SHC MEDICAL CENTER TOPPENISH: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
SHC MEDICAL CENTER TOPPENISH (EIN 81-4670687)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-13
IRS object ID
202523179349308427
Schema version
2024v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-13T15:48:28-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN200079326PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DZA PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line112015 E MAIN AVEAddressLine1Txt
CitySPOKANE VALLEYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99206ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN814670687EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHC MEDICAL CENTER - TOPPENISHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSHCMBusinessNameControlTxt
Phone5098653105PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11016 TACOMA AVEAddressLine1Txt
CitySUNNYSIDECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98944ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN P GIBBONS JRPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone5098653105PhoneNum
Signature2025-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRIKKI PATCHPreparerPersonNm
PTINP01472231PTIN
Phone5092420874PhoneNum
Preparation2025-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ASTRIA TOPPENISH HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRIAN P GIBBONS JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11016 TACOMA AVEAddressLine1Txt
CitySUNNYSIDECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98944ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$52,456,949GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASTRIA.HEALTHWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2016FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionPROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SERVED.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee369TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,653,268PYContributionsGrantsAmt
CY Contributions Grants$1,527,066CYContributionsGrantsAmt
PY Program Service Revenue$53,206,455PYProgramServiceRevenueAmt
CY Program Service Revenue$49,547,909CYProgramServiceRevenueAmt
CY Investment Income$1,052,273CYInvestmentIncomeAmt
PY Other Revenue$292,872PYOtherRevenueAmt
CY Other Revenue$329,701CYOtherRevenueAmt
PY Total Revenue$58,152,595PYTotalRevenueAmt
CY Total Revenue$52,456,949CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,540,511PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$28,436,804CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$36,681,310PYOtherExpensesAmt
CY Other Expenses$31,491,187CYOtherExpensesAmt
PY Total Expenses$64,221,821PYTotalExpensesAmt
CY Total Expenses$59,927,991CYTotalExpensesAmt
PY Revenues Less Expenses-$6,069,226PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,471,042CYRevenuesLessExpensesAmt
Total Assets BOY$24,398,559TotalAssetsBOYAmt
Total Assets EOY$23,628,718TotalAssetsEOYAmt
Total Liabilities BOY$39,969,990TotalLiabilitiesBOYAmt
Total Liabilities EOY$47,725,188TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$15,571,431NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$24,096,470NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SERVED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$45,611,830ExpenseAmt
Revenue$49,547,909RevenueAmt
DescSHC MEDICAL CENTER TOPPENISH DBA ASTRIA TOPPENISH HOSPITAL (THE HOSPITAL) IS A 78-BED FACILITY PROVIDING MEDICAL SERVICES 24 HOURS A DAY, 365 DAYS A YEAR. THE HOSPITAL HAS AN EXPANDED SURGERY CAPABILITY AND A PEDIATRICS AREA. THE HOSPITAL PROVIDED 7,073 PATIENT DAYS, 79,592 OUTPATIENT VISITS, AND 17,858 EMERGENCY ROOM VISITS DURING THE REPORTING PERIOD. SHC TOPPENISH 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 149,067,706 FOR CHARITY CARE, MEDICARE, MEDICAID AND OTHER THIRD PARTY PAYORS FOR THE YEAR.Desc
Total Program Service Expenses$45,611,830TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document59IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee369EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDARRYL LINNINGTONPersonNm
Phone5098371379PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11016 TACOMA AVEAddressLine1Txt
CitySUNNYSIDECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98944ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
SIKARIN UPALA MD
PHYSICIAN40.00Yes (X)$1,289,306$0$23,115
VU LE MD
PHYSICIAN40.00Yes (X)$1,212,289$0$57,863
CHARLES BULFINCH MD
PHYSICIAN40.00Yes (X)$868,353$0$55,701
BRIAN P GIBBONS JR
PRESIDENT &5.00$0$786,652$59,35035.00Yes (X)Yes (X)
ADRIAN OBUCH MD
PHYSICIAN40.00Yes (X)$528,088$0$32,843
CRAIG WHITTLESEY MD
PHYSICIAN40.00Yes (X)$454,864$0$46,095
MAXWELL OWENS
CFO (ENDED 65.00$0$432,076$23,14535.00Yes (X)
CATHERINE BAMBRICK
ADMINISTRATO40.00$0$324,547$17,488Yes (X)
MATTHEW MATTHIESSEN
CFO (BEG. 6/5.00$0$135,226$9,97235.00Yes (X)
BERTHA ORTEGA
CHAIR1.00$0$0$0Yes (X)Yes (X)
CARRIE STORY
VICE CHAIR1.00$0$0$0Yes (X)Yes (X)
STEVE YOUNG
TRUSTEE1.00$0$0$0Yes (X)
MICHAEL MARPLES MD
TRUSTEE1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,352,900TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,678,501TotReportableCompRltdOrgAmt
Total Other Compensation$325,572TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K59IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RURAL PHYSICIANS GROUP
10624 S EASTERN AVE SUITE A263HENDERSONNV89052PHYSICIAN$1,886,431
SUNNYSIDE EMERGENCY GROUP
PO BOX 677979DALLASTX75267PHYSICIAN$1,190,169
EVERGREEN ANESTHESIA ASSOCIATES
PO BOX 3442IDAHO FALLSID83403PHYSICIAN$1,131,710
PULMONARY EXCHANGE
PO BOX 809258CHICAGOIL60680MEDICAL SUPPORT$690,735
AYA HEALTHCARE
PO BOX 674907DALLASTX75267CONTRACT LABOR$519,153
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Government Grants$1,527,066GovernmentGrantsAmt
Total Contributions$1,527,066TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624100$47,822,018$47,822,018
NET AMBULATORY SURGERY CENTER621990$1,725,891$1,725,891
FieldValueIRS element (for citing)
Total Program Service Revenue$49,547,909TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,273TotalRevenueColumnAmt
Exclusion$2,273ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$158,489RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$158,489RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$158,489TotalRevenueColumnAmt
Exclusion$158,489ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,050,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,050,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,050,000TotalRevenueColumnAmt
Exclusion$1,050,000ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
DIETARY REVENUE722514$111,361$111,361
OTHER REVENUE900099$59,851$59,851
FieldValueIRS element (for citing)
Other Revenue Total$171,212OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,456,949TotalRevenueColumnAmt
Related Or Exempt Func Income$49,547,909RelatedOrExemptFuncIncomeAmt
Exclusion$1,381,974ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$23,567,705TotalAmt
Program Services$22,711,163ProgramServicesAmt
Management And General$856,542ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$660,454TotalAmt
Program Services$637,240ProgramServicesAmt
Management And General$23,214ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,351,387TotalAmt
Program Services$2,268,739ProgramServicesAmt
Management And General$82,648ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,857,258TotalAmt
Program Services$1,791,978ProgramServicesAmt
Management And General$65,280ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$542,810TotalAmt
Management And General$542,810ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$58,017TotalAmt
Management And General$58,017ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,875TotalAmt
Management And General$15,875ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,977,665TotalAmt
Program Services$9,496,213ProgramServicesAmt
Management And General$481,452ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$986,584TotalAmt
Program Services$737,872ProgramServicesAmt
Management And General$248,712ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$114,788TotalAmt
Program Services$112,730ProgramServicesAmt
Management And General$2,058ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,271,814TotalAmt
Program Services$1,217,676ProgramServicesAmt
Management And General$54,138ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$31,940TotalAmt
Program Services$28,811ProgramServicesAmt
Management And General$3,129ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$74,781TotalAmt
Program Services$65,243ProgramServicesAmt
Management And General$9,538ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,456,001TotalAmt
Program Services$32,712ProgramServicesAmt
Management And General$2,423,289ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$783,648TotalAmt
Program Services$732,228ProgramServicesAmt
Management And General$51,420ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$603,930TotalAmt
Program Services$566,594ProgramServicesAmt
Management And General$37,336ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
CORPORATE OVERHEAD$8,777,087$8,777,087
MEDICAL SUPPLIES & DRUGS$3,228,984$3,228,984
MAINTENANCE & REPAIRS$259,451$14,299$245,152

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,307,812TotalAmt
Program Services$1,738,495ProgramServicesAmt
Management And General$569,317ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$59,927,991TotalAmt
Program Services$45,611,830ProgramServicesAmt
Management And General$14,316,161ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$174,047BOYAmt
EOY$145,752EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,552,270BOYAmt
EOY$8,512,909EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,749,186BOYAmt
EOY$3,046,163EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$307,478BOYAmt
EOY$319,825EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,248,811LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,659,811LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,814,163BOYAmt
EOY$8,589,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,801,415BOYAmt
EOY$3,015,069EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,398,559BOYAmt
EOY$23,628,718EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,777,150BOYAmt
EOY$5,804,678EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$495,947BOYAmt
EOY$1,194,055EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$147,761BOYAmt
EOY$135,820EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,549,132BOYAmt
EOY$40,590,635EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,969,990BOYAmt
EOY$47,725,188EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$15,571,431BOYAmt
EOY-$24,096,470EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$15,571,431BOYAmt
EOY-$24,096,470EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,398,559BOYAmt
EOY$23,628,718EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$7,471,042ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$1,053,997PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$550,000OtherCostOrOtherBasisAmt
Book Value$550,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,688,245OtherCostOrOtherBasisAmt
Depreciation$3,536,046DepreciationAmt
Book Value$5,152,199BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,739,144OtherCostOrOtherBasisAmt
Depreciation$2,113,918DepreciationAmt
Book Value$625,226BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,271,422OtherCostOrOtherBasisAmt
Depreciation$9,847DepreciationAmt
Book Value$2,261,575BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,589,000TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescLEASE RIGHT-OF-USE ASSETSDesc
Book Value$3,015,069BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,015,069TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$36,492,656
LEASE LIABILITIES$3,067,979
THIRD PARTY SETTLEMENTS$1,030,000
FieldValueIRS element (for citing)
Total Liability$40,590,635TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FORM 990, WITH THE IRS. IN ADDITION, THEY ARE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATION BELIEVES THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THEIR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other3.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$734,545TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$734,545NetCommunityBenefitExpnsAmt
Total Expense0.01230TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,962,824TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,962,824DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,697,369TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,962,824DirectOffsettingRevenueAmt
Net Community Benefit Expns$734,545NetCommunityBenefitExpnsAmt
Total Expense0.01230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,784TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,784NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,784TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,784NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,730,153TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,962,824DirectOffsettingRevenueAmt
Net Community Benefit Expns$767,329NetCommunityBenefitExpnsAmt
Total Expense0.01280TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,113,733BadDebtExpenseAmt
Reimbursed By Medicare$4,523,837ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$6,291,172CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,767,335MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASTRIA TOPPENISH HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1502 W 4THAddressLine1Txt
CityTOPPENISHCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98948ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ASTRIA.HEALTHWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ASTRIA TOPPENISH HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.ASTRIA.HEALTHOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.ASTRIA.HEALTHStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.ASTRIA.HEALTHFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.ASTRIA.HEALTHFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.ASTRIA.HEALTHFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, ASTRIA TOPPENISH HOSPITAL - PART V, LINE 3EIDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 21 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE.
FACILITY 1, ASTRIA TOPPENISH HOSPITAL - PART V, LINE 5THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY ANALYZING DATA AT THE SUB-COUNTY (LOWER VALLEY) AND INDIVIDUAL HOSPITAL SERVICE AREA LEVEL WHEN POSSIBLE. WHEN SUB-COUNTY DATA WAS UNAVAILABLE, IT WAS REPORTED AT THE COUNTY LEVEL. DURING THIS CHNA, ASTRIA HEALTH ENGAGED WITH COUNTY AND COMMUNITY ORGANIZATIONS, CONDUCTED A COMMUNITY SURVEY TO ASSESS, IDENTIFY, AND PRIORITIZE NEEDS ACROSS THE COUNTY, AND HELD SEVERAL IN-PERSON LISTENING SESSIONS.
FACILITY 1, ASTRIA TOPPENISH HOSPITAL - PART V, LINE 6ATHE HOSPITAL CHNA WAS CONDUCTED WITH ONE OTHER HOSPITAL FACILITY - SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION (DBA ASTRIA SUNNYSIDE HOSPITAL).
FACILITY 1, ASTRIA TOPPENISH HOSPITAL - PART V, LINE 11UTILIZING THE PRIORITIZATION CRITERIA AND GROUP DISCUSSION, THE SENIOR LEADERSHIP TEAM CHOSE THREE PRIORITY COMMUNITY HEALTH NEEDS AS FOCUS AREAS FOR ASTRIA HEALTH OVER THE NEXT THREE YEARS. THESE COMMUNITY HEALTH NEEDS ARE IDENTIFIED AND ADDRESSED IN THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE IN ALIGNMENT WITH THE COMMUNITY HEALTH NEEDS IDENTIFIED BY KEY STAKEHOLDERS. LISTED BELOW ARE THE FOUR SIGNIFICANT NEEDS AND HOW THE HOSPITAL IS ADDRESSING THESE NEEDS. (1) ADVOCATE AND SECURE FEDERAL AND STATE FUNDING LEVELS THAT REIMBURSE FOR THE COST OF PROVIDING HEALTH CARE IN THE LOWER YAKIMA VALLEY. STRATEGIES INCLUDE ENGAGING AND INFORMING STATE AND FEDERAL DESIGNATORS ABOUT THE NEEDS OF LOWER YAKIMA VALLEY RESIDENTS AND THE NEED FOR ADEQUATE MEDICAID REIMBURSEMENT. THEY WILL ALSO DEVELOP AND SHARE INFORMATION THAT DEMONSTRATES THE IMPACT OF CURRENT AND FUTURE PROPOSED FEDERAL CHANGES TO MEDICAID COVERAGE AND REIMBURSEMENT ON THE COMMUNITY AND ASTRIA. ASTRIA WILL ALSO EVALUATE THE ABILITY FOR ASTRIA TOPPENISH HOSPITAL (ATH) TO BECOME A CRITICAL ACCESS HOSPITAL (CAH) TO SECURE COST-BASED REIMBURSEMENT AND EVALUATE OTHER FEDERAL DESIGNATIONS THAT WOULD IMPROVE REIMBURSEMENT LEVELS. (2) ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES. ASTRIA WILL CONTINUE EFFORTS TO INTEGRATE AND CO-LOCATE PRIMARY CARE AND BEHAVIORAL HEALTH (INCLUDING MEDICATION MANAGEMENT, MENTAL HEALTH THERAPY, AND SUBSTANCE USE DISORDER SCREENING). THEY PLAN TO INCREASE COMPLIANCE WITH ANNUAL WELLNESS VISITS FOR THE CURRENT PATIENT PANEL TO ENSURE STANDARDIZED BEHAVIORAL HEALTH SCREENINGS ARE COMPLETED. THEY WILL ALSO INCREASE COMPLIANCE WITH STANDARDIZED BEHAVIORAL HEALTH SCREENINGS (AT WELLNESS VISITS FOR CURRENT CLINIC PATIENT PANELS AND FOR ACUTE CARE AND EMERGENCY VISITS) AND ENSURE PATIENTS ARE REFERRED TO NEEDED SERVICES. ASTRIA WILL INCREASE THE NUMBER OF ASTRIA-EMPLOYED MEDICATION ASSISTED TREATMENT (MAT) PROVIDERS AND CONTINUE COORDINATION WITH YAKAMA NATION PRIMARY CARE AND BEHAVIORAL HEALTH/SUBSTANCE ABUSE DISORDER PROVIDERS. FINALLY, THEY PLAN TO EXPAND THE INPATIENT BEHAVIORAL HEALTH PROGRAM AT ASTRIA TOPPENISH HOSPITAL. (3) ACCESS TO PRIMARY AND SPECIALTY CARE. ASTRIA WILL RECRUIT ADDITIONAL PRIMARY CARE AND SPECIALTY CARE PROVIDERS TO THE COMMUNITY. THEY WILL UNDERSTAND AND ENHANCE PATIENT EXPERIENCE AND CARE DELIVERY MODELS THROUGH PATIENT FEEDBACK AND DATA-BASED STRATEGIC PLANNING , AND ADDRESS INFRASTRUCTURE, WORKFLOW, AND INTERNAL COMMUNICATION GAPS AND INCREASE STAFF TRAINING TO ENSURE EASY, LOW BARRIER, "NO WRONG DOOR" ACCESS. THEY WILL MAINTAIN A COMPREHENSIVE PROGRAM FOR DISCHARGE PLANNING FOCUSED ON CONNECTING HIGH-RISK PATIENTS TO PRIMARY CARE PROVIDERS AND COMMUNITY RESOURCES. ASTRIA WILL IMPROVE THE SYSTEM FOR PREVENTION, SCREENING, AND TREATMENT OF CHRONIC DISEASES , ENGAGE IN COMMUNITY OUTREACH EVENTS TO IDENTIFY COMMUNITY MEMBERS AT RISK OF CHRONIC DISEASES AND CONNECT THEM TO PRIMARY CARE PROVIDERS , AND COORDINATE WITH YAKAMA NATION PRIMARY CARE PROVIDERS FOR LABS, IMAGING, GI, AND GENERAL SURGERY. THEY ALSO PLAN TO ADD RAPID CARE CLINIC SERVICES IN TOPPENISH AND EXPAND DENTAL SERVICES IN ZILLAH RURAL HEALTH CLINIC. (4) ADDRESSING SOCIAL DETERMINANTS OF HEALTH. ASTRIA WILL ACCELERATE COMMUNITY-BASED, COLLABORATIVE LEADERSHIP TO ADDRESS SDOH THROUGH FOCUSED WORK WITH INDIVIDUAL GROUPS INCLUDING CITY COMMITTEES, SCHOOLS/DISTRICTS, TRIBAL COUNCIL, AND LOCAL CHAMBERS OF COMMERCE. THEY PLAN TO INCREASE THE PERCENTAGE OF PATIENTS SCREENED FOR ASSISTANCE WITH SOCIAL DETERMINANTS OF HEALTH (SDOH), TRACK NEEDS, AND STRATEGICALLY PLAN TO ADDRESS THOSE NEEDS. ASTRIA WILL ASSESS HEALTH EQUITY, IDENTIFY SPECIFIC HEALTH EQUITY ISSUES WITHIN THE ASTRIA HEALTH SYSTEM, IDENTIFY TRAINING NEEDS, AND IMPLEMENT HEALTH EQUITY TRAINING ACROSS THE SYSTEM. LASTLY, THEY WILL ENSURE BILINGUAL AND BICULTURAL COMPETENCE IN HIRING, TRAINING, AND BEST PRACTICES. ALL IDENTIFIED HEALTH NEEDS HAVE BEEN ADDRESSED PER THE CHNA.
FACILITY 1, ASTRIA TOPPENISH HOSPITAL - PART V, LINE 13HHARDSHIP TO DEBT RATIO.
FACILITY 1, ASTRIA TOPPENISH HOSPITAL - PART V, LINE 15EDESCRIBED THE APPEALS PROCESS SHOULD IT BE DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE.
FACILITY 1, ASTRIA TOPPENISH HOSPITAL - PART V, LINE 16JAS PART OF THE INTAKE OR DISCHARGE PROCESS, PATIENTS ARE OFFERED A PATIENT INFORMATION PACKET THAT OUTLINES PAYMENT PLAN OPTIONS. AND FINANCIAL ASSISTANCE POLICY INFORMATION INCLUDING THE PLAIN LANGUAGE SUMMARY. THE POLICY WILL BE 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. PART V, SECTION B, LINES 16A16C: THE CHARITY CARE POLICY, APPLICATION, AND PLAIN LANGUAGE OF APPLICATION CAN BE FOUND AT THE FOLLOWING URL: WWW.ASTRIA.HEALTH/CHARITYCARE/
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
ASTRIA HEALTH CENTER
1420 AHTANUM RIDGE DRIVEUNION GAPWA98903RURAL HEALTH CLINIC
ASTRIA HEALTH CENTER
516 W 4TH AVENUETOPPENISHWA98948RURAL HEALTH CLINIC
VINTAGE VALLEY FAMILY MEDICINE
915 VINTAGE VALLEY PKWY STE 200ZILLAHWA98983RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7THE HOSPITAL USED RATIO OF PATIENT CARE COST TO CHARGES METHODOLOGY TO CALCULATE THE AMOUNT REPORTED IN THE TABLE DERIVED FROM WORKSHEETS 1 AND 2 FROM THE IRS INSTRUCTIONS FOR SCHEDULE H. PART I, LINE 7E: ASTRIA TOPPENISH HOSPITAL PHARMACY AND EMERGENCY DEPARTMENT TEAMED UP TO PROVIDE TRAINING ON NALOXONE USE AND STORAGE TO TOPPENISH POLICE OFFICERS, A DIRECT ANSWER TO INFORMATION IN OUR CHNA STATING THAT OPIOID DEATHS HAVE RISEN 344% IN OUR COMMUNITIES BETWEEN THE PERIODS OF 2002-2004 AND 2018-2020. ATH ALSO ISSUED PRESCRIPTIONS TO THE POLICE CHIEF, POLICE CAPTAIN, AND POLICE OFFICERS FOR NALOXONE-AND FILLED THEM-AND PROVIDED A REFILL. THIS NEW PROGRAM WAS DEEMED AN IMPORTANT COMMUNITY SERVICE AND IS FULLY SUPPORTED BY ADMINISTRATION. THIS PROGRAM BEGAN IN 2023 AND IS ONGOING. PEOPLE SERVED 64. ASTRIA TOPPENISH HOSPITAL REPURPOSED A FORMER MEDICATION DISPOSAL BOX INTO A COMMUNITY SHARPS DISPOSAL BOX. THE LOCKED AND SECURE BOX WAS REPAINTED BRIGHT RED AND VINYL GRAPHICS APPLIED TO LET THE COMMUNITY KNOW THAT THIS WAS A SAFE AND CONVENIENT WAY TO DISPOSE OF SYRINGES, RAZOR BLADES, NEEDLE TIPS AND LANCETS TO HELP PROTECT AGAINST ACCIDENTAL INJURY AND REDUCE THE SPREAD OF BLOODBORNE PATHOGENS. THROUGHOUT 2024, ASTRIA TOPPENISH HOSPITAL PROVIDED SPORTS PHYSICALS AT A 10 FLAT RATE TO THE COMMUNITY. 239 SPORTS PHYSICALS WERE COMPLETED IN 2024. THROUGHOUT 2024, ASTRIA TOPPENISH HOSPITAL PROVIDED COMMUNITY EDUCATION EVENTS FOR THOSE WITHIN THE COMMUNITY. 6,315 ENCOUNTERS WERE RECORDED IN 2024. THROUGHOUT 2024, ASTRIA TOPPENISH HOSPITAL PROVIDES CONFERENCE ROOM SPACE FOR COMMUNITY ALCOHOLICS ANONYMOUS (AA) MEETINGS ON FRIDAY AND SATURDAY EVENINGS FROM 7:00 P.M.- 8:00 P.M.
SCHEDULE H, PART III, LINE 2THE HOSPITAL USED THE COST-TO-CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 3THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITALS CHARITY CARE POLICY, BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE A DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. WITH THE COMMUNITY SERVED BY ASTRIA TOPPENISH HOSPITAL, IT IS VERY LIKELY THAT THERE IS A COMPONENT OF BAD DEBT THAT IS ATTRIBUTABLE TO SUCH.
SCHEDULE H, PART III, LINE 4THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 8, ON PAGE 17, OF THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8ANY 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.
SCHEDULE H, PART III, LINE 9BOUR PATIENT NAVIGATOR WILL VISIT WITH ANY PATIENT THAT DISCLOSES THEY HAVE FINANCIAL DIFFICULTY TO DETERMINE IF THE PATIENT QUALIFIES FOR CHARITY CARE BASED ON THEIR FINANCIAL POSITION AND THE FEDERAL POVERTY GUIDELINES. THE APPLICATIONS ARE REVIEWED AND EVALUATED FOR CHARITY CARE STATUS AND WRITTEN OFF WHEN APPROPRIATE.
SCHEDULE H, PART VI, LINE 2THE HOSPITAL BOARD ANNUALLY REVIEWS COMMUNITY DEMOGRAPHICS, PATIENT ORIGINS, CURRENT SERVICES AND FUTURE NEEDS. FROM THIS REVIEW, THE BOARD CONTINUALLY ASSESSES THE COMMUNITY NEEDS. 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. A COPY OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OR CAN BE FOUND ON THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.ASTRIA.HEALTH/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART VI, LINE 3THE INFORMATION IS DISTRIBUTED TO THE COMMUNITY IN A VARIETY OF WAYS. A BROCHURE IS PLACED IN PUBLIC AREAS OF THE HOSPITAL, AS WELL AS INCLUDED IN ALL FORMAL ADMISSION PACKETS TO PATIENTS. PATIENT ACCOUNT REPRESENTATIVES HAND OUT THE INFORMATION DURING PATIENT CONSULTS AS WELL. SIGNS ARE POSTED, IN ENGLISH AND IN SPANISH, IN ALL REGISTRATION AND WAITING AREAS, AND THE BUSINESS OFFICE. THE SIGN STATES: ASTRIA TOPPENISH HOSPITAL PROVIDES CHARITY CARE TO PERSONS MEETING MEDICAL INDIGENT CRITERIA. CHARGES MAY BE WAIVED OR REDUCED IF ELIGIBILITY FOR CHARITY CARE IS DETERMINED. THE INFORMATION IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE AND INCLUDED WITH EVERY PATIENT ACCOUNT STATEMENT. PART V, SECTION B, LINE 16 OUTLINES ADDITIONAL WAYS THE ORGANIZATION PUBLICIZES ITS FINANCIAL ASSISTANCE INFORMATION. THE LATEST CHARITY CARE POLICY IS AVAILABLE ON OUR WEBSITE. IT IS UPDATED ANNUALLY WITH NEW POVERTY GUIDELINES. A COPY OF THE MOST RECENT CHARITY CARE POLICY IS AVAILABLE AT THE HOSPITAL UPON REQUEST OR CAN BE FOUND ON THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: WWW.ASTRIA.HEALTH/CHARITYCARE/
SCHEDULE H, PART VI, LINE 4THE HOSPITAL IS LOCATED IN YAKIMA COUNTY WITHIN THE YAKIMA INDIAN RESERVATION IN TOPPENISH, WASHINGTON. THE HOSPITAL SERVICES A PRIMARY POPULATION OF APPROXIMATELY 49,700 WITH A MEDIAN HOUSEHOLD INCOME OF 68,397. APPROXIMATELY 40% OF RESIDENTS HAVE INCOMES BELOW FEDERAL POVERTY GUIDELINES. 64.0% OF RESIDENTS IDENTIFY AS HISPANIC ETHNICITY WITH A SIZABLE NUMBER OF SPANISH-PRIMARY SPEAKERS AND 15% AS NON-HISPANIC AMERICAN INDIANS. RESIDENTS OF THIS AREA ARE SIGNIFICANTLY YOUNGER THAN RESIDENTS OF YAKIMA COUNTY AND WASHINGTON STATE, WITH APPROXIMATELY 31% BEING UNDER THE AGE OF 18 COMPARED TO JUST OVER 21% STATEWIDE. APPROXIMATELY 12% OF RESIDENTS ARE 65 OR OLDER.
SCHEDULE H, PART VI, LINE 5THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY MEMBERS REPRESENTING MULTIPLE FACETS OF 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 COMMUNITIES WE SERVE. THE HOSPITAL 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. THIS ALLOWS THE HOSPITAL TO FOCUS ON WHAT IS IMPORTANT MEETING THE HEALTH AND WELFARE NEEDS OF THE COMMUNITIES WE SERVE IN AN ECONOMICALLY VIABLE FASHION. THE HOSPITALS CHARITY CARE PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE FINANCIAL RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTHCARE THEY RECEIVE. THE CHARITY CARE PROGRAM IS DESIGNED TO ENSURE THAT THE YAKIMA VALLEY IN ITS ENTIRETY HAS ACCESS TO NECESSARY HEALTHCARE SERVICES. THE HOSPITAL ACCEPTS ALL PATIENTS IN NEED OF MEDICAL ASSISTANCE, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL OPERATES A FULLY STAFFED 24-HOUR EMERGENCY ROOM, AVAILABLE TO THE PUBLIC 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. THIS INCLUDES HOSTING AN ANNUAL HEALTH FAIR WITH FREE ACCESS TO HEALTHCARE PROFESSIONALS, FREE SCREENINGS AND A WEALTH OF HEALTH AND WELLNESS INFORMATION MADE AVAILABLE TO THE PUBLIC, AS WELL AS PUTTING ON A COMMUNITY BABY SHOWER FOR PREGNANT PATIENTS WITHIN THE COMMUNITY.
SCHEDULE H, PART VI, LINE 6THE HOSPITAL, ALONG WITH ASTRIA SUNNYSIDE HOSPITAL, IS PART OF THE ASTRIA HEALTH SYSTEM, HEADQUARTERED IN THE HEART OF YAKIMA VALLEY IN THE STATE OF WASHINGTON. THIS NON-PROFIT HEALTHCARE SYSTEM 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. ASTRIA SUNNYSIDE HOSPITAL IS LOCATED IN SUNNYSIDE, WASHINGTON, AND ASTRIA TOPPENISH HOSPITAL IS LOCATED IN TOPPENISH, WASHINGTON. THE SERVICE AREA IS DEFINED AS YAKIMA COUNTY AND THE COMMUNITIES OF PROSSER, WHICH IS IN BENTON COUNTY, AND ELLENSBURG, WHICH IS IN KITTITAS COUNTY. ASTRIA SUNNYSIDE HOSPITAL IS A CRITICAL ACCESS HOSPITAL AND ALSO OPERATES A NUMBER OF RURAL HEALTH CLINICS. ASTRIA TOPPENISH HOSPITAL IS A COMMUNITY HOSPITAL AND CARES FOR THE UNIQUE NEEDS OF THE TOPPENISH AREA, INCLUDING CARING FOR PEOPLE LIVING AND WORKING ON THE YAKAMA NATION.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmount
SIKARIN UPALA MD
PHYSICIAN$1,288,961$345$13,800$9,315$1,312,421
VU LE MD
PHYSICIAN$1,211,448$841$13,800$44,063$1,270,152
CHARLES BULFINCH MD
PHYSICIAN$867,758$595$13,800$41,901$924,054
BRIAN P GIBBONS JR
PRESIDENT & CEO$508,589$271,666$6,397$13,800$45,550$846,002
ADRIAN OBUCH MD
PHYSICIAN$523,732$4,356$13,800$19,043$560,931
CRAIG WHITTLESEY MD
PHYSICIAN$279,986$8,968$13,800$32,295$500,959$165,910
MAXWELL OWENS
CFO (ENDED 6/24)$307,171$118,750$6,155$13,800$9,345$455,221
CATHERINE BAMBRICK
ADMINISTRATOR$226,417$94,602$3,528$12,900$4,588$342,035

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PAGE 1, PART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION CONTRACTS WITH ASTRIA HEALTH FOR MANAGEMENT SERVICES. ASTRIA HEALTH DETERMINES THE CEO AND CFO SALARY. ASTRIA HEALTH ESTABLISHES SALARIES AT THE TIME OF HIRE AND PERIODICALLY REVIEWS THEM 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 BUSINESSES OF SIMILAR SIZE AND WITHIN THE RELEVANT GEOGRAPHIC AREA; AND C) ASTRIA HEALTH'S ABILITY AND WILLINGNESS TO PAY, AS AGREED BY ASTRIA HEALTH'S BOARD OR A SUBCOMMITTEE THEREOF. IN ADDITION TO BASE SALARY, THE CEO AND CFO MAY BE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON PERFORMANCE PARAMETERS ESTABLISHED BY ASTRIA HEALTH AND APPROVED BY THE ASTRIA HEALTH BOARD.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 3PURSUANT TO A CONTRACTUAL ARRANGEMENT, THE ORGANIZATION OBTAINS CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES FROM ASTRIA HEALTH (AH). AH, AS THE PARENT AND SYSTEM ENTITY, PROVIDES THE SERVICES TO ITS SUBSIDIARY TAX- EXEMPT NONPROFIT CORPORATE ENTITIES ON A CENTRALIZED BASIS. THE SERVICES INCLUDE THE FOLLOWING MANAGEMENT OF: EXECUTIVE ACTIVITIES, INFORMATION SYSTEMS, FINANCIAL OPERATIONS, HEALTH INFORMATION AND RECORDS, SCHEDULING AND REFERRALS, HUMAN RESOURCES, MATERIALS AND SUPPLIES, MEDICAL STAFF AND PHYSICIANS SERVICES, QUALITY RESOURCES, RISK MANAGEMENT, MARKETING AND COMMUNITY RELATIONS, SHARED SERVICES, DIRECTORS FOR LABORATORY. SHC MEDICAL CENTER - TOPPENISH UTILIZES EMPLOYEES OF ASTRIA HEALTH AS ITS CEO AND CFO. THE FOLLOWING PERSONS LISTED IN PART VII WERE COMPENSATED BY AH: BRIAN GIBBONS CEO (COMPENSATION FOR SERVICES AS AN OFFICER OF AH AND RELATED TAX-EXEMPT ENTITIES), MAXWELL OWENS CFO (COMPENSATION FOR SERVICES AS AN OFFICER OF AH AND RELATED TAX-EXEMPT ENTITIES), MATTHEW MATTHIESSEN CFO(COMPENSATION FOR SERVICES AS AN OFFICER OF AH AND RELATED TAX-EXEMPT ENTITIES).
FORM 990, PAGE 6, PART VI, LINE 6SHC HOLDCO, LLC, A DISREGARDED ENTITY OF ASTRIA HEALTH, IS THE SOLE MEMBER OF SHC MEDICAL CENTER TOPPENISH DBA ASTRIA TOPPENISH HOSPITAL.
FORM 990, PAGE 6, PART VI, LINE 7ASHC HOLDCO, LLC, A DISREGARDED ENTITY OF ASTRIA HEALTH, AS THE MEMBER OF THE ORGANIZATION HAS SOLE AUTHORITY TO APPOINT THE ORGANIZATION'S BOARD MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 7BSHC HOLDCO, LLC, A DISREGARDED ENTITY OF ASTRIA HEALTH, AS THE MEMBER OF THE ORGANIZATION HAS SOLE AUTHORITY TO: APPOINT OR REMOVE OFFICERS, OVERSIGHT AND APPROVAL OF OFFICER AND PHYSICIAN COMPENSATION, CHANGE THE MISSION AND PHILOSOPHY, ADOPT, AMEND OR REPEAL GOVERNING DOCUMENTS, ESTABLISH PARAMETERS AROUND ACQUIRING OR DISPOSING OF ASSETS, INCURRING INDEBTEDNESS OR ENTERING LEASES, APPROVE ANY CORPORATE RESTRUCTURING INCLUDING MERGERS AND DISSOLUTIONS, APPROVE ANNUAL STRATEGIC PLANS AND CAPITAL BUDGETS, APPOINT AUDITORS, CAUSE THE ISSUANCE OR REDEMPTION OF A MEMBERSHIP TO OR FROM ANY PERSON OR ENTITY.
FORM 990, PAGE 6, PART VI, LINE 11BA 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 12CEACH 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 19SHC TOPPENISH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G9,496,213 481,452 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASTRIA HEALTH
1016 TACOMA AVESUNNYSIDEWA98944813973675MANAGEMENTWA501C312CN/Afalse
SUNNYSIDE COMMUNITY HOSPITAL ASSOC
PO BOX 719SUNNYSIDEWA98944911286274HEALTHCAREWA501C33falseASTRIA H
AH NP8
1806 YAKIMA VALLEY HWYSUNNYSIDEWA98944831478789HEALTHCAREWA501C33falseASTRIA H
SHC MEDICAL CENTER - YAKIMA
1016 TACOMA AVESUNNYSIDEWA98944814653630HEALTHCAREWA501C33falseSHC HOLDCO
ASTRIA SUNNYSIDE FOUNDATION
PO BOX 719SUNNYSIDEWA98944912000867SUPPORTINGWA501C312AfalseSUNNYSIDE
SUNNYSIDE HOME HEALTH
812 MILLER AVE SUITE ASUNNYSIDEWA98944814552945HOME HEAL.WA501C33falseSUNNYSIDE
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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