SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION (EIN 91-1286274)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-14
- IRS object ID
- 201332269349301638
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-14T18:09:36-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN STE A | AddressLine1 |
| City | SPOKANE VALLEY | City |
| State | WA | State |
| ZIP Code | 99206 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911286274 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNNYSIDE COMMUNITY HOSPITAL | BusinessNameLine1 |
| Business Name Line2 | ASSOCIATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SUNN | NameControl |
| Phone | 5098371500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 719 | AddressLine1 |
| City | SUNNYSIDE | City |
| State | WA | State |
| ZIP Code | 98944 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN GALLAGHER | Name |
| Title | CEO | Title |
| Phone | 5098371500 | Phone |
| Date Signed | 2013-08-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS DINGUS | Name |
| Phone | 5092420874 | Phone |
| Date Prepared | 2013-08-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN GALLAGHER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 719 | AddressLine1 |
| City | SUNNYSIDE | City |
| State | WA | State |
| ZIP Code | 98944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 48559486 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SUNNYSIDEHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO THE RESIDENTS OF SUNNYSIDE, GRANDVIEW, AND THE REST OF THE LOWER YAKIMA VALLEY OF WASHINGTON. THE FACILITY OFFERS SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 414 | TotalNbrEmployees |
| Total Nbr Volunteers | 212 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1388689 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 796861 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 47132212 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 47524982 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 15783 | InvestmentIncomePriorYear |
| Investment Income Current Year | -10665 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 239047 | OtherRevenuePriorYear |
| Other Revenue Current Year | 248308 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 48775731 | TotalRevenuePriorYear |
| Total Revenue Current Year | 48559486 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 30949314 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 27774313 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 24870 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 21253286 | OtherExpensePriorYear |
| Other Expenses Current Year | 17532201 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 52202600 | TotalExpensesPriorYear |
| Total Expenses Current Year | 45306514 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3426869 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3252972 | RevenuesLessExpensesCY |
| Total Assets BOY | 24517267 | TotalAssetsBOY |
| Total Assets EOY | 29958117 | TotalAssetsEOY |
| Total Liabilities BOY | 11242596 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 13430474 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 13274671 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 16527643 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO THE RESIDENTS OF SUNNYSIDE, GRANDVIEW, AND THE REST OF THE LOWER YAKIMA VALLEY OF WASHINGTON. THE FACILITY OFFERS SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 38159386 | Expense |
| Revenue | 47524982 | Revenue |
| Description | 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 1,373 HOSPITAL ADMISSIONS, 61,007 OUTPATIENT VISITS, 18,156 EMERGENCY ROOM VISITS, AND 514 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 2,004,257 FOR CHARITY CARE, 3,371,810 FOR BAD DEBTS, 15,944,973 FOR MEDICARE, 19,090,165 FOR MEDICAID, AND 11,372,622 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. | Description |
| Total Program Service Expense | 38159386 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 69 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 414 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | false | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CARY ROWAN | NamePerson |
| Telephone Number | 5098371500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1016 TACOMA AVE | AddressLine1 |
| City | SUNNYSIDE | City |
| State | WA | State |
| ZIP Code | 989440719 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JONATHAN MERCER | ||||||||
| PRESIDENT | 4.00 | X | X | 0 | 0 | 0 | ||
| CHRIS RIVAS | ||||||||
| PRESIDENT EL | 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 | |||
| JESSE HERNANDEZ JR | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| JIM SEWELL | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| JOHN GALLAGHER | ||||||||
| CEO | 40.00 | X | 0 | 0 | 0 | 1.00 | ||
| CARY ROWAN | ||||||||
| CFO | 40.00 | X | 0 | 0 | 0 | 1.00 | ||
| JON SMILEY | ||||||||
| INTERIM CEO | 40.00 | X | 0 | 0 | 0 | 1.00 | ||
| WILLIAM ALSDURF | ||||||||
| INTERIM CFO | 40.00 | X | 0 | 0 | 0 | 1.00 | ||
| BOB BRENGARD | ||||||||
| INTERIM CEO | 40.00 | X | 0 | 0 | 0 | 1.00 | ||
| DUANE COULTER | ||||||||
| INTERIM CFO | 40.00 | X | 0 | 0 | 0 | 1.00 | ||
| STEVEN ELERDING | ||||||||
| CLINIC PHYSI | 40.00 | 611212 | 0 | 27422 | X | |||
| WILLIAM COMBS | ||||||||
| CLINIC PHYSI | 40.00 | 510254 | 0 | 18349 | X | |||
| COKE SMITH | ||||||||
| PHYSICIAN | 40.00 | 378871 | 0 | 27422 | X | |||
| ROBERT COLEMAN | ||||||||
| PHYSICIAN | 40.00 | 364058 | 0 | 21174 | X | |||
| MARIE STANFORD | ||||||||
| PHYSICIAN | 40.00 | 345663 | 0 | 21149 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2210058 | TotalReportableCompFromOrg |
| Total Other Compensation | 115516 | TotalOtherCompensation |
| Number Individuals GT100 K | 42 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HEALTHTECH MANAGEMENT SERVICES INC | |||||
| 405 DUKE DRIVE SUITE 210 | FRANKLIN | TN | 37067 | MANAGEMENT SERV | 1398919 |
| EMCARE OF WASHINGTON INC | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | ER PHYSICIANS | 1028820 |
| INFORMATION RESOURCE MANAGEMENT | |||||
| PO BOX 469 | SPOKANE | WA | 99210 | IT SUPPORT | 799937 |
| QUEST DIAGNOSTICS | |||||
| FILE NO 91514 | LOS ANGELES | CA | 90074 | LAB SERVICES | 589360 |
| CITY OF SUNNYSIDE | |||||
| 818 E EDISON | SUNNYSIDE | WA | 98944 | ONSITE SECURITY | 354060 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| Related Organizations | 7035 | RelatedOrganizations |
| Government Grants | 742194 | GovernmentGrants |
| All Other Contributions | 47632 | AllOtherContributions |
| Total Contributions | 796861 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 47524982 | TotalRevenueColumn |
| Related Or Exempt Function Income | 47524982 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 47524982 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -10665 | TotalRevenueColumn |
| Exclusion | -$10,665 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 13490 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 13490 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13490 | TotalRevenueColumn |
| Exclusion | $13,490 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| DIETARY REVENUE | 722210 | 219901 | $219,901 |
| OTHER REVENUE | 900099 | 14917 | $14,917 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 234818 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48559486 | TotalRevenueColumn |
| Related Or Exempt Function Income | 47524982 | RelatedOrExemptFunctionIncome |
| Exclusion | $237,643 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22025562 | Total |
| Program Services | 18658118 | ProgramServices |
| Management And General | 3355783 | ManagementAndGeneral |
| Fundraising | 11661 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3093 | Total |
| Program Services | 2620 | ProgramServices |
| Management And General | 471 | ManagementAndGeneral |
| Fundraising | 2 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3522364 | Total |
| Program Services | 2983837 | ProgramServices |
| Management And General | 536662 | ManagementAndGeneral |
| Fundraising | 1865 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2223294 | Total |
| Program Services | 1853897 | ProgramServices |
| Management And General | 368072 | ManagementAndGeneral |
| Fundraising | 1325 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 941385 | Total |
| Management And General | 941385 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200042 | Total |
| Management And General | 200042 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25250 | Total |
| Management And General | 25250 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5953986 | Total |
| Program Services | 4737058 | ProgramServices |
| Management And General | 1215902 | ManagementAndGeneral |
| Fundraising | 1026 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2992214 | Total |
| Program Services | 1967806 | ProgramServices |
| Management And General | 1023945 | ManagementAndGeneral |
| Fundraising | 463 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5465 | Total |
| Program Services | 1360 | ProgramServices |
| Management And General | 4105 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 382279 | Total |
| Program Services | 335737 | ProgramServices |
| Management And General | 45860 | ManagementAndGeneral |
| Fundraising | 682 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66173 | Total |
| Program Services | 17895 | ProgramServices |
| Management And General | 48278 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97042 | Total |
| Program Services | 74978 | ProgramServices |
| Management And General | 22064 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335046 | Total |
| Program Services | 295174 | ProgramServices |
| Management And General | 39361 | ManagementAndGeneral |
| Fundraising | 511 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1637663 | Total |
| Program Services | 1498257 | ProgramServices |
| Management And General | 137450 | ManagementAndGeneral |
| Fundraising | 1956 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 745537 | Total |
| Program Services | 602348 | ProgramServices |
| Management And General | 143189 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | 3085988 | 3085988 | ||
| REPAIR & MAINTENANCE | 680128 | 563637 | 116491 | |
| OTHER EXPENSES | 384003 | 119064 | 262325 | 2614 |
| INDIRECT ALLOCATION | 1361612 | -1364377 | 2765 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45306514 | Total |
| Program Services | 38159386 | ProgramServices |
| Management And General | 7122258 | ManagementAndGeneral |
| Fundraising | 24870 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3716825 | BOY |
| EOY | 11099011 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1771861 | BOY |
| EOY | 1837256 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5482480 | BOY |
| EOY | 5234904 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 641915 | BOY |
| EOY | 654394 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 495012 | BOY |
| EOY | 348864 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30400320 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 19971162 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11444924 | BOY |
| EOY | 10429158 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 964250 | BOY |
| EOY | 354530 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24517267 | BOY |
| EOY | 29958117 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4830305 | BOY |
| EOY | 4282360 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5382464 | BOY |
| EOY | 5265023 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1029827 | BOY |
| EOY | 3883091 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11242596 | BOY |
| EOY | 13430474 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13274671 | BOY |
| EOY | 16527643 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13274671 | BOY |
| EOY | 16527643 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24517267 | BOY |
| EOY | 29958117 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 3252972 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 447947 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 409146 | OtherCostOrOtherBasis |
| Book Value | 857093 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16628746 | OtherCostOrOtherBasis |
| Depreciation | 9835756 | Depreciation |
| Book Value | 6792990 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11626898 | OtherCostOrOtherBasis |
| Depreciation | 9257861 | Depreciation |
| Book Value | 2369037 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1287583 | OtherCostOrOtherBasis |
| Depreciation | 877545 | Depreciation |
| Book Value | 410038 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10429158 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED MEDICARE SETTLEMENT | $1,759,000 |
| ESTIMATED MEDICAID SETTLEMENTS | $1,568,000 |
| CAPITAL LEASE OBLIGATIONS | $556,091 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3883091 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| Explanation | 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, 2012 AND 2011, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 1.25000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1265497 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1265497 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02790 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15788512 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15788512 | DirectOffsettingRevenue |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17054009 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15788512 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1265497 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02790 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17054009 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15788512 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1265497 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02790 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 1103 | PersonsServed |
| Total Community Building Expense | 2385 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2385 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 2060 | PersonsServed |
| Total Community Building Expense | 161746 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 161746 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 3163 | PersonsServed |
| Total Community Building Expense | 164131 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 164131 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,729,115 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 10521618 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10568457 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -46839 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNNYSIDE COMMUNITY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 719 | AddressLine1 |
| City | SUNNYSIDE | City |
| State | WA | State |
| ZIP Code | 98944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNNYSIDE COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 125.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 125.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 6 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (6 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| BIRCH STREET MEDICAL CENTER | ||||
| 222 E SECOND STREET | GRANDVIEW | WA | 98930 | RHC CLINIC |
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COSTTOCHARGES FOR AMOUNTS REPORTED IN THE TABLE TOTAL OPERATING EXPENSES LESS NONPATIENT CARE ACTIVITIES TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES |
| COMMUNITY BUILDING ACTIVITIES | PART II | 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 A SERIES OF SCHOOL PRESENTATIONS WERE ORGANIZED DURING THE NATIONAL DIABETES AWARENESS MONTH IN MARCH IN ORDER TO RAISE AWARENESS OF YOUNG PEOPLE ON THIS SUBJECT THE DIABETES EDUCATOR AND A REGISTERED DIETICIAN PROVIDE ONEONONE CONSULTATIONS FOR PATIENTS REFERRED BY THEIR DOCTOR IN ORDER TO EDUCATE THEM ON THE IMPORTANCE OF A BALANCED AND NUTRITIOUS DIET ALSO A FREE COMMUNITY DIABETES SCREENING CAMPAIGN WAS STARTED DUE TO THE HIGH NUMBER OF PEOPLE IN THE COMMUNITY THAT ARE UNDIAGNOSED OR PREDIABETIC RAISING AWARENESS AND ENCOURAGING THEM TO SEEK MEDICAL ATTENTION TO CONTROL THIS DISEASE THERE ARE TWO SMALL FARMING COMMUNITIES THAT HAVE VERY LITTLE MEDICAL RESOURCES THE CLINIC IN THE COMMUNITY IS ABLE TO TAKE THE XRAYS BUT DOES NOT HAVE THE MEANS TO HIRE A RADIOLOGIST TO READ THE TESTS THEREFORE THE HOSPITAL RECEIVES THE XRAYS 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 PHYSICIANS PRESENTED HEALTH TOPICS THAT WERE DETERMINED TO BE HELPFUL AND INFORMATIVE FOR THE COMMUNITY THERE WERE THREE PRESENTATIONS COMPLETED IN 2012 INCLUDING PREPARING FOR MENOPAUSE LEARN THE BASICS ON WHO WHAT WHEN AND WHERE TO HAVE CANCER SCREENINGS AND IMPORTANT FIRST AID YOU SHOULD KNOW |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | 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 HOSPITALS 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 2 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS THE PROVISION FOR BAD DEBTS IS INCLUDED IN THE FIRST PARAGRAPH OF FOOTNOTE 8 ON PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS |
| MEDICARE EXPLANATION | PART III LINE 8 | ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | ADMITTING AND TWO SELF PAY COUNSELORS VISIT WITH PATIENTS BEFORE THEY ARE DISCHARGED TO DETERMINE IF THE PATIENT QUALIFIES FOR CHARITY CARE BASED ON THE THEIR FINANCIAL POSITION AND THE FEDERAL POVERTY GUIDELINES THE APPLICATIONS ARE REVIEWED AND EVALUATED FOR CHARITY CARE STATUS AND WRITTEN OFF WHEN APPROPRIATE |
| NEEDS ASSESSMENT | PART VI | THE HOSPITAL BOARD THROUGH ASSOCIATION WITH HEALTHTECH ANNUALLY REVIEWS COMMUNITY DEMOGRAPHICS PATIENT ORIGINS CURRENT SERVICES AND FUTURE NEEDS FROM THIS REVIEW THE BOARD ASSESSES THE COMMUNITY NEEDS |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | 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 |
| COMMUNITY INFORMATION | PART VI | SUNNYSIDE GRANDVIEW AND THE REST OF THE LOWER YAKIMA VALLEY IS A CULTURALLY DIVERSE REGION OF NEARLY 40000 PEOPLE LIVING BETWEEN THE CITY OF YAKIMA ON THE WEST AND TRICITIES WASHINGTON ON THE EAST |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | THE HOSPITALS 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 |
| SUNNYSIDE COMMUNITY HOSPITAL LINE NUMBER 1 PART V LINE 19D | PART V LINE 19D | NONINSURED 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 |
| SUNNYSIDE COMMUNITY HOSPITAL LINE NUMBER 1 PART V LINE 21 | PART V LINE 21 | NONINSURED 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|
| STEVEN ELERDING | |||
| CLINIC PHYSICIAN | 611212 | 27422 | 638634 |
| WILLIAM COMBS | |||
| CLINIC PHYSICIAN | 510254 | 18349 | 528603 |
| COKE SMITH | |||
| PHYSICIAN | 378871 | 27422 | 406293 |
| ROBERT COLEMAN | |||
| PHYSICIAN | 364058 | 21174 | 385232 |
| MARIE STANFORD | |||
| PHYSICIAN | 345663 | 21149 | 366812 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE J, PART III | ReturnReference |
| Explanation | THE CEO, CFO AND COO 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, CFO AND COO 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 2012. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | TO PROVIDE QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO THE RESIDENTS OF SUNNYSIDE, GRANDVIEW, AND THE REST OF THE LOWER YAKIMA VALLEY OF WASHINGTON. THE FACILITY OFFERS SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. |
| FIRST ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4A | 3,371,810 FOR BAD DEBTS, 15,944,973 FOR MEDICARE, 19,090,165 FOR MEDICAID, AND 11,372,622 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. |
| MANAGEMENT DELEGATED | FORM 990, PAGE 6, PART VI, LINE 3 | THE HOSPITAL CONTRACTS WITH HEALTHTECH MANAGEMENT SOLUTIONS (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). |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | 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. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | 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. |
| COMPENSATION PROCESS FOR OFFICERS | 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. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | 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. SUMMARY FINANCIAL STATEMENTS ARE ALSO POSTED INTERNALLY ON THE HOSPITAL INTRANET. |
| ADDITIONAL INFORMATION | FORM 990, PART VII | SUNNYSIDE COMMUNITY HOSPITAL AND SUNNYSIDE COMMUNITY HOSPITAL FOUNDATION SHARE TOP MANAGEMENT OFFICIALS. THE CEO AND CFO EACH DEVOTE APPROXIMATELY 40 HOURS PER WEEK TO THE HOSPITAL AND 1 HOUR PER WEEK TO THE FOUNDATION. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | 4,737,058 1,215,902 1,026 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNNYSIDE COMMUNITY HOSPITAL FDN | BusinessNameLine1 |
| Business Name Line2 | FOUNDATION | BusinessNameLine2 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 719 | AddressLine1 |
| City | SUNNYSIDE | City |
| State | WA | State |
| ZIP Code | 98944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912000867 | EIN |
| Primary Activities | SUPPORT | PrimaryActivities |
| Legal Domicile State | WA | LegalDomicileState |
| Exempt Code Section | 501C3 | ExemptCodeSection |
| Public Charity Status | 11A | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNNYSIDE | BusinessNameLine1 |
| Business Name Line2 | COMMUNITY HOSPITAL | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNNYSIDE MEDICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 719 | AddressLine1 |
| City | SUNNYSIDE | City |
| State | WA | State |
| ZIP Code | 98944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911359169 | EIN |
| Primary Activity | RE RENTAL | PrimaryActivity |
| Legal Domicile State | WA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 17862 | ShareOfTotalIncome |
| Share Of EOY Assets | 213840 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | true | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNNYSIDE PROFESSIONAL SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 719 | AddressLine1 |
| City | SUNNYSIDE | City |
| State | WA | State |
| ZIP Code | 98944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911340615 | EIN |
| Primary Activity | MOB MGMT | PrimaryActivity |
| Legal Domicile State | WA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | 17862 | ShareOfTotalIncome |
| Share Of EOY Assets | 213840 | ShareOfEOYAssets |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |