2024-01-17T08:50:18-06:00 2022-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-01-01 910171250 Central Washington Health Services Association CENT 5096621515 1201 S Miller St Wenatchee WA 98801 Thomas Legel Chief Financial Officer 5096621515 2024-01-16 1 Thomas Legel 999009999 1 Kim Hunwardsen CPA P00484560 6122536500 2024-01-15 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z Central Washington Hospital Thomas Legel 1201 S Miller St Wenatchee WA 98801 593344177 0 X www.cwhs.com X 1978 WA Dedicated to improving our patients' health by providing safe, high-quality care. 15 9 2245 120 0 0 41967 11936909 555450600 561251903 7632861 18324210 1762803 1670404 564888231 593183426 280365 266029 0 0 172631322 170017481 0 0 0 334975227 398967916 507886914 569251426 57001317 23932000 607768376 546160334 194655975 129595570 413112401 416564764 X We 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. 0 0 450877493 266029 561251903 Central 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. 450877493 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 117 0 1 2245 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 9 1 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X Tom Legel 5096621511 1201 South Miller Street Wenatchee WA 98801 Doug Shae Chair 2.00 4.00 X X 0 6600 0 Jenny Cravens Vice Chair 2.00 4.00 X X 0 6600 0 Gus Heinicke Treasurer 2.00 4.00 X X 0 6600 0 Abe Sorom MD Secretary 2.00 4.00 X X 0 0 0 Dave Balcom Board Member 2.00 4.00 X 0 1200 0 Garn Christensen Board Member 2.00 4.00 X 0 6600 0 Vanessa Gutierrez Board Member 2.00 4.00 X 0 1800 0 Greg Hamilton Board Member 2.00 4.00 X 0 6600 0 Cori Bautista Board Member 2.00 4.00 X 0 6600 0 Vicky Sharlau Board Member 2.00 4.00 X 0 6600 0 Mitchell A Garrison MD Board Member 2.00 2.00 X 0 0 0 Jennifer Jorgensen MD Board Member 2.00 2.00 X 0 0 0 Catherine Ridgeway MD Board Member 2.00 2.00 X 0 0 0 Tom Tuszynski MD Board Member 2.00 2.00 X 0 0 0 Jim Murray MD Board Member 2.00 2.00 X 0 0 0 Robert Trask Jr Board Member (thru July) 1.00 2.00 X 0 0 0 Peter Rutherford MD CEO until May 20.00 35.00 X 0 727143 36891 Andrew Jones MD CEO starting July 20.00 35.00 X 0 413903 10290 Thomas J Legel CFO 20.00 35.00 X 0 627989 44146 Glenn W Adams Chief Operations Officer 20.00 35.00 X 0 580240 41236 Robert J Pageler Chief Information Officer 20.00 35.00 X 0 449927 29643 Jason M Lake MD Chief Medical Officer 20.00 35.00 X 0 513771 46281 Tracy A Kasnic CNO, Hospital Administrator 20.00 20.00 X 0 462618 32519 Sarah Battis Johnson VP Quality Care Transformation 20.00 15.00 X 0 284464 24628 Staci Jones VP, Sr Specialty Care 20.00 15.00 X 0 280271 30500 JoEllon Colson VP, Ancillary Services 20.00 35.00 X 0 300083 0 Eric Caldwell VP, Finance starting May 20.00 35.00 X 0 168735 14406 Jay H Johnson VP, SR Network Strategy 20.00 35.00 X 0 373135 44146 Jonathan Stoever MD Physician 50.00 0.00 X 422954 0 36896 Aleice Vujinovich Ellerkamp OD Optometrist 50.00 0.00 X 257898 0 18576 Jesse McCarrell Optometrist 50.00 0.00 X 260968 0 37701 Niekol Hall PA-C Hospitalist Supv 50.00 0.00 X 246535 0 27889 Alonso Castro Oroyo OD Optometrist 50.00 0.00 X 243718 0 23826 1432073 5231479 499574 461 0 1 1 Wenatchee Valley Medical Group 820 N Chelan Ave Wenatchee WA 98801 Physician Services 67010939 Wenatchee Emergency Physicians PC INC PO Box 4600 Wenatchee WA 98807 Physician Services 8524086 University of Washington PO Box 24366 Seattle WA 98124 Laboratory Services 1255915 Quest Diagnostics PO Box 912400 Pasadena CA 91110 Laboratory Services 906550 Total Renal Care Inc PO Box 781607 Philadephia WA 19178 Dialysis Services 849869 11 11362772 574137 11936909 Net Patient Service Revenue 621110 551266667 551266667 Ancillary Services 621990 6339713 6339713 Pharmacy Revenue 456110 1826365 1826365 Cafeteria Revenue 722514 972984 972984 846174 846174 561251903 5260324 5260324 1831155 160751 1670404 1670404 1670404 12943267 120619 0 0 12943267 120619 13063886 13063886 593183426 561251903 0 19994614 X 266029 266029 129776438 123025713 6750725 5567641 5022242 545399 25067018 22611486 2455532 9606384 8665355 941029 111790717 35210451 76580266 662760 662760 241289 241289 229159 229159 117818828 117470176 348652 6614714 6024996 589718 4671050 2951719 1719331 2060985 1495581 565404 4198485 4198485 11947429 6491038 5456391 3122827 1498466 1624361 Medical Supplies 114960661 114960661 Taxes and Licenses 13552293 20161 13532132 Maintenance and Repairs 7096719 5163419 1933300 569251426 450877493 118373933 0 1308319 10099 138110692 8622213 3330615 110192451 83406684 20902456 22150055 6643392 6968474 2320294 2836483 368512774 224704813 144396662 143807961 172902993 241394531 3943175 16237423 3717327 20726411 607768376 546160334 25034749 24794736 43685541 101802278 99490291 4126081 20007326 5310543 194655975 129595570 X 409781786 400327341 3330615 16237423 413112401 416564764 607768376 546160334 X 23932000 -38089004 17609367 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 32282 32282 0 Part II-B, Line 1: WA State Hospital Association Dues 21.50% of $135,896 = $29,218 American Hospital Association Dues 15.79% of $19,406 = $3,064 10463620 10463620 151737189 65546309 86190880 199183788 155089319 44094469 7128177 4069185 3058992 143807961 Professional liability and legal settlements 2015328 Lease liabilities 3295215 5310543 X Part X, Line 2: The 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. 1 1 X 1 X 175.000000000000 1 X 1 1 1 0 0 4594000 4594000 0.00810 32921908 32921908 0.05780 37515908 37515908 0.06590 55432431 16262269 39170162 0.06880 55432431 16262269 39170162 0.06880 92948339 16262269 76686070 0.13470 1 6739489 120035756 157153143 -37117387 X 1 1 1 1 Central Washington Hospital 1201 S Miller St Wenatchee WA 98801 www.confluencehealth.org HAC.FS.00000168 X X X Central Washington Hospital 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X 2022-PRC-CHNA-Report-Confluence-Health.pdf 0 1 1 50000 1 X 175.000000000000 300.000000000000 X X X X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X 1 X 0 X X X X 1 X 0 0 Central Washington Hospital Part 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 Hospital Part V, Section B, Line 6a: Wenatchee Valley Hospital and Clinics Central Washington Hospital Part 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 Hospital Part 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 Hospital Part 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 Hospital Part 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 12a During 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. 3 1 - Professional Building 933 Red Apple Rd Wenatchee WA 98801 Regional Eye Center 2 - Saddle Rock Building 1215 S Miller Rd Wenatchee WA 98801 Endocrinology, Rheumatology, and Pulmonary 3 - Home Health Building 731 N Chelan St Wenatchee WA 98801 Hospice and Home Healthcare 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. 1 Confluence Health Foundation 526 N Chelan Ave Suite A Wenatchee WA 98801 911075950 501(c)(3) 266029 0 General Support 1 0 Part I, Line 2: Outside 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. X 1 1 X X 0 0 0 0 0 0 0 0 0 Peter Rutherford MD CEO until May 0 539133 0 188010 0 0 0 19450 0 20741 0 767334 0 0 Thomas J Legel CFO 0 488864 0 139125 0 0 0 19450 0 27996 0 675435 0 0 Glenn W Adams Chief Operations Officer 0 447295 0 132945 0 0 0 19450 0 25086 0 624776 0 0 Jason M Lake MD Chief Medical Officer 0 513771 0 0 0 0 0 23800 0 25781 0 563352 0 0 Tracy A Kasnic CNO, Hospital Administrator 0 359671 0 102947 0 0 0 19450 0 16369 0 498437 0 0 Robert J Pageler Chief Information Officer 0 348324 0 101603 0 0 0 19450 0 13493 0 482870 0 0 Jonathan Stoever MD Physician 422954 0 0 0 0 0 12200 0 24696 0 459850 0 0 0 Andrew Jones MD CEO starting July 0 413828 0 75 0 0 0 0 0 11677 0 425580 0 0 Jay H Johnson VP, SR Network Strategy 0 306273 0 66862 0 0 0 19450 0 28026 0 420611 0 0 Staci Jones VP, Sr Specialty Care 0 234590 0 45681 0 0 0 17431 0 15949 0 313651 0 0 Sarah Battis Johnson VP Quality Care Transformation 0 238876 0 45588 0 0 0 17782 0 9638 0 311884 0 0 JoEllon Colson VP, Ancillary Services 0 160958 0 139125 0 0 0 0 0 3014 0 303097 0 0 Jesse McCarrell Optometrist 249641 0 11327 0 0 0 15915 0 22403 0 299286 0 0 0 Aleice Vujinovich Ellerkamp OD Optometrist 246883 0 11015 0 0 0 5508 0 13605 0 277011 0 0 0 Niekol Hall PA-C Hospitalist Supv 235820 0 10715 0 0 0 14820 0 13870 0 275225 0 0 0 Alonso Castro Oroyo OD Optometrist 235508 0 8210 0 0 0 13633 0 10611 0 267962 0 0 0 Eric Caldwell VP, Finance starting May 0 143660 0 75 0 25000 0 0 0 15877 0 184612 0 0 Part I, Line 1a Managers 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. A Washington Health Care Facilities Authority 911108929 93978HPZ2 2015-05-05 109863859 To refund bonds issued 8/12/09 0 0 0 A 8480000 109863859 1391468 108472392 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 Date Rebate Computation Performed Issuer 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. Form 990, Part VI, Section A, line 2 Confluence 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 6 The sole member is Confluence Health. Form 990, Part VI, Section A, line 7a Upon 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 8b The organization does not have any committees with the authority to act on behalf of the governing board. Form 990, Part VI, Section B, line 11b A 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 12c Board 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 15 The 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 19 The Organization's governing documents, conflict of interest policy, and audited financial statements are available to the public upon request. Form 990, Part IX, line 11g Professional 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. Confluence Health 1201 South Millre St Wenatchee WA 98801 454789950 Health System WA 501(c)(3) Line 12c, III-FI N/A 0 Wenatchee Valley Hospital 820 North Chelan Ave Wenatchee WA 98801 455563741 Hospital WA 501(c)(3) Line 3 Confluence Health 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0