Sunnyside Community Hospital Association

“Pursuant to a contractual arrangement, the organization obtains certain management and administrative services from astria health (ah). Ah, as the parent and system entity, provides the services to its subsidiary tax- exempt nonprofit corporate entities on a centralized basis. The services include the following management of: executive activities, information systems, financial operations, health information and records, scheduling and referrals, human resources, materials and supplies, medical staff and physicians services, quality resources, risk management, marketing and community relations, shared services, directors for laboratory. Sunnyside community hospital association utilizes employees of astria health as its ceo and cfo. The following persons listed in part vii were compensated by ah: brian gibbons ceo (compensation for services as an officer of ah and related tax-exempt entities) maxwell owens cfo (compensation for services as an officer of ah and related tax-exempt entities) matthew matthiessen cfo (compensation for services as an officer of ah and related tax-exempt entities)”

“Astria health is the sole member of the hospital.”

“Astria health as the sole member of the hospital has the authority to elect the hospital's board members.”

“Astria health, as the sole member of the hospital, has the authority to approve significant decisions of the governing body and to receive the hospital's net assets upon the hospital's dissolution.”

“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.”

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

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

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