Disclosure of Facility Ownership

In compliance with Federal law, you, your representative or surrogate have the right to know if your physician has a financial interest in this facility. This notice advises you that the following entity and physicians have ownership in Susitna Surgery Center.

Hospital Partner

• Mat-Su Regional Medical Center

Physician Owners

• Nicholas Bahl, M.D.
• Cassandra Cook, D.O.
• Shannon Gulley, M.D.
• Douglas Haghighi, D.M.D., M.D.
• Kevin Jensen, D.O.
• Greg Lund, M.D.
• Kelly Maixner, D.M.D.
• Jennifer Mitchell, M.D.
• Kevin Paisley, D.O.
• Geronimo Sahagun, M.D.

If you have questions or concerns regarding this notice, please feel free to ask to speak with a representative of Susitna Surgery Center. We welcome you as a patient and value our relationship with you.