• Financial data for hospital cost report period ending 12/31/2019 (HCRIS 671413 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2019 (Final rule MedPAR).
  • Medicare OPPS claims data are not available.
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.
Providence Kodiak Island Medical Center
Kodiak Island, AK  99615
CMS Certification Number: 021306

Identification and Characteristics

Name and Address: Providence Kodiak Island Medical Center
1915 Rezanof Drive
Kodiak Island, AK  99615
Telephone Number: (907) 486-3281
Hospital Website:
CMS Certification Number: 021306
Type of Facility: Critical Access
Type of Control: Voluntary Nonprofit, Church
Total Staffed Beds: 46
Total Patient Revenue: $85,125,946
Total Discharges: 467
Total Patient Days: 2,001
TPS Quality Score: 0.00
Patient Experience Rating: Not Available
Profile Compare
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Facility information for years prior to CAH participation are available under Provider ID 020013.

Providence Health and St. Joseph Health merged on July 6, 2016 to create Providence St. Joseph Health.
Clinical Cost Analyzer
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Clinical Services

Emergency Services
Emergency Department
Other Services
Subprovider Units
Skilled Nursing (SNF)
Swing Beds - NF
Swing Beds - SNF

Joint Commission Accreditation

  • Current Status: 05/17/2019 - Accreditation with Full Standards Compliance

Verified Trauma Program

  • Type: Level IV Trauma Center
ICD Diagnoses & Procedures
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MS-DRG Coding Indicators
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Inpatient Utilization Statistics by Medical Service

of Stay
Case Mix
Index (CMI)
Cardiology 24 2.58 $25,744 1.1357
Medicine 56 2.84 $25,935 1.1718
Neurology 12 3.33 $33,133 1.3756
Pulmonology 45 3.11 $30,820 1.0928
Total 162 2.96 $28,178 1.1559
Market Analysis
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2019 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
99615 129 378 $3,504,968 4.0% 64.5%

Beds and Patient Days by Unit

  Available Beds Inpatient Days
(including swing beds)
Routine Services 24 1,282
Special Care 0 0
Nursery 166
Total Hospital 46 9,492
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $85,125,946 99.3
Non-Patient Revenue $565,428 0.7
Total Revenue $85,691,374  
Net Income (or Loss) $6,263,750 7.3
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