Medicine 245 N Binkley Soldotna AK 99669 Physical Therapy clinic Central Peninsula Foot & Ankle 240 Hospital Place Suite 203 Soldotna AK 99669 Podiatry clinic Surgery Center 100 Trading Bay Road Kenai AK 99611 Outpatient surgery center Central Peninsula Women's Health 108 E Corral St Soldotna AK 99669 OB/Gyn Physician Medical Office Central Peninsula Urgent Care 10128 Kenai Spur Hwy Kenai AK 99611 Urgent Care clinic Central Peninsula Neurology 262 N Binkley Street Soldotna AK 99669 Neurology clinic Central Peninsula Family & Pediatrics 245 N Binkley St Suite 101 Soldotna AK 99669 Family practice clinic Central Peninsula Surgical Associates 240 Hospital Place Suite 305 Soldotna AK 99669 Surgical clinic Central Peninsula Hospital Transitional Living Ctr 362 Tyee Street Soldotna AK 99669 Transitional Living Center Central Peninsula Care Transitions 354 Tyee St Soldotna AK 99669 Detox Center River Tower Oncology 240 Hospital Place Suite 301 Soldotna AK 99669 Oncology services Central Peninsula Family Practice Kenai 506 Lake Street Kenai AK 99611 Family practice clinic Serenity House Medical Clinic 245 N Binkley St Soldotna AK 99669 Outpatient substance abuse treatment Central Peninsula Gastroenterology 240 Hospital Place Soldotna AK 99669 Gastroenterology clinic Central Peninsula Mental Wellness 291 N Fireweed St Soldotna AK 99669 Mental wellness clinic Kenai Health Center 630 Barnacle Way Kenai AK 99611 Diagnostic imaging, lab, and domestic violence services Diabetes Center 209 W Katmai Ave Soldotna AK 99669 Diabetes Clinic Schedule H, Part I, Line 7 In most cases, the costs listed in Line 7 are the actual costs associated with these programs. In cases where the costs for certain activities are too cumbersome to compile, the cost to charge ratio from the most recently filed Medicare Cost Report was used. Schedule H, Part I, Line 7, Column f Bad debt expense of $11,059,540 was reported in Part IX, Line 25 Functional Expenses. However, they were reported at cost in Schedule H based on cost to charge ratio. Schedule H, Part II The Hospital supports economic development within the community through active collaboration with local organizations and business leaders. As part of this effort, a Hospital representative regularly attended Chamber of Commerce board lunches, providing opportunities to engage with other local businesses and community stakeholders. These meetings focused on identifying ways to support small business development, strengthen the local economy, and promote sustainable growth. Through participation in these collaborative discussions and initiatives, the Hospital contributes to fostering a healthy economic environment that benefits both the community and the populations it serves. Schedule H, Part III, Section A, Line 4 Bad debt provisions are made for the amount of revenue that will not be collected from patients to whom services were billed but not paid. The Hospital has determined these patients are neither medically or 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 condition, 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. Schedule H, Part III amounts are based on the combined Medicare and Medicaid cost to charge ratio per our most recently filed cost report. It is our belief that all of these bad debts should be considered a community benefit because they provide a necessary and vital health benefit to the community members we serve, regardless of ability to pay. Schedule H, Part III, Section B, Line 8 It is our belief that the shortfall of the actual receipts from Medicare compared to the cost to provide care to Medicare patients should be considered a community benefit. 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 a portion, which is a patient's copay or deductible, and may not engage in collection efforts on the remainder. Medicare patients comprise a significant percentage of our community members, and we must provide needed medical services to this population irrespective of the amount of payment we will receive. Schedule H, Part III, Section C, Line 9b The Hospital's collection policy addresses private pay patients and defines the individuals who are eligible to receive financial assistance based on either financial or medical indigence. The collection policy refers to the charity care policy for instruction for determining eligibility. As noted in Part I, the charity care policy is based on the FPG which is the basis for a sliding scale between 200 and 300% of those guidelines. Applicants at the upper end of the scale are eligible for a discount on their bill, while those on the lower end of the scale are eligible for free care. Schedule H, Part VI, Line 2 In addition to the Community Health Needs Assessment and strategic plan, the Hospital also determines health deficiencies in the community in other ways. Hospital Administrators round on patients and meet regularly with an advisory committee comprised of area residents and former patients to determine the needs of the community. As open dialogue exists between Hospital management, community leaders, local governing bodies, patients, staff and medical providers. This community engagement fosters trust in addition to identifying community needs. Schedule H, Part VI, Line 3 Hospital admissions staff attempt to provide a financial assistance brochure to each patient during admission or discharge. The brochure is also available in hard copy at hospital entrances and in various departments and clinics. It is also readily available on our website. Financial counselors personally contact all patients with past due balances to explain the policy and their options. They also offer assistance with filling out the application and can set up monthly payments as needed. Schedule H, Part VI, Line 4 The area served by the Hospital is located on the Kenai Peninsula in South Central Alaska. According to the Kenai Peninsula Borough's FY2025 budget, in 2024 the Kenai Peninsula Borough had a population of 60,690 residents. Schedule H, Part VI, Line 5 The Hospital engages in numerous community initiatives year-round to improve health and awareness in our service area. In addition to providing monetary donations, the Hospital makes public service announcements on important healthcare issues, provides health professional educational opportunities, holds health fairs and immunization clinics, publishes community health newsletters, and provides meeting space for health and community activities. 1 Hospice of the Central Peninsula PO Box 2584 Soldotna AK 99669 920118643 501c3 36370 Bereavement program and Dessert & Wine event sponsorship American Cancer Society PO Box 230148 Anchorage AK 99523 131788491 501c3 10000 Hooked on a Cure sponsorship. Soldotna Chamber of Commerce 44790 Sterling Hwy Soldotna AK 99669 920061612 501c6 17000 Music in the Park sponsorship, AMP Sponsorship, Diamond Level Community Partner. Kenai Chamber of Commerce 11471 Kenai Spur Hwy Kenai AK 99611 920117443 501c6 6500 Program sponsorships Kenai Peninsula Food Bank 33955 Community College Drive Soldotna AK 99669 923112445 501c3 35000 Community Food Drive, Soup Supper, Spring Festival, and It's Scary to be Hungry sponsorship Boys & Girls Club of the Kenai Peninsula 320 S Spruce St Kenai AK 99611 943067142 501c3 20350 Annual program and team sponsorship City of Soldotna 177 N Birch Street Soldotna AK 99669 920030328 170c1 20000 Field House and senior citizen walking sponsorship. AHHA 1049 W 5th Ave Ste 200 Anchorage AK 99501 135613797 501c3 15000 Elite Conference Sponsorship Kenai Watershed Forum 44128 Sterling Hwy Soldotna AK 99669 911829284 501c3 10000 Salmon Run sponsorship 6 3 Schedule I, Part I, Line 2 The Hospital provides cash contributions to local organizations which support community initiatives and healthy living on the Kenai Peninsula. Contributions are only made to organizations in good community standing. Hospital management is responsible for authorizing any assistance to outside organizations and does so with discretion. X 0 1 X X X X X 0 1 0 0 0 1 0 0 0 Robert Cadoff Urologist 935031 0 0 0 5700 0 7162 0 19112 0 967005 0 0 0 Aaron Humphreys Orthopedic Surgeon 849868 0 52107 0 118672 0 0 0 16931 0 1037578 0 0 0 Michael Reyes Orthopedic Surgeon 1016255 0 221536 0 153904 0 7162 0 38630 0 1437487 0 0 0 Steven Humphreys Spine Surgeon 967508 0 0 0 3739 0 7162 0 37466 0 1015875 0 0 0 John Andreshak Spine Surgeon 767536 0 81969 0 135017 0 7162 0 31595 0 1023279 0 0 0 Gregg Motonaga Anesthesiologist/Board Member 730994 0 59549 0 1417 0 7162 0 37630 0 836752 0 0 0 John Bramante Physician/Board Member 416899 0 123971 0 41573 0 7162 0 44078 0 633683 0 0 0 Shaun Keef CEO 456040 0 196970 0 77586 0 21875 0 44078 0 796549 0 0 0 Marshall Pearson CIO 99505 0 1078 0 36295 0 2178 0 21115 0 160171 0 0 0 Charles Mickelson CMO 417332 0 6514 0 2948 0 7162 0 96285 0 530241 0 0 0 Denise Plano CNO 230045 0 25702 0 23924 0 5638 0 29830 0 315139 0 0 0 Michael Haggerty CFO 240079 0 46404 0 33869 0 13575 0 14733 0 348660 0 0 0 Karen Scoggins COO 252728 0 53045 0 46328 0 14062 0 33030 0 399193 0 0 0 Schedule J, Part I, Line 1a Fringe benefits are recorded throughout the year; however, if an employee does not have sufficient wages to cover the associated tax withholding, the Hospital performs a gross up at year end. The Hospital pays the employee portion of Social Security and Medicare taxes associated with the benefit. These employer paid amounts are treated as additional taxable compensation to the employee. Employees remain responsible for any applicable federal income taxes related to these fringe benefits, which are reported on Form W-2. Schedule J, Part I, Line 1b The gross up adjustment for fringe benefits is based on the Hospitals historical practice and is not based on a written policy. Schedule J, Part I, Line 3 The Hospital contracts with an independent consultant every 3 years to perform a review of executive salaries and benefits. The most recent review was completed in January 2023. The resulting report is provided to the Board and Management for review. The Board then sets compensation levels for the CEO through a written employment agreement. The CEO is responsible for hiring the rest of the Hospital's executive team and for using comparable data studies to set competitive compensation salary packages. Schedule J, Part I, Line 4 The Hospital provides a 457 Top Hat plan to certain key employees and executives. Some individuals listed on Schedule J participated in the plan and either deferred their own compensation or received Hospital contributions into the plan throughout the year. Schedule J, Part I, Line 6 The Hospital has an annual incentive plan for all employees. Incentive is based on a series of operational and quality measures in order to maintain the highest standard of patient care. One of the measures is meeting the Hospital's financial budget. The incentive is not calculated on actual earnings. Other measures include Quality of Care indicators and Patient Satisfaction. A Kenai Peninsula Borough 920030894 01179RDP5 2014-02-20 32490000 2014 Medical Office Building construction bonds 0 0 1 B Kenai Peninsula Borough 920030894 01179RXH1 2017-11-29 28955000 2018 Cath Lab and OB construction bonds 0 0 1 C Kenai Peninsula Borough 920030894 000000000 2025-04-08 7935000 Refunding bonds - 2014 Revenue 0 0 1 A 32490000 0 34999563 0 1813599 0 127595 0 0 35305243 0 0 2016 0 0 1 1 B 7330000 0 29140645 2882765 763562 811961 436394 0 0 29172515 56665 0 2020 0 0 0 1 C 0 0 8285069 991118 0 793500 84843 0 0 0 0 0 2025 1 0 1 1 A 0 1 0 0 0.11 0 0.11 1 0 1 B 0 0 0 0 0 0 0 1 0 1 C A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 Michael Reyes Employee & Board Member 1424212 Total compensation & benefits 0 Jesse Kincaid Board Member/Radiology Medical Director 22000 Total payments for medical directorship 0 Form 990, Part VI, Section A, Line 7b The Executive team and Board Members complete annual Conflict of Interest statements which are reviewed by management and the Finance team to assess independence. The Board reviews and discusses any conflicts of interest which arise throughout the year and takes appropriate action. If a conflict arises, the Board Member in conflict will abstain from voting on the applicable resolution. Form 990, Part VI, Section B, Line 11b The 990 is prepared by the Hospital's accounting department and reviewed by the Controller. It is submitted to the Hospital Administration for review. Edits may be suggested and incorporated into the filing. Draft 990's and supporting schedules are then submitted to the Finance Committee and Board Members for review and comment before the final filing. Form 990, Part VI, Section B, Line 12c The Executive Team and Board Members complete annual Conflict of Interest statements which are reviewed by management and the Finance Team to assess independence. The Board reviews and discusses any conflicts of interest which arise throughout the year and takes appropriate actions. If a conflict arises, the Board member in conflict will abstain from voting on the applicable resolution. Form 990, Part VI, Section B, Line 15 An independent professional executive compensation study is performed every 3 years. The most recent study was completed in January 2023. These reports are submitted to the Board for review and are used to set the wage scale for the CEO. Form 990, Part VI, Section C, Line 19 The Hospital makes its audited financial statements and governing documents available to the public for inspection upon request. Copies of the audited financial statements are supplied to the Executive Team and Board Members, as well as the Kenai Peninsula Borough. The lead auditor presents the results of the audit to the Board discussing how the audit went and the overall results. The Hospital's 990 is widely available to the public on Guidstar.com and other websites. 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 owns hospital assets AK 115 N/A 0 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 Central Peninsula Health Foundation c 141136 This amount represents total contributions received from the Foundation in payment for programs, capital, and grants to individuals for assistance. The Hospital pays these expenses and is then reimbursed by the Foundation. Central Peninsula Health Foundation j 14184 The Hospital provides office space to the Foundation Director for the cost of $1,182 per month. This includes all costs to maintain the space, such as utilities and janitorial services. Central Peninsula Health Foundation m 141136 The Foundation performs fundraising activities for which substantially all of the donations are intended to benefit the Hospital and its various programs. Central Peninsula Health Foundation n 14184 The Hospital provides office space to the Foundation Director for the cost of $1,182 per month. This includes all costs to maintain the space, such as utilities and janitorial services. Central Peninsula Health Foundation o 138393 The Hospital shares employees for Directorship and Accounting functions necessary to operate the Foundation. The amount represents associated salaries and benefits. Kenai Peninsula Borough k 1 The Hospital is operated by Central Peninsula General Hospital, Inc. through an operating agreement with the Kenai Peninsula Borough. The amount of the agreement is $1.00 per annum. Kenai Peninsula Borough p 5693321 During the tax year, the Hospital reimbursed the Kenai Peninsula Borough for bond debt service, insurance premiums, refuse, and sales tax payments. This amount represents those cash payments. Filed Form 8868 to extend due date to May 15, 2026. Received approval from the IRS with Notice date September 16, 2025.