2019-03-27T11:50:16-05:00 2018-06-30 BDO USA LLP 3601 C STREET STE 600 ANCHORAGE AK 99503 990 2017-07-01 926001607 Petersburg Medical Center % DORAN HAMMETT PETE 9077724291 PO BOX 589 PETERSBURG AK 99833 PHILIP HOFSTETTER CEO 2019-03-25 true Nayyir Rawhani CPA P01772194 9072788878 69.161.24.166 92085320190865000001 2019-03-27 P 472FA6308740A6A330A20EEE82F3FBC431A8F875 79CA4C5E9B951742828FA09982B6E1CED73F8C27 2017 2019-02-21 02:37:17Z PHILIP HOFSTETTER PO BOX 589 PETERSBURG AK 99833 16328487 false X www.pmcak.org X COMP 1993 AK OUR MISSION IS TO PROVIDE EXCELLENT HEALTHCARE AND TO PROMOTE WELLNESS IN OUR COMMUNITY 7 7 161 25 0 542012 707866 14964626 15448752 72036 77367 63353 94502 15642027 16328487 0 0 0 0 12914813 10295431 0 0 0 4731232 4990151 17646045 15285582 -2004018 1042905 17817478 17275982 14860362 15443315 2957116 1832667 X OUR MISSION IS TO PROVIDE EXCELLENT HEALTHCARE AND TO PROMOTE WELLNESS IN OUR COMMUNITY. false false 2848355 4424676 NURSING SERVICES PROVIDED IN ACUTE CARE, INTENSIVE CARE, SWINGBED, EMERGENCY ROOM, OPERATING ROOM AND HOME HEALTH SAVINGS. THESE SERVICES ARE PROVIDED IN A SEMI-REMOTE RURAL AREA OF ALASKA. ACCESS TO THE AREA IS BY AIR OR WATER ONLY. 2686706 5156398 OTHER HEALTHCARE SERVICES. THESE SERVICES ARE PROVIDED IN A SEMI-REMOTE AREA OF RURAL ALASKA. ACCESS TO THE AREA IS BY AIR OR WATER ONLY. THE SERVICES INCLUDE LABORATORY, IMAGING, AND PHYSICAL THERAPY. 2133394 2393815 CLINIC. WE PROVIDE CLINIC SERVICES TO SEMI-REMOTE AREAS OF ALASKA ACCESSIBLE BY AIR OR WATER ONLY. NURSING HOME. WE PROVIDE NURSING HOME SERVICES IN A SEMI-REMOTE AREA OF RURAL ALASKA. ACCESSIBLE BY AIR OR WATER ONLY. 1910472 3473863 LONG TERM CARE 1910472 3473863 9578927 true true false false false false false false false false true false false true true false true true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 41 0 true 161 true false false false false false false false false false false X 7 7 false false false false false false false true true false false true false false true true true false X DORAN HAMMETT 9077724291 PO BOX 589 PETERSBURG AK 99833 JEROD COOK President 2.0 0.25 X X 0 0 0 GEORGE DOYLE Vice President 2.0 0.25 X X 0 0 0 MARLENE CUSHING MEMBER 2.0 0.25 X X 0 0 0 JIM ROBERTS Member 2.0 0.25 X 0 0 0 DARLENE WHITETHORN Member 2.0 0.25 X 0 0 0 TIM KOENEMAN Member 2.0 0.25 X 0 0 0 KATHI RIEMER Member 2.0 0.25 X 0 0 0 CINDI LAGOUDAKIS Member 2.0 0.25 X 0 0 0 PHILIP HOFSTETTER CEO - as of June 2018 40.0 0.25 X 0 0 0 Elizabeth Woodyard CEO - Thru June 2018 40.0 0.25 X 174262 0 38338 Doran Hammett CFO 40.0 0.25 X 158460 0 42746 Mark Tuccillo Physician 40.0 0.0 X 234244 0 65580 JENNIFER HYER Physician 40.0 0.0 X 206987 0 63867 COURTNEY HESS Physician 40.0 0.0 X 202896 0 52522 KRISTOFOR SARGENT Physician 40.0 0.0 X 201417 0 58358 Jennifer Bryner CNO 40.0 0.0 X 139635 0 49050 1317901 0 370461 10 false true false CPSI PO BOX 850309 MOBILE AL 36685 INFO. TECHNOLOGY 289811 INNOVATIVE EMPLOYEE SOLUTIONS 9665 GRANITE RIDGE 420 SAN DIEGO CA 92123 AGENCY STAFFING 170942 LONG BUILDING TECHNOLOGIES PO BOX 5501 DENVER CO 80217 HVAC UPGRADE 153550 INTEGRITY MEDICAL STAFFING LLC PO BOX 104 CHESHIRE MA 01225 AGENCY STAFFING 128343 QUEST DIAGNOSTICS PO BOX 740709 ATLANTA GA 30374 REFERENCE LAB 100189 5 707866 707866 PATIENT SERVICES 624100 15448752 15448752 15448752 74954 74954 0 0 19900 19900 0 19900 19900 2413 2413 2413 2413 0 0 0 0 0 0 0 0 0 OTHER OPERATING REVENUE 900099 74602 74602 74602 16328487 15448752 171869 0 0 0 0 436540 313974 122566 0 9858891 7090849 2768042 0 0 0 0 0 0 0 0 22329 22329 0 0 0 0 0 0 0 0 0 0 0 658751 658751 87524 87524 ADMIN & FISCAL SERVICES 1418555 1418555 NURSING SERVICES 965087 781073 184014 PHYSICIANS 960719 960719 MAINTENANCE 284750 284750 592436 432312 160124 15285582 9578927 5706655 0 3202130 4103803 1600 1395 0 0 4518970 4475206 0 0 0 0 0 0 176974 210499 77613 118539 21265616 16907266 3791789 4358350 3029537 2886868 0 0 0 0 0 0 3018865 1121322 17817478 17275982 1169226 1232743 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13691136 14210572 14860362 15443315 X -360993 -2125437 0 0 3318109 3958104 2957116 1832667 17817478 17275982 X 1042905 113085 -2280439 X false true X true false X 347944 347944 13364462 10706824 2657638 7427883 6075115 1352768 125327 125327 0 4358350 DEF OUTFLOW EMPLOYER CONTRIB. 1121322 CONSTRUCTION IN PROGRESS 0 1121322 0 PAYABLE TO FOUNDATION 29204 CAPITAL LEASE 400246 NET PENSION LIABILITY 11926974 DEFERRED INFLOW-PENSION INVEST 1854148 14210572 16419243 113085 113085 16306158 22329 22329 16328487 15263253 15263253 22329 22329 15285582 true true true X 175. true X 500. true true false true true 60115 60115 0.00390 60115 60115 0.00390 60115 60115 0.00390 false 373247 4174720 4514238 -339518 X true true NONE 1 1 PETERSBURG MEDICAL CENTER 103 FRAM ST PO BOX 589 PETERSBURG AK 99833 https://www.pmcak.org/ GACH-006 X NURSING HOME AND OUTPATIENT CLINIC PETERSBURG MEDICAL CENTER false false true X X X X X X X X X 17 true false true true X www.pmcak.org X true 17 true www.pmcak.org false true X 175. 500. X X true true X X X true X www.pmcak.org X www.pmcak.org X www.pmcak.org X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5: THE HOSPITAL PARTNERED WITH OTHER ENTITIES IN THE COMMUNITY WITH PARTICULAR EXPERTISE IN PUBLIC HEALTH THROUGH REGULAR CONSULTATION, EDUCATIONAL OPPORTUNITIES AND JOINT TRAINING. THESE ENTITIES CONSISTED OF THE ALASKA PUBLIC HEALTH NURSE, PETERSBURG EMS, SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (SEARHC) AND PETERSBURG MENTAL HEALTH. PART V, SECTION B, LINE 6B: INPUT FROM STAKEHOLDERS IN THE COMMUNITY NEEDS ASSESSMENT WAS OBTAINED BY WRITTEN SURVEYS, GROUP AND PERSONAL INTERVIEWS. PERSON/GROUPS SURVEYED: -PETERSBURG INDIAN ASSOCIATION (PIA) -WORKING AGAINST VIOLENCE FOR EVERYONE (W.A.V.E.) -PETERSBURG PARKS AND RECREATION -PETERSBURG PUBLIC SCHOOLS -PETERSBURG MINISTERIAL ASSOCIATION -PETERSBURG VOLUNTEER FIRE DEPARTMENT -PETERSBURG CANCER SUPPORT GROUP -MOUNTAINVIEW MANOR ASSISTED LIVING -SUPPORTING HEALTH AWARENESS AND RESILIENCY EDUCATION (SHARE) PROGRAM AND COALITION -BOROUGH OF PETERSBURG PART V, SECTION B, LINE 11: AGING COMMUNITY POPULATION: EDUCATION ON FALLS TO IMPOVE OUTCOMES ON FALL INCIDENTS IN THE HOME. GROW OUR PHYSICAL THERAPY DEPARTMENT AS WELL AS PROVIDE PHYSICAL AND OCCUPATIONAL THERAPY IN AN OUTPATIENT SETTING. NURSING SHORTAGE: PARTNER WITH THE UNIVERITY OF ALASKA TO PROVIDE RN TRAINING PROGRAM IN PETERSBURG. ADULT OBESITY RATES: PROVIDE EDUCATION ON HEALTHY EATING TO THE PUBLIC AS WELL AS EMPLOYEES WITH THE USE OF STAFF DIETICIANS. PARTNER WITH OTHER AGENCIES TO PROMOTE PHYSICAL ACTIVITY. PART V, SECTION B, LINE 13H: FAMILY SIZE IS ANOTHER ELIGIBILITY CRITERIA THAT IS CONSIDERED. PART I, LINE 7: THE % OF FINANCIAL ASSISTANCE IS THE AMOUNT OF FINANCIAL ASSISTANCE AT COST $60,115 DIVIDED BY TOTAL EXPENSES OF $15,263,253. PART III, LINE 2: THE AMOUNT OF BAD DEBT EXPENSE IS THE NET DOLLAR AMOUNT OF PATIENT CHARGES TURNED OVER TO COLLECTION AGENCIES DURING THE YEAR. PART III, LINE 4: THERE IS NO FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT EXPENSE. PART III, LINE 9B: PETERSBURG MEDICAL CENTER HAS FINANCIAL ASSISTANCE GUIDELINES FOR GUARANTORS WITH LIMITED MEANS TO PAY. FINANCIAL SERVICE REPRESENTATIVES WILL SPECIFICALLY NOTIFY SELF PAY GUARANTORS OF THE EXISTENCE OF THE FINANCIAL ASSISTANCE GUIDELINES IN ANY INSTANCE WHERE THE GUARANTOR STATES OR IMPLIES A LIMITED MEANS TO PAY ACCOUNT BALANCES. PART VI, LINE 2: NEEDS ASSESSMENT The organization's board maintains an awareness of the health care needs of the community and attempts to provide for those needs while remaining financially viable. PART VI, LINE 3: PATIENT EDUCATION OF ELIBIBILITY FOR ASSITANCE THE ORGANIZATION'S STAFF INFORMS ANY PATIENT FOR WHOM THEY BECOME AWARE OF POSSIBLE ELGIBILITY FOR FINANCIAL ASSISTANCE OF THE EXISTANCE OF SUCH ASSISTANCE. THE SAME APPLIES TO POSSIBLE FEDERAL AND STATE ASSISTANCE. PART VI, LINE 4: COMMUNITY INFORMATION The organization operates on an island off the southeast coast of Alaska. The island is accessed only by air or water. The core population is 3,000. The primary industry is fishing. A once thriving timber industry has now ceased to exist. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH The organization operates under the direction of a board of locally elected citizens. The board is not compensated. They serve because they want to have the best possible health services within the community given the limited resources. The hospital conducts regular health fairs and distributes relevant health information to the community to keep its residents informed of the services available. Surplus funds are used to continually upgrade hospital equipment and facilities. X X X false false false false false false false false false Elizabeth Woodyard CEO - Thru June 2018 174262 38338 212600 Doran Hammett CFO 158460 34861 7885 201206 Mark Tuccillo Physician 234244 51534 14046 299824 JENNIFER HYER Physician 206987 45537 18330 270854 COURTNEY HESS Physician 202896 44637 7885 255418 KRISTOFOR SARGENT Physician 201417 44312 14046 259775 Jennifer Bryner CNO 139635 30720 18330 188685 FORM 990, PART I, ITEM K, OTHER ORGANIZATION TYPE: COMPONENT UNIT OF PETERSBURG BOROUGH, AK FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES NURSING HOME. WE PROVIDE NURSING HOME SERVICES IN A SEMI-REMOTE AREA OF RURAL ALASKA. ACCESS TO THE AREA IS BY AIR OR WATER ONLY. FORM 990, PART VI, SECTION B, LINE 11: THE CHIEF FINANCIAL OFFICER AND THE CHIEF EXECUTIVE OFFICER WILL EACH REVIEW THE COMPLETED RETURN SEPARATELY AND THEN RESOLVE ANY ISSUES WHICH ARISE PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 15: THE CHIEF EXECUTIVE OFFICERS SALARY IS DETERMINED BY THE BOARD OF DIRECTORS AFTER REVIEWING SALARIES FOR SIMILAR POSITIONS IN COMPARABLE ORGANIZATIONS OF THE HEALTHCARE INDUSTRY. A SALARY HISTORY OF THE POSITION IS PART OF THE REVIEW. THE COMPENSATION REVIEW IS MADE IN CONJUNCTION WITH THE CEOS ANNUAL EVALUATION. FORM 990, PART VI, SECTION C, LINE 19: PETERSBURG MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 19: In 2018, the Borough adopted the provisions of GASB Statement No. 75 Accounting and Financial Reporting for Postemployment Benefits Other Than Pensions, which, among other accounting and reporting criteria, requires the Borough to recognize its proportional share of the Net OPEB Liability (and related deferred inflows of resources and deferred outflows of resources), as of the beginning of the Boroughs fiscal year. As a result of the implementation of this statement, the Borough has recorded an opening balance adjustment to reflect opening balance OPEB liabilities and related accounts and to decrease opening net position BY $2,280,439. PETERSBURG MEDICAL CENTER FND PO BOX 589 PETERSBURG AK 99833 920134279 SEE PAGE 5 AK 501(C)(3) 509(A)(3) PETERSBURG true Petersburg Borough PO BOX 329 PETERSBURG AK 99833 926000142 LOCAL GOV AK SEC 115 N/A NA false false false false false true false false false false false false true true true false false false false SCHEDULE R, PART II, LINE 1: B: CARRY OUT FUNDRAISING & CHARITABLE ACTIVITIES FOR PETERSBURG MEDICAL CENTER.