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SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION (EIN 91-1286274)
Tax period
2020-01-01 to 2020-12-31
Filed
2022-08-22
IRS object ID
202202349349300775
Schema version
2020v4.2
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)
Return2022-08-22T10:17:10-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN202609241PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1White & Company PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 Franklin Ave STE 3AddressLine1Txt
CitySunnysideCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98944ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

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
Signature2022-08-22SignatureDt
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 PersonThomas WhitePreparerPersonNm
PTINP00181579PTIN
Phone5098376700PhoneNum
Preparation2022-08-22PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Astria Sunnyside HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMaxwell OwensPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 719AddressLine1Txt
CitySunnysideCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98944ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$108,831,960GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.astria.healthWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTo provide comprehensive quality healthcare to the region.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee649TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$25,732PYContributionsGrantsAmt
CY Contributions Grants$9,134,675CYContributionsGrantsAmt
PY Program Service Revenue$109,948,200PYProgramServiceRevenueAmt
CY Program Service Revenue$99,343,725CYProgramServiceRevenueAmt
PY Investment Income$9,220PYInvestmentIncomeAmt
CY Investment Income$3,957CYInvestmentIncomeAmt
PY Other Revenue$333,099PYOtherRevenueAmt
CY Other Revenue$349,603CYOtherRevenueAmt
PY Total Revenue$110,316,251PYTotalRevenueAmt
CY Total Revenue$108,831,960CYTotalRevenueAmt
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$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$36,825,648CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,415CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$52,110,699CYOtherExpensesAmt
PY Total Expenses$0PYTotalExpensesAmt
CY Total Expenses$88,936,347CYTotalExpensesAmt
PY Revenues Less Expenses$110,316,251PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,895,613CYRevenuesLessExpensesAmt
Total Assets BOY$109,966,116TotalAssetsBOYAmt
Total Assets EOY$116,328,999TotalAssetsEOYAmt
Total Liabilities BOY$38,961,100TotalLiabilitiesBOYAmt
Total Liabilities EOY$44,515,217TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$71,005,016NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$71,813,782NetAssetsOrFundBalancesEOYAmt
MissionTo provide comprehensive quality healthcare to the region.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$73,072,151ExpenseAmt
Revenue$99,343,725RevenueAmt
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 2,012 Hospital admissions, 66,321 outpatient visits, 12,264 emergency room visits, and 358 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 $3,893,277 for charity care, $106,551,044 for Medicare, $61,365,434 for Medicaid, and $30,501,211 for other third-party payors for the year.Desc
Total Program Service Expenses$73,072,151TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Document103IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee649EmployeeCnt
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
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
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 Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
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)
Phone5098371379PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11016 Tacoma AveAddressLine1Txt
CitySunnysideCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98944ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 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
President4.001.00Yes (X)Yes (X)$0$0$0
Jonathan Mercer
Secretary/Treasurer4.001.00Yes (X)Yes (X)$0$0$0
Ana Garcia
Chief of Staff40.001.00Yes (X)$320,644$0$11,558
Cus Artega
Vice President4.00Yes (X)$0$0$0
Brian Gibbons
CEO40.001.00Yes (X)$0$0$0
Michael Long
CFO thru 04/202040.001.00Yes (X)$0$0$0
Cynthia Lewis
CNO thru 05/202040.001.00Yes (X)$0$0$0
Eric Stokes
COO thru 02/202040.001.00Yes (X)$0$0$0
Amber Hunsaker
CNO after 05/202040.001.00Yes (X)$68,814$0$15,674
Valentin Antoci
Physician40.00$1,060,685$0$22,208Yes (X)
Tatiana Antoci
Physician40.00$613,042$0$21,252Yes (X)
Peter Grunert
Physician40.00$746,471$0$11,400Yes (X)
Manuel Ybanez
Physician40.00$637,298$0$38,502Yes (X)
David Shoemaker
MIS Rep40.001.00$577,757$0$31,329Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,024,711TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$151,923TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K69IndivRcvdGreaterThan100KCnt
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
Cardio Solution LLC
PO Box 639028CincinattiOH452639028Cardiology Services$1,400,000
Aya Healthcare Inc
Department 3519DallasTX753123519Contract Nursing$1,332,421
Sunnyside Emergency Group A Prof LLC
PO Box 677979DallasTX752677979Purchase Services$1,220,025
Regional Health dba Astria Health
1016 Tacoma AveSunnysideWA98944Management Services$995,237
Evergreen Anesthesia Associates
PO Box 3442Idaho FallsID83403Purchase Services$882,471
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Government Grants$8,981,869GovernmentGrantsAmt
All Other Contributions$152,806AllOtherContributionsAmt
Total Contributions$9,134,675TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient Service RevenueDesc
Business624100BusinessCd
Total Revenue Column$99,343,725TotalRevenueColumnAmt
Related Or Exempt Func Income$99,343,725RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$99,343,725TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,957TotalRevenueColumnAmt
Exclusion$3,957ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Dietary Revenue722514$198,542$198,542
Other Revenue900099$151,061$151,061
FieldValueIRS element (for citing)
Other Revenue Total$349,603OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$108,831,960TotalRevenueColumnAmt
Related Or Exempt Func Income$99,343,725RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$353,560ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$30,905,399TotalAmt
Program Services$25,270,334ProgramServicesAmt
Management And General$5,631,279ManagementAndGeneralAmt
Fundraising$3,786FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,009,760TotalAmt
Program Services$825,636ProgramServicesAmt
Management And General$183,986ManagementAndGeneralAmt
Fundraising$138FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,911,126TotalAmt
Program Services$1,562,857ProgramServicesAmt
Management And General$348,269ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,999,363TotalAmt
Program Services$2,361,793ProgramServicesAmt
Management And General$637,079ManagementAndGeneralAmt
Fundraising$491FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$306,248TotalAmt
Management And General$306,248ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$25,615,350TotalAmt
Program Services$18,246,356ProgramServicesAmt
Management And General$7,368,994ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,083,120TotalAmt
Program Services$1,999,522ProgramServicesAmt
Management And General$1,083,598ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$84,424TotalAmt
Program Services$84,424ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$529,120TotalAmt
Program Services$469,862ProgramServicesAmt
Management And General$59,258ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$48,749TotalAmt
Program Services$20,155ProgramServicesAmt
Management And General$28,594ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$59,551TotalAmt
Program Services$55,047ProgramServicesAmt
Management And General$4,504ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$375,394TotalAmt
Program Services$356,709ProgramServicesAmt
Management And General$18,685ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,846,250TotalAmt
Program Services$2,748,788ProgramServicesAmt
Management And General$97,462ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,125,829TotalAmt
Program Services$831,353ProgramServicesAmt
Management And General$294,476ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies & Drug$15,179,770$15,179,770
Other Expense$2,494,087$725,731$1,768,356
Repairs and Maintenance$362,807$299,310$63,497
Indirect Cost Allocatio$0$2,034,504-$2,034,504

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$88,936,347TotalAmt
Program Services$73,072,151ProgramServicesAmt
Management And General$15,859,781ManagementAndGeneralAmt
Fundraising$4,415FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,054,340BOYAmt
EOY$6,665,256EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$794,279BOYAmt
EOY$3,206EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$32,531,148BOYAmt
EOY$9,181,875EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,733,236BOYAmt
EOY$2,551,590EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$426,145BOYAmt
EOY$632,665EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$71,360,674LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$40,594,371LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$33,744,607BOYAmt
EOY$30,766,303EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,869,671BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$34,812,690BOYAmt
EOY$66,528,104EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$109,966,116BOYAmt
EOY$116,328,999EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,215,035BOYAmt
EOY$20,451,442EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$18,058,121BOYAmt
EOY$23,432,979EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$687,944BOYAmt
EOY$630,796EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,961,100BOYAmt
EOY$44,515,217EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$71,005,016BOYAmt
EOY$71,813,782EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$71,005,016BOYAmt
EOY$71,813,782EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$109,966,116BOYAmt
EOY$116,328,999EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$19,895,613ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$19,086,845PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$2OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$843,512OtherCostOrOtherBasisAmt
Book Value$843,512BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,610,689OtherCostOrOtherBasisAmt
Depreciation$16,981,168DepreciationAmt
Book Value$8,629,521BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,971,576OtherCostOrOtherBasisAmt
Depreciation$23,613,203DepreciationAmt
Book Value$7,358,373BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,934,897OtherCostOrOtherBasisAmt
Book Value$13,934,897BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,766,303TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Other Receivables$65,466,414
Malpractice insurance reimbursement$625,000
Investment in affiliate$436,690
FieldValueIRS element (for citing)
Total Book Value Other Assets$66,528,104TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Capital Lease Obligation$5,796
Malpractive claims payable$625,000
FieldValueIRS element (for citing)
Total Liability$630,796TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X - FIN 48 FootnoteFormAndLineReferenceDesc
ExplanationThe Association is exempt from Federal Income Tax. Accordingly, no provision for income tax is necessary. The Association evaluates uncertain tax positions whereby the effect of the uncertainty would be recorded if the outcome was considered probable and reasonably estimable. As of December 31, 2019 and 2018, the Association had no uncertain tax positions requiring accrual.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other125.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,119,706TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,119,706NetCommunityBenefitExpnsAmt
Total Expense0.01260TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,202,505TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,210,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,991,566NetCommunityBenefitExpnsAmt
Total Expense0.12360TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,322,211TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,210,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,111,272NetCommunityBenefitExpnsAmt
Total Expense0.13620TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,322,211TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,210,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,111,272NetCommunityBenefitExpnsAmt
Total Expense0.13620TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served489PersonsServedCnt
Total Community Benefit Expns$180,699TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$180,699NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served584PersonsServedCnt
Total Community Benefit Expns$49,313TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$49,313NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served1073PersonsServedCnt
Total Community Benefit Expns$230,012TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$230,012NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,659,680BadDebtExpenseAmt
Reimbursed By Medicare$28,357,321ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$36,512,886CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,155,565MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
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
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
CHNA Conducted18CHNAConductedYr
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 URLwww.astria.healthOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.astria.healthStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care125.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
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
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sunnyside Community HospitalPart V, Section B, Line 5: The CHNA was conducted between July 1, 2018, and November 28, 2018. Both quantative and qualitative methods were utilized to gather data about the Astria Health service area. Quantitative Data: A variety of sources were used to identify community health trends and health disparities including but not limited to: iVantage, County Health Rankings, Community Commons, Centers for Disease Control (CDC) BRFSS, Washington State Department of Health, and the Yakima Health District. Every effort was made to obtain the most current data. Data were analyzed for comparison purposes with the United States, Washington State, counties within Washington State, Results Washington, and Healthy People 2020 when comparative data was available. Qualitative Data: Interviews with key stakeholders and a key stakeholder survey were completed. 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. The interviews were completed in-person or by phone between July 1 and August 31, 2018. A total of thirty-five individuals were interviewed. 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. A total of eight-nine (89) surveys were completed. Twenty-seven (27) providers completed the survey including nineteen physicians, six nurse practitioners, and two physician assistants. Representatives of thirteen community organizations completed a total of thrity-one (31) surveys. Governor's Interagency Council on Health Disparities: The Governor's Interagency Council on Health Disparities held a public meeting in Yakima Washington on May 10, 2017. About 40 people were in attendance, including community members, students, and representatives from community-based organizations and from public health, healthcare, and education sectors. Participants were asked about priorities for the community. Feedback from the meeting is included throughout the report.Yakima County Health Care Coalition - Consumer Engagement Survey: The Yakima County Health Care Coalition conducted a community engagment survey from July 1, 2018 - August 31, 2018. There were a total of 501 respondents. Information from the survey is included throughout the report. Astria Health contracted with HealthTechS3 to assist in conducting the 2018 Community Health Needs Assessment. HealthTechS3 is a healthcare consulting and hospital management company based in Brentwood, Tennessee. Carolyn St. Charles, Regional Chief Clinical Officer, was the principal consultant for the project.
Sunnyside Community HospitalPart V, Section B, Line 11: Utilizing the prioritization criteria and group discussion, the Senior Leadership Team chose four priority community health needs as focus areas for Astria Health over the next three years: 1)Increase access to Primary Care 2)Increase access to Specialty Care 3)Increase access to Behavioral Health and Substance Abuse services 4)Prevention, screening, and treatment of Chronic Diseases including diabetes and heart disease.The four community health needs are in alignment with the community health needs identified by key stakeholders. The Astria Health priorities will also help to address four of the eight barriers to health identified by the Yakima County Health Care Coalition - Consumer Engagement Survey including: Finding a Health Care Home: Increase access to primary care and Increase access to specialty care. Emotional/Mental Health: Increase access to Behavioral Health services. Substance Abuse and Drugs: Increase access to Substance Abuse Services. Education: Although not addressed specifically, healthcare education is an essential component for accomplishing each of the four priorities chosen by Astria Health. The Hospital continues to provide community education classes on nutrition and fitness and has increased referrals to a registered dietician for weight management counseling.The Hospital continued to increase the number of Medicare patients screened for depression and continues to educate providers on the screening tools. The Hospital began an Intensive Outpatient Program by hiring a midlevel for outpatient services in 2018.
Sunnyside Community HospitalPart V, Section B, Line 16j: Notice of the Charity Care Policy shall be posted or prominently displayed within public areas of the Hosptial, and shall be provided to the Responsible Party and explained at the time that Hospital request information with regard to the availability of any third-party coverage. The Policy will be displayed and explained in any language spoken by more than ten percent of the population in the Hospital's service area, and 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.The Charity Care Policy, application, and plain language of application can be at the following url:https://www.astria.health/patients-visitors/policies/
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 EuclidGrandviewWA98930RHC Clinic
2 - Lincoln Avenue Family Medicine
803 E LincolnSunnysideWA98944RHC Clinic
3 - Valley Internal Medicine
2925 Allen RdSunnysideWA98944RHC Clinic
4 - Sunnyside Pediatrics
812 Miller Ave Ste CSunnysideWA98944RHC Clinic
5 - John Hughes Student Health Center
1801 East Edison AveSunnysideWA98944RHC Clinic
6 - Valley Regional RHC V
2705 E Lincoln AveSunnysideWA98944RHC Clinic
7 - Medical Plaza in Prosser
355 Chardonnay AveProsserWA99350RHC Clinic
8 - Birch Street Medical Center II
222 E 2nd StGrandviewWA98930RHC Clinic

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:The Hospital applies the ratio of patient care cost-to-charges for amounts reported in the table (total operating expense less non-patient care activities, total community benefit and total community building expenses).
Part II, Community Building Activities:Diabetes education is essential as the lower valley has a high occurence 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 are for pediatric weight management, but it requires participation from the entire family. Interpreters are used often for Spanish speaking patients. Many pediatric patients are English speaking, but the parents are Spanish speaking only.The Hospital provides a chaplain service, which is dedicated to serving the needs of the patients, families and staff. The chaplain is committed to offering compassionate spiritual care and emotional support as a resource for healing.The Hospital provided sports physicals at a $10 flat rate to the community.
Part III, Line 2:The Hospital used the cost to charge ratio of patient care to determine the cost of bad debt expense. The reason for the negative bad debt number is the result of more patients qualifying for charity adjustment rather than being sent to the collection agencies.
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 eligibilty during the year. The Hospital accounts for discounts and payments on patient accounts in determining bad debts as follows: Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges, and per diem payments. Net patient service revenue is reported at the estimated net realizable amounts from patients, third party payors, and others for services rendered, including estimated retroactive adjustments under reimbursement agreements with third party payors.
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 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. The most recent community health needs assessment can be found at the following URL:https://www.astria.health/about-us/community-health-needs-assessment/
Part VI, Line 3:The public will be notified by the posting of signs, 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 eligibiltiy for charity care is determined."The latest chartiy care policy is available on our website at the following URL: https://www.astria.health/patients-visitors/policies/
Part VI, Line 4:Sunnyside, Grandview and the rest of the Lower Yakima Valley is a culturally diverse region of nearly 120,000 people living between the City of Yakima on the west and Tri-Cities, Washington on the east. The Hispanic population makes up 74.5% of the population and White Non-Hispanic 22.7% of the population. Many residents in the community experience poverty, food insecurity, lack of transportation, and limited access to affordable housing.
Part VI, Line 5:The Board of Directors is comprised of community members representing multiple facets of the community including the medical sector, business managers, education, and local government. 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 amoung 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 abililty to pay. In addition to the charity care program, the Hospital provides or participates in several other programs which contribute to its charitable mission. The Hospital provides community outreach programs including assistance with the purchase of prescribed medications, transportation home for patients discharged from the Hospital and a first aide booth at an annual community event.
Part VI, Line 6:Astria Health is the parent non-profit owner of Astria Regional Medical Center, Astria Sunnyside Hospital, and Astria Toppenish Hospital. IRC 501(r) allows hospital organizations with multiple hospital facilities to collaborate and produce one joint CHNA report and implementation strategy for all of its hospital facilities, provided the hospital facilities define their communities to be the same.Astria Regional Medical Center located in Yakima Washington, Astria Sunnyside Hospital located in Sunnyside Washington, and Astria Toppenish Hospital located in Toppenish Washington, define their service area as Yakima County and the communities of Prosser which is in Benton County and Ellensburg which is in Kittitas County. Astria Regional Medical Center, Astria Sunnyside Hospital, and Astria Toppenish Hospital have agreed to produce one CHNA and implementation strategy. The CHNA and Implementation strategy will be reviewed and approved by the governing boards of each hospital, and by the governing board of Astria Health. For the purposes of this document, Astria Regional Medical Center, Astria Sunnyside Hospital, and Astria Toppenish Hospital will be referred to collectively as Astria Health, where applicable.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
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 (6 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
Valentin Antoci
Physician$871,617$0$184,377$0$4,691$0$11,400$0$10,808$0$1,082,893$0$0$0
Peter Grunert
Physician$745,811$0$0$0$660$0$11,400$0$0$0$757,871$0$0$0
Manuel Ybanez
Physician$516,771$0$117,471$0$3,056$0$11,400$0$27,102$0$675,800$0$0$0
Tatiana Antoci
Physician$292,378$0$315,973$0$4,691$0$10,444$0$10,808$0$634,294$0$0$0
David Shoemaker
MIS Rep$376,809$0$199,336$0$1,612$0$15,703$0$15,626$0$609,086$0$0$0
Ana Garcia
Chief of Staff$278,756$0$41,416$0$472$0$11,400$0$158$0$332,202$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart III - Other Additional InformationFormAndLineReferenceDesc
ExplanationThe organization contracts with Regional Health DBA Astria Health for management services. Astria Health provides management through an agreement with Astria Health Management, Inc. to provide the CEO, CNO, COO and CFO positions for the organization. Astria Health Management, Inc establishes salaries at the time of hire, and periodically reviews them thereafter. In addition to base salary, the CEO, CNO, COO and CFO may be eligible for incentive compensation based on performance parameters established by Astria Health Management Inc. and approved by the Astria Health board. The most recent year in which this process occurred was 2020.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3The Hospital contracts with Astria Health for management services as listed on Form 990 Part VII Section B Line 1.
Form 990, Part VI, Section A, line 6Astria Health is listed in the Hospital's bylaws as being the sole member of the Hospital. As such, Astria Health has the rights to elect the members of the Hospital's governing body, to approve significant decisions of the governing body, and to receive the Hospital's net assets upon Hospital's dissolution.
Form 990, Part VI, Section B, line 11bA copy or the 990 is provided to the 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 organization contracts with Astria Health for management services. Astria Health provides management through an agreement with Astria Health Management, Inc. to provide the CEO, CNO, COO and CFO positions for the organization. The salaries are established at the time of hire, and reviewed periodically 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 date for hospitals of similar size and within the revelant geographic are; and c) the Hospital's ability and willingness to pay, as agreed by the Hospital board or a subcomittee thereof. Line 15b - A salary survey is reviewed for key employees by the CEO and HR Director. The CEO makes recommendations to the board who then make the final decision on employment contracts with physicians.
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 VII - Additional InformationSunnyside Community Hospital and Sunnyside Community Hospital Foundation share top management officials. The CEO and CFO each devote approximately 39 hours per week to the Hospital and 1 hour per week to the Foundation.
Form 990, Part IX, line 11gOther Purchased Services: Program service expenses 18,246,356. Management and general expenses 7,368,994. Fundraising expenses 0. Total expenses 25,615,350.
Form 990, Part XI, line 9:Rounding -2.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Sunnyside Professional Services LLC
PO Box 719SunnysideWA98944475499567MOB MgmtWA$0$436,690Sunnyside Community Hospital Association
Sunnyside Hospital Service Corp
PO Box 719SunnysideWA98944474428890WASunnyside Community Hospital Association
Sunnyside Community Hospital Home
PO Box 719SunnysideWA98944471344645WASunnyside Community Hospital Association
Oxbow Summit LLC
PO Box 719SunnysideWA98944474281366WASunnyside Community Hospital Association
Wedded Bliss LLC
PO Box 719SunnysideWA98944475661939WASunnyside Community Hospital Association
Kitchen Applicances LLC
PO Box 719SunnysideWA98944475644805WASunnyside Community Hospital Association
Home Supply LLC
PO Box 719SunnysideWA98944475634806WASunnyside Community Hospital Association
Northwest Health LLC
PO Box 719SunnysideWA98944811978817WASunnyside Community Hospital Association

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Sunnyside Community Hospital Foundation
PO Box 719SunnysideWA98944912000867SupportWA501(c)(3)Line 12a, ISunnyside Community Hospital Association0
Astria Health
1016 Tacoma AveSunnysideWA98944813973675ManagementWA501(c)(3)Line 12b, II0N/A
Sunnyside Home Health DBA Astria Home Health
1016 Tacoma AveSunnysideWA98944814552945HealthcareWA501(c)(3)Line 10Sunnyside Community Hospital Association0
SCH Medical Center - Yakima DBA Astria Regional Medical Center
110 S 9th AvenueYakimaWA98902814653630HealthcareWA501(c)(3)Line 3Astria Health0
SHC Medical Center - Toppenish DBA Astria Toppenish Hospital
502 W 4th AvenueToppenishWA98948814670687HealthcareWA501(c)(3)Line 3Astria Health0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Sunnyside Community Hospital FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeOTransactionTypeTxt
Involved$4,415InvolvedAmt
Method Of Amount DeterminationGAAP AccountingMethodOfAmountDeterminationTxt

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationThe organizations parent declared bankruptcy in 2019 that complicated theaccounting work needed to prepare the organizations financial statements.The subsequent Covid-19 pandemic further delayed the ability of theparent and organization to complete the financial statement work.Staffing, accounting and other issues due to the pandemic have continueduntil the time of filing. Based on the facts explained, the organizationrequests that the penalty for late filing be removed based on reasonablecause.ExplanationTxt