2024-06-10T15:45:14-05:00 2023-12-31 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2023-01-01 912000867 ASTRIA SUNNYSIDE FOUNDATION ASTR 5098371500 PO BOX 719 SUNNYSIDE WA 98944 MAXWELL OWENS CHIEF FINANCIAL OFFICER 5098371500 2024-06-06 1 MAXWELL OWENS 999009999 0 COLLEEN RAMIRES P01251320 4252597227 2024-06-06 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z ASTRIA HEALTH FOUNDATION BRIAN GIBBONS PO BOX 719 SUNNYSIDE WA 98944 29190 0 X WWW.ASTRIA.HEALTH/FOUNDATION X 1982 WA PROMOTE HEALTH CARE AND WELLNESS IN YAKIMA VALLEY BY SUPPORTING ASTRIA SUNNYSIDE HOSPITAL. 4 2 0 3 0 0 38584 21791 0 0 2902 7399 4731 0 46217 29190 2474 4230 0 0 0 0 0 0 0 11244 41640 13718 45870 32499 -16680 953639 978320 0 950 953639 977370 TO PROMOTE HEALTH CARE AND WELLNESS IN THE YAKIMA VALLEY IN SUPPORT OF ASTRIA SUNNYSIDE HOSPITAL. 0 0 42174 4230 THE FOUNDATION RAISES FUNDS TO SUPPORT ASTRIA SUNNYSIDE HOSPITAL AND GENERAL HEALTH PROGRAMS IN THE YAKIMA VALLEY. 42174 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 2 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X MAX OWENS 5098371379 1016 TACOMA AVE SUNNYSIDE WA 98944 BRIAN GIBBONS CEO 1.00 39.00 X X 0 841777 57034 ANA GARCIA TRUSTEE 1.00 39.00 X 0 506299 43034 PEGGY BREWER BOARD CHAIR (THRU 10/23) 1.00 2.00 X X 0 0 0 PATRICIA NEWHOUSE BOARD VICE CHAIR 1.00 X X 0 0 0 JONATHAN G MERCER TRUSTEE 1.00 2.00 X 0 0 0 MAXWELL OWENS CFO 1.00 39.00 X 0 652831 30174 0 2000907 130242 0 0 1 0 0 21791 21791 7399 7399 29190 0 0 7399 4230 4230 349 349 HEALING GARDEN EXPENSE 37944 37944 BAD DEBT EXPENSE 2474 2474 BANK CHARGES 873 873 45870 42174 3696 0 9949 7451 757977 746090 6737 0 114751 114751 0 0 178976 224779 953639 978320 950 0 950 X 953639 977370 953639 977370 953639 978320 X -16680 43246 -2835 X 0 1 X 1 0 X X 1 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL 911286274 3 1 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 2: THE ORGANIZATION SUPPORTS ASTRIA HEALTH WHICH IS A TYPE III FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3). ASTRIA HEALTH, AS THE PARENT OF THE HEALTH SYSTEM, SUPPORTS SECTION 501(C)(3) ORGANIZATIONS THAT ARE EXEMPT UNDER SECTION 509(A)(1). AS SUCH, THROUGH SUPPORTING ASTRIA HEALTH, THE ORGANIZATION IS INDIRECTLY SUPPORTING SECTION 509(A)(1) ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 114751 114751 0 0 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515, AND SEVERAL LIMITED LIABILITY COMPANIES. THE ORGANIZATION HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS, WHICH IS AN ACCOUNTING STANDARD THAT PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023. 0 0 0 0 0 0 0 0 0 BRIAN GIBBONS CEO 0 481943 0 355666 0 4168 0 13200 0 43834 0 898811 0 0 MAXWELL OWENS CFO 0 374726 0 271708 0 6397 0 13200 0 16974 0 683005 0 0 ANA GARCIA TRUSTEE 0 434941 0 70718 0 640 0 13200 0 29834 0 549333 0 0 PART I LINE 3: THE ORGANIZATION CONTRACTS WITH ASTRIA HEALTH FOR MANAGEMENT SERVICES. ASTRIA HEALTH DETERMINES THE CEO AND CFO SALARIES. 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 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, PART VI, SECTION A, 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 NON-PROFIT 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 THE FOLLOWING PERSONS LISTED IN PART VII WERE COMPENSATED BY AH: BRIAN GIBBONS $898,811 (COMPENSATION FOR SERVICES AS AN OFFICER OF AH AND RELATED TAX-EXEMPT ENTITIES) MAXWELL OWENS $683,005 (COMPENSATION FOR SERVICES AS AN OFFICER OF AH AND RELATED TAX-EXEMPT ENTITIES) FORM 990, PART VI, SECTION A, LINE 6 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL IS THE SOLE MEMBER OF SUNNYSIDE COMMUNITY HOSPITAL FOUNDATION DBA ASTRIA HEALTH FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL AND ASTRIA HEALTH COLLECTIVELY HAVE THE AUTHORITY TO APPOINT AT LEAST A MAJORITY OF THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE HOSPITAL'S CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. A DRAFT IS ALSO DISTRIBUTED TO THE BOARD OF DIRECTORS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE PREPARER IS AUTHORIZED TO E-FILE THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD FILLS OUT A CONFLICT OF INTEREST FORM DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS OR THROUGH SELF DISCLOSURE IN THE INTERIM. IF A POTENTIAL CONFLICT ARISES, THE AFFECTED PERSON SHALL FULLY DISCLOSE THE NATURE OF THE INTEREST AND WITHDRAW FROM DISCUSSION AND VOTING ON THE MATTER. ANY TRANSACTION OR VOTE INVOLVING A POTENTIAL CONFLICT OF INTEREST SHALL BE APPROVED ONLY WHEN A MAJORITY OF DISINTERESTED DIRECTORS DETERMINE THAT IT IS IN THE BEST INTEREST OF THE HOSPITAL TO DO SO. THE ORGANIZATION HAS A COMPLIANCE AND MONITORING POLICY THAT IS ENFORCED BY THE CEO. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A - THE CEO IS EMPLOYED AND COMPENSATED THROUGH ASTRIA HEALTH, A RELATED ORGANIZATION. THE SALARY IS 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 COMPENSATION RATES, AS EVIDENCED BY SALARY SURVEY DATA FOR HOSPITALS OF SIMILAR SIZE AND WITHIN THE RELEVANT GEOGRAPHIC AREA. C) ASTRIA HEALTH'S ABILITY AND WILLINGNESS TO PAY, AS AGREED BY THE HOSPITAL BOARD OR A SUBCOMMITTEE THEREOF. THE CEO'S COMPENSATION WAS LAST REVIEWED IN 2023. LINE 15B - THE CFO'S COMPENSATION IS DETERMINED IN THE SAME MANNER AS THE CEO'S AND WAS LAST REVIEWED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: UNCOLLECTIBLE PLEDGE -2,835. ASTRIA HEALTH 1016 TACOMA AVE SUNNYSIDE WA 98944 813973675 MANAGEMENT WA 501(C)(3) LINE 12C, III-FI N/A 0 SHC MEDICAL CENTER - YAKIMA DBA ASTRIA REGIONAL MEDICAL CENTER 1016 TACOMA AVE SUNNYSIDE WA 98944 814656360 HEALTHCARE WA 501(C)(3) LINE 3 SHC HOLDCO LLC 0 SHC MEDICAL CENTER - TOPPENISH DBA ASTRIA TOPPENISH HOSPITAL 1016 TACOMA AVE SUNNYSIDE WA 98944 814670687 HEALTHCARE WA 501(C)(3) LINE 3 SHC HOLDCO LLC 0 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL PO BOX 719 SUNNYSIDE WA 98944 911286274 HEALTHCARE WA 501(C)(3) LINE 3 ASTRIA HEALTH 0 SUNNYSIDE HOME HEALTH DBA ASTRIA HOME HEALTH 812 MILLER AVE SUITE A SUNNYSIDE WA 98944 814552945 HOME HEALTH WA 501(C)(3) LINE 3 SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL 0 AH NP8 1806 YAKIMA VALLEY HWY SUNNYSIDE WA 98944 831478789 HEALTHCARE WA 501(C)(3) LINE 3 ASTRIA HEALTH 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0