2018-11-13T19:14:36-08:00 2017-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2017-01-01 911286274 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION SUNN 5098371500 PO BOX 719 SUNNYSIDE WA 98944 MICHAEL LONG CFO AFTER APRIL 5098371500 2018-11-13 true LUKE ZARECOR P02161725 5092420874 2018-11-13 63.131.236.90 2018-11-13 21:14:36 CS P 4E47AE817102BDCE7527071ECCD14AD9DFD4CEB5 2474EFBFE268E1323248D70D812BABF32F861C74 2017 2019-02-21 02:37:17Z ASTRIA SUNNYSIDE HOSPITAL BRIAN GIBBONS PO BOX 719 SUNNYSIDE WA 98944 103660352 false X WWW.SUNNYSIDEHOSPITAL.ORG X 1985 WA TO PROVIDE COMPREHENSIVE QUALITY HEALTHCARE TO THE REGION. 7 7 672 301 0 680672 293811 89084819 102791940 32248 93498 464509 481103 90262248 103660352 0 0 40049576 46788354 0 99869 42661959 51397897 82711535 98186251 7550713 5474101 70855846 76348817 25297189 25316059 45558657 51032758 X TO PROVIDE COMPREHENSIVE QUALITY HEALTHCARE TO THE REGION. false false 81018839 102791940 SUNNYSIDE 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 2,278 HOSPITAL ADMISSIONS, 81,111 OUTPATIENT VISITS, 18,323 EMERGENCY ROOM VISITS, AND 528 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 3,771,821 FOR CHARITY CARE, 65,959,074 FOR MEDICARE, 74,419,926 FOR MEDICAID, AND 29,515,496 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. 81018839 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false true true false false false true 140 0 true 672 true false false false false false false false false false false false false X 7 7 false true false false true false false true true false false true true true true true true true true false X MICHAEL LONG 5098371500 1016 TACOMA AVENUE SUNNYSIDE WA 989440719 X MARY ANN BLIESNER PRESIDENT/CH 4.00 1.00 X X 0 0 0 PEGGY BREWER VICE CHAIR 4.00 X X 0 0 0 JONATHAN MERCER SECRETARY/TR 4.00 1.00 X X 0 0 0 RYAN MAXWELL TRUSTEE 4.00 0.00 X 0 0 0 SUZY FONSECA TRUSTEE 4.00 0.00 X 0 0 0 CUS ARTEAGA TRUSTEE 4.00 0.00 X 0 0 0 CHRIS RIVAS TRUSTEE 4.00 0.00 X 0 0 0 JOHN GALLAGHER CEO THROUGH 40.00 1.00 X 0 0 0 CARY ROWAN CFO THROUGH 40.00 1.00 X 0 0 0 BRIAN GIBBONS CEO AFTER AP 40.00 1.00 X 241718 0 24154 MICHAEL LONG CFO AFTER AP 40.00 1.00 X 69025 0 0 VALENTIN ANTOCI PHYSICIAN 40.00 X 1482143 0 22140 TATIANA ANTOCI PHYSICIAN 40.00 0.00 X 526222 0 21686 ROBERT COLEMAN PHYSICIAN 40.00 0.00 X 575310 0 29029 PATRICIA DEISLER PHYSICIAN 40.00 0.00 X 429100 0 34397 MANUEL YBANEZ PHYSICIAN 40.00 0.00 X 438443 0 25815 3761961 157221 88 false true false HEALTHTECH MANAGEMENT SERVICES 5110 MARYLAND WAY STE 200 BRENTWOOD TN 37027 MANAGEMENT SRVS 2831487 BUTLER SNOW PO BOX 6010 RIDGELAND MS 39158 LEGAL SERVICES 1585031 EARL ARCHITECTS LLC 301 N MAIN STREET GREENVILLE SC 29601 ARCHITECT SRVS 1462699 FUSION MEDICAL STAFFING PO BOX 82674 LINCOLN NE 68501 CONTRACT NURSNG 1228397 FRONTIER NEUROSURGERY 6101 SUMMITVIEW AVE 200 YAKIMA WA 98908 NEUROSURGERY 1219426 53 22555 271256 293811 NET PATIENT SERVICE REVENUE 624100 102656999 102656999 HEARING & SPEECH SERVICES 624100 134941 134941 102791940 93498 93498 2700 2700 2700 2700 DIETARY REVENUE 722210 363353 363353 OTHER REVENUE 900099 115050 115050 478403 103660352 102791940 574601 X 37051432 30239812 6738685 72935 802655 655093 145982 1580 6046508 4934904 1099701 11903 2887759 2269232 612111 6416 23999614 17095433 6904181 5900947 3826913 2073913 121 225448 225448 654772 580684 73234 854 160014 66157 93857 219794 203171 16623 491875 467149 24470 256 3076095 2970416 105320 359 844315 623473 220842 MEDICAL SUPPLIES & DRUGS 12848069 12848069 REPAIRS AND MAINTENANCE 1799775 1484787 314988 OTHER EXPENSE 1177179 341892 833073 2214 INDIRECT COST ALLOCATION 2186206 -2189437 3231 98186251 81018839 17067543 99869 4509186 3342824 6697956 1740455 17060141 15471087 1583520 1975283 620409 608890 63924369 31762969 29200127 32161400 2861785 2869671 8322722 18179207 70855846 76348817 12801991 13638129 327363 8423490 7954579 3744345 3723351 25297189 25316059 X 45558657 51032758 45558657 51032758 70855846 76348817 5474101 X false true X true false X false false false false false false false false true 154505 154505 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. THE HOSPITAL ALSO HAS CONTRACTED WITH THREE PROFESSIONAL LOBBYIST ORGANIZATIONS THAT CONSULT WITH THE HOSPITAL ON HEALTHCARE LEGISLATION AND MAKE LOBBYING EFFORTS ON THE HOSPITAL'S BEHALF AT THE STATE AND FEDERAL LEVEL. 447947 469739 917686 24811054 13429199 11381855 23932760 17324441 6608319 14262869 1009329 13253540 32161400 OTHER RECEIVABLES 15480808 ESTIMATED THIRD-PARTY SETTLEMENTS 2023000 MALPRACTICE INSURANCE REIMBURSEMENT 625000 INVESTMENT IN AFFILIATE 50399 18179207 CAPITAL LEASE OBLIGATION 3098351 MALPRACTICE CLAIMS PAYABLE 625000 3723351 X SCHEDULE D, PAGE 3, PART X THE 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, 2017 AND 2016, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X 1.250000000000 true X true true false true true 2640275 2640275 0.02690 36008005 28460087 7547918 0.07690 38648280 28460087 10188193 0.10380 38648280 28460087 10188193 0.10380 1 570 180511 180511 0.00180 6 127988 226641 226641 0.00230 7 128558 407152 407152 0.00410 true 2761933 21503934 21825448 -321514 X true true 1 1 SUNNYSIDE COMMUNITY HOSPITAL PO BOX 719 SUNNYSIDE WA 98944 WWW.ASTRIA.HEALTH X X X X X SUNNYSIDE COMMUNITY HOSPITAL 1 false false true X X X X 16 true false false true X WWW.ASTRIA.HEALTH X true 16 true WWW.ASTRIA.HEALTH false false true X 125.000000000000 125.000000000000 X X X X true true X X X X true X SEE PART V X SEE PART V X SEE PART V X X X X X true X false X X X X true X false false FACILITY 1, SUNNYSIDE COMMUNITY HOSPITAL - PART V, LINE 5 IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY UTILIZING A CHNA STEERING COMMITTEE. THE COMMITTEE IS A GROUP COMPOSED OF COMMUNITY STAKEHOLDERS REPRESENTING BOTH HOSPITAL AND COMMUNITY INTERESTS AS WELL AS HEALTH NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS IN THE CHNA PROCESS. THE GROUP INCLUDES INDIVIDUALS WITH BACKGROUNDS IN PUBLIC HEALTH, SCHOOL DISTRICTS, GOVERNMENT, THE NON-PROFIT SECTOR, BUSINESS, CHURCHES, HOSPITAL ADMINISTRATION MEMBERS, AND LONG-STANDING MEMBERS OF THE COMMUNITY. THE COMMITTEE ACTIVELY PARTICIPATED IN THE PROCESS, WEIGHING IN ON THE DATA FINDINGS AND PROVIDING INSIGHT ON THE NEEDS OF THE COMMUNITY THROUGH SURVEYS, MEETINGS, AND FOCUS GROUPS. IN ORDER TO MAINTAIN COMPLETE OBJECTIVITY THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PROCESS, THE HOSPITAL CONTRACTED WITH HEALTHTECHS3 TO GUIDE THE ASSESSMENT PROCESS, ADMINISTER THE SURVEY, AND COMPILE THE RESULTS. HEALTHTECH ALSO INTEGRATED SOURCES OF PRIMARY AND SECONDARY DATA IN THE FINAL RESULTS. FACILITY 1, SUNNYSIDE COMMUNITY HOSPITAL - PART V, LINE 11 THERE WERE FOUR CATEGORIES OF HEALTH CARE NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH INCLUDE CLINICAL CARE, CHRONIC DISEASE, DIET & EXERCISE, AND HEALTH BEHAVIORS. THE CHNA STEERING COMMITTEE WAS UTILIZED TO PRIORITIZE THESE NEEDS IDENTIFIED BY THE ASSESSMENT. THE TOP FIVE COMMUNITY HEALTH NEEDS INCLUDE IMPROVING ACCESS TO PRIMARY CARE INCLUDING PRENANTAL CARE, IMPROVING ACCESS OF RESIDENTS TO SPECIALTY PHYSICIANS AND TO CHRONIC DISEASE MANAGEMENT, REDUCING OBESITY, INCREASING ACCESS TO MENTAL HEALTH SERVICES AND TREATMENT, AND INCREASING ACCESS TO SUBSTANCE ABUSE SERVICES AND TREATMENT. THE HOSPITAL HAS AN IMPLEMENTATION STRATEGY AND ASSOCIATED COMMUNITY BENEFIT PLAN WITH OBJECTIVES TO ADDRESS THESE PRIORITIES. THE HOSPITAL RECRUITED TWO ADDITIONAL PROVIDERS WHO BEGAN PROVIDING PRENATAL CARE IN 2017. THE HOSPITAL ALSO CREATED AND DISTRIBUTED A PARENTING RESOURCE GUIDE AND FLYERS WITH INFORMATION ON PRENATAL CARE STARTING IN 2017. A CENTERING PREGNANCY PROGRAM WILL START IN 2018. THE HOSPITAL WILL ALSO BEGIN TRACKING THE PERCENT OF PREGNANT WOMEN SEEN BY A PROVIDER DURING THE FIRST TRIMESTER AND WILL REPORT THIS TO THE PROVIDERS. THE HOSPITAL RECRUITED THREE CARDIOLOGISTS AND AN ENDOCRINOLOGIST IN 2017. THE HOSPITAL WILL RECRUIT FOR AN INTERNAL MEDICIAN PHYSICIAN IN 2018. THE HOSPITAL BEGAN PROVIDING MORE DIABETES EDUCATION CLASSES IN MORE SETTINGS STARTING IN 2017. THE HOSPITAL ALSO PLANS TO INCREASE PATIENT ENROLLMENT IN THE CHRONIC CARE MANAGEMENT PROGRAM BY EDUCATING PROVIDERS AND PATIENTS ABOUT THE PROGRAM AND HIRING ADDITIONAL CARE COORDINATORS, IF NECESSARY. THE HOSPITAL BEGAN PROVIDING COMMUNITY EDUCATION CLASSES ON NUTRITION AND FITNESS AND HAS INCREASED REFERRALS TO A REGISTERED DIETICIAN FOR WEIGHT MANAGEMENT COUNSELING STARTING IN 2017. THE HOSPITAL INCREASED THE NUMBER OF MEDICARE PATIENTS SCREENED FOR DEPRESSION STARTING IN 2017 AND EDUCATED THE PROVIDERS ON THE SCREENING TOOLS. THE HOSPITAL ALSO STARTED BEHAVIORAL HEALTH SERVICES BY HIRING ONE PSYCHIATRIST AND ONE MID-LEVEL IN 2017 FOR OUTPATIENT SERVICES. THE HOSPITAL IS STILL IN THE PROCESS OF DEVELOPING A PLAN TO IMPROVE ACCESS TO SUBSTANCE ABUSE SERVICES AND PLANS TO IMPLEMENT A PROGRAM. FACILITY 1, SUNNYSIDE COMMUNITY HOSPITAL - PART V, LINE 16J NOTICE OF THE CHARITY CARE POLICY SHALL BE POSTED OR PROMINENTLY DISPLAYED WITHIN PUBLIC AREAS OF THE HOSPITAL, AND SHALL BE PROVIDED TO THE RESPONSIBLE PARTY AND EXPLAINED AT THE TIME THAT HOSPITAL REQUESTS 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 FOUND AT THE FOLLOWING URL: HTTPS://WWW.ASTRIA.HEALTH/PATIENTS-VISITORS/POLICIES/ 8 GRANDVIEW MEDICAL CENTER 208 N EUCLID GRANDVIEW WA 98944 RHC CLINIC LINCOLN AVENUE FAMILY MEDICINE 803 E LINCOLN SUNNYSIDE WA 98944 RHC CLINIC VALLEY INTERNAL MEDICINE 1000 E EDISON SUNNYSIDE WA 98944 RHC CLINIC SUNNYSIDE PEDIATRICS 812 MILLER AVENUE SUITE C SUNNYSIDE WA 98944 RHC CLINIC JOHN HUGHES STUDENT HEALTH CENTER 1801 EAST EDISON AVE SUNNYSIDE WA 98944 RHC CLINIC VALLEY REGIONAL RHC V 2705 E LINCOLN AVE SUNNYSIDE WA 98944 RHC CLINIC MEDICAL PLAZA IN PROSSER 355 CHARDONNAY AVE PROSSER WA 99350 RHC CLINIC BIRCH STREET MEDICAL CENTER II 222 E 2ND ST GRANDVIEW WA 98930 RHC CLINIC PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES). PART II - COMMUNITY BUILDING ACTIVITIES THE COMMUNITY BUILDING ACTIVITIES DETAILED IN PART II PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL IN THAT THE PHARMACEUTICALS AND TRANSPORTATION FOR PATIENTS IN NEED PROGRAM ASSISTS DISCHARGED PATIENTS THAT ARE NOT ABLE TO PURCHASE MEDICATION PRESCRIBED TO THEM AND TO PROVIDE TRANSPORTATION TO PATIENTS THAT MAY NOT HAVE A WAY OF GETTING HOME AFTER BEING DISCHARGED. THIS PROGRAM WORKS TO PREVENT PATIENTS FROM HAVING RELAPSES AND RETURNING TO THE HOSPITAL AND FROM NOT FOLLOWING DISCHARGE INSTRUCTIONS BECAUSE OF THE INABILITY TO PURCHASE THE NECESSARY MEDICATION TO CONTINUE THEIR RECOVERY AT HOME. DIABETES EDUCATION IS ESSENTIAL AS THE LOWER VALLEY HAS A HIGH OCCURRENCE OF THIS CONDITION AND MANY PEOPLE DO NOT HAVE THE NECESSARY INFORMATION OR KNOWLEDGE TO BE ABLE TO SELECT A BALANCED AND NUTRITIOUS MEAL. THE DIABETES EDUCATOR AND A REGISTERED DIETICIAN PROVIDE ONE-ON-ONE CONSULTATIONS FOR PATIENTS REFERRED BY A DOCTOR IN ORDER TO EDUCATE THEM ON THE IMPORTANCE OF A BALANCED AND NUTRITIOUS DIET. THE CONSULTS ARE PRIMARILY FOR DIABETIC PATIENTS BUT MANY ARE ALSO FOR WEIGHT MANAGEMENT ISSUES, CARDIAC, AND HIGH BLOOD PRESSURE. A LARGE AMOUNT OF THE WEIGHT MANAGEMENT CONSULTATIONS 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. THERE WERE ALSO A FEW PRESENTATIONS DONE IN THE COMMUNITY AND PARTICIPATION AT A LOCAL HEALTH FAIR PROVIDING NUTRITION EDUCATION. DUE TO THE HIGH NUMBER OF PEOPLE IN THE COMMUNITY THAT ARE UNDIAGNOSED DIABETICS OR PREDIABETIC, THE HOSPITAL STARTED TO PROVIDE FREE DIABETES SCREENING AT VARIOUS LOCATIONS IN THE COMMUNITY. THIS PROGRAM IS TO MAKE PEOPLE AWARE OF THEIR CONDITION AND HAVE THEM OBTAIN MEDICAL ATTENTION. THE HOSPITAL PUT ON A HEALTH FAIR TO PROMOTE BLOOD PRESSURE AND BLOOD SUGAR MAINTENANCE. WE PROVIDED BLOOD PRESSURE AND BLOOD SUGAR SCREENINGS ALONG WITH HANDOUTS, RECOMMENDATIONS AND RISKS ASSOCIATED IF NOT PROPERLY MAINTAINING EITHER OF THOSE. PHYSICIANS PRESENTED HEALTH TOPICS THAT WERE DETERMINED TO BE HELPFUL AND INFORMATIVE FOR THE COMMUNITY. THERE WAS ONE PRESENTATION IN 2016 TO PROMOTE CERVICAL CANCER AWARENESS WITHIN THE COMMUNITY TO MAKE PEOPLE AWARE OF THE IMPORTANCE TO KNOW THE FACTS IN ORDER TO PREVENT, RECOGNIZE AND TREAT WOMEN HEALTH PROBLEMS SO THEY CAN BECOME AN ADVOCATE FOR THEIR HEALTH OR THE HEALTH OF A LOVED ONE. 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. THE HOSPITAL SENT NEWSLETTERS TO THE COMMUNITY CONTAINING HEALTH TIPS, ARTICLES, AND MEDICAL EXPERTISE. THE HOSPITAL ALSO PROVIDED FREE BLOOD PRESSURE SCREENING, HEALTH AND SAFETY TALKS AND/OR BENEFITS REVIEW WORKSHOPS AT VARIOUS LOCATIONS THROUGHOUT THE VALLEY. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE HOSPITAL USED THE COST TO CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. 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. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS ALSO INCLUDED IN FOOTNOTE 3 ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION 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 - COLLECTION PRACTICES EXPLANATION ADMITTING AND TWO SELF PAY COUNSELORS VISIT WITH PATIENTS BEFORE THEY ARE DISCHARGED TO DETERMINE IF THE PATIENT QUALIFIES FOR CHARITY CARE BASED ON THE 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 - NEEDS ASSESSMENT THE HOSPITAL BOARD, THROUGH ASSOCIATION WITH HEALTHTECH, 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 ASSESMENT CAN BE FOUND AT THE FOLLOWING URL: HTTPS://WWW.ASTRIA.HEALTH/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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: "SUNNYSIDE COMMUNITY HOSPITAL PROVIDES CHARITY CARE TO PERSONS MEETING MEDICAL INDIGENT CRITERIA. CHARGES MAY BE WAIVED OR REDUCED IF ELIGIBILITY FOR CHARITY CARE IS DETERMINED." THE LATEST CHARITY CARE POLICY IS AVAILABLE ON OUR WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.ASTRIA.HEALTH/PATIENTS-VISITORS/POLICIES/ PART VI, LINE 4 - COMMUNITY INFORMATION 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 - PROMOTION OF COMMUNITY HEALTH 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 AMONG OUR CLINICAL STAFF TO REMAIN CURRENT IN THE BEST PRACTICES OF HEALTHCARE. THIS ALLOWS THE HOSPITAL TO FOCUS ON WHAT IS IMPORTANT - MEETING THE HEALTH AND WELFARE NEEDS OF THE COMMUNITIES WE SERVE IN AN ECONOMICALLY VIABLE FASHION. THE HOSPITAL'S CHARITY CARE PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE FINANCIAL RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTHCARE THEY RECEIVE. THE CHARITY CARE PROGRAM IS DESIGNED TO ENSURE THAT THE YAKIMA VALLEY IN ITS ENTIRETY HAS ACCESS TO NECESSARY HEALTHCARE SERVICES. THE HOSPITAL ACCEPTS ALL PATIENTS IN NEED OF MEDICAL ASSISTANCE, REGARDLESS OF ABILITY TO PAY. 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, CARDIOPULMONARY EDUCATION WITH AN EMPHASIS ON THE RISK FROM DRUGS AND ALCOHOL, CAR SEAT SAFETY CHECKS, AND A FIRST AIDE BOOTH AT AN ANNUAL COMMUNITY EVENT. ADDITIONAL INFORMATION PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM THE HOSPITAL IS PART OF THE ASTRIA HEALTH SYSTEM, HEADQUARTERED IN THE HEART OF YAKIMA VALLEY IN THE STATE OF WASHINGTON. THIS NON-PROFIT HEALTHCARE SYSTEM BASED IN EASTERN WASHINGTON IS COMMITTED TO INVESTING IN A CONTINUUM OF CARE FOR THE PEOPLE WHO LIVE AND WORK THROUGHOUT EASTERN WASHINGTON, AND BUILD SUSTAINABLE HEALTHCARE ORGANIZATIONS THAT IMPROVE HEALTH IN THE COMMUNITIES WE SERVE. X X false false false false false false false false false BRIAN GIBBONS CEO AFTER APRIL 156310 85408 7275 16879 265872 VALENTIN ANTOCI PHYSICIAN 832409 649734 10800 11340 1504283 TATIANA ANTOCI PHYSICIAN 261098 265124 10346 11340 547908 ROBERT COLEMAN PHYSICIAN 350002 225308 10800 18229 604339 PATRICIA DEISLER PHYSICIAN 429000 100 8582 25815 463497 MANUEL YBANEZ PHYSICIAN 395203 43240 25815 464258 SCHEDULE J, PART III THE CEO AND CFO FOR PART OF THE YEAR WERE HIRED AND PAID THROUGH HEALTHTECH MANAGEMENT SERVICES. THE SALARIES ARE ESTABLISHED AT THE TIME OF HIRE, AND PERIODICALLY THEREAFTER. IN ADDITION TO BASE SALARY, THE CEO AND CFO MAY BE ELGIBLE FOR INCENTIVE COMPENSATION BASED ON PERFORMANCE PARAMETERS OUTLINED IN THE HOSPITAL'S CONTRACT WITH HEALTHTECH MANAGEMENT SERVICES AND APPROVED BY THE HOSPITAL BOARD. THE MOST RECENT YEAR IN WHICH THIS PROCESS OCCURRED WAS 2017. FORM 990, PAGE 2, PART III, LINE 4A 29,515,496 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. FORM 990, PAGE 6, PART VI, LINE 3 THE HOSPITAL CONTRACTS WITH HEALTHTECH MANAGEMENT SERVICES, INC (HTMS) FOR MANAGEMENT SERVICES AND UTILIZES EMPLOYEES OF HTMS AS ITS CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. HTMS 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. THEY ALSO OFFER PLANNING AND GROUP PURCHASING OFFERING (GPO). FORM 990, PAGE 6, PART VI, LINE 6 REGIONAL HEALTH IS LISTED IN THE HOSPITAL'S BYLAWS AS BEING THE SOLE MEMBER OF THE HOSPITAL. AS SUCH, REGIONAL 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 THE HOSPITAL'S DISSOLUTION. FORM 990, PAGE 6, PART VI, 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 CEO AUTHORIZES THE PREPARER TO FINALIZE THE RETURN. FORM 990, PAGE 6, PART VI, 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 THE HOSPITAL TO DO SO. THE HOSPITAL HAS A COMPLIANCE AND MONITORING POLICY THAT IS ENFORCED BY THE CEO. FORM 990, PAGE 6, PART VI, LINE 15A THE CEO AND CFO ARE BOTH HIRED AND PAID THROUGH HEALTHTECH MANAGEMENT SOLUTIONS. 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 A SUBCOMMITTEE THEREOF. FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 19 THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII SUNNYSIDE 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. 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