2014-08-14T14:00:35-05:00 2013-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2013-01-01 911286274 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION SUNN 5098371500 PO BOX 719 SUNNYSIDE WA 98944 JOHN GALLAGHER CEO 5098371500 2014-08-13 true THOMAS DINGUS P00951009 5092420874 2014-08-14 2013 2015-11-30 17:44:51Z JOHN GALLAGHER PO BOX 719 SUNNYSIDE WA 98944 56612608 false X WWW.SUNNYSIDEHOSPITAL.COM X 1985 WA TO PROVIDE COMPREHENSIVE QUALITY CARE TO THE REGION. 7 7 417 106 0 796861 627308 47524982 55623055 -10665 76666 248308 285579 48559486 56612608 0 0 27774313 28873343 0 33024 17532201 20467302 45306514 49340645 3252972 7271963 29958117 41270894 13430474 17420164 16527643 23850730 X TO PROVIDE COMPREHENSIVE QUALITY CARE TO THE REGION. false false 40787266 55623055 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION IS COMPRISED OF A 25-BED CRITICAL ACCESS HOSPITAL AND A SERIES OF FIVE RURAL HEALTH CLINICS, ONE SPECIALTY CLINIC, 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 1,601 HOSPITAL ADMISSIONS, 57,068 OUTPATIENT VISITS, 18,276 EMERGENCY ROOM VISITS, AND 509 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 1,784,304 FOR CHARITY CARE, 2,770,179 FOR BAD DEBTS, 22,880,491 FOR MEDICARE, 20,697,360 FOR MEDICAID, AND 12,195,684 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. 40787266 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 false true false false false true 78 0 true 417 true false false false false false false false false false false X 7 7 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 X JONATHAN MERCER TRUSTEE 4.00 X 0 0 0 CHRIS RIVAS PRESIDENT 4.00 X X 0 0 0 DAVE BALLINGER SECRETARY/TR 4.00 X X 0 0 0 MARY ANN BLIESNER TRUSTEE 4.00 X 0 0 0 PEGGY BREWER TRUSTEE 4.00 X 0 0 0 STEPHEN WINFREE TRUSTEE 4.00 X 0 0 0 JIM SEWELL TRUSTEE 4.00 X 0 0 0 JOHN GALLAGHER CEO 39.00 1.00 X 0 0 0 CARY ROWAN CFO 39.00 1.00 X 0 0 0 VALENTIN ANTOCI CLINIC PHYSI 40.00 X 575166 0 15946 ROBERT COLEMAN PHYSICIAN 40.00 X 391430 0 19440 MARIE STANFORD PHYSICIAN 40.00 X 389374 0 6554 WILLIAM COMBS CLINIC PHYSI 40.00 X 375499 0 11023 DAVID SHOEMAKER CLINIC PHYSI 40.00 X 368634 0 12998 2100103 65961 6 false true false MOUNTAIN STATES CONSTRUCTION CO PO BOX 918 SUNNYSIDE WA 98944 CONSTRUCTION 1420951 HEALTHTECH MANAGEMENT SERVICES INC PO BOX 636426 CINCINNATI OH 452632368 MANAGEMENT SERV 1048434 EMCARE OF WASHINGTON INC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ER PHYSICIANS 945267 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 SURGEON LOCUMS 922698 INFORMATION RESOURCE MANAGEMENT PO BOX 469 SPOKANE WA 99210 IT SUPPORT 750833 16 15028 552632 59648 627308 NET PATIENT SERVICE REVENUE 624100 55623055 55623055 55623055 76666 76666 8105 8105 8105 8105 DIETARY REVENUE 722210 228016 228016 OTHER REVENUE 900099 49458 49458 277474 56612608 55623055 362245 X 22417478 18918372 3479333 19773 455539 384435 70702 402 4082109 3444939 633569 3601 1918217 1592589 323805 1823 914463 914463 494994 494994 84708 84708 7662418 5935416 1726603 399 3138717 2046151 1092285 281 1306 1306 431367 383284 47378 705 73654 7222 66432 150049 133484 16565 288462 255997 32087 378 1872303 1775629 94902 1772 650680 506737 143943 MEDICAL SUPPLIES & DRUGS 3371354 3371354 REPAIR & MAINTENANCE 741391 616011 125365 15 OTHER EXPENSES 591436 123836 466099 1501 INDIRECT ALLOCATION 1291810 -1294184 2374 49340645 40787266 8520355 33024 11099011 1393132 1837256 17231502 5234904 7220820 654394 734719 348864 388012 34450111 21204623 10429158 13245488 354530 1057221 29958117 41270894 4282360 6030096 166258 5265023 5382749 3883091 5841061 13430474 17420164 X 16527643 23850730 16527643 23850730 29958117 41270894 7271963 51124 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12207 12207 false SCHEDULE C, PART IV THE ASSOCIATION 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 18292228 10545552 7746676 13899001 9760260 4138741 1401789 898811 502978 13245488 ESTIMATED MEDICAID SETTLEMENTS 2909994 ESTIMATED MEDICARE SETTLEMENT 1593000 CAPITAL LEASE OBLIGATIONS 1338067 5841061 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, 2013 AND 2012, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X 1.250000000000 true X true true true false true true 1498815 1498815 0.03040 17067794 17067794 18566609 17067794 1498815 0.03040 18566609 17067794 1498815 0.03040 2 1746 140386 140386 0.00280 8 82195 80005 80005 0.00160 10 83941 220391 220391 0.00450 true 1163475 10842067 10978984 -136917 X true true 1 1 SUNNYSIDE COMMUNITY HOSPITAL PO BOX 719 SUNNYSIDE WA 98944 X X X X SUNNYSIDE COMMUNITY HOSPITAL 1 true X X X X X 13 true false true X WWW.SUNNYSIDEHOSPITAL.COM X X X X true false true true 125.000000000000 true 125.000000000000 true X X X X X X X true true X X X X true false X X X X true X false false FACILITY 1, SUNNYSIDE COMMUNITY HOSPITAL - PART V, LINE 3 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. 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 20D 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. 6 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 SUNNYSIDE EAR NOSE & THROAT 2925 ALLEN ROAD SUNNYSIDE WA 98944 SPECIALTY CLINIC VALLEY REGIONAL RHC V 2705 E LINCOLN AVE SUNNYSIDE WA 98944 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 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 2013, WHICH WAS ABOUT TREATING VARICOSE VEINS. 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 FOR PART III, LINE 2, THE HOSPITAL USED THE COST TO CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE. FOR PART III, LINE 3, THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. 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. FOR PART III, LINE 4, THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN THE FIRST PARAGRAPH OF FOOTNOTE 9 ON PAGE 18 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 CLINIC PHYSICIAN 575166 15946 591112 ROBERT COLEMAN PHYSICIAN 391430 19440 410870 MARIE STANFORD PHYSICIAN 389374 6554 395928 WILLIAM COMBS CLINIC PHYSICIAN 375499 11023 386522 DAVID SHOEMAKER CLINIC PHYSICIAN 368634 12998 381632 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 2013. FORM 990, PAGE 2, PART III, LINE 4A 2,770,179 FOR BAD DEBTS, 22,880,491 FOR MEDICARE, 20,697,360 FOR MEDICAID, AND 12,195,684 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 5,935,416 1,726,603 399 SUNNYSIDE COMMUNITY HOSPITAL FDN FOUNDATION PO BOX 719 SUNNYSIDE WA 98944 912000867 SUPPORT WA 501C3 11A SUNNYSIDE COMMUNITY HOSPITAL false SUNNYSIDE MEDICAL CENTER PO BOX 719 SUNNYSIDE WA 98944 911359169 RE RENTAL WA N/A RELATED 38554 843418 false true SUNNYSIDE PROFESSIONAL SERVICES INC PO BOX 719 SUNNYSIDE WA 98944 911340615 MOB MGMT WA N/A C CORP 38554 843418 false false false true false false false false false false false false false true true true false false false false