TY 2021 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
AYA HEALTHCARE INC DEPARTMENT 3519 DALLAS,TX75312	CONTRACT NURSING	3,929,569
LOCUM TENENS PO BOX 405547 ATLANTA,GA30384	CONTRACT PHYSICIANS	1,253,843
RURAL PHYSICIANS GROUP 10624 S EASTERN AVE SUITE A263 HENDERSON,NV89052	CONTRACT PHYSICIANS	1,047,006
SUNNYSIDE EMERGENCY GROUP A PROF LLC PO BOX 677979 DALLAS,TX75267	CONTRACT PHYSICIANS	667,978
EVERGREEN ANESTHESIA ASSOCIATES PO BOX 3442 IDAHO FALLS,ID83403	ANESTHESIA SERVICES	276,857
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 14

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

SHC MEDICAL CENTER - TOPPENISH

Employer identification number

81-4670687

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

SHC MEDICAL CENTER - TOPPENISH

Employer identification number

81-4670687

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization SHC MEDICAL CENTER - TOPPENISH

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization SHC MEDICAL CENTER - TOPPENISH		Employer identification number 81-4670687

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization SHC MEDICAL CENTER - TOPPENISH			Employer identification number 81-4670687
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SHC MEDICAL CENTER - TOPPENISH

Employer identification number

81-4670687

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	550,000		550,000
b	Buildings ....	8,034,842	2,014,147	6,020,695
c	Leasehold improvements
d	Equipment ....	2,370,013	1,461,568	908,445
e	Other .....	282,326	4,457	277,869
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				7,757,009

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	14,576,096
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

THE ORGANIZATION COMPRISES SEVERAL CORPORATIONS THAT ARE 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, 2021.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SHC MEDICAL CENTER - TOPPENISH

Employer identification number

81-4670687

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	292,975		292,975	0.540 %
b	Medicaid (from Worksheet 3, column a) . . . . .	23,093,447	18,298,300	4,795,147	8.900 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	23,386,422	18,298,300	5,088,122	9.440 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .
k	Total. Add lines 7d and 7j .	23,386,422	18,298,300	5,088,122	9.440 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

133,725

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

4,825,272

Enter Medicare allowable costs of care relating to payments on line 5.....

7,056,944

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-2,231,672

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ASTRIA TOPPENISH HOSPITAL 502 W 4TH TOPPENISH,WA98948 WWW.ASTRIA.HEALTH	X	X	X

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ASTRIA TOPPENISH HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ASTRIA TOPPENISH HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V

The FAP application form was widely available on a website (list url):

SEE PART V

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	ASTRIA TOPPENISH HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	ASTRIA TOPPENISH HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
ASTRIA TOPPENISH HOSPITAL	PART V, SECTION B, LINE 5: TO ASSURE COMMUNITY ENGAGEMENT AND VOICE IN THE CHNA PROCESS, ASTRIA HAD PLANNED A ROBUST IN-PERSON COMMUNITY CONVENING PROCESS TO ASSESS, IDENTIFY, AND PRIORITIZE COMMUNITY NEEDS. AFTER MUCH DISCUSSION, DUE TO THE UNRELENTING NATURE OF COVID IN THE COMMUNITY, ASTRIA CHOSE TO USE A COMBINATION OF ONLINE SURVEYS, FOCUS GROUPS AND ONE-ON-ONE PHONE INTERVIEWS WITH SERVICE AREA AND COUNTY COMMUNITY MEMBERS AND ORGANIZATIONS SERVING THE VULNERABLE. A SIMILAR PROCESS WAS USED WITH ASTRIA LEADERSHIP AND MANAGEMENT. KEY STAKEHOLDER INTERVIEWS: STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY INCLUDING PUBLIC HEALTH, TRIBAL HEALTH, AND INDIVIDUALS WITH KNOWLEDGE OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE. INDIVIDUALS TO BE INTERVIEWED WERE RECOMMENDED BY ASTRIA HEALTH SENIOR LEADERSHIP.KEY STAKEHOLDER SURVEY: A KEY STAKEHOLDER SURVEY WAS DISTRIBUTED TO PROVIDERS (PHYSICIANS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS), THE CLINICAL MANAGEMENT STAFF OF ASTRIA HEALTH, AND COMMUNITY ORGANIZATIONS WITH KNOWLEDGE AND EXPERTISE REGARDING THE NEEDS OF UNDERSERVED, AT-RISK AND VULNERABLE POPULATIONS, AND THOSE WITH CHRONIC DISEASE. SURVEYS WERE RECEIVED FROM THE FOLLOWING ORGANIZATION TYPES:- CITY GOVERNMENT- SCHOOLS- HIGHER EDUCATION AND WORK FORCE DEVELOPMENT- COMMUNITY SERVICE ORGANIZATIONS- SOCIAL SERVICES AGENCIES- COMMUNITY HEALTH CENTERS- HOSPITAL PROVIDERS- LOCAL BUSINESSES- LOCAL UTILITY ORGANIZATIONS- EMERGENCY RESPONDERSTHE FOLLOWING NUMBER OF RESPONSES WERE RECEIVED FROM SURVEYS AND FOCUS GROUPS: - INTERVIEW WITH YAKIMA HEALTH DISTRICT - 15 COMMUNITY SURVEYS - 29 ASTRIA HEALTH MANAGERS AND LEADERSHIP SURVEYS - 8 FOCUS GROUP PARTICIPANTS - 3 INDIVIDUAL MEETINGS ASTRIA HEALTH CONTRACTED WITH HEALTH FACILITIES PLANNING & DEVELOPMENT (HFPD) TO ASSIST IN CONDUCTING THE CHNA. HFPD IS A HEALTH CARE CONSULTING COMPANY BASED IN SEATTLE, WASHINGTON.
ASTRIA TOPPENISH HOSPITAL	PART V, SECTION B, LINE 6A: SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION (DBA ASTRIA SUNNYSIDE HOSPITAL)
ASTRIA TOPPENISH HOSPITAL	PART V, SECTION B, 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 2021 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE IN ALIGNMENT WITH THE COMMUNITY HEALTH NEEDS IDENTIFIED BY KEY STAKEHOLDERS. LISTED BELOW ARE THE THREE SIGNIFICANT NEEDS AND HOW THE HOSPITAL IS ADDRESSING THESE NEEDS.(1) INCREASE ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES.- CONTINUE EFFORTS TO INTEGRATE AND CO-LOCATE PRIMARY CARE AND BEHAVIORAL HEALTH (INCLUDING MEDICATION MANAGEMENT, MENTAL HEALTH THERAPY, AND SUBSTANCE USE DISORDER SCREENING).- INCREASE COMPLIANCE WITH ANNUAL WELLNESS VISITS FOR CURRENT PATIENT PANEL TO ENSURE STANDARDIZED BEHAVIORAL HEALTH SCREENINGS ARE COMPLETED.- 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.- INCREASE THE NUMBER OF ASTRIA EMPLOYED MEDICATION ASSISTED THERAPY (MAT) PROVIDERS.- COORDINATE WITH YAKAMA NATION PRIMARY CARE AND BEHAVIORAL HEALTH/SUBSTANCE ABUSE DISORDER PROVIDERS.- EXPAND THE INPATIENT BEHAVIORAL HEALTH PROGRAM AT ASTRIA TOPPENISH HOSPITAL.(2) IMPROVE ACCESS TO CARE (PRIMARY AND SPECIALTY) FOR PREVENTION, SCREENING, AND TREATMENT OF CHRONIC DISEASES, DENTAL CARE, AND CARE TRANSITIONS AND CARE COORDINATION.- DEVELOP A COMPREHENSIVE PROGRAM FOR DISCHARGE PLANNING FOCUSED ON CONNECTING HIGH-RISK PATIENTS TO PRIMARY CARE PROVIDERS AND COMMUNITY RESOURCES.- IMPROVE SYSTEM FOR IDENTIFICATION AND TREATMENT OF CHRONIC DISEASES BY CONTINUING/EXPANDING STRATEGIES DEVELOPED THROUGH GREATER COLUMBIA ACH.- EXPAND HOME MONITORING PROGRAM FOR PATIENTS WITH HIGH BLOOD PRESSURE.- PILOT EMBEDDING COMMUNITY HEALTH WORKERS WITHIN PRIMARY CARE TO SUPPORT CARE TRANSITIONS AND CARE COORDINATION.- PARTICIPATE IN COMMUNITY OUTREACH EVENTS TO IDENTIFY COMMUNITY MEMBERS AT RISK OF CHRONIC DISEASES AND CONNECT THEM TO PRIMARY CARE PROVIDERS.- IMPLEMENT INTEGRATED DENTAL SERVICES IN RURAL HEALTH CLINICS.- DEVELOP RELATIONSHIPS WITH LARGE AGRICULTURAL EMPLOYERS TO PROVIDE PREVENTATIVE HEALTH SERVICES TO EMPLOYEES WHO MAY NOT BE ABLE TO ACCESS CARE DURING TRADITIONAL HOURS.- ESTABLISH A 27-STATION OUTPATIENT DIALYSIS FACILITY FOR END-STAGE RENAL DISEASE.- RECRUIT ADDITIONAL PRIMARY CARE AND SPECIALTY PROVIDERS TO THE COMMUNITY.- EXPAND ENDOSCOPY AND SURGICAL SERVICES THROUGH ASTRIA TOPPENISH HOSPITAL.(3) ADDRESSING SOCIAL DETERMINANTS OF HEALTH INCLUDING HOUSING AFFORDABILITY, ACCESS, AND QUALITY; FOOD INSECURITY; PROVIDE TRAINING AND INCREASE EFFORTS TO IMPROVE HEALTH EQUITY; CARE TRANSITIONS AND CARE COORDINATION.- DEVELOP A LIST OF COMMUNITY RESOURCES ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND ESTABLISH FORMAL SYSTEM FOR COLLABORATION- ESTABLISH A SYSTEM FOR SCREENING PATIENTS FOR ASSISTANCE WITH SOCIAL DETERMINANTS OF HEALTH (SDOH) AND ESTABLISH A COMMUNITY REFERRAL SYSTEM.- PARTNER WITH THE COMMUNITY TO INCREASE AFFORDABLE HOUSING OPTIONS- CONDUCT A HEALTH EQUITY ASSESSMENT, IDENTIFY SPECIFIC HEALTH EQUITY ISSUES WITHIN THE ASTRIA HEALTH SYSTEM, IDENTIFY TRAINING NEEDS AND IMPLEMENT HEALTH EQUITY TRAINING ACROSS THE SYSTEM.
ASTRIA TOPPENISH HOSPITAL	PART V, SECTION B, LINE 13H: HARDSHIP AND DEBT RATIO
ASTRIA TOPPENISH HOSPITAL	PART V, SECTION B, LINE 15E: DESCRIBED THE APPEALS PROCESS SHOULD IT BE DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE.
ASTRIA TOPPENISH HOSPITAL	PART V, SECTION B, 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 16A - 16C: THE CHARITY CARE POLICY, APPLICATION, AND PLAIN LANGUAGE OF APPLICATION CAN BE FOUND AT THE FOLLOWING URL: ASTRIA.HEALTH/CHARITY-CARE/
PART V, SECTION B, LINE 7A:	ASTRIA.HEALTH/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
PART V, SECTION B, LINE 10A:	ASTRIA.HEALTH/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

Schedule H (Form 990) 2021

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?3
Name and address		Type of Facility (describe)
1	1 - ASTRIA HEALTH CENTER 1420 AHTANUM RIDGE DRIVE UNION GAP,WA98903	RURAL HEALTH CLINIC
2	2 - ASTRIA HEALTH CENTER 516 W 4TH AVENUE TOPPENISH,WA98948	RURAL HEALTH CLINIC
3	3 - ASTRIA HEALTH CENTER 915 VINTAGE VALLEY PKWY STE 200 ZILLAH,WA98983	RURAL HEALTH CLINIC
4
5
6
7
8
9
10

Schedule H (Form 990) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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.BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN: $133,725.DUE TO BANKRUPTCY AND TURN OVER, THE HOSPITAL WAS NOT ABLE TO CAPTURE DOLLAR AMOUNTS ASSOCIATED WITH ITS COMMUNITY BENEFIT ACTIVITIES CONDUCTED IN 2021. LINE 7E - THE HOSPITAL PROVIDED COMMUNITY HEALTH OUTREACH AND SUPPORT WITH VACCINATION RESPONSE DURING THE COVID-19 PANDEMIC. THE HOSPITAL NURSING AND LEADERSHIP TEAMS WERE INSTRUMENTAL IN VACCINATING ASTRIA HEALTH EMPLOYEES, COMMUNITY FIRST RESPONDERS AND ELIGIBLE COMMUNITY VACCINE RECIPIENTS. MULTIPLE VACCINE CLINICS WERE FACILITATED WITHIN THE HOSPITAL AND EXPANDED OUT INTO LARGER LOCATIONS WITH THE COMMUNITY TO REACH MORE PEOPLE. MORE THAN 7,300 DOSES OF THE VACCINE WERE ADMINISTERED TO PROTECT OUR COMMUNITY AND HEALTHCARE WORKERS.
PART III, LINE 2:	THE HOSPITAL USED THE COST TO CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE.
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 HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR.
PART III, LINE 4:	SEE PAGE 7 OF THE AUDITED FINANCIAL STATEMENTS.
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.
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.
PART VI, LINE 2:	THE HOSPITAL BOARD, THROUGH ASSOCIATION WITH HEALTHTECHS3, 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.
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 SUNNYSIDE 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.
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 46,200 WITH A MEDIAN HOUSEHOLD INCOME OF $51,415. APPROXIMATELY 21% OF RESIDENTS HAVE INCOMES BELOW FEDERAL POVERTY GUIDELINES. 66.0% OF RESIDENTS IDENTIFY AS HISPANIC ETHNICITY WITH A SIZABLE NUMBER OF SPANISH-PRIMARY SPEAKERS AND 15.3% AS NON-HISPANIC AMERICAN INDIANS. RESIDENTS OF THIS AREA ARE SIGNIFICANTLY YOUNGER THAN RESIDENTS OF YAKIMA COUNTY AND WASHINGTON STATE, WITH APPROXIMATELY 34% BEING UNDER THE AGE OF 18 COMPARED TO JUST OVER 22% STATEWIDE. APPROXIMATELY 10% OF RESIDENTS ARE 65 OR OLDER.
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 HOSPITAL'S CHARITY CARE PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE FINANCIAL RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTHCARE THEY RECEIVE. THE CHARITY CARE PROGRAM IS DESIGNED TO ENSURE THAT THE YAKIMA VALLEY IN ITS ENTIRETY HAS ACCESS TO NECESSARY HEALTHCARE SERVICES. THE HOSPITAL ACCEPTS ALL PATIENTS IN NEED OF MEDICAL ASSISTANCE, REGARDLESS OF ABILITY TO PAY.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.
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 ASTRIATOPPENISH 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 H (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SHC MEDICAL CENTER - TOPPENISH

Employer identification number

81-4670687

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1BRIAN GIBBONS CEO	(i) (ii)	0 ------------- 416,483	0 ------------- 218,699	0 ------------- 5,383	0 ------------- 11,400	0 ------------- 35,382	0 ------------- 687,347	0 ------------- 0
2ADRIAN OBUCH PHYSICIAN	(i) (ii)	572,124 ------------- 0	0 ------------- 0	52 ------------- 0	11,400 ------------- 0	18,795 ------------- 0	602,371 ------------- 0	0 ------------- 0
3CHARLES BULFINCH PHYSICIAN	(i) (ii)	532,428 ------------- 0	0 ------------- 0	0 ------------- 0	11,400 ------------- 0	38,913 ------------- 0	582,741 ------------- 0	0 ------------- 0
4ANTONY KIM PHYSICIAN	(i) (ii)	514,380 ------------- 0	0 ------------- 0	0 ------------- 0	11,400 ------------- 0	34,222 ------------- 0	560,002 ------------- 0	0 ------------- 0
5LORI ALVORD MD TRUSTEE	(i) (ii)	0 ------------- 475,500	0 ------------- 0	0 ------------- 0	0 ------------- 11,400	0 ------------- 34,222	0 ------------- 521,122	0 ------------- 0
6MAXWELL OWENS CFO	(i) (ii)	0 ------------- 308,674	0 ------------- 64,365	0 ------------- 6,583	0 ------------- 11,400	0 ------------- 13,204	0 ------------- 404,226	0 ------------- 0
7CRAIG WHITTLESEY PHYSICIAN	(i) (ii)	228,759 ------------- 0	95,978 ------------- 0	3,326 ------------- 0	12,081 ------------- 0	26,012 ------------- 0	366,156 ------------- 0	0 ------------- 0
8SCOTT HEFLICK PHYSICIAN	(i) (ii)	226,758 ------------- 0	83,509 ------------- 0	0 ------------- 0	9,282 ------------- 0	24,999 ------------- 0	344,548 ------------- 0	0 ------------- 0
9TERRA PALOMAREZ CNO (THRU 11/21)	(i) (ii)	0 ------------- 197,305	0 ------------- 24,300	0 ------------- 789	0 ------------- 8,037	0 ------------- 18,662	0 ------------- 249,093	0 ------------- 0
10BRYAN HARGIS CEO (THRU 09/21)	(i) (ii)	0 ------------- 197,871	0 ------------- 0	0 ------------- 3,798	0 ------------- 7,548	0 ------------- 11,293	0 ------------- 220,510	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I LINE 3

THE ORGANIZATION CONTRACTS WITH REGIONAL HEALTH DBA ASTRIA HEALTH (ASTRIA HEALTH) FOR MANAGEMENT SERVICES. ASTRIA HEALTH DETERMINES THE CEO, CFO AND CNO 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 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.

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

SHC MEDICAL CENTER - TOPPENISH

Employer identification number

81-4670687

Return Reference	Explanation
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 $687,347 (COMPENSATION FOR SERVICES AS AN OFFICER OF AH AND RELATED TAX-EXEMPT ENTITIES) MAXWELL OWENS $404,226 (COMPENSATION FOR SERVICES AS AN OFFICER OF AH AND RELATED TAX-EXEMPT ENTITIES) BRYAN HARGIS $212,962 TERRA PALOMAREZ $249,094
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS WERE AMENDED IN 2021 TO UPDATE THE PURPOSE TO CARRYING OUT THE CHARITABLE PURPOSE OF ASTRIA HEALTH AND THE SYSTEM OF CONTROLLED CHARITABLE CORPORATIONS WHICH ASTRIA HEATH HAS CREATED OR OTHERWISE AFFILIATED WITH.
FORM 990, PART VI, SECTION A, 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, PART VI, SECTION A, 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, PART VI, SECTION A, 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, PART VI, SECTION B, LINE 11B	A COPY OF THE 990 IS PROVIDED TO ASTRIA HEALTH'S 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, 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 SHC TOPPENISH TO DO SO. SHC TOPPENISH 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 DEPARTING CEO'S COMPENSATION WAS REVIEWED IN 2021. THE NEW CEO'S COMPENSATION WAS LAST DETERMINED UPON HIRE IN 2020. LINE 15B - THE CFO AND CNO'S COMPENSATION IS DETERMINED IN THE SAME MANNER AS THE CEO'S. THE CFO'S COMPENSATION WAS LAST DETERMINED UPON HIRE IN 2020. THE CNO'S COMPENSATION WAS LAST REVIEWED IN 2021.
FORM 990, PART VI, SECTION C, 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	OTHER FEES: PROGRAM SERVICE EXPENSES 7,662,257. MANAGEMENT AND GENERAL EXPENSES 236,977. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,899,234.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SHC MEDICAL CENTER - TOPPENISH

Employer identification number

81-4670687

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ASTRIA HEALTH 1016 TACOMA AVE SUNNYSIDE,WA98944 81-3973675	MANAGEMENT	WA	501(C)(3)	LINE 12C, III-FI	N/A		No
(2)ASTRIA SUNNYSIDE FOUNDATION DBA ASTRIA HEALTH FOUNDATION PO BOX 719 SUNNYSIDE,WA98944 91-2000867	FUNDRAISING	WA	501(C)(3)	LINE 12A, I	SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL		No
(3)SHC MEDICAL CENTER - YAKIMA DBA ASTRIA REGIONAL MEDICAL CENTER 1016 TACOMA AVE SUNNYSIDE,WA98944 81-4653630	HEALTHCARE	WA	501(C)(3)	LINE 3	SHC HOLDCO LLC		No
(4)SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION PO BOX 719 SUNNYSIDE,WA98944 91-1286274	HEALTHCARE	WA	501(C)(3)	LINE 3	ASTRIA HEALTH		No
(5)SUNNYSIDE HOME HEALTH DBA ASTRIA HOME HEALTH 812 MILLER AVE SUITE A SUNNYSIDE,WA98944 81-4552945	HOME HEALTH	WA	501(C)(3)	LINE 3	SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION DBA ASTRIA SUNNYSIDE HOSPITAL		No
(6)AH NPP 1806 YAKIMA VALLEY HWY SUNNYSIDE,WA98944 82-5080286	HEALTHCARE	WA	501(C)(3)	LINE 3	ASTRIA HEALTH		No
(7)AH NP1 I 1806 YAKIMA VALLEY HWY SUNNYSIDE,WA98944 82-5058806	HEALTHCARE	WA	501(C)(3)	LINE 3	ASTRIA HEALTH		No
(8)AH NP2 1806 YAKIMA VALLEY HWY SUNNYSIDE,WA98944 82-5429256	HEALTHCARE	WA	501(C)(3)	LINE 3	ASTRIA HEALTH		No
(9)AH NP3 1806 YAKIMA VALLEY HWY SUNNYSIDE,WA98944 83-0617866	HEALTHCARE	WA	501(C)(3)	LINE 3	ASTRIA HEALTH		No
(10)AH NP4 1806 YAKIMA VALLEY HWY SUNNYSIDE,WA98944 83-0998775	HEALTHCARE	WA	501(C)(3)	LINE 3	ASTRIA HEALTH		No
(11)AH NP5 1806 YAKIMA VALLEY HWY SUNNYSIDE,WA98944 83-1013864	HEALTHCARE	WA	501(C)(3)	LINE 3	ASTRIA HEALTH		No
(12)AH NP6 1806 YAKIMA VALLEY HWY SUNNYSIDE,WA98944 83-1048852	HEALTHCARE	WA	501(C)(3)	LINE 3	ASTRIA HEALTH		No
(13)AH NP7 1806 YAKIMA VALLEY HWY SUNNYSIDE,WA98944 83-1072807	HEALTHCARE	WA	501(C)(3)	LINE 3	ASTRIA HEALTH		No
(14)AH NP8 1806 YAKIMA VALLEY HWY SUNNYSIDE,WA98944 83-1478789	HEALTHCARE	WA	501(C)(3)	LINE 3	ASTRIA HEALTH		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) SUNNYSIDE HOSPITAL SERVICE CORP 1016 TACOMA AVE SUNNYSIDE,WA98944 47-4428890	INACTIVE	WA	N/A	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SERVED.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	6
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	447
6	Total number of volunteers (estimate if necessary) .............	6	4
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	9,757,513	2,459,530
9	Program service revenue (Part VIII, line 2g) .........	37,119,586	49,343,956
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	1
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	196,653	425,367
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	47,073,752	52,228,854
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	20,336,575	22,894,994
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	16,446,158	31,094,612
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	36,782,733	53,989,606
19	Revenue less expenses. Subtract line 18 from line 12.......	10,291,019	-1,760,752
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	18,570,913	20,059,733
21	Total liabilities (Part X, line 26).............	21,227,908	22,228,877
22	Net assets or fund balances. Subtract line 21 from line 20.....	-2,656,995	-2,169,144

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 35,158,138 including grants of $ ) (Revenue $ 49,343,956 )
	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, A PEDIATRICS AREA AND A FAMILY MATERNITY CENTER. THE HOSPITAL PROVIDED 8,012 PATIENT DAYS, 83,375 OUTPATIENT VISITS, 14,633 EMERGENCY ROOM VISITS, AND 266 BIRTHS 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 $136,647,952 FOR CHARITY CARE, MEDICARE, MEDICAID AND OTHER THIRD PARTY PAYORS FOR THE YEAR.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses35,158,138

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) BERTHA ORTEGA...................................................................... BOARD CHAIR	1.00 .................	X	X		0	0	0
(2) CARRIE STORY...................................................................... BOARD VICE CHAIR	1.00 .................	X	X		0	0	0
(3) STEVE YOUNG...................................................................... TRUSTEE	1.00 .................	X			0	0	0
(4) LORI ALVORD MD...................................................................... TRUSTEE	1.00 ................. 39.00	X			0	475,500	45,622
(5) MAXINE JANIS...................................................................... TRUSTEE (THRU 12/21)	1.00 .................	X			0	0	0
(6) BRIAN GIBBONS...................................................................... CEO	5.00 ................. 35.00	X	X		0	640,565	46,782
(7) BRYAN HARGIS...................................................................... CEO (THRU 09/21)	39.00 ................. 1.00		X		0	201,669	18,841
(8) MAXWELL OWENS...................................................................... CFO	5.00 ................. 35.00		X		0	379,622	24,604
(9) TERRA PALOMAREZ...................................................................... CNO (THRU 11/21)	40.00 .................		X		0	222,394	26,699
(10) SCOTT HEFLICK...................................................................... PHYSICIAN	40.00 .................			X	310,267	0	34,281
(11) CRAIG WHITTLESEY...................................................................... PHYSICIAN	40.00 .................			X	328,063	0	38,093
(12) ANTONY KIM...................................................................... PHYSICIAN	40.00 .................			X	514,380	0	45,622
(13) CHARLES BULFINCH...................................................................... PHYSICIAN	40.00 .................			X	532,428	0	50,313
(14) ADRIAN OBUCH...................................................................... PHYSICIAN	40.00 .................			X	572,176	0	30,195

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,257,314	1,919,750	361,052

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	2,205,589

f	All other contributions, gifts, grants, and similar amounts not included above		1f	253,941

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		2,459,530

		Business Code
2a	NET PATIENT SERVICE REVENUE	624100	49,343,956	49,343,956
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		49,343,956

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1			1
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	OTHER REVENUE		900099	327,048			327,048
b	DIETARY REVENUE		722514	98,319			98,319
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			425,367
12	Total revenue. See instructions.....			52,228,854	49,343,956	0	425,368

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	19,210,314	16,905,076	2,305,238
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	521,861	459,238	62,623
9	Other employee benefits .......	1,842,933	1,621,781	221,152
10	Payroll taxes ...........	1,319,886	1,161,500	158,386
11	Fees for services (non-employees):
a	Management ......	509,456		509,456
b	Legal .........	13,861		13,861
c	Accounting ...........	17,450		17,450
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	7,899,234	7,662,257	236,977
12	Advertising and promotion ....
13	Office expenses .......	779,598	678,250	101,348
14	Information technology ......	1,717	1,494	223
15	Royalties ..
16	Occupancy ...........	1,449,609	985,734	463,875
17	Travel ............	144,579	30,362	114,217
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	71,575	15,031	56,544
20	Interest ...........	2,566,238		2,566,238
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	656,912		656,912
23	Insurance ...	419,970	33,598	386,372
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PURCHASED SERVICES	10,576,280	1,586,442	8,989,838
b	MEDICAL SUPPLIES	4,021,552	3,498,750	522,802
c	TAXES, DUES, & LICENSES	1,378,731	289,534	1,089,197
d	MAINTENANCE & REPAIRS	377,789	79,336	298,453
e	All other expenses	210,061	149,755	60,306
25	Total functional expenses. Add lines 1 through 24e	53,989,606	35,158,138	18,831,468	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1,635,665	1	114,438
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			5,729,285	4	8,865,278
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			476,012	7	0
8	Inventories for sale or use ............			1,111,635	8	2,450,432
9	Prepaid expenses and deferred charges ......			556,611	9	305,615
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	11,237,181
b	Less: accumulated depreciation	10b	3,480,172	8,098,274	10c	7,757,009
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			963,431	15	566,961
16	Total assets. Add lines 1 through 15 (must equal line 33)...			18,570,913	16	20,059,733

17	Accounts payable and accrued expenses .....	7,381,898	17	5,293,881
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	11,487,110	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	2,358,900	24	2,358,900
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	0	25	14,576,096
26	Total liabilities. Add lines 17 through 25..	21,227,908	26	22,228,877

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	-2,656,995	27	-2,169,144
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	-2,656,995	32	-2,169,144
33	Total liabilities and net assets/fund balances ........	18,570,913	33	20,059,733