7 locations registered under this record — data as of October 5, 2026
Disproportionate share hospital · FAIRBANKS, AK
FAIRBANKS MEMORIAL HOSPITAL
Taking partYesLast certifiedAugust 15, 2026
- 7Registered locations
- 2Associated locations
- 40Contract pharmacies
- 28With no end date
- September 9, 2005In 340B since
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended December 31, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $961,836,488 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $562,051,169 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $399,785,319 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $389,291,494 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $10,493,825 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $2,621,197 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $2,127,047 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $26,350,317 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $9,576,144 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $11,703,191 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 122 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.3635 | CMS-2552-10 worksheet S100001 line 100 column 100 |
| Allowable disproportionate share percentage | 0.2023 | CMS-2552-10 worksheet E00A18A line 3300 column 100 |
Cost report filed under CMS certification number 020012 for January 1, 2025 to December 31, 2025, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by FOUNDATION HEALTH LLC (employer identification number 813021580) for tax year 2023. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $34,531,232 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $2,817,640 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $19,187,811 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $22,005,451 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $12,525,781 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0947 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202423129349303907. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by FOUNDATION HEALTH LLC (employer identification number 813021580) for tax year 2023. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ANGELIQUE RAMIREZ | CHIEF MEDICAL OFF./CHIEF OF QUALITY | Officer | $434,231 | $0 | $51,989 |
| ANTHONY SUDDUTH | CHIEF FINANCIAL OFFICER EFF 07/23 | Officer | $212,314 | $0 | $9,656 |
| BERNARD GATEWOOD | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| BRUCE FOOTIT | PHYSICIAN | Highest-compensated employee | $719,216 | $0 | $34,966 |
| CHERLY KILGORE | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| CLINT BROOKS | CHIEF OPS OFFICER SHARED SERVICES | Officer | $323,432 | $0 | $12,768 |
| DAVID JINICH | PHYSICIAN | Highest-compensated employee | $1,267,780 | $0 | $34,228 |
| DOUG TANSY | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| ELIZABETH SCHOK | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| ELIZABETH WOODYARD | CHIEF CLINICAL SERVICES | Officer | $304,877 | $0 | $8,772 |
| GALEN JOHNSON | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| GARY RODERICK | CHIEF FINANCIAL OFFICER THRU 03/23 | Officer | $97,995 | $0 | $17,175 |
| HALEY CARTER | CLINIC OPS SR DIRECTOR | Key employee | $159,250 | $0 | $44,256 |
| JEFF COOK | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| JENNIFER CARLSON | OPERATION SR DIRECTOR | Key employee | $191,351 | $0 | $7,710 |
| JENNIFER HOUSE | FIN AND REV SENIOR DIRECTOR | Key employee | $180,095 | $0 | $21,750 |
| JENNIFER N WELCH | CHIEF HR OFFICER | Officer | $256,644 | $0 | $47,828 |
| JOE FAULHABER | BOARD VICE PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| JOSEPH O'CONNOR | TVC FIN & REV SENIOR DIRECTOR | Key employee | $237,071 | $0 | $19,520 |
| KAREN PERDUE | BOARD SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| KARI BURRELL | CHIEF STRATEGY OFFICER | Officer | $177,399 | $0 | $22,405 |
| LEE M PIERSON | PHYSICIAN | Highest-compensated employee | $1,139,640 | $0 | $40,897 |
| MARGARET SODEN | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| RICHARD HATTAN | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| ROMEL C WRENN | PHYSICIAN | Highest-compensated employee | $1,250,139 | $0 | $37,378 |
| ROY ROEHL | IT SENIOR DIRECTOR | Key employee | $180,235 | $0 | $41,461 |
| RYAN BINKLEY | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| SARAH MARTIN | CHIEF NURSING OFFICER | Key employee | $252,131 | $0 | $41,855 |
| SCOTT BELL | BOARD PRESIDENT | Trustee/director, Officer | $0 | $0 | $0 |
| SHELLEY EBENAL | EXECUTIVE DIRECTOR FHP CEO | Officer | $444,494 | $0 | $45,908 |
| STEPHEN DUPREY | OPERATION SENIOR DIRECTOR | Key employee | $178,864 | $0 | $43,436 |
| STEVE FRANK | BOARD TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| TERRY A BATEMAN | PHYSICIAN | Highest-compensated employee | $675,622 | $0 | $51,846 |
E-file object id 202423129349303907. The IRS archive it was read from.
The full report for FAIRBANKS MEMORIAL HOSPITAL
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Alaska beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- September 9, 2005
- Certification date
- August 15, 2026
- Record last edited
- August 15, 2026
Identifiers
- 340B ID
- DSH020012
- Entity type as filed
- DSH
- CMS certification number
- 020012
- NPI
- 1720537178 (AK)
- Rural
- No
1650 COWLES STREET, FAIRBANKS AK 99701
Locations registered under this record
Browse all of them as a list →
| DSH020012A | Pain Treatment Center - Pain Treatment Center | DSH | Fairbanks, AK | No |
| DSH020012B | FMH Radiology Satellite - Radiology | DSH | Fairbanks, AK | No |
| DSH020012C | FAIRBANKS MEMORIAL HOSPITAL - Internal Medicine, Senior Care & Medication Therapy Clinic | DSH | FAIRBANKS, AK | Yes |
| DSH020012D | FHP ORTHOPEDIC & SPINE SPECIALIST - Orthopedics | DSH | FAIRBANKS, AK | Yes |
| DSH020012E | FHP BEHAVIORAL HEALTH CLINIC | DSH | FAIRBANKS, AK | Yes |
| DSH020012F | FAIRBANKS MEMORIAL HOSPITAL - Osteopathic Manipulation Medicine | DSH | FAIRBANKS, AK | Yes |
| DSH020012G | FAIRBANKS MEMORIAL HOSPITAL - Endocrinology & Diabetes Clinic | DSH | FAIRBANKS, AK | Yes |
Associated locations
| FAIRBANKS MEMORIAL HOSPITAL | 1650 COWLES STREET | FAIRBANKS AK 99701 |
| Fairbanks Memorial Hospital Pharmacy | 1650 Cowles St. | Fairbanks AK 99701 |
Pharmacy contracts
No end date filed28
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | August 4, 2020 | no end date filed |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | August 4, 2020 | no end date filed |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | August 4, 2020 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | August 4, 2020 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | August 4, 2020 | no end date filed |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | September 14, 2022 | no end date filed |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | September 14, 2022 | no end date filed |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | September 14, 2022 | no end date filed |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | September 14, 2022 | no end date filed |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | September 14, 2022 | no end date filed |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | September 14, 2022 | no end date filed |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | September 14, 2022 | no end date filed |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | September 14, 2022 | no end date filed |
| CAREMARK, L.L.C. | REDLANDS, CA | September 14, 2022 | no end date filed |
| CAREMARK, L.L.C. | LAS VEGAS, NV | September 14, 2022 | no end date filed |
| CVS CAREMARK | WILKES BARRE, PA | September 14, 2022 | no end date filed |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | September 14, 2022 | no end date filed |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | September 14, 2022 | no end date filed |
| DENALI PHARMACY | FAIRBANKS, AK | April 1, 2017 | no end date filed |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | August 4, 2020 | no end date filed |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | August 4, 2020 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | August 4, 2020 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | August 4, 2020 | no end date filed |
| FRED MEYER STORES | FAIRBANKS, AK | August 4, 2020 | no end date filed |
| FRED MEYER STORES INC | FAIRBANKS, AK | August 4, 2020 | no end date filed |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | September 14, 2022 | no end date filed |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | September 14, 2022 | no end date filed |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | September 14, 2022 | no end date filed |
An end date is filed12
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | August 4, 2020 | May 1, 2026 |
| AVELLA OF SACRAMENTO, INC. | SACRAMENTO, CA | October 1, 2015 | February 1, 2017 |
| BANNER FAMILY PHARMACY-CHANDLER | CHANDLER, AZ | October 1, 2015 | February 1, 2017 |
| CARR-GOTTSTEIN FOODS, CO. | NORTH POLE, AK | August 4, 2020 | February 18, 2024 |
| OPTUM FRONTIER THERAPIES II, LLC | LAS VEGAS, NV | August 4, 2020 | August 26, 2020 |
| OPTUM PHARMACY 701, LLC | FLINT, MI | January 1, 2023 | January 13, 2025 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | August 4, 2020 | January 13, 2025 |
| OPTUM PHARMACY 707, INC | IRWINDALE, CA | August 4, 2020 | January 13, 2025 |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | August 4, 2020 | January 13, 2025 |
| PROCARE PHARMACY, L.L.C. | HONOLULU, HI | September 14, 2022 | October 31, 2025 |
| SAFEWAY INC | FAIRBANKS, AK | August 4, 2020 | February 18, 2024 |
| SAFEWAY INC | FAIRBANKS, AK | August 4, 2020 | February 18, 2024 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, stamped by its publisher October 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, read October 5, 2026.