2022-10-19T13:41:36-05:00 2020-12-31 202609241 White & Company PC 910 Franklin Ave STE 3 Sunnyside WA 98944 990 2020-01-01 814653630 SHC Medical Center - Yakima SHCM 5098371379 1016 Tacoma Ave Sunnyside WA 98944 Maxwell Owens CFO 5098371500 2022-10-19 1 Maxwell Owens 999009999 Thomas White P00181579 5098376700 2022-10-06 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Astria Regional Medical Center Maxwell Owens PO Box 719 Sunnyside WA 98944 104970827 0 X https://www.astria.health X 2016 WA To operate a medical center to provide hospital and health care services to its community. X 8 8 613 0 83333887 0 157900 0 103346935 1600769 0 -14284385 473172 83370058 103978007 70686442 0 0 0 0 59105634 2747657 0 0 0 71845833 3536962 130951467 6284619 -26973460 64401823 72521826 22731587 133854358 19662296 -61332532 3069291 X To operate a medical center to provide hospital and health care services to its community. 0 1 5411285 1600769 SHC Medical Center - Yakima (SHC Yakima) operated 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 was 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 operated 11 clinics with various specialties. SHC Yakima provided 273 patient day, 1927 outpatient visits, 62 surgeries and 725 emergency room visits during the year. 5411285 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 57 0 1 613 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Maxwell Owens 5098371379 1016 Tacoma Ave Sunnyside WA 98944 X John Gallagher Ex-Officio 1.00 X 0 0 0 Maureen Adkinson Board Chair 1.00 X 0 0 0 Dr James Abbenhaus Trustee 1.00 X 0 0 0 Dr John Adkison Trustee 40.00 X 0 0 0 Noel Moxley Trustee 1.00 X 0 0 0 Darlene Picatti Trustee 1.00 X 0 0 0 Dr Richard Edgerly Trustee 1.00 X 0 0 0 Mark Silverstein MD Ex-Officio 1.00 X 0 0 0 Charles Bulfinch Physician 40.00 X 187582 0 24730 Alan Greenwald Physician 40.00 X 226026 0 24416 Antony Kim Physician 40.00 X 248503 0 26689 Qilin Lu Physician 40.00 X 207276 0 27615 Thomas Pulliam Physician 40.00 X 192199 0 12801 1061586 0 116251 11 0 1 0 Aya Healthcare Inc Department 3519 Dallas TX 753123519 Contract Nursing 430439 Allied Universal Security Srvs PO Box 31001-2374 Pasadena CA 91110 Security Services 390052 Sunnyside Emergency Group A Prof LLC PO Box 677979 Dallas TX 752677979 Physician Services 355126 Rural Physcians Group 10624 S Eastern Ave Ste A263 Henderson NV 89052 Physician Services 263431 4 Net Patient Service Revenue 624100 1600769 1600769 1600769 20000000 34284385 -14284385 -14284385 -14284385 Cancellation of Debt net of Bankr 900099 83333887 83333887 Other Revenue 900099 31826 31826 Cafeteria Revenue 722514 4345 4345 83370058 70686442 1600769 83333887 -14248214 2300291 2019129 281162 16850 14790 2060 296705 260439 36266 133811 118476 15335 29815 29815 553372 339689 213683 330153 329469 684 349885 306396 43489 408997 358161 50836 483983 388590 95393 115158 111863 3295 Medical Supplies and Dr 842911 842911 Repairs & Maintenance 267698 190552 77146 Other Expenses 154990 130820 24170 6284619 5411285 873334 0 1565526 0 28378848 1299692 5345697 0 998044 0 1397250 0 34007861 1397250 320526 0 1905324 20034645 72521826 22731587 56250211 5811394 64086659 13850902 13517488 0 133854358 19662296 X -61332532 3069291 -61332532 3069291 72521826 22731587 64401823 0 X 0 0 0 X 1397250 1397250 1397250 Due from Affiliates 20034645 20034645 Part X - FIN 48 Footnote 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. 1 1 1 X 1 X 1 1 0 0 55040 55040 0.00880 1783172 6339930 0 0.00000 1838212 6339930 55040 0.00880 1838212 6339930 55040 0.00880 1 366066 7275919 10507882 -3231963 X 1 1 1 1 SHC Medical Center - Yakima 110 S 9th Avenue Yakima WA 98902 https://www.astria.health 60790591 X X X SHC Medical Center - Yakima 1 0 0 1 X X X X 18 1 1 0 1 X www.astria.health X 1 18 1 www.astria.health 0 1 X 125.000000000000 125.000000000000 X X X X 1 1 X X X X 1 X See Part V X See Part V X See Part V X X X X X 1 X 0 X X X X 1 X 0 0 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: The community health needs are no longer being addressed since the hospital and related clinics have closed as of January 23, 2020. 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/ 11 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 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 were 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 were reinvested into building and equipment upgrades and community health education to maintain the highest quality healthcare for our community. Surplus funds were 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 full and part-time employees, SHC Yakima offered 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 provided free health screenings and distribute a wealth of health and wellness information until the hospital and related clinics were closed on January 23, 2020. We provided 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 was 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. The hospital and related clinics closed on January 23, 2020. 0 0 0 0 0 0 0 0 0 Antony Kim Physician 247686 0 0 0 817 0 7540 0 19149 0 275192 0 0 0 Alan Greenwald Physician 140446 0 80405 0 5175 0 6739 0 17677 0 250442 0 0 0 Qilin Lu Physician 111732 0 95300 0 244 0 8331 0 19284 0 234891 0 0 0 Charles Bulfinch Physician 111760 0 75568 0 254 0 5145 0 19585 0 212312 0 0 0 Thomas Pulliam Physician 161308 0 29048 0 1843 0 7638 0 5163 0 205000 0 0 0 Sale of Land and Buildings 2020-12-15 20000000 FMV Yakima MOBIC LLC & Hogback Healthcare Partners LLC 2612 W Nob Hill Blvd Ste H Yakima WA 98902 0 0 0 0 Form 990, Part III, line 3 The organization and its parent declared bankruptcy in 2019. The organization ceased operating the hospital and related clinics in January of 2020. The organization is in the process of liquidating and sold the bulk of its fixed assets during 2020. The cancellation of debt through bankruptcy was completed in late 2020. The liquidation process will take years to complete as the organization collects its final receivables and pays off the non-discharged debts. Line 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 $123,908 for charity care, $10,354,276 for Medicaid and $2,463,118 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. 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 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 AHM Inc 900 W Chestnut Ave Yakima WA 98902 823755882 Management Services WA N/A C 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Astria Health S 51227420 GAAP Astria Health D 20034645 GAAP The organizations and its parent declared bankruptcy in 2019 that complicated the accounting 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 continued until the time of filing. Based on the facts explained, the organization requests that the penalty for late filing be removed based on reasonable cause.