Liabilities / Assets
93rd percentile
Higher debt load relative to assets than 93% of similar nonprofits.
EIN 88-1950708 • 501(c)3 • Joelton, TN
Profile
Improve the oncology experience by ensuring access to state-of-the-art cancer services, alleviating financial burdens and fostering collaboration to improve cancer outcomes for all Alaskans.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
93rd percentile
Higher debt load relative to assets than 93% of similar nonprofits.
Liabilities / Revenue
94th percentile
Higher debt load relative to revenue than 94% of similar nonprofits.
Net Margin
8th percentile
Higher net margin than 8% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Revenue Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Assets
Down$285,114,579
Down $10,779,462 (-3.6%) from 2023
Liabilities
Up$296,589,346
Up $651,631 (+0.2%) from 2023
Net Assets
Down-$11,474,767
Down $11,431,093 (-26174%) from 2023
Revenue
Up$53,740,844
Up $53,355,471 (+13845%) from 2023
Expenses
Up$65,171,937
Up $64,742,890 (+15090%) from 2023
Net Income
Down-$11,431,093
Down $11,387,419 (-26074%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
| Balance Sheet | Operations | |||||
|---|---|---|---|---|---|---|
| Year | Assets | Liabilities | Net Assets | Revenue | Expenses | Net Income |
| 2024Facts available. Structured filing facts are available, but richer extracted sections are limited. | $285 | $297 | $11.5 | $53.7 | $65.2 | $11.4 |
| 2023Detailed filing. Detailed filing data is available for this year. | $296 | $296 | $0.04 | $0.39 | $0.43 | $0.04 |
Improve the oncology experience by ensuring access to state-of-the-art cancer services, alleviating financial burdens and fostering collaboration to improve cancer outcomes for all Alaskans.
The Aurora Integrated Oncology Foundation is revolutionizing cancer care in Alaska. The Foundation's network includes (Continued on Schedule O)
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Intangible Assets | $184,723,471 | $167,420,714 | ▼ $17,302,757 |
| Loans From Officers Directors | $86,902,538 | $86,902,538 | → $0 |
| Prepaid Expenses and Deferred Charges | $1,527,474 | $14,806,230 | ▲ $13,278,756 |
| Land, Buildings, and Equipment, Net | $10,606,212 | $9,801,623 | ▼ $804,589 |
| Accounts Receivable | $2,023,602 | $4,491,370 | ▲ $2,467,768 |
| Cash and Non-Interest-Bearing Accounts | $5,660,803 | $4,151,930 | ▼ $1,508,873 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Total Assets | $295,894,041 | $285,114,579 | ▼ $10,779,462 |
| Other Assets Total | $91,352,479 | $84,442,712 | ▼ $6,909,767 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $108,394,167 | $104,365,000 | ▼ $4,029,167 |
| Other Liabilities | $77,855,110 | $82,600,914 | ▲ $4,745,804 |
| Unsecured Notes Loans Payable | $15,295,000 | $15,295,000 | → $0 |
| Accounts Payable and Accrued Expenses | $7,490,900 | $7,425,894 | ▼ $65,006 |
| Total Liabilities | $295,937,715 | $296,589,346 | ▲ $651,631 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-43,674 | $-11,474,767 | ▼ $11,431,093 |
| Total Net Assets Fund Balance | $-43,674 | $-11,474,767 | ▼ $11,431,093 |
| Total Liabilities and Net Assets / Fund Balance | $295,894,041 | $285,114,579 | ▼ $10,779,462 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $5,402,937 | $190,051 | $5,592,988 |
| Equipment | $3,432,990 | $777,856 | $4,210,846 |
| Leasehold Improvements | $452,189 | $37,879 | $490,068 |
| Land | $300,000 | - | $300,000 |
| Other Land Buildings | $213,507 | $13,079 | $226,586 |
| Other Assets Org | $103,632 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr William Magnuson | Director and Physician | - | $1,251,592 | - | $1,251,592 |
| Dr Stephen Settle | Physician | FT | $1,018,077 | - | $1,018,077 |
| Dr Eugene Huang | Physician and CMO | FT | $934,499 | - | $934,499 |
| Dr Jason Parks | Physician | FT | $854,032 | - | $854,032 |
| Dr Robert Sollaccio | Physician | FT | $846,293 | - | $846,293 |
| Dr Larry Daugherty | Physician | FT | $576,346 | - | $576,346 |
| Dr John Halligan | Physician | FT | $503,039 | - | $503,039 |
| Sherrie W Hinshaw | Chief Executive Officer | FT | $263,157 | $34,607 | $297,764 |
| William Popp | Chair / Director | - | $7,425 | - | $7,425 |
| Mark Dixson | Director - starting 02/08/2024 | - | $6,372 | - | $6,372 |
| Maude Blair | Director - starting 02/08/2024 | - | $6,372 | - | $6,372 |
| Michele Brown | Vice Chair / Director | - | $6,372 | - | $6,372 |
| Kenny Solomon-Gross | Director - starting 02/08/2024 | - | $6,272 | - | $6,272 |
| Name | Title |
|---|---|
| Greg Merrill | Director |
| Joseph C Everhart | Director - starting 11/02/2024 |
| Dr Donna Galbreath | Secretary / Treasurer / Director |
| Raymond S Frech | CFO |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Radiation Business Solutions INC | Management Services | 1044 JACKSON FELTS RD, STE 400 4TH FLOOR, Joelton, TN 37080 | $6,933,761 |
| Elekta INC | Service Contract On Equipoment | PO BOX 404199, Atlanta, GA 30384-4199 | $614,653 |
| Alliance Physics Solutions INC | Contract Labor | 405 S BONNIE AVENUE, Pasadena, CA 91106-3507 | $496,321 |
| Crystal Clear Creative INC | Marketing | 1625 W EDLUND RD, Wasilla, AK 99654 | $439,252 |
| Varian Medical Systems INC (dba D3 Oncology Inc) | Service Contract On Equipment | 3290 NORTHSIDE PKWY NW, Atlanta, GA 30327 | $409,678 |
| Line Item | Amount |
|---|---|
| Other Expenses | $53,218,360 |
| Salaries, Compensation, and Employee Benefits | $11,431,726 |
| Grants and Similar Amounts Paid | $521,851 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Depreciation Depletion | $19,828,557 | $1,645,198 | - | $21,473,755 |
| Interest | $20,439,560 | - | - | $20,439,560 |
| Other Salaries and Wages | $7,766,577 | - | - | $7,766,577 |
| Fees for Services Other | $1,756,858 | $2,460,506 | $0 | $4,217,364 |
| Current Officers, Directors, Trustees, and Key Employees | $2,004,538 | $705,200 | - | $2,709,738 |
| Occupancy | $1,666,854 | $539 | - | $1,667,393 |
| Information Technology | $854,515 | $3,330 | - | $857,845 |
| Advertising | $784,975 | - | - | $784,975 |
| Fees for Services Management | - | $699,996 | - | $699,996 |
| Grants to Domestic Orgs | $433,918 | - | - | $433,918 |
| Payroll Taxes | $401,566 | $26,262 | - | $427,828 |
| Other Employee Benefits | $399,062 | $18,941 | - | $418,003 |
| Travel | $318,865 | $46,474 | - | $365,339 |
| Insurance | $2,307 | $261,292 | - | $263,599 |
| Fees for Services Accounting | - | $167,086 | - | $167,086 |
| Office Expenses | $153,667 | $941 | - | $154,608 |
| Fees for Services Legal | - | $144,071 | - | $144,071 |
| Other Expenses | $117,180 | $55,135 | - | $117,180 |
| Pension Plan Contributions | $99,066 | $10,514 | - | $109,580 |
| Conferences and Meetings | $107,064 | $1,560 | - | $108,624 |
| All Other Expenses | $107,835 | $0 | $0 | $107,835 |
| Grants to Domestic Individuals | $87,933 | - | - | $87,933 |
| Fees for Service Investment Mgmnt Fees | - | $46,256 | - | $46,256 |
| Total Functional Expenses | $58,878,636 | $6,293,301 | $0 | $65,171,937 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $65,171,937 |
| Total Expenses per Audited Statements | $65,154,612 |
| Expenses per Audited Statements | $65,154,609 |
| Expenses Not Reported on Financial Statements | $17,328 |
| Other Expense Adjustments | $17,328 |
| Expenses Not Reported on Form 990 | $3 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Alaska Community Foundation | Anchorage, AK | 501(c)(3) | Scholarships | $55,000 |
| Alaska Run for Women | Anchorage, AK | 501(c)(3) | Breast Cancer 5k | $40,000 |
| American Cancer Society | Anchorage, AK | 501(c)(3) | Gala & Paddle Raise | $35,000 |
| Healthy Alaska Natives Foundation | Anchorage, AK | 509(a)(1) | Gala | $25,000 |
| Soldotna Professional Firefighters | Soldotna, AK | 501(c)(3) | Pink Fire Truck for Cancer Awareness | $20,000 |
| University of Alaska Foundation | Anchorage, AK | 501(c)(3) | Bca Sports Nights - Hockey & Vb | $20,000 |
| Alaska State Medical Association | Anchorage, AK | 501(c)(6) | Conference | $15,000 |
| Bcdc of Ak | Fairbanks, AK | 501(c)(3) | Mobile Mamm Unit | $15,000 |
| Providence Alaska Foundation | Anchorage, AK | 501(c)(3) | Technology and Conf | $12,000 |
| 10 Chefs Inc | Anchorage, AK | 501(c)(3) | Gala | $10,000 |
| Anchorage Neighborhood Health Center Inc | Anchorage, AK | 501(c)(3) | Cancer Prevention | $10,000 |
| Armed Services Ymca of Alaska | Jber, AK | 501(c)(3) | Cancer Programs | $10,000 |
| Cancer Connection | Juneau, AK | 501(c)(3) | Cancer Forum | $10,000 |
| Alaska State Fair Inc | Palmer, AK | 501(c)(3) | Program Assistance | $8,600 |
| Bridges Community Resource Network Inc | Soldotna, AK | 501(c)(3) | Program Assistance | $8,500 |
| Mat Su Health Foundation | Wasilla, AK | 501(c)(3) | Workforce Development | $8,000 |
| Alaska Hopital & Healthcare Association | Anchorage, AK | 501(c)(6) | Conference Sponsorship | $7,500 |
| Wasilla Area Seniors Inc | Wasilla, AK | 501(c)(3) | Meals on Wheels & Sponsorship | $7,500 |
| Hospice of Anchorage | Anchorage, AK | 501(c)(3) | Grief Support Group | $7,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $86,902,538 | $86,902,538 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Restricted Funds | $68,690,531 |
| Operating Lease Liability | $13,543,682 |
| Federal Income Taxes | $361,423 |
| Capital Lease | $5,278 |
| Other Notes Payable | - |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Public Finance Authority | 2023-12-27 | $129,535,000 | Purchase of membership interests, Debt Service Reserve Fund, and payment of issuance costs. |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $129,535,000 | $0 | $0 | $2,189,000 |
“AIOF was formed on April 14, 2022 with a stated purpose of improving the quality of and access to oncology care to residents of Alaska. On December 27, 2023, AIOF acquired four radiation oncology centers located in the State of Alaska, including through the acquisition of membership interests in certain limited liability companies that owned the centers (the "LLCs") or through the direct acquisition of such assets from the owners thereof (the "Transaction"). As noted in AIOF's Form 1023 - "Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code," the initial Board of Directors included three individuals who were then part owners of the LLCs. The Form 1023 further noted the AIOF "is working on replacing some of its Board of Directors to reflect a diverse, community-based governing board." As described in the Form 1023, the following five new Board members were recruited and replaced the initial Board of Directors on January 12, 2023: William Popp, President of Anchorage Economic Development Corporation Michele Brown, Senior Fellow at Rasmuson Foundation Donna Galbreath, M.D., Senior Medical Director of Quality Assurance, Southcentral Foundation Greg Merrill, President of Radiation Billing Solutions, Inc. William Magnuson, M.D., Oncologist In accordance with AIOF's conflict of interest policy, Dr. Magnuson (part-owner of certain LLCs) and Mr. Merrill (part owner of the proposed post-Transaction manager of the facilities) were not involved in any of the discussions or approvals relating to the Transaction. The Board created a Transaction Committee consisting solely of the three non-interested Board members (i.e., Mr. Popp, Ms. Brown and Dr. Galbreath) to review and approve the Transaction.”
“Aiof has articulated in the bylaws of the organization as well as through adoption of a suite of policies to ensure no more than fair and reasonable compensation is paid. These policies include: physician contracting and compensation review policy, board compensation policy, as well as an executive and disqualified persons policy. The executive & disqualified persons policy requires that reasonable compensation be paid to any disqualified persons, with board approval required. Physician compensation was determined by a third-party valuation firm prior to the execution of contracts in 2023. Board compensation was set through a benchmarking analysis and legal consultation in 2024. President/ceo compensation was determined through benchmarking analysis in 2023 and updated by a third-party valuation firm in 2024. The management fee was confirmed by a third-party valuation firm prior to the execution of the management agreement in 2023.”
“Aiof has a written whislteblower policy for all staff which are employed by rbs and is in the process of adopting a written whistleblower policy for all employed physicians which will be approved by the bod before december 31, 2025.”
“Sherrie W Hinshaw, Raymond S Frech, and Greg Merrill - Business relationship, Eugene Huang,on John Halligan, William Magnus, and Greg Merrill - Business relationship”
“Radiation Billing Solutions, Inc. (RBS) provides comprehensive management functions to Aurora Integrated Oncology Foundation (AIOF) which include the following: compliance program services, health information services, clinical and non-clinical management services, accounting services, regulatory reporting support services, facilities management services, financial planning and analysis services, human resource services, information technology management services, supply chain services, revenue cycle services, executive management & marketing services, and nursing management services. The management services agreement requires RBS to conduct business and operations on AIOF's behalf in a manner consistent with the charitable purposes required under section 501(C)(3) of the code and in line with policies adopted by the AIOF. The following individuals were employed by RBS: Raymond S. Frech, Director of AIOF; Reportable Compensation $181,562; Other Reportable Compensation $30,937 Greg Merrill, Director of AIOF; Reportable compensation $89,439; Other Reportable Compensation $12,513 Angela Balser-Heusser, Senior Controller of RBS; Reportable Compensation $11,001; Other Reportable Compensation $1,102”
“There are no other committees that can act on behalf of the governing body.”
“An independent accounting firm prepares and reviews the 990. The 990 is then reviewed by the finance committee. Any questions or concerns the finance committee has are addressed and any corrections or clarifications that need to be made are made. A copy of the 990 is then presented to the board of directors prior to filing.”
“The aiof board of directors has adopted a conflict of interest (coi) policy as well as a code of conduct, which requires board of directors, officers and key employees to annually disclose interests that could give rise to conflicts. The coi policy is also documented in the bylaws, and includes a definition of what constitutes a conflict of interest, required disclosure of those conflicts, and ensuring the board approves only contracts that are considered fair, reasonable, and in the aiof's best interests. Conflicts are reviewed at the board level and the board chair determines whether a conflict exists. Individuals with conflicts do not participate in voting.”
“Aiof makes all required disclosures available to the public under irs regulations.”
“Anchorage Radiation Oncology Center, Mat-Su Valley Cancer Care, Peninsula Radiation Oncology Center and Southeast Radiation Oncology Center focuses on accessible, advanced treatment and comprehensive support for patients and families. With a commitment to patient-centered care, AIOF emphasizes reinvestment in community health initiatives and state-of-the-art services, operating under a sustainable model that covers all residents of Alaska, regardless of their insurance status.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/ActivityOrMissionDesc | 0 | The Aurora Integrated Oncology Foundation is revolutionizing cancer care in Alaska. The Foundation's network includes (Continued on Schedule O) |
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| IRS990/Desc | 0 | AIOF, AS A NEWLY FORMED NOT-FOR-PROFIT 501(C)(3) ORGANIZATION, IS FOCUSED ON ACCESSIBLE AND COMPREHENSIVE SUPPORT FOR PATIENTS AND FAMILIES. IN ADDITION TO THE SERVICES PROVIDED AT THE CANCER CLINICS, AIOF PLANS TO ADDRESS NEEDS IN THE COMMUNITY THROUGH: (1) COLLABORATIVE STRATEGY: With a focus on improving cancer outcomes, the Foundation's model is designed to leverage statewide resources, fostering collaboration among health care professionals and enhancing the continuum of care for Alaskans facing cancer. Through initiatives such as supporting the development of oncology workforce and providing resources to support the work of partners in the community, we can effectively begin to address the significant health disparities in the incidence and mortality rates of cancer in Alaska. (2) COMMUNITY SUPPORT: The Foundation extends its impact beyond treatment, supporting the broader cancer community through strategic giving. By investing in health initiatives and patient support programs, the Foundation reinforces a network of care that uplifts every individual affected by cancer in Alaska. Areas of focus include access to care through increased cancer prevention/awareness, early detection through screening, and direct patient support to address barriers to care. |
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| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 39 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 58878636 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 167086 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 167086 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 144071 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 144071 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 699996 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 699996 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2460506 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1756858 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 4217364 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 46256 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 46256 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 25.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 34607 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Dr Donna Galbreath |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Dr William Magnuson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Michele Brown |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | William Popp |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Greg Merrill |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Joseph C Everhart |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Kenny Solomon-Gross |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Mark Dixson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Maude Blair |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Dr Eugene Huang |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Raymond S Frech |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Sherrie W Hinshaw |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Dr Jason Parks |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Dr John Halligan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Dr Larry Daugherty |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Dr Robert Sollaccio |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Dr Stephen Settle |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 1251592 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 6372 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 7425 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 6272 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 6372 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 6372 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 934499 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 263157 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 854032 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 503039 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 576346 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 846293 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 1018077 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Secretary / Treasurer / Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director and Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Vice Chair / Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Chair / Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director - starting 11/02/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Director - starting 02/08/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Director - starting 02/08/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Director - starting 02/08/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Physician and CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Chief Executive Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Physician |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2023 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GrantAmt | 0 | 521851 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 87933 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 87933 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 433918 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 433918 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 53740844 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 51308 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 25 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 3330 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 854515 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 857845 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 261292 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 2307 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 263599 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 184723471 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 167420714 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 20439560 |
| IRS990/InterestGrp/TotalAmt | 0 | 20439560 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 43 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 1018865 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 10606212 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 9801623 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 10820488 |
| IRS990/LegalDomicileStateCd | 0 | DE |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | true |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 86902538 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 86902538 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | false |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | Improve the oncology experience by ensuring access to state-of-the-art cancer services, alleviating financial burdens and fostering collaboration to improve cancer outcomes for all Alaskans. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -43674 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -11474767 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 51308 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 51308 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -43674 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -11474767 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 539 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1666854 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1667393 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 941 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 153667 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 154608 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 91352479 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 84442712 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 18941 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 399062 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 418003 |
| IRS990/OtherExpensesGrp/Desc | 0 | EQUIPMENT MAINTENANCE & REPAIRS |
| IRS990/OtherExpensesGrp/Desc | 1 | CLINIC EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 2 | BANK CHARGES |
| IRS990/OtherExpensesGrp/Desc | 3 | SUPPLIES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 55135 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1246406 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 238556 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 62777 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 117180 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1246406 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 238556 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 117912 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 117180 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 77855110 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 82600914 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 7766577 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 7766577 |
| IRS990/OwnWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 26262 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 401566 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 427828 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 10514 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 99066 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 109580 |
| IRS990/PoliciesReferenceChaptersInd | 0 | false |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 1527474 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 14806230 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | Steven Castle |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Oncology Center Operations |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 53689536 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 53689536 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
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