CENTRAL PENINSULA GENERAL HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL PENINSULA GENERAL HOSPITAL INC (EIN 92-0077523)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-02-05
- IRS object ID
- 201540369349301214
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-02-05T14:29:35-07:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920077523 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL PENINSULA GENERAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 9077144404 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Hospital Place | AddressLine1 |
| City | Soldotna | City |
| State | AK | State |
| ZIP Code | 99669 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lance Spindler | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9077144722 | PhoneNum |
| Signature | 2015-02-05 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Peninsula Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Richard Davis CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Hospital Place | AddressLine1 |
| City | Soldotna | City |
| State | AK | State |
| ZIP Code | 99669 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $235,291,769 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cpgh.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | AK | LegalDomicileStateCd |
| Activity Or Mission | We are a community initiated and community nurtured organization dedicated to promoting wellness and providing high quality health care that ensures the confidence and loyalty of our patients. We strive to improve individual and community health and achieve national standards of excellence. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 925 | TotalEmployeeCnt |
| Total Volunteers | 245 | TotalVolunteersCnt |
| Total Gross UBI | $44,444 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $90,412 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,802,938 | PYContributionsGrantsAmt |
| CY Contributions Grants | $690,205 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $215,314,333 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $229,904,499 | CYProgramServiceRevenueAmt |
| PY Investment Income | $45,397 | PYInvestmentIncomeAmt |
| CY Investment Income | $259,080 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,849,386 | PYOtherRevenueAmt |
| CY Other Revenue | $3,844,998 | CYOtherRevenueAmt |
| PY Total Revenue | $221,012,054 | PYTotalRevenueAmt |
| CY Total Revenue | $234,698,782 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $182,869 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $151,055 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $67,730,487 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $69,552,860 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $138,890,586 | PYOtherExpensesAmt |
| CY Other Expenses | $151,767,800 | CYOtherExpensesAmt |
| PY Total Expenses | $206,803,942 | PYTotalExpensesAmt |
| CY Total Expenses | $221,471,715 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,208,112 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,227,067 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $146,313,507 | TotalAssetsBOYAmt |
| Total Assets EOY | $191,966,077 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $48,306,258 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $80,731,761 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $98,007,249 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $111,234,316 | NetAssetsOrFundBalancesEOYAmt |
| Mission | We are a community initiated and community nurtured organization dedicated to promoting wellness and providing high quality health care that ensures the confidence and loyalty of our patients. We strive to improve individual and community health and achieve national standards of excellence. We are dedicated to providing the highest quality patient and resident centered care in a healing environment. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $196,167,123 | ExpenseAmt |
| Revenue | $202,817,980 | RevenueAmt |
| Desc | Our 49 bed hospital provided patient and ancillary services to 2,563 inpatients and 86,256 outpatients during the 2013 tax year. The hospital provides emergency medical services regardless of ability to pay. Emergency medical services were provided to 15,409 individuals, and 1,502 of those individuals were admitted to the hospital. 4,117 surgical procedures were performed in the hospital during the tax year. The imaging department performed 39,916 procedures. Over 66,026 physical therapy 15-minute procedures were provided to area residents. During the 2013 tax year, free medical services in the amount of $8,880,963 (gross charges) were provided to patients eligible for charity care. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,787,655 | ExpenseAmt |
| Revenue | $12,446,953 | RevenueAmt |
| Desc | Skilled nursing and long term care services were provided by our 60 bed skilled nursing facility. Heritage Place provides healing and compassionate residential care in a home like setting. Total admissions for the 2013 tax year were 69 and total resident days of care were 19,673. An average of 54 residents per day were provided long term care and nursing. Ancillary services for residents included 15,563 physical therapy treatments, while outpatients received 2,842 therapy treatments. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,868,057 | ExpenseAmt |
| Revenue | $14,639,566 | RevenueAmt |
| Desc | The hospital operates 6 family and specialty physician services clinics providing care in the following areas: Family medicine, Pediatrics, Neurology, Pain Management, Surgery, and Orthopedics. Other outpatient clinics include Wound care, Sleep studies, Forensic services, and the provision of Durable medical equipment. During the 2013 tax year physician and specialty services were provided for 21,582 patients. Over 3,324 wound care procedures, 139 forensic exams, and 138 sleep studies were also performed. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $219,822,835 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | Yes (1) | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | Yes (1) | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 113 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 925 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Peninsula Hospital | BusinessNameLine1 |
| Business Name Line2 | Finance Department | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9077144525 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Hospital Place | AddressLine1 |
| City | Soldotna | City |
| State | AK | State |
| ZIP Code | 99669 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| Silverio Mattero | ||||||||
| Board Member | 4 | Yes (X) | $4,525 | $0 | $0 | |||
| Judith Salo | ||||||||
| Board Member (former) | 4 | Yes (X) | $3,200 | $0 | $0 | 0 | ||
| Alyson Stogsdill | ||||||||
| President (former) | 6 | Yes (X) | $14,075 | $0 | $0 | 0 | ||
| Trena Richardson | ||||||||
| President | 6 | Yes (X) | $4,575 | $0 | $0 | 0 | ||
| Loren Wiemer | ||||||||
| Board Member (former) | 4 | Yes (X) | $6,525 | $0 | $0 | 0 | ||
| Irving Carlisle | ||||||||
| Secretary/Treasurer | 6 | Yes (X) | $3,925 | $0 | $0 | 0 | ||
| Henry Peter Sprague | ||||||||
| Vice President | 6 | Yes (X) | $4,275 | $0 | $0 | 0 | ||
| Gregg Motonaga | ||||||||
| Anesthesia MD/Board Member | 44 | Yes (X) | $609,423 | $0 | $22,032 | 0 | Yes (X) | |
| Mark Dixson | ||||||||
| Board Member | 4 | Yes (X) | $3,575 | $0 | $0 | 0 | ||
| Mark Premo | ||||||||
| Board Member | 4 | Yes (X) | $3,075 | $0 | $0 | 0 | ||
| Joseph Bujak | ||||||||
| Board Member | 4 | Yes (X) | $2,000 | $0 | $0 | 0 | ||
| Andrea D Posey | ||||||||
| CNO (former) | 40 | $176,820 | $0 | $37,800 | 0 | Yes (X) | ||
| Johnny L Dodd | ||||||||
| VP of Human Resources | 40 | $164,083 | $0 | $28,403 | 0 | Yes (X) | ||
| Matthew Dammeyer | ||||||||
| Chief Operating Officer | 40 | $222,930 | $0 | $38,629 | 0 | Yes (X) | ||
| Richard Davis | ||||||||
| CEO | 40 | $393,703 | $0 | $31,902 | 0 | Yes (X) | ||
| Shaun Keef | ||||||||
| Chief Financial Officer (former) | 40 | $237,157 | $0 | $35,569 | 0 | Yes (X) | ||
| David S Innes | ||||||||
| Orthopedic Surgeon | 40 | $1,519,082 | $0 | $34,805 | 0 | Yes (X) | ||
| Cynthia Kahn | ||||||||
| Pain Management Physician | 40 | $547,506 | $0 | $15,162 | 0 | Yes (X) | ||
| Justin Evans | ||||||||
| Anethesia MD | 40 | $522,771 | $0 | $52,305 | 0 | Yes (X) | ||
| Jason Lattin | ||||||||
| Surgeon | 40 | $659,041 | $0 | $34,805 | 0 | Yes (X) | ||
| Steven Manley | ||||||||
| Board Member | 4 | Yes (X) | $0 | $0 | $0 | 0 | ||
| Stephen Horn | ||||||||
| Board Member | 4 | Yes (X) | $0 | $0 | $0 | 0 | ||
| James McHale | ||||||||
| Board Member | 4 | Yes (X) | $0 | $0 | $0 | 0 | ||
| Debra Shuey | ||||||||
| Board Member | 4 | Yes (X) | $0 | $0 | $0 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,102,266 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $331,412 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 73 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt | Business Name Line2ContractorName/BusinessName/BusinessNameLine2 | Address Line2ContractorAddress/USAddress/AddressLine2 |
|---|---|---|---|---|---|---|---|
| South Sound Inpatient Physicians | |||||||
| PO Box 742936 | Los Angeles | CA | 900742936 | Physician Services | $824,129 | ||
| C&A Industries | |||||||
| PO Box 3037 | Omaha | NE | 68103 | Contract Labor Provider | $593,023 | Aureus | |
| Alaska Hospitalist Group LLC | |||||||
| 4300 B Street | Anchorage | AK | 99503 | Physician Services | $293,667 | Suite 200 | |
| Molloy Schmidt LLC | |||||||
| 110 South Willow St Suite 101 | Kenai | AK | 99611 | Attorney Services | $282,748 | ||
| Curtis Buccholz | |||||||
| 44455 Sterling Hwy | Soldotna | AK | 996697936 | Pathology services | $250,371 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $104,931 | RelatedOrganizationsAmt |
| Government Grants | $550,630 | GovernmentGrantsAmt |
| All Other Contributions | $34,644 | AllOtherContributionsAmt |
| Noncash Contributions | $14,644 | NoncashContributionsAmt |
| Total Contributions | $690,205 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Hospital Service Revenue | 622000 | $202,817,980 | $202,817,980 | $0 | $0 |
| Nursing Home Revenue | 623000 | $12,446,953 | $12,446,953 | $0 | $0 |
| Physician Clinic Revenue | 621110 | $14,639,566 | $14,639,566 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $229,904,499 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $256,616 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $256,616 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $414,460 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $370,016 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $44,444 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,444 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $44,444 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $2,464 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $2,464 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,464 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,464 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Gross Sales Of Inventory | $440,323 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $222,971 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $217,352 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $217,352 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Property tax revenue | 900099 | $96,342 | $96,342 | $0 | $0 |
| USAC Telephone Grant Revenue | 900099 | $481,191 | $481,191 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,005,669 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,005,669 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,583,202 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $234,698,782 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $233,707,517 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $44,444 | UnrelatedBusinessRevenueAmt |
| Exclusion | $256,616 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,055 | TotalAmt |
| Program Services | $151,055 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,425,483 | TotalAmt |
| Program Services | $4,113,091 | ProgramServicesAmt |
| Management And General | $1,312,392 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,177,880 | TotalAmt |
| Program Services | $45,177,880 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,561,659 | TotalAmt |
| Program Services | $1,561,659 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,057,437 | TotalAmt |
| Program Services | $14,057,437 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,330,401 | TotalAmt |
| Program Services | $3,330,401 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,505 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $242,505 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,252 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $74,252 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,731 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $19,731 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,463,568 | TotalAmt |
| Program Services | $3,463,568 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $265,859 | TotalAmt |
| Program Services | $265,859 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,383,839 | TotalAmt |
| Program Services | $20,383,839 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,072,985 | TotalAmt |
| Program Services | $4,072,985 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,290,727 | TotalAmt |
| Program Services | $2,290,727 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,367 | TotalAmt |
| Program Services | $324,367 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,297 | TotalAmt |
| Program Services | $317,297 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $961,727 | TotalAmt |
| Program Services | $961,727 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,845,261 | TotalAmt |
| Program Services | $7,845,261 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $977,197 | TotalAmt |
| Program Services | $977,197 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medicare program deductions | $50,779,904 | $50,779,904 | $0 | $0 |
| Medicaid program deductions | $18,684,098 | $18,684,098 | $0 | $0 |
| Uncompensated care program deductions | $20,478,365 | $20,478,365 | $0 | $0 |
| Commercial, governtment, other program deductions | $18,268,091 | $18,268,091 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,318,027 | TotalAmt |
| Program Services | $2,318,027 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,471,715 | TotalAmt |
| Program Services | $219,822,835 | ProgramServicesAmt |
| Management And General | $1,648,880 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $30,230,384 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,197,813 | BOYAmt |
| EOY | $5,278,059 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,686 | BOYAmt |
| EOY | $94,772 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,175,972 | BOYAmt |
| EOY | $24,663,984 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,247,583 | BOYAmt |
| EOY | $4,488,685 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,219,529 | BOYAmt |
| EOY | $1,555,004 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $125,816,880 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $54,428,890 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,429,959 | BOYAmt |
| EOY | $71,387,990 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,000 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $497,662 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,510,965 | BOYAmt |
| EOY | $53,269,537 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,313,507 | BOYAmt |
| EOY | $191,966,077 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,438,967 | BOYAmt |
| EOY | $12,401,135 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,006 | BOYAmt |
| EOY | $9,676 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,853,285 | BOYAmt |
| EOY | $67,333,899 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $153,953 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $833,098 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,306,258 | BOYAmt |
| EOY | $80,731,761 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,507,249 | BOYAmt |
| EOY | $106,540,914 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,000 | BOYAmt |
| EOY | $4,693,402 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,007,249 | BOYAmt |
| EOY | $111,234,316 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,313,507 | BOYAmt |
| EOY | $191,966,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $13,227,067 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $10,177 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $9,554 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $19,731 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 | FormAndLineReferenceDesc |
| Explanation | The Hospital engages in very little lobbying. Educational discussions with lawmakers and general support of healthcare legislation does occur on occasion. Total labor and travel expenses for the tax year amounted to $10,177. This represents the labor and travel expenses for two trips to Juneau, the capital of Alaska and two trips to Washington DC. Certain organization to which Central Peninsula Hospital pays membership dues, engage in lobbying activities. The amount reported for other activities represents the % of those membership dues which were reportedly spent on lobbying type activities. Total Hospital dues spent on lobbying activities by other organizations was $9,554. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preservation Public Use | Yes (X) | PreservationPublicUseInd |
| Total Easements | 1 | TotalEasementsCnt |
| Total Acreage | 40 | TotalAcreageCnt |
| Historic Structure Easements | 0 | HistoricStructureEasementsCnt |
| Historic Strctr Easements Aftr | 0 | HistoricStrctrEasementsAftrCnt |
| Modified Easements | 0 | ModifiedEasementsCnt |
| States Easements Held | 1 | StatesEasementsHeldCnt |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoringInd |
| Staff Hours Spent Enforcement | 0 | StaffHoursSpentEnforcementCnt |
| Expenses Incurred Enforcement | $0 | ExpensesIncurredEnforcementAmt |
| Section170h Rqr Stsfd | 0 | Section170hRqrStsfdInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,150,517 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $2,150,517 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $77,392,636 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,111,569 | DepreciationAmt |
| Book Value | $41,281,067 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $545,822 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $246,327 | DepreciationAmt |
| Book Value | $299,495 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $38,090,926 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,176,208 | DepreciationAmt |
| Book Value | $20,914,718 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $7,636,979 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $894,786 | DepreciationAmt |
| Book Value | $6,742,193 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $71,387,990 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Plant replacement and expansion funds | $16,447,887 |
| Bond debt service reserve funds | $4,193,402 |
| Bond proceeds reserved for construction project | $31,275,450 |
| Deferred loss on bond refunding | $1,352,798 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $53,269,537 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Reserves payable to third party payors | $791,371 |
| Other current liabilities | $41,727 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $833,098 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $138,678,714 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $592,987 | OtherRevenueAmt |
| Revenue Not Reported | $592,987 | RevenueNotReportedAmt |
| Revenue Subtotal | $138,085,727 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $96,613,055 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $96,613,055 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $234,698,782 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $125,451,647 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $592,987 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $592,987 | ExpensesNotReportedAmt |
| Expenses Subtotal | $124,858,660 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $96,613,055 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $96,613,055 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $221,471,715 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part II, Line 9 | In 2008 the hospital purchased a building which resides on 40 acres of land subject to a perpetual covenant for the benefit of all Alaska residents, restricting the use of the land for agricultural purposes pursuant to AK statute 38.05.321. The building on the 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 Hospital Financial statements or footnotes. The cost of the real property and land is recorded on the Hospital's balance sheet at its net book value. |
| Schedule D, Part XI, Line 2d | Part VIII revenues are reported net of certain items which appear as expenses in the audited financial statements. These items are Cost of goods sold on durable medical equipment ($222,971) and expenses pertaining to unrelated business income ($370,016). |
| Schedule D, Part XI, Line 4b | These expenses represent the total deductions from revenue for third party payors (Medicare, Medicaid, VA, etc) and the amount of charity care discounts provided to patients. The audited financials report revenue net of contractual allowances, rather than gross. |
| Schedule D, Part XII, Line 2d | Certain reclassifications of expenses are required on the 990 Part VIII which are reported as reductions of revenue. These expenses include rental real estate expenses report on line 6b of the 990 Part VIII in the amount of $370,016. Additionally, cost of goods sold are reported on line 10b of 990 Part VIII in the amount of $222,971. Both items are reported as expenses in the audited financial statements rather than reductions of revenue. |
| Schedule D, Part XII, Line 4b | Certain expenses on the audited financial statements are reported net of revenues however those revenues are reported as gross on the 990 Part XIII. These expenses include charity care write-offs of $8,880,963 and third party payer deductions from revenue of $87,732,092. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 2301 | PersonsServedCnt |
| Total Community Benefit Expns | $3,982,330 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,982,330 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0354 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 10878 | PersonsServedCnt |
| Total Community Benefit Expns | $20,289,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,118,268 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,171,055 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0193 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 167 | PersonsServedCnt |
| Total Community Benefit Expns | $38,341 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,796 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 13346 | PersonsServedCnt |
| Total Community Benefit Expns | $24,309,994 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,143,064 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,166,930 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0548 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 534 | ActivitiesOrProgramsCnt |
| Persons Served | 26648 | PersonsServedCnt |
| Total Community Benefit Expns | $679,969 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $99,799 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $580,170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0052 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 113 | ActivitiesOrProgramsCnt |
| Persons Served | 335 | PersonsServedCnt |
| Total Community Benefit Expns | $70,420 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,810 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $61,610 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 12698 | PersonsServedCnt |
| Total Community Benefit Expns | $2,572,419 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,115,681 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,456,738 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.013 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 120 | PersonsServedCnt |
| Total Community Benefit Expns | $19,849 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,849 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 981 | ActivitiesOrProgramsCnt |
| Persons Served | 3513 | PersonsServedCnt |
| Total Community Benefit Expns | $280,305 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $280,305 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0025 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1641 | ActivitiesOrProgramsCnt |
| Persons Served | 43314 | PersonsServedCnt |
| Total Community Benefit Expns | $3,622,962 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,224,290 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,398,672 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0214 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1644 | ActivitiesOrProgramsCnt |
| Persons Served | 56660 | PersonsServedCnt |
| Total Community Benefit Expns | $27,932,956 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,367,354 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,565,602 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0762 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $204 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $204 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $300 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 199 | PersonsServedCnt |
| Total Community Benefit Expns | $66,012 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,012 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 199 | PersonsServedCnt |
| Total Community Benefit Expns | $66,516 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,516 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,200,414 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,086,588 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $27,587,893 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $30,928,532 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,340,639 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Peninsula Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Hospital Place | AddressLine1 |
| City | Soldotna | City |
| State | AK | State |
| ZIP Code | 99669 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Peninsula Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 09 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.cpgh.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| Other Needs Addressed | Yes (X) | OtherNeedsAddressedInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3-Central Peninsula Hospital | In conducting the CHNA, the University of New England (UNE) reached out to a broad cross section of the local community in order to gather health data through phone interviews. The UNE also used published census and health data for the community, state, and nation in their needs assessment. Hospital management supplements health information provided in the CHNA through partnerships and collaborations around the state and the nation such as involvement in the Alaska State Hospital and Nursing Home Association, Rural Health Care and Small Hospital associations, and also on the local level with the Kenai Peninsula Borough, the Patient advisory committee, and the Service area board. |
| Schedule H, Part V, Section B, Line 5-Central Peninsula Hospital | In addition to the above methods of disbursement, the CHNA was also provided through email to Administrators, Hospital Board Members, and supervisory staff of the Hospital. |
| Schedule H, Part V, Section B, Line 6-Central Peninsula Hospital | Hospital Management collaborates with the Board of Directors to address the CHNA findings through frequent strategic planning and implementation of new services whenever financially viable. Additionally, the Hospital support the provision of health service by Community health partners when it cannot supply those needs itself. |
| Schedule H, Part V, Section B, Line 7-Central Peninsula Hospital | Two of the 2013 CHNA health findings require long-term planning or community collaboration to meet the health need: 1. Respiratory Health and COPD affect over 10% of the population surveyed. Although the service area reports lower rates of smoking than peer communities, COPD rates remain the same. Additional attention on smoking cessation is needed along with reduction of obesity rates. The Hospital does treat patients admitted for services with smoking cessation patches free of charge while they are inpatients. However, an external campaign to reduce smoking rates has no yet been developed and it is unclear at this time what community collaboration efforts would best serve this need. 2. Diabetes - nearly 10% of the population surveyed reported a diagnosis of diabetes. Age and obesity are major risk factors in developing diabetes, and nearly 68% of the population is either overweight or obese. The Hospital has therefore focused much of its attention not on diabetes itself but on prevention through one of its major risk factors, obesity. The Healthy Lifestyles department specifically targets healthy eating and healthy living habits which can help lower the occurrence of diabetes. Further, the diabetes education department offers education, counseling, and support groups to area residents that suffer from diabetes. |
| Schedule H, Part V, Section B, Line 14-Central Peninsula Hospital | The Hospital makes its financial assistance policy widely available to its patients and the public through various means. During the discharge process, admissions staff attempt to provide a copy of the financial assistant brochure to every patient. Additionally, financial counselors contact patients about their billings and discuss the financial assistance policy with them over the phone and in person and offer assistance with completion of applications. The policy is posted on our public website at www.cpgh.org and is reported quarterly in local area government assembly meetings during the Hospital's financial presentation. Finally, advertising space is purchased in our local newspaper to publicize the financial assistance policy to the general public along with instructions for how to contact a financial counselor. |
| Schedule H, Part V, Section B, Line 20-Central Peninsula Hospital | The Hospital offers all self pay patients (regardless of FAP eligibility) a 25% prompt pay discount on hospital charges. This discount is more advantageous than substantially all of our negotiated commercial rates. For those patients who are unable to pay because they are financially or medically indigent, they are provided an opportunity to enroll in our financial assistance program for a further discount or free care. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt | Address Line2USAddress/AddressLine2 |
|---|---|---|---|---|---|
| Heritage Place | |||||
| 232 Rockwell Ave | Soldotna | AK | 99669 | Skilled nursing facility, longterm care | |
| Serenity House | |||||
| 47480 Kristina Way | Soldotna | AK | 99669 | Chemical dependency treatment center | |
| Central Peninsula Pain Management | |||||
| 289 N Fireweed | Soldotna | AK | 99669 | Pain management clinic | Unit C/D |
| Central Peninsula Neurology | |||||
| 289 N Fireweed St | Soldotna | AK | 99669 | Neurology clinic | Suite C/D |
| Central Peninsula Family Practice Kenai | |||||
| 506 Lake Street | Kenai | AK | 99611 | Family practice clinic | |
| Kenai Physical Medicine | |||||
| 260 Caviar St | Kenai | AK | 99611 | Physical therapy clinic | |
| Soldotna Physical Medicine | |||||
| 245 N Binkley | Soldotna | AK | 99669 | Physical Therapy clinic | |
| Kenai Health Center | |||||
| 630 Barnacle Way | Kenai | AK | 99611 | Diagnostic imaging, lab, and domestic violence services | |
| Central Peninsula Family & Pediatrics | |||||
| 245 N Binkley St | Soldotna | AK | 99669 | Family practice clinic | Suite 101 |
| Central Peninsula Surgical Services | |||||
| 289 N Fireweed St | Soldotna | AK | 99669 | Surgical clinic | Unit B |
| Serenity House intake office | |||||
| 245 N Binkley Street | Soldotna | AK | 99669 | Chemical dependency intake, behavioral health clinic | Suite 203 |
| Peninsula Medical Center | |||||
| 265 N Binkley Street | Soldotna | AK | 99669 | Owned medical office building | |
| Central Peninsula Medical Center | |||||
| 245 N Binkley Street | Soldotna | AK | 99669 | Owned medical office building | |
| Vacant building | |||||
| 158 Corral Street | Soldotna | AK | 99669 | Vacant building for remodel | |
| Serenity House transitional housing | |||||
| 166 W Corral Street | Soldotna | AK | 99669 | Transitional housing for Serenity House clients | |
| Medical Office Space - Spine Ctr | |||||
| 108 E Corral St | Soldotna | AK | 99669 | Medical office building purchased - leased to Kenai Spine | |
| Radiation Oncology Building | |||||
| 240 Hospital Place | Soldotna | AK | 99669 | Radiation Oncology Building - leased to RBS Evolution | |
| CP Foot & Ankle Clinic | |||||
| 198 W Corral | Soldotna | AK | 99669 | Hospital owned physician clinic | |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a | The most recently completed Community Health Needs Assessment was published in January 2013, or the 2012 tax year. |
| Schedule H, Part I, Line 7 | In areas where costs were reasonably able to be compiled we used actual costs. For activities such as the cost of charity care, we used the cost to charge ratios as calculated by the figures reported on our most recently filed Medicare cost report. |
| Schedule H, Part I, Line 7, Column f | Bad debt was reported at gross charges in 990 Part IX, line 25 or $11,597,402 along with gross charity care of $8,880,963. However, for the purposes of this Schedule H, we have used the cost to charge ratio calculated herein (44.84%) to reduce our uncompensated care (bad debt plus charity) to the estimated cost to provide that care. ($5,200,414 in bad debt) Of this balance, approximately 73% is estimated to be attributable to patients who may have been eligible to receive free or discounted care under the Hospital's financial assistance policy but failed to apply for assistance. |
| Schedule H, Part II | The Hospital supports our local education and workforce establishments through monetary donations, job fairs, job shadowing, internships, community partnership and coalition building, and skills training. Community involvement, workforce development, and health education improves the quality of life, and health of the community through the fostering of positive relationships and by engaging the community in health initiatives. |
| Schedule H, Part III, Section A, Line 4 | Footnote: Bad debt provisions are made for the amount of revenue that will not be collected from patients to whom services were billed but not paid. The Hospital has determined these patients are neither medically nor financial 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 account receivable payor composition and aging, and historical write-off experience by payor category. The amount reported in Schedule H, Part III is based on the estimated cost to provide care for individual patient accounts which were classified as bad debt during the year. The amount which may be attributable to patients who qualify for charitable assistance or free care is estimated at approximately 73% of that total. These are accounts which our financial counselors made every effort to contact and assist patients to apply for financial assistance, but the patient refused to do so. It is our belief that all of these bad debts should be considered community benefits as they provide a necessary and vital health benefit to members of our service area free of charge. |
| Schedule H, Part III, Section B, Line 8 | It is our belief that all of the shortfall in actual receipts from Medicare compared to the cost to provide care to Medicare patients should be considered a community benefit. The reason for this stance is that the Hospital is required to write off all contractual allowance for Medicare patients regardless of the amount of the shortfall. The Hospital may only collect the portion which is a patient's co-pay or deductible and may not engage in collection efforts for the remainder. The Medicare costs reported herein are based on the fiscal year 2014 Medicare cost report filed. |
| Schedule H, Part III, Section C, Line 9b | The Hospital's collection policy PFS-546 addresses the various classes of private pay patients and defines the individuals which are eligible to receive financial assistance based on either financial or medical indigence. The collection policy refers to the charity care policy for instructions on determining eligibility. As noted in Part I, the charity care policy is based on FPG which are the basis for a sliding scale between 200% and 400% of those guidelines. Applicants on the upper end of the scale (400%) are eligible for partial write-off, while those on the lower end (200%) are eligible for free care. |
| Schedule H, Part VI, Line 2 | In addition to the preparation of a Community Health Needs Assessment (CHNA) and a strategic plan to meet the identified needs, the Hospital also determines health deficits within the community through a variety of other ways. Hospital officials meet regularly with an advisory committee comprised of area residents and former patients to determine the adequacy of facilities and services to meet the health needs of the community. The hospital periodically employs consultants to determine the physician and specialty physician needs of the community in order to direct strategic planning and physician recruiting. Finally, an open dialogue between Hospital management and patients, staff, and area medical staff is another source of identifying community health needs which exist. |
| Schedule H, Part VI, Line 3 | Hospital staff attempt to provide a financial assistance program brochure to every patient during discharge. The brochure is also available upon request, on the Hospital's public website, and is published in the local newspaper. Financial counselors personally contact patients and explain the financial assistance policy, assist with completion of applications, and set up payment plans if necessary. The Hospital employs 2 full time financial counselors that meet personally with patients to review their bills, set up payment arrangements, explain the financial assistance policy, and assist with the financial assistance application process. In addition, the Hospital purchases advertising space in the local newspaper to notify the public of its financial assistance program and how patients can reach our financial counselors to apply. |
| Schedule H, Part VI, Line 4 | The area served by the Hospital is comprised of 13 Census designated places or towns and has a total population of approximately 36,000 residents according to the 2010 census. The geographic region is in the Central Kenai Peninsula in the state of Alaska. Based on the 2010 Census, approximately 11% of the population is age 65 or older, 32% are between 45 and 64, and 32% are between 19 and 44. Basic social and economic characteristics of the region indicate an 8.6% unemployment rate with a median household income of $60,378, while 8.9% of residents live below the federal poverty line. More than 22% of adults age 18 to 64 years are uninsured, just 1% higher than the US average. |
| Schedule H, Part VI, Line 5 | The Hospital engages in numerous community efforts year-round to improve health awareness and education in our service area. Monetary donations to local non-profits that support health initiatives and healthy living, personnel support of local non-profits, public service announcements, conference room space for community organizations and support groups, health speaker bureaus, child safety programs, health fairs, immunization clinics, community health newsletters, and numerous other programs, initiatives, and collaborations. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Business Name Line2RecipientBusinessName/BusinessNameLine2 | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2 |
|---|---|---|---|---|---|---|---|---|---|
| Kenai Peninsula Youth Foundation | |||||||||
| Kenai River Brown Bears | PO Box 2605 | Soldotna | AK | 99669 | 262580744 | 501(c)3 | $20,300 | Monetary support for the 2013-2014 youth hockey season. The Kenai Peninsula Youth Foundation is an organization dedicated to providing developmental programs for aspiring student athletes. | |
| Bridges Community Resource Network | |||||||||
| PO Box 1612 | Soldotna | AK | 99669 | 920151271 | 501(c)3 | $11,200 | Monetary support for the Imagination Library, Cancer fundraisers, local arts and crafts guild, and school sports. | ||
| City of Kenai | |||||||||
| 210 Fidalgo St | Kenai | AK | 99611 | 926001599 | 170(c)1 | $10,000 | Monetary support for the construction of the Enchanted Forest Playground. | Suite 200 | |
| Kenai Peninsula Food Bank | |||||||||
| 33955 Community College Dr | Soldotna | AK | 99669 | 943112445 | 501(c)3 | $10,000 | Monetary support for the Food Bank which provides low-cost or free nutritious foods to families with financial need. | ||
| Kenai Peninsula United Way | |||||||||
| 11355 Frontage Road | Kenai | AK | 99611 | 920111698 | 501(c)3 | $10,000 | Monetary support of United Way of the Kenai Peninsula, which promotes healthy living, financial stability, and educational improvement through its many community programs. | Benco Building Suite 101 | |
| Kenai River Foundation | |||||||||
| PO Box 3674 | Soldotna | AK | 99669 | 271570362 | 501(c)3 | $10,000 | Monetary donation for the Wounded Heroes Event. | ||
| Soldotna Chamber of Commerce | |||||||||
| 44790 Sterling Hwy | Soldotna | AK | 99669 | 920061612 | 501(c)6 | $8,035 | Monetary support for the Community partnership, Progress Days, and the annual Pie Auction. | ||
| American Cancer Society Inc | |||||||||
| 250 Williams St NW | Atlanta | GA | 303031002 | 131788491 | 501(c)3 | $7,000 | Monetary support for the American Cancer Society Relay for life and Polar bear jump. The American Cancer society funds cancer research and education. | Suite 400 | |
| Kenai Watershed Forum | |||||||||
| PO Box 2937 | Soldotna | AK | 99669 | 911829284 | 501(c)3 | $6,500 | Monetary support for Kenai River conservation and education and for maintenance and support of the Tsalteshi trail system. | ||
| Kachemak Bay Broadcasting Inc | |||||||||
| 3913 Kachemak Way | Homer | AK | 99603 | 920060366 | 501(c)3 | $5,200 | Monetary Donation to public radio broadcasting for the Kenai Peninsula. | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | The Hospital provides cash contributions to local organizations which support community initiatives and healthy living on the Kenai Peninsula. Contributions are only made to organizations in good community standing. Hospital officers are responsible for approving all assistance to outside organizations and do so with discretion. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gregg Motonaga | ||||||||||||||
| Anesthesia MD/Board Member | $579,577 | $0 | $30,958 | $0 | $1,063 | $0 | $23,172 | $0 | $21,748 | $0 | $656,518 | $0 | $0 | $0 |
| Justin Evans | ||||||||||||||
| Anethesia MD | $497,469 | $0 | $28,408 | $0 | $1,029 | $0 | $23,172 | $0 | $33,268 | $0 | $583,346 | $0 | $0 | $0 |
| David S Innes | ||||||||||||||
| Orthopedic Surgeon | $1,335,617 | $0 | $155,685 | $0 | $33,164 | $0 | $5,672 | $0 | $33,268 | $0 | $1,563,406 | $0 | $0 | $0 |
| Jason Lattin | ||||||||||||||
| Surgeon | $595,672 | $0 | $37,740 | $0 | $29,764 | $0 | $5,672 | $0 | $33,267 | $0 | $702,115 | $0 | $0 | $0 |
| Cynthia Kahn | ||||||||||||||
| Pain Management Physician | $422,089 | $0 | $74,205 | $0 | $52,267 | $0 | $5,672 | $0 | $10,544 | $0 | $564,777 | $0 | $0 | $0 |
| Richard Davis | ||||||||||||||
| CEO | $288,847 | $0 | $49,136 | $0 | $61,018 | $0 | $12,185 | $0 | $22,514 | $0 | $433,700 | $0 | $0 | $0 |
| Shaun Keef | ||||||||||||||
| Chief Financial Officer (former) | $186,523 | $0 | $25,507 | $0 | $29,261 | $0 | $6,436 | $0 | $33,268 | $0 | $280,995 | $0 | $0 | $0 |
| Andrea D Posey | ||||||||||||||
| CNO (former) | $139,279 | $0 | $18,937 | $0 | $21,818 | $0 | $8,878 | $0 | $32,135 | $0 | $221,047 | $0 | $0 | $0 |
| Johnny L Dodd | ||||||||||||||
| VP of Human Resources | $137,393 | $0 | $8,133 | $0 | $22,105 | $0 | $8,687 | $0 | $22,514 | $0 | $198,832 | $0 | $0 | $0 |
| Matthew Dammeyer | ||||||||||||||
| Chief Operating Officer | $183,913 | $0 | $23,830 | $0 | $18,641 | $0 | $9,708 | $0 | $32,135 | $0 | $268,227 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a | Gross up payments are made for certain taxable fringe benefits including the value of life insurance over $50,000. A year-end wage adjustment is made for all affected employees to include the gross up for fringe benefits and excess life insurance benefits. The hospital has historically paid all social security and medicare taxes on such benefits while the employee is responsible for federal income taxes. In 2014 the hospital discontinued the payment of gym membership dues for employees. |
| Schedule J, Part I, Line 1b | The year end gross up adjustment for fringe benefits and life insurance over $50,000 is based on historical practice and is not governed by a written policy. The hospital maintains that at some future date, employees may be required to pay their own FICA taxes on fringe benefits. Similarly, the hospital decided not to continue paying for gym memberships during 2014. |
| Schedule J, Part I, Line 3 | The hospital contracts with an independent consultant every three years to perform a review of executive salaries and benefits. The most recent review was performed in October 2014. The resulting report is provided to the Board of Directors and Management for review. The Board then sets compensation levels for the CEO through a written employment contract. The CEO is responsible for hiring the remainder of the Hospital's executive staff and for using comparable data studies to set their salaries. |
| Schedule J, Part I, Line 4 | The Hospital provides a 457 Top Hat plan to certain key employees and executives. The following individual on Schedule J participated in the 457 plan and either deferred their own compensation or received hospital contributions into the plan during the tax year; Gregg Motonaga $17,499, Justin Evans $17,499, Richard Davis $6,609, Shaun Keef $3,584, Andrea Posey $1,648, Johnny Dodd $3,060, and Matthew Dammeyer $4,096. |
| Schedule J, Part I, Line 5 | In accordance with their employment contracts, Emergency room physicians and surgeons receive a percentage of their professional physician fees billed. This compensation is not based on the entity's overall revenue. |
| Schedule J, Part I, Line 6 | The hospital pays an annual incentive plan bonus to all employees, supervisors and executives based on a series of 4 operational and quality measures. One of these 4 measures is meeting the hospital's net earnings budget. This element comprises only one-fourth of the potential plan bonus payment and the bonus is not calculated based on the amount of the entity's earnings. The remaining measures are 1)patient satisfaction, 2)quality, and 3)utilization. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Kenai Peninsula Borough | ||||||||
| A | 920030894 | 488530NF9 | 2003-12-18 | $47,985,000 | Hospital expansion project 2003 GO bonds | 0 | 0 | 0 |
| Kenai Peninsula Borough | ||||||||
| B | 920030894 | 01179PX51 | 2011-09-15 | $27,905,000 | Refunding bonds - 2011 GO | 0 | 0 | Yes (1) |
| Kenai Peninsula Borough | ||||||||
| C | 920030894 | 01179RDP5 | 2014-02-20 | $32,490,000 | Medical Office Building construction project | 0 | 0 | Yes (1) |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $43,635,000 | $0 | $53,963,243 | $0 | $3,376,615 | $32,616,814 | $544,896 | $0 | $0 | $53,418,347 | $0 | $0 | 2008 | 0 | 0 | Yes (1) | Yes (1) |
| B | $0 | $0 | $32,616,814 | $0 | $0 | $0 | $201,610 | $0 | $0 | $0 | $0 | $0 | 2008 | 0 | Yes (1) | Yes (1) | Yes (1) |
| C | $0 | $0 | $34,999,563 | $2,960,067 | $347,061 | $1,233,335 | $127,595 | $0 | $0 | $3,598,902 | $0 | $31,275,450 | 2016 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |
| C | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|
| A | Yes (1) | Yes (1) | 0 | 0 | Yes (1) | 0 | |||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Charles Weimer | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Husband of former board member Loren Weimer | RelationshipDescriptionTxt |
| Transaction | $13,000 | TransactionAmt |
| Transaction | Leased real estate to Hospital at FMV | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 7b | Central Peninsula Hospital Inc operates the Hospital through a lease and operating agreement with the Kenai Peninsula Borough. The CPGH Board's decisions regarding the acquisition of significant capital assets and plant expansion are subject to the approval of the Kenai Peninsula Borough assembly. Bonds, loans, and capital expenditures not funded through the Hospital's plant replacement fund must be approved by a vote of the Borough constituents if greater than $1.0 million. |
| Form 990, Part VI, Section B, Line 11b | The 990 is prepared by the Hospital's Finance Department and submitted to Hospital management for review. Management then returns any edits to the Finance Dept for preparation of a 2nd draft. The 2nd draft of the 990 and all schedules and statements are then submitted to each member of the Board for review and comment. The board proposes any edits to the Finance dept and gives authority to the CFO or Board President to sign and file the return. |
| Form 990, Part VI, Section B, Line 12c | Both senior leadership and members of the Board of Directors complete an annual conflict of interest statement which is reviewed by management and the finance team. The board reviews and discusses any conflicts of interest which arise throughout the year and take appropriate action if needed. |
| Form 990, Part VI, Section B, Line 15 | An independent professional executive remuneration study is performed every 2-3 years. The most recently performed study by the Haygroup was executed in October 2014. Remuneration reports are submitted to the Board for review and used to set the wage scales for the CEO, CFO, CNO, COO, and VP of Human Resources. Contemporaneous documentation exists for this study. |
| Form 990, Part VI, Section C, Line 18 | The hospital published its 3 most recent 990s on its own website at www.cpgh.org. The Hospital's 990 is also published on Guidestar.com and is available upon request via email. |
| Form 990, Part VI, Section C, Line 19 | The Hospital makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon request. The audit financial statements are also published on its website at www.cpgh.org. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Central Peninsula Health Foundation | ||||||||||
| 250 Hospital Place | Soldotna | AK | 99669 | 202778670 | To support quality healthcare activities | AK | 501(c)3 | Public Charity | N/A | 0 |
| Kenai Peninsula Borough | ||||||||||
| 144 N Binkley Street | Soldotna | AK | 99669 | 920030894 | Local Government which owns the hospital assets. | AK | 115 | N/A | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Central Peninsula Health Foundation | ||
| c | $14,644 | Actual cost of capital assets provided to the Hospital. |
| Central Peninsula Health Foundation | ||
| q | $62,632 | Actual expenses incurred by the Hospital are stated at the dollar value paid which is reimbursed at cost by the Foundation. |
| Central Peninsula Health Foundation | ||
| m | $178,919 | The Foundation performs fundraising for which a portion benefits the Hospital and Hospital programs. The value of those programs for which the Foundation transferred solicited funds during 2014 was $178,919. |
| Central Peninsula Health Foundation | ||
| n | $13,829 | The Hospital provides office space to Central Peninsula Health Foundation. The value of the space is determined based on our most recently filed Medicare Cost Report (2013) expenses for facility, administration, and support services allocated per square foot. |
| Central Peninsula Health Foundation | ||
| o | $64,348 | The Hospital shares certain paid employees for directorship and accounting functions necessary to operate Central Peninsula Health Foundation. |
| Kenai Peninsula Borough | ||
| k | $1 | The Hospital is operated by Central Peninsula General Hospital Inc through a lease and operating agreement with the Kenai Peninsula Borough. The amount of the lease stated in that agreement is $1 per annum. |
| Kenai Peninsula Borough | ||
| p | $7,990,819 | The Hospital reimburses the Kenai Peninsula Borough for expenses related to its debt service, property insurance premiums, refuse, and sales tax. This amount represents actual cash payments to the borough for these expenses. |
| Kenai Peninsula Borough | ||
| r | $7,730,136 | Per the lease and operating agreement with the Kenai Peninsula Borough, all cash >90 days operating must be transferred to an account held by the Borough for Plant replacement and expansion of facilities of the hospital. This is the total amount of cash transferred to the borough during FY2014. |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Extension was filed for 990 and accepted by the IRS. Extension deadline was met. | ExplanationTxt |