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SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION (EIN 91-1286274)
Tax period
2021-01-01 to 2021-12-31
Filed
2023-11-13
IRS object ID
202323179349310822
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-13T16:51:11-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12707 COLBY AVENUE SUITE 801AddressLine1Txt
CityEVERETTCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911286274EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSUNNBusinessNameControlTxt
Phone5098371500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 719AddressLine1Txt
CitySUNNYSIDECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98944ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMAXWELL OWENSPersonNm
Person TitleCFOPersonTitleTxt
Phone5098371500PhoneNum
Signature2023-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMAXWELLPersonFirstNm
Person LastOWENSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCOLLEEN RAMIRESPreparerPersonNm
PTINP01251320PTIN
Phone4252597227PhoneNum
Preparation2023-11-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ASTRIA SUNNYSIDE HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRIAN GIBBONSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 719AddressLine1Txt
CitySUNNYSIDECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98944ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$102,195,567GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASTRIA.HEALTHWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionPROVIDE COMPREHENSIVE QUALITY HEALTHCARE TO THE REGION.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee635TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,137,675PYContributionsGrantsAmt
CY Contributions Grants$10,621,814CYContributionsGrantsAmt
PY Program Service Revenue$99,343,725PYProgramServiceRevenueAmt
CY Program Service Revenue$90,789,674CYProgramServiceRevenueAmt
PY Investment Income$3,957PYInvestmentIncomeAmt
CY Investment Income-$70,762CYInvestmentIncomeAmt
PY Other Revenue$349,603PYOtherRevenueAmt
CY Other Revenue$369,401CYOtherRevenueAmt
PY Total Revenue$108,834,960PYTotalRevenueAmt
CY Total Revenue$101,710,127CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$36,825,648PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$31,597,739CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$52,110,699PYOtherExpensesAmt
CY Other Expenses$71,126,702CYOtherExpensesAmt
PY Total Expenses$88,936,347PYTotalExpensesAmt
CY Total Expenses$102,724,441CYTotalExpensesAmt
PY Revenues Less Expenses$19,898,613PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,014,314CYRevenuesLessExpensesAmt
Total Assets BOY$116,328,999TotalAssetsBOYAmt
Total Assets EOY$54,658,206TotalAssetsEOYAmt
Total Liabilities BOY$44,515,217TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,080,262TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$71,813,782NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$41,577,944NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE COMPREHENSIVE QUALITY HEALTHCARE TO THE REGION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$67,316,853ExpenseAmt
Revenue$90,789,674RevenueAmt
DescSUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION (THE ASSOCIATION) IS COMPRISED OF A 25-BED CRITICAL ACCESS HOSPITAL AND A SERIES OF EIGHT RURAL HEALTH CLINICS, A FAMILY BIRTH CENTER, COMPLETE SURGICAL SERVICES, LABORATORY, 4-D OBSTETRICAL ULTRASOUND, DIGITAL MAMMOGRAPHY, CARDIOPULMONARY SERVICES, REGISTERED DIETICIAN AND DIABETES EDUCATOR SERVICES. THE ASSOCIATION PROVIDED 1,469 HOSPITAL ADMISSIONS, 59,152 OUTPATIENT VISITS, 13,913 EMERGENCY ROOM VISITS, AND 261 BIRTHS DURING THE YEAR. THE ASSOCIATION PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $186,586,196 FOR CHARITY CARE, MEDICARE, MEDICAID AND OTHER THIRD PARTY PAYORS FOR THE YEAR.Desc
Total Program Service Expenses$67,316,853TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document134IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee635EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAXWELL OWENSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5098371500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11016 TACOMA AVEAddressLine1Txt
CitySUNNYSIDECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98944ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PEGGY BREWER
PRESIDENT1.002.00Yes (X)Yes (X)$0$0$0
CUS ARTEAGA
VICE CHAIR1.001.00Yes (X)Yes (X)$0$0$0
JONATHAN G MERCER
SECRETARY/TREASURER1.002.00Yes (X)Yes (X)$0$0$0
SUZY FONSECA
TRUSTEE1.00Yes (X)$0$0$0
CHRISTINA RIVAS
TRUSTEE1.001.00Yes (X)$0$0$0
BRIAN GIBBONS
CEO10.0030.00Yes (X)$0$640,565$46,782
AMBER HUNSAKER
CNO39.001.00Yes (X)$0$200,294$44,174
MAXWELL OWENS
CFO10.0030.00Yes (X)$0$379,622$24,604
DAVID SHOEMAKER
PHYSICIAN, CHIEF OF STAFF39.001.00$796,862$0$31,038Yes (X)
PETER GRUNERT
PHYSICIAN40.00$791,471$0$24,482Yes (X)
MANUEL YBANEZ
PHYSICIAN40.00$645,416$0$46,773Yes (X)
BRAD WARD
PHYSICIAN40.00$515,165$0$47,368Yes (X)
VALENTIN ANTOCI
PHYSICIAN40.00$477,369$0$19,301Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,226,283TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,220,481TotReportableCompRltdOrgAmt
Total Other Compensation$284,522TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K71IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AYA HEALTHCARE INC
DEPARTMENT 3519DALLASTX75312CONTRACT NURSING$2,321,371
CARDIO SOLUTION LLC
PO BOX 639028CINCINNATIOH45263CARDIOLOGY SERVICES$1,308,709
LOCUM TENENS
PO BOX 405547ATLANTAGA30384CONTRACT PHYSICIANS$1,280,034
RURAL PHYSICIANS GROUP
10624 S EASTERN AVE SUITE A263HENDERSONNV89052PHYSICIAN SERVICES$1,031,107
EVERGREEN ANESTHESIA ASSOCIATES
PO BOX 3442IDAHO FALLSID83403ANESTHESIA SERVICES$1,026,254
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K17CntrctRcvdGreaterThan100KCnt
Government Grants$10,621,814GovernmentGrantsAmt
Total Contributions$10,621,814TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624100$90,548,365$90,548,365
OTHER HEALTH REVENUE624100$241,309$241,309
FieldValueIRS element (for citing)
Total Program Service Revenue$90,789,674TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,678TotalRevenueColumnAmt
Exclusion$4,678ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$410,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$485,440OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$75,440OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$75,440TotalRevenueColumnAmt
Exclusion-$75,440ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER REVENUE900099$222,331$222,331
DIETARY REVENUE722514$147,070$147,070
FieldValueIRS element (for citing)
Other Revenue Total$369,401OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$101,710,127TotalRevenueColumnAmt
Related Or Exempt Func Income$90,789,674RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$298,639ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$26,657,144TotalAmt
Program Services$23,031,280ProgramServicesAmt
Management And General$3,625,864ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$866,405TotalAmt
Program Services$748,558ProgramServicesAmt
Management And General$117,847ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,087,243TotalAmt
Program Services$1,803,339ProgramServicesAmt
Management And General$283,904ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,986,947TotalAmt
Program Services$1,716,685ProgramServicesAmt
Management And General$270,262ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$12,344,411TotalAmt
Management And General$12,344,411ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$51,915TotalAmt
Program Services$44,128ProgramServicesAmt
Management And General$7,787ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,625TotalAmt
Management And General$38,625ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,768,554TotalAmt
Program Services$4,903,271ProgramServicesAmt
Management And General$865,283ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,129,729TotalAmt
Program Services$1,073,243ProgramServicesAmt
Management And General$56,486ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$99,315TotalAmt
Program Services$94,349ProgramServicesAmt
Management And General$4,966ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,885,512TotalAmt
Program Services$659,929ProgramServicesAmt
Management And General$1,225,583ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$44,884TotalAmt
Program Services$19,749ProgramServicesAmt
Management And General$25,135ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$110,490TotalAmt
Program Services$48,616ProgramServicesAmt
Management And General$61,874ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,580,014TotalAmt
Management And General$4,580,014ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,441,606TotalAmt
Management And General$2,441,606ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,704,479TotalAmt
Management And General$1,704,479ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$13,892,282$13,892,282
MEDICAL SUPPLIES$13,596,881$13,596,881
PURCHASED SERVICES$11,408,977$4,791,770$6,617,207
TAXES, DUES, & LICENSES$1,071,697$471,547$600,150

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$957,331TotalAmt
Program Services$421,226ProgramServicesAmt
Management And General$536,105ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$102,724,441TotalAmt
Program Services$67,316,853ProgramServicesAmt
Management And General$35,407,588ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,665,256BOYAmt
EOY$2,832,405EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,206BOYAmt
EOY$428,282EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,181,875BOYAmt
EOY$14,479,183EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,551,590BOYAmt
EOY$2,889,559EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$632,665BOYAmt
EOY$193,519EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$61,374,004LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$42,882,975LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,766,303BOYAmt
EOY$18,491,029EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$436,690BOYAmt
EOY$397,331EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$491,667EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$66,091,414BOYAmt
EOY$14,455,231EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$116,328,999BOYAmt
EOY$54,658,206EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,451,442BOYAmt
EOY$12,871,929EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$23,432,979BOYAmt
EOY$208,333EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$630,796BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,515,217BOYAmt
EOY$13,080,262EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$71,813,782BOYAmt
EOY$41,577,944EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$71,813,782BOYAmt
EOY$41,577,944EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$116,328,999BOYAmt
EOY$54,658,206EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,014,314ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$29,221,524PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit Performed0FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,072,349OtherCostOrOtherBasisAmt
Book Value$5,072,349BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,656,246OtherCostOrOtherBasisAmt
Depreciation$16,353,968DepreciationAmt
Book Value$7,302,278BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,214,499OtherCostOrOtherBasisAmt
Depreciation$25,462,574DepreciationAmt
Book Value$5,751,925BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,430,910OtherCostOrOtherBasisAmt
Depreciation$1,066,433DepreciationAmt
Book Value$364,477BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,491,029TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY RECEIVABLESDesc
Book Value$14,455,231BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,455,231TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$663,311TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$663,311NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,904,520TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,314,606DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,589,914NetCommunityBenefitExpnsAmt
Total Expense0.08540TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,567,831TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,314,606DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,253,225NetCommunityBenefitExpnsAmt
Total Expense0.09290TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$252,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$252,000NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$252,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$252,000NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,819,831TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,314,606DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,505,225NetCommunityBenefitExpnsAmt
Total Expense0.09570TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$13,892,282BadDebtExpenseAmt
Reimbursed By Medicare$21,244,523ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$21,073,637CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$170,886MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 719AddressLine1Txt
CitySUNNYSIDECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98944ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ASTRIA.HEALTHWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART VOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART VStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART VFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART VFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART VFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUNNYSIDE COMMUNITY HOSPITALPART 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.
SUNNYSIDE COMMUNITY HOSPITALPART V, SECTION B, LINE 6A: SHC MEDICAL CENTER - TOPPENISH (DBA ASTRIA TOPPENISH HOSPITAL)
SUNNYSIDE COMMUNITY HOSPITALPART 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.
SUNNYSIDE COMMUNITY HOSPITALPART V, SECTION B, LINE 13H: HARDSHIP AND DEBT RATIO
SUNNYSIDE COMMUNITY HOSPITALPART V, SECTION B, LINE 15E: DESCRIBED THE APPEALS PROCESS SHOULD IT BE DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE.
SUNNYSIDE COMMUNITY HOSPITALPART 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/
FieldValueIRS element (for citing)
Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - GRANDVIEW MEDICAL CENTER
208 N EUCLIDGRANDVIEWWA98930RURAL HEALTH CLINIC
2 - LINCOLN AVENUE FAMILY MEDICINE
803 E LINCOLNSUNNYSIDEWA98944RURAL HEALTH CLINIC
3 - VALLEY INTERNAL MEDICINE
2925 ALLEN RDSUNNYSIDEWA98944RURAL HEALTH CLINIC
4 - SUNNYSIDE PEDIATRICS
812 MILLER AVE STE CSUNNYSIDEWA98944RURAL HEALTH CLINIC
5 - JOHN HUGHES STUDENT HEALTH CENTER
1801 EAST EDISON AVESUNNYSIDEWA98944RURAL HEALTH CLINIC
6 - VALLEY REGIONAL RHC V
2705 E LINCOLN AVESUNNYSIDEWA98944RURAL HEALTH CLINIC
7 - MEDICAL PLAZA IN PROSSER
355 CHARDONNAY AVEPROSSERWA99350RURAL HEALTH CLINIC
8 - BIRCH STREET MEDICAL CENTER II
222 E 2ND STGRANDVIEWWA98930RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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: $13,892,282.DUE TO BANKRUPTCY AND TURN OVER, THE HOSPITAL WAS NOT ABLE TO CAPTURE DOLLAR AMOUNTS ASSOCIATED WITH ALL OF ITS COMMUNITY BENEFIT ACTIVITIES CONDUCTED IN 2021. LINE 7E THE HOSPITAL PROVIDED MASS COVID VACCINE CLINICS TO FIRST RESPONDER, AGRICULTURE WORKERS, TIER 1A AND 1B COMMUNITY MEMBERS AND MANY MORE. VARIOUS STAFF OF THE HOSPITAL WORKED WITH STATELMAN FARM TO GET EDUCATIONAL AND ACCESS INFORMATION REGARDING THE VACCINE OUT TO ALL OF THEIR EMPLOYEES AND EMPLOYEE'S FAMILIES. SOME EMPLOYEES AND THEIR FAMILIES HAVE LIMITED ACCESS TO NOT ONLY MEDICAL CARE BUT TO INFORMATION ON THE VACCINE AND WHERE THEY WOULD BE ABLE TO GET THE VACCINE ONCE THEY BECAME ELIGIBLE. MEDICAL STAFF WENT OUT TO ALL SITES INCLUDING FIELDS AND WAREHOUSES SPREAD THROUGHOUT YAKIMA COUNTY TO ANSWER QUESTIONS ON A MORE INDIVIDUALIZED BASIS. EDUCATIONAL MATERIALS AND REGISTRATION FORMS WERE PROVIDED AHEAD OF THESE MEETINGS. THOSE THAT QUALIFIED FOR THE VACCINE WERE ABLE TO RECEIVE THEM AT THE END OF THESE MEETINGS. HOSPITAL STAFF WORKED IN A SIMILAR FASHION WITH VARIOUS SCHOOL DISTRICTS TO GET EDUCATIONAL AND ACCESS INFORMATION REGARDING VACCINES OUT TO THEIR EMPLOYEES AND FAMILIES. CONTACT INFORMATION WAS PROVIDED FOR THE BIRCH STREET LOCATION TO PROVIDE ANOTHER RESOURCE FOR QUESTIONS. EMPLOYEES AND THEIR FAMILIES WERE ALSO INFORMED THAT THEY COULD WALK IN AND RECEIVE THE VACCINE AT THIS LOCATION WITHOUT HAVING TO FIRST SCHEDULE AN APPOINTMENT.SEVERAL MEMBERS OF THE HOSPITAL ATTENDED COMMUNITY EVENTS TO PROMOTE AND EDUCATE ON PEDIATRIC SERVICES AS WELL AS NUTRITION.THE HOSPITAL PROVIDED DIABETES EDUCATION WHICH IS ESSENTIAL AS THE LOWER VALLEY HAS A HIGH OCCURRENCE OF THIS CONDITION AND MANY PEOPLE DO NOT HAVE THE NECESSARY INFORMATION OR KNOWLEDGE TO BE ABLE TO SELECT A BALANCED AND NUTRITIOUS MEAL. THE DIABETES EDUCATOR AND A REGISTERED DIETICIAN PROVIDE ONE-ON-ONE CONSULTATIONS FOR PATIENTS REFERRED BY A DOCTOR IN ORDER TO EDUCATE THEM ON THE IMPORTANCE OF A BALANCED AND NUTRITIOUS DIET. THE CONSULTS ARE PRIMARILY FOR DIABETIC PATIENTS, BUT MANY ARE ALSO FOR WEIGHT MANAGEMENT ISSUES, CARDIAC AND HIGH BLOOD PRESSURE. A LARGE AMOUNT OF THE WEIGHT MANAGEMENT CONSULTATIONS IS FOR PEDIATRIC WEIGHT MANAGEMENT, BUT IT REQUIRES PARTICIPATION FROM THE ENTIRE FAMILY.THE HOSPITAL PROVIDED SPORTS PHYSICALS AT A $10 FLAT RATE TO THE COMMUNITY.LINE 7F THE HOSPITAL PROVIDED CLINICAL ROTATIONS FOR RADIOLOGY STUDENTS AND NURSING STUDENTS. CLINICAL ROTATIONS IN NURSING EDUCATION ARE TO PROVIDE NURSING STUDENTS WITH HANDS-ON EXPERIENCE AND EXPOSURE TO VARIOUS HEALTHCARE SETTINGS TO DEVELOP THEIR CLINICAL SKILLS, CRITICAL THINKING, AND PATIENT CARE ABILITIES.
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:ADMITTING STAFF AND TWO SELF-PAY COUNSELORS VISIT WITH PATIENTS BEFORE THEY ARE DISCHARGED 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:SUNNYSIDE, GRANDVIEW AND THE REST OF THE LOWER YAKIMA VALLEY IS A CULTURALLY DIVERSE REGION OF NEARLY 44,000 PEOPLE LIVING BETWEEN THE CITY OF YAKIMA ON THE WEST AND TRI-CITIES, WASHINGTON ON THE EAST. RESIDENTS OF THIS AREA ARE SIGNIFICANTLY YOUNGER THAN RESIDENTS OF YAKIMA COUNTY AND WASHINGTON STATE, WITH APPROXIMATELY 35% BEING UNDER THE AGE OF 18 COMPARED TO JUST OVER 22% STATEWIDE. APPROXIMATELY 10% OF RESIDENTS ARE 65 OR OLDER. THE HISPANIC POPULATION MAKES UP 81.7% OF THE POPULATION AND WHITE NON-HISPANIC 50.8% OF THE POPULATION. MANY RESIDENTS IN THE COMMUNITY EXPERIENCE POVERTY, FOOD INSECURITY, LACK OF TRANSPORTATION, AND LIMITED ACCESS TO AFFORDABLE HOUSING. THE COMMUNITY HAS A MEDIAN HOUSEHOLD INCOME OF $49,598 AND APPROXIMATELY 16.6% OF RESIDENTS HAVE INCOMES BELOW FEDERAL POVERTY GUIDELINES.
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 THEHOSPITAL 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 MEDICALASSISTANCE, 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 TOPPENISH 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 BASED IN EASTERN WASHINGTON 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 ASTRIA TOPPENISH 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

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID SHOEMAKER
PHYSICIAN, CHIEF OF STAFF$511,608$0$285,254$0$0$0$12,015$0$19,023$0$827,900$0$0$0
PETER GRUNERT
PHYSICIAN$790,811$0$0$0$660$0$11,884$0$12,598$0$815,953$0$0$0
MANUEL YBANEZ
PHYSICIAN$567,143$0$75,435$0$2,838$0$11,400$0$35,373$0$692,189$0$0$0
BRIAN GIBBONS
CEO$0$416,483$0$218,699$0$5,383$0$11,400$0$35,382$0$687,347$0$0
BRAD WARD
PHYSICIAN$512,327$0$0$0$2,838$0$11,400$0$35,968$0$562,533$0$0$0
VALENTIN ANTOCI
PHYSICIAN$474,688$0$0$0$2,681$0$11,752$0$7,549$0$496,670$0$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
AMBER HUNSAKER
CNO$0$157,866$0$41,867$0$561$0$8,201$0$35,973$0$244,468$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION CONTRACTS WITH REGIONAL HEALTH DBA ASTRIA HEALTH (ASTRIA HEALTH) FOR MANAGEMENT SERVICES. ASTRIA HEALTH DETERMINES THE CEO, CFO, AND CNO SALARY. 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, CFO & CNO 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, CFO AND CNO 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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3PURSUANT 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) AMBER HUNSAKER - $244,468
FORM 990, PART VI, SECTION A, LINE 6ASTRIA HEALTH IS THE SOLE MEMBER OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7AASTRIA HEALTH AS THE SOLE MEMBER OF THE HOSPITAL HAS THE AUTHORITY TO ELECT THE HOSPITAL'S BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BASTRIA HEALTH AS THE SOLE MEMBER OF THE HOSPITAL HAS THE 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 - TO RECEIVE THE HOSPITAL'S NET ASSETS UPON THE HOSPITAL'S DISSOLUTION.
FORM 990, PART VI, SECTION B, LINE 11BA 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 12CEACH 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 THE HOSPITAL TO DO SO. THE HOSPITAL HAS A COMPLIANCE AND MONITORING POLICY THAT IS ENFORCED BY THE CEO.
FORM 990, PART VI, SECTION B, LINE 15LINE 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 CEO'S COMPENSATION WAS LAST DETERMINED UPON HIRE IN 2020. LINE 15B - THE CFO'S AND CNO'S COMPENSATION IS DETERMINED IN THE SAME MANNER AS THE CEO'S. THE CFO'S COMPENSATION WAS LAST REVIEWED IN 2020 UPON HIRE AND THE CNO'S COMPENSATION WAS LAST REVIEWED IN 2021.
FORM 990, PART VI, SECTION C, LINE 19THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 3B:AT THE TIME OF TAX RETURN FILING THE ORGANIZATION IS STILL UNDERGOING THE REQUIRED AUDIT.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OXBOW SUMMIT LLC
PO BOX 719SUNNYSIDEWA98944474281366INACTIVEWA$0$0SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
WEDDED BLISS LLC
PO BOX 719SUNNYSIDEWA98944475661939INACTIVEWA$0$0SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
KITCHEN APPLIANCES LLC
PO BOX 719SUNNYSIDEWA98944475644805INACTIVEWA$0$0SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
HOME SUPPLY LLC
PO BOX 719SUNNYSIDEWA98944475634806INACTIVEWA$0$0SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
NORTHWEST HEALTH LLC
PO BOX 719SUNNYSIDEWA98944811978817INACTIVEWA$0$0SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
SUNNYSIDE PROFESSIONAL SERVICES LLC
PO BOX 719SUNNYSIDEWA98944475499567MOB MANAGEMENTWA$0$397,331SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
SUNNYSIDE COMMUNITY HOSPITAL HOME MEDICAL SUPPLY LLC
PO BOX 719SUNNYSIDEWA98944471344645HOME MEDICAL SUPPLY (DME)WA$239,640$51,345SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
SUNNYSIDE MEDICAL CENTER LLC
PO BOX 719SUNNYSIDEWA98944822879092ASSET HOLDING COMPANYWA$0$397,331SUNNYSIDE PROFESSIONAL SERVICES LLC
GLACIER CANYON LLC
PO BOX 719SUNNYSIDEWA98944371785811INACTIVEWA$0$0OXBOW SUMMIT LLC
BRIDAL DREAMS LLC
PO BOX 719SUNNYSIDEWA98944611774990INACTIVEWA$0$0WEDDED BLISS LLC
DEPOT PLUS LLC
PO BOX 719SUNNYSIDEWA98944364822737INACTIVEWA$0$0KITCHEN APPLIANCES LLC
KITCHEN AND BATH FURNISHINGS LLC
PO BOX 719SUNNYSIDEWA98944300888892INACTIVEWA$0$0HOME SUPPLY LLC
PACIFIC NORTHWEST ASC MANAGEMENT LLC
PO BOX 719SUNNYSIDEWA98944811970143INACTIVEWA$0$0NORTHWEST HEALTH LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASTRIA HEALTH
1016 TACOMA AVESUNNYSIDEWA98944813973675MANAGEMENTWA501(C)(3)LINE 12C, III-FIN/A0
ASTRIA SUNNYSIDE FOUNDATION DBA ASTRIA HEALTH FOUNDATION
PO BOX 719SUNNYSIDEWA98944912000867FUNDRAISINGWA501(C)(3)LINE 12A, IYes (1)SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL
SCH MEDICAL CENTER - YAKIMA DBA ASTRIA REGIONAL MEDICAL CENTER
1016 TACOMA AVESUNNYSIDEWA98944814656360HEALTHCAREWA501(C)(3)LINE 30SHC HOLDCO LLC
SHC MEDICAL CENTER - TOPPENISH DBA ASTRIA TOPPENISH HOSPITAL
1016 TACOMA AVESUNNYSIDEWA98944814670687HEALTHCAREWA501(C)(3)LINE 30SHC HOLDCO LLC
SUNNYSIDE HOME HEALTH DBA ASTRIA HOME HEALTH
812 MILLER AVE SUITE ASUNNYSIDEWA98944814552945HOME HEALTHWA501(C)(3)LINE 3Yes (1)SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL
AH NPP
1806 YAKIMA VALLEY HWYSUNNYSIDEWA98944825080286HEALTHCAREWA501(C)(3)LINE 30ASTRIA HEALTH
AH NP1 I
1806 YAKIMA VALLEY HWYSUNNYSIDEWA98944825058806HEALTHCAREWA501(C)(3)LINE 30ASTRIA HEALTH
AH NP2
1806 YAKIMA VALLEY HWYSUNNYSIDEWA98944825429256HEALTHCAREWA501(C)(3)LINE 30ASTRIA HEALTH
AH NP3
1806 YAKIMA VALLEY HWYSUNNYSIDEWA98944830617866HEALTHCAREWA501(C)(3)LINE 30ASTRIA HEALTH
AH NP4
1806 YAKIMA VALLEY HWYSUNNYSIDEWA98944830998775HEALTHCAREWA501(C)(3)LINE 30ASTRIA HEALTH
AH NP5
1806 YAKIMA VALLEY HWYSUNNYSIDEWA98944831013864HEALTHCAREWA501(C)(3)LINE 30ASTRIA HEALTH
AH NP6
1806 YAKIMA VALLEY HWYSUNNYSIDEWA98944831048852HEALTHCAREWA501(C)(3)LINE 30ASTRIA HEALTH
AH NP7
1806 YAKIMA VALLEY HWYSUNNYSIDEWA98944831072807HEALTHCAREWA501(C)(3)LINE 30ASTRIA HEALTH
AH NP8
1806 YAKIMA VALLEY HWYSUNNYSIDEWA98944831478789HEALTHCAREWA501(C)(3)LINE 30ASTRIA HEALTH

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE HOSPITAL SERVICE CORPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11016 TACOMA AVEAddressLine1Txt
CitySUNNYSIDECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98944ZIPCd
FieldValueIRS element (for citing)
EIN474428890EIN
Primary ActivitiesINACTIVEPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationTHE 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