2024-05-12T22:39:49-07:00 2023-06-30 990 2022-07-01 202778670 CENTRAL PENINSULA HEALTH FOUNDATION CENT 9077144626 250 Hospital Place Soldotna AK 99669 Mark Dixson Treasurer 9075988795 2024-05-12 Mark Dixson 999009999 1 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z Mark Dixson 250 Hospital Place Soldotna AK 99669 1566489 0 X www.givingheals.org/giving-heals/ X 2005 AK Our mission is: "To Support and Advance the Mission of Central Peninsula Hospital through Philanthropy." 9 7 0 0 0 0 410882 1494987 0 0 -117687 71502 0 0 293195 1566489 30191 62642 0 0 126180 130683 0 0 74577 319944 238495 476315 431820 -183120 1134669 1328821 2502596 5888 44994 1322933 2457602 X To support Central Peninsula Residents by seeking innovative partnerships, and creating resources for the health and wellness of our communities. 0 0 57629 49258 The foundation sponsors and holds funds for Serenity House, a chemical dependency unit of Central Peninsula Hospital which is supported through prevention grants, and client resource funds. Prevention activities include community canvassing and assessment, a podcast program, and awareness campaigns. Client resources are used to provide transportation, therapeutic materials, and personal items necessary to make the stay of patients more comfortable as they receive chemical dependency treatment. 112569 1066810 1066810 The foundation sponsors, and holds funds for the Internal Medicine Residency program. This is funded by Premera Blue Cross to recruit internists to practice in rural areas of the state. 7498 11770 The foundation provided funding to Heritage Place, a long-term care facility, for activity supplies. The activities consist of art therapy/classes, fitness (games with noodles/balls), cooking classes, games (brain/cards, dice), nature (gardening/walk n rolls), and bus rides for local sight seeing. These residents also participate in community outreach (parades, Operation Christmas, to list a few). Educational speakers in person or on big screen TV. 94166 0 0 Other program service accomplishments include direct assistance to individuals and programs such as cancer care, patient prescriptions, patient transportation, cardiac rehabilitation, employee assistance, animal assistance, the Dr. Isaak Scholarship award, infant clothing donations to the Sarah's Closet program, and more. 94166 0 0 271862 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X X X Kathy Gensel 9077144626 250 Hospital Place Soldotna AK 99669 Angus Warren Board Member 1 X 0 346002 54034 Kathy Gensel Foundation Director 24 16 X 0 118935 27583 Alex Russell Board Member 1 X 0 85114 0 Margaret Gilman President 1 0 X 0 0 0 Sheryl Cook Vice President 1 0 X 0 0 0 Mark Dixson Secretary 2 0 X 0 0 0 Karl Heinz Board Member 1 0 X 0 0 0 Holly Scott Board Member 1 0 X 0 0 0 Jessica Gutzwiler Board Member 1 0 X 0 0 0 Paula Rohloff Board Member 1 0 X 0 0 0 0 550051 81617 0 0 1 0 0 0 0 114502 16130 0 1364355 16130 1494987 0 71502 0 0 71502 0 0 0 0 0 0 0 0 0 0 0 0 114502 0 1566489 0 0 71502 X 62642 62642 125117 12512 50047 62558 5566 4246 1320 179095 170034 9061 2870 2000 870 2457 2457 9731 9731 14184 14184 2117 2117 28041 24674 2599 768 431820 271862 85381 74577 28686 1130959 0 0 0 0 1208964 1279572 91171 92065 1328821 2502596 5888 44994 5888 44994 X 1264297 1419641 58636 1037961 1322933 2457602 1328821 2502596 1134669 0 0 0 0 0 X 0 1 X 0 0 X 516419 610729 645529 546729 1649584 3968990 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 516419 610729 645529 546729 1649584 3968990 159643 163702 140353 150031 168783 782512 0 0 0 0 0 0 159643 163702 140353 150031 168783 782512 3186478 14460 15939 79494 -117687 71502 63708 0 0 0 0 0 14460 15939 79494 -117687 71502 63708 0 0 0 0 0 0 0 0 0 0 0 0 530879 626668 725023 429042 1721086 4032698 0.79016 0.71964 0.01580 0.00356 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 42362 0 42362 X X Available for sale 0 Schedule D, Part III, Line 4 A collection of Alaska Duck Stamp artwork was received in fiscal year 2013, and was recorded as revenue, and an asset in that year. The artwork continues to reside on the balance sheet as artwork held-for-sale. An independent appraiser valued the collection of art at $42,362. As of June 30, 2023, the artwork is still being held-for-sale. A portion of the collection is on public display in the Kenai Visitor's Center. Evening by the River 2023 114502 0 114502 0 0 0 7161 1300 1010 0 0 114502 0 114502 0 0 0 7161 1300 1010 9471 105031 1 Individual grants assistance are provided to low income patients receiving care at Central Peninsula Hospital, patients receiving cancer treatment, employees with emergency needs, and to local students who are seeking to pursue higher education in the health field 39 5746 7807 Noncash assistance in the form of prescription medication, transportation services to receive medical care, lodging after medical care, are provided to low income patience. Additionally, the provision of cardiac rehab services were provided to patients who could no afford their treatment. Other program include those servicing cancer patients, the employee emergency assistance program and the Dr. Isaak Scholarship program. Schedule I, Part I, Line 2 Awards, and assistance to individuals are governed by criteria established for each individual fund. All awards, and assistance provided must meet the fund restriction requirements specified by the donor. Each fund has either an application, and review process, or a committee which decides whether to approve, or deny award requests. The awards are then submitted by the Foundation Director to Central Peninsula Hospital for payment. The Foundation provides reimbursement payment to the hospital, which are approved, and signed by the Board President or Secretary/Treasurer. 0 1 0 0 0 0 1 0 0 Angus Warren Board Member 0 382436 0 5050 0 346 0 6294 0 16941 0 411067 0 0 Schedule J, Part I, Line 4 Central Peninsula Hospital offers a 457 top hat non-qualified deferred compensation plan to its management, and other highly compensated employees. Schedule J, Part I, Line 6 Central Peninsula Hospital provides quarterly incentive bonuses to eligible staff based on achievement of three (3) goals; Patient Satisfaction, Quality, and Financial. These goals are determined by the Hospital Board and Management. Additionally, achievement of these goals are evaluated at the end of the year, which gives the potential for each eligible Department Director to receive an additional bonus. Form 990, Part III, Line 4d Other program service accomplishments include direct assistance to individual and programs such as cancer care, patient prescriptions, patient transportation, employee assistance, infant clothing, clothing donations to the Sarah's Closet program, and more. Form 990, Part VI, Section B, Line 11b The Form 990 is provided to the Foundation Director, and each Board Member. The Board reviews the 990, and either approves it, or suggests corrections at a regular board meeting. Any changes, or corrections are performed by the accountant after which the Form 990 is electronically signed, and filed by the Board Secretary. Form 990, Part VI, Section B, Line 12c Each Board Member must complete an annual conflict of interest questionnaire disclosing any known business, financial, or family relationships with the Foundation, its related parties, and other Board Members. Any conflicts of interest are also proactively required to be reported to the Board during the year for discussion, and appropriate action. Form 990, Part VI, Section C, Line 19 The Foundation publishes a copy of it's Form 990, and any audited financial reports on it's public website as www.givingheals.org. Form 990 is also available at www.guidestar.com. All other organizational documents are available to the public upon request. Form 990, Part IX, Line 11g The Serenity House program works with independent contractors to spearhead community canvassing, enage with the public in preventions campaigns, and perform outreach as part of its prevention program. Central Peninsula General Hospital Inc 250 Hospital Place Soldotna AK 99669 920077523 Hospital AK 501(c)3 Hospital N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 Central Peninsula General Hospital Inc b 19733 Contributions of gifts, grants or capital to Central Peninsula Hospital consisted of; walkers, grab bars, and commodes. Central Peninsula General Hospital Inc n 14184 Central Peninsula Hospital shares its facilities with the Foundation at no cost to them. The value of that space was determined by the hospital based on its more recently filed Medicare cost report for the value of occupancy per square foot. Central Peninsula General Hospital Inc p 80987 Central Peninsula Hospital processed approved payment requests for Foundation program expenses. The Foundation reimburses the hospital on a quarterly basis using revenues from applicable program fund balance. Central Peninsula General Hospital Inc q 154599 The Foundation's operating expenses are paid for by Central Peninsula Hospital, and recorded as a contribution received from them. Operating expenses include salaries and benefits of the Foundation Director, Accountant, office expenses, and all other costs of operation. Program expenses are not included. Form 8868 was filed and accepted by the IRS.