Civic Intelligence

Astria Health

EIN 81-3973675 • 501(c)3 • Sunnyside, WA

View Organization Page

Profile

To establish and coordinate policies, supervise operations, and perform other management support functions for a healthcare system.

1016 Tacoma AveSunnyside, WA 98944

www.astria.health

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

5.56x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

86th percentile

1.80x

Higher debt load relative to revenue than 86% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

43rd percentile

2.1%

Higher net margin than 43% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

91st percentile

$846,002

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 1.9% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

81st percentile

17%

Faster asset growth than 81% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

55th percentile

9.5%

Faster revenue growth than 55% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets100th percentile

Assets

Up

$14,559,769

Up $2,144,409 (+17%) from 2023

Liabilities

Up

$81,014,075

Up $1,251,225 (+1.6%) from 2023

Net Assets

Up

-$66,454,306

Up $893,184 (+1.3%) from 2023

Operations
Liabilities / Revenue86th percentileNet Margin43rd percentile

Revenue

Up

$45,004,614

Up $3,910,431 (+9.5%) from 2023

Expenses

Up

$44,044,585

Up $3,892,873 (+9.7%) from 2023

Net Income

Up

$960,029

Up $17,558 (+1.9%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth81st percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0-$50M-$100MAssets 2017: $2,142,605Liabilities 2017: $1,226,959Net Assets 2017: $915,6462017Assets 2018: $3,238,877Liabilities 2018: $1,816,886Net Assets 2018: $1,421,9912018Assets 2019: $42,305,208Liabilities 2019: $41,628,722Net Assets 2019: $676,4862019Assets 2020: $26,448,453Liabilities 2020: $104,265,824Net Assets 2020: -$77,817,3712020Assets 2021: $2,550,469Liabilities 2021: $80,962,527Net Assets 2021: -$78,412,0582021Assets 2022: $11,665,812Liabilities 2022: $79,955,773Net Assets 2022: -$68,289,9612022Assets 2023: $12,415,360Liabilities 2023: $79,762,850Net Assets 2023: -$67,347,4902023Assets 2024: $14,559,769Liabilities 2024: $81,014,075Net Assets 2024: -$66,454,3062024

Highlighted filing

2024

Assets$14,559,769
Liabilities$81,014,075
Net Assets-$66,454,306
Open 2024 Filing

Operations Trend

Revenue Growth55th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$50M$0-$50M-$100MRevenue 2017: $3,934,980Expenses 2017: $3,019,334Net Income 2017: $915,6462017Revenue 2018: $12,066,693Expenses 2018: $11,560,348Net Income 2018: $506,3452018Revenue 2019: $15,319,645Expenses 2019: $17,354,736Net Income 2019: -$2,035,0912019Revenue 2020: -$38,838,111Expenses 2020: $39,655,746Net Income 2020: -$78,493,8572020Revenue 2021: $38,894,054Expenses 2021: $39,514,120Net Income 2021: -$620,0662021Revenue 2022: $46,172,662Expenses 2022: $36,050,565Net Income 2022: $10,122,0972022Revenue 2023: $41,094,183Expenses 2023: $40,151,712Net Income 2023: $942,4712023Revenue 2024: $45,004,614Expenses 2024: $44,044,585Net Income 2024: $960,0292024

Highlighted filing

2024

Revenue$45,004,614
Expenses$44,044,585
Net Income$960,029
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$14,559,769
Liabilities
$81,014,075
Net assets
-$66,454,306
Revenue
$45,004,614
Expenses
$44,044,585
Net income
$960,029
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$14.6$81.0$66.5$45.0$44.0$0.96
2023Detailed filing. Detailed filing data is available for this year.$12.4$79.8$67.3$41.1$40.2$0.94
2022Detailed filing. Detailed filing data is available for this year.$11.7$80.0$68.3$46.2$36.1$10.1
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.55$81.0$78.4$38.9$39.5$0.62
2020Detailed filing. Detailed filing data is available for this year.$26.4$104$77.8$38.8$39.7$78.5
2019Detailed filing. Detailed filing data is available for this year.$42.3$41.6$0.68$15.3$17.4$2.04
2018Summary only. Only limited summary data is available for this year.$3.24$1.82$1.42$12.1$11.6$0.51
2017Detailed filing. Detailed filing data is available for this year.$2.14$1.23$0.92$3.93$3.02$0.92
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 11, 2025
Return Version
2024v5.0
Gross Receipts
$45,004,614
Mission and Program Overview

Mission

To establish and coordinate policies, supervise operations and perform other management support functions for a healthcare system.

Establish and coordinate policies, supervise operations, and perform other management support.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$230,721$6,455,906▲ $6,225,185
Land, Buildings, and Equipment, Net$1,167,108$1,186,109▲ $19,001
Prepaid Expenses and Deferred Charges$528,290$652,346▲ $124,056
Accounts Receivable$505,633$208,919▼ $296,714
Total Assets$12,415,360$14,559,769▲ $2,144,409
Other Assets Total$9,983,608$6,056,489▼ $3,927,119
Liabilities
Mortgage Notes Payable Secured by Investment Property$75,000,000$75,000,000→ $0
Accounts Payable and Accrued Expenses$4,187,668$5,752,703▲ $1,565,035
Other Liabilities$575,182$261,372▼ $313,810
Total Liabilities$79,762,850$81,014,075▲ $1,251,225
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-67,347,490$-66,454,306▲ $893,184
Total Net Assets Fund Balance$-67,347,490$-66,454,306▲ $893,184
Total Liabilities and Net Assets / Fund Balance$12,415,360$14,559,769▲ $2,144,409

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,058,400$485,712$1,544,112
Equipment$14,780$597,734$612,514
Other Land Buildings$112,929-$112,929
Other Assets Org$260,288--
Compensation and Service Providers
Top Officer Pay91st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Brian P Gibbons JrPresident &PT$786,652$59,350$846,002
Brian P Gibbons JrPresident & CEO-$508,589$337,413$846,002
Maxwell OwensCFO (ended 6PT$432,076$23,145$455,221
Maxwell OwensCFO (ended 6/24)-$307,171$148,050$455,221
Catherine BambrickAdministratoFT$324,547$17,488$342,035
Catherine BambrickAdministrator-$226,417$115,618$342,035
Suzanne BoschClinic AdminFT$282,961$43,974$326,935
Suzanne BoschClinic Administrator-$201,218$136,344$326,935
Winnie AdamsCNOFT$197,567$115,950$314,570
Sierra FosterCOOFT$162,502$114,720$279,868
Melissa WaggonerCNOFT$172,302$79,549$258,779
Matthew MatthiessenCFO (beg. 6/PT$135,226$9,972$145,198

Board Members and Trustees

NameTitle
Jeff BarromChair
Steve CarpenterVice Chair
Suzy FonsecaTrustee
Jim HansenSecretary/tr

Highest Paid Contractors

ContractorServicesLocationCompensation
Kramer Strategic Advisors LLCConsulting1350 N ORANGE AVE 250, Winter Park, FL 32789$4,336,476
Kramer Healthcare Staffing LLCLabor ServicesPO BOX 16-1263, Big Sky, MT 59716$2,364,798
LabcorpLaboratoryPO BOX 12140, Burlington, NC 27216$907,281
Motor Vehicle Accident Recovery LLCPatient BillingPO BOX 2228, Cartersville, GA 30120$802,884
Northwest PathologyLaboratory3560 MERIDIAN STREET SUITE B, Bellingham, WA 98225$785,172
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$44,927,509
Investment Income
$77,021
Other Revenue
$84
Change in Net Assets
$960,029
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$23,797,844
Salaries, Compensation, and Employee Benefits$20,246,741
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$4,345,031$7,799,288-$12,144,319
Other Salaries and Wages$4,251,111$5,074,884-$9,325,995
Other Employee Benefits$2,410,878$5,880,190-$8,291,068
Interest$681$7,283,477-$7,284,158
Current Officers, Directors, Trustees, and Key Employees-$1,446,420-$1,446,420
Insurance$7,608$1,290,837-$1,298,445
All Other Expenses$96,052$848,199-$944,251
Payroll Taxes$379,379$480,221-$859,600
Fees for Services Legal-$662,859-$662,859
Fees for Services Accounting-$379,123-$379,123
Office Expenses$19,690$357,920-$377,610
Pension Plan Contributions$142,402$181,256-$323,658
Travel$146,317$66,746-$213,063
Occupancy$57,111$143,919-$201,030
Conferences and Meetings$114,727$5,935-$120,662
Information Technology-$57,819-$57,819
Fees for Services Management-$24,242-$24,242
Depreciation Depletion$1,850$11,461-$13,311
Other Expenses$675$2,233-$2,908
Total Functional Expenses$12,047,556$31,997,029$0$44,044,585
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liabilities$261,372
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“A copy of the 990 is provided to the ceo and cfo who review the form, schedules and related attachments. Any comments or questions are addressed with the preparer prior to approval of the 990. A draft is also distributed to the board of directors for review. Once management is satisfied with the 990, the ceo authorizes the preparer to finalize the return.”

Form 990, Page 6, Part VI, Line 12C

“Each member of the board fills out a conflict of interest form disclosing any potential conflicts of interest on an annual basis or through self disclosure in the interim. If a potential conflict arises, the affected person shall fully disclose the nature of the interest and withdraw from discussion and voting on the matter. Any transaction or vote involving a potential conflict of interest shall be approved only when a majority of disinterested directors determine that it is in the best interest of astria health to do so. Astria health has a compliance and monitoring policy that is enforced by the ceo.”

Form 990, Page 6, Part VI, Line 15A

“The ceo's 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 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. The ceo's compensation was last reviewed in 2024.”

Form 990, Page 6, Part VI, Line 15B

“The cfo's compensation is determined in the same manner as the ceo's and was last reviewed in 2024.”

Form 990, Page 6, Part VI, Line 19

“Astria health makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Astria Health
EIN
81-3973675
Phone
5098371356
Address
1016 TACOMA AVE, SUNNYSIDE, WA 98944

Signing Officer

Name
Brian P Gibbons Jr
Title
President & CEO
Phone
5098371356
Signed
2025-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brian P Gibbons Jr
Formed
2016
Legal Domicile
Wa
Voting Board Members
5
Independent Board Members
4
Employees
113
Volunteers
4

Preparer

Firm
Dza Pllc
Address
12015 E MAIN AVE, SPOKANE VALLEY, WA 99206
Preparer
Rikki Patch
Phone
5092420874
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Purchased services 4,345,031 7,799,288 0”

Form 990, Part XI, Line 9

“Loss on bankruptcy settlement -66,845”

Financial Statement Notes

Schedule D, Page 3, Part X

“The organization is annually required to file a return of organization exempt from income tax, form 990, with the irs. In addition, they are subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The organization believes that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, do not have any uncertain tax positions that are material to the financial statements.”

Raw XML AppendixShowing 400 of 735 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ProgramServiceRevenueGrp/Desc1HOME HEALTH SERVICES
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IRS990/ProgSrvcAccomActy2Grp/Desc0ASTRIA HOME HEALTH AND HOSPICE YAKIMA PROVIDES HOME HEALTH AND HOSPICE SERVICES TO THE COMMUNITY. IN 2024, THERE WERE A TOTAL OF 8,950 HOME HEALTH VISITS FOR 463 INDIVIDUALS AND A TOTAL OF 4,408 HOSPICE PATIENT CARE DAYS FOR 54 INDIVIDUAL CASES.
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IRS990/ProgSrvcAccomActy3Grp/Desc0ASTRIA HEALTH SPONSORS MULTIPLE EVENTS THROUGHOUT THE YEAR TO SUPPORT THE EDUCATION OF MENTAL HEALTH, IMPORTANCE OF LOCAL HEALTHCARE SERVICES, AND ENCOURAGING HEALTHY ACTIVITY.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES AND IN OTHERWISE DIRECTING THE USE OF INCOME AND ASSETS OF ASTRIA HEALTH THROUGH WEEKLY STRATEGY MEETINGS AND SHARED BOARD MEMBERS AND OFFICERS, WHEREIN THE SUPPORTED ORGANIZATIONS HAVE THE OPPORTUNITY TO EXPRESS THEIR IMMEDIATE AND LONG TERM NEEDS TO ASTRIA HEALTH AND REQUEST THAT SUCH POLICIES, INCOME, AND ASSETS OF ASTRIA HEALTH BE DIRECTED TOWARD AND UTILIZED FOR THE PURPOSE OF MEETING THOSE NEEDS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1SECTION 4.1 OF ASTRIA HEALTH'S BYLAWS PROVIDE THAT ASTRIA HEALTH HAS THE AUTHORITY TO APPOINT ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS FOR EACH SUPPORTED ORGANIZATION.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2ASTRIA HEALTH EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH OF THE SUPPORTED ORGANIZATIONS, INCLUDING, BUT NOT LIMITED TO: (I) THE POWER TO CHANGE THE MISSION OF ANY SUPPORTED ORGANIZATION; (II) THE POWER TO ADOPT, AMEND, OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF EACH SUPPORTED ORGANIZATION; (III) THE POWER TO ESTABLISH PARAMETERS RELATING TO AND TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS, OR THE DISPOSITION OF ASSETS OF EACH SUPPORTED ORGANIZATION; (IV) THE POWER TO CAUSE THE MERGER, DISSOLUTION, OR CONVERSION OF ANY SUPPORTED ORGANIZATION; (V) THE POWER TO APPROVE THE ANNUAL STRATEGIC PLANS AND OPERATING AND CAPITAL BUDGETS OF EACH SUPPORTED ORGANIZATION; AND (VI) THE POWER TO APPOINT AUDITORS FOR EACH SUPPORTED ORGANIZATION.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION D, LINE 3
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1PART IV, SECTION E, LINE 3A
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