CENTRAL PENINSULA GENERAL HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CENTRAL PENINSULA GENERAL HOSPITAL INC (EIN 92-0077523)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202431359349308968
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-14T15:29:19-07:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN920077523EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL PENINSULA GENERAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone9077144404PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Hospital PlaceAddressLine1Txt
CitySoldotnaCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99669ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael HaggertyPersonNm
Person TitleCFOPersonTitleTxt
Phone9077144722PhoneNum
Signature2024-05-14SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMichaelPersonFirstNm
Person LastHaggertyPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer1TrustedCustomerCd
OOB Security Verification11OOBSecurityVerificationCd
Last Submission Rqr OOB1LastSubmissionRqrOOBCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Central Peninsula HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerShaun KeefPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Hospital PlaceAddressLine1Txt
CitySoldotnaCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99669ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$606,922,638GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cpgh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateAKLegalDomicileStateCd
Activity Or MissionWe are a community initiated and community nurtured organization dedicated to promoting wellness and providing high quality health care that ensures the confidence and loyalty of our patients. We strive to improve individual and community health and achieve national standards of excellence.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1306TotalEmployeeCnt
Total Volunteers57TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,124,702PYContributionsGrantsAmt
CY Contributions Grants$2,841,792CYContributionsGrantsAmt
PY Program Service Revenue$527,906,761PYProgramServiceRevenueAmt
CY Program Service Revenue$597,617,379CYProgramServiceRevenueAmt
PY Investment Income$191,332PYInvestmentIncomeAmt
CY Investment Income$1,856,232CYInvestmentIncomeAmt
PY Other Revenue$4,725,227PYOtherRevenueAmt
CY Other Revenue$3,894,443CYOtherRevenueAmt
PY Total Revenue$542,948,022PYTotalRevenueAmt
CY Total Revenue$606,209,846CYTotalRevenueAmt
PY Grants And Similar Paid$94,600PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$98,245CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$116,490,870PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$123,972,966CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$403,934,445PYOtherExpensesAmt
CY Other Expenses$460,163,046CYOtherExpensesAmt
PY Total Expenses$520,519,915PYTotalExpensesAmt
CY Total Expenses$584,234,257CYTotalExpensesAmt
PY Revenues Less Expenses$22,428,107PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,975,589CYRevenuesLessExpensesAmt
Total Assets BOY$290,881,736TotalAssetsBOYAmt
Total Assets EOY$308,441,653TotalAssetsEOYAmt
Total Liabilities BOY$79,702,584TotalLiabilitiesBOYAmt
Total Liabilities EOY$75,286,912TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$211,179,152NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$233,154,741NetAssetsOrFundBalancesEOYAmt
MissionWe are a community initiated and community nurtured organization dedicated to promoting wellness and providing high quality health care that ensures the confidence and loyalty of our patients. We strive to improve individual and community health and achieve national standards of excellence. We are dedicated to providing the highest quality patient and resident centered care in a healing environment.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$500,942,946ExpenseAmt
Revenue$510,883,849RevenueAmt
DescOur 49 bed hospital provided patient and ancillary services to 2,631 inpatients and 178,343 outpatients during the 2022 tax year. The hospital provides emergency medical services regardless of ability to pay. Emergency medical services were provided to 17,044 individuals, and 2,057 of those individuals were admitted to the hospital. 5,095 surgical procedures were performed in the hospital during the tax year. The imaging department performed 57,350 procedures. 76,658 physical medicine 15-minute procedures were provided to area residents. During the 2022 tax year, free medical services in the amount of $7,943,977 (gross charges) were provided to patients eligible for charity care.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,454,654ExpenseAmt
Revenue$13,925,892RevenueAmt
DescSkilled 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 2022 tax year were 18,403 days. An average of 50 residents per day were provided long term care and nursing. Ancillary services for residents included 4,548 therapy treatments.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$65,221,163ExpenseAmt
Revenue$72,807,638RevenueAmt
DescThe hospital operates 13 family and specialty physician services clinics providing care in the following areas: Family Medicine, Pediatrics, Neurology, Surgery, Urology, Podiatry, Internal Medicine, Women's Health, Orthopedics, Oncology, Pain Management, Spine, and outpatient substance abuse treatment. During the 2022 tax year physician and specialty services were provided for 46,244 visits. The Urgent Care clinic which began operations in tax year 2020 to provide for emergent care visits outside of the hospital had 6,807 visits during the year.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$580,618,763TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation EasementsYes (1)ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document111IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1306EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Central Peninsula HospitalBusinessNameLine1Txt
Business Name Line2Finance DepartmentBusinessNameLine2Txt
FieldValueIRS element (for citing)
Phone9077144627PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Hospital PlaceAddressLine1Txt
CitySoldotnaCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99669ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndOfficerOfficerInd
Michael Reyes
Orthopedic Surgeon400Yes (X)Yes (X)$1,366,948$0$28,941
Robert Cadoff
Urologist400Yes (X)$1,129,149$0$17,393
Darren Mullins
Oncologist400Yes (X)$1,104,606$0$28,941
Herbert Bote
Orthopedic Surgeon400Yes (X)$1,103,786$0$27,554
Jason Lattin
Surgeon400Yes (X)$806,565$0$78,872Yes (X)
David King
Surgeon400Yes (X)$839,687$0$28,941
Gregg Motonaga
Anesthesiologist/Board Member400Yes (X)Yes (X)$827,886$0$25,084Yes (X)
Gregory Hough
Surgeon400Yes (X)$810,133$0$39,646Yes (X)
Aaron Wonnacott
Emergency Physician40.000Yes (X)$681,078$0$35,913Yes (X)
Rick Davis
CEO400$616,246$0$41,284Yes (X)
John Bramante
Physician/Board Member400Yes (X)$465,328$0$38,213Yes (X)
Shaun Keef
COO/CEO400$411,634$0$47,980Yes (X)
Karen Scoggins
CNO/COO400$307,044$0$35,204Yes (X)
Michael Haggerty
CFO400$280,797$0$23,036Yes (X)
James McHale
Board President80Yes (X)$13,750$0$0
Silverio Mattero
Board Member40Yes (X)$2,600$0$2,600
Trena Richardson
Board Member40Yes (X)$4,100$0$0
Jay Rohloff
Board Member40Yes (X)$3,600$0$0
Steve Horn
Board Vice President40Yes (X)$3,550$0$0
Maxwell Best
Board Member40Yes (X)$2,900$0$0
Lynda Columbia
Board Member40Yes (X)$2,750$0$0
Carrie Couey
Board Secretary/Treasurer40Yes (X)$2,550$0$0
Paul Ostrander
Board Member40Yes (X)$2,350$0$0
Jesse Kincaid
Board Member40Yes (X)$2,150$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,791,187TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$499,602TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K204IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Business Name Line2ContractorName/BusinessName/BusinessNameLine2TxtAddress Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Medical Solutions LLC
dba Focusone Solutions LLC1010 N 102nd StSte 300OmahaNE68114Contract Labor Provider$6,180,194
Alaska Hospitalist Group LLC
4300 B StreetSuite 200AnchorageAK99503Physician Services - Hospitalist$1,355,400
Heath Systems Informatics
PO Box 10388Bainbridge IslandWA98110Healthcare Consulting Services$1,684,025
Himagine Solutions LLC
PO Box 743505AtlantaGA30374Medical Coding Contractor$743,782
Blazy Construction Inc
36130 Kenai Spur HwySoldotnaAK99669Construction Contractor$645,479
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$80,987RelatedOrganizationsAmt
Government Grants$2,760,805GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$47,673NoncashContributionsAmt
Total Contributions$2,841,792TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Hospital Service Revenue622000$510,883,849$510,883,849$0$0
Skilled Nursing Revenue623000$13,925,892$13,925,892$0$0
Outpatient Physician Clinic Revenue621110$72,807,638$72,807,638$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$597,617,379TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,856,232TotalRevenueColumnAmt
Related Or Exempt Func Income$1,856,232RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$437,126RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$502,614RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$65,488RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$65,488TotalRevenueColumnAmt
Related Or Exempt Func Income-$65,488RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$1,210,309GrossSalesOfInventoryAmt
Cost Of Goods Sold$210,178CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,000,131TotalRevenueColumnAmt
Related Or Exempt Func Income$1,000,131RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
USAC Telephone Subsidy622000$949,128$949,128$0$0
340b Pharmacy Rebate Program622000$1,922,269$1,922,269$0$0
Property Tax Revenue622000$88,403$88,403$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,959,800OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$606,209,846TotalRevenueColumnAmt
Related Or Exempt Func Income$603,368,054RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$98,245TotalAmt
Program Services$98,245ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,225,925TotalAmt
Program Services$5,952,271ProgramServicesAmt
Management And General$3,273,654ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$89,142,217TotalAmt
Program Services$89,142,217ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,640,489TotalAmt
Program Services$2,640,489ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,634,402TotalAmt
Program Services$16,634,402ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,329,933TotalAmt
Program Services$6,329,933ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$171,133TotalAmt
Management And General$171,133ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$155,542TotalAmt
Management And General$155,542ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$15,165TotalAmt
Management And General$15,165ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,632,285TotalAmt
Program Services$17,632,285ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$247,128TotalAmt
Program Services$247,128ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,014,296TotalAmt
Program Services$2,014,296ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,566,122TotalAmt
Program Services$9,566,122ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,984,560TotalAmt
Program Services$3,984,560ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$175,956TotalAmt
Program Services$175,956ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$243,405TotalAmt
Program Services$243,405ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,851,913TotalAmt
Program Services$1,851,913ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,581,735TotalAmt
Program Services$13,581,735ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,179,564TotalAmt
Program Services$1,179,564ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medicare deductions$180,399,734$180,399,734$0$0
Medicaid Deductions$83,417,555$83,417,555$0$0
All other deductions$77,120,660$77,120,660$0$0
Charity & Bad Debt$17,876,644$17,876,644$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$50,529,649TotalAmt
Program Services$50,529,649ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$584,234,257TotalAmt
Program Services$580,618,763ProgramServicesAmt
Management And General$3,615,494ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$45,854,334BOYAmt
EOY$56,248,801EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,179,194BOYAmt
EOY$6,507,397EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$207,870BOYAmt
EOY$452,654EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$32,913,299BOYAmt
EOY$38,521,664EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,082,783BOYAmt
EOY$8,893,820EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,630,874BOYAmt
EOY$2,886,578EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$244,437,792LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$131,102,449LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$110,463,270BOYAmt
EOY$113,335,343EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$500,000BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,177,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$85,050,112BOYAmt
EOY$80,418,396EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$290,881,736BOYAmt
EOY$308,441,653EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,431,738BOYAmt
EOY$23,595,370EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,583,500BOYAmt
EOY$4,797,186EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,448,023BOYAmt
EOY$44,507,236EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,239,323BOYAmt
EOY$2,387,120EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$79,702,584BOYAmt
EOY$75,286,912EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$211,179,152BOYAmt
EOY$233,154,741EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$211,179,152BOYAmt
EOY$233,154,741EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$290,881,736BOYAmt
EOY$308,441,653EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$21,975,589ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$1,305DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$13,860OtherActivitiesAmt
Total Lobbying Expenditures$15,165TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
ExplanationLine 1(g) consists of compensation for employees to meet with representatives regarding Medicaid expansion and the Medicare Rural Community Hospital 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Preservation Public UseYes (X)PreservationPublicUseInd
Total Easements1TotalEasementsCnt
Total Acreage40TotalAcreageCnt
Historic Structure Easements0HistoricStructureEasementsCnt
Historic Strctr Easements Aftr0HistoricStrctrEasementsAftrCnt
Modified Easements0ModifiedEasementsCnt
States Easements Held1StatesEasementsHeldCnt
Written Policy Monitoring0WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement0StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement$0ExpensesIncurredEnforcementAmt
Section170h Rqr Stsfd0Section170hRqrStsfdInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$6,992,060InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$6,992,060BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$115,534,945InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$58,966,817DepreciationAmt
Book Value$56,568,128BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,828,054InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$671,383DepreciationAmt
Book Value$2,156,671BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$104,936,542InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$64,975,247DepreciationAmt
Book Value$39,961,295BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$14,146,191InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$6,489,002DepreciationAmt
Book Value$7,657,189BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$113,335,343TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Plant Replacement Fund$66,251,079
Debt Service Account$6,396,482
Goodwill$4,722,357
Bond reserve held in escrow$1,977,167
Cash from bond proceeds$964,751
Deferred loss on bond refunding$106,560
FieldValueIRS element (for citing)
Total Book Value Other Assets$80,418,396TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to third partiesDesc
Amt$2,387,120Amt
FieldValueIRS element (for citing)
Total Liability$2,387,120TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$258,601,969TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$1,776,665OtherRevenueAmt
Revenue Not Reported$1,776,665RevenueNotReportedAmt
Revenue Subtotal$256,825,304RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$349,384,542OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$349,384,542RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$606,209,846TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$235,994,326TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$641,997OtherExpensesIncludedAmt
Expenses Not Reported$641,997ExpensesNotReportedAmt
Expenses Subtotal$235,352,329ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$348,881,928OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$348,881,928ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$584,234,257TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part II, Line 9In 2008, the Hospital purchased a building which resides on 40 acres of land subject to a perpetual covenant for the benefit of all Alaska residents, restricting the use of the land for agricultural 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 at its net book value.
Schedule D, Part XI, Line 2dCost of goods sold in the amount of $210,178 are required to be reported at net for durable medical equipment on the 990 Part VIII line 10b. COGS is reported as an expense on the audited financial statements. Revenue from the Foundation in the amount of $1,566,487 is also included on the audited financial statements, however they are excluded from the 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 4bDeductions from revenue in the amount of $348,881,928 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. Rental Expenses of $502,614 are deducted from Revenue in Part VIII. Rental expenses are recorded as an expense on the audited financial statements.
Schedule D, Part XII, Line 2dCost of goods sold in the amount of $210,178 are required to be reported at net for durable medical equipment on the 990, Part VIII line 10b. COGS is reported as an expense on the audited financial statements. Expenses from the Foundation in the amount of $431,819 are also included in the audited financial statements, however they are excluded from the 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 XII, Line 4bDeductions from revenue in the amount of $348,881,928 are reported as expenses in Part IX lines 24 a-d on the 990, however they are reported net of revenue on the audited financial statements.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served672PersonsServedCnt
Total Community Benefit Expns$2,184,324TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,184,316NetCommunityBenefitExpnsAmt
Total Expense0.0098TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$38,922,254TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,435,529DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served672PersonsServedCnt
Total Community Benefit Expns$41,106,578TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,435,529DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,184,316NetCommunityBenefitExpnsAmt
Total Expense0.0098TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs230ActivitiesOrProgramsCnt
Persons Served52300PersonsServedCnt
Total Community Benefit Expns$907,770TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,467DirectOffsettingRevenueAmt
Net Community Benefit Expns$863,304NetCommunityBenefitExpnsAmt
Total Expense0.0039TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs47ActivitiesOrProgramsCnt
Persons Served715PersonsServedCnt
Total Community Benefit Expns$60,357TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,570DirectOffsettingRevenueAmt
Net Community Benefit Expns$53,787NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$28,794,890TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,386,589DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,408,301NetCommunityBenefitExpnsAmt
Total Expense0.0514TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served119PersonsServedCnt
Total Community Benefit Expns$16,577TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,510DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,067NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs180ActivitiesOrProgramsCnt
Persons Served2370PersonsServedCnt
Total Community Benefit Expns$279,997TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$300DirectOffsettingRevenueAmt
Net Community Benefit Expns$279,697NetCommunityBenefitExpnsAmt
Total Expense0.0013TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs479ActivitiesOrProgramsCnt
Persons Served55504PersonsServedCnt
Total Community Benefit Expns$30,059,591TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,439,436DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,620,156NetCommunityBenefitExpnsAmt
Total Expense0.0569TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs480ActivitiesOrProgramsCnt
Persons Served56176PersonsServedCnt
Total Community Benefit Expns$71,166,169TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,874,965DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,804,472NetCommunityBenefitExpnsAmt
Total Expense0.0667TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,932,667BadDebtExpenseAmt
Bad Debt Expense Attributable$2,513,152BadDebtExpenseAttributableAmt
Reimbursed By Medicare$56,552,984ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$66,955,052CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,402,068MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Central Peninsula HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Hospital PlaceAddressLine1Txt
CitySoldotnaCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99669ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.cpgh.orgWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Central Peninsula HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted23CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.cpgh.orgOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.cpgh.org/Patient Financial ServicesFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.cpgh.org/PatientFinancialServicesFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.cpgh.org/PatientFinancialServicesFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Central Peninsula HospitalEvery 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 has plans to open a Mental Wellness Clinic staffed with two Psych Nurse Practitioners in November 2023. The Hospital is also actively recruiting for a staff Psychiatrist. The Care Transitions Detox Center has increased bed capacity from 7 beds to 10 beds. Two Interventional Pain Physicians were added to focus on Chronic Pain. As of 6/30/23, a lease agreement was signed which will allow us offer additional diabetes care services, with a clinic scheduled to open in October 2023. The Hospital has added several community health education activities such as a Women and Babies Health Fair, and partners with other local organizations to promote outdoor activities. To address access to Health Care Services, the Hospital signed an agreement in April 2023 with the University of Washington to implement an Internal Medicine Residency Program. Two Physician extenders have been added to the Family Practice Clinic, and is actively recruiting for three Family Practice Physicians, and three Internal Medicine Physicians. As of 6/30/23, the Hospital was actively recruiting two Hematology/Oncology Physicians, both dual Board Certified in Hematology and Oncology, and both signed employment agreements in July 2023. In addition, the Hospital continues to collaborate with local area 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 HospitalEvery 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 has plans to open a Mental Wellness Clinic staffed with two Psych Nurse Practitioners in November 2023. The Hospital is also actively recruiting for a staff Psychiatrist. The Care Transitions Detox Center has increased bed capacity from 7 beds to 10 beds. Two Interventional Pain Physicians were added to focus on Chronic Pain. As of 6/30/23, a lease agreement was signed which will allow us offer additional diabetes care services, with a clinic scheduled to open in October 2023. The Hospital has added several community health education activities such as a Women and Babies Health Fair, and partners with other local organizations to promote outdoor activities. To address access to Health Care Services, the Hospital signed an agreement in April 2023 with the University of Washington to implement an Internal Medicine Residency Program. Two Physician extenders have been added to the Family Practice Clinic, and is actively recruiting for three Family Practice Physicians, and three Internal Medicine Physicians. As of 6/30/23, the Hospital was actively recruiting two Hematology/Oncology Physicians, both dual Board Certified in Hematology and Oncology, and both signed employment agreements in July 2023. In addition, the Hospital continues to collaborate with local area 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 HospitalEmployment status, family size, and catastrophic circumstances.
Schedule H, Part V, Section B, Line 16j-Central Peninsula HospitalHospital 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 payments plans as needed.
FieldValueIRS element (for citing)
Facility22FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
River Tower Outpatient Imaging
240 Hospital PlaceSuite 102SoldotnaAK99669Outpatient imaging services
Central Peninsula Bone & Joint Center
240 Hospital PlaceSuite 204SoldotnaAK99669Orthopedic clinic
Heritage Place
232 Rockwell AveSoldotnaAK99669Skilled nursing facility, longterm care
Central Peninsula Surgical Associates
240 Hospital PlaceSuite 305SoldotnaAK99669Surgical clinic
Kenai Spine
240 Hospital PlaceSuite 104SoldotnaAK99669Spine clinic
Central Peninsula Internal Medicine
247 N Fireweed StSuite ASoldotnaAK99669Internal Medicine physicians
Central Peninsula Urology
240 Hospital PlaceSuite 303SoldotnaAK99669Urology clinic
Soldotna Physical Medicine
245 N BinkleySoldotnaAK99669Physical Therapy clinic
Serenity House
47480 Kristina WaySoldotnaAK99669Chemical dependency treatment center
Kenai Physical Medicine
260 Caviar StKenaiAK99611Physical therapy clinic
Central Peninsula Women's Health
108 E Corral StSoldotnaAK99669OB/Gyn Physician Medical Office
Central Peninsula Neurology
262 N Binkley StreetSoldotnaAK99669Neurology clinic
Central Peninsula Foot & Ankle
240 Hospital PlaceSuite 203SoldotnaAK99669Podiatry clinic
Central Peninsula Urgent Care
10128 Kenai Spur HwyKenaiAK99611Urgent Care clinic
Central Peninsula Hospital Transitional Living Ctr
362 Tyee StreetSoldotnaAK99669Transitional Living Center
Central Peninsula Family & Pediatrics
245 N Binkley StSuite 101SoldotnaAK99669Family practice clinic
Central Peninsula Care Transitions
354 Tyee StSoldotnaAK99669Detox Center
River Tower Oncology
240 Hospital PlaceSuite 301SoldotnaAK99669Oncology services
Central Peninsula Family Practice Kenai
506 Lake StreetKenaiAK99611Family practice clinic
Serenity House Medical Clinic
245 N Binkley StSoldotnaAK99669Outpatient substance abuse treatment
Surgery Center
100 Trading Bay RoadKenaiAK99611Outpatient surgery center
Kenai Health Center
630 Barnacle WayKenaiAK99611Diagnostic imaging, lab, and domestic violence services

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7In most cases, the costs listed in Line 7 are the actual costs associated with these programs. In cases where the costs for certain activities is 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 fBad debt expense of $9,932,667 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 I, Line 7gThe Hospital included losses from subsidized Physician Clinics in Part I, Line 7(g) for family practice and specialty physician practices. Losses are included as follows: Oncology ($922,015), Urgent Care ($1,062,535), Serenity House Detox Center ($315,195), Serenity House Medical Center ($90,859), Surgical Services ($156,205), Surgery Center ($81,944), Internal Medicine ($1,231,999), Neurology ($473,266), Soldotna Family & Pediatrics ($1,352,826), Kenai Family Practice ($1,029,043), Women's Health ($295,325), Foot & Ankle ($363,785).
Schedule H, Part III, Section A, Line 4Bad 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 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. 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 8It is our belief that the shortfall in actual receipts from Medicare compared to the cost to provide care to Medicare patients should be considered a community benefit. The Hospital is required to write off all contractual allowances for Medicare patients regardless of the amount of the shortfall. The Hospital may only collect the portion which is a 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 9bThe 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 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 2In 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. An 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 3Hospital 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 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 4The area served by the Hospital is located on the Kenai Peninsula in South Central Alaska. According to the Kenai Peninsula Borough's FY2023 budget, in 2022 the Kenai Peninsula Borough had a population of 58,957 residents.
Schedule H, Part VI, Line 5The 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
Hospice of the Central Peninsula Inc
PO Box 2584SoldotnaAK99669920118643501c3$35,750$0Actual monetary donationBereavement Program and Annual Wine Event sponsorship
Boys and Girls Club of the Kenai Peninsula
320 Spruce StreetKenaiAK99611943067142501c3$18,300$0Actual monetary donationCornerstone Program contribution and Soccer Team Sponsorship
Soldotna Chamber of Commerce
44790 Sterling HwySoldotnaAK99669920061612501c6$5,500$0Actual monetary donationPlatinum level Community Parner sponsorship and Christmas in the Park
AHHA
1049 W 5th AveAnchorageAK99501920034538501c6$7,500Actual monetary donationConference sponsorshipSuite 200
Kenai Peninsula Food Bank
33955 Community College DriveSoldotnaAK99669943112445501c3$20,000$0Actual monetary donationSponsorship of Soup Supper, Spring Festival, and It's Scary to be Hungry
Bridges Community Resource Network
PO Box 1612SoldotnaAK99669920151271501c4$5,500$0Actual Monetary DonationImagination Library Program and Small Schools Basketball Tournament sponsorship
Kenai River Youth Foundation dba Kenai River Brown Bears
3360 Echo Lake RdSoldotnaAK99669262580744501c3$5,695$0Actual monetary donationSeason sponsorship
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationThe 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 do so with discretion.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert Cadoff
Urologist$1,125,392$0$30$0$3,727$0$6,527$0$16,934$0$1,152,610$0$0$0
Herbert Bote
Orthopedic Surgeon$883,876$0$142,838$0$77,071$0$6,527$0$32,538$0$1,142,850$0$0$0
Michael Reyes
Orthopedic Surgeon$1,052,725$0$198,765$0$115,458$0$6,527$0$29,519$0$1,402,994$0$0$0
Darren Mullins
Oncologist$582,130$0$416,690$0$105,786$0$6,527$0$34,169$0$1,145,302$0$0$0
David King
Surgeon$647,969$0$91,186$0$100,532$0$6,527$0$26,369$0$872,583$0$0$0
Rick Davis
CEO$387,007$0$137,258$0$91,982$0$18,871$0$27,119$0$662,237$0$0$0
Shaun Keef
COO/CEO$314,319$0$57,880$0$39,435$0$14,861$0$38,963$0$465,458$0$0$0
Michael Haggerty
CFO$206,464$0$45,337$0$28,997$0$12,170$0$13,684$0$306,652$0$0$0
Karen Scoggins
CNO/COO$225,374$0$55,075$0$26,595$0$12,791$0$29,044$0$348,879$0$0$0
Gregg Motonaga
Anesthesiologist/Board Member$772,033$0$54,503$0$1,349$0$6,527$0$29,519$0$863,931$0$0$0
John Bramante
Physician/Board Member$302,726$0$131,726$0$30,877$0$6,527$0$37,530$0$509,386$0$0$0
Jason Lattin
Surgeon$598,265$0$98,506$0$109,794$0$6,527$0$85,623$0$898,715$0$0$0
Gregory Hough
Surgeon$647,933$0$71,869$0$90,330$0$6,527$0$45,763$0$862,422$0$0$0
Aaron Wonnacott
Emergency Physician$649,141$0$31,030$0$907$0$6,527$0$38,963$0$726,568$0$0$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aGross up payments are made for certain taxable fringe benefits including life insurance over $50,000. A year-end wage adjustment is made for all 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 all federal income taxes.
Schedule J, Part I, Line 1bThe year-end gross up adjustment for fringe benefits and life insurance over $50,000 is based on historical practice and is not based on a written policy.
Schedule J, Part I, Line 3The 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 salary packages.
Schedule J, Part I, Line 4The Hospital provides a 457 Top Hat plan to certain key employees and executives. The individuals listed on Schedule J participated in the plan and either deferred their own compensation or received hospital contributions into the plan throughout the tax year.
Schedule J, Part I, Line 5In accordance with their employment agreements, Emergency Department physicians receive a percentage of their professional fees billed as compensation. The compensation is not based directly on the Hospital's overall revenue, but rather on individual charges that are generated by the Physician. The compensation method is considered reasonable and customary for these employed physicians.
Schedule J, Part I, Line 6The 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 based on actual earnings. Other measures include Quality of Care indicators and Patient Satisfaction.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Kenai Peninsula Borough
A92003089401179PX512011-09-15$27,905,000Refunding bonds - 2011 GO00Yes (1)
Kenai Peninsula Borough
B92003089401179RDP52014-02-20$32,490,0002014 Medical Office Building construction bonds00Yes (1)
Kenai Peninsula Borough
C920030894001179RJV2015-06-15$3,200,0002015 Medical Office Building construction bonds000
Kenai Peninsula Borough
D9200308940000000002016-06-09$3,050,0002016 Medical Office Building construction bonds000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYr
A$27,905,000$0$32,616,814$0$0$0$201,600$0$0$0$32,415,2050Yes (1)Yes (1)Yes (1)
B$17,395,000$0$34,999,563$3,028,236$1,813,599$1,470,824$127,595$0$0$35,212,215$000Yes (1)Yes (1)$02016
C$3,200,000$0$3,200,000$0$35,169$0$22,868$0$0$3,200,000$5,56100Yes (1)Yes (1)$02016
D$3,050,000$0$3,050,000$0$33,244$0$17,500$0$0$3,032,500$000Yes (1)Yes (1)$02016

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000000Yes (1)
B0Yes (1)000.1100.11Yes (1)0Yes (1)
C0Yes (1)000.1100.11Yes (1)0Yes (1)
D0Yes (1)000.1100.11Yes (1)0Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0000Yes (1)0000
B0Yes (1)00Yes (1)000Yes (1)
C0Yes (1)00Yes (1)000Yes (1)
D0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column a-09/15/2011 27,905,000 Kenai Peninsula BoroughPar amount of bond was $27,905,000 - lower than proceeds from issue.
Schedule K, Part I, Column b-02/20/2014 32,490,000 Kenai Peninsula BoroughPar amount of Bond was $32,490,000 - lower than proceeds from issue.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Kenai Peninsula Borough
A92003089401179RXH12017-11-29$28,955,0002018 Cath Lab and OB construction bonds00Yes (1)
Kenai Peninsula Borough
B9200308940000000002021-06-28$6,335,000Refunding bonds - 2011 GO00Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,970,000$0$29,140,645$1,541,107$762,523$2,062,538$436,394$0$0$29,139,606$29,706$02020000Yes (1)
B$3,095,000$0$6,927,370$0$0$0$26,118$0$0$0$6,901,252$0Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000Yes (1)0Yes (1)
B0000000Yes (1)0Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)00Yes (1)000Yes (1)
B0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part I, Column e-11/29/2017 28,955,000 Kenai Peninsula BoroughFormAndLineReferenceDesc
ExplanationThe bond issued Par amount less than proceedsExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
John Bramante
Employee and Board Member$465,328Total compensation and benefits0
Michael Reyes
Employee and Board Member$1,366,948Total compensation and benefits0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 7bThe 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 11bThe 990 is prepared by the Hospital's accounting department, and reviewed by the Controller. It is submitted to 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 final filing.
Form 990, Part VI, Section B, Line 12cThe 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 15An 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 19The 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 a presentation 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
Central Peninsula Health Foundation
250 Hospital PlaceSoldotnaAK99669202778670To support quality healthcare activitiesAK501(c)3Public CharityN/A0
Kenai Peninsula Borough
144 N Binkley StreetSoldotnaAK99669920030894Local Government owns hospital assetsAK115N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Central Peninsula Health Foundation
c$80,987This 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$14,184The 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$80,987The 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$14,184The 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$130,681The Hospital shares employees for Directorship and Accounting functions necessary to operate the Foundation. This amount represents associated salaries and benefits.
Kenai Peninsula Borough
k$1The 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$9,363,487During 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.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationFiled Form 8868 to extend due date to May 15, 2024. Received approval from IRS with notice date of September 4, 2023.ExplanationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.