2023-11-13T14:17:41-06:00 2022-12-31 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2022-01-01 813973675 ASTRIA HEALTH ASTR 5098371356 1016 TACOMA AVE SUNNYSIDE WA 98944 MAXWELL OWENS CHIEF FINANCIAL OFFICER 5098371356 2023-11-10 1 MAXWELL OWENS XXX-XX-XXXX 0 COLLEEN RAMIRES P01251320 4252597227 2023-11-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MAXWELL OWENS 1016 TACOMA AVE SUNNYSIDE WA 98944 46172662 0 X WWW.ASTRIA.HEALTH X 2016 WA ESTABLISH AND COORDINATE POLICIES, SUPERVISE OPERATIONS, AND PERFORM OTHER MANAGEMENT SUPPORT 4 4 85 4 0 0 0 384400 37153549 38498142 5202 66 1735303 7290054 38894054 46172662 0 0 0 0 13655774 14512651 0 0 0 25858346 21537914 39514120 36050565 -620066 10122097 2550469 11665812 80962527 79955773 -78412058 -68289961 TO ESTABLISH AND COORDINATE POLICIES, SUPERVISE OPERATIONS, AND PERFORM OTHER MANAGEMENT SUPPORT FUNCTIONS FOR A HEALTHCARE SYSTEM. 0 0 35903915 ASTRIA HEALTH MANAGES HOSPITALS, HEALTH CLINICS, HOME HEALTH SERVICES AND OTHER HEALTHCARE SERVICES IN YAKIMA, TOPPENISH AND SUNNYSIDE, WASHINGTON AND THE SURROUNDING AREAS. 2749072 2595130 YAKIMA HOME HEALTH AND HOSPICE PROVIDES HOME HEALTH AND HOSPICE SERVICES TO THE COMMUNITY. IN 2022, THERE WERE A TOTAL OF 12,397 HOME HEALTH VISITS FOR 392 INDIVIDUALS AND A TOTAL OF 3,948 HOSPICE PATIENT CARE DAYS FOR 63 INDIVIDUAL CASES. 2749072 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 53 0 1 85 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MAXWELL OWENS 5098371500 1016 TACOMA AVE SUNNYSIDE WA 98944 MARY ANN BLIESNER BOARD CHAIR 1.00 2.00 X X 0 0 0 JEFF BARROM BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 CHARLES SWEET TRUSTEE 1.00 1.00 X 0 0 0 JIM HANSEN TRUSTEE 1.00 1.00 X 0 0 0 BRIAN GIBBONS CHIEF EXECUTIVE OFFICER 22.00 18.00 X 619205 0 46664 MAXWELL OWENS CHIEF FINANCIAL OFFICER 22.00 18.00 X 457798 0 25714 SUZANNE BOSCH ATH & ASH CLINIC ADMINISTRATOR 1.00 39.00 X 280832 0 32002 CATHERINE BAMBRICK ATH ADMINISTRATOR 1.00 39.00 X 243410 0 10151 SANDRA CORTEZ CORPORATE CONTROLLER 40.00 X 217386 0 23067 TIMOTHY SALVOS ATH & ASH SYSTEM LABORATORY DIRECTOR 1.00 39.00 X 204762 0 20493 ALAN BOSCHKER PHYSICAL THERAPIST 40.00 X 201950 0 43562 2225343 0 201653 17 0 1 0 KRAMER STRATEGIC ADVISORS LLC 1350 N ORANGE AVE STE 250 WINTER PARK FL 32789 CONSULTING SERVICES 3688590 ALIX PARTNERS 300 N LA SALLE ST SUITE 1900 CHICAGO IL 60654 LEGAL SERVICES 781873 LABCORP PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 778465 DENTONS US LLP 233 S WACKER DR STE 5900 CHICAGO IL 60606 LEGAL SERVICES 602102 REVENUE MASTERS LLC 16970 SAN CARLOS BLVD STE 160-309 FORT MEYERS FL 33908 SOFTWARE SERVICES 529178 14 384400 384400 MANAGEMENT FEES 551112 35804706 35804706 HOME HEALTH SERVICES 621610 2595130 2595130 RECOVERY OF BAD DEBT 900099 98306 98306 38498142 66 66 SETTLEMENT REVENUE 900099 7289151 7289151 903 903 7290054 46172662 38499045 0 7289217 X 1149381 1149381 7435563 1763926 5671637 239070 49349 189721 5088201 28992 5059209 600436 173766 426670 6400 6400 386061 3950 382111 3711087 22497 3688590 4860 4860 114852 9680 105172 45632 45632 531163 41813 489350 171655 112736 58919 1671 1671 7199670 65745 7133925 339680 339680 728640 5019 723621 PURCHASED SERVICES 5692379 236921 5455458 LAB SERVICES 778465 778465 BANKRUPTCY EXPENSES 730373 730373 RECRUITMENT 551675 551675 543651 234678 308973 36050565 2749072 33301493 0 848693 527038 573260 401707 847267 835513 2147377 1025359 397520 1122018 -116271 8779536 2550469 11665812 4856090 3208407 0 850000 75080417 75000000 384400 0 641620 897366 80962527 79955773 X -78412058 -68289961 -78412058 -68289961 2550469 11665812 10122097 0 X 0 1 X 1 0 X X 4 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL 911286274 3 1 0 22411144 SHC MEDICAL CENTER - YAKIMA DBA ASTRIA REGIONAL MEDICAL CENTER 814653630 3 1 0 15372 SHC MEDICAL CENTER - TOPPENISH DBA ASTRIA TOPPENISH HOSPITAL 814670687 3 1 0 13079279 SUNNYSIDE HOME HEALTH DBA ASTRIA HOME HEALTH 814552945 3 1 0 9056 4 0 35514851 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3: THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES AND IN OTHERWISE DIRECTING THE USE OF INCOME AND ASSETS OF ASTRIA HEALTH THROUGH WEEKLY STRATEGY MEETINGS AND SHARED BOARD MEMBERS AND OFFICERS, WHEREIN THE SUPPORTED ORGANIZATIONS HAVE THE OPPORTUNITY TO EXPRESS THEIR IMMEDIATE AND LONG TERM NEEDS TO ASTRIA HEALTH AND REQUEST THAT SUCH POLICIES, INCOME, AND ASSETS OF ASTRIA HEALTH BE DIRECTED TOWARD AND UTILIZED FOR THE PURPOSE OF MEETING THOSE NEEDS. PART IV, SECTION E, LINE 3(A): SECTION 4.1 OF ASTRIA HEALTH'S BYLAWS PROVIDE THAT ASTRIA HEALTH HAS THE AUTHORITY TO APPOINT ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS FOR EACH SUPPORTED ORGANIZATION. PART IV, SECTION E, LINE 3(B): ASTRIA HEALTH EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH OF THE SUPPORTED ORGANIZATIONS, INCLUDING, BUT NOT LIMITED TO: (I) THE POWER TO CHANGE THE MISSION OF ANY SUPPORTED ORGANIZATION; (II) THE POWER TO ADOPT, AMEND, OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF EACH SUPPORTED ORGANIZATION; (III) THE POWER TO ESTABLISH PARAMETERS RELATING TO AND TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS, OR THE DISPOSITION OF ASSETS OF EACH SUPPORTED ORGANIZATION; (IV) THE POWER TO CAUSE THE MERGER, DISSOLUTION, OR CONVERSION OF ANY SUPPORTED ORGANIZATION; (V) THE POWER TO APPROVE THE ANNUAL STRATEGIC PLANS AND OPERATING AND CAPITAL BUDGETS OF EACH SUPPORTED ORGANIZATION; AND (VI) THE POWER TO APPOINT AUDITORS FOR EACH SUPPORTED ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1544112 453322 1090790 603265 572037 31228 1122018 DUE FROM (TO) INTERCOMPANY 8284218 OPERATING LEASE RIGHT-OF-USE ASSETS 495318 8779536 EQUIPMENT LEASE 400000 OPERATING LEASE LIABILITIES 497366 897366 X PART X, LINE 2: THE ORGANIZATION COMPRISES SEVERAL CORPORATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515, AND SEVERAL LIMITED LIABILITY COMPANIES. THE ORGANIZATION HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS, WHICH IS AN ACCOUNTING STANDARD THAT PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022. X X 0 0 0 0 0 0 0 0 0 BRIAN GIBBONS CHIEF EXECUTIVE OFFICER 449668 0 165667 0 3870 0 9120 0 37544 0 665869 0 0 0 MAXWELL OWENS CHIEF FINANCIAL OFFICER 338525 0 113333 0 5940 0 9150 0 16564 0 483512 0 0 0 SUZANNE BOSCH ATH & ASH CLINIC ADMINISTRATOR 198805 0 81375 0 652 0 1459 0 30543 0 312834 0 0 0 CATHERINE BAMBRICK ATH ADMINISTRATOR 211060 0 29313 0 3037 0 7487 0 2664 0 253561 0 0 0 ALAN BOSCHKER PHYSICAL THERAPIST 201438 0 0 0 512 0 8260 0 35302 0 245512 0 0 0 SANDRA CORTEZ CORPORATE CONTROLLER 169848 0 47025 0 513 0 8570 0 14497 0 240453 0 0 0 TIMOTHY SALVOS ATH & ASH SYSTEM LABORATORY DIRECTOR 204534 0 0 0 228 0 7062 0 13431 0 225255 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER PRIOR TO APPROVAL OF THE 990. A DRAFT IS ALSO DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO AUTHORIZES THE PREPARER TO FINALIZE THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD FILLS OUT A CONFLICT OF INTEREST FORM DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS OR THROUGH SELF DISCLOSURE IN THE INTERIM. IF A POTENTIAL CONFLICT ARISES, THE AFFECTED PERSON SHALL FULLY DISCLOSE THE NATURE OF THE INTEREST AND WITHDRAW FROM DISCUSSION AND VOTING ON THE MATTER. ANY TRANSACTION OR VOTE INVOLVING A POTENTIAL CONFLICT OF INTEREST SHALL BE APPROVED ONLY WHEN A MAJORITY OF DISINTERESTED DIRECTORS DETERMINE THAT IT IS IN THE BEST INTEREST OF ASTRIA HEALTH TO DO SO. ASTRIA HEALTH HAS A COMPLIANCE AND MONITORING POLICY THAT IS ENFORCED BY THE CEO. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A - THE CEO'S SALARY IS 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 COMPENSATION RATES, AS EVIDENCED BY SALARY SURVEY DATA FOR BUSINESSES OF SIMILAR SIZE AND WITHIN THE RELEVANT GEOGRAPHIC AREA; AND C) ASTRIA HEALTH'S ABILITY AND WILLINGNESS TO PAY, AS AGREED BY ASTRIA HEALTH'S BOARD OR A SUBCOMITTEE THEREOF. THE CEO'S COMPENSATION WAS LAST DETERMINED UPON HIRE IN 2020. LINE 15B - THE CFO'S COMPENSATION IS DETERMINED IN THE SAME MANNER AS THE CEO'S AND WAS LAST DETERMINED UPON HIRE IN 2020. FORM 990, PART VI, SECTION C, LINE 19 ASTRIA HEALTH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 22,497. MANAGEMENT AND GENERAL EXPENSES 3,688,590. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,711,087. SHC HOLDCO LLC 1016 TACOMA AVE SUNNYSIDE WA 98944 822369193 HOLDING CO WA 649238 391952 ASTRIA HEALTH YAKIMA HOME CARE HOLDINGS LLC 1016 TACOMA AVE SUNNYSIDE WA 98944 813825537 HOLDING CO WA 649238 391952 SHC HOLDCO LLC YAKIMA HMA HOME HEALTH LLC 1016 TACOMA AVE SUNNYSIDE WA 98944 270173556 HOME HEALTH WA 3425224 563275 YAKIMA HOME CARE HOLDINGS LLC ASTRIA SUNNYSIDE FOUNDATION DBA ASTRIA HEALTH FOUNDATION PO BOX 719 SUNNYSIDE WA 98944 912000867 SUPPORTING ORGANIZATION WA 501(C)(3) LINE 12A, I SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL 0 SHC MEDICAL CENTER - TOPPENISH DBA ASTRIA TOPPENISH HOSPITAL 1016 TACOMA AVE SUNNYSIDE WA 98944 814670687 HEALTHCARE WA 501(C)(3) LINE 3 SHC HOLDCO LLC 0 SHC MEDICAL CENTER - YAKIMA DBA ASTRIA REGIONAL MEDICAL CENTER 1016 TACOMA AVE SUNNYSIDE WA 98944 814656360 HEALTHCARE WA 501(C)(3) LINE 3 SHC HOLDCO LLC 0 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION PO BOX 719 SUNNYSIDE WA 98944 911286274 HEALTHCARE WA 501(C)(3) LINE 3 ASTRIA HEALTH 0 SUNNYSIDE HOME HEALTH DBA ASTRIA HOME HEALTH 812 MILLER AVE SUITE A SUNNYSIDE WA 98944 814552945 HOME HEALTH WA 501(C)(3) LINE 3 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL 0 AH NP8 1806 YAKIMA VALLEY HWY SUNNYSIDE WA 98944 831478789 HEALTHCARE WA 501(C)(3) LINE 3 ASTRIA HEALTH 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 SHC MEDICAL CENTER - TOPPENISH DBA ASTRIA TOPPENISH HOSPITAL L 13079279 GAAP SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL L 22411144 GAAP