SHC MEDICAL CENTER YAKIMA: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SHC MEDICAL CENTER YAKIMA (EIN 81-4653630)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2022-05-12
- IRS object ID
- 202201329349306110
- Schema version
- 2019v5.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-12T14:35:03-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 202609241 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | White & Company PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 Franklin Ave STE 3 | AddressLine1Txt |
| City | Sunnyside | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814653630 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHC Medical Center - Yakima | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHCM | BusinessNameControlTxt |
| Phone | 5095744433 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 S 9th Ave | AddressLine1Txt |
| City | Yakima | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Maxwell Owens | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5098371500 | PhoneNum |
| Signature | 2022-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Thomas White | PreparerPersonNm |
| PTIN | P00181579 | PTIN |
| Phone | 5098376700 | PhoneNum |
| Preparation | 2022-05-11 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Astria Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Maxwell Owens | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 719 | AddressLine1Txt |
| City | Sunnyside | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $103,978,007 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.astria.health | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | To operate a medical center to provide hospital and health care services to its community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 854 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,440 | PYContributionsGrantsAmt |
| CY Contributions Grants | $157,900 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $121,462,034 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $103,346,935 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $754,644 | PYOtherRevenueAmt |
| CY Other Revenue | $473,172 | CYOtherRevenueAmt |
| PY Total Revenue | $122,220,118 | PYTotalRevenueAmt |
| CY Total Revenue | $103,978,007 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $66,476,340 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $59,105,634 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $72,307,347 | PYOtherExpensesAmt |
| CY Other Expenses | $71,845,833 | CYOtherExpensesAmt |
| PY Total Expenses | $138,783,687 | PYTotalExpensesAmt |
| CY Total Expenses | $130,951,467 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$16,563,569 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$26,973,460 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $74,192,731 | TotalAssetsBOYAmt |
| Total Assets EOY | $72,521,826 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $101,322,634 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $133,854,358 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$27,129,903 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$61,332,532 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To operate a medical center to provide hospital and health care services to its community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $111,496,696 | ExpenseAmt |
| Revenue | $103,346,935 | RevenueAmt |
| Desc | SHC Medical Center - Yakima (SHC Yakima) operates a 214-bed Hospital located in Yakima, Washington. SHC Yakima provides a full complement of medical services including Yakima Valley's only open-heart surgery, advanced imaging, comprehensive robotics, neurosurgery, and CARF accredited inpatient rehabilitation. Astria Heart Institute is a Level I Cardiac and Level II Stroke center, with a Level III Trauma designation, and a commitment to continuous reinvestment in state-of-the-art technology. SHC Yakima also operates 11 clinics with various specialities. SHC Yakima provided 10,675 patient day, 85,365 outpatient visits, 3,788 surgeries and 31,543 emergency room visits during the year. | Desc |
| Total Program Service Expenses | $111,496,696 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 97 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 854 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maxwell Owens | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5098371379 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1016 Tacoma Ave | AddressLine1Txt |
| City | Sunnyside | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|
| John Gallagher | ||||||
| Ex-Officio | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Maureen Adkinson | ||||||
| Board Chair | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dr James Abbenhaus | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dr John Adkison | ||||||
| Trustee | 40.00 | Yes (X) | $0 | $0 | $0 | |
| Noel Moxley | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Darlene Picatti | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dr Richard Edgerly | ||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Mark Silverstein MD | ||||||
| Ex-Officio | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Roberto Amado-Cattaneo | ||||||
| Physician | 40.00 | $880,088 | $0 | $35,823 | Yes (X) | |
| Thomas Pulliam | ||||||
| Physician | 40.00 | $626,890 | $0 | $26,288 | Yes (X) | |
| Bradley G Titus | ||||||
| Physician | 40.00 | $657,095 | $0 | $10,608 | Yes (X) | |
| Corbett Winegar | ||||||
| Physician | 40.00 | $800,844 | $0 | $46,241 | Yes (X) | |
| Jennifer Ford | ||||||
| Physician | 40.00 | $609,377 | $0 | $18,946 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,574,294 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $137,906 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 92 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Horizon Mental Hlth Mgmt | |||||
| PO Box 840839 | Dallas | TX | 752840839 | Management | $723,351 |
| Rural Physcians Group | |||||
| 10624 S Eastern Ave Ste A263 | Henderson | NV | 89052 | Hospital Services | $566,273 |
| Favorite Healthcare Staffing | |||||
| PO Box 26225 | Overland Park | KS | 66225 | Contract Nursing | $457,641 |
| Allied Universal Security Srvs | |||||
| PO Box 31001-2374 | Pasadena | CA | 91110 | Security Services | $433,526 |
| Interim Physicians | |||||
| PO Box 679139 | Dallas | TX | 75267 | Locum Physician Services | $391,405 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $157,900 | AllOtherContributionsAmt |
| Total Contributions | $157,900 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service Revenue | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $103,346,935 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $103,346,935 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $103,346,935 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $277,558 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $277,558 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $277,558 | TotalRevenueColumnAmt |
| Exclusion | $277,558 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria Revenue | 722514 | $148,134 | $148,134 |
| Other Revenue | 900099 | $47,480 | $47,480 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $195,614 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,978,007 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $103,346,935 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $473,172 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,470,773 | TotalAmt |
| Program Services | $42,546,241 | ProgramServicesAmt |
| Management And General | $5,924,532 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,553 | TotalAmt |
| Program Services | $351,593 | ProgramServicesAmt |
| Management And General | $48,960 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,053,323 | TotalAmt |
| Program Services | $6,191,203 | ProgramServicesAmt |
| Management And General | $862,120 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,180,985 | TotalAmt |
| Program Services | $2,816,441 | ProgramServicesAmt |
| Management And General | $364,544 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,039,881 | TotalAmt |
| Management And General | $1,039,881 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,918,333 | TotalAmt |
| Program Services | $10,385,365 | ProgramServicesAmt |
| Management And General | $6,532,968 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,017,807 | TotalAmt |
| Program Services | $19,976,357 | ProgramServicesAmt |
| Management And General | $41,450 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,927,066 | TotalAmt |
| Program Services | $4,314,659 | ProgramServicesAmt |
| Management And General | $612,407 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,660,680 | TotalAmt |
| Program Services | $5,832,793 | ProgramServicesAmt |
| Management And General | $827,887 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,507,211 | TotalAmt |
| Program Services | $5,224,639 | ProgramServicesAmt |
| Management And General | $1,282,572 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,808 | TotalAmt |
| Program Services | $294,143 | ProgramServicesAmt |
| Management And General | $8,665 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies and Dr | $6,972,833 | $6,972,833 | |
| Taxes and Licenses | $3,517,428 | $2,601,364 | $916,064 |
| Other Expenses | $3,349,580 | $2,827,232 | $522,348 |
| Repairs & Maintenance | $1,632,206 | $1,161,833 | $470,373 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,951,467 | TotalAmt |
| Program Services | $111,496,696 | ProgramServicesAmt |
| Management And General | $19,454,771 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,881,265 | BOYAmt |
| EOY | $1,565,526 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,753,749 | BOYAmt |
| EOY | $28,378,848 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,802,346 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,546,146 | BOYAmt |
| EOY | $5,345,697 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,281,298 | BOYAmt |
| EOY | $998,044 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $42,727,551 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,719,690 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,262,979 | BOYAmt |
| EOY | $34,007,861 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,000 | BOYAmt |
| EOY | $320,526 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,414,948 | BOYAmt |
| EOY | $1,905,324 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,192,731 | BOYAmt |
| EOY | $72,521,826 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,005,780 | BOYAmt |
| EOY | $56,250,211 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,797,703 | BOYAmt |
| EOY | $64,086,659 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,519,151 | BOYAmt |
| EOY | $13,517,488 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,322,634 | BOYAmt |
| EOY | $133,854,358 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$27,129,903 | BOYAmt |
| EOY | -$61,332,532 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$27,129,903 | BOYAmt |
| EOY | -$61,332,532 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,192,731 | BOYAmt |
| EOY | $72,521,826 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$26,973,460 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$7,229,170 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $1 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,329,000 | OtherCostOrOtherBasisAmt |
| Book Value | $4,329,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,922,418 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,611,411 | DepreciationAmt |
| Book Value | $14,311,007 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,476,133 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,108,279 | DepreciationAmt |
| Book Value | $15,367,854 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $34,007,861 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to Affiliates | Desc |
| Amt | $13,517,488 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,517,488 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X - FIN 48 Footnote | FormAndLineReferenceDesc |
| Explanation | The Organization is exempt from federal income tax. Accordingly, no provision for income tax is necessary. The Organization 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, 2019, the Organization had no uncertain tax positions requiring accrual. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $839,074 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $839,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,373,527 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,351,222 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,022,305 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,212,601 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,351,222 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,861,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5986 | ActivitiesOrProgramsCnt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5986 | ActivitiesOrProgramsCnt |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5986 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $32,212,601 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,351,222 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,861,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13640 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,555,654 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $56,013,109 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $67,854,280 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,841,171 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHC Medical Center - Yakima | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 S 9th Avenue | AddressLine1Txt |
| City | Yakima | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.astria.health | WebsiteAddressTxt |
| State License | 60790591 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHC Medical Center - Yakima | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.astria.health | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.astria.health | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 125.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SHC Medical Center - Yakima | Part V, Section B, Line 5: The CHNA was conducted between July 1, 2018, and November 28, 2018. Both quantative and qualitative methods were utilized to gather data about the Astria Health service area. Quantitative Data: A variety of sources were used to identify community health trends and health disparities including but not limited to: iVantage, County Health Rankings, Community Commons, Centers for Disease Control (CDC) BRFSS, Washington State Department of Health, and the Yakima Health District. Every effort was made to obtain the most current data. Data were analyzed for comparison purposes with the United States, Washington State, counties within Washington State, Results Washington, and Healthy People 2020 when comparative data was available. Qualitative Data: Interviews with key stakeholders and a key stakeholder survey were completed. Key Stakeholder Interviews: Stakeholder interviews were conducted with individuals that represented the broad interests of the community including public health, tribal health, and individuals with knowledge of medically underserved, low-income, minority populations, and populations with chronic disease. Individuals to be interviewed were recommended by Astria Health Senior Leadership. The interviews were completed in-person or by phone between July 1 and August 31, 2018. A total of thirty-five individuals were interviewed. Key Stakeholder Survey: A key stakeholder survey was distributed to providers (physicians, nurse practitioners and physician assistants), the clinical management staff of Astria Health, and community organizations with knowledge and expertise regarding the needs of underserved, at-risk and vulnerable populations, and those with chronic disease. A total of eight-nine (89) surveys were completed. Twenty-seven (27) providers completed the survey including nineteen physicians, six nurse practitioners, and two physician assistants. Representatives of thirteen community organizations completed a total of thrity-one (31) surveys. Governor's Interagency Council on Health Disparities: The Governor's Interagency Council on Health Disparities held a public meeting in Yakima Washington on May 10, 2017. About 40 people were in attendance, including community members, students, and representatives from community-based organizations and from public health, healthcare, and education sectors. Participants were asked about priorities for the community. Feedback from the meeting is included throughout the report.Yakima County Health Care Coalition - Consumer Engagement Survey: The Yakima County Health Care Coalition conducted a community engagment survey from July 1, 2018 - August 31, 2018. There were a total of 501 respondents. Information from the survey is included throughout the report. Astria Health contracted with HealthTechS3 to assist in conducting the 2018 Community Health Needs Assessment. HealthTechS3 is a healthcare consulting and hospital management company based in Brentwood, Tennessee. Carolyn St. Charles, Regional Chief Clinical Officer, was the principal consultant for the project. |
| SHC Medical Center - Yakima | Part V, Section B, Line 11: Utilizing the prioritization criteria and group discussion, the Senior Leadership Team chose four priority community health needs as focus areas for Astria Health over the next three years: 1)Increase access to Primary Care 2)Increase access to Specialty Care 3)Increase access to Behavioral Health and Substance Abuse services 4)Prevention, screening, and treatment of Chronic Diseases including diabetes and heart disease.The four community health needs are in alignment with the community health needs identified by key stakeholders. The Astria Health priorities will also help to address four of the eight barriers to health identified by the Yakima County Health Care Coalition - Consumer Engagement Survey including: Finding a Health Care Home: Increase access to primary care and Increase access to specialty care. Emotional/Mental Health: Increase access to Behavioral Health services. Substance Abuse and Drugs: Increase access to Substance Abuse Services. Education: Although not addressed specifically, healthcare education is an essential component for accomplishing each of the four priorities chosen by Astria Health. The Centering Pregnancy program continued in 2019. The Hospital continued tracking the percent of pregnant women seen by a provider during the first trimester and continue to report this to the providers. The Hospital continued to provide more diabetes education classes in more settings. The Hospital continues to increase patient enrollment in the chronic care mangement program by continuing to educate providers and patients about the program and hiring additional care coordinators, if necessary. The Hospital continues to provide community education classes on nutrition and fitness and has increased referrals to a registered dietician for weight management counseling.The Hospital continued to increase the number of Medicare patients screened for depression and continues to educate providers on the screening tools. The Hospital continued the Intensive Outpatient Program during 2019.The Hospital in still in the process of developing a plan to improve access to substance abuse service and plans to implement a program. |
| SHC Medical Center - Yakima | Part V, Section B, Line 16j: Notice of the Charity Care Policy shall be posted or prominently displayed within public areas of the Hospital, and shall be provided to the Responsible Party and explained at the time that Hospital request information with regard to the availability of any third-party coverage. The Policy will be displayed and explained in any language spoken by more than ten percent of the population in the Hospital's service area, and interpreted for other non-English speaking or limited English speaking or other patients who are unable to read or understand the written Policy or oral explanation.The Charity Care Policy, application, and plain language of application can be at the following url:https://www.astria.health/patients-visitors/policies/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Astria Health Center - Selah | ||||
| 715 N Park Dr | Selah | WA | 98942 | Outpatient Clinic |
| 2 - Astria Health Center - Terrace Heights | ||||
| 2501 Business Lane | Yakima | WA | 98901 | Outpatient Clinic |
| 3 - Astria Health Center - Summitview | ||||
| 6201 Summitview Ave Ste 106 | Yakima | WA | 98908 | Outpatient Clinic |
| 4 - Astria Health Center - Ahtanum | ||||
| 1420 Ahtanum Ridge Dr | Union Gap | WA | 98903 | Outpatient Clinic |
| 5 - Astria Health Center - Gastroenterology | ||||
| 1005 W Walnut Ste 205 | Yakima | WA | 98902 | Outpatient Clinic |
| 6 - Astria Health Center - Vascular | ||||
| 1005 W Walnut Ste 201 | Yakima | WA | 98902 | Outpatient Clinic |
| 7 - Astria Health Center - Surgical | ||||
| 1005 W Walnut Ste 223 | Yakima | WA | 98902 | Outpatient Clinic |
| 8 - Astria Health Center - Occupational | ||||
| 111 S 11th Ave Ste 320 | Yakima | WA | 98902 | Outpatient Clinic |
| 9 - Astria Health Center - Rehabilitation | ||||
| 111 S 11th Ave Ste 321 | Yakima | WA | 98902 | Rehabilitation |
| 10 - Astria Health Center - Ortho | ||||
| 111 S 11th Ave Ste 320 | Yakima | WA | 98902 | Outpatient Clinic |
| 11 - Astria Health Center - Cardio | ||||
| 1005 W Walnut Ste 120 | Yakima | WA | 98902 | Outpatient Clinic |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | The Hospital applies the ratio of patient care cost-to-charges for amounts reported in the table (total operating expense less non-patient care activities, total community benefit and total community building expenses). |
| Part III, Line 2: | The Hospital used the cost to charge ratio of patient care to determine the cost of bad debt expense. |
| 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 eligibilty during the year. |
| 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. |
| Part III, Line 9b: | The business office staff follows up on accounts 35 days after the accounts are billed. The staff contacts the insurers to verify claims have been received and to resend the claims if necessary. After verifying claims have been received, the staff continues to contact the insurers every 35 days, as necessary, to follow up on the status of the claims. Once insurance balances are exhausted, the remaining self-pay balances are then managed by an outside billing company which attempts to collect for 120 days. If payment for non-Medicare accounts is still not collected or if payment terms are not adhered to then the balance is sent to collections. Medicare accounts are returned to the Hospital and written off as uncollectible Medicare bad debt. |
| Part VI, Line 2: | Management, Hospital department staff and managers, and the Board of Directors are comprised of members within the community. They are able to gather and communicate the health care needs of the community it serves and continually address them at staff and board meetings. |
| Part VI, Line 3: | An annual review is performed for all credit/collection and financial assistance policies. Once reviewed and revised, the information is distributed to the community in a variety of ways. A brochure is placed in public areas of the Hospital, as well as include in all formal admission packets to patients. The patient account representative's hand out the information during patient consults as well. The information is also available on the Hospital website and included with every patient account statement. The latest charity care policy is available on our website. It is updated annually with new poverty guidelines. |
| Part VI, Line 4: | The Hospital is situated in the Yakima Valley, a productive agricultural region noted for apple, wine and hop production. Yakima County, Washington includes medically underserved, low-income and minority populations. The Hispanic population makes up 49.8% of the population and White Non-Hispanic 42.6% of the population. The third highest percentage of the population is American Indian at 3.6%. Many residents of Yakima County experience poverty, food insecurity, lack of transportation and limited access to affordable housing. Only 25% of residents have finished high-school and 16% have Limited English Proficiency. |
| Part VI, Line 5: | The Board of Directors is comprised of community members representing multiple facets fo the community from the medical sector to business owners to University staff. They are able to gather and communicate the health care needs of the community it serves and continually address them at staff and board meetings.Medical staff privileges are available to all qualified and interested medical providers with active licensure in the communites we serve. SHC Yakima encourages practitioners from numerous specialties to meet the ever expanding healthcare needs of the community. As a non-profit corporation, surplus funds are reinvested into building and equipment upgrades and community health education to maintain the highest quality healthcare for our community. Surplus funds are also applied to ongoing professional education among our clinical staff to remain current in the best practices of healthcare and welfare needs of the communities we serve in economically viable fashion. Staffed by approximately 850 full and part-time employees, SHC Yakima offers a wide array of inpatient and outpatient services. SHC Yakima provides one of only two single stay cardiac units in the state of Washington. Astria Heart Institute is a platinum level Chest Pain accredited facility from American College of Cardiology, the only MissionLife hospital in Washington, a Level II Stroke center, and a Level III trauma center. SHC Yakima operates a fully-staffed 24-hour emergency room, available to the public regardless of ability to pay. We provide free health screenings and distribute a wealth of health and wellness information. We provide CPR, A-Fib, cardiac and various other health related trainings to the public. |
| Part VI, Line 6: | SHC Yakima is part of the Astria Health system, headquartered in the heart of Yakima Valley in the state of Washington. This non-profit healthcare system based in Eastern Washington is committed to investing in a continuum of care for the people who live and work throughout Eastern Washington and build sustainable healthcare organizations that improve health in the communities we serve. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Roberto Amado-Cattaneo | ||||||||||||||
| Physician | $873,640 | $0 | $0 | $0 | $6,448 | $0 | $17,934 | $0 | $17,889 | $0 | $915,911 | $0 | $0 | $0 |
| Thomas Pulliam | ||||||||||||||
| Physician | $519,140 | $0 | $104,399 | $0 | $3,351 | $0 | $14,241 | $0 | $12,047 | $0 | $653,178 | $0 | $0 | $0 |
| Bradley G Titus | ||||||||||||||
| Physician | $653,912 | $0 | $0 | $0 | $3,183 | $0 | $9,706 | $0 | $902 | $0 | $667,703 | $0 | $0 | $0 |
| Corbett Winegar | ||||||||||||||
| Physician | $789,279 | $0 | $10,803 | $0 | $762 | $0 | $12,772 | $0 | $33,469 | $0 | $847,085 | $0 | $0 | $0 |
| Jennifer Ford | ||||||||||||||
| Physician | $459,362 | $0 | $149,609 | $0 | $406 | $0 | $6,440 | $0 | $12,506 | $0 | $628,323 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Line 4a - First Accomplishment | SHC Yakima provides care to persons covered by governmental programs at or below cost and to individuals who are unable to pay. The unreimbursed value of providing care to these patients was $3,969,128 for charity care, $188,228,015 for Medicare, $134,057,139 for Medicaid and $1089,160,541 for other third-party payors for the year. |
| Form 990, Part VI, Section A, line 3 | The Hospital contracts with Astria Health for management services. Astria Health provides management through an agreement with AHM, Inc. to provide the CEO and CFO positions for the organization. Astria Health 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. |
| Form 990, Part VI, Section A, line 6 | The Hospital has one member. The member is SHC Holdco, LLC, a Washington nonprofit limited liability company. |
| Form 990, Part VI, Section B, line 11b | A copy or 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 CFO 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 the Hospital to do so. The Hospital has a compliance and monitoring policy that is enforced by the CEO. |
| Form 990, Part VI, Section B, line 15 | Line 15a - The organization contracts with Astria Health for management services. Astria Health provides management through an agreement with AHM, Inc. to provide the CEO and CFO positions for the organization. The salaries are established at the time of hire, and reviewed 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 date for hospitals of similar size and within the revelant geographic area; and c) the Hospital's ability and willingness to pay, as agreed by the Hospital board or a subcomittee thereof. 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, Part VI, Section C, line 19 | The Hospital makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
| Form 990, Part IX, line 11g | Other Purchased Services: Program service expenses 10,385,365. Management and general expenses 6,532,968. Fundraising expenses 0. Total expenses 16,918,333. |
| Form 990, Part XI, line 9: | Rounding 1. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Astria Health | |||||||||||
| 1016 Tacoma Avenue | Sunnyside | WA | 98944 | 813973675 | Management | WA | 501(c)(3) | Line 12b, II | N/A | 0 | |
| SHC Medical Center - Toppenish DBA Astria Toppenish Hospital | |||||||||||
| 502 W 4th Avenue | Toppenish | WA | 98948 | 814670687 | Healthcare | WA | 501(c)(3) | Line 3 | 0 | SHC Holdco LLC | |
| Sunnyside Community Hospital Association | |||||||||||
| PO Box 719 | Sunnyside | WA | 98944 | 911286274 | Healthcare | WA | 501(c)(3) | Line 3 | 0 | Astria Health | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHM Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 W Chestnut Ave | AddressLine1Txt |
| City | Yakima | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 823755882 | EIN |
| Primary Activities | Management Services | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Sunnyside Community Hospital Association DBA Astria Sunnyside Hospital | ||
| D | $4,068,079 | GAAP |
| Astria Health | ||
| E | $21,136,940 | GAAP |
| SHC Medical Center - Toppenish DBA Astria Toppenish Hospital | ||
| D | $3,551,373 | GAAP |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | The organizations parent declared bankruptcy in 2019 that complicated theaccounting work needed to prepare the organizations financial statements.The subsequent Covid-19 pandemic further delayed the ability of theparent and organization to complete the financial statement work.Staffing, accounting and other issues due to the pandemic have continueduntil the time of filing. Based on the facts explained, the organizationrequests that the penalty for late filing be removed based on reasonablecause. | ExplanationTxt |
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