2025-11-13T15:48:28-05:00 2024-12-31 200079326 DZA PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-01-01 814670687 SHC MEDICAL CENTER - TOPPENISH SHCM 5098653105 1016 TACOMA AVE SUNNYSIDE WA 98944 BRIAN P GIBBONS JR PRESIDENT & CEO 5098653105 2025-11-11 true true RIKKI PATCH P01472231 5092420874 2025-11-13 2024 2025-03-06 01:10:19Z ASTRIA TOPPENISH HOSPITAL BRIAN P GIBBONS JR 1016 TACOMA AVE SUNNYSIDE WA 98944 52456949 false X WWW.ASTRIA.HEALTH X 2016 WA PROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SERVED. 6 4 369 4 0 4653268 1527066 53206455 49547909 1052273 292872 329701 58152595 52456949 0 0 27540511 28436804 0 0 36681310 31491187 64221821 59927991 -6069226 -7471042 24398559 23628718 39969990 47725188 -15571431 -24096470 PROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SERVED. false false 45611830 49547909 SHC 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. 45611830 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 59 0 true 369 true false false false false false false false false false false false false X 6 4 false true false false true true true true true false false true true true true true true false false false X DARRYL LINNINGTON 5098371379 1016 TACOMA AVE SUNNYSIDE WA 98944 SIKARIN UPALA MD PHYSICIAN 40.00 X 1289306 0 23115 VU LE MD PHYSICIAN 40.00 X 1212289 0 57863 CHARLES BULFINCH MD PHYSICIAN 40.00 X 868353 0 55701 BRIAN P GIBBONS JR PRESIDENT & 5.00 35.00 X X 0 786652 59350 ADRIAN OBUCH MD PHYSICIAN 40.00 X 528088 0 32843 CRAIG WHITTLESEY MD PHYSICIAN 40.00 X 454864 0 46095 MAXWELL OWENS CFO (ENDED 6 5.00 35.00 X 0 432076 23145 CATHERINE BAMBRICK ADMINISTRATO 40.00 X 0 324547 17488 MATTHEW MATTHIESSEN CFO (BEG. 6/ 5.00 35.00 X 0 135226 9972 BERTHA ORTEGA CHAIR 1.00 X X 0 0 0 CARRIE STORY VICE CHAIR 1.00 X X 0 0 0 STEVE YOUNG TRUSTEE 1.00 X 0 0 0 MICHAEL MARPLES MD TRUSTEE 1.00 X 0 0 0 4352900 1678501 325572 59 false true false RURAL PHYSICIANS GROUP 10624 S EASTERN AVE SUITE A263 HENDERSON NV 89052 PHYSICIAN 1886431 SUNNYSIDE EMERGENCY GROUP PO BOX 677979 DALLAS TX 75267 PHYSICIAN 1190169 EVERGREEN ANESTHESIA ASSOCIATES PO BOX 3442 IDAHO FALLS ID 83403 PHYSICIAN 1131710 PULMONARY EXCHANGE PO BOX 809258 CHICAGO IL 60680 MEDICAL SUPPORT 690735 AYA HEALTHCARE PO BOX 674907 DALLAS TX 75267 CONTRACT LABOR 519153 12 1527066 1527066 NET PATIENT SERVICE REVENUE 624100 47822018 47822018 NET AMBULATORY SURGERY CENTER 621990 1725891 1725891 49547909 2273 2273 158489 158489 158489 158489 1050000 1050000 1050000 1050000 DIETARY REVENUE 722514 111361 111361 OTHER REVENUE 900099 59851 59851 171212 52456949 49547909 1381974 X 23567705 22711163 856542 660454 637240 23214 2351387 2268739 82648 1857258 1791978 65280 542810 542810 58017 58017 15875 15875 9977665 9496213 481452 986584 737872 248712 114788 112730 2058 1271814 1217676 54138 31940 28811 3129 74781 65243 9538 2456001 32712 2423289 783648 732228 51420 603930 566594 37336 CORPORATE OVERHEAD 8777087 8777087 MEDICAL SUPPLIES & DRUGS 3228984 3228984 MAINTENANCE & REPAIRS 259451 245152 14299 2307812 1738495 569317 59927991 45611830 14316161 0 174047 145752 9552270 8512909 2749186 3046163 307478 319825 14248811 5659811 7814163 8589000 3801415 3015069 24398559 23628718 4777150 5804678 495947 1194055 147761 135820 34549132 40590635 39969990 47725188 X -15571431 -24096470 -15571431 -24096470 24398559 23628718 -7471042 -1053997 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 550000 550000 8688245 3536046 5152199 2739144 2113918 625226 2271422 9847 2261575 8589000 LEASE RIGHT-OF-USE ASSETS 3015069 3015069 DUE TO AFFILIATES 36492656 LEASE LIABILITIES 3067979 THIRD PARTY SETTLEMENTS 1030000 40590635 X SCHEDULE D, PAGE 3, PART X THE 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. true true X true X 3.000000000000 true X true true true false false 734545 734545 0.01230 20962824 20962824 21697369 20962824 734545 0.01230 32784 32784 0.00050 32784 32784 0.00050 21730153 20962824 767329 0.01280 true 1113733 4523837 6291172 -1767335 X true true 1 1 ASTRIA TOPPENISH HOSPITAL 502 W 4TH TOPPENISH WA 98948 WWW.ASTRIA.HEALTH X X X ASTRIA TOPPENISH HOSPITAL 1 false false true X X X X X X X X X 24 true true false true X WWW.ASTRIA.HEALTH X true 23 true WWW.ASTRIA.HEALTH false true X 200.000000000000 300.000000000000 X X X X true true X X X X true X WWW.ASTRIA.HEALTH X WWW.ASTRIA.HEALTH X WWW.ASTRIA.HEALTH X X X X X X true X false X X X true X false false FACILITY 1, ASTRIA TOPPENISH HOSPITAL - PART V, LINE 3E IDENTIFICATION 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 5 THE 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 6A THE 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 11 UTILIZING 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 13H HARDSHIP TO DEBT RATIO. FACILITY 1, ASTRIA TOPPENISH HOSPITAL - PART V, LINE 15E DESCRIBED THE APPEALS PROCESS SHOULD IT BE DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. FACILITY 1, ASTRIA TOPPENISH HOSPITAL - PART V, LINE 16J AS 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/ 3 ASTRIA HEALTH CENTER 1420 AHTANUM RIDGE DRIVE UNION GAP WA 98903 RURAL HEALTH CLINIC ASTRIA HEALTH CENTER 516 W 4TH AVENUE TOPPENISH WA 98948 RURAL HEALTH CLINIC VINTAGE VALLEY FAMILY MEDICINE 915 VINTAGE VALLEY PKWY STE 200 ZILLAH WA 98983 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 7 THE 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 2 THE HOSPITAL USED THE COST-TO-CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE 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 4 THE 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 8 ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. SCHEDULE H, PART III, LINE 9B OUR 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 2 THE 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 3 THE INFORMATION IS DISTRIBUTED TO THE COMMUNITY IN A VARIETY OF WAYS. A BROCHURE IS PLACED IN PUBLIC AREAS OF THE HOSPITAL, AS WELL AS 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 4 THE 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 5 THE 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 6 THE 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. false false false false false false false false false SIKARIN UPALA MD PHYSICIAN 1288961 345 13800 9315 1312421 VU LE MD PHYSICIAN 1211448 841 13800 44063 1270152 CHARLES BULFINCH MD PHYSICIAN 867758 595 13800 41901 924054 BRIAN P GIBBONS JR PRESIDENT & CEO 508589 271666 6397 13800 45550 846002 ADRIAN OBUCH MD PHYSICIAN 523732 4356 13800 19043 560931 CRAIG WHITTLESEY MD PHYSICIAN 279986 165910 8968 13800 32295 500959 MAXWELL OWENS CFO (ENDED 6/24) 307171 118750 6155 13800 9345 455221 CATHERINE BAMBRICK ADMINISTRATOR 226417 94602 3528 12900 4588 342035 SCHEDULE J, PAGE 1, PART I, LINE 3 THE 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. FORM 990, PAGE 6, PART VI, LINE 3 PURSUANT 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 6 SHC 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 7A SHC 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 7B SHC 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 11B A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER PRIOR TO APPROVAL OF THE 990. A DRAFT IS ALSO DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO AUTHORIZES THE PREPARER TO FINALIZE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C EACH MEMBER OF THE BOARD FILLS OUT A CONFLICT OF INTEREST FORM DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS OR THROUGH SELF DISCLOSURE IN THE INTERIM. IF A POTENTIAL CONFLICT ARISES, THE AFFECTED PERSON SHALL FULLY DISCLOSE THE NATURE OF THE INTEREST AND WITHDRAW FROM DISCUSSION AND VOTING ON THE MATTER. ANY TRANSACTION OR VOTE INVOLVING A POTENTIAL CONFLICT OF INTEREST SHALL BE APPROVED ONLY WHEN A MAJORITY OF DISINTERESTED DIRECTORS DETERMINE THAT IT IS IN THE BEST INTEREST OF THE HOSPITAL TO DO SO. THE HOSPITAL HAS A COMPLIANCE AND MONITORING POLICY THAT IS ENFORCED BY THE CEO. FORM 990, PAGE 6, PART VI, LINE 19 SHC TOPPENISH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G 9,496,213 481,452 0 ASTRIA HEALTH 1016 TACOMA AVE SUNNYSIDE WA 98944 813973675 MANAGEMENT WA 501C3 12C N/A false SUNNYSIDE COMMUNITY HOSPITAL ASSOC PO BOX 719 SUNNYSIDE WA 98944 911286274 HEALTHCARE WA 501C3 3 ASTRIA H false AH NP8 1806 YAKIMA VALLEY HWY SUNNYSIDE WA 98944 831478789 HEALTHCARE WA 501C3 3 ASTRIA H false SHC MEDICAL CENTER - YAKIMA 1016 TACOMA AVE SUNNYSIDE WA 98944 814653630 HEALTHCARE WA 501C3 3 SHC HOLDCO false ASTRIA SUNNYSIDE FOUNDATION PO BOX 719 SUNNYSIDE WA 98944 912000867 SUPPORTING WA 501C3 12A SUNNYSIDE false SUNNYSIDE HOME HEALTH 812 MILLER AVE SUITE A SUNNYSIDE WA 98944 814552945 HOME HEAL. WA 501C3 3 SUNNYSIDE false false false false false false false false false false false false false true false true false false false false