Astria Health
Legal name: Shc Medical Center - Toppenish
Nonprofit profile at a glance
- EIN
- 814670687
- IRS 990 coverage
- 2017–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Toppenish, WA, US
- Phone
- 509.865.3105
- Rating
- 69
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $52,456,949
- Expenses
- $59,927,991
- Assets
- $23,628,718
- Liabilities
- $47,725,188
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
13 people listed
Executive titles in this filing
- BRIAN P GIBBONS JR (PRESIDENT &)
Highest reported compensation
- SIKARIN UPALA MD (PHYSICIAN): $1,312,421 total reported compensation
- VU LE MD (PHYSICIAN): $1,270,152 total reported compensation
- CHARLES BULFINCH MD (PHYSICIAN): $924,054 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Providing our communities access to trusted, exceptional healthcare close to home.
What it reported doing in 2024
Shc medical center toppenish dba astria toppenish hospital (the hospital) is a 78-bed facility providing medical services 24 hours a day, 365 days a year. The hospital has an expanded surgery capability and a pediatrics area. The hospital provided 7,073 patient days, 79,592 outpatient visits, and 17,858 emergency room visits during the reporting period. Shc toppenish provides care to persons covered by governmental programs at below cost and to individuals who are unable to pay. The unreimbursed value of providing care to these patients was 149,067,706 for charity care, medicare, medicaid and other third party payors for the year.
Operating model
- Revenue model
- Earned-program. 96% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 75
- Transparency & Controls: 65
- Accountability: 72
- Sustainability: 7
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 88.7%; rating input score 89
- Program expense ratio: 76.1%; rating input score 76
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 66.7%; rating input score 67; 19th percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -14.2%; rating input score 5; 5th percentile among comparable filings
- Total-asset coverage ratio: 0.39; rating input score 14; 14th percentile among comparable filings
- Liabilities to assets ratio: 2.02; rating input score 2; 2nd percentile among comparable filings
- Officer compensation ratio: 7.8%; rating input score 6; 6th percentile among comparable filings
Growth
- Program expense growth: 18.1% per year; rating input score 100; 91st percentile among comparable filings
- Revenue growth: 18.2% per year; rating input score 100; 92nd percentile among comparable filings
- Asset growth: 5.4% per year; rating input score 100; 39th percentile among comparable filings
Details
- What they do: 2 programs and campaigns described on the official site · 6 operating locations identified
- Where the money goes: 88.7% of revenue deployed · 76.1% of spending went to programs
- Governance: 4 of 6 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $45.6M in reported program spending
- Leadership: top reported pay $1.3M · 13 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $5.4M reported
- Consistency: 30 of 30 current checks pass
- Schedules: 7 filed schedules · includes major donors and executive pay
- Filing history: 8 filing years from 2017 to 2024
- Contacts: How to reach this organization
- Money network: 5 filed money-flow records
- Related organizations: 6 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- High — Sustainability: Operating margin scored 5/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- High — Sustainability: Total-asset coverage ratio scored 14/100.
- High — Sustainability: Liabilities to assets ratio scored 2/100.
- High — Sustainability: Officer compensation ratio scored 6/100.