Community Benefit Insight - Tax-exempt hospital

View data for this organization below, or select additional hospitals to create a comparison view.

Search tax-exempt hospitals
for comparison purposes.

Foundation Health Llc

Fairbanks Memorial

1650 Cowles St
Fairbanks, AK 99701

Bed count	162	Medicare provider number	020012	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 813021580

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

10.12%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 472,848 0.14 %
Medicaid as % of operating expenses	$ 23,530,266 6.93 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 485,518 0.14 %
Subsidized health services as % of operating expenses	$ 9,446,430 2.78 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 159,832 0.05 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 267,632 0.08 %
Community building* as % of operating expenses	$ 28,604 0.01 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 28,604 0.01 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 4,304 15.05 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 24,300 84.95 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 2,539,622 0.75 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 276762450 including grants of $ 100000) (Revenue $ 327295279)
FOUNDATION HEALTH LLC OWNS AND OPERATES FAIRBANKS MEMORIAL HOSPITAL (HOSPITAL), DENALI CENTER (HOME), AND TANANA VALLEY CLINIC (CLINIC). THE HOSPITAL IS A GENERAL ACUTE, SOLE COMMUNITY, 152 BED FACILITY. THE HOSPITAL SERVES PATIENTS FROM FAIRBANKS AND THROUGHOUT THE INTERIOR OF ALASKA PROVIDING INPATIENT CARE, EMERGENCY CARE AND A BROAD ARRAY OFOUTPATIENT MEDICAL SERVICES. THE HOME IS A 90 BED SKILLED NURSING CARE HOME THAT PROVIDES POST ACUTE CARE FOR SHORT TERM PATIENTS, AS WELL AS LONG TERM CARE FOR OTHER PATIENTS. THE CLINIC IS A MULTI-SPECIALTY CLINIC THAT OFFERS 15 MEDICAL SPECIALITIES AND OPERATES A WALK-IN CLINIC WITH AFTER HOURS SERVICES. THE HOSPITAL SERVED 49,160 PATIENTS IN 2021, INCLUDING 1,079 BABIES DELIVERED. THE HOME SERVED 195 INDIVIDUALS AND THE CLINIC PROVIDED ACCESS TO CARE FOR 42,716 PEOPLE.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

FAIRBANKS MEMORIAL HOSPITAL
PART V, SECTION B, LINE 5: THE COMMUNITY BENEFIT STEERING COMMITTEE (CBSC) GUIDED ALL ASPECTS OF THE CHNA PROCESS INCLUDING OVERSIGHT OF THE ASSESSMENT DATA AND PROCESS, PRIORITIZING IDENTIFIED HEALTH NEEDS, AND DEVELOPMENT OF IMPLEMENTATION STRATEGIES AND REPORTING. THE CBSC SERVED AS OVERSIGHT TO A BROADER COMMUNITY ADVISORY COMMITTEE (CAC) COMPRISED OF KEY INFORMANTS AMONG COMMUNITY ENTITIES SUCH AS PUBLIC HEALTH, GOVERNMENT (SEVERAL STATE, LOCAL, TRIBAL, AND REGIONAL), EDUCATION, AND SOCIAL SERVICES INCLUDING REPRESENTATION OF THE UNDERSERVED, MARGINALIZED, UNINSURED, AND MINORITY POPULATIONS. THERE WERE NO PUBLIC COMMENTS RECEIVED (VIA THE ORGANIZATION WEBSITE LINK) FOR THE 2016 CHNA AND IMPLEMENTATION REPORTS.SUMMARY INPUT FROM THE COMMMUNITY: A PHASED PROCESS OVER A FOUR MONTH PERIOD IN FALL 2019 WITH OVERSIGHT FROM AN INTERNAL STEERING COMMITTEE AND INCLUDED THE COMMUNITY ADVISORY COUNCIL. THE PHASED PROCESS INCLUDED ANALYSIS OF DETERMINANTS OF HEALTH DATA AND COMMUNITY HEALTH ASSESSMENT SURVEYS, PRIORITIZATION, HEALTH IMPROVEMENT PLANNING, AND IMPLEMENTATION PLANNING. THE RESULTING CHNA AND CHIP REPORTS WERE REVIEWED AND APPROVED FOUNDATION HEALTH LLC (81-3021580) BY THE ORGANIZATIONS GOVERNING BOARD. THE COMMUNITY ADVISORY COUNCIL INCLUDED KEY INFORMANTS FROM THE FOLLOWING ORGANIZATIONS WITH (*) INDICATING ORGANIZATIONS WHOSE FOCUS IS LARGELY MEDICALLY UNDERSERVED, LOW INCOME, MINORITY POPULATIONS - *FAIRBANKS NATIVE ASSOCIATION, *FAIRBANKS COMMUNITY MENTAL HEALTH, *ALASKA DIVISION OF PUBLIC HEALTH, US ARMY MEDICAL DEPARTMENT, *LOVE INC OF THE TANANA VALLEY, *INTERIOR COMMUNITY HEALTH CENTER, *LITERACY COUNCIL OF ALASKA, *ALASKA HEALTH FAIR, *UNITED WAY OF THE TANANA VALLEY, CITY OF FAIRBANKS, FAIRBANKS NORTH STAR BOROUGH SCHOOL DISTRICT, *INTERIOR CENTER FOR NON-VIOLENT LIVING, *NORTH STAR COUNCIL ON AGING, *FAIRBANKS NORTH STAR BOROUGH.

FAIRBANKS MEMORIAL HOSPITAL
PART V, SECTION B, LINE 11: 1) MENTAL HEALTH -(RECOGNIZING THE COMORBIDITY OF SUBSTANCE USE) REDUCTION OF WAIT TIME FOR OUTPATIENT ACCESS, PARTNER TO IMPLIMENT CRISIS NOW MODEL INCLUDING MOBILE CRISIS TEAM AND PEER SUPPORT SYSTEMS, PARTNER TO SUPPORT YOUTH AND ADOLESCENT LOCAL PLACEMENT, ADJUST TO MEDICAID 1115 WAIVER CHANGING GAPS, PARTNER FOR HOUSING AND WORKFORCE SHORTAGES, HELP COORDINATE LOCAL PLANNING AND SERVICES.2) SENIOR CARE - IMPROVE PUBLIC AND LEADER UNDERSTANDING OF ISSUES, INCREASE ACCESSIBILITY FOR MENTAL AND PHYSICAL FITNESS, AID NAVIGATION, ADDRESS MEDICAID ELIGIBILITY WAIT TIME, PARTNER FOR HOUSING SOLUTIONS, COMMUNITY BASED SERVICE ACCESS, ADDRESS WORKFORCE SHORTAGES, COORDINATE PLANNING.3) ACES/TRAUMA - IMPROVE COMMUNITY UNDERSTANDING OF TRAUMA INFORMED CARE, EXPAND PREVENTION AND RESILIENCY PROGRAMS, CREATE COLLABORATIVE GROUP. 4) HEALTHY BEHAVIORS - IMPROVE UNDERSTANDING OF RECOMMENDATIONS FOR WELLNESS CHECKS, MOVEMENT, NUTRITION, AND IMMUNIZATION. ADDRESS VACCINE HESITANCY ISSUES. ADDRESS EQUITABLE ACCESS TO COMMUNITY BASED SUPPORTS FOR HEALTH. INCREASE SCREENING FOR 2030 HEALTHY ALASKAN INDICATORS, IMPROVE VACCINATION RATES, UPDATE RESOURCE GUIDES, JOINT PLANNING AMONG SERVICES.EACH OF THESE FOUR FOCUS AREAS HAS AN ONGOING COMMUNITY WORK GROUP TEAM ESTABLISHED AND THE ORGANIZATION SUPPORTS THE FACILITATION OF ONGOING COLLABORATIONS. NEEDS ASSESSED BUT NOT ADDRESSED (OR ADDRESSED AS SUBSETS OF THE MAJOR FOUR): POVERTY, AIR/WATER QUALITY, PRENATAL CARE RATES, PREVENTABLE INJURIES, DENTAL, TRANSPORTATION, MOBILITY, BURNOUT, SUBSPECIALTY ACCESS, REMOTE LOCATIONS, VISITING NURSES, AND INTELLECTUAL DEVELOPMENTAL DISABILITIES. THE IDENTIFIED NEEDS WHICH ARE NOT SPECIFICALLY ADDRESSED WERE NOT ENTIRELY EXCLUDED, MANY ARE WITHIN THE CONTEXT OF THE FOCUS AREAS; THEY DID NOT HOWEVER RISE TO THE PRIORITIZATION LEVELS DESCRIBED IN 3.E.

FAIRBANKS MEMORIAL HOSPITAL
PART V, SECTION B, LINE 13B: THE ORGANIZATION USES A FIXED DOLLAR HOUSEHOLD INCOME AMOUNT TO IDENTIFY PATIENTS ELIGIBLE FOR DISCOUNTED CARE.

FAIRBANKS MEMORIAL HOSPITAL
PART V, SECTION B, LINE 13H: COVERAGE THROUGH OTHER PROGRAMS OR INSURANCE MUST BE EXHAUSTED OR DENIED. FAMILY SIZE.

PART V, SECTION B, LINE 3E:
THE SIGNIFICANT HEALTH NEEDS ARE PRIORITIZED AS A RESULT OF IDENTIFYING COMMUNITY HEALTH NEEDS THROUGHT THE CHNA PROCESS. THE ANALYSE PROCESS INCLUDED AN EVALUATION OF EACH IDENTIFIED HEALTH NEED RELATIVE TO FACTORS INCLUDING SERIOUSNESS OF THE ISSUE, SIZE OF THE ISSUE, CLEAR DISPARTIES OR INEQUITIES, LOCAL NEED BEING WORSE THAN NATIONAL RATES, AND ABILITY TO IMPACT. THE RESULTING PRIORITIZED NEEDS INCLUDE MENTAL HEALTH, SENIOR CARE/AGING, ADVERSE CHILDHOOD EXPERIENCES (ACES) AND TRAUMA AND THEIR IMPACT ON HEALTH AT EVERY AGE, AND PHYSICAL HEALTH AND OVERALL HEALTHY BEHAVIORS IMPACTING CHRONIC CONDITIONS.

PART V, SECTION B, LINE 7A:
HTTPS://WWW.FOUNDATIONHEALTH.ORG/OUR_COMMUNITY/COMMUNITY_HEALTH/COMMUNITY_NEEDS/CHNA

PART V, SECTION B, LINE 10A:
HTTPS://WWW.FOUNDATIONHEALTH.ORG/OUR_COMMUNITY/COMMUNITY_HEALTH/COMMUNITY_NEEDS/CHIP

PART V, SECTION B, LINE 16:
WEBSITE APPLICABLE FOR LINES 16A, 16B, 16C:HTTPS://WWW.FOUNDATIONHEALTH.ORG/PATIENTS_AND_VISITORS/BILL_PAY/FINANCIAL_ASSISTANCE

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
THE ORGANIZATION USES A FIXED DOLLAR HOUSEHOLD INCOME AMOUNT TO IDENTIFY PATIENTS ELIGIBLE FOR DISCOUNTED CARE.

PART I, LINE 7:
THE ORGANIZATION USED THE COST TO CHARGE RATIO FROM WORKSHEET 2 TO CALCULATE THE AMOUNTS REPORTED ON PART I, LINE 7.

PART I, LINE 7G:
FOUNDATION HEALTH OPERATES TANANA VALLEY CLINIC WHICH IS A MULTI-SPECIALTY CLINIC OFFERING FAMILY PRACTICE, PEDIATRIC, OB-GYN SERVICES AMONG OTHERS. THE CLINIC ACCEPTS ALL GOVERNMENT PAYERS INCLUDING MEDICARE AND MEDICAID WITH NO LIMITATIONS. THE CLINIC ALSO PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO QUALIFY.

PART II: COMMUNITY BUILDING ACTIVITIES
PROVIDE COALITION LEADERSHIP AND PARTICIPATION IN ESTABLISHED COMMUNITY COALITIONS FOR HOMELESSNESS, SUBSTANCE USE, BEHAVIORAL HEALTH CARE, AND PUBLIC HEALTH SERVICES SERVING THE INTERIOR OF ALASKA. PROMOTE COMMUNITY HEALTH VIA REPRESENTATION IN COMMUNITY COALITIONS FOR WELLNESS (SUICIDE PREVENTION), FAIRBANKS NORTH STAR BOROUGH SENIOR CITIZENS ADVISORY COMMISSION, AGENET (SENIORS) AND ALASKA COMMISSION ON AGING (SENIORS). PROVIDE SPACE AND EMPLOYMENT COACHING SUPPORT SERVICES FOR WORKFORCE DEVELOPMENT AMONG PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (SEARCH PROGRAM) AND FOR STUDENTS IN PROGRAMS TO INTRODUCE HEALTH RELATED OCCUPATIONS.

PART III, LINE 2:
CONTRACTUAL (CT) AND BAD DEBT (BD) ALLOWANCES FOR HOSPITAL ACCOUNTS RECEIVABLE (A/R) BALANCES ARE CALCULATED EACH MONTH BY COMPARING TARGET ADJUSTMENTS TO OBSERVED ADJUSTMENTS; THE DIFFERENCE BETWEEN TARGET ADJUSTMENTS AND OBSERVED ADJUSTMENTS IS BOOKED AS AN ALLOWANCE. TARGET ADJUSTMENTS ARE FOUND BY APPLYING TARGET PERCENTAGES TO THE GROSS CHARGES THAT RESULTED IN CURRENT A/R BALANCES. TARGET PERCENTAGES ARE DERIVED FROM HISTORICAL ADJUSTMENT DATA, ON CLOSED ACCOUNTS, IN A LOOKBACK PERIOD CONTAINING 12 MONTHS. THE CT LOOKBACK PERIOD IS THE 12 MONTH PERIOD ENDING 3 MONTHS PRIOR TO THE CURRENT PERIOD. THE BD LOOKBACK PERIOD IS THE 12 MONTH PERIOD ENDING 15 MONTHS PRIOR TO THE CURRENT PERIOD. TARGET ADJUSTMENT PERCENTAGES ARE UPDATED EACH MONTH AND CALCULATED FOR ACCOUNT PORTFOLIOS BASED ON INPATIENT/OUTPATIENT DESIGNATION AND FINANCIAL CLASS. ACTUAL COLLECTIONS ON PRIOR PERIOD A/R BALANCES ARE REVIEWED TO ENSURE THE ALLOWANCE METHODOLOGY IS APPROPRIATE AND RELIABLY ESTIMATES A/R COLLECTABILITY.

PART III, LINE 4:
SEE AUDITED FINANCIAL STATEMENTS, PAGE 11 FOR DISCUSSION REGARDING THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS.

PART III, LINE 8:
THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6 IS FROM THE MEDICARE COST REPORT.

PART III, LINE 9B:
PATIENTS THAT WE BELIEVE MAY QUALIFY FOR FINANCIAL ASSISTANCE ARE TOLD ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND GIVEN AN APPLICATION (IF WANTED) DURING THE ADMISSIONS PROCESS. IF THE PATIENT APPLIES AND QUALIFIES, THE BALANCE IS WRITTEN OFF IN PART OR IN FULL. IF THE ACCOUNT IN NOT WRITTEN OFF ENTIRELY, THE REDUCED BALANCE IS TREATED IN THE SAME MANNER AS ACCOUNTS FOR PATIENTS WITHOUT INSURANCE, WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. THE COLLECTION POLICY INCLUDES 8 PATIENT STATEMENTS AND 2 REMINDER LETTERS SENT TO THE PATIENT. PAYMENT PLANS ARE MADE AVAILABLE; ATTEMPTS ARE MADE TO VERIFY PHYSICAL ADDRESSES OF PATIENTS; AND EFFORTS USED TO DETERMINE IF THE PATIENT MAY BE MEDICAID ELIGIBLE. OUR BILLING STAFF ATTEMPTS TO CONTACT AS MANY PATIENTS AS POSSIBLE.

PART VI, LINE 2:
THE ORGANIZATION CONTINUOUSLY SEEKS AND RESPONDS TO COMMMUNITY INPUT REGARDING HEALTH CARE NEEDS. A LINK FOR COMMUNITY FEEDBACK IS ON THE ORGANIZATION WEBSITE AND IS DELIVERED TO THE DIRECTOR OF COMMUNICATIONS. THE COMMUNICATIONS DIRECTOR IS ACCOUNTABLE FOR ADDRESSING THE FEEDBACK AND REFERRING COMMUNITY NEED INPUT TO THE DIRECTOR, INTERNAL AND EXTERNAL AFFAIRS. THE TRAUMA TEAM OF THE EMERGENCY SERVICES AND THE CANCER TREATMENT PROGRAM CONDUCT FORMAL ANNUAL COMMUNITY NEEDS ASSESSMENTS ACCORDING TO ACCREDITATION STANDARDS. THE OUTCOME OF THEIR NEEDS ASSESSMENTS IS EVALUATED BY THE EXECUTIVE LEADERSHIP AND IS MERGED WITH ONGOING INPUT FOR THE NEXT CHNA. THE ADMINISTRATIVE TEAM OF THE HOSPITAL MAINTAINS FORMAL AND INFORMAL RELATIONSHIPS WITH GOVERNMENT, BUSINESS, PROVIDER, AND HEALTH SYSTEM CONSUMER GROUPS AND ROUTINELY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY AS REPRESENTED BY INPUT FROM THESE ENTITIES.

PART VI, LINE 3:
REGISTRATION STAFF OFFERS FINANCIAL ASSISTANCE INFORMATION AT THE TIME OF REGISTRATION FOR PATIENTS LACKING INSURANCE COVERAGE. MONTHLY BILLING STATEMENTS INCLUDE A PHONE NUMBER TO CALL FOR INFORMATION ON FINANCIAL ASSISTANCE AND POSSIBLE ELIGIBILITY FOR OTHER PROGRAMS. INPATIENTS WITH NO INSURANCE ARE CONTACTED BY OUR INPATIENT FINANCIAL SERVICES REPRESENTATIVE FOR MEDICAID SCREENING. WE ALSO CONTRACT WITH A THIRD PARTY VENDOR TO CONDUCT OUTREACH TO DISCHARGED PATIENTS WITH SELF PAY BILLS TO ASSIST THEM TO APPLY TO OTHER PROGRAMS SUCH AS MEDICAID. MEDICARE FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE IN THE EMERGENCY DEPARTMENT AND OTHER REGISTRATION AREAS. INFORMATION REGARDING OUR FINANCIAL ASSISTANCE PROGRAM IS PUBLISHED ON OUR WEBSITE.

PART VI, LINE 6:
FOUNDATION HEALTH LLC IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.

PART VI, LINE 7:
ALASKA DOES NOT REQUIRE FILING OF A COMMUNITY BENEFIT REPORT.

PART VI, LINE 4:
FAIRBANKS MEMORIAL HOSPITAL IS THE SOLE COMMUNITY PROVIDER AND THE ONLY STATE LICENSED HOSPITAL IN ITS PRIMARY AND SECONDARY SERVICE AREAS.- THE PRIMARY AREA INCLUDES THE 7,400 SQUARE MILE FAIRBANKS NORTH STAR BOROUGH (FNSB) POPULATION 98,455 - THE SECONDARY AREA IS APPROXIMATELY 127,000 SQUARE MILES OF WHAT IS REFERRED TO AS INTERIOR OR NORTHERN ALASKA - WITH VERY FEW OF THE COMMUNITIES IN THIS AREA ACCESSIBLE BY ROAD.- OVERALL, THE HOSPITAL'S SERVICE POPULATION IS ESTIMATED TO BE A POPULATION OF APPROXIMATELY 132,000 WITH 89 PERCENT OF THE HOSPITAL BUSINESS SERVING THE PRIMARY AREA; FAIRBANKS NORTH STAR BOROUGH.- THE NEXT CLOSEST HOSPITAL IS 350 MILES SOUTH OF FAIRBANKS.THOSE WHO ARE NOT SERVED BY THIS HOSPITAL ARE POTENTIALLY RECEIVING SERVICES FROM TANANA CHIEFS CONFERENCE - CHIEF ANDREW ISAAC HEALTH CENTER (AN INDIAN HEALTH SERVICE), BASSETT ARMY COMMUNITY HOSPITAL (FOR MILITARY BENEFICIARIES), AND AN AMBULATORY SURGERY CENTER. PER U.S. CENSUS BUREAU, THE FAIRBANKS NORTH STAR BOROUGH POPULATION IS 75% WHITE, 8% ALASKA NATIVE/AMERICAN INDIAN, 5% BLACK, AND SMALLER PERCENTAGES ARE ASIAN, HISPANIC, AND TWO OR MORE RACIAL DESCENTS. OF 5% FOREIGN-BORN POPULATION, 45% ASIAN, 22% EUROPE,16% LATIN AMERICA, 12% NORTH AMERICA, 4% AFRICA, 2% OCEANIA. THE MEDIAN AGE IS 31.5 YEARS WITH LARGEST AGE GROUP BEING 20-29 YEARS OLD (20%) AND ALL AGE GROUPS UNDER 40 EXCEED U.S. AVERAGE AND 10% ARE 65 AND OLDER.MEDIAN HOUSEHOLD INCOME IS $76,464, PER CAPITA INCOME $38,031. MEDIAN HOUSE VALUE $240,300 AND 59% OF HOUSING IS OWNER OCCUPIED. OF ALL PERSONS, 6.6% PERSONS ARE BELOW THE POVERTY LINE WITH SENIORS (65 AND OLDER) AT 5%, CHILDREN 8%. VETERANS COMPRISE 16% OF THE POPULATION. NO FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE FNSB.

PART VI, LINE 5:
FAIRBANKS MEMORIAL HOSPITAL IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF VOLUNTEER COMMUNITY REPRESENTATIVES. THE BOARD ESTABLISHES THE ORGANIZATIONS PRIORITIES, ENSURES OPERATIONS ARE CONSISTENT WITH THE NON-PROFIT PURPOSE AND MISSION, AND REINVESTS IN NEW EQUIPMENT AND TECHNOLOGY, NEW OR EXPANDED PATIENT SERVICES, AND MAINTAINS EXISTING ASSETS TO MEET COMMUNITY NEED AND LONG TERM HEALTH. FMH UTILIZES AN OPEN MEDICAL STAFF MODEL; THE HOSPITAL AND CLINIC ALSO EMPLOY AND CONTRACT WITH PROVIDERS TO ENSURE EFFICIENT, EVIDENCE-BASED, AND HIGH QUALITY CLINICAL CARE WITHIN AN INTEGRATED SYSTEM ALONG THE FULL CONTINUUM OF CARE. THE HOSPITAL FUNCTIONS IN A BOROUGH AND CITY GOVERNMENT STRUCTURE THAT DOES NOT INCLUDE A PUBLIC HEALTH INFRASTRUCTURE OUTSIDE THE STATE SYSTEM RESOURCES; THEREFOR, FOR ALL PUBLIC HEALTH INITIATIVES AND EMERGENCIES, THE HOSPITAL FUNCTIONS AS CRITICAL PUBLIC HEALTH FACILIATOR, PLANNER, AND PROVIDER. THE HOSPITAL ALSO FUNCTIONS IN COLLABORATION WITH ALASKA TRIBAL HEALTH PROVIDERS AND ARMY-AIRFORCE HEALTH PROVIDERS, ALL OF WHICH PARTNER FOR EMERGENCY PREPAREDNESS.

Operating expenses	$ 339,448,170
Total amount spent on community benefits as % of operating expenses	$ 34,362,526 10.12 %