SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION (EIN 91-1286274)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201133199349306443
Schema version
2010v3.4
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)
Timestamp2011-11-15T16:31:12-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13000 NORTHUP WAY SUITE 200AddressLine1
CityBELLEVUECity
StateWAState
ZIP Code980041446ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911286274EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSUNNNameControl
Phone5098371500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 719AddressLine1
CitySUNNYSIDECity
StateWAState
ZIP Code98944ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJON SMILEYName
TitleCEOTitle
Phone5098371500Phone
Date Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePAUL M BAILEYName
Phone4252506100Phone
Date Prepared2011-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJON SMILEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 719AddressLine1
CitySUNNYSIDECity
StateWAState
ZIP Code98944ZIPCode
FieldValueIRS element (for citing)
Gross Receipts49918826GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SUNNYSIDEHOSPITAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO THE RESIDENTS OF SUNNYSIDE, GRANDVIEW AND THE REST OF THE LOWER YAKIMA VALLEY OF WASHINGTON. SUNNYSIDE COMMUNITY HOSPITAL OFFERS SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees447TotalNbrEmployees
Total Nbr Volunteers148TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year52665ContributionsGrantsPriorYear
Contributions Grants Current Year496732ContributionsGrantsCurrentYear
Program Service Revenue Prior Year42625546ProgramServiceRevenuePriorYear
Program Service Revenue CY48451182ProgramServiceRevenueCY
Investment Income Prior Year16758InvestmentIncomePriorYear
Investment Income Current Year289102InvestmentIncomeCurrentYear
Other Revenue Prior Year289278OtherRevenuePriorYear
Other Revenue Current Year274057OtherRevenueCurrentYear
Total Revenue Prior Year42984247TotalRevenuePriorYear
Total Revenue Current Year49511073TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year23872842SalariesEtcPriorYear
Salaries Etc Current Year27118404SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18305532OtherExpensePriorYear
Other Expenses Current Year21532125OtherExpensesCurrentYear
Total Expenses Prior Year42178374TotalExpensesPriorYear
Total Expenses Current Year48650529TotalExpensesCurrentYear
Revenues Less Expenses Prior Year805873RevenuesLessExpensesPriorYear
Revenues Less Expenses CY860544RevenuesLessExpensesCY
Total Assets BOY25213461TotalAssetsBOY
Total Assets EOY27545072TotalAssetsEOY
Total Liabilities BOY9072569TotalLiabilitiesBOY
Total Liabilities EOY10671275TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16140892NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16873797NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO THE RESIDENTS OF SUNNYSIDE, GRANDVIEW AND THE REST OF THE LOWER YAKIMA VALLEY OF WASHINGTON. IT OFFERS SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense39427448Expense
Grants0Grants
Revenue48239021Revenue
DescriptionHEALTH CARE SERVICES ARE PROVIDED TO PATIENTS IN A 38-BED RURAL HOSPITAL ON BOTH AN INPATIENT AND OUTPATIENT BASIS. THE HOSPITAL SERVED 1,388 HOSPITAL ADMISSIONS DURING THE YEAR, 537 DELIVERIES, AS WELL AS OVER 65,800 OUTPATIENT VISITS. THE HOSPITAL PROVIDED CHARITY CARE IN THE AMOUNT OF $1,417,611 DURING 2010 TO SERVE THOSE WHO QUALIFIED FOR OUR CHARITY PROGRAM. THE HOSPITAL HAD MEDICAID CONTRACTUAL ALLOWANCES OF $11,117,368 WHICH RECOGNIZES THE HOSPITAL'S WILLINGNESS TO TAKE ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. IN ADDITION TO HOSPITAL SERVICES, SUNNYSIDE COMMUNITY HOSPITAL ALSO OPERATES EIGHT CLINICS THAT PROVIDE SERVICES INCLUDING PRIMARY CARE, PEDIATRICS, SURGERY, OBSTETRICS, AND GYNECOLOGY. AN EAR, NOSE, AND THROAT PHYSICIAN ALSO PROVIDES SERVICES THROUGH THE CLINICS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense158112Expense
Grants0Grants
Revenue201968Revenue
Description1. THE LOWER VALLEY HAS A HIGH OCCURRENCE OF DIABETES AND "PRE-DIABETES" CONDITION PATIENTS. IN 2010 A HEALTHY HABITS CLASS WAS STARTED TO TEACH PEOPLE HOW TO GO OUT AND TEACH BASIC NUTRITION AND WEIGHT LOSS. THERE WERE FOUR TWO HOUR CLASSES GIVEN DURING 2010. ANOTHER PROGRAM STARTED IN 2010 WAS 12 WEEKS TO WEIGHT LOSS. THIS CLASS WAS TAKING WHAT WAS LEARNED AND USED IN THE HEALTHY HABITS CLASS AND COMBINED NUTRITION, PHYSICAL ACTIVITY AND EMOTIONAL WELL BEING AS A GUIDE TO HELP THE COMMUNITY DEVELOP HEALTHY HABITS. GOALS ARE TO HELP PEOPLE ACHIEVE OR MAINTAIN A HEALTHY WEIGHT, CONTROL, PREVENT OR DELAY ONSET OF CHRONIC DISEASES, SUCH AS DIABETES, HEART DISEASE ETC. CLASSES WERE ONE HOUR ONCE A WEEK FOR 12 WEEKS SPANNING OVER 3 MONTHS. WEEKLY WEIGHTS ARE OBTAINED. 2. THERE IS ALSO ONE ON ONE CONSULTS GIVEN TO PATIENTS THAT ARE REFERRED BY THEIR DOCTOR. BOTH THE DIABETES EDUCATOR AND REGISTERED DIETICIAN PROVIDE THIS SERVICE. THERE IS A GREAT NEED FOR THESE CONSULTS DUE TO THE EDUCATION LEVEL OF THE POPULATION IN THIS VALLEY WHERE MANY PEOPLE DO NOT HAVE THE NECESSARY INFORMATION OR KNOWLEDGE TO BE ABLE TO SELECT A BALANCED AND NUTRITIOUS MEAL. THE CONSULTS ARE FOR DIABETIC PATIENTS BUT MANY ARE FOR WEIGHT MANAGEMENT ISSUES, CARDIAC, HIGH BLOOD PRESSURE. LARGE AMOUNT OF WEIGHT MANAGEMENT IS FOR PEDIATRIC WEIGHT MANAGEMENT BUT REQUIRES PARTICIPATION FROM THE ENTIRE FAMILY. INTERPRETERS ARE USED OFTEN FOR SPANISH SPEAKING PATIENTS. MANY PEDIATRIC PATIENTS ARE ENGLISH SPEAKING BUT PARENTS ARE SPANISH SPEAKING ONLY. 3. DUE TO THE HIGH NUMBER OF PEOPLE IN OUR COMMUNITY THAT ARE UNDIAGNOSED DIABETICS OR PRE-DIABETIC, SUNNYSIDE ALSO 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense7980Expense
Grants0Grants
Revenue10193Revenue
DescriptionTHE HOSPITAL PROVIDES NUMEROUS OTHER OUTREACH PROGRAMS INCLUDING ASSISTANCE WITH THE PURCHASE OF PRESCRIBED MEDICATIONS; TRANSPORTATION HOME AFTER DISCHARGED FROM THE HOSPITAL; CARDIOPULMONARY EDUCATION WITH AN EMPHASIS ON THE RISKS FROM DRUGS AND ALCOHOL; CHILD BIRTH CLASSES; AND A FIRST AID BOOTH AT AN ANNUAL COMMUNITY EVENT.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionTHE HOSPITAL PROVIDES NUMEROUS OTHER OUTREACH PROGRAMS INCLUDING ASSISTANCE WITH THE PURCHASE OF PRESCRIBED MEDICATIONS; TRANSPORTATION HOME AFTER DISCHARGE FROM THE HOSPITAL; CARDIOPULMONARY EDUCATION WITH AN EMPHASIS ON THE RISKS FROM DRUGS AND ALCOHOL; CHILD BIRTH CLASSES; AND A FIRST AID BOOTH AT AN ANNUAL COMMUNITY EVENT.Description
FieldValueIRS element (for citing)
Total Program Service Expense39593540TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109695NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees447NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WILLIAM ALSDURFBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5098371500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11016 TACOMA AVEAddressLine1
CitySUNNYSIDECity
StateWAState
ZIP Code989440719ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JIM SEWELL
PRESIDENT4.00XX000
JONATHAN MERCER
VICE PRESIDENT4.00XX000
DAVE BALLENGER
SECY/TREAS4.00XX000
MARY ANN BLIESNER
TRUSTEE4.00X000
PEGGY BREWER
TRUSTEE4.00X000
CHRIS RIVAS
TRUSTEE4.00X000
JIM TRULL
TRUSTEE4.00X000
JESSE HERNANDEZ JR
TRUSTEE4.00X000
MARTHA RODRIGUEZ
CFO40.00X000
JON SMILEY
CEO40.00X000
WILLIAM COMBS
CLINIC PHYSICIAN40.00352209013362X
ROBERT COLEMAN
PHYSICIAN40.00341027015701X
STEVEN LEE
CLINIC PHYSICIAN40.00332879018360X
STEVEN ELERDING
CLINIC PHYSICIAN40.00311875093813X
KAREN EASTON
CLINIC PHYSICIAN40.00221631021013X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1559621TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation162249TotalOtherCompensation
Number Individuals GT100 K39NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PREMERA BLUE CROSS
PO BOX 91060SEATTLEWA98111MEDICAL INSURANCE3573942
EMCARE OF WASHINGTON INC
7032 COLLECTION CENTER DRCHICAGOIL60693PROFESSIONAL SERVICES1028930
MCCOMMON LEASING COMPANY
12715 BEL-RED RD STE 201BELLEVUEWA98005EQUIPMENT LEASING826595
ARSCO
LOCKBOX 203629HOUSTONTX772163629PENSION PLAN825390
HEALTHTECH MANAGEMENT SERVICES
PO BOX 636426CINCINNATIOH45263MANAGEMENT SERVICES769984
FieldValueIRS element (for citing)
Number Of Contractors GT100 K38NumberOfContractorsGT100K
Related Organizations400000RelatedOrganizations
Government Grants24116GovernmentGrants
All Other Contributions72616AllOtherContributions
Total Contributions496732TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionDAILY HOSPITAL CAREDescription
Business Code624100BusinessCode
Total Revenue Column48451182TotalRevenueColumn
Related Or Exempt Function Income48451182RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue48451182TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column37921TotalRevenueColumn
Exclusion$37,921ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3375Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1801Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1574Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1574TotalRevenueColumn
Exclusion$1,574ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other657133Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other405952Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other251181Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column251181TotalRevenueColumn
Exclusion$251,181ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
DIETARY INCOME900099231496$231,496
MISCELLANEOUS INCOME90009940987$40,987
FieldValueIRS element (for citing)
Total Other Revenue272483TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column49511073TotalRevenueColumn
Related Or Exempt Function Income48451182RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$563,159ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21656583Total
Program Services17903695ProgramServices
Management And General3752888ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total548933Total
Program Services453808ProgramServices
Management And General95125ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3372865Total
Program Services2788378ProgramServices
Management And General584487ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1540023Total
Program Services1235096ProgramServices
Management And General304927ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total769984Total
Management And General769984ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total87483Total
Management And General87483ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total76881Total
Management And General76881ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5947360Total
Program Services4867497ProgramServices
Management And General1079863ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4431419Total
Program Services4286169ProgramServices
Management And General145250ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total216749Total
Program Services179188ProgramServices
Management And General37561ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total619341Total
Program Services427562ProgramServices
Management And General191779ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total151182Total
Program Services60187ProgramServices
Management And General90995ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total80971Total
Program Services44909ProgramServices
Management And General36062ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total70697Total
Program Services70697ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1147525Total
Program Services552698ProgramServices
Management And General594827ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total799447Total
Program Services799447ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS34338743433874
RENTAL EXPENSES18504801663240187240
MISCELLANEOUS EXPENSES785162254510530652
REPAIRS & MAINTENANCE559620458771100849
TAXES. LICENSES,DUES, M503950113814390136

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total48650529Total
Program Services39593540ProgramServices
Management And General9056989ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4954977BOY
EOY3336828EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5432125BOY
EOY8281104EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY522651BOY
EOY1302047EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY559032BOY
EOY534556EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY776303BOY
EOY902033EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis27125661LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16433574LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11666473BOY
EOY10692087EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY395652BOY
EOY2171782EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY254643BOY
EOY254643EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY651605BOY
EOY69992EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25213461BOY
EOY27545072EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4110486BOY
EOY4411877EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4454083BOY
EOY5609110EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY508000BOY
EOY650288EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9072569BOY
EOY10671275EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16140892BOY
EOY16873797EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16140892BOY
EOY16873797EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25213461BOY
EOY27545072EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses860544ReconcilationRevenueExpenses
Reconcilation Other Changes-127639ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed For Charitable Purposes1DisclosedForCharitablePurposes

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis334269InvestmentCostOrOtherBasis
Other Cost Or Other Basis409146OtherCostOrOtherBasis
Book Value743415BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16668336OtherCostOrOtherBasis
Depreciation8464586Depreciation
Book Value8203750BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1118698OtherCostOrOtherBasis
Depreciation818741Depreciation
Book Value299957BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8568004OtherCostOrOtherBasis
Depreciation7150247Depreciation
Book Value1417757BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27208OtherCostOrOtherBasis
Book Value27208BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10692087TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
OTHER INVESTMENTS219219C
ASSETS LIMITED AS TO USE1952563C
FieldValueIRS element (for citing)
Total Of Book Value Securities2171782TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionTHIRD PARTY COST SETTLEMENTSDescription
Amount$650,288Amount
FieldValueIRS element (for citing)
Total Of Amounts650288TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationMANAGEMENT EVALUATED THE ASSOCIATION'S TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. THE ASSOCIATION IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2007.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense968587TotalCommunityBenefitExpense
Net Community Benefit Expense968587NetCommunityBenefitExpense
Percent Of Total Expense0.02070PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense18207354TotalCommunityBenefitExpense
Direct Offsetting Revenue15411544DirectOffsettingRevenue
Net Community Benefit Expense2795810NetCommunityBenefitExpense
Percent Of Total Expense0.05970PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense19175941TotalCommunityBenefitExpense
Direct Offsetting Revenue15411544DirectOffsettingRevenue
Net Community Benefit Expense3764397NetCommunityBenefitExpense
Percent Of Total Expense0.08040PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense19175941TotalCommunityBenefitExpense
Direct Offsetting Revenue15411544DirectOffsettingRevenue
Net Community Benefit Expense3764397NetCommunityBenefitExpense
Percent Of Total Expense0.08040PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served1136PersonsServed
Total Community Building Expense3964TotalCommunityBuildingExpense
Net Community Building Expense3964NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served3950PersonsServed
Total Community Building Expense162128TotalCommunityBuildingExpense
Net Community Building Expense162128NetCommunityBuildingExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served5086PersonsServed
Total Community Building Expense166092TotalCommunityBuildingExpense
Net Community Building Expense166092NetCommunityBuildingExpense
Percent Of Total Expense0.00370PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,346,206BadDebtExpenseAmount
Amount Reimbursed By Medicare8970136AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9123098CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-152962MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE COMMUNITY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1PO BOX 719AddressLine1
CitySUNNYSIDECity
StateWAState
ZIP Code98944ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities8NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
BIRCH STREET MEDICAL CENTER
222 E SECOND STGRANDVIEWWA98930RHC CLINIC
GRANDVIEW MEDICAL CENTER
208 N EUCLIDGRANDVIEWWA98944RHC CLINIC
LINCOLN AVENUE FAMILY MEDICINE
803 E LINCOLNSUNNYSIDEWA98944RHC CLINIC
VALLEY INTERNAL MEDICINE
1000 E EDISONSUNNYSIDEWA98944RHC CLINIC
SUNNYSIDE PEDIATRICS
812 MILLER AVE SUITE CSUNNYSIDEWA98944RHC CLINIC
SUNNYSIDE EAR NOSE & THROAT
2925 ALLEN RDSUNNYSIDEWA98944SPECIALTY CLINIC
OCCUPATIONAL HEALTH INC
802 MILLER AVESUNNYSIDEWA98944SPECIALTY CLINIC
SUNNYSIDE GENERAL SURGERY
2925 ALLEN RDSUNNYSIDEWA98944SURGICAL CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

ExplanationExplanation
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3433874.
PART II: THE PHARMACEUTICALS AND TRANSPORTATION FOR PATIENTS IN NEED PROGRAM ASSISTS DISCHARGED PATIENTS THAT ARE NOT ABLE TO PURCHASE MEDICATIONS 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 DUE TO NOT FOLLOWING DISCHARGE INSTRUCTIONS AND/OR BECAUSE OF THEIR INABILITY TO PURCHASE THE NECESSARY MEDICINE.PRESENTATIONS ARE MADE AT LOCAL SCHOOLS TO EDUCATE THOSE ABOUT THE CARDIOPULMONARY PROFESSION AND THE CONSEQUENCES OF BAD CHOICES, SUCH AS DRUG AND ALCOHOL USE.DIABETES EDUCATION IS ESSENTIAL, AS THE LOWER VALLEY HAS A HIGH OCCURRENCE OF THIS CONDITION. A SERIES OF SCHOOL PRESENTATIONS WERE ORGANIZED DURING THE NATIONAL DIABETES AWARENESS MONTH IN MARCH IN ORDER TO RAISE AWARENESS OF YOUNG PEOPLE ON THIS SUBJECT. THE DIABETES EDUCATOR AND A REGISTERED DIETICIAN PROVIDE ONE ON ONE CONSULTATIONS FOR PATIENTS REFERRED BY THEIR DOCTOR IN ORDER TO EDUCATE THEM ON THE IMPORTANCE OF A BALANCED AND NUTRITIOUS DIET. ALSO, A FREE COMMUNITY DIABETES SCREENING CAMPAIGN WAS STARTED DUE TO THE HIGH NUMBER OF PEOPLE IN THE COMMUNITY THAT ARE UNDIAGNOSED OR PRE-DIABETIC, RAISING AWARENESS AND ENCOURAGING THEM TO SEEK MEDICAL ATTENTION TO CONTROL THIS DISEASE.SUNNYSIDE COMMUNITY HOSPITAL OFFERS CHILD BIRTH CLASSES FOR ANY EXPECTING MOTHERS REGARDLESS OF THEIR ABILITY TO PAY, THIS GREATLY BENEFITS THE PATIENTS AS INCOME LEVELS ARE GENERALLY LOW.SUNNYSIDE PROVIDES A FIRST AIDE BOOTH AT "COMMUNITY DAYS" PROVIDING MEDICAL KITS, GIVEAWAYS AND MEDICAL INFORMATION, AS WELL AS FIRST AIDE SERVICES.
PART III, LINE 4: THE FOLLOWING IS FROM THE "PATIENT'S ACCOUNTS RECEIVABLE" PARAGRAPH IN NOTE 1 TO THE HOSPITAL'S FINANCIAL STATEMENTS. RECEIVABLES ARISING FROM REVENUE FROM SERVICES TO PATIENTS ARE REDUCED BY ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS BASED ON EXPERIENCE, THIRD-PARTY CONTRACTUAL REIMBURSEMENT ARRANGEMENTS, AND ANY UNUSUAL CIRCUMSTANCES THAT MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS. ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED AGAINST THESE ALLOWANCES.THE AMOUNT OF BAD DEBT EXPENSE (AT COST) REPORTED IN PART III, LINE 2 IS CALCULATED 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.
PART III, LINE 8: NONE OF THE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FROM PART III, LINE 6, THE TOTAL ALLOWABLE COST REPORTED TO MEDICARE WAS BASED ON THE 2010 FILED MEDICARE COST REPORT.
PART VI, LINE 2: THROUGH ASSOCIATION WITH HEALTHTECH, WHICH SPECIALIZES IN THE MANAGEMENT OF RURAL HEALTHCARE, AND MEMBERSHIP IN THE AREA CHAMBERS OF COMMERCE TO STAY ABREAST OF COMMUNITY NEEDS AND CHANGES.
PART VI, LINE 3: THE PUBLIC WILL BE NOTIFIED BY THE POSTING OF SIGNS, IN ENGLISH AND IN SPANISH, IN ALL REGISTRATION AREAS, WAITING AREAS AND THE BUSINESS OFFICE, THE SIGN STATES: "SUNNYSIDE COMMUNITY HOSPTAL 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: SUNNYSIDE, GRANDVIEW AND THE REST OF THE LOWER YAKIMA VALLEY IS A CULTURALLY DIVERSE REGION OF NEARLY 40,000 PEOPLE LIVING BETWEEN THE CITY OF YAKIMA ON THE WEST AND TRI-CITIES, WASHINGTON ON THE EAST.
PART VI, LINE 6: SUNNYSIDE COMMUNITY HOSPITAL'S CHARITY CARE PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE FINANCIAL RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTH CARE THEY RECEIVE. THE CHARITY CARE PROGRAM IS DESIGNED TO ENSURE THAT THE YAKIMA VALLEY IN ITS ENTIRETY HAS ACCESS TO NECESSARY HEALTHCARE SERVICES. SUNNYSIDE ACCEPTS ALL PATIENTS IN NEED OF MEDICAL ASSISTANCE, REGARDLESS OF ABILITY TO PAY. IN ADDITION TO SUNNYSIDE'S CHARITY CARE PROGRAM, THE HOSPITAL PROVIDES OR PARTICIPATES IN SEVERAL OTHER PROGRAMS WHICH CONTRIBUTE TO ITS CHARITABLE MISSION. ON SUCH PROGRAM IS A "HEALTHY HABITS" CLASS TO OFFER INSTRUCTIONS TO PEOPLE ON HOW TO TEACH BASIC NUTRITION AND WEIGHT LOSS IN THE COMMUNITY. THERE WERE FOUR TWO HOUR CLASSES OFFERED IN 2010. AN ADDITIONAL WEIGHT LOSS PROGRAM CALLED "12 WEEKS TO WEIGHT LOSS" BEGAN TO IMPLEMENT LESSONS LEARNED IN THE "HEALTHY HABITS" CLASS. GOALS INCLUDE HELPING PEOPLE ACHIEVE OR MAINTAIN A HEALTHY WEIGHT, CONTROL, PREVENT, OR DELAY THE ONSET OF CHRONIC DISEASES. ADDITIONALLY, 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 RISKS FROM DRUGS AND ALCOHOL, CHILD BIRTH CLASSES, AND A FIRST AID BOOTH AT AN ANNUAL COMMUNITY EVENT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM COMBS
3522090000000133620365571000
ROBERT COLEMAN
3410270000000157010356728000
STEVEN LEE
3328790000000183600351239000
STEVEN ELERDING
31187500000728000210130405688000
KAREN EASTON
2184910314000000210130242644000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationTHE CEO AND CFO ARE BOTH HIRED AND PAID THROUGH HEALTHTECH. 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 SIMILIAR SIZE AND WITHIN A RELEVANT GEOGRAPHIC AREA; AND C.) THE HOSPITAL'S ABILITY AND WILLINGNESS TO PAY, AS AGREED BY THE HOSPITAL BOARD OR A SUBCOMMITTEE THEREOF. IN ADDITION TO BASE SALARY, THE CEO AND THE CFO MAY BE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON PERFORMANCE PARAMETERS OUTLINED IN THE HOSPITAL'S CONTRACT WITH HEALTHTECH AND APPROVED BY THE HOSPITAL BOARD. THE MOST RECENT YEAR IN WHICH THIS PROCESS OCCURED WAS 2011. ALSO, A SALARY SURVEY IS REVIEWED FOR KEY EMPLOYEES BY THE PHYSICIAN RECRUITER AND HR DIRECTOR. JON SMILEY, CEO APPROVES AND MAKES THE FINAL DECISION ON EMPLOYMENT CONTRACTS WITH PHYSICIANS. THE MOST RECENT YEAR IN WHICH THIS PROCESS OCCURRED WAS 2010.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3THE CEO AND THE CFO OF SUNNYSIDE HOSPITAL ARE BOTH EMPLOYED BY HEALTHTECH MANAGEMENT SERVICES. HEALTHTECH ALSO PROVIDES EDUCATION TO BOARD MEMBERS, HOSPITAL MANAGERS AND OTHER EMPLOYEES. HEALTHTECH OFFERS FINANCIAL PERFORMANCE EVALUATION, AND EDUCATIONAL AND NETWORKING OPPORTUNITIES FOR NURSING AND OTHER PROFESSIONAL STAFF. HEALTHTECH ALSO OFFERS PLANNING AND GROUP PURCHASE OFFERING (GPO).
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW AND ALSO REVIEWED BY BOTH THE CFO AND CEO BEFORE SIGNING.
THE FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. SUMMARY FINANCIAL STATEMENTS ARE ALSO POSTED INTERNALLY ON THE HOSPITAL INTRANET.FORM 990, PART VI, SECTION C, LINE 19
SUNNYSIDE COMMUNITY HOSPITAL AND SUNNYSIDE COMMUNITY HOSPITAL FOUNDATION SHARE TOP MANAGEMENT OFFICIALS. JON SMILEY DEVOTES APPROXIMATELY 40 HOURS PER WEEK TO THE HOSPITAL, AND 1 HOUR PER WEEK TO THE FOUNDATION. MARTHA RODRIGUEZ DEVOTES APPROXIMATELY 40 HOURS PER WEEK TO THE HOSPITAL, AND 1 HOUR PER WEEK TO THE FOUNDATION.FORM 990, PART VII, LINE 1
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -127,639.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE COMMUNITY HOSPITAL FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 719AddressLine1
CitySUNNYSIDECity
StateWAState
ZIP Code98944ZIPCode
FieldValueIRS element (for citing)
EIN912000867EIN
Primary ActivitiesSUPPORT SUNNYSIDE COMMUNITY HOSPITALPrimaryActivities
Legal Domicile StateWALegalDomicileState
Exempt Code Section501(C)3ExemptCodeSection
Public Charity StatusLINE 11A, IPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 719AddressLine1
CitySUNNYSIDECity
StateWAState
ZIP Code98944ZIPCode
FieldValueIRS element (for citing)
EIN911359169EIN
Primary ActivityRE RENTALPrimaryActivity
Legal Domicile StateWALegalDomicileState
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income19103ShareOfTotalIncome
Share Of EOY Assets209967ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SUNNYSIDE PROFESSIONAL SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 719AddressLine1
CitySUNNYSIDECity
StateWAState
ZIP Code98944ZIPCode
FieldValueIRS element (for citing)
EIN911340615EIN
Primary ActivityMANAGEMENT OF MEDICAL OFFICE BUILDINGPrimaryActivity
Legal Domicile StateWALegalDomicileState
Type Of EntityCTypeOfEntity
Share Of Total Income21833ShareOfTotalIncome
Share Of EOY Assets217069ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SUNNYSIDE COMMUNITY HOSPITAL FOUNDATION
C400000BASED ON HOSPITAL NEEDS
SUNNYSIDE COMMUNITY HOSPITAL FOUNDATION
N50029DEVELOPMENT DIRECTOR SALARY

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