2016-10-07T15:39:47-05:00 2014-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2014-01-01 911286274 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION SUNN 5098371500 PO BOX 719 SUNNYSIDE WA 98944 JOHN GALLAGHER CEO 5098371500 2015-11-16 true THOMAS DINGUS P00951009 5092420874 2016-10-07 2014 2017-02-10 21:41:12Z JOHN GALLAGHER PO BOX 719 SUNNYSIDE WA 98944 66734273 false X WWW.SUNNYSIDEHOSPITAL.COM X 1985 WA TO PROVIDE COMPREHENSIVE QUALITY CARE TO THE REGION. 10 10 493 103 0 627308 222409 55623055 65800564 76666 23830 285579 359633 56612608 66406436 0 0 28873343 32235239 0 64804 20467302 26335934 49340645 58571173 7271963 7835263 41270894 53692188 17420164 22006195 23850730 31685993 X TO PROVIDE COMPREHENSIVE QUALITY CARE TO THE REGION. false false 47977485 65800564 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION IS COMPRISED OF A 25-BED CRITICAL ACCESS HOSPITAL AND A SERIES OF SIX RURAL HEALTH CLINICS, A FAMILY BIRTH CENTER, COMPLETE SURGICAL SERVICES, LABORATORY, 4-D OBSTETRICAL ULTRASOUND, DIGITAL MAMMOGRAPHY, CARDIOPULMONARY SERVICES, REGISTERED DIETICIAN AND DIABETES EDUCATOR SERVICES. THE ASSOCIATION PROVIDED 1,928 HOSPITAL ADMISSIONS, 61,389 OUTPATIENT VISITS, 19,324 EMERGENCY ROOM VISITS, AND 722 BIRTHS DURING THE YEAR. THE ASSOCIATION 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 1,750,000 FOR CHARITY CARE, 2,417,910 FOR BAD DEBTS, 30,441,950 FOR MEDICARE, 46,111,423 FOR MEDICAID AND MEDICAID HMO, AND 13,246,391 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. 47977485 true true false true false false false false false false true false false false 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 82 0 true 493 true false false false false false false false false false false X 10 10 false true false false false false false true true false false true true true true true true true true false X CARY ROWAN 5098371500 1016 TACOMA AVE SUNNYSIDE WA 989440719 X CUS ARTEAGA TRUSTEE 4.00 X 0 0 0 DAVE BALLINGER SECRETARY/TR 4.00 X X 0 0 0 MARY ANN BLIESNER VICE-PRESIDE 4.00 X X 0 0 0 PEGGY BREWER TRUSTEE 4.00 X 0 0 0 JIM GRUBENHOFF TRUSTEE 4.00 X 0 0 0 RYAN MAXWELL TRUSTEE 4.00 X 0 0 0 JONATHAN MERCER TRUSTEE 4.00 X 0 0 0 CHRIS RIVAS PRESIDENT 4.00 X X 0 0 0 STEPHEN WINFREE TRUSTEE 4.00 X 0 0 0 DOUGLAS WRUNG TRUSTEE 4.00 X 0 0 0 MARY BETH TUBBS CNO 40.00 0.00 X 130279 0 8642 BRIAN GIBBONS COO 40.00 0.00 X 64799 0 10613 JOHN GALLAGHER CEO 40.00 1.00 X 0 0 0 CARY ROWAN CFO 40.00 1.00 X 0 0 0 VALENTIN ANTOCI PHYSICIAN 40.00 X 881426 0 9362 MANUEL YBANEZ PHYSICIAN 40.00 X 481868 0 25470 DAVID SHOEMAKER PHYSICIAN 40.00 X 431082 0 12867 TATIANA ANTOCI PHYSICIAN 40.00 X 394581 0 9362 ROBERT COLEMAN PHYSICIAN 40.00 X 378748 0 9362 2762783 85678 56 false true false HEALTHTECH MANAGEMENT SERVICES INC 5110 MARYLAND WAY STE 200 BRENTWOOD TN 37027 MANAGEMENT SERV 1099042 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 SURGEON LOCUMS 1057237 EMCARE OF WASHINGTON INC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ER PHYSICIANS 847633 INFORMATION RESOURCE MANAGEMENT PO BOX 469 SPOKANE WA 99210 IT SUPPORT 825501 VK POWELL CONSTRUCTION LLC PO BOX 10295 YAKIMA WA 98909 CONSTRUCTION 801390 32 13719 60987 147703 13719 222409 NET PATIENT SERVICE REVENUE 624100 65281349 65281349 HEARING & SPEECH SERVICES 624100 519215 519215 65800564 67787 67787 3825 3825 3825 3825 283880 327837 -43957 -43957 -43957 DIETARY REVENUE 722210 276511 276511 OTHER REVENUE 900099 79297 79297 355808 66406436 65800564 383463 X 25110466 21191633 3874396 44437 566131 477778 87351 1002 4405774 3718192 679785 7797 2152868 1786428 362189 4251 888391 888391 632337 632337 80246 80246 10706927 8053418 2653496 13 3010457 1844330 1165290 837 14894 1953 12941 475243 429713 44733 797 114460 13527 100608 325 103555 84207 19348 301894 258329 43200 365 2058590 1987522 69510 1558 654698 499404 155294 MEDICAL SUPPLIES & DRUGS 5267085 5267085 OTHER EXPENSES 1112891 114463 997751 677 REPAIR & MAINTENANCE 914266 769988 144278 INDIRECT ALLOCATION 1479515 -1482260 2745 58571173 47977485 10528884 64804 1393132 3316955 17231502 20041208 7220820 11309178 734719 823174 388012 479210 39408812 23263212 13245488 16145600 1057221 1576863 41270894 53692188 6030096 9107008 166258 1245822 5382749 5339159 5841061 6314206 17420164 22006195 X 23850730 31685993 23850730 31685993 41270894 53692188 7835263 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 11682 11682 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. 447947 409146 857093 19124109 11178543 7945566 15564237 11161518 4402719 3863373 923151 2940222 16145600 ESTIMATED MEDICAID SETTLEMENTS 4281000 CAPITAL LEASE OBLIGATIONS 1087206 ESTIMATED MEDICARE SETTLEMENT 946000 6314206 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, 2014 AND 2013, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X 1.250000000000 true X true true true false true true 1260000 1260000 0.02150 25613457 25037068 576389 0.00980 26873457 25037068 1836389 0.03140 26873457 25037068 1836389 0.03140 2 1602 158610 158610 0.00270 9 81750 67191 67191 0.00110 11 83352 225801 225801 0.00390 true 1740895 10005527 10122375 -116848 X true true 1 1 SUNNYSIDE COMMUNITY HOSPITAL PO BOX 719 SUNNYSIDE WA 98944 X X X X SUNNYSIDE COMMUNITY HOSPITAL 1 false false true X X X X X 13 true false true true X WWW.SUNNYSIDEHOSPITAL.COM X true 13 true WWW.SUNNYSIDEHOSPITAL.COM false false true X 125.000000000000 125.000000000000 X X X X true true X X X X true X X X X X true X true 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 PARTNERED WITH THE YAKIMA HEALTH DEPARTMENT, AS WELL AS KEY CIVIC AND COMMUNITY ORGANIZATIONS TAKING INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. COMMUNITY RESIDENTS FROM PROSSER, ZILLAH, SUNNYSIDE AND GRANDVIEW AND THE FOLLOWING ORGANIZATIONS 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. FACILITY 1, SUNNYSIDE COMMUNITY HOSPITAL - PART V, LINE 6B YAKIMA PUBLIC HEALTH DEPARTMENT SUNNYSIDE UNITED METHODIST CHURCH SUNNYSIDE SCHOOL DISTRICT SUNNYSIDE COMMUNITY HOSPITAL BELTON CHRISTIAN YOUTH CENTER SUNNYSIDE COMMUNITY COALITION SUNNYSIDE CITY COUNCIL NUESTRA CASA ST. JOSEPH PARISH: SUNNYSIDE SUNNYSIDE TRANSFORMATION YAKIMA VALLEY DAILY SUN NEWS CENTRAL WASHINGTON COMPREHENSIVE HEALTH SUNNYSIDE POLICE DEPARTMENT OASIS COMMUNITY CHURCH FACILITY 1, SUNNYSIDE COMMUNITY HOSPITAL - PART V, LINE 11 THE HOSPITAL IS CONTINUING TO ADDRESS THE NEEDS THAT WERE IDENTIFIED IN THE CHNA. PEOPLE HAVE BEEN CERTIFIED WHO ARE ABLE TO ASSIST PATIENTS AND FAMILY MEMBERS IN THE ENROLLMENT PROCESS OF MEDICAID AND THE EXCHANGE PRODUCTS. THE HOSPITAL IS PROVIDING MORE SPECIALTY SERVICES LOCALLY, TO REDUCE THE NEED FOR TRAVEL. THIS INCLUDES NEUROSURGERY, THORACIC SURGERY, AND UROLOGY. SERVICES HAVE BEEN EXPANDED AT THE STUDENT HEALTH CENTER AS WELL AS EXTENDED HOURS FOR SEEING PATIENTS. A CLINIC WAS ALSO ADDED IN PROSSER, AND PROVIDERS CONTINUE TO BE RECRUITED. THE AVAILABILITY ISSUE OF BEHAVIORAL HEALTH SERVICES HAS NOT YET BEEN ADDRESSED IN 2014, BUT THIS WILL BEGIN DURING 2015. THE HOSPITAL HAS BEEN WORKING WITH CARE COORDINATION TO REDUCE RATES OF CHRONIC HEALTH CONDITIONS. SCREENINGS HAVE INCREASED AND SAME DAY APPOINTMENTS TO PRIMARY CARE PROVIDERS ARE BEING PROVIDED. COMMUNITY EDUCATION CLASSES FOR MANAGING CHRONIC CONDITIONS ARE ALSO BEING PROVIDED. FACILITY 1, SUNNYSIDE COMMUNITY HOSPITAL - PART V, LINE 22D NON-INSURED PATIENTS ARE BILLED AT A DISCOUNTED CHARGE FOR ALL SERVICES RECEIVED. IF THE PATIENT THEN QUALIFIES FOR FINANCIAL ASSISTANCE THE BILL IS THEN ADJUSTED AS DETERMINED BY OUR CHARITY CARE POLICY GUIDELINES. 9 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 SPECIALTY CENTER SURGICAL GROUP 500 S 11TH ST SUNNYSIDE WA 98944 PHYSICIANS CLINIC MEDICAL PLAZA IN PROSSER 355 CHARDONNAY AVE PROSSER WA 99350 URGENT CARE CLINIC LOWER VALLEY OBGYN 803 W LINCOLN AVE SUNNYSIDE WA 98944 PHYSICIANS 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 NOT FOLLOWING DISCHARGE INSTRUCTIONS BECAUSE OF THE INABILITY TO PURCHASE THE NECESSARY MEDICATION TO CONTINUE THEIR RECOVERY AT HOME. PRESENTATIONS ARE MADE AT LOCAL SCHOOLS TO EDUCATE THOSE ABOUT THE CARDIOPULMONARY PROFESSION AND THE CONSEQUENCES OF BAD CHOICES, SUCH AS DRUG AND ALCOHOL USE. 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 THEIR 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. LARGE AMOUNT OF WEIGHT MANAGEMENT IS FOR PEDIATRIC WEIGHT MANAGEMENT, BUT 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 OUR 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. THERE ARE TWO SMALL FARMING COMMUNITIES THAT HAVE VERY LITTLE MEDICAL RESOURCES. THE CLINIC IN THE COMMUNITY IS ABLE TO TAKE THE X-RAYS BUT DOES NOT HAVE THE MEANS TO HIRE A RADIOLOGIST TO READ THE TESTS. THEREFORE, THE HOSPITAL RECEIVES THE X-RAYS AND OUR RADIOLOGIST READS THE TEST AT NO CHARGE TO THE PATIENT. THIS SERVICE IS PROVIDED TO LOW INCOME FARM WORKERS OR TO PATIENTS FROM THESE COMMUNITIES THAT DO NOT HAVE THE MEANS FINANCIALLY OR THE TRANSPORTATION TO GO TO A FACILITY THAT PROVIDES THESE SERVICES. 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. A FREE SCREENING EVENT WAS HELD THAT PROVIDED RESIDENTS IN THE COMMUNITY THE OPPORTUNITY TO BE EVALUATED FOR VARIOUS CONDITIONS SUCH AS PERIPHERAL ARTERIAL DISEASE, RESTLESS LEG SYNDROME, VARICOSE VEINS, LEG PAIN, ITCHING AND LEG FATIGUE. WITH THE LARGE NUMBER OF CITIZENS LOCALLY WHO SUFFER FROM DIABETES AND OTHER DISEASES WHICH CONTRIBUTE TO THE ABOVE CONDITIONS THIS WAS A SCREENING THAT WAS NEEDED IN THE COMMUNITY. PHYSICIANS PRESENTED HEALTH TOPICS THAT WERE DETERMINED TO BE HELPFUL AND INFORMATIVE FOR THE COMMUNITY. THERE WAS ONE PRESENTATION IN 2014, WHICH WAS ABOUT THE DANGERS OF HIGH BLOOD PRESSURE AND KIDNEY DISEASE. CHILD BIRTH CLASSES WERE PUT ON BY THE HOSPITAL TO EDUCATE THE PREGNANT PATIENT AND HER SIGNIFICANT OTHER ON LABOR AND DELIVERY FOR A BETTER CHILD BIRTH EXPERIENCE. THE CLASS CONSISTS OF SIGNS OF LABOR, DANGER SIGNS OF PREGNANCY, WHAT TO EXPECT DURING LABOR, PAIN CONTROL/RELIEF IN LABOR, IMMEDIATE POST PARTUM CARE AND BREASTFEEDING. WE TRY TO OFFER SERVICES THAT CAN GREATLY BENEFIT OUR PATIENTS ESPECIALLY SINCE THE INCOME LEVEL IN THIS VALLEY IS VERY LOW AND IF THIS TYPE OF SERVICE WAS OFFERED WITH A FEE MANY PEOPLE WOULD NOT TAKE ADVANTAGE OF IT. THE CLASSES ARE GIVEN BY TWO RNS AND ARE OFFERED ONCE A MONTH UNLESS ENROLLMENT IS LOW WE WILL MERGE TWO MONTHS TOGETHER. 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 DISTRIBUTED A HEALTH EDUCATIONAL NEWSLETTER TO LOCAL HOUSEHOLDS IN THE COMMUNITY. 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 11 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN THE FIRST PARAGRAPH OF FOOTNOTE 9 ON PAGE 17 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 COMPLETED ITS COMMUNITY HEALTH NEEDS ASSESMENT IN 2013. THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESMENT CAN BE FOUND AT THE FOLLOWING URL: HTTP://SUNNYSIDEHOSPITAL.ORG/WP-CONTENT/UPLOADS/2013/11/SUNNYSIDE- COMMUNITY-HOSPITAL-AND-CLINICS-CHNA-REPORT.PDF. ADDITIONALLY,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. 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." 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. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH 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, CHILD BIRTH CLASSES, CAR SEAT SAFETY CHECKS, AND A FIRST AIDE BOOTH AT AN ANNUAL COMMUNITY EVENT. X X false false false false false false false false false VALENTIN ANTOCI PHYSICIAN 881426 9362 890788 MANUEL YBANEZ PHYSICIAN 481868 25470 507338 DAVID SHOEMAKER PHYSICIAN 431082 12867 443949 TATIANA ANTOCI PHYSICIAN 394581 9362 403943 ROBERT COLEMAN PHYSICIAN 378748 9362 388110 SCHEDULE J, PART III THE CEO AND CFO 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 2014. FORM 990, PAGE 2, PART III, LINE 4A 2,417,910 FOR BAD DEBTS, 30,441,950 FOR MEDICARE, 46,111,423 FOR MEDICAID AND MEDICAID HMO, AND 13,246,391 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 AN EMPLOYEE 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 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. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES 8,053,418 2,653,496 13 SUNNYSIDE PROFESSIONAL SERVICES LLC PO BOX 719 SUNNYSIDE WA 98944 475499567 MOB MGMT WA 765899 N/A SUNNYSIDE COMMUNITY HOSPITAL FDN FOUNDATION PO BOX 719 SUNNYSIDE WA 98944 912000867 SUPPORT WA 501C3 11A SUNNYSIDE COMMUNITY HOSPITAL false SUNNYSIDE PROFESSIONAL SERVICES INC PO BOX 719 SUNNYSIDE WA 98944 911340615 MOB MGMT WA N/A C CORP 167204 false false false true false false false false false false false false false true true true false false false false THE HOSPITAL TIMELY E-FILED THE 2014 IRS FORM 990 ON NOVEMBER 16, 2015, ON THE EXTENDED DUE DATE WITH SUBID=91557420153200006956. THE RETURN WAS ULTIMATELY REJECTED DUE TO A PROBLEM WITH E-FILING OF THE SCHEDULE H, PART V, SECTION B, LINE 10 INCLUDED WITH THE RETURN. A PAPER RETURN WAS THEN FILED THE SAME DAY TO ENSURE THE RETURN WAS FILED BY THE EXTENDED DUE DATE. THE PREPARER WAS SUBSEQUENTLY ADVISED BY AN IRS AGENT IN CASE IM185306 A WAY TO E-FILE THE RETURN THAT WAS THEN ACCEPTED BY THE IRS.