SHC MEDICAL CENTER TOPPENISH: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SHC MEDICAL CENTER TOPPENISH (EIN 81-4670687)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2023-11-13
- IRS object ID
- 202323179349310027
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-13T16:20:57-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2707 COLBY AVENUE SUITE 801 | AddressLine1Txt |
| City | EVERETT | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814670687 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHC MEDICAL CENTER - TOPPENISH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHCM | BusinessNameControlTxt |
| Phone | 5098653105 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1016 TACOMA AVE | AddressLine1Txt |
| City | SUNNYSIDE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98944 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MAXWELL OWENS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5098653105 | PhoneNum |
| Signature | 2023-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MAXWELL | PersonFirstNm |
| Person Last | OWENS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | COLLEEN RAMIRES | PreparerPersonNm |
| PTIN | P01251320 | PTIN |
| Phone | 4252597227 | PhoneNum |
| Preparation | 2023-11-13 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASTRIA TOPPENISH HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRIAN GIBBONS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1016 TACOMA AVE | AddressLine1Txt |
| City | SUNNYSIDE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $52,228,854 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ASTRIA.HEALTH | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SERVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 447 | TotalEmployeeCnt |
| Total Volunteers | 4 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,757,513 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,459,530 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $37,119,586 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $49,343,956 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $1 | CYInvestmentIncomeAmt |
| PY Other Revenue | $196,653 | PYOtherRevenueAmt |
| CY Other Revenue | $425,367 | CYOtherRevenueAmt |
| PY Total Revenue | $47,073,752 | PYTotalRevenueAmt |
| CY Total Revenue | $52,228,854 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,336,575 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,894,994 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,446,158 | PYOtherExpensesAmt |
| CY Other Expenses | $31,094,612 | CYOtherExpensesAmt |
| PY Total Expenses | $36,782,733 | PYTotalExpensesAmt |
| CY Total Expenses | $53,989,606 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,291,019 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,760,752 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,570,913 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,059,733 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,227,908 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,228,877 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,656,995 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,169,144 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SERVED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $35,158,138 | ExpenseAmt |
| Revenue | $49,343,956 | RevenueAmt |
| Desc | SHC MEDICAL CENTER - TOPPENISH DBA ASTRIA TOPPENISH HOSPITAL (THE HOSPITAL) IS A 78-BED FACILITY PROVIDING MEDICAL SERVICES 24 HOURS A DAY, 365 DAYS A YEAR. THE HOSPITAL HAS AN EXPANDED SURGERY CAPABILITY, A PEDIATRICS AREA AND A FAMILY MATERNITY CENTER. THE HOSPITAL PROVIDED 8,012 PATIENT DAYS, 83,375 OUTPATIENT VISITS, 14,633 EMERGENCY ROOM VISITS, AND 266 BIRTHS DURING THE REPORTING PERIOD. SHC TOPPENISH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $136,647,952 FOR CHARITY CARE, MEDICARE, MEDICAID AND OTHER THIRD PARTY PAYORS FOR THE YEAR. | Desc |
| Total Program Service Expenses | $35,158,138 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 56 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 447 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAXWELL OWENS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5098653105 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1016 TACOMA AVE | AddressLine1Txt |
| City | SUNNYSIDE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98944 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BERTHA ORTEGA | ||||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CARRIE STORY | ||||||||
| BOARD VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEVE YOUNG | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LORI ALVORD MD | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $475,500 | $45,622 | 39.00 | ||
| MAXINE JANIS | ||||||||
| TRUSTEE (THRU 12/21) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN GIBBONS | ||||||||
| CEO | 5.00 | Yes (X) | Yes (X) | $0 | $640,565 | $46,782 | 35.00 | |
| BRYAN HARGIS | ||||||||
| CEO (THRU 09/21) | 39.00 | Yes (X) | $0 | $201,669 | $18,841 | 1.00 | ||
| MAXWELL OWENS | ||||||||
| CFO | 5.00 | Yes (X) | $0 | $379,622 | $24,604 | 35.00 | ||
| TERRA PALOMAREZ | ||||||||
| CNO (THRU 11/21) | 40.00 | Yes (X) | $0 | $222,394 | $26,699 | |||
| SCOTT HEFLICK | ||||||||
| PHYSICIAN | 40.00 | $310,267 | $0 | $34,281 | Yes (X) | |||
| CRAIG WHITTLESEY | ||||||||
| PHYSICIAN | 40.00 | $328,063 | $0 | $38,093 | Yes (X) | |||
| ANTONY KIM | ||||||||
| PHYSICIAN | 40.00 | $514,380 | $0 | $45,622 | Yes (X) | |||
| CHARLES BULFINCH | ||||||||
| PHYSICIAN | 40.00 | $532,428 | $0 | $50,313 | Yes (X) | |||
| ADRIAN OBUCH | ||||||||
| PHYSICIAN | 40.00 | $572,176 | $0 | $30,195 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,257,314 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,919,750 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $361,052 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AYA HEALTHCARE INC | |||||
| DEPARTMENT 3519 | DALLAS | TX | 75312 | CONTRACT NURSING | $3,929,569 |
| LOCUM TENENS | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | CONTRACT PHYSICIANS | $1,253,843 |
| RURAL PHYSICIANS GROUP | |||||
| 10624 S EASTERN AVE SUITE A263 | HENDERSON | NV | 89052 | CONTRACT PHYSICIANS | $1,047,006 |
| SUNNYSIDE EMERGENCY GROUP A PROF LLC | |||||
| PO BOX 677979 | DALLAS | TX | 75267 | CONTRACT PHYSICIANS | $667,978 |
| EVERGREEN ANESTHESIA ASSOCIATES | |||||
| PO BOX 3442 | IDAHO FALLS | ID | 83403 | ANESTHESIA SERVICES | $276,857 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,205,589 | GovernmentGrantsAmt |
| All Other Contributions | $253,941 | AllOtherContributionsAmt |
| Total Contributions | $2,459,530 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $49,343,956 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,343,956 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $49,343,956 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1 | TotalRevenueColumnAmt |
| Exclusion | $1 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER REVENUE | 900099 | $327,048 | $327,048 |
| DIETARY REVENUE | 722514 | $98,319 | $98,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $425,367 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,228,854 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,343,956 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $425,368 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,210,314 | TotalAmt |
| Program Services | $16,905,076 | ProgramServicesAmt |
| Management And General | $2,305,238 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $521,861 | TotalAmt |
| Program Services | $459,238 | ProgramServicesAmt |
| Management And General | $62,623 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,842,933 | TotalAmt |
| Program Services | $1,621,781 | ProgramServicesAmt |
| Management And General | $221,152 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,319,886 | TotalAmt |
| Program Services | $1,161,500 | ProgramServicesAmt |
| Management And General | $158,386 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,456 | TotalAmt |
| Management And General | $509,456 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,861 | TotalAmt |
| Management And General | $13,861 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,450 | TotalAmt |
| Management And General | $17,450 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,899,234 | TotalAmt |
| Program Services | $7,662,257 | ProgramServicesAmt |
| Management And General | $236,977 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $779,598 | TotalAmt |
| Program Services | $678,250 | ProgramServicesAmt |
| Management And General | $101,348 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,717 | TotalAmt |
| Program Services | $1,494 | ProgramServicesAmt |
| Management And General | $223 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,449,609 | TotalAmt |
| Program Services | $985,734 | ProgramServicesAmt |
| Management And General | $463,875 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,579 | TotalAmt |
| Program Services | $30,362 | ProgramServicesAmt |
| Management And General | $114,217 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,575 | TotalAmt |
| Program Services | $15,031 | ProgramServicesAmt |
| Management And General | $56,544 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,566,238 | TotalAmt |
| Management And General | $2,566,238 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $656,912 | TotalAmt |
| Management And General | $656,912 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,970 | TotalAmt |
| Program Services | $33,598 | ProgramServicesAmt |
| Management And General | $386,372 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $10,576,280 | $1,586,442 | $8,989,838 |
| MEDICAL SUPPLIES | $4,021,552 | $3,498,750 | $522,802 |
| TAXES, DUES, & LICENSES | $1,378,731 | $289,534 | $1,089,197 |
| MAINTENANCE & REPAIRS | $377,789 | $79,336 | $298,453 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,061 | TotalAmt |
| Program Services | $149,755 | ProgramServicesAmt |
| Management And General | $60,306 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,989,606 | TotalAmt |
| Program Services | $35,158,138 | ProgramServicesAmt |
| Management And General | $18,831,468 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,635,665 | BOYAmt |
| EOY | $114,438 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,729,285 | BOYAmt |
| EOY | $8,865,278 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $476,012 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,111,635 | BOYAmt |
| EOY | $2,450,432 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $556,611 | BOYAmt |
| EOY | $305,615 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,237,181 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,480,172 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,098,274 | BOYAmt |
| EOY | $7,757,009 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $963,431 | BOYAmt |
| EOY | $566,961 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,570,913 | BOYAmt |
| EOY | $20,059,733 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,381,898 | BOYAmt |
| EOY | $5,293,881 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,487,110 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,358,900 | BOYAmt |
| EOY | $2,358,900 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $14,576,096 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,227,908 | BOYAmt |
| EOY | $22,228,877 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,656,995 | BOYAmt |
| EOY | -$2,169,144 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,656,995 | BOYAmt |
| EOY | -$2,169,144 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,570,913 | BOYAmt |
| EOY | $20,059,733 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,760,752 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $2,248,603 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $550,000 | OtherCostOrOtherBasisAmt |
| Book Value | $550,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,034,842 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,014,147 | DepreciationAmt |
| Book Value | $6,020,695 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,370,013 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,461,568 | DepreciationAmt |
| Book Value | $908,445 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $282,326 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,457 | DepreciationAmt |
| Book Value | $277,869 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,757,009 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RELATED PARTY PAYABLES | Desc |
| Amt | $14,576,096 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,576,096 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION COMPRISES SEVERAL CORPORATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515, AND SEVERAL LIMITED LIABILITY COMPANIES. THE ORGANIZATION HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS, WHICH IS AN ACCOUNTING STANDARD THAT PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2021. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $292,975 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $292,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,093,447 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,298,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,795,147 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08900 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,386,422 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,298,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,088,122 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09440 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,386,422 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,298,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,088,122 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09440 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $133,725 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $4,825,272 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,056,944 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,231,672 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASTRIA TOPPENISH HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 W 4TH | AddressLine1Txt |
| City | TOPPENISH | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98948 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ASTRIA.HEALTH | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASTRIA TOPPENISH HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ASTRIA TOPPENISH HOSPITAL | PART V, SECTION B, LINE 5: TO ASSURE COMMUNITY ENGAGEMENT AND VOICE IN THE CHNA PROCESS, ASTRIA HAD PLANNED A ROBUST IN-PERSON COMMUNITY CONVENING PROCESS TO ASSESS, IDENTIFY, AND PRIORITIZE COMMUNITY NEEDS. AFTER MUCH DISCUSSION, DUE TO THE UNRELENTING NATURE OF COVID IN THE COMMUNITY, ASTRIA CHOSE TO USE A COMBINATION OF ONLINE SURVEYS, FOCUS GROUPS AND ONE-ON-ONE PHONE INTERVIEWS WITH SERVICE AREA AND COUNTY COMMUNITY MEMBERS AND ORGANIZATIONS SERVING THE VULNERABLE. A SIMILAR PROCESS WAS USED WITH ASTRIA LEADERSHIP AND MANAGEMENT. KEY STAKEHOLDER INTERVIEWS: STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY INCLUDING PUBLIC HEALTH, TRIBAL HEALTH, AND INDIVIDUALS WITH KNOWLEDGE OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE. INDIVIDUALS TO BE INTERVIEWED WERE RECOMMENDED BY ASTRIA HEALTH SENIOR LEADERSHIP.KEY STAKEHOLDER SURVEY: A KEY STAKEHOLDER SURVEY WAS DISTRIBUTED TO PROVIDERS (PHYSICIANS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS), THE CLINICAL MANAGEMENT STAFF OF ASTRIA HEALTH, AND COMMUNITY ORGANIZATIONS WITH KNOWLEDGE AND EXPERTISE REGARDING THE NEEDS OF UNDERSERVED, AT-RISK AND VULNERABLE POPULATIONS, AND THOSE WITH CHRONIC DISEASE. SURVEYS WERE RECEIVED FROM THE FOLLOWING ORGANIZATION TYPES:- CITY GOVERNMENT- SCHOOLS- HIGHER EDUCATION AND WORK FORCE DEVELOPMENT- COMMUNITY SERVICE ORGANIZATIONS- SOCIAL SERVICES AGENCIES- COMMUNITY HEALTH CENTERS- HOSPITAL PROVIDERS- LOCAL BUSINESSES- LOCAL UTILITY ORGANIZATIONS- EMERGENCY RESPONDERSTHE FOLLOWING NUMBER OF RESPONSES WERE RECEIVED FROM SURVEYS AND FOCUS GROUPS: - INTERVIEW WITH YAKIMA HEALTH DISTRICT - 15 COMMUNITY SURVEYS - 29 ASTRIA HEALTH MANAGERS AND LEADERSHIP SURVEYS - 8 FOCUS GROUP PARTICIPANTS - 3 INDIVIDUAL MEETINGS ASTRIA HEALTH CONTRACTED WITH HEALTH FACILITIES PLANNING & DEVELOPMENT (HFPD) TO ASSIST IN CONDUCTING THE CHNA. HFPD IS A HEALTH CARE CONSULTING COMPANY BASED IN SEATTLE, WASHINGTON. |
| ASTRIA TOPPENISH HOSPITAL | PART V, SECTION B, LINE 6A: SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION (DBA ASTRIA SUNNYSIDE HOSPITAL) |
| ASTRIA TOPPENISH HOSPITAL | PART V, SECTION B, LINE 11: UTILIZING THE PRIORITIZATION CRITERIA AND GROUP DISCUSSION, THE SENIOR LEADERSHIP TEAM CHOSE THREE PRIORITY COMMUNITY HEALTH NEEDS AS FOCUS AREAS FOR ASTRIA HEALTH OVER THE NEXT THREE YEARS. THESE COMMUNITY HEALTH NEEDS ARE IDENTIFIED AND ADDRESSED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE IN ALIGNMENT WITH THE COMMUNITY HEALTH NEEDS IDENTIFIED BY KEY STAKEHOLDERS. LISTED BELOW ARE THE THREE SIGNIFICANT NEEDS AND HOW THE HOSPITAL IS ADDRESSING THESE NEEDS.(1) INCREASE ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES.- CONTINUE EFFORTS TO INTEGRATE AND CO-LOCATE PRIMARY CARE AND BEHAVIORAL HEALTH (INCLUDING MEDICATION MANAGEMENT, MENTAL HEALTH THERAPY, AND SUBSTANCE USE DISORDER SCREENING).- INCREASE COMPLIANCE WITH ANNUAL WELLNESS VISITS FOR CURRENT PATIENT PANEL TO ENSURE STANDARDIZED BEHAVIORAL HEALTH SCREENINGS ARE COMPLETED.- INCREASE COMPLIANCE WITH STANDARDIZED BEHAVIORAL HEALTH SCREENINGS (AT WELLNESS VISITS FOR CURRENT CLINIC PATIENT PANELS AND FOR ACUTE CARE AND EMERGENCY VISITS) AND ENSURE PATIENTS ARE REFERRED TO NEEDED SERVICES.- INCREASE THE NUMBER OF ASTRIA EMPLOYED MEDICATION ASSISTED THERAPY (MAT) PROVIDERS.- COORDINATE WITH YAKAMA NATION PRIMARY CARE AND BEHAVIORAL HEALTH/SUBSTANCE ABUSE DISORDER PROVIDERS.- EXPAND THE INPATIENT BEHAVIORAL HEALTH PROGRAM AT ASTRIA TOPPENISH HOSPITAL.(2) IMPROVE ACCESS TO CARE (PRIMARY AND SPECIALTY) FOR PREVENTION, SCREENING, AND TREATMENT OF CHRONIC DISEASES, DENTAL CARE, AND CARE TRANSITIONS AND CARE COORDINATION.- DEVELOP A COMPREHENSIVE PROGRAM FOR DISCHARGE PLANNING FOCUSED ON CONNECTING HIGH-RISK PATIENTS TO PRIMARY CARE PROVIDERS AND COMMUNITY RESOURCES.- IMPROVE SYSTEM FOR IDENTIFICATION AND TREATMENT OF CHRONIC DISEASES BY CONTINUING/EXPANDING STRATEGIES DEVELOPED THROUGH GREATER COLUMBIA ACH.- EXPAND HOME MONITORING PROGRAM FOR PATIENTS WITH HIGH BLOOD PRESSURE.- PILOT EMBEDDING COMMUNITY HEALTH WORKERS WITHIN PRIMARY CARE TO SUPPORT CARE TRANSITIONS AND CARE COORDINATION.- PARTICIPATE IN COMMUNITY OUTREACH EVENTS TO IDENTIFY COMMUNITY MEMBERS AT RISK OF CHRONIC DISEASES AND CONNECT THEM TO PRIMARY CARE PROVIDERS.- IMPLEMENT INTEGRATED DENTAL SERVICES IN RURAL HEALTH CLINICS.- DEVELOP RELATIONSHIPS WITH LARGE AGRICULTURAL EMPLOYERS TO PROVIDE PREVENTATIVE HEALTH SERVICES TO EMPLOYEES WHO MAY NOT BE ABLE TO ACCESS CARE DURING TRADITIONAL HOURS.- ESTABLISH A 27-STATION OUTPATIENT DIALYSIS FACILITY FOR END-STAGE RENAL DISEASE.- RECRUIT ADDITIONAL PRIMARY CARE AND SPECIALTY PROVIDERS TO THE COMMUNITY.- EXPAND ENDOSCOPY AND SURGICAL SERVICES THROUGH ASTRIA TOPPENISH HOSPITAL.(3) ADDRESSING SOCIAL DETERMINANTS OF HEALTH INCLUDING HOUSING AFFORDABILITY, ACCESS, AND QUALITY; FOOD INSECURITY; PROVIDE TRAINING AND INCREASE EFFORTS TO IMPROVE HEALTH EQUITY; CARE TRANSITIONS AND CARE COORDINATION.- DEVELOP A LIST OF COMMUNITY RESOURCES ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND ESTABLISH FORMAL SYSTEM FOR COLLABORATION- ESTABLISH A SYSTEM FOR SCREENING PATIENTS FOR ASSISTANCE WITH SOCIAL DETERMINANTS OF HEALTH (SDOH) AND ESTABLISH A COMMUNITY REFERRAL SYSTEM.- PARTNER WITH THE COMMUNITY TO INCREASE AFFORDABLE HOUSING OPTIONS- CONDUCT A HEALTH EQUITY ASSESSMENT, IDENTIFY SPECIFIC HEALTH EQUITY ISSUES WITHIN THE ASTRIA HEALTH SYSTEM, IDENTIFY TRAINING NEEDS AND IMPLEMENT HEALTH EQUITY TRAINING ACROSS THE SYSTEM. |
| ASTRIA TOPPENISH HOSPITAL | PART V, SECTION B, LINE 13H: HARDSHIP AND DEBT RATIO |
| ASTRIA TOPPENISH HOSPITAL | PART V, SECTION B, LINE 15E: DESCRIBED THE APPEALS PROCESS SHOULD IT BE DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. |
| ASTRIA TOPPENISH HOSPITAL | PART V, SECTION B, LINE 16J: AS PART OF THE INTAKE OR DISCHARGE PROCESS, PATIENTS ARE OFFERED A PATIENT INFORMATION PACKET THAT OUTLINES PAYMENT PLAN OPTIONS AND FINANCIAL ASSISTANCE POLICY INFORMATION INCLUDING THE PLAIN LANGUAGE SUMMARY. THE POLICY WILL BE INTERPRETED FOR OTHER NON-ENGLISH SPEAKING OR LIMITED ENGLISH SPEAKING OR OTHER PATIENTS WHO ARE UNABLE TO READ OR UNDERSTAND THE WRITTEN POLICY OR ORAL EXPLANATION.PART V, SECTION B, LINES 16A - 16C: THE CHARITY CARE POLICY, APPLICATION, AND PLAIN LANGUAGE OF APPLICATION CAN BE FOUND AT THE FOLLOWING URL: ASTRIA.HEALTH/CHARITY-CARE/ |
| PART V, SECTION B, LINE 7A: | ASTRIA.HEALTH/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| PART V, SECTION B, LINE 10A: | ASTRIA.HEALTH/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ASTRIA HEALTH CENTER | ||||
| 1420 AHTANUM RIDGE DRIVE | UNION GAP | WA | 98903 | RURAL HEALTH CLINIC |
| 2 - ASTRIA HEALTH CENTER | ||||
| 516 W 4TH AVENUE | TOPPENISH | WA | 98948 | RURAL HEALTH CLINIC |
| 3 - ASTRIA HEALTH CENTER | ||||
| 915 VINTAGE VALLEY PKWY STE 200 | ZILLAH | WA | 98983 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE HOSPITAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT REPORTED IN THE TABLE DERIVED FROM WORKSHEETS 1 AND 2 FROM THE IRS INSTRUCTIONS FOR SCHEDULE H.BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN: $133,725.DUE TO BANKRUPTCY AND TURN OVER, THE HOSPITAL WAS NOT ABLE TO CAPTURE DOLLAR AMOUNTS ASSOCIATED WITH ITS COMMUNITY BENEFIT ACTIVITIES CONDUCTED IN 2021. LINE 7E - THE HOSPITAL PROVIDED COMMUNITY HEALTH OUTREACH AND SUPPORT WITH VACCINATION RESPONSE DURING THE COVID-19 PANDEMIC. THE HOSPITAL NURSING AND LEADERSHIP TEAMS WERE INSTRUMENTAL IN VACCINATING ASTRIA HEALTH EMPLOYEES, COMMUNITY FIRST RESPONDERS AND ELIGIBLE COMMUNITY VACCINE RECIPIENTS. MULTIPLE VACCINE CLINICS WERE FACILITATED WITHIN THE HOSPITAL AND EXPANDED OUT INTO LARGER LOCATIONS WITH THE COMMUNITY TO REACH MORE PEOPLE. MORE THAN 7,300 DOSES OF THE VACCINE WERE ADMINISTERED TO PROTECT OUR COMMUNITY AND HEALTHCARE WORKERS. |
| PART III, LINE 2: | THE HOSPITAL USED THE COST TO CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE. |
| PART III, LINE 3: | THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. |
| PART III, LINE 4: | SEE PAGE 7 OF THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. |
| PART III, LINE 9B: | OUR PATIENT NAVIGATOR WILL VISIT WITH ANY PATIENT THAT DISCLOSES THEY HAVE FINANCIAL DIFFICULTY TO DETERMINE IF THE PATIENT QUALIFIES FOR CHARITY CARE BASED ON THEIR FINANCIAL POSITION AND THE FEDERAL POVERTY GUIDELINES. THE APPLICATIONS ARE REVIEWED AND EVALUATED FOR CHARITY CARE STATUS AND WRITTEN OFF WHEN APPROPRIATE. |
| PART VI, LINE 2: | THE HOSPITAL BOARD, THROUGH ASSOCIATION WITH HEALTHTECHS3, ANNUALLY REVIEWS COMMUNITY DEMOGRAPHICS, PATIENT ORIGINS, CURRENT SERVICES AND FUTURE NEEDS. FROM THIS REVIEW, THE BOARD CONTINUALLY ASSESSES THE COMMUNITY NEEDS. MANAGEMENT, HOSPITAL DEPARTMENT STAFF AND MANAGERS, AND THE BOARD OF DIRECTORS ARE COMPRISED OF MEMBERS WITHIN THE COMMUNITY. THEY ARE ABLE TO GATHER AND COMMUNICATE THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES AND CONTINUALLY ADDRESS THEM AT STAFF AND BOARD MEETINGS. |
| PART VI, LINE 3: | THE INFORMATION IS DISTRIBUTED TO THE COMMUNITY IN A VARIETY OF WAYS. A BROCHURE IS PLACED IN PUBLIC AREAS OF THE HOSPITAL, AS WELL AS INCLUDED IN ALL FORMAL ADMISSION PACKETS TO PATIENTS. PATIENT ACCOUNT REPRESENTATIVES HAND OUT THE INFORMATION DURING PATIENT CONSULTS AS WELL. SIGNS ARE POSTED, IN ENGLISH AND IN SPANISH, IN ALL REGISTRATION AND WAITING AREAS, AND THE BUSINESS OFFICE. THE SIGN STATES: "ASTRIA SUNNYSIDE HOSPITAL PROVIDES CHARITY CARE TO PERSONS MEETING MEDICAL INDIGENT CRITERIA. CHARGES MAY BE WAIVED OR REDUCED IF ELIGIBILITY FOR CHARITY CARE IS DETERMINED." THE INFORMATION IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE AND INCLUDED WITH EVERY PATIENT ACCOUNT STATEMENT. PART V, SECTION B, LINE 16 OUTLINES ADDITIONAL WAYS THE ORGANIZATION PUBLICIZES ITS FINANCIAL ASSISTANCE INFORMATION. THE LATEST CHARITY CARE POLICY IS AVAILABLE ON OUR WEBSITE. IT IS UPDATED ANNUALLY WITH NEW POVERTY GUIDELINES. |
| PART VI, LINE 4: | THE HOSPITAL IS LOCATED IN YAKIMA COUNTY WITHIN THE YAKIMA INDIAN RESERVATION IN TOPPENISH, WASHINGTON. THE HOSPITAL SERVICES A PRIMARY POPULATION OF APPROXIMATELY 46,200 WITH A MEDIAN HOUSEHOLD INCOME OF $51,415. APPROXIMATELY 21% OF RESIDENTS HAVE INCOMES BELOW FEDERAL POVERTY GUIDELINES. 66.0% OF RESIDENTS IDENTIFY AS HISPANIC ETHNICITY WITH A SIZABLE NUMBER OF SPANISH-PRIMARY SPEAKERS AND 15.3% AS NON-HISPANIC AMERICAN INDIANS. RESIDENTS OF THIS AREA ARE SIGNIFICANTLY YOUNGER THAN RESIDENTS OF YAKIMA COUNTY AND WASHINGTON STATE, WITH APPROXIMATELY 34% BEING UNDER THE AGE OF 18 COMPARED TO JUST OVER 22% STATEWIDE. APPROXIMATELY 10% OF RESIDENTS ARE 65 OR OLDER. |
| PART VI, LINE 5: | THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY MEMBERS REPRESENTING MULTIPLE FACETS OF THE COMMUNITY FROM THE MEDICAL SECTOR TO BUSINESS OWNERS TO UNIVERSITY STAFF. THEY ARE ABLE TO GATHER AND COMMUNICATE THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES AND CONTINUALLY ADDRESS THEM AT STAFF AND BOARD MEETINGS.MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED AND INTERESTED MEDICAL PROVIDERS WITH ACTIVE LICENSURE IN THE COMMUNITIES WE SERVE. THE HOSPITAL ENCOURAGES PRACTITIONERS FROM NUMEROUS SPECIALTIES TO MEET THE EVER-EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY.AS A NON-PROFIT CORPORATION, SURPLUS FUNDS ARE REINVESTED INTO BUILDING AND EQUIPMENT UPGRADES AND COMMUNITY HEALTH EDUCATION TO MAINTAIN THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY. SURPLUS FUNDS ARE ALSO APPLIED TO ONGOING PROFESSIONAL EDUCATION AMONG OUR CLINICAL STAFF TO REMAIN CURRENT IN THE BEST PRACTICES OF HEALTHCARE. THIS ALLOWS THE HOSPITAL TO FOCUS ON WHAT IS IMPORTANT - MEETING THE HEALTH AND WELFARE NEEDS OF THE COMMUNITIES WE SERVE IN AN ECONOMICALLY VIABLE FASHION.THE HOSPITAL'S CHARITY CARE PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE FINANCIAL RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTHCARE THEY RECEIVE. THE CHARITY CARE PROGRAM IS DESIGNED TO ENSURE THAT THE YAKIMA VALLEY IN ITS ENTIRETY HAS ACCESS TO NECESSARY HEALTHCARE SERVICES. THE HOSPITAL ACCEPTS ALL PATIENTS IN NEED OF MEDICAL ASSISTANCE, REGARDLESS OF ABILITY TO PAY.THE HOSPITAL OPERATES A FULLY STAFFED 24-HOUR EMERGENCY ROOM, AVAILABLE TO THE PUBLIC REGARDLESS OF ABILITY TO PAY.IN ADDITION TO THE CHARITY CARE PROGRAM, THE HOSPITAL PROVIDES OR PARTICIPATES IN SEVERAL OTHER PROGRAMS WHICH CONTRIBUTE TO ITS CHARITABLE MISSION. THIS INCLUDES HOSTING AN ANNUAL HEALTH FAIR WITH FREE ACCESS TO HEALTHCARE PROFESSIONALS, FREE SCREENINGS AND A WEALTH OF HEALTH AND WELLNESS INFORMATION MADE AVAILABLE TO THE PUBLIC, AS WELL AS PUTTING ON A COMMUNITY BABY SHOWER FOR PREGNANT PATIENTS WITHIN THE COMMUNITY. |
| PART VI, LINE 6: | THE HOSPITAL, ALONG WITH ASTRIA SUNNYSIDE HOSPITAL, IS PART OF THE ASTRIA HEALTH SYSTEM, HEADQUARTERED IN THE HEART OF YAKIMA VALLEY IN THE STATE OF WASHINGTON. THIS NON-PROFIT HEALTHCARE SYSTEM IS COMMITTED TO INVESTING IN A CONTINUUM OF CARE FOR THE PEOPLE WHO LIVE AND WORK THROUGHOUT EASTERN WASHINGTON AND BUILD SUSTAINABLE HEALTHCARE ORGANIZATIONS THAT IMPROVE HEALTH IN THE COMMUNITIES WE SERVE.ASTRIA SUNNYSIDE HOSPITAL IS LOCATED IN SUNNYSIDE WASHINGTON AND ASTRIATOPPENISH HOSPITAL IS LOCATED IN TOPPENISH WASHINGTON. THE SERVICE AREA IS DEFINED AS YAKIMA COUNTY AND THE COMMUNITIES OF PROSSER WHICH IS IN BENTON COUNTY AND ELLENSBURG WHICH IS IN KITTITAS COUNTY.ASTRIA SUNNYSIDE HOSPITAL IS A CRITICAL ACCESS HOSPITAL AND ALSO OPERATES A NUMBER OF RURAL HEALTH CLINICS. ASTRIA TOPPENISH HOSPITAL IS A COMMUNITY HOSPITAL AND CARES FOR THE UNIQUE NEEDS OF THE TOPPENISH AREA, INCLUDING CARING FOR PEOPLE LIVING AND WORKING ON THE YAKAMA NATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN GIBBONS | ||||||||||||||
| CEO | $0 | $416,483 | $0 | $218,699 | $0 | $5,383 | $0 | $11,400 | $0 | $35,382 | $0 | $687,347 | $0 | $0 |
| ADRIAN OBUCH | ||||||||||||||
| PHYSICIAN | $572,124 | $0 | $0 | $0 | $52 | $0 | $11,400 | $0 | $18,795 | $0 | $602,371 | $0 | $0 | $0 |
| CHARLES BULFINCH | ||||||||||||||
| PHYSICIAN | $532,428 | $0 | $0 | $0 | $0 | $0 | $11,400 | $0 | $38,913 | $0 | $582,741 | $0 | $0 | $0 |
| ANTONY KIM | ||||||||||||||
| PHYSICIAN | $514,380 | $0 | $0 | $0 | $0 | $0 | $11,400 | $0 | $34,222 | $0 | $560,002 | $0 | $0 | $0 |
| LORI ALVORD MD | ||||||||||||||
| TRUSTEE | $0 | $475,500 | $0 | $0 | $0 | $0 | $0 | $11,400 | $0 | $34,222 | $0 | $521,122 | $0 | $0 |
| MAXWELL OWENS | ||||||||||||||
| CFO | $0 | $308,674 | $0 | $64,365 | $0 | $6,583 | $0 | $11,400 | $0 | $13,204 | $0 | $404,226 | $0 | $0 |
| CRAIG WHITTLESEY | ||||||||||||||
| PHYSICIAN | $228,759 | $0 | $95,978 | $0 | $3,326 | $0 | $12,081 | $0 | $26,012 | $0 | $366,156 | $0 | $0 | $0 |
| SCOTT HEFLICK | ||||||||||||||
| PHYSICIAN | $226,758 | $0 | $83,509 | $0 | $0 | $0 | $9,282 | $0 | $24,999 | $0 | $344,548 | $0 | $0 | $0 |
| TERRA PALOMAREZ | ||||||||||||||
| CNO (THRU 11/21) | $0 | $197,305 | $0 | $24,300 | $0 | $789 | $0 | $8,037 | $0 | $18,662 | $0 | $249,093 | $0 | $0 |
| BRYAN HARGIS | ||||||||||||||
| CEO (THRU 09/21) | $0 | $197,871 | $0 | $0 | $0 | $3,798 | $0 | $7,548 | $0 | $11,293 | $0 | $220,510 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION CONTRACTS WITH REGIONAL HEALTH DBA ASTRIA HEALTH (ASTRIA HEALTH) FOR MANAGEMENT SERVICES. ASTRIA HEALTH DETERMINES THE CEO, CFO AND CNO SALARIES. ASTRIA HEALTH ESTABLISHES SALARIES AT THE TIME OF HIRE AND PERIODICALLY REVIEWS THEM THEREAFTER. TAKING THE FOLLOWING FACTORS INTO ACCOUNT: A) QUALIFICATIONS OF THE CANDIDATE, INCLUDING NUMBER OF YEARS OF DIRECTLY RELATED EXPERIENCE B) PREVAILING CEO AND CFO COMPENSATION RATES, AS EVIDENCED BY SALARY SURVEY DATA FOR BUSINESSES OF SIMILAR SIZE AND WITHIN THE RELEVANT GEOGRAPHIC AREA; AND C) ASTRIA HEALTH'S ABILITY AND WILLINGNESS TO PAY, AS AGREED BY ASTRIA HEALTH'S BOARD OR A SUBCOMMITTEE THEREOF. IN ADDITION TO BASE SALARY, THE CEO AND CFO MAY BE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON PERFORMANCE PARAMETERS ESTABLISHED BY ASTRIA HEALTH AND APPROVED BY THE ASTRIA HEALTH BOARD. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | PURSUANT TO A CONTRACTUAL ARRANGEMENT, THE ORGANIZATION OBTAINS CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES FROM ASTRIA HEALTH (AH). AH, AS THE PARENT AND SYSTEM ENTITY, PROVIDES THE SERVICES TO ITS SUBSIDIARY TAX-EXEMPT NON-PROFIT CORPORATE ENTITIES ON A CENTRALIZED BASIS. THE SERVICES INCLUDE THE FOLLOWING MANAGEMENT OF: - EXECUTIVE ACTIVITIES - INFORMATION SYSTEMS - FINANCIAL OPERATIONS - HEALTH INFORMATION AND RECORDS - SCHEDULING AND REFERRALS - HUMAN RESOURCES - MATERIALS AND SUPPLIES - MEDICAL STAFF AND PHYSICIANS SERVICES - QUALITY RESOURCES - RISK MANAGEMENT - MARKETING AND COMMUNITY RELATIONS - SHARED SERVICES DIRECTORS FOR LABORATORY THE FOLLOWING PERSONS LISTED IN PART VII WERE COMPENSATED BY AH: BRIAN GIBBONS $687,347 (COMPENSATION FOR SERVICES AS AN OFFICER OF AH AND RELATED TAX-EXEMPT ENTITIES) MAXWELL OWENS $404,226 (COMPENSATION FOR SERVICES AS AN OFFICER OF AH AND RELATED TAX-EXEMPT ENTITIES) BRYAN HARGIS $212,962 TERRA PALOMAREZ $249,094 |
| FORM 990, PART VI, SECTION A, LINE 4 | THE BYLAWS WERE AMENDED IN 2021 TO UPDATE THE PURPOSE TO CARRYING OUT THE CHARITABLE PURPOSE OF ASTRIA HEALTH AND THE SYSTEM OF CONTROLLED CHARITABLE CORPORATIONS WHICH ASTRIA HEATH HAS CREATED OR OTHERWISE AFFILIATED WITH. |
| FORM 990, PART VI, SECTION A, LINE 6 | SHC HOLDCO, LLC, A DISREGARDED ENTITY OF ASTRIA HEALTH, IS THE SOLE MEMBER OF SHC MEDICAL CENTER - TOPPENISH DBA ASTRIA TOPPENISH HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | SHC HOLDCO, LLC, A DISREGARDED ENTITY OF ASTRIA HEALTH, AS THE MEMBER OF THE ORGANIZATION HAS SOLE AUTHORITY TO APPOINT THE ORGANIZATION'S BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | SHC HOLDCO, LLC, A DISREGARDED ENTITY OF ASTRIA HEALTH, AS THE MEMBER OF THE ORGANIZATION HAS SOLE AUTHORITY TO: - APPOINT OR REMOVE OFFICERS - OVERSIGHT AND APPROVAL OF OFFICER AND PHYSICIAN COMPENSATION - CHANGE THE MISSION AND PHILOSOPHY - ADOPT, AMEND OR REPEAL GOVERNING DOCUMENTS - ESTABLISH PARAMETERS AROUND ACQUIRING OR DISPOSING OF ASSETS, INCURRING INDEBTEDNESS OR ENTERING LEASES - APPROVE ANY CORPORATE RESTRUCTURING INCLUDING MERGERS AND DISSOLUTIONS - APPROVE ANNUAL STRATEGIC PLANS AND CAPITAL BUDGETS - APPOINT AUDITORS - CAUSE THE ISSUANCE OR REDEMPTION OF A MEMBERSHIP TO OR FROM ANY PERSON OR ENTITY |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE 990 IS PROVIDED TO ASTRIA HEALTH'S CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER PRIOR TO APPROVAL OF THE 990. A DRAFT IS ALSO DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO AUTHORIZES THE PREPARER TO FINALIZE THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH MEMBER OF THE BOARD FILLS OUT A CONFLICT OF INTEREST FORM DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS OR THROUGH SELF DISCLOSURE IN THE INTERIM. IF A POTENTIAL CONFLICT ARISES, THE AFFECTED PERSON SHALL FULLY DISCLOSE THE NATURE OF THE INTEREST AND WITHDRAW FROM DISCUSSION AND VOTING ON THE MATTER. ANY TRANSACTION OR VOTE INVOLVING A POTENTIAL CONFLICT OF INTEREST SHALL BE APPROVED ONLY WHEN A MAJORITY OF DISINTERESTED DIRECTORS DETERMINE THAT IT IS IN THE BEST INTEREST OF SHC TOPPENISH TO DO SO. SHC TOPPENISH HAS A COMPLIANCE AND MONITORING POLICY THAT IS ENFORCED BY THE CEO. |
| FORM 990, PART VI, SECTION B, LINE 15 | LINE 15A - THE CEO IS EMPLOYED AND COMPENSATED THROUGH ASTRIA HEALTH, A RELATED ORGANIZATION. THE SALARY IS ESTABLISHED AT THE TIME OF HIRE, AND PERIODICALLY THEREAFTER, TAKING THE FOLLOWING FACTORS INTO ACCOUNT: A) QUALIFICATIONS OF THE CANDIDATE, INCLUDING NUMBER OF YEARS OF DIRECTLY RELATED EXPERIENCE. B) PREVAILING CEO COMPENSATION RATES, AS EVIDENCED BY SALARY SURVEY DATA FOR HOSPITALS OF SIMILAR SIZE AND WITHIN THE RELEVANT GEOGRAPHIC AREA. C) ASTRIA HEALTH'S ABILITY AND WILLINGNESS TO PAY, AS AGREED BY THE HOSPITAL BOARD OR A SUBCOMMITTEE THEREOF. THE DEPARTING CEO'S COMPENSATION WAS REVIEWED IN 2021. THE NEW CEO'S COMPENSATION WAS LAST DETERMINED UPON HIRE IN 2020. LINE 15B - THE CFO AND CNO'S COMPENSATION IS DETERMINED IN THE SAME MANNER AS THE CEO'S. THE CFO'S COMPENSATION WAS LAST DETERMINED UPON HIRE IN 2020. THE CNO'S COMPENSATION WAS LAST REVIEWED IN 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | SHC TOPPENISH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 7,662,257. MANAGEMENT AND GENERAL EXPENSES 236,977. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,899,234. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASTRIA HEALTH | |||||||||||
| 1016 TACOMA AVE | SUNNYSIDE | WA | 98944 | 813973675 | MANAGEMENT | WA | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| ASTRIA SUNNYSIDE FOUNDATION DBA ASTRIA HEALTH FOUNDATION | |||||||||||
| PO BOX 719 | SUNNYSIDE | WA | 98944 | 912000867 | FUNDRAISING | WA | 501(C)(3) | LINE 12A, I | 0 | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL | |
| SHC MEDICAL CENTER - YAKIMA DBA ASTRIA REGIONAL MEDICAL CENTER | |||||||||||
| 1016 TACOMA AVE | SUNNYSIDE | WA | 98944 | 814653630 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | SHC HOLDCO LLC | |
| SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION | |||||||||||
| PO BOX 719 | SUNNYSIDE | WA | 98944 | 911286274 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | ASTRIA HEALTH | |
| SUNNYSIDE HOME HEALTH DBA ASTRIA HOME HEALTH | |||||||||||
| 812 MILLER AVE SUITE A | SUNNYSIDE | WA | 98944 | 814552945 | HOME HEALTH | WA | 501(C)(3) | LINE 3 | 0 | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL | |
| AH NPP | |||||||||||
| 1806 YAKIMA VALLEY HWY | SUNNYSIDE | WA | 98944 | 825080286 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | ASTRIA HEALTH | |
| AH NP1 I | |||||||||||
| 1806 YAKIMA VALLEY HWY | SUNNYSIDE | WA | 98944 | 825058806 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | ASTRIA HEALTH | |
| AH NP2 | |||||||||||
| 1806 YAKIMA VALLEY HWY | SUNNYSIDE | WA | 98944 | 825429256 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | ASTRIA HEALTH | |
| AH NP3 | |||||||||||
| 1806 YAKIMA VALLEY HWY | SUNNYSIDE | WA | 98944 | 830617866 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | ASTRIA HEALTH | |
| AH NP4 | |||||||||||
| 1806 YAKIMA VALLEY HWY | SUNNYSIDE | WA | 98944 | 830998775 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | ASTRIA HEALTH | |
| AH NP5 | |||||||||||
| 1806 YAKIMA VALLEY HWY | SUNNYSIDE | WA | 98944 | 831013864 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | ASTRIA HEALTH | |
| AH NP6 | |||||||||||
| 1806 YAKIMA VALLEY HWY | SUNNYSIDE | WA | 98944 | 831048852 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | ASTRIA HEALTH | |
| AH NP7 | |||||||||||
| 1806 YAKIMA VALLEY HWY | SUNNYSIDE | WA | 98944 | 831072807 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | ASTRIA HEALTH | |
| AH NP8 | |||||||||||
| 1806 YAKIMA VALLEY HWY | SUNNYSIDE | WA | 98944 | 831478789 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | ASTRIA HEALTH | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNNYSIDE HOSPITAL SERVICE CORP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1016 TACOMA AVE | AddressLine1Txt |
| City | SUNNYSIDE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474428890 | EIN |
| Primary Activities | INACTIVE | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THE ORGANIZATION'S PARENT DECLARED BANKRUPTCY IN 2019 THAT COMPLICATED THE ACCOUNTING WORK NEEDED TO PREPARE THE ORGANIZATION'S FINANCIAL STATEMENTS. THE SUBSEQUENT COVID-19 PANDEMIC FURTHER DELAYED THE ABILITY OF THE PARENT AND ORGANIZATION TO COMPLETE THE FINANCIAL STATEMENT WORK. STAFFING, ACCOUNTING AND OTHER ISSUES DUE TO THE PANDEMIC, AS WELL AS CATCHING UP ON PRIOR YEAR FILINGS, HAVE CONTINUED UNTIL THE TIME OF FILING. BASED ON THE FACTS EXPLAINED, THE ORGANIZATION REQUESTS THAT THE PENALTY FOR LATE FILING BE REMOVED BASED ON REASONABLE CAUSE. | ExplanationTxt |