SHC MEDICAL CENTER TOPPENISH: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- SHC MEDICAL CENTER TOPPENISH (EIN 81-4670687)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2022-08-22
- IRS object ID
- 202232349349301503
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-22T18:09:15-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 202609241 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | White & Company PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 Franklin Ave STE 3 | AddressLine1Txt |
| City | Sunnyside | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814670687 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHC Medical Center - Toppenish | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHCM | BusinessNameControlTxt |
| Phone | 5098653105 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1016 Tacoma Ave | AddressLine1Txt |
| City | Sunnyside | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98944 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Maxwell Owens | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 5098371500 | PhoneNum |
| Signature | 2022-08-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Maxwell | PersonFirstNm |
| Person Last | Owens | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Thomas White | PreparerPersonNm |
| PTIN | P00181579 | PTIN |
| Phone | 5098376700 | PhoneNum |
| Preparation | 2022-08-22 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Astria Toppenish Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Maxwell Owens | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 719 | AddressLine1Txt |
| City | Sunnyside | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $47,073,752 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.astria.health | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | To provide healthcare services to the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 410 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $480,174 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,757,513 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,211,516 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $37,119,586 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $49,453 | PYOtherRevenueAmt |
| CY Other Revenue | $196,653 | CYOtherRevenueAmt |
| PY Total Revenue | $24,741,143 | PYTotalRevenueAmt |
| CY Total Revenue | $47,073,752 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,201,575 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,336,575 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,609,129 | PYOtherExpensesAmt |
| CY Other Expenses | $16,446,158 | CYOtherExpensesAmt |
| PY Total Expenses | $26,810,704 | PYTotalExpensesAmt |
| CY Total Expenses | $36,782,733 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,069,561 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,291,019 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,706,716 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,570,913 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,104,927 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,227,908 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$10,398,211 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,656,995 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide healthcare services to the communities we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $28,903,013 | ExpenseAmt |
| Revenue | $37,119,586 | RevenueAmt |
| Desc | SHC Medical Center - Toppenish DBA Astria Toppenish Hospital (the Hospital) is a 63-bed facility providing medical services 24 hours a day, 365 days a year. The Hospital has an expanded surgery capability, a pediatrics area and a Family Maternity Center. The Hospital provided 9,101 patient days, 43,910 outpatient visits, 14,398 emergency room visits, and 348 births during the reporting period. SHC Toppenish provides care to persons covered by governmental programs at below cost and to individuals who are unable to pay. The unreimbursed value of providing care to these patients was $97,241,009 for charity care, Medicare, Medicaid and other third party payors for the year. | Desc |
| Total Program Service Expenses | $28,903,013 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 410 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maxwell Owens | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5098371379 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1016 Tacoma Ave | AddressLine1Txt |
| City | Sunnyside | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98944 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Bertha Ortega | ||||||||
| Board Chair | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Carrie Story | ||||||||
| Board Vice Chair | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Maxine Janis | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Steve Young | ||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Aaron Grigg | ||||||||
| Ex Officio | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Lori Alvord | ||||||||
| Ex Officio | 1.00 | Yes (X) | $0 | $450,551 | $11,791 | 40.00 | ||
| Eric Jensen | ||||||||
| CEO thru 10/20 | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| Stan Adams | ||||||||
| Interim CFO thru 01/20 | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| Bryan Hargis | ||||||||
| CEO from 11/20 thru 12/20 | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| Paul Rogers | ||||||||
| CFO from 2/20 thru 06/20 | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| Kelley Gentry | ||||||||
| CFO from 7/20 thru 08/20 | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| Donald Arbon | ||||||||
| CFO from 9/20 thru 11/20 | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| Maxwell Owens | ||||||||
| CFO from 11/20 | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| Charles Bulfinch | ||||||||
| Physician | 40.00 | $217,742 | $0 | $13,526 | Yes (X) | |||
| Antony Kim | ||||||||
| Physician | 40.00 | $257,602 | $0 | $24,381 | Yes (X) | |||
| Qilin Lu | ||||||||
| Physician | 40.00 | $243,523 | $0 | $16,431 | Yes (X) | |||
| Adrian Obuch | ||||||||
| Physician | 40.00 | $296,686 | $0 | $5,293 | Yes (X) | |||
| Craig Whittlesey | ||||||||
| Physician | 40.00 | $241,886 | $0 | $37,342 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,257,439 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $450,551 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $108,764 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Aya Healthcare Inc | |||||
| Department 3519 | Dallas | TX | 753123519 | Contract Nursing | $1,239,262 |
| Sunnyside Emergency Group A Prof LLC | |||||
| PO Box 677979 | Dallas | TX | 752677979 | Physician Services | $957,513 |
| Rural Physicians Group | |||||
| 10624 S Eastern Ave Ste A263 | Henderson | NV | 89052 | Physician Services | $663,997 |
| Locum Tennens | |||||
| PO Box 405547 | Atlanta | GA | 30384 | Contract Nursing | $543,188 |
| Horizon Mental Hlth Mgmt | |||||
| PO Box 840839 | Dallas | TX | 752840839 | Management Services | $441,717 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,630,214 | GovernmentGrantsAmt |
| All Other Contributions | $127,299 | AllOtherContributionsAmt |
| Total Contributions | $9,757,513 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service Revenue | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $37,119,586 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,119,586 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $37,119,586 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Other Revenue | 900099 | $135,034 | $135,034 |
| Dietary Revenue | 722514 | $61,619 | $61,619 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $196,653 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,073,752 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,119,586 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $196,653 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,560,910 | TotalAmt |
| Program Services | $12,891,852 | ProgramServicesAmt |
| Management And General | $2,669,058 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,208 | TotalAmt |
| Program Services | $204,805 | ProgramServicesAmt |
| Management And General | $42,403 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,067,450 | TotalAmt |
| Program Services | $2,541,309 | ProgramServicesAmt |
| Management And General | $526,141 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,461,007 | TotalAmt |
| Program Services | $1,264,505 | ProgramServicesAmt |
| Management And General | $196,502 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $371,196 | TotalAmt |
| Management And General | $371,196 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,957,009 | TotalAmt |
| Program Services | $3,590,215 | ProgramServicesAmt |
| Management And General | $3,366,794 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,660,455 | TotalAmt |
| Program Services | $1,255,404 | ProgramServicesAmt |
| Management And General | $405,051 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $830,745 | TotalAmt |
| Program Services | $765,059 | ProgramServicesAmt |
| Management And General | $65,686 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,328,422 | TotalAmt |
| Program Services | $1,223,381 | ProgramServicesAmt |
| Management And General | $105,041 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,845 | TotalAmt |
| Program Services | $579,147 | ProgramServicesAmt |
| Management And General | $135,698 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,965 | TotalAmt |
| Program Services | $81,604 | ProgramServicesAmt |
| Management And General | $361 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies & Drug | $2,863,247 | $2,863,247 | |
| Taxes & Licenses | $1,174,036 | $991,769 | $182,267 |
| Repairs and Maintenance | $345,440 | $197,408 | $148,032 |
| Other Expenses | $118,798 | $453,308 | -$334,510 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,782,733 | TotalAmt |
| Program Services | $28,903,013 | ProgramServicesAmt |
| Management And General | $7,879,720 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,635,665 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,290,177 | BOYAmt |
| EOY | $5,729,285 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $707,571 | BOYAmt |
| EOY | $476,012 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $675,834 | BOYAmt |
| EOY | $1,111,635 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,213 | BOYAmt |
| EOY | $556,611 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,659,175 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,560,901 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,793,921 | BOYAmt |
| EOY | $8,098,274 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $963,431 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,706,716 | BOYAmt |
| EOY | $18,570,913 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,589,506 | BOYAmt |
| EOY | $7,381,898 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,040,061 | BOYAmt |
| EOY | $13,846,010 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,475,360 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,104,927 | BOYAmt |
| EOY | $21,227,908 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$10,398,211 | BOYAmt |
| EOY | -$2,656,995 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$10,398,211 | BOYAmt |
| EOY | -$2,656,995 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,706,716 | BOYAmt |
| EOY | $18,570,913 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,291,019 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$2,549,801 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$2 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $550,000 | OtherCostOrOtherBasisAmt |
| Book Value | $550,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,040,288 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,527,853 | DepreciationAmt |
| Book Value | $6,512,435 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,068,887 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,033,048 | DepreciationAmt |
| Book Value | $1,035,839 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,098,274 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due from Affiliates | Desc |
| Book Value | $963,431 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $963,431 | TotalBookValueOtherAssetsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X - FIN 48 Footnote | FormAndLineReferenceDesc |
| Explanation | The Organization is exempt from federal income tax. Accordingly, no provision for income tax is necessary. The Organization 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, the Organization had no uncertain tax positions requiring accrual. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $160,747 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $160,747 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,559,317 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,468,958 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,090,359 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05680 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,720,064 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,468,958 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,251,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06120 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,720,064 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,468,958 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,251,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,802,701 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $14,938,260 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,587,677 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,649,417 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Astria Toppenish Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 W 4th | AddressLine1Txt |
| City | Toppenish | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98948 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.astria.health | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Astria Toppenish Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.astria.health | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.astria.health | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 125.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Astria Toppenish Hospital | Part 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. |
| Astria Toppenish Hospital | Part 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 also created and distributed a parenting resource guide and flyers with information on prenatal care starting in 2017. A Centering Pregnancy program started in 2018. The Hospital began tracking the percent of pregnant women seen by a provider during the first trimester and will report this to the providers. The Hospital recruited an endocrinologist in 2018. The Hospital will begin to recruit a neurologist, a neuphrologist, a urologist and 3 nurse practitioners for primary care in 2019. The Hospital continued to provide more diabetes education classes in more settings. The Hospital continues to increase patient enrollment in the chronic care mangement program by continuing to educate providers and patients about the program and hiring additional care coordinators, if necessary. 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.The Hospital in still in the process of developing a plan to improve access to substance abuse service and plans to implement a program. |
| Astria Toppenish Hospital | Part 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/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Astria Health Center | ||||
| 1420 Ahtanum Ridge Drive | Union Gap | WA | 98903 | RHC Clinic |
| 2 - Astria Health Center | ||||
| 516 W 4th Avenue | Toppenish | WA | 98948 | RHC Clinic |
| 3 - Vintage Valley Family Medicine | ||||
| 915 Vintage Valley Pkwy Ste 200 | Zillah | WA | 98983 | RHC Clinic |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | SHC Toppenish applies the ratio of patient care cost-to-charges derived from Worksheet 2, for amounts reported in the table (total operating expenses less non-patient care activities, total community benefit and total community building expenses). |
| Part III, Line 2: | The costing methodology used by the Hospital includes the cost-to-charge ratio of patient care. |
| Part III, Line 3: | SHC Toppenish 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 8: | Any Medicare allowable costs fo patient care shortfalls are not counted as community benefit. These allowable costs are obtained from the Medicare cost report for the year. |
| Part III, Line 9b: | Our patient navigator will visit with any patient that discloses they have financial difficulty to determine if the patient qualifies for charity care based on their financial position and the federal poverty guidelines. The applications are reviewed and evaluated for charity care status and written off when appropriate. |
| Part VI, Line 2: | 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. As an added complement to the medical services available at the Hospital, a Native American Spiritual Center provides a place for Native Americans of all faiths to practice the healing rituals and ceremonies important in their beliefs. |
| Part VI, Line 3: | An annual review is performed for all credit/collection and financial assistance policies. Once reviewed and revised, 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. The patient account representative's hand out the information during patient consults as well. The information is also available on the Hospital website and included with every patient account statement. The latest charity care policy is available on our website. It is updated annually with new poverty guidelines. |
| Part VI, Line 4: | SHC Toppenish is located in Yakima County within the Yakima Indian Reservation in Toppenish, Washington. As of the 2017 census, the Hospital services a primary population of approximately 13,600 with an average household income of $51,493. Approximately 28% of residents have incomes below federal poverty guidelines. 72.9% of residents identify as Hispanic ethnicity and 14.8% as non-Hispanic American Indians, with a sizable number of Spanish-primary speakers. |
| Part VI, Line 5: | The Board of Directors is comprised of community members representing multiple facets of the community from the medical sector to business owners to University staff. They are able to gather and communicate the health care needs of the community it serves and continually address them at staff and board meetings.Medical staff privileges are available to all qualified and interested medical providers with active licensure in the communities we serve. The Hospital encourages practitioners from numerous specialties to meet the ever expanding healthcare needs of the community.As a non-profit corporation, surplus funds are reinvested into building and equipment upgrades and community health education to maintain the highest quality healthcare for our community. Surplus funds are also applied to ongoing professional education among our clinical staff to remain current in the best practices of healthcare. This allows the Hospital to focus on what is important - meeting the health and welfare needs of the communites we serve in an economically viable fashion. We operate a fully-staffed 24-hour emergency room, available to the public regardless of ability to pay. We host an annual Health Fair with free access to healthcare professionals, free screenings and a wealth of health and wellness information available to the public as well as putting on a community baby shower for pregnant patients within the community. |
| Part VI, Line 6: | SHC Toppenish 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lori Alvord | ||||||||||||||
| Ex Officio | $0 | $450,551 | $0 | $0 | $0 | $0 | $0 | $11,400 | $0 | $391 | $0 | $462,342 | $0 | $0 |
| Adrian Obuch | ||||||||||||||
| Physician | $256,658 | $0 | $40,000 | $0 | $28 | $0 | $0 | $0 | $5,293 | $0 | $301,979 | $0 | $0 | $0 |
| Antony Kim | ||||||||||||||
| Physician | $257,602 | $0 | $0 | $0 | $0 | $0 | $7,896 | $0 | $16,485 | $0 | $281,983 | $0 | $0 | $0 |
| Craig Whittlesey | ||||||||||||||
| Physician | $181,393 | $0 | $59,185 | $0 | $1,308 | $0 | $8,550 | $0 | $28,792 | $0 | $279,228 | $0 | $0 | $0 |
| Qilin Lu | ||||||||||||||
| Physician | $110,861 | $0 | $132,662 | $0 | $0 | $0 | $0 | $0 | $16,431 | $0 | $259,954 | $0 | $0 | $0 |
| Charles Bulfinch | ||||||||||||||
| Physician | $177,027 | $0 | $40,715 | $0 | $0 | $0 | $2,198 | $0 | $11,328 | $0 | $231,268 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 3 | SHC Toppenish contracts with Astria Health for management services. Astria Health provides management through an agreement with AHM, Inc. to provide the CEO and CFO positions for the organization. Astria Health provides education to board members, hospital managers and other employees. They offer financial performance evaluation and educational and networking opportunities for nursing and other professional staff. |
| Form 990, Part VI, Section A, line 6 | SHC Toppenish has one member. The member is SHC Holdco, LLC, a Washington nonprofit limited liability company. |
| Form 990, Part VI, Section B, line 11b | A copy of 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 CFO authorizes the preparer to finalize the return |
| Form 990, Part VI, Section B, line 12c | Each member of the board fills out a conflict of interest form disclosing any potential conflicts of interest on an annual basis or through self disclosure in the interim. If a potential conflict arises, the affected person shall fully disclose the nature of the interest and withdraw from discussion and voting on the matter. Any transaction or vote involving a potential conflict of interest shall be approved only when a majority of disinterested directors determine that it is in the best interest of SHC Toppenish to do so. SHC Toppenish has a compliance and monitoring policy that is enforced by the CEO. |
| Form 990, Part VI, Section B, line 15 | Line 15a - The organization contracts with Astria Health for management services. Astria Health provides management through an agreement with AHM, Inc. to provide the CEO and CFO positions for the organization. The salaries are 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 and CFO compensation rates, as evidenced by salary survey data for hospitals of similar size and within the relevant geographic area; and c) the Hospital's ability and willingness to pay, as agreed by the Hospital board or subcommittee thereof Line 15b - A salary survey is reviewed for key employees by the CEO and HR director. |
| Form 990, Part VI, Section C, line 19 | SHC Toppenish makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Form 990, Part IX, line 11g | Purchased Services: Program service expenses 3,590,215. Management and general expenses 3,366,794. Fundraising expenses 0. Total expenses 6,957,009. |
| Form 990, Part XI, line 9: | Rounding -2. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Astria Health | |||||||||||
| 1016 Tacoma Ave | Sunnyside | WA | 98944 | 813973675 | Management | WA | 501(c)(3) | Line 12b, II | N/A | 0 | |
| SHC Medical Center - Yakima DBA Astria Regional Medical Center | |||||||||||
| 110 S 9th Avenue | Yakima | WA | 98902 | 814653630 | Healthcare | WA | 501(c)(3) | Line 3 | 0 | Astria Health | |
| Sunnyside Community Hospital Association | |||||||||||
| PO Box 719 | Sunnyside | WA | 98944 | 911286274 | Healthcare | WA | 501(c)(3) | Line 3 | 0 | Astria Health | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHM Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 W Chestnut Ave | AddressLine1Txt |
| City | Yakima | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 823755882 | EIN |
| Primary Activities | Management Services | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Sunnyside Community Hospital Association DBA Astria Sunnyside Hospital | ||
| D | $3,372,498 | GAAP |
| Astria Health | ||
| E | $43,391,116 | GAAP |
| SCH Medical Center - Yakima DBA Astria Regional Medical Center | ||
| D | $39,055,187 | GAAP |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | The 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 |