2017-11-13T20:48:56-08:00 2016-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2016-01-01 911286274 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION SUNN 5098371500 PO BOX 719 SUNNYSIDE WA 98944 CARY ROWAN CFO 5098371500 2017-11-13 true THOMAS DINGUS P00951009 5092420874 2017-11-13 7AE59EE715E8C752EF5DE0EF2B4A5847F26059E4 4E47AE817102BDCE7527071ECCD14AD9DFD4CEB5 2016 2017-02-10 21:41:12Z BRIAN GIBBONS PO BOX 719 SUNNYSIDE WA 98944 90262248 false X WWW.SUNNYSIDEHOSPITAL.ORG X 1985 WA TO PROVIDE COMPREHENSIVE QUALITY CARE TO THE REGION. 9 7 605 220 0 562098 680672 72915881 89084819 -1868 32248 435981 464509 73912092 90262248 0 0 35125505 40049576 0 88863 32464636 42661959 67590141 82711535 6321951 7550713 60227579 70855846 22219635 25297189 38007944 45558657 X TO PROVIDE COMPREHENSIVE QUALITY CARE TO THE REGION. false false 67052492 87420819 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION IS COMPRISED OF A 25-BED CRITICAL ACCESS HOSPITAL AND A SERIES OF EIGHT RURAL HEALTH CLINICS, 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 1,905 HOSPITAL ADMISSIONS, 78,345 OUTPATIENT VISITS, 18,614 EMERGENCY ROOM VISITS, AND 525 BIRTHS DURING THE YEAR. THE ASSOCIATION PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 1,531,368 FOR CHARITY CARE, 3,733,817 FOR BAD DEBTS, 53,153,498 FOR MEDICARE, 63,780,281 FOR MEDICAID, AND 23,668,942 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. 67052492 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false true true false false false true 138 0 true 605 true false false false false false false false false false false X 9 7 false true false false false false false true true false false true true true true true true true true false X MICHAEL LONG 5098371500 1016 TACOMA AVENUE SUNNYSIDE WA 989440719 X MARY ANN BLIESNER PRESIDENT/CH 4.00 1.00 X X 0 0 0 PEGGY BREWER VICE CHAIR 4.00 X X 0 0 0 JONATHAN MERCER SECRETARY/TR 4.00 1.00 X X 0 0 0 RYAN MAXWELL TRUSTEE 4.00 X 0 0 0 SUZY FONSECA TRUSTEE 4.00 X 0 0 0 CUS ARTEAGA TRUSTEE 4.00 X 0 0 0 CHRIS RIVAS TRUSTEE 4.00 X 0 0 0 ANA GARCIA TRUSTEE 40.00 X 295125 0 36415 DAVID SHOEMAKER TRUSTEE 40.00 1.00 X 489461 0 33494 JOHN GALLAGHER CEO 40.00 1.00 X 0 0 0 CARY ROWAN CFO 40.00 1.00 X 0 0 0 BRIAN GIBBONS COO 40.00 X 222903 0 25815 VALENTIN ANTOCI PHYSICIAN 40.00 X 1381963 0 21940 TATIANA ANTOCI PHYSICIAN 40.00 X 448692 0 20945 ROBERT COLEMAN PHYSICIAN 40.00 X 592095 0 28829 PATRICIA DEISLER PHYSICIAN 40.00 X 439100 0 33737 MANUEL YBANEZ PHYSICIAN 40.00 X 437783 0 25815 4307122 226990 64 false true false CARDIO SOLUTION LLC PO BOX 639028 CINCINNATI OH 45263 PHYSICIAN SRVS 1742939 HEALTHTECH MANAGEMENT SERVICES INC 5110 MARYLAND WAY STE 200 BRENTWOOD TN 37027 MANAGEMENT SRVS 1650299 EARL ARCHITECTS LLC 301 N MAIN STREET GREENVILLE SC 29601 ARCHITECT SRVS 1210794 BUTLER SNOW PO BOX 6010 RIDGELAND MS 39158 LEGAL SERVICES 1181360 COMPHEALTH INC PO BOX 972651 DALLAS TX 75397 LOCUM PHYSICIAN 1097845 42 164366 516306 680672 NET PATIENT SERVICE REVENUE 624100 89070238 89070238 HEARING & SPEECH SERVICES 624100 14581 14581 89084819 32248 32248 2700 2700 2700 2700 DIETARY REVENUE 722210 318378 318378 OTHER REVENUE 900099 143431 143431 461809 90262248 89084819 496757 X 31780195 26174691 5541503 64001 682822 562383 119063 1376 5004298 4121622 872598 10078 2582261 2083048 493347 5866 1452161 1452161 758344 758344 164250 164250 18249524 13994148 4253577 1799 4562877 2717710 1845059 108 162201 5305 156896 564668 497027 66812 829 239280 50211 188965 104 163940 121268 42582 90 437688 408753 28619 316 2979039 2864073 114560 406 782836 541752 241084 MEDICAL SUPPLIES & DRUGS 9664339 9664339 REPAIR & MAINTENANCE 1389989 1123044 266945 OTHER EXPENSES 1090823 209599 880524 700 INDIRECT COST ALLOCATION 1913519 -1916709 3190 82711535 67052492 15570180 88863 2439098 4509186 16056222 6697956 11942388 17060141 1383849 1583520 453037 620409 57925854 28725727 25391442 29200127 2861785 2561543 8322722 60227579 70855846 8765049 12801991 3109619 327363 6166097 8423490 4178870 3744345 22219635 25297189 X 38007944 45558657 38007944 45558657 60227579 70855846 7550713 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 90123 90123 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 447947 469739 917686 23326060 12595222 10730838 22568752 15156233 7412519 11113356 974272 10139084 29200127 DEPOSITS FOR HOSPITAL ACQUISITIONS 4271921 OTHER RECEIVABLES 1592836 ESTIMATED THIRD-PARTY SETTLEMENTS 1163537 INVESTMENT IN AFFILIATE 688610 EHR INCENTIVE RECEIVABLE 355818 MALPRACTICE INSURANCE REIMBURSEMENT 250000 8322722 CAPITAL LEASE OBLIGATION 3494345 MALPRACTICE CLAIMS PAYABLE 250000 3744345 X SCHEDULE D, PAGE 3, PART X THE ASSOCIATION IS EXEMPT FROM FEDERAL INCOME TAX. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE ASSOCIATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2016 AND 2015, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true true true X 1.250000000000 true X true true true false true true 1071958 1071958 0.01300 33069931 30705237 2364694 0.02860 34141889 30705237 3436652 0.04150 34141889 30705237 3436652 0.04150 1 437 155664 155664 0.00190 7 93301 137479 137479 0.00170 8 93738 293143 293143 0.00350 true 2613672 15925676 16013934 -88258 X true true 1 1 SUNNYSIDE COMMUNITY HOSPITAL PO BOX 719 SUNNYSIDE WA 98944 X X X X SUNNYSIDE COMMUNITY HOSPITAL 1 false false true X X X X X 16 true false false true X WWW.SUNNYSIDEHOSPITAL.ORG X true 16 true WWW.SUNNYSIDEHOSPITAL.ORG false false true X 125.000000000000 125.000000000000 X X X X true true X X X X true X X X X true X false true false false FACILITY 1, SUNNYSIDE COMMUNITY HOSPITAL - PART V, LINE 5 IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY UTILIZING A CHNA STEERING COMMITTEE. THE COMMITTEE IS A GROUP COMPOSED OF COMMUNITY STAKEHOLDERS REPRESENTING BOTH HOSPITAL AND COMMUNITY INTERESTS AS WELL AS HEALTH NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS IN THE CHNA PROCESS. THE GROUP INCLUDES INDIVIDUALS WITH BACKGROUNDS IN PUBLIC HEALTH, SCHOOL DISTRICTS, GOVERNMENT, THE NON-PROFIT SECTOR, BUSINESS, CHURCHES, HOSPITAL ADMINISTRATION MEMBERS, AND LONG-STANDING MEMBERS OF THE COMMUNITY. THE COMMITTEE ACTIVELY PARTICIPATED IN THE PROCESS, WEIGHING IN ON THE DATA FINDINGS AND PROVIDING INSIGHT ON THE NEEDS OF THE COMMUNITY THROUGH SURVEYS, MEETINGS, AND FOCUS GROUPS. IN ORDER TO MAINTAIN COMPLETE OBJECTIVITY THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PROCESS, THE HOSPITAL CONTRACTED WITH HEALTHTECHS3 TO GUIDE THE ASSESSMENT PROCESS, ADMINISTER THE SURVEY, AND COMPILE THE RESULTS. HEALTHTECH ALSO INTEGRATED SOURCES OF PRIMARY AND SECONDARY DATA IN THE FINAL RESULTS. FACILITY 1, SUNNYSIDE COMMUNITY HOSPITAL - PART V, LINE 11 THERE WERE FOUR CATEGORIES OF HEALTH CARE NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH INCLUDE CLINICAL CARE, CHRONIC DISEASE, DIET & EXERCISE, AND HEALTH BEHAVIORS. THE CHNA STEERING COMMITTEE WAS UTILIZED TO PRIORITIZE THESE NEEDS IDENTIFIED BY THE ASSESSMENT. THE TOP FIVE COMMUNITY HEALTH NEEDS INCLUDE IMPROVING ACCESS TO PRIMARY CARE INCLUDING PRENANTAL CARE, IMPROVING ACCESS OF RESIDENTS TO SPECIALTY PHYSICIANS AND TO CHRONIC DISEASE MANAGEMENT, REDUCING OBESITY, INCREASING ACCESS TO MENTAL HEALTH SERVICES AND TREATMENT, AND INCREASING ACCESS TO SUBSTANCE ABUSE SERVICES AND TREATMENT. THE HOSPITAL HAS AN IMPLEMENTATION STRATEGY AND ASSOCIATED COMMUNITY BENEFIT PLAN WITH OBJECTIVES TO ADDRESS THESE PRIORITIES. THE HOSPITAL PLANS TO RECRUIT TWO ADDITIONAL PROVIDERS WHO PROVIDE PRENATAL CARE IN 2017. THE HOSPITAL WILL ALSO CREATE AND DISTRIBUTE A PARENTING RESOURCE GUIDE AND FLYERS WITH INFORMATION ON PRENATAL CARE STARTING IN 2017. A CENTERING PREGNANCY PROGRAM WILL START IN 2018. THE HOSPITAL WILL ALSO BEGIN TRACKING THE PERCENT OF PREGNANT WOMEN SEEN BY A PROVIDER DURING THE FIRST TRIMESTER AND WILL REPORT THIS TO THE PROVIDERS STARTING IN 2017. THE HOSPITAL PLANS TO RECRUIT AN ADDITIONAL CARDIOLOGIST AND AN INTERNAL MEDICINE PHYSICIAN AND/OR A PULMONOLOGIST IN 2017. THE HOSPITAL WILL ALSO BEGIN PROVIDING MORE DIABETES EDUCATION CLASSES IN MORE SETTINGS STARTING IN 2017, WITH A GOAL OF HAVING 70 CLASSES PER YEAR. THE HOSPITAL ALSO PLANS TO INCREASE PATIENT ENROLLMENT IN THE CHRONIC CARE MANAGEMENT PROGRAM BY EDUCATING PROVIDERS AND PATIENTS ABOUT THE PROGRAM AND HIRING ADDITIONAL CARE COORDINATORS, IF NECESSARY. THE HOSPITAL PLANS TO PROVIDE COMMUNITY EDUCATION CLASSES ON NUTRITION AND FITNESS AND TO INCREASE REFERRALS TO A REGISTERED DIETICIAN FOR WEIGHT MANAGEMENT COUNSELING STARTING IN 2017. THE HOSPITAL PLANS TO INCREASE THE NUMBER OF MEDICARE PATIENTS SCREENED FOR DEPRESSION STARTING IN 2017 BY EDUCATING THE PROVIDERS ON THE SCREENING TOOLS. THE HOSPITAL WILL ALSO START BEHAVIORAL HEALTH SERVICES BY HIRING ONE PSYCHIATRIST AND ONE MID-LEVEL IN 2017 FOR OUTPATIENT SERVICES. BY 2019, THE HOSPITAL WILL DEVELOP A TEN-BED INPATIENT BEHAVIORAL HEALTH UNIT. THE HOSPITAL IS STILL IN THE PROCESS OF DEVELOPING A PLAN TO IMPROVE ACCESS TO SUBSTANCE ABUSE SERVICES AND PLANS TO HAVE A PROGRAM IMPLEMENTED BY 2018. 8 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 JOHN HUGHES STUDENT HEALTH CENTER 1801 EAST EDISON AVE SUNNYSIDE WA 98944 RHC CLINIC VALLEY REGIONAL RHC V 2705 E LINCOLN AVE SUNNYSIDE WA 98944 RHC CLINIC MEDICAL PLAZA IN PROSSER 355 CHARDONNAY AVE PROSSER WA 99350 RHC CLINIC BIRCH STREET MEDICAL CENTER II 222 E 2ND ST GRANDVIEW WA 98930 RHC CLINIC PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES). PART II - COMMUNITY BUILDING ACTIVITIES THE COMMUNITY BUILDING ACTIVITIES DETAILED IN PART II PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL IN THAT THE PHARMACEUTICALS AND TRANSPORTATION FOR PATIENTS IN NEED PROGRAM ASSISTS DISCHARGED PATIENTS THAT ARE NOT ABLE TO PURCHASE MEDICATION PRESCRIBED TO THEM AND TO PROVIDE TRANSPORTATION TO PATIENTS THAT MAY NOT HAVE A WAY OF GETTING HOME AFTER BEING DISCHARGED. THIS PROGRAM WORKS TO PREVENT PATIENTS FROM HAVING RELAPSES AND RETURNING TO THE HOSPITAL AND FROM NOT FOLLOWING DISCHARGE INSTRUCTIONS BECAUSE OF THE INABILITY TO PURCHASE THE NECESSARY MEDICATION TO CONTINUE THEIR RECOVERY AT HOME. DIABETES EDUCATION IS ESSENTIAL AS THE LOWER VALLEY HAS A HIGH OCCURRENCE OF THIS CONDITION AND MANY PEOPLE DO NOT HAVE THE NECESSARY INFORMATION OR KNOWLEDGE TO BE ABLE TO SELECT A BALANCED AND NUTRITIOUS MEAL. THE DIABETES EDUCATOR AND A REGISTERED DIETICIAN PROVIDE ONE-ON-ONE CONSULTATIONS FOR PATIENTS REFERRED BY A DOCTOR IN ORDER TO EDUCATE THEM ON THE IMPORTANCE OF A BALANCED AND NUTRITIOUS DIET. THE CONSULTS ARE PRIMARILY FOR DIABETIC PATIENTS BUT MANY ARE ALSO FOR WEIGHT MANAGEMENT ISSUES, CARDIAC, AND HIGH BLOOD PRESSURE. A LARGE AMOUNT OF THE WEIGHT MANAGEMENT CONSULTATIONS ARE FOR PEDIATRIC WEIGHT MANAGEMENT, BUT IT REQUIRES PARTICIPATION FROM THE ENTIRE FAMILY. INTERPRETERS ARE USED OFTEN FOR SPANISH SPEAKING PATIENTS. MANY PEDIATRIC PATIENTS ARE ENGLISH SPEAKING, BUT THE PARENTS ARE SPANISH SPEAKING ONLY. THERE WERE ALSO A FEW PRESENTATIONS DONE IN THE COMMUNITY AND PARTICIPATION AT A LOCAL HEALTH FAIR PROVIDING NUTRITION EDUCATION. DUE TO THE HIGH NUMBER OF PEOPLE IN THE COMMUNITY THAT ARE UNDIAGNOSED DIABETICS OR PREDIABETIC, THE HOSPITAL STARTED TO PROVIDE FREE DIABETES SCREENING AT VARIOUS LOCATIONS IN THE COMMUNITY. THIS PROGRAM IS TO MAKE PEOPLE AWARE OF THEIR CONDITION AND HAVE THEM OBTAIN MEDICAL ATTENTION. 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 WAS ONE PRESENTATION IN 2016 TO PROMOTE CERVICAL CANCER AWARENESS WITHIN THE COMMUNITY TO MAKE PEOPLE AWARE OF THE IMPORTANCE TO KNOW THE FACTS IN ORDER TO PREVENT, RECOGNIZE AND TREAT WOMEN HEALTH PROBLEMS SO THEY CAN BECOME AN ADVOCATE FOR THEIR HEALTH OR THE HEALTH OF A LOVED ONE. CHILD BIRTH CLASSES WERE PUT ON BY THE HOSPITAL TO EDUCATE THE PREGNANT PATIENT AND HER SIGNIFICANT OTHER ON LABOR AND DELIVERY FOR A BETTER CHILD BIRTH EXPERIENCE. THE CLASSES CONSISTED OF SIGNS OF LABOR, DANGER SIGNS OF PREGNANCY, WHAT TO EXPECT DURING LABOR, PAIN CONTROL/RELIEF IN LABOR, IMMEDIATE POST PARTUM CARE AND BREASTFEEDING. WE TRY TO OFFER SERVICES THAT CAN GREATLY BENEFIT OUR PATIENTS, ESPECIALLY SINCE THE INCOME LEVEL IN THIS VALLEY IS VERY LOW, AND IF THIS TYPE OF SERVICE WERE OFFERED WITH A FEE, MANY PEOPLE WOULD NOT TAKE ADVANTAGE OF IT. THE CLASSES ARE GIVEN BY AN RN AND ARE OFFERED ONCE A MONTH UNLESS ENROLLMENT IS LOW; THEN WE WILL MERGE TWO MONTHS TOGETHER. THE HOSPITAL PROVIDES A CHAPLAIN SERVICE, WHICH IS DEDICATED TO SERVING THE NEEDS OF THE PATIENTS, FAMILIES, AND STAFF. THE CHAPLAIN IS COMMITTED TO OFFERING COMPASSIONATE SPIRITUAL CARE AND EMOTIONAL SUPPORT AS A RESOURCE FOR HEALING. THE HOSPITAL PROVIDED SPORTS PHYSICALS AT A 10 FLAT RATE TO THE COMMUNITY. THE HOSPITAL SENT NEWSLETTERS TO THE COMMUNITY CONTAINING HEALTH TIPS, ARTICLES, AND MEDICAL EXPERTISE. THE HOSPITAL ALSO PROVIDED FREE BLOOD PRESSURE SCREENING, HEALTH AND SAFETY TALKS AND/OR BENEFITS REVIEW WORKSHOPS AT VARIOUS LOCATIONS THROUGHOUT THE VALLEY. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE HOSPITAL USED THE COST TO CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. THE HOSPITAL ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBTS AS FOLLOWS: PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD PARTY PAYORS. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 ON PAGES 11 - 12 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN THE FIRST PARAGRAPH OF FOOTNOTE 8 ON PAGE 18 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION ADMITTING AND TWO SELF PAY COUNSELORS VISIT WITH PATIENTS BEFORE THEY ARE DISCHARGED TO DETERMINE IF THE PATIENT QUALIFIES FOR CHARITY CARE BASED ON THE THEIR FINANCIAL POSITION AND THE FEDERAL POVERTY GUIDELINES. THE APPLICATIONS ARE REVIEWED AND EVALUATED FOR CHARITY CARE STATUS AND WRITTEN OFF WHEN APPROPRIATE. PART VI, LINE 2 - NEEDS ASSESSMENT THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESMENT CAN BE FOUND AT THE FOLLOWING URL: HTTPS://WWW.SUNNYSIDEHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS- ASSESSMENT/ ADDITIONALLY,THE HOSPITAL BOARD, THROUGH ASSOCIATION WITH HEALTHTECH, ANNUALLY REVIEWS COMMUNITY DEMOGRAPHICS, PATIENT ORIGINS, CURRENT SERVICES AND FUTURE NEEDS. FROM THIS REVIEW, THE BOARD CONTINUALLY ASSESSES THE COMMUNITY NEEDS. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE PUBLIC WILL BE NOTIFIED BY THE POSTING OF SIGNS, IN ENGLISH AND IN SPANISH, IN ALL REGISTRATION AND WAITING AREAS, AND THE BUSINESS OFFICE. THE SIGN STATES: "SUNNYSIDE COMMUNITY HOSPITAL PROVIDES CHARITY CARE TO PERSONS MEETING MEDICAL INDIGENT CRITERIA. CHARGES MAY BE WAIVED OR REDUCED IF ELIGIBILITY FOR CHARITY CARE IS DETERMINED." PART VI, LINE 4 - COMMUNITY INFORMATION SUNNYSIDE, GRANDVIEW AND THE REST OF THE LOWER YAKIMA VALLEY IS A CULTURALLY DIVERSE REGION OF NEARLY 120,000 PEOPLE LIVING BETWEEN THE CITY OF YAKIMA ON THE WEST AND TRI-CITIES, WASHINGTON ON THE EAST. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE HOSPITAL'S CHARITY CARE PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE FINANCIAL RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTHCARE THEY RECEIVE. THE CHARITY CARE PROGRAM IS DESIGNED TO ENSURE THAT THE YAKIMA VALLEY IN ITS ENTIRETY HAS ACCESS TO NECESSARY HEALTHCARE SERVICES. THE HOSPITAL ACCEPTS ALL PATIENTS IN NEED OF MEDICAL ASSISTANCE, REGARDLESS OF ABILITY TO PAY. IN ADDITION TO THE CHARITY CARE PROGRAM, THE HOSPITAL PROVIDES OR PARTICIPATES IN SEVERAL OTHER PROGRAMS WHICH CONTRIBUTE TO ITS CHARITABLE MISSION. THE HOSPITAL PROVIDES COMMUNITY OUTREACH PROGRAMS INCLUDING ASSISTANCE WITH THE PURCHASE OF PRESCRIBED MEDICATIONS, TRANSPORTATION HOME FOR PATIENTS DISCHARGED FROM THE HOSPITAL, CARDIOPULMONARY EDUCATION WITH AN EMPHASIS ON THE RISK FROM DRUGS AND ALCOHOL, CHILD BIRTH CLASSES, CAR SEAT SAFETY CHECKS, AND A FIRST AIDE BOOTH AT AN ANNUAL COMMUNITY EVENT. X X false false false false false false false false false ANA GARCIA TRUSTEE 231340 63785 10600 25815 331540 DAVID SHOEMAKER TRUSTEE 398421 91040 7679 25815 522955 BRIAN GIBBONS COO 222803 100 25815 248718 VALENTIN ANTOCI PHYSICIAN 787650 594313 10600 11340 1403903 TATIANA ANTOCI PHYSICIAN 240011 208681 9605 11340 469637 ROBERT COLEMAN PHYSICIAN 358198 233897 10600 18229 620924 PATRICIA DEISLER PHYSICIAN 429000 10100 7922 25815 472837 MANUEL YBANEZ PHYSICIAN 388243 49540 25815 463598 SCHEDULE J, PART III THE CEO AND CFO WERE HIRED AND PAID THROUGH HEALTHTECH MANAGEMENT SERVICES. THE SALARIES ARE ESTABLISHED AT THE TIME OF HIRE, AND PERIODICALLY THEREAFTER. IN ADDITION TO BASE SALARY, THE CEO AND CFO MAY BE ELGIBLE FOR INCENTIVE COMPENSATION BASED ON PERFORMANCE PARAMETERS OUTLINED IN THE HOSPITAL'S CONTRACT WITH HEALTHTECH MANAGEMENT SERVICES AND APPROVED BY THE HOSPITAL BOARD. THE MOST RECENT YEAR IN WHICH THIS PROCESS OCCURRED WAS 2016. FORM 990, PAGE 2, PART III, LINE 4A 3,733,817 FOR BAD DEBTS, 53,153,498 FOR MEDICARE, 63,780,281 FOR MEDICAID, AND 23,668,942 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. FORM 990, PAGE 6, PART VI, LINE 3 THE HOSPITAL CONTRACTS WITH HEALTHTECH MANAGEMENT SERVICES, INC (HTMS) FOR MANAGEMENT SERVICES AND UTILIZES EMPLOYEES OF HTMS AS ITS CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. HTMS PROVIDES EDUCATION TO BOARD MEMBERS, HOSPITAL MANAGERS AND OTHER EMPLOYEES. THEY OFFER FINANCIAL PERFORMANCE EVALUATION, AND EDUCATIONAL AND NETWORKING OPPORTUNITIES FOR NURSING AND OTHER PROFESSIONAL STAFF. THEY ALSO OFFER PLANNING AND GROUP PURCHASING OFFERING (GPO). FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER PRIOR TO APPROVAL OF THE 990. A DRAFT IS ALSO DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO AUTHORIZES THE PREPARER TO FINALIZE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C EACH MEMBER OF THE BOARD FILLS OUT A CONFLICT OF INTEREST FORM DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS OR THROUGH SELF DISCLOSURE IN THE INTERIM. IF A POTENTIAL CONFLICT ARISES, THE AFFECTED PERSON SHALL FULLY DISCLOSE THE NATURE OF THE INTEREST AND WITHDRAW FROM DISCUSSION AND VOTING ON THE MATTER. ANY TRANSACTION OR VOTE INVOLVING A POTENTIAL CONFLICT OF INTEREST SHALL BE APPROVED ONLY WHEN A MAJORITY OF DISINTERESTED DIRECTORS DETERMINE THAT IT IS IN THE BEST INTEREST OF THE HOSPITAL TO DO SO. THE HOSPITAL HAS A COMPLIANCE AND MONITORING POLICY THAT IS ENFORCED BY THE CEO. FORM 990, PAGE 6, PART VI, LINE 15A THE CEO AND CFO ARE BOTH HIRED AND PAID THROUGH HEALTHTECH MANAGEMENT SOLUTIONS. THE SALARIES ARE ESTABLISHED AT THE TIME OF HIRE, AND PERIODICALLY THEREAFTER, TAKING THE FOLLOWING FACTORS INTO ACCOUNT: A) QUALIFICATIONS OF THE CANDIDATE, INCLUDING NUMBER OF YEARS OF DIRECTLY- RELATED EXPERIENCE B) PREVAILING CEO AND CFO COMPENSATION RATES, AS EVIDENCED BY SALARY SURVEY DATA FOR HOSPITALS OF SIMILAR SIZE AND WITHIN THE RELEVANT GEOGRAPHIC AREA; AND C) THE HOSPITAL'S ABILITY AND WILLINGNESS TO PAY, AS AGREED BY THE HOSPITAL BOARD OR A SUBCOMMITTEE THEREOF. FORM 990, PAGE 6, PART VI, LINE 15B A SALARY SURVEY IS REVIEWED FOR KEY EMPLOYEES BY THE CEO AND HR DIRECTOR. THE CEO MAKES RECOMMENDATIONS TO THE BOARD WHO THEN MAKE THE FINAL DECISION ON EMPLOYMENT CONTRACTS WITH PHYSICIANS. FORM 990, PAGE 6, PART VI, LINE 19 THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII SUNNYSIDE COMMUNITY HOSPITAL AND SUNNYSIDE COMMUNITY HOSPITAL FOUNDATION SHARE TOP MANAGEMENT OFFICIALS. THE CEO AND CFO EACH DEVOTE APPROXIMATELY 39 HOURS PER WEEK TO THE HOSPITAL AND 1 HOUR PER WEEK TO THE FOUNDATION. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES 13,994,148 4,253,577 1,799 SUNNYSIDE PROFESSIONAL SERVICES LLC PO BOX 719 SUNNYSIDE WA 98944 475499567 MOB MGMT WA 70 635411 N/A SUNNYSIDE COMMUNITY HOSPITAL FOUNDA PO BOX 719 SUNNYSIDE WA 98944 912000867 SUPPORT WA 501C3 12A SUNNYSIDE COMMUNITY HOSPITAL false false false true false false false false false false false false false true true true false false false false SUNNYSIDE COMMUNITY HOSPITAL FOUNDA O 84571 ACTUAL