2024-08-14T12:21:50-05:00 2021-12-31 910189318 MOSS ADAMS LLP 601 W RIVERSIDE AVENUE STE 1800 SPOKANE WA 99201 990 2021-01-01 920019395 VALLEY HOSPITAL ASSOCIATION INC DBA MAT-SU HEALTH FOUNDATION VALL 9073522863 777 N CRUSEY STREET A201 WASILLA AK 99654 BILL FINLEY CFO 9073522863 2024-07-31 1 WENDY CAMPOS P00448102 5097472600 2024-07-31 2021 2024-08-08 14:25:15Z X ELIZABETH RIPLEY 777 N CRUSEY STREET A201 WASILLA AK 99654 84307503 0 X WWW.HEALTHYMATSU.ORG X 1948 AK THE PRIMARY EXEMPT PURPOSE IS THE PROVISION OF MEDICAL SERVICES TO AREA RESIDENTS THROUGH A PARTNERSHIP WITH THE MAT-SU VALLEY MEDICAL CENTER AND GRANTS TO COMMUNITY ORGANIZATIONS. 13 13 28 13 583556 0 496931 2451224 32379605 44938930 8060935 11921629 2310195 1137520 43247666 60449303 16050818 13024317 0 0 2929792 3750395 0 0 0 3621945 5624875 22602555 22399587 20645111 38049716 276307816 330090362 11044603 12848750 265263213 317241612 THE PRIMARY EXEMPT PURPOSE IS THE PROVISION OF MEDICAL SERVICES TO AREA RESIDENTS THROUGH A PARTNERSHIP WITH THE MAT-SU VALLEY MEDICAL CENTER AND GRANTS TO COMMUNITY ORGANIZATIONS. 0 0 18987520 13024317 THE REPORTING ORGANIZATION INCREASES ACCESS TO MEDICAL CARE, SOCIAL SERVICES, COMMUNITY SUPPORTS AND PREVENTION ACTIVITIES THROUGH BOTH THE PROVISION OF MEDICAL SERVICES AND GRANTS TO COMMUNITY ORGANIZATIONS FURTHERING THE PURPOSE OF IMPROVING THE HEALTH AND WELLNESS OF MATANUSKA-SUSITNA RESIDENTS. 44938930 INVESTMENT IN MAT-SU VALLEY MEDICAL CENTER, LLC, JOINT VENTURE. 18987520 1 1 0 1 0 0 0 1 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 28 0 1 28 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 AK X BILL FINLEY 9073522863 777 N CRUSEY STREET STE A201 WASILLA AK 99654 LEBRON MCPHAIL CHAIR 1.00 X X 0 0 0 LISA WADE VICE CHAIRPERSON 1.00 X X 0 0 0 TERI NAMTVEDT SECRETARY/TREASURER 1.00 X X 0 0 0 TAMMY BRUCE DIRECTOR 1.00 X 0 0 0 MARISA CHUD DIRECTOR 1.00 X 0 0 0 RAELYNN DANIELOWSKI DIRECTOR 1.00 X 0 0 0 DR BARB DOTY DIRECTOR 1.00 X 0 0 0 GREG JONES DIRECTOR 1.00 X 0 0 0 KEITH KEHOE DIRECTOR 1.00 X 0 0 0 PHILIP LICHT DIRECTOR 1.00 X 0 0 0 SAMMYE POKRYFKI DIRECTOR 1.00 X 0 0 0 RICHARD PORTER DIRECTOR 1.00 X 0 0 0 LISA SMAYDA DIRECTOR 1.00 X 0 0 0 MARY OLSON DIRECTOR (THRU 6/21) 1.00 X 0 0 0 RANDY WESTBROOK DIRECTOR (THRU 6/21) 1.00 X 0 0 0 KEN KINCAID DIRECTOR (THRU 6/21) 1.00 X 0 0 0 JONATHAN WALKER DIRECTOR (THRU 6/21) 1.00 X 0 0 0 ELIZABETH RIPLEY CEO 40.00 X 250942 0 9165 CHRISTOPHER EMOND CFO 40.00 X 211113 0 22329 KAREN KONEMANN VP OF PROGRAMS 40.00 X 191493 0 7841 JAMES BECK SENIOR PROGRAMS OFFICER 40.00 X 148548 0 5995 ROBIN MINARD CHIEF COMMUNICATIONS OFFICER 40.00 X 136736 0 16749 RAY MICHAELSON PROGRAM OFFICER 40.00 X 123898 0 4938 VANDADA INGLE SENIOR PROGRAM OFFICER 40.00 X 116881 0 17559 1179611 0 84576 11 0 1 0 FE CONTRACTING INC PO BOX 660 PALMER AK 99645 CONSTRUCTION SERVICES 2116375 PROVIDENCE HEALTH & SERVICES PO BOX 35146 SEATTLE WA 98124 PROFESSIONAL SERVICES 852909 BOSTON BIOPHARMA INC 2300 LAKEVIEW PARKWAY SUITE 700 ALPHARETTA GA 30009 PROFESSIONAL SERVICES 845347 HDR INC PO BOX 74008204 CHICAGO IL 60674 PROFESSIONAL SERVICES 695974 AGNEW BECK PO BOX 410 PALMER AK 99645 PROFESSIONAL SERVICES 233772 12 975 2284050 166199 2451224 MAT-SU VALLEY MEDICAL CENTER 624100 46918177 46918177 MAT-SU VALLEY MEDICAL CENTER III 624100 -1979247 -1979247 44938930 6405391 6405391 718138 0 718138 718138 718138 29374438 23858200 5516238 5516238 5516238 SUSITNA SURGERY 624100 419382 583556 -164174 419382 60449303 44938930 583556 12475593 11214024 11214024 1810293 1810293 493550 337369 156181 2444983 1671281 773702 150536 150536 449459 282793 166666 211867 145025 66842 89575 28618 60957 118805 118805 30000 30000 263274 263274 951297 384178 567119 1439547 1170141 269406 43312 10408 32904 332561 82913 249648 213171 213171 3946 1969 1977 27188 15338 11850 521262 521262 68319 68319 COMMUNITY BENEFITS 1268458 1248003 20455 FACILITIES EXPENSE 190836 190836 BOARD EXPENSES 38972 38972 LICENSES & MEMBERSHIPS 24336 624 23712 16 16 22399587 18987520 3412067 0 13647782 30194490 53345 482101 6551038 0 23352 35455 28704918 1715100 26176555 26989818 143300455 178856897 1296537 1643708 85258752 91887893 276307816 330090362 606943 731326 3302881 4894204 300000 1167580 6823273 6044134 11506 11506 11044603 12848750 X 265263213 317241612 265263213 317241612 276307816 330090362 38049716 13928683 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 30000 0 0 0 30000 0 PART II-B, LINE 1: VALLEY HOSPITAL ASSOCIATION SUPPORTS LOCAL, STATE AND NATIONAL LEGISLATION PERIODICALLY IF SAID LEGISLATION OR COMPONENTS OF IT FURTHER THE MISSION AND GOALS OF VHA. IN 2021, VHA SUPPORTED THE FOLLOWING LEGISLATION THROUGH ADVOCACY COMPRISING OF EMAILS AND LETTERS AND SOMETIMES PUBLIC TESTIMONY AND MEETINGS WITH STATE LEVEL LEGISLATORS: SB37 VACCINE PROGRAM; SB44 TELEHEALTH FOR PYHSICIAN ASSISTANTS; SB52 TITLE 4 REWRITE; SB93 SHARP STUDENT LOAN REPAYMENT; HB20 SEXUAL ASSUALT KIT TESTING; HB29 INSURANCE COVERAGE FOR TELEHEALTH; HB39 AND SB 20: OPERATING BUDGET; HB40 AND SB21 MENTAL HEALTH BUDGET. LINE 1F INCLUDES $30,000 FOR LOBBYIST EXPENSES. 107237 0 11765444 11765444 16033094 1277974 14755120 799143 437126 362017 107237 107237 26989818 PROGRAM RELATED INVESTMENTS 273480 F INVESTMENT - UNCONSOLIDATED AFFILIATE 91614413 F 91887893 SECURITY DEPOSITS 11506 11506 X 74114712 13928683 13928683 60186029 263274 263274 60449303 22136313 0 22136313 263274 263274 22399587 PART III, LINE 4: THE ARTWORK IS PUBLICLY DISPLAYED IN THE ORGANIZATION'S BUILDING AND CELEBRATES AND SUPPORTS LOCAL COMMUNITY ARTISTS. PART X, LINE 2: THE ASSOCIATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS ALSO EXEMPT FROM STATE OF ALASKA INCOME TAX. CERTAIN ACTIVITIES OF THE ASSOCIATION MAY CONSTITUTE UNRELATED BUSINESS INCOME AND BE SUBJECT TO TAX; HOWEVER, ANY SUCH TAX IS IMMATERIAL TO THE FINANCIAL STATEMENTS. U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ASSOCIATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ASSOCIATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ASSOCIATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 X 1 X 1 X 1 1 1 0 0 1085833 0 1085833 0.02040 48219994 14244037 33975957 0.63680 4199211 5592742 0 0.00000 53505038 19836779 35061790 0.65720 53505038 19836779 35061790 0.65720 0 1143809 34314 23793111 20523133 3269978 X 1 1 1 1 MAT-SU VALLEY MEDICAL CENTER 2500 S WOODWORTH LOOP PALMER AK 99645 WWW.MATSUREGIONAL.COM GACH-011 MAT-SU REGIONAL MEDICAL CENTER 721563402 X X MAT-SU VALLEY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X WWW.MATSUREGIONAL.COM/COMMUNITY-RESOURCES X WWW.HEALTHYMATSU.ORG/LEARNING/MSHF-REPORTS X 1 19 1 WWW.MATSUREGIONAL.COM/COMMUNITY-RESOURCES 0 1 X 150.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X HTTPS://WWW.MATSUREGIONAL.COM/COMMUNITY-RESOURCES X HTTPS://WWW.MATSUREGIONAL.COM/COMMUNITY-RESOURCES X HTTPS://WWW.MATSUREGIONAL.COM/COMMUNITY-RESOURCES X X X X X X 1 X 0 X X X 1 X 0 0 MAT-SU VALLEY MEDICAL CENTER PART V, SECTION B, LINE 3J: INFORMATION GAPS THAT LIMIT THE HOSPITAL FACILITY'S ABILITY TO ASSESS THE COMMUNITY'S HEALTH NEEDS. MAT-SU VALLEY MEDICAL CENTER PART V, SECTION B, LINE 5: THE REPORTING ORGANIZATION FORMED A STEERING COMMITTEE COMPRISED OF REPRESENTATIVES FROM LOCAL ORGANIZATIONS, SUCH AS HOSPITALS, NON-PROFIT LEADERS, MEDICAL PROFESSIONALS, ETC. THE STEERING COMMITTEE ACTED AS AN ADVISORY COMMITTEE TO THE REPORTING ORGANIZATION, WITH THE MISSION OF ENSURING THAT THE REPORTING ORGANIZATION WAS TAKING INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. THE REPORTING ORGANIZATION HIRED A CONSULTING FIRM TO CONDUCT COMMUNITY FORUMS FROM DIFFERENT SECTORS OF THE COMMUNITY. EACH SECTOR RESPONDED WITH ITS OWN OPINIONS ON WHAT AREAS OF HEALTH THE COMMUNITY LACKED OR EXCELLED IN. MAT-SU VALLEY MEDICAL CENTER PART V, SECTION B, LINE 6A: PROVIDENCE HOSPITAL MAT-SU VALLEY MEDICAL CENTER PART V, SECTION B, LINE 6B: AK MENTAL HEALTH TRUST AUTHORITY, CHICKALOON TRIBE, DENALI COMMISSION, KNIK TRIBAL COUNCIL, MAT-SU BOROUGH PLANNING DEPARTMENT, MAT-SU HEALTH FOUNDATION, MAT-SU BOROUGH EMERGENCY SERVICES, MAT-SU BOROUGH SCHOOL DISTRICT, MAT-SU REGIONAL MEDICAL CENTER, MAT-SU HEALTH SERVICES, PALMER 7TH DAY ADVENTIST CHURCH, PROVIDENCE HEALTH & SERVICES ALASKA, RASMUSON FOUNDATION, AK DIVISION OF PUBLIC HEALTH NURSING, SOUTHCENTRAL FOUNDATION, SUNSHINE COMMUNITY HEALTH CENTER, UPPER SUSITNA SENIOR CENTER, UNITED WAY OF MAT-SU AND VALLEY CHARITIES. 2 1 - MAT-SU VALLEY III LLC 950 E BOGARD ROAD WASILLA AK 99654 PHYSICIAN PRACTICES/CLINICS 2 - SUSITNA SURGERY CENTER LLC 2490 S WOODWORTH LOOP STE 100 PALMER AK 99645 AMBULATORY SURGICAL CENTER PART I, LINE 7: EXPLANATION OF COSTING METHODOLOGY THE REPORTING ORGANIZATION UTILIZES THE COST-TO-CHARGE RATIO FOR AMOUNTS REPORTED IN THE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST TABLE. THE COST-TO-CHARGE RATIO WAS DERIVED FROM UTILIZING WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES, FROM THE SCHEDULE H INSTRUCTIONS. PART III, LINE 2: BAD DEBT WAS CALCULATED BY TAKING CURRENT YEAR JOINT VENTURE BAD DEBT, MULTIPLIED BY THE ENTITY'S OWNERSHIP PERCENTAGE AND THEN MULTIPLIED BY THE COST RATIO DERIVED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PART III, LINE 3: SIGNIFICANT EFFORT IS MADE ON THE HOSPITAL'S PART TO IDENTIFY ALL PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE BEFORE AND/OR IMMEDIATELY AFTER A PATIENT IS PROVIDED SERVICES. BECAUSE OF THESE EFFORTS AND THE HOSPITAL'S FINANCIAL ASSISTANCE DETERMINATIONS POLICY, IT IS ESTIMATED THAT LESS THAN 3% OF BAD DEBTS ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: RELEVANT FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS:PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS DETERMINED BY EACH PAYOR. FOR THIRD-PARTY PAYORS INCLUDING MEDICARE, MEDICAID, AND MANAGED CARE, THE NET REALIZABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGE, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL PAID CLAIMS DATA BY PAYOR. FOR SELF-PAY ACCOUNTS RECEIVABLE, WHICH INCLUDES PATIENTS WHO ARE UNINSURED AND THE PATIENT RESPONSIBILITY PORTIONS FOR PATIENTS WITH INSURANCE, THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE WITHOUT REGARD TO AGING CATEGORY. THESE ESTIMATES ARE ADJUSTED FOR ESTIMATED CONVERSIONS OF PATIENT RESPONSIBILITY PORTIONS, EXPECTED RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS.PATIENT ACCOUNTS RECEIVABLE CAN BE IMPACTED BY THE EFFECTIVENESS OF THE COMPANY'S COLLECTION EFFORTS. ADDITIONALLY, SIGNIFICANT CHANGES IN PAYOR MIX, BUSINESS OFFICE OPERATIONS, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NET REALIZABLE VALUE OF ACCOUNTS RECEIVABLE. THE COMPANY ALSO CONTINUALLY REVIEWS THE NET REALIZABLE VALUE OF ACCOUNTS RECEIVABLE BY MONITORING HISTORICAL CASH COLLECTIONS AS A PERCENTAGE OF TRAILING NET OPERATING REVENUES, AS WELL AS BY ANALYZING CURRENT PERIOD NET REVENUE AND ADMISSIONS BY PAYOR CLASSIFICATIONS, AGED ACCOUNTS RECEIVABLE BY PAYOR, DAYS REVENUE OUTSTANDING, AND THE COMPOSITION OF SELFPAY RECEIVABLES BETWEEN PURE SELF-PAY PATIENTS AND THE PATIENT RESPONSIBILITY PORTION OF THIRD-PARTY INSURED RECEIVABLES. ADJUSTMENTS RELATED TO FINAL SETTLEMENTS FOR SOME PAYORS AND PROGRAMS ARE SUBJECT TO ADJUSTMENT BASED ON ADMINISTRATIVE REVIEW AND AUDIT BY THIRD PARTIES. AS A RESULT OF THESE FINAL SETTLEMENTS, THE COMPANY HAS RECORDED NET AMOUNTS DUE FROM THIRD-PARTY PAYORS OF APPROXIMATELY $476,000 AND $462,000 AS OF DECEMBER 31, 2021 AND 2020, AND THESE AMOUNTS ARE INCLUDED IN CURRENT ASSETS ON THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. SUBSTANTIALLY ALL MEDICARE AND MEDICAID COST REPORTS ARE FINAL SETTLED THROUGH DECEMBER 31, 2018. SERVICES PROVIDED, WITH A REDUCTION RECORDED FOR PRICE CONCESSIONS RELATED TO THIRD PARTY CONTRACTUAL ARRANGEMENTS AS WELL AS PATIENT DISCOUNTS AND OTHER IMPLICIT PATIENT PRICE CONCESSIONS. DURING THE YEAR ENDED DECEMBER 31, 2021, THE IMPACT OF CHANGES TO THE INPUTS USED TO DETERMINE THE TRANSACTION PRICE WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD. PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE COMPUTED UTILIZING COST TO CHARGE RATIOS FROM FILED COSTS REPORTS. PART III, LINE 9B: SIGNIFICANT EFFORT IS MADE ON THE HOSPITAL'S PART TO IDENTIFY ALL PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE BEFORE AND/OR IMMEDIATELY AFTER A PATIENT IS PROVIDED SERVICES. BECAUSE OF THESE EFFORTS AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, IT IS ESTIMATED THAT LESS THAN 3% OF BAD DEBTS ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART VI, LINE 2: THROUGHOUT THE YEAR HOSPITAL BOARD VOLUNTEERS, STAFF AND MANAGERS TRACK INPATIENT AND OUTPATIENT VOLUMES, OUTMIGRATION, TRENDS IN DIAGNOSIS AND ENVIRONMENTAL FACTORS TO INCLUDE WEATHER, SOCIAL AND CULTURAL INDICATORS. TYPICALLY DURING THE LAST QUARTER OF THE CALENDAR YEAR, HOSPITAL LEADERS EVALUATE THE PAST MONTHS AND PREPARE FOR THE FUTURE. SHORT AND LONG-TERM DECISIONS ARE BASED ON THESE EVALUATIONS AS WELL AS ON A VARIETY OF PLANNING MODELS RECOMMENDED BY THE AMERICAN MEDICAL ASSOCIATION (AMA). IN ADDITION TO DATA GATHERED THROUGH THESE SOURCES, ADDITIONAL ANECDOTAL INFORMATION, EXPERTISE AND KNOWLEDGE SHARED FROM STAKEHOLDERS, PUBLIC AND PRIVATE HEALTH REPORTS, CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) DATA, AND ECONOMIC FORECASTS FROM LOCAL GOVERNMENT, CHAMBERS OF COMMERCE AND AREA EMPLOYERS ARE USED TO STRATEGICALLY PLAN TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. PART VI, LINE 3: THE HOSPITAL MAINTAINS POSTED SIGNS IN ENGLISH AND RUSSIAN REGARDING FINANCIAL ASSISTANCE AVAILABILITY AND CRITERIA FOR PATIENTS IN EACH ADMITTING OFFICE AND IN THE EMERGENCY DEPARTMENT LOBBY. THE HOSPITAL ALSO POSTS INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE HOSPITAL'S WEBSITE. ALL INPATIENT AND OUTPATIENTS ARE OFFERED A FORM UPON ADMISSION THAT FORMALLY NOTIFIES THEM THAT THE HOSPITAL HAS FINANCIAL ASSISTANCE AVAILABLE IF THEY MEET CERTAIN CRITERIA, INCLUDING COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION. ADMITTING STAFF SCREEN ALL SELF-PAY PATIENTS FOR POTENTIAL MEDICAID ELIGIBILITY AS WELL AS COVERAGE BY OTHER SOURCES, INCLUDING GOVERNMENTAL PROGRAMS. DURING THIS PROCESS, ADMITTING STAFF WILL ALSO MAKE AVAILABLE A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT. HOSPITAL STAFF DO MAKE FOLLOW UP CALLS TO ELIGIBLE PATIENTS TO ENCOURAGE COMPLETION OF THE APPLICATION. PART VI, LINE 4: THE HOSPITAL IS LOCATED IN THE MAT-SU BOROUGH OF ALASKA, NORTHEAST OF ANCHORAGE, AND SERVES OVER 27 COMMUNITIES INCLUDING THE CITIES PALMER, WASILLA, AND HOUSTON. THE HOSPITAL SERVES COMMUNITIES THAT ENCOMPASS OVER 24,000 SQUARE MILES OF LAND, WITH THE MOST DISTANT COMMUNITIES 55 TO 75 MILES NORTH OF WASILLA. IN 2018, THE MAT-SU BOROUGH HAD A POPULATION OF 105,743, REPRESENTING 14% OF ALASKA'S TOTAL POPULATION.IN 2017, THE PERCENTAGES OF MAT-SU PERSONS EXPERIENCING POVERTY WERE 14% CHILDREN, 12% INDIVIDUALS, AND 9% FAMILIES. APPROXIMATELY 92% OF RESIDENTS HAVE A HIGH SCHOOL DIPLOMA OR AN EQUIVALENT BY AGE 25, AND 22% HAVE EARNED A COLLEGE DEGREE. THE MEDIAN AGE OF A MAT-SU RESIDENT IS 35.2 YEARS OLD. THE POPULATION AGE 19 AND UNDER REPRESENTS 27% OF MAT-SU'S TOTAL POPULATION AS OF 2018. THE POPULATION AGE 65 AND OLDER REPRESENTS 12% OF THE MAT-SU'S TOTAL POPULATION AS OF 2018. PART VI, LINE 5: IMPROVING THE HEALTH STATUS OF OUR COMMUNITY IS AN IMPORTANT GOAL FOR THE HOSPITAL AND MAINTAINING RELATIONS WITH COMMUNITY PARTNERS IS INTEGRAL TO SUCCESS IN THESE EFFORTS. THE HOSPITAL SPONSORS EDUCATION AND OUTREACH PROGRAMS, INCLUDING SENIOR CIRCLE FOR MATURE ADULTS, HEALTH FAIRS, EDUCATIONAL SEMINARS PRESENTED BY EMPLOYED AND COMMUNITY PHYSICIANS, FREE HEALTHY WOMAN PROGRAMS AND ALSO PARTNERS WITH LOCAL EDUCATIONAL FACILITIES TO OFFER CLINICAL SITES FOR EDUCATIONAL EXPERIENCES. MEMBERS OF THE HOSPITAL STAFF ALSO PROVIDE MENTORSHIP AND CLINICAL EDUCATION. PART VI, LINE 6: N/A PART VI, LINE 7: N/A ADDITIONAL INFORMATION: BESIDES PROVIDING FINANCIAL ASSISTANCE TO THOSE UNABLE TO PAY, AND ACCEPTING MEDICAID AND MEDICARE PATIENTS, THE VALLEY HOSPITAL ASSOCIATION ALSO FURTHERS ITS EXEMPT PURPOSE BY SEATING ONE HALF OF THE GOVERNING BODY OF THE JOINT VENTURE HOSPITAL WITH PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE INDIVIDUALS ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION NOR FAMILY MEMBERS THEREOF. THE HOSPITAL ALSO SEATS AN ADDITIONAL "BOARD OF TRUSTEES" WITH FIVE MEMBERS OF THE HOSPITAL MEDICAL STAFF AND FIVE COMMUNITY MEMBERS TO INFORM THE GOVERNING BODY ON ISSUES RELATED TO SERVICE, QUALITY, RISK AND COMPLIANCE. THE HOSPITAL ALSO MAINTAINS AN OPEN MEDICAL STAFF BY EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. IMPROVING THE HEALTH STATUS OF THE COMMUNITY IS AN IMPORTANT GOAL FOR THE HOSPITAL, AND MAINTAINING RELATIONSHIPS WITH COMMUNITY PARTNERS AND PROVIDERS IS INTEGRAL TO SUCCESS IN THESE EFFORTS. 1 AFFINITYFILMS INC PO BOX 1591 HOMER AK 99603 920082476 501(C)(3) 15000 0 PROGRAM SUPPORT/TARGET WELLNESS AK PAYEE SERVICES INC 2521 E MTN VILLAGE DR B236 WASILLA AK 99654 844909824 501(C)(3) 30000 0 PROGRAM SUPPORT/TARGET WELLNESS/SYSTEMS & PROGRAM EXPANSION SUPPORT GRANT ALASKA CHILDREN'S TRUST 6591 A ST STE 110 ANCHORAGE AK 99518 911765129 501(C)(3) 30000 0 PROGRAM SUPPORT & SPONSORSHIP/SYSTEMS & PROGRAM EXPANSION ALASKA COALITION ON HOUSING AND HOMELESSNESS 319 SEWARD ST STE 7 JUNEAU AK 99801 920137326 501(C)(3) 34332 0 PROGRAM SUPPORT & DEVELOPMENT ALASKA FAMILY SERVICES INC 1825 S CHUGACH ST PALMER AK 99645 920078235 501(C)(3) 160500 0 COVID PREVENTION & RESPONSE/PROGRAM & WORKFORCE DEVELOPMENT/TARGET WELLNESS ALASKA FARMLAND TRUST 248 E DAHLIA AVE PALMER AK 996456409 202860877 501(C)(3) 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24354 9983 FMV IN-KIND GRANT FOR RENT BOARD DISCRETIONARY/PROGRAM SUPPORT/TARGET WELLNESS/HEALTHY FOUNDATIONS/IN-KINDS/RWJF GRANT CITY OF WASILLA 290 E HERNING AVE WASILLA AK 99654 926010143 MATANUSKA-SUSITNA CO 5500 0 PROGRAM SUPPORT & SPONSORSHIP/PROGRAM EXPANSION CONNECT PALMER INC 202 SOUTH ALASKA STREE UNIT C PALMER AK 996456334 471007638 501(C)(3) 85632 0 PROGRAM & WORKFORCE DEVELOPMENT/SYSTEMS & PROGRAM EXPANSION SUPPORT GRANT DENALI EDUCATION CENTER PO BOX 89 TALKEETNA AK 99676 920131177 501(C)(3) 78004 0 COVID SUPPORT/PROGRAM SUPPORT & SPONSORSHIP/TARGET WELLNESS DENALI FAMILY SERVICES 6401 A ST ANCHORAGE AK 995181824 920155751 501(C)(3) 13300 0 PROGRAM SUPPORT/TARGET WELLNESS FOOD BANK OF ALASKA 2121 SPAR AVE ANCHORAGE AK 99501 920073175 501(C)(3) 15500 0 PROGRAM SUPPORT/TARGET WELLNESS FRIENDS OF THE SUTTON LIBRARY PO BOX 266 SUTTON AK 99674 820153777 501(C)(3) 6000 0 PROGRAM SUPPORT/TARGET WELLNESS FRONTLINE MISSION 2001 E PALMER WASILLA HWY WASILLA AK 996547224 300450068 501(C)(3) 25920 0 CEO DISCRETIONARY/INTERIM LEADERSHIP SUPPORT/PROGRAM & WORKFORCE DEVELOPMENT/PROGRAM SUPPORT/SPONSORSHIP GRANTMAKERS IN HEALTH 1100 CONNECTICUT AVE NW STE 1100 WASHINGTON DC 200364110 133206571 501(C)(3) 17350 0 PROGRAM SUPPORT & SPONSORSHIP/TARGET WELLNESS HOMESTEADERS COMMUNITY CENTER 11760 W HAWK LANE WASILLA AK 99623 823624095 501(C)(3) 7500 0 PROGRAM SUPPORT/TARGET WELLNESS JESSICA STEVENS COMMUNITY FOUNDATON 3201 C STREET SUITE 110 ANCHORAGE AK 99503 920155067 501(C)(3) 16500 0 BOARD DISCRETIONARY/PROGRAM SUPPORT/TARGET WELLNESS KABAYAN INC 1640 N CATALINA DR WASILLA AK 99654 812073684 501(C)(3) 6700 0 PROGRAM & WORKFORCE DEVELOPMENT/PROGRAM SUPPORT & SPONSORSHIP KIDS KUPBOARD 4800 N TANIS DRIVE WASILLA AK 99654 810989262 501(C)(3) 51000 0 COVID PREVENTION & RESPONSE/PROGRAM SUPPORT KNIK TRIBAL COUNCIL BOX 871565 WASILLA AK 99687 920076275 KNIK TRIBAL COUNCIL 85000 0 COVID PREVENTION & RESPONSE/PROGRAM & WORKFORCE DEVELOPMENT/SYSTEMS & PROGRAM EXPANSION SUPPORT GRANT LINKS MAT-SU PARENT RESOURCE CENTER 777 N CRUSEY STREET SUITE A101 WASILLA AK 99654 920144494 501(C)(3) 390110 0 COVID SUPPORT/SYSTEMS & PROGRAM EXPANSION SUPPORT GRANT MAT-SU BASEBALL INC PALMER PO BOX 2690 PALMER AK 996452690 920072147 501(C)(3) 85000 0 PROGRAM SUPPORT & DEVELOPMENT MAT-SU BOROUGH SCHOOL DISTRICT 501 N GULKANA ST PALMER AK 99645 926000034 MATANUSKA-SUSITNA CO 24650 0 PROGRAM SUPPORT & DEVELOPMENT MAT-SU FOOD BANK POBOX 873280 WASILLA AK 99687 920150918 501(C)(3) 15500 0 CEO DISCRETIONARY/PROGRAM SUPPORT/TARGET WELLNESS MAT-SU TRAILS & PARKS FOUNDATION PO BOX 652 PALMER AK 99645 900699180 501(C)(3) 558347 0 BOARD DISCRETIONARY/PROGRAM & WORKFORCE DEVELOPMENT/PROGRAM SUPPORT/PROGRAM EXPANSION SUPPORT GRANT MY HOUSE 300 N WILLOW WASILLA AK 99654 453954205 501(C)(3) 63420 0 BOARD DISCRETIONARY/PROGRAM SUPPORT/TARGET WELLNESS/ PROGRAM EXPANSION SUPPORT GRANT ONWARD & UPWARD INC 777 N CRUSEY ST SUITE B105 WASILLA AK 996546694 208397173 501(C)(3) 193335 0 PROGRAM SUPPORT & DEVELOPMENT PACIFIC NORTHWEST UNIVERSITY OF HEALTH SCIENCES - SCH ATTN FINANCE DEPT 111 UNIVERSITY PARKWAY SUITE 202 YAKIMA WA 98901 061744054 501(C)(3) 40500 0 DATA RESEARCH DISCOVERY GRANT/PROGRAM SUPPORT & SPONSORSHIP PALMER COMMUNITY FOUNDATION 3201 C STREET SUITE 110 ANCHORAGE AK 99503 920155067 501(C)(3) 15000 0 PROGRAM SUPPORT/TARGET WELLNESS PALMER FOODBANK (PALMER EMERGENCY FOOD & COMMUNITY) PO BOX 2421 PALMER AK 996452124 943164090 501(C)(3) 16520 0 CEO DISCRETIONARY/PROGRAM SUPPORT/TARGET WELLNESS PALMER SENIOR CITIZENS CENTER INC (AKA MAT-SU SENIOR SERVICES) 1132 SOUTH CHUGACH STREET PALMER AK 99645 920078503 501(C)(3) 103800 0 BOARD DISCRETIONARY/DATA RESEARCH DISCOVERY GRANT/INTERIM & TRANSITION CEO SUPPORT/PROGRAM & WORKFORCE DEVELOPMENT PEDIATRIC RESOURCE CENTER OF ALASKA 2860 W BAYRIDGE CIR WASILLA AK 99654 844968765 501(C)(3) 36274 0 COVID PREVENTION & RESPONSE & SUPPORT PEER POWER PO BOX 220292 ANCHORAGE AK 99522 461682751 501(C)(3) 15000 0 PROGRAM SUPPORT/TARGET WELLNESS PHILANTHROPY NORTHWEST 2101 FOURTH AVENUE SUITE 650 SEATTLE WA 98121 911110995 501(C)(3) 17000 0 CEO DISCRETIONARY/PROGRAM SUPPORT/TARGET WELLNESS & SPONSORSHIP POP WARNER LITTLE SCHOLARS INC PO BOX 773625 EAGLE RIVER AK 99577 231582287 501(C)(3) 50000 0 COVID PREVENTION & RESPONSE RASMUSON FOUNDATION 301 W NORTHERN LIGHTS BLVD STE 601 ANCHORAGE AK 995032650 916340739 501(C)(3) 15000 0 PROGRAM SUPPORT & SPONSORSHIP REACH 907 777 N CRUSEY ST SUITE B109 WASILLA AK 996544530 832233177 501(C)(3) 143868 0 PROGRAM & WORKFORCE DEVELOPMENT/PROGRAM SUPPORT/TARGET WELLNESS SET FREE ALASKA INC PO BOX 876741 1710 E BOGARD RD WASILLA AK 99687 264350361 501(C)(3) 545604 0 COVID PREVENTION & RESPONSE & SUPPORT/DATA RESEARCH DISCOVERY GRANT SPECIAL OLYMPICS ALASKA MAT-SU COMMUNITY 3200 MOUNTAIN VIEW DR ANCHORAGE AK 995013109 920057197 501(C)(3) 15000 0 PROGRAM SUPPORT/TARGET WELLNESS SUNSHINE COMMUNITY HEALTH CENTER HC89 BOX 8190 TALKEETNA AK 99676 920117838 501(C)(3) 299318 0 DATA RESEARCH DISCOVERY GRANT/PROGRAM SUPPORT/TARGET WELLNESS/SYSTEMS & PROGRAM EXPANSION SUPPORT GRANT SUNSHINE TRANSIT PO BOX 1189 WILLOW AK 99688 822991440 501(C)(3) 170000 0 SYSTEMS & PROGRAM EXPANSION SUPPORT GRANT SUSITNA VALLEY JRSR HIGH SCHOOL HC 89 BOX 8580 TALKEETNA AK 99676 926000034 MATANUSKA-SUSITNA CO 28120 0 PROGRAM SUPPORT/TARGET WELLNESS TEELAND MIDDLE SCHOOL 2788 N SEWARD MERIDIAN PKWY WASILLA AK 99654 926000034 MATANUSKA-SUSITNA CO 15000 0 PROGRAM SUPPORT/TARGET WELLNESS THE ALASKA PRIMARY CARE ASSOCIATION 3111 C STREET SUITE 500 ANCHORAGE AK 99503 920154822 501(C)(3) 109278 0 COVID SUPPORT THE CHILDREN'S PLACE PO BOX 871788 WASILLA AK 99687 911817911 501(C)(3) 93000 0 COVID PREVENTION & RESPONSE/DATA RESEARCH DISCOVERY GRANT/PROGRAM SUPPORT/TARGET WELLNESS THE FORAKER GROUP 161 KLEVIN STREET SUITE 101 ANCHORAGE AK 99508 920177787 501(C)(3) 293700 0 PROGRAM & WORKFORCE DEVELOPMENT/PROGRAM SUPPORT/TARGET WELLNESS/LEADERSHIP TRANSITION UNITED WAY OF MAT-SU 550 S ALASKA STREET SUITE 205 PALMER AK 99645 920126154 501(C)(3) 60100 0 COVID PREVENTION & RESPONSE/PROGRAM & WORKFORCE DEVELOPMENT/PROGRAM SUPPORT/TARGET WELLNESS UPPER SUSITNA FOOD PANTRY PO BOX 277 TALKEETNA AK 99676 454011416 501(C)(3) 82747 0 BOARD DISCRETIONARY/CEO DISCRETIONARY/COVID PREVENTION & RESPONSE/PROGRAM SUPPORT/TARGET WELLNESS VALLEY CHARITIES INC 400 N YENLO ST WASILLA AK 99654 920130785 501(C)(3) 68445 0 PROGRAM & WORKFORCE DEVELOPMENT/PROGRAM SUPPORT/TARGET WELLNESS VALLEY COMMUNITY FOR RECYCLING SOLUTIONS PO BOX 876464 WASILLA AK 99687 920174289 501(C)(3) 5051 0 PROGRAM SUPPORT/TARGET WELLNESS VALLEY TRANSIT 225 W RILEY AVE WASILLA AK 99654 271934984 501(C)(3) 275200 0 PROGRAM & WORKFORCE DEVELOPMENT/SYSTEMS & PROGRAM EXPANSION SUPPORT GRANT VETERANS RETIREMENT HOME FUNDING INC 11350 E PALMER WASILLA HWY PO BOX 3349 PALMER AK 99645 844790463 501(C)(3) 10000 0 SYSTEMS & PROGRAM EXPANSION SUPPORT GRANT WASILLA AREA SENIORS INC 1301 S CENTURY CIRCLE WASILLA AK 996548520 920082770 501(C)(3) 42200 0 PROGRAM & WORKFORCE DEVELOPMENT/SUPPORT & SPONSORSHIP WILLOW FOOD PANTRY UMC PO BOX 182 WILLOW AK 99688 901158030 501(C)(3) 25350 0 CEO DISCRETIONARY/PROGRAM SUPPORT/TARGET WELLNESS MAT-SU HEALTH FOUNDATION 777 N CRUSEY WASILLA AK 99654 920019395 501(C)(3) 55690 0 PROGRAM SUPPORT/CONNECT MAT-SU 67 1 SCHOLARSHIPS 403 1810293 PART I, LINE 2: GRANT AWARDS ARE MONITORED THROUGH A PROGRESS REPORT WHICH IS REQUIRED TO BE SUBMITTED BY THE GRANTEE ON A PERIODIC BASIS. THE PROGRAM OFFICER REVIEWS THE PROGRESS REPORTS FROM THE GRANTEES AND EVALUATES WHETHER THE FUNDS ARE BEING USED IN ACCORDANCE WITH THE GRANT AGREEMENT SIGNED BY THE GRANTEE. X X X X 0 0 0 0 0 0 0 1 0 ELIZABETH RIPLEY CEO 250917 0 25 0 0 0 8811 0 354 0 260107 0 0 0 CHRISTOPHER EMOND CFO 208557 0 2556 0 0 0 8444 0 13885 0 233442 0 0 0 KAREN KONEMANN VP OF PROGRAMS 153317 0 2556 0 35620 0 4633 0 3208 0 199334 0 0 0 JAMES BECK SENIOR PROGRAMS OFFICER 146017 0 2531 0 0 0 5941 0 54 0 154543 0 0 0 ROBIN MINARD CHIEF COMMUNICATIONS OFFICER 134180 0 2556 0 0 0 5468 0 11281 0 153485 0 0 0 PART I, LINE 7 MANAGEMENT APPROVES BONUSES FOR EMPLOYEES EXCEPT FOR THE CEO AS AN ACKNOWLEDGEMENT FOR THEIR HARD WORK, DEDICATION AND IMPACT TO THE ORGANIZATION. THEY ARE PRORATED BASED UPON TIME WITH THE ORGANIZATION FOR NEW EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP ELIGIBILITY CRITERIA: (1) MUST HOLD MAT-SU BOROUGH RESIDENCY (DETERMINED BY VOTER REGISTRATION AND/OR RESIDENCE ADDRESS WITHIN THE BOROUGH). (2) MUST BE 18 YEARS OF AGE OR OLDER. (3) MUST EITHER (A) SUBMIT A COMPLETED GENERAL APPLICATION AND PAY THE $5 MEMBERSHIP FEE PER CALENDAR YEAR (JANUARY 1 THROUGH DECEMBER 31) FOR GENERAL MEMBERSHIP; (B) COMPLETE A LIFETIME MEMBERSHIP APPLICATION AND PAY THE $75 LIFETIME FEE AND COMPLETE A LIFETIME MEMBERSHIP ADDRESS VERIFICATION UPDATE FOR LIFETIME MEMBERSHIP HOLDERS. FORM 990, PART VI, SECTION A, LINE 7B ANY CHANGES TO THE BYLAWS THAT ARE RELATED TO MEMBERSHIP MUST BE APPROVED BY MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT AND THE FINANCE AND INVESTMENT COMMITTEE REVIEW THE 990 PRIOR TO FILING. A FINAL VERSION OF THE 990 IS SENT TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE REPORTING ORGANIZATION ANNUALLY VERIFIES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE INDIVIDUALS COVERED BY THIS POLICY INCLUDE ALL DIRECTORS, OFFICERS, AND KEY PERSONNEL. THE PERSONS COVERED BY THE POLICY ARE REQUIRED TO ANNUALLY DISCLOSE TO THE ORGANIZATION'S CEO THEIR INTEREST THAT COULD GIVE RISE TO CONFLICTS OF INTEREST ON A FORM PROVIDED BY THE ORGANIZATION. THE ORGANIZATION'S CEO WILL MONITOR PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST. DURING MEETINGS, CONFLICTED INDIVIDUALS MUST DISCLOSE THE MATERIAL FACTS AND DETAILS RELATING TO THEIR INTEREST TO THE BOARD OR BOARD COMMITTEE. THE BOARD CHAIRPERSON, COMMITTEE, OR BOARD MAY ASK THE INDIVIDUAL TO LEAVE THE MEETING DURING THE DISCUSSION OF THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT OF INTEREST. INTERESTED PERSONS ARE NOT ALLOWED TO VOTE ON THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT OF INTEREST. THE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT THE MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, A CEO EVALUATION COMMITTEE CONSISTING OF INDEPENDENT PERSONS IS CONVENED TO REVIEW THE EMPLOYMENT AND COMPENSATION OF THE CEO. WHEN DETERMINING THE CEO'S COMPENSATION, THE COMMITTEE UTILIZES BOTH LOCAL, REGIONAL, AND NATIONAL SALARY SURVEYS. THE BOARD OF DIRECTORS REVIEWS THE RECOMMENDATION OF THE CEO EVALUATION COMMITTEE AND THEIR APPROVAL OR REVISION IS DOCUMENTED IN THE MINUTES OF THE MEETING. FOR OFFICERS OTHER THAN THE CEO, AN EXTERNAL FIRM IS USED TO CREATE A COMPENSATION GRID THAT DETERMINES COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE REPORTING ORGANIZATION'S 990 AND 990-T, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. THE GOVERNING DOCUMENTS ARE MADE PUBLIC ON THE ORGANIZATION'S WEBSITE. SCHEDULE H, PART I: EXPLANATION OF AMENDED RETURN - THE ORGANIZATION IS AMENDING SCHEDULE H, PART I, LINE 7B COLUMN (C) TO CORRECT A MATH ERROR THAT IMPACTS MULTIPLE YEARS AND WAS DISCOVERED UPON PREPARATION OF WORKSHEET 3 FOR THE 2023 TAX RETURN. VALLEY HEALTH SERVICES INC 777 N CRUSEY ST SUITE WASILLA AK 99654 473084243 DORMANT HOLDING CORPORATION AK VALLEY HOSPITAL ASSOCIATION INC C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MAT-SU VALLEY MEDICAL CENTER LLC 4000 MERIDIAN BLVD FRANKLIN TN 37067 721563402 HOSPITAL AK RELATED 0 42223916 58294086 0 0 0 0.35000