CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION (EIN 91-0171250)
Tax period
2022-01-01 to 2022-12-31
Filed
2024-01-17
IRS object ID
202430179349300313
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-01-17T08:50:18-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910171250EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Central Washington Health ServicesBusinessNameLine1Txt
Business Name Line2AssociationBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone5096621515PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 S Miller StAddressLine1Txt
CityWenatcheeCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas LegelPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone5096621515PhoneNum
Signature2024-01-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstThomasPersonFirstNm
Person LastLegelPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2024-01-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Central Washington HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerThomas LegelPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 S Miller StAddressLine1Txt
CityWenatcheeCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$593,344,177GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cwhs.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionDedicated to improving our patients' health by providing safe, high-quality care.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2245TotalEmployeeCnt
Total Volunteers120TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$41,967PYContributionsGrantsAmt
CY Contributions Grants$11,936,909CYContributionsGrantsAmt
PY Program Service Revenue$555,450,600PYProgramServiceRevenueAmt
CY Program Service Revenue$561,251,903CYProgramServiceRevenueAmt
PY Investment Income$7,632,861PYInvestmentIncomeAmt
CY Investment Income$18,324,210CYInvestmentIncomeAmt
PY Other Revenue$1,762,803PYOtherRevenueAmt
CY Other Revenue$1,670,404CYOtherRevenueAmt
PY Total Revenue$564,888,231PYTotalRevenueAmt
CY Total Revenue$593,183,426CYTotalRevenueAmt
PY Grants And Similar Paid$280,365PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$266,029CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$172,631,322PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$170,017,481CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$334,975,227PYOtherExpensesAmt
CY Other Expenses$398,967,916CYOtherExpensesAmt
PY Total Expenses$507,886,914PYTotalExpensesAmt
CY Total Expenses$569,251,426CYTotalExpensesAmt
PY Revenues Less Expenses$57,001,317PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,932,000CYRevenuesLessExpensesAmt
Total Assets BOY$607,768,376TotalAssetsBOYAmt
Total Assets EOY$546,160,334TotalAssetsEOYAmt
Total Liabilities BOY$194,655,975TotalLiabilitiesBOYAmt
Total Liabilities EOY$129,595,570TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$413,112,401NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$416,564,764NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWe are dedicated to improving our patients' health by providing safe, high-quality care in a compassionate and cost-effective manner.Our core values:A. Our patients are the reason for our being, and their needs will drive all of our actions.B. We will treat everyone (including patients, their families, referring offices and colleagues) with dignity, respect and compassion.C. We will work as a team, utilizing collaboration, active participation and open communication among all physicians and staff.D. We will continue to innovate ways to improve the delivery of excellent, high value care.E. We will measure successes and failures, and use the results to drive further improvementF. We will be a good neighbor in the communities we serve with donations of time, talent and capital.G. We will be ethical and accountable in all of our decisions and actions.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$450,877,493ExpenseAmt
Grant$266,029GrantAmt
Revenue$561,251,903RevenueAmt
DescCentral Washington Health Services Association, dba Central Washington Hospital (the Association), is accredited by DNV GL Healthcare and operates a licensed 198-bed acute care hospital delivering a full range of health care services in Wenatchee, Washington, and the north central Washington area. The Association is a not-for-profit institution governed by a board of directors, providing general inpatient services including medical, surgical, home infusion services, intensive care and coronary care, neonatal intensive care, pediatrics, obstetrics,gynecology and oncology. The Association is a federal regional referral center and is designated by the state as a Level III general trauma center and Level III pediatric trauma center, supported by a comprehensive range of surgical procedures in orthopedic, neurosurgery, vascular surgery, interventional cardiac catheterization, and open-heart surgery.Confluence Health was formed in 2012 as a health system that represents an affiliation between Central Washington Hospital (a not-for-profit organization) and Wenatchee Valley Medical Group (WYMG) (a for-profit organization). Effective January 1, 2013, the association affiliated with Confluence Health, and Confluence Health became the sole member of the Association. The board of directors of Confluence Health consists of 9 community members and 6 physicians of WYMG.The Association provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Association does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue.The Association maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy and the estimated cost of those services and supplies.Desc
Total Program Service Expenses$450,877,493TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document117IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2245EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Tom LegelBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5096621511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 South Miller StreetAddressLine1Txt
CityWenatcheeCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Doug Shae
Chair2.004.00Yes (X)Yes (X)$0$6,600$0
Jenny Cravens
Vice Chair2.004.00Yes (X)Yes (X)$0$6,600$0
Gus Heinicke
Treasurer2.004.00Yes (X)Yes (X)$0$6,600$0
Abe Sorom MD
Secretary2.004.00Yes (X)Yes (X)$0$0$0
Dave Balcom
Board Member2.004.00Yes (X)$0$1,200$0
Garn Christensen
Board Member2.004.00Yes (X)$0$6,600$0
Vanessa Gutierrez
Board Member2.004.00Yes (X)$0$1,800$0
Greg Hamilton
Board Member2.004.00Yes (X)$0$6,600$0
Cori Bautista
Board Member2.004.00Yes (X)$0$6,600$0
Vicky Sharlau
Board Member2.004.00Yes (X)$0$6,600$0
Mitchell A Garrison MD
Board Member2.002.00Yes (X)$0$0$0
Jennifer Jorgensen MD
Board Member2.002.00Yes (X)$0$0$0
Catherine Ridgeway MD
Board Member2.002.00Yes (X)$0$0$0
Tom Tuszynski MD
Board Member2.002.00Yes (X)$0$0$0
Jim Murray MD
Board Member2.002.00Yes (X)$0$0$0
Robert Trask Jr
Board Member (thru July)1.002.00Yes (X)$0$0$0
Peter Rutherford MD
CEO until May20.0035.00Yes (X)$0$727,143$36,891
Andrew Jones MD
CEO starting July20.0035.00Yes (X)$0$413,903$10,290
Thomas J Legel
CFO20.0035.00Yes (X)$0$627,989$44,146
Glenn W Adams
Chief Operations Officer20.0035.00Yes (X)$0$580,240$41,236
Robert J Pageler
Chief Information Officer20.0035.00Yes (X)$0$449,927$29,643
Jason M Lake MD
Chief Medical Officer20.0035.00Yes (X)$0$513,771$46,281
Tracy A Kasnic
CNO, Hospital Administrator20.0020.00$0$462,618$32,519Yes (X)
Sarah Battis Johnson
VP Quality Care Transformation20.0015.00$0$284,464$24,628Yes (X)
Staci Jones
VP, Sr Specialty Care20.0015.00$0$280,271$30,500Yes (X)
JoEllon Colson
VP, Ancillary Services20.0035.00$0$300,083$0Yes (X)
Eric Caldwell
VP, Finance starting May20.0035.00$0$168,735$14,406Yes (X)
Jay H Johnson
VP, SR Network Strategy20.0035.00$0$373,135$44,146Yes (X)
Jonathan Stoever MD
Physician50.000.00$422,954$0$36,896Yes (X)
Aleice Vujinovich Ellerkamp OD
Optometrist50.000.00$257,898$0$18,576Yes (X)
Jesse McCarrell
Optometrist50.000.00$260,968$0$37,701Yes (X)
Niekol Hall
PA-C Hospitalist Supv50.000.00$246,535$0$27,889Yes (X)
Alonso Castro Oroyo OD
Optometrist50.000.00$243,718$0$23,826Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,432,073TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,231,479TotReportableCompRltdOrgAmt
Total Other Compensation$499,574TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K461IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Wenatchee Valley Medical Group
820 N Chelan AveWenatcheeWA98801Physician Services$67,010,939
Wenatchee Emergency Physicians PC INC
PO Box 4600WenatcheeWA98807Physician Services$8,524,086
University of Washington
PO Box 24366SeattleWA98124Laboratory Services$1,255,915
Quest Diagnostics
PO Box 912400PasadenaCA91110Laboratory Services$906,550
Total Renal Care Inc
PO Box 781607PhiladephiaWA19178Dialysis Services$849,869
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Government Grants$11,362,772GovernmentGrantsAmt
All Other Contributions$574,137AllOtherContributionsAmt
Total Contributions$11,936,909TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621110$551,266,667$551,266,667
Ancillary Services621990$6,339,713$6,339,713
Pharmacy Revenue456110$1,826,365$1,826,365
Cafeteria Revenue722514$972,984$972,984

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$846,174TotalRevenueColumnAmt
Related Or Exempt Func Income$846,174RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$561,251,903TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,260,324TotalRevenueColumnAmt
Exclusion$5,260,324ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,831,155RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$160,751RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,670,404RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,670,404TotalRevenueColumnAmt
Exclusion$1,670,404ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$12,943,267SecuritiesAmt
Other$120,619OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$12,943,267SecuritiesAmt
Other$120,619OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,063,886TotalRevenueColumnAmt
Exclusion$13,063,886ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$593,183,426TotalRevenueColumnAmt
Related Or Exempt Func Income$561,251,903RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$19,994,614ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$266,029TotalAmt
Program Services$266,029ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$129,776,438TotalAmt
Program Services$123,025,713ProgramServicesAmt
Management And General$6,750,725ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,567,641TotalAmt
Program Services$5,022,242ProgramServicesAmt
Management And General$545,399ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$25,067,018TotalAmt
Program Services$22,611,486ProgramServicesAmt
Management And General$2,455,532ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,606,384TotalAmt
Program Services$8,665,355ProgramServicesAmt
Management And General$941,029ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$111,790,717TotalAmt
Program Services$35,210,451ProgramServicesAmt
Management And General$76,580,266ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$662,760TotalAmt
Management And General$662,760ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$241,289TotalAmt
Management And General$241,289ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$229,159TotalAmt
Management And General$229,159ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$117,818,828TotalAmt
Program Services$117,470,176ProgramServicesAmt
Management And General$348,652ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,614,714TotalAmt
Program Services$6,024,996ProgramServicesAmt
Management And General$589,718ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,671,050TotalAmt
Program Services$2,951,719ProgramServicesAmt
Management And General$1,719,331ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,060,985TotalAmt
Program Services$1,495,581ProgramServicesAmt
Management And General$565,404ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,198,485TotalAmt
Management And General$4,198,485ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,947,429TotalAmt
Program Services$6,491,038ProgramServicesAmt
Management And General$5,456,391ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,122,827TotalAmt
Program Services$1,498,466ProgramServicesAmt
Management And General$1,624,361ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$114,960,661$114,960,661
Taxes and Licenses$13,552,293$20,161$13,532,132
Maintenance and Repairs$7,096,719$5,163,419$1,933,300

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$569,251,426TotalAmt
Program Services$450,877,493ProgramServicesAmt
Management And General$118,373,933ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,308,319BOYAmt
EOY$10,099EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$138,110,692BOYAmt
EOY$8,622,213EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,330,615BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$110,192,451BOYAmt
EOY$83,406,684EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$20,902,456BOYAmt
EOY$22,150,055EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,643,392BOYAmt
EOY$6,968,474EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,320,294BOYAmt
EOY$2,836,483EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$368,512,774LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$224,704,813LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$144,396,662BOYAmt
EOY$143,807,961EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$172,902,993BOYAmt
EOY$241,394,531EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,943,175BOYAmt
EOY$16,237,423EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,717,327BOYAmt
EOY$20,726,411EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$607,768,376BOYAmt
EOY$546,160,334EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$25,034,749BOYAmt
EOY$24,794,736EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$43,685,541BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$101,802,278BOYAmt
EOY$99,490,291EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,126,081BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,007,326BOYAmt
EOY$5,310,543EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$194,655,975BOYAmt
EOY$129,595,570EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$409,781,786BOYAmt
EOY$400,327,341EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,330,615BOYAmt
EOY$16,237,423EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$413,112,401BOYAmt
EOY$416,564,764EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$607,768,376BOYAmt
EOY$546,160,334EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,932,000ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$38,089,004NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$17,609,367OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$32,282OtherActivitiesAmt
Total Lobbying Expenditures$32,282TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationWA State Hospital Association Dues 21.50% of $135,896 = $29,218 American Hospital Association Dues 15.79% of $19,406 = $3,064ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,463,620OtherCostOrOtherBasisAmt
Book Value$10,463,620BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$151,737,189OtherCostOrOtherBasisAmt
Depreciation$65,546,309DepreciationAmt
Book Value$86,190,880BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$199,183,788OtherCostOrOtherBasisAmt
Depreciation$155,089,319DepreciationAmt
Book Value$44,094,469BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,128,177OtherCostOrOtherBasisAmt
Depreciation$4,069,185DepreciationAmt
Book Value$3,058,992BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$143,807,961TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Professional liability and legal settlements$2,015,328
Lease liabilities$3,295,215
FieldValueIRS element (for citing)
Total Liability$5,310,543TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other175.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,594,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,594,000NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,921,908TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,921,908NetCommunityBenefitExpnsAmt
Total Expense0.05780TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,515,908TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,515,908NetCommunityBenefitExpnsAmt
Total Expense0.06590TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,432,431TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,262,269DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,170,162NetCommunityBenefitExpnsAmt
Total Expense0.06880TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,432,431TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,262,269DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,170,162NetCommunityBenefitExpnsAmt
Total Expense0.06880TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,948,339TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,262,269DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,686,070NetCommunityBenefitExpnsAmt
Total Expense0.13470TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$6,739,489BadDebtExpenseAmt
Reimbursed By Medicare$120,035,756ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$157,153,143CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$37,117,387MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Central Washington HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 S Miller StAddressLine1Txt
CityWenatcheeCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98801ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.confluencehealth.orgWebsiteAddressTxt
State LicenseHAC.FS.00000168StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Central Washington HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URL2022-PRC-CHNA-Report-Confluence-Health.pdfOwnWebsiteURLTxt
Implementation Strategy Adopt0ImplementationStrategyAdoptInd
Organization Incur Excise TaxYes (1)OrganizationIncurExciseTaxInd
Form4720 FiledYes (1)Form4720FiledInd
Excise Report Form4720 For All$50,000ExciseReportForm4720ForAllAmt
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care175.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Page 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Page 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Page 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Central Washington HospitalPart V, Section B, Line 5: In 2022, a 2022 Community Health Needs Assessment was conducted. The purpose of the Community Health Needs Assessment is to provide information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. This Community Health Needs Assessment will serve as a tool toward reaching three basic goals:* To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. * To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors that historically have had a negative impact on residents' health. * To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. The Community Voice survey from the 2019 CHNA was used again in 2022 CHNA. The survey instrument used for this study is based largely on the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS), as well as various other public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives and other recognized health issues. The final survey instrument was developed by Confluence Health and PRC.To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by Confluence Health; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation.The Survey was offered in English and Spanish and was administered by SurveyMonkey. Paper copies were provided at various organizations throughout the Region. The survey captured the opinions of the Health Community, the factors to improve health, the greatest risks to health and the behaviors in the Community that positively impacted or genitively affect Health.
Central Washington HospitalPart V, Section B, Line 6a: Wenatchee Valley Hospital and Clinics
Central Washington HospitalPart V, Section B, Line 6b: Aging and Adult care, Alateheia Riding Center, Americagroup, Ameircan Heart Association, America Red Cross-Apple Valley Chapeter, Apple valley Honda, Ballard Ambulance, Big Bend Community College, Cascade Medical Center, Cascade Medical Foundation, Cascade School District, Chelan County, Chelan County PUD, Chelan Douglas Casa, Chelan Douglas Regional Port Authority, Chelan Douglas Transportation Council, City of Cashmere, City of Chelan, City of East Wenatchee, City of Leavenworth, City of Waterville, City of Wenatchee, Columbia Basin Allied Arts, Columbia Basin Hospital, Colville Tribal Police Department, Confluence Health, Confluence Health Foundation, Ease Cancer Foundation, East Wenatchee Police Department, Epilepsy Foundation, Foundation for Youth Resiliency and Engagement, Grand Coulee School District, Grant County, Jeffers Danielson Sonn & Aylward, John L Scott Real Estate, KC-Help, Laura Mounter Real Estate, Manson School District, Mid Valley Hospital, Molina Healthcare, Moses Lake Community Health Center, Moses Lake Police Department, NCW Nurses Week, NCW Tech Alliance, North Central ACH, North Central Educational Services District, Okanogan Beahiovral Healthcare, Okanokan County, Okanogan County Community Action, Okanogan County Health District, Okanogan County Sheriff's Office, Okanogan County Transit, Okanogan Regional Humane, Okanogan School District, Omak School District, Orondo School District, Our Valley Our Future, Pateros Brewester Community Resource Center, Pateros School District, People for People, Port of Quincy, Rick Pankow Foundation, SAGE, Star Ranch, The Economic Alliance, Tierra Village, Together for Youth, Washington Apple Education Foundation, Washington State Tree Fruit Association, Washington State University Extension, Waterville School District, Wenatchee Downtown Association, Wenatchee Police Department, Wenatchee Valley College, Wenatchee Valley YMCA, YWCA.
Central Washington HospitalPart V, Section B, Line 11: There were Nine significant needs identified in the 2022 CHNA: 1. Mental Health The 2022 CHNA identified that mental health is a pressing issue and has worsened during the Covid-19 Pandemic. Confluence Health will continue to invest in removing barriers to access (appointment availability and finding a provider), as well as monitor and respond to concerns regarding suicide and symptoms of chronic depression. 2. Substance Abuse Confluence Health continues to invest and participate in programs that are community based which will target patients, and community members, currently, or at risk of, opioid or Alcohol Abuse. 3. Nutrition, Physical Activity & Weight Confluence Health continues to invest and educate patients to learn about proper nutrition and activity to reduce weight and chronic disease. Confluence Health provides registered dietitians to work with you to achieve your health goals and design personalized plans to improve your nutrition. This includes but is not limited to: oncology nutrition, eating disorders, disordered eating, mindiful eating, weight management, pediatric nutrition, and diabetic nutrition. Confluence Health also provides cooking classes to help patients learn basic cooking skills, recipes, and meal planning ideas to help manage diabetes, weight, high blood pressure, high cholesterol, and overall health. 4. Diabetes Confluence Health continues to invest and educate patients in responding to and preventing diabetes. Confluence Health provides nutrition and medication classes, diabetes education classes, and pre-assessments to reduce the risk of diabetes. Further, Confluence strives to prevent long-term complications by educating and supporting patients in exercise, nutrition, daily care, and monitoring. One of the opportunities identified in the CHNA is blood sugar testing in non-diabetics. The Organization will continue to provide services to increase the percentage of non diabetics being tested to prevent long-term complications related to diabetes. 5. Heart Diseases and Stroke Confluence Health continues to invest and support patients in preventing and managing heart disease and strokes. Confluence Health ensures patients receive emergency and recommended treatment for stroke, heart attack, or cardiac arrest and educate patients and the community to recognize symptoms. Confluence Health will continue to educate the community in healthy daily activity and managing current conditions to improve the impact of these chronic conditions. 6. Cancer Confluence Health continues to invest and support patients in cancer treatment and activities to reduce the chance of being diagnosed with cancer. Confluence Health provides promotes evidence based cancer screenings such as screenings for lung, breast, cervical, and colorectal cancer, which can help reduce cancer deaths. Confluence Health invests in effective prevention strategies that include programs that increase HPV vaccine use, prevent tobacco use and promote quitting, and promote healthy eating and physical activity. Further, Confluence Health continues to invest in ensuring all patients have access to Cancer Care. The Organization is opening an oncology treatment center in Moses Lake, WA in 2023. 7. Access to Healthcare Services Confluence Health will continue to provide medication management services to our remote sites in North Country. Confluence Health implemented the collaborative care model, which has the most evidence among integration models to demonstrate its effective and efficient integration in terms of controlling costs, improving access, improving clinical outcomes, and increasing patient satisfaction in rural primary care areas. Confluence Health is committed to providing care to all patients in a timely manner. One of the most important features of this commitment is our compassionate care program, in which we work with patients to cover some or all costs. There is clear evidence that lower income patients have lower rates of health care usage, according to the CDC, and we want to ensure that all patients receive appropriate care regardless of cost. In addition, we want to ensure that all patients are treated equally and feel welcome to receive care across all sites in Confluence Health. In 2016, we started a health, equity, diversity and inclusion program which now works to address and improve issues of diversity and inclusion for patients and staff. This program continues to grow and help care for all patients. Confluence Health continues to commit significant efforts to recruiting more providers and improve the availability of appointments in primary care clinics. Confluence Health continues to invest in Telehealth to expand access and provide services to patients who have to travel long distances for care. 8. Infant health and Family Planning Confluence Health continues to invest and provide access to infant health and family planning, including for patients in underserved community. Through a robust pediatric program, the Organization provides care for patients from birth to childhood. The Organization also continues to monitor and provide care in areas such as prenatal care and pregnant teenagers. Confluence believes adequate prenatal and postnatal care are critical health services. 9. Potentially Disabling Conditions. Confluence Health continues to invest in, educate, and treat patients with disabling conditions. Conditions such as high-impact chronic pain and Alzheimer's are of concern. Confluence will continue to make services available to these patients in a cost-effective manner, so that other negative health consequences, such as depression can be mitigated.
Central Washington HospitalPart V, Section B, Line 13b: The Individual Financial circumstances stated in the written financial policy is to take into consideration the patient/guarantor's assets and their ability to pay.
Central Washington HospitalPart V, Section B, Line 13h: Compassionate care is generally considered only after all other financial resources available to the patient have been explored and exhausted. In order to qualify for compassionate care, the patient/guarantor must fully cooperate with the Hospital in exploring and applying for these resources. Other financial resources include but are not limited to: group or individual medical plans, secondary or supplemental insurance policies, worker's compensation, Medicare, Medicaid or medical assistance programs, other state, federal or military programs, third party liability situations (e.g. auto accidents or personal injuries), or any other situation in which another person or entity may have a legal responsibility to pay for the costs of medical services.Compassionate care for non-emergent services shall be limited to those residing with the hospitals designated service area, which is defined as the counties of Chelan, Douglas, Grant and Okanogan as well as the town of Othello. Non-emergent services shall be defined as those services which are not considered as an "emergency medical condition" under the policy's definition.Compassionate care shall be limited to "appropriate Hospital (physician)-based medical services" as defined in the policy. Elective or cosmetic procedures that do not meet the definition of appropriate as set forth in the WA Administrative Code (WAC) 246-453-010(7) are excluded as well as procedures done outside of the Hospital.In those situations, where appropriate primary payment sources are not available, or in certain situations when the primary payment source leaves a balance that is the patient's liability, patients will be considered for compassionate care under the policy.Other eligibility criteria includes circumstances that indicate severe financial hardship or personal loss.
Part V, Line 7a:https://www.confluencehealth.org/documents/2022-PRC-CHNA-Report-Confluence-Health_Cathy-Thomas.pdf
Part V, Line 16a:https://www.confluencehealth.org/patient-information/financial-assistance/charity-care/elibility-ineligible-serivces/
Part V, Line 16b:https://www.confluencehealth/patient-information/financial-assistance/charity-care/application-process/
Part V, Line 16c:https://www.confluencehealth.org/patient-information/financial-assistance/cahrity-care/eligibility-ineligible-services/
Part V, Line 12aDuring the preparation of the tax return for 2022, Confluence Health discovered an Implementation Strategy related to the 2022 Community Health Needs Assessment had not been completed and approved by the Board. This error occurred as the individual responsible for the Community Health Needs Assessment left the organization prior to completing the project. Management was not aware the report had not been completed. Upon discovery of the error, Confluence Health created an Implementation Strategy to address the needs identified during the process. The report was approved by the board in December 2023 and posted to the Confluence Health website. While the Implementation Strategy was not formally drafted and approved, Confluence Health and Central Washington Health Sevices Associationl began addressing the needs identified in the Community Health Needs Assessment during the 2023 tax year. As such, individuals in the community were not negatively impacted by the failure to have an approved implementation plan. Confluence Health will have multiple levels of oversight over this process in the future to ensure such an error does not occur again.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Professional Building
933 Red Apple RdWenatcheeWA98801Regional Eye Center
2 - Saddle Rock Building
1215 S Miller RdWenatcheeWA98801Endocrinology, Rheumatology, and Pulmonary
3 - Home Health Building
731 N Chelan StWenatcheeWA98801Hospice and Home Healthcare

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:Central Washington Hospital may write off as charity care, amounts for patients with family income in excess of 300% of the federal poverty level when circumstances indicate severe financial hardship or personal loss.
Part I, Line 7:Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b and subsidized health services line 7g was calculated using the costing methods to prepare the cost reports.
Part II, Community Building Activities:Central Washington Hospital's governing board is comprised of local area central Washington health services association residents. The hospital extends its medical staff privileges to all qualified physicians in the community. CWH uses its income to update equipment, technology and facilities to improve patient care. The hospital offers education for area physicians and community members. Also available to physicians and the community is the Heminger health library. We collaborate with many local and state colleges, universities, and our local high school in support of student learning opportunities. An electronic medical record was implemented. It gives our providers all the medical information needed to make the best decisions in the care of our patients. The hospital is a federal regional referral center and a Level III general and pediatric trauma center.
Part III, Line 2:The Association determines its estimate of implicit price concessions based on its historical collection experience with this class of patients.
Part III, Line 4:The footnote to the organization's financial statements addressing implicit price concessions may be found on page 14-15 of the attached audited financial statements.
Part III, Line 8:Even though Medicare was at a loss, the Association continues to provide services to these patients because access to healthcare and individual's health is important. Therefore, the Association considers the Medicare shortfall a community benefit.
Part III, Line 9b:It is the policy to work with the patient to obtain payment in full, secure financial assistance, or establish appropriate payment arrangements on patient balances within 30 days of the initial statement date.1. When possible, the scheduler, and/or receptions, will alert the patient of any self-pay deposit, pre-payment or insurance co-payment, which may be requested at the time of service.2. Payment in full on all self-pay balances is expected within 30 days of receipt of the first statement. The responsibility for payment remains with the guarantor. The Hospital does not become involved in disputes that occur as a result of divorce settlements, child custody, and accidental injury or third party litigation.3. Working with the guarantor, the Hospital will establish payment arrangements when payment in full cannot be made. Collection efforts are suspended when the guarantor requests a financial assistance application. This suspension is in effect for 30 calendar days giving the appropriate party time to complete the application and provide the required documentation. Collection efforts remain suspended until the final determination of qualification is completed.4. All transactions are required to age a minimum of 120 days, allowing for 4 statements and at least 1 letter, before being considered for transfer to an outside collection agency.5. If an account has a mail return status and all steps taken to find the address were unsuccessful the account may be turned to collection for further research.
Part VI, Line 2:Central Washington Hospital participated in a Community Wide Needs Assessment in cooperation with Action Health Partners, Chelan-Douglas Health District, and Confluence Health.
Part VI, Line 3:Information about the association's financial assistance and charity care policy also known as Compassionate Care Program (CCP) shall be made publicly available as follows:1. A notice advising patients that the hospital provides compassionate care shall be posted in key public areas of the facility.2. The association will distribute a written notice about the availability of compassionate care to all patients at the time of new patient registration through the emergency department and during admissions. This information will also be available on the website, with each billing statement, and in any collection letters sent by the association.3. The written notice shall be available in any language spoken by more than five percent of the population in the association's service area, and interpreted for other non-English speaking or limited-English speaking patients and for other patients who cannot understand the writing and/or explanation. The association's service area is defined as; Chelan, Douglas, Okanogan and Grant counties. The association finds that following non-English translation(s) of the notice shall be made available: Spanish.4. The association will refer all compassionate care inquiries to the financial assistance department or when possible directly to the compassionate care coordinator so that all concerns can be addressed in a timely manner.5. Written notice about the association's compassionate care policy shall be made available to any person who requests the information, either by mail, by telephone or in person. The association's compassionate care sliding scale discount table shall also be made available upon request.
Part VI, Line 4:The Association is accredited by DNV GL Healthcare and operates a licensed 198-bed acute care hospital delivering a full range of health care services in Wenatchee, Washington, and the north central Washington area. The Association is a not-for-profit institution governed by a board of directors, providing general inpatient services including medical, surgical, home infusion services, intensive care and coronary care, neonatal intensive care, pediatrics, obstetrics, gynecology, and oncology.The Association is a federal regional referral center, and is designated by the state as a Level III general trauma center and Level III pediatric trauma center, supported by a comprehensive range of surgical procedures in orthopedic, neurosurgery, vascular surgery, interventional cardiac catheterization, and open-heart surgery.Wenatchee, Washington is approximately 150 miles east of Seattle, Washington and 170 miles west of Spokane, Washington. Chelan and Douglas counties comprise the Association's primary service area while Grant and Okanogan counties represent secondary service areas. Approximately 96% of the Association's patient admissions are from the primary and secondary service areas. The service area's population is heavily weighted in the 65+ age cohort. In addition, the Association has a high concentration of farm and agriculture related employers/employees.
Part VI, Line 5:Confluence Health was formed in 2012 as a health system that represents an affiliation between the Association and Wenatchee Valley Medical Group (a for-profit organization) and Wenatchee Valley Hospital. Effective January 1, 2013, the Association affiliated with Confluence Health, and Confluence Health became the sole member of the Association. The board of directors of Confluence Health consists of 9 community members and 6 physicians of Wenatchee Valley Medical group.The mission statement of Confluence Health is: we are dedicated to improving our patient's health by providing safe, high-quality care in a compassionate and cost effective manner.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Confluence Health FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1526 N Chelan Ave Suite AAddressLine1Txt
CityWenatcheeCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98801ZIPCd
FieldValueIRS element (for citing)
Recipient EIN911075950RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$266,029CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGeneral SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationOutside organizations submit requests to the organization throughout the year. The requests are separated based on the monetary value requested. Each request requires support from the requesting organization as to the purpose/use of the funds and whether the request benefits the community. Two committees review the requests based on the monetary value of the request.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Peter Rutherford MD
CEO until May$0$539,133$0$188,010$0$0$0$19,450$0$20,741$0$767,334$0$0
Thomas J Legel
CFO$0$488,864$0$139,125$0$0$0$19,450$0$27,996$0$675,435$0$0
Glenn W Adams
Chief Operations Officer$0$447,295$0$132,945$0$0$0$19,450$0$25,086$0$624,776$0$0
Jason M Lake MD
Chief Medical Officer$0$513,771$0$0$0$0$0$23,800$0$25,781$0$563,352$0$0
Tracy A Kasnic
CNO, Hospital Administrator$0$359,671$0$102,947$0$0$0$19,450$0$16,369$0$498,437$0$0
Robert J Pageler
Chief Information Officer$0$348,324$0$101,603$0$0$0$19,450$0$13,493$0$482,870$0$0
Jonathan Stoever MD
Physician$422,954$0$0$0$0$0$12,200$0$24,696$0$459,850$0$0$0
Andrew Jones MD
CEO starting July$0$413,828$0$75$0$0$0$0$0$11,677$0$425,580$0$0
Jay H Johnson
VP, SR Network Strategy$0$306,273$0$66,862$0$0$0$19,450$0$28,026$0$420,611$0$0
Staci Jones
VP, Sr Specialty Care$0$234,590$0$45,681$0$0$0$17,431$0$15,949$0$313,651$0$0
Sarah Battis Johnson
VP Quality Care Transformation$0$238,876$0$45,588$0$0$0$17,782$0$9,638$0$311,884$0$0
JoEllon Colson
VP, Ancillary Services$0$160,958$0$139,125$0$0$0$0$0$3,014$0$303,097$0$0
Jesse McCarrell
Optometrist$249,641$0$11,327$0$0$0$15,915$0$22,403$0$299,286$0$0$0
Aleice Vujinovich Ellerkamp OD
Optometrist$246,883$0$11,015$0$0$0$5,508$0$13,605$0$277,011$0$0$0
Niekol Hall
PA-C Hospitalist Supv$235,820$0$10,715$0$0$0$14,820$0$13,870$0$275,225$0$0$0
Alonso Castro Oroyo OD
Optometrist$235,508$0$8,210$0$0$0$13,633$0$10,611$0$267,962$0$0$0
Eric Caldwell
VP, Finance starting May$0$143,660$0$75$0$25,000$0$0$0$15,877$0$184,612$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aManagers and above receive a $50 monthly stipend for a gym membership.
Schedule J, Part II:Compensation of $640,227 was paid for Dr. Jason Lake by an unrelated third party, Wenatchee Valley Medical Group, LLC, for services performed for Central Washington Health Services Association.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Washington Health Care Facilities AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN911108929BondIssuerEIN
CUSIP93978HPZ2CUSIPNum
Bond Issued2015-05-05BondIssuedDt
Issue Price$109,863,859IssuePriceAmt
PurposeTo refund bonds issued 8/12/09PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$8,480,000RetiredAmt
Total Proceeds$109,863,859TotalProceedsAmt
Issuance Costs From Proceeds$1,391,468IssuanceCostsFromProceedsAmt
Other Spent Proceeds$108,472,392OtherSpentProceedsAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 06/06/2020
Form 990, Schedule K, Part III, Line 9:The organization has established written procedures to ensure that any nonqualified bonds are remediated in accordance with requirements.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Confluence Health and Affiliates share the same board as part of the operating structure. As such, all board members serve with each other in a similar capacity on related organizations. Additionally, some board members are minority owners in an entity that has a professional services agreement with Confluence Health.
Form 990, Part VI, Section A, line 6The sole member is Confluence Health.
Form 990, Part VI, Section A, line 7aUpon the expiration of the term of office of any board member, including each of the initial board members set forth by the bylaws, the board of directors of Confluence Health shall select the person who shall fill the position of the Board member whose term is expiring, subject to the composition requirements for the board of directors as set forth in the bylaws. The persons selected by the board of directors of Confluence Health to fill the position of the board member whose term is expiring shall be of the highest competence and quality who are without conflicts with Central Washington Hospital that would prohibit their serving in accordance with the bylaws and tax or other regulatory requirements.
Form 990, Part VI, Section A, line 8bThe organization does not have any committees with the authority to act on behalf of the governing board.
Form 990, Part VI, Section B, line 11bA copy of the form 990 is reviewed by the Chief Financial Officer and Vice President of Finance. Subsequent to this review the form 990 is reviewed by the governing board before being filed with the IRS.
Form 990, Part VI, Section B, line 12cBoard members, executive team members, and directors are required to review the current conflict of interest policy and complete an annual questionnaire. The nominating committee of the board reviews questionnaires of existing and new members for potential conflicts of interest. Any potential conflicts of interest are resolved by the nominating committee. The executive team reviews questionnaires submitted by the executive team members and directors for potential conflicts of interest. Potential conflicts of interest are resolved by the executive team in collaboration with the corporate compliance officer. Review of all conflict of interest statements is noted within the board minutes.
Form 990, Part VI, Section B, line 15The compensation committee of the governing board annually reviews independent salary survey information and recommends a salary and/or a salary increase for the CEO to the governing board. The other officers receive an annual percent increase which non-contractual employees receive unless the CEO awards a different percentage. The amount is, typically, based on current CPI, market and salary survey information.
Form 990, Part VI, Section C, line 19The Organization's governing documents, conflict of interest policy, and audited financial statements are available to the public upon request.
Form 990, Part IX, line 11gProfessional Services: Program service expenses 58,980,816. Management and general expenses 0. Fundraising expenses 0. Total expenses 58,980,816. Other Purchased Services: Program service expenses 7,019,442. Management and general expenses 348,652. Fundraising expenses 0. Total expenses 7,368,094. Other Professional: Program service expenses 6,616,832. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,616,832. Contract: Program service expenses 44,853,086. Management and general expenses 0. Fundraising expenses 0. Total expenses 44,853,086.
Form 990, Part XI, line 9:Adjustment due to financial statement restatement 17,609,367.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Confluence Health
1201 South Millre StWenatcheeWA98801454789950Health SystemWA501(c)(3)Line 12c, III-FIN/A0
Wenatchee Valley Hospital
820 North Chelan AveWenatcheeWA98801455563741HospitalWA501(c)(3)Line 30Confluence Health
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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