2019-11-14T14:06:11-06:00 2018-12-31 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2018-01-01 454789950 CONFLUENCE HEALTH CONF 5096621511 1201 SOUTH MILLER STREET WENATCHEE WA 98801 PETER D RUTHERFORD MD CHIEF EXECUTIVE OFFICER 5096621511 2019-11-01 1 ROBERT GRANNUM P00355876 4252597227 2019-11-01 12.129.4.211 2019-11-01 12:33:24 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 079AE7619204407E1EE4B5348F078F0DCAEC311C 2018 2020-03-31 21:24:44Z PETER D RUTHERFORD MD 1201 SOUTH MILLER STREET WENATCHEE WA 98801 189695886 0 X WWW.CONFLUENCEHEALTH.ORG X 2012 WA IMPROVING HEALTH BY PROVIDING HIGH-QUALITY CARE IN A COMPASSIONATE AND COST-EFFECTIVE MANNER. 15 15 849 10 0 44087 568769 1315221 166444462 187616969 1492 105690 0 658006 167014723 189695886 238437 943652 0 0 58766166 65452265 0 0 0 111352998 116855793 170357601 183251710 -3342878 6444176 47295073 51171129 53923456 51206935 -6628383 -35806 X IMPROVING HEALTH BY PROVIDING HIGH-QUALITY CARE IN A COMPASSIONATE AND COST-EFFECTIVE MANNER. 0 0 151649166 943652 188274975 CONFLUENCE HEALTH PROVIDES THE ADMINISTRATIVE AND SHARED FUNCTIONS FOR THE HEALTH SYSTEM. IN ADDITION, THE PURPOSES OF THE SYSTEM ARE AS FOLLOWS:A. MAINTAIN THE AVAILABILITY AND ACCESS TO HIGH QUALITY, COST EFFECTIVE HEALTHCARE SERVICES FOR THE NORTH CENTRAL WASHINGTON (NCW) COMMUNITY;B. IMPROVE COORDINATION OF LIMITED HEALTH CARE RESOURCES AND MAXIMIZE THE EFFICIENCY OF THE HEALTH CARE SYSTEM TO ACHIEVE THE MOST COST EFFECTIVE CARE THAT CAN BE DELIVERED;C. PRESERVE NCW COMMUNITY CONTROL OVER IMPORTANT CARE DECISIONS AND ENSURE NCW COMMUNITY INVOLVEMENT IN THE DEVELOPMENT OF THE MEDICAL INFRASTRUCTURE AND OVERSIGHT OF THE NCW COMMUNITY HEALTHCARE DELIVERY SYSTEM;D. ENHANCE THE PATIENT-PHYSICIAN RELATIONSHIP AND MAINTAIN THE HIGH QUALITY OF CARE AND BREADTH OF SERVICES THE NCW COMMUNITY CURRENTLY ENJOYS;E. IMPROVE TEAMWORK AND INTEGRATION ACROSS THE CONTINUUM OF CARE AND ENSURE THAT PHYSICIANS AND OTHER HEALTHCARE PROVIDERS LEAD CLINICAL DESIGNS AND CLINICAL DECISIONS;F. ENSURE THAT PHYSICIANS AND ADMINISTRATIVE LEADERS HAVE A SHARED VISION REGARDING THE NCW COMMUNITY HEALTH CARE DELIVERY SYSTEM;G. ENSURE THAT THE NCW COMMUNITY ECONOMY, JOBS, AND BUSINESS PARTNERS ARE PRESERVED AND CAN GROW WITH THE REGION IN A RESPONSIBLE WAY;H. DEVELOP A HIGH PERFORMING INTEGRATED HEALTH CARE DELIVERY SYSTEM FOR THE NCW COMMUNITY THAT COULD APPLY FOR AND BE SUCCESSFUL WITH CONTRACTS FROM MEDICARE SO THAT THE NEWLY CREATED HEALTH SYSTEM CAN BE IDENTIFIED AS AN ACCOUNTABLE CARE ORGANIZATION IF SO DESIRED AND POSITION THE HEALTH SYSTEM SO THAT IT COULD CONTRACT FOR THE OVERALL SYSTEM OF CARE AND BE SUCCESSFUL WITH A NEWLY DEVELOPED RISK CONTRACTS BEING OFFERED BY COMMERCIAL INSURERS;I. ESTABLISH, EQUIP, OPERATE AND MAINTAIN BENEVOLENT AND CHARITABLE INSTITUTIONS FOR THE GIVING OF MEDICAL AND SURGICAL CARE TO THE SICK, WOUNDED, AND SUFFERING IRRESPECTIVE OF SEX, MARITAL STATUS, DISABILITY, COLOR, RACE, RELIGIOUS BELIEF, SEXUAL ORIENTATION, ECONOMIC STATUS, OR PECUNIARY CIRCUMSTANCES; ANDJ. CARRY ON ANY EDUCATIONAL ACTIVITIES, RELATED TO THE RENDERING OF CARE TO THE SICK AND INJURED OR THE PROMOTION OF HEALTH WHICH, IN THE OPINION OF THE BOARD OF DIRECTORS OF THE HEALTH SYSTEM MAY BE JUSTIFIED BY THE FACILITIES, PERSONNEL, FUNDS OR OTHER REQUIREMENTS THAT ARE OR CAN BE MADE AVAILABLE IN ACCORDANCE WITH THE LAWS OF THE STATE OF WASHINGTON. 151649166 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 90 0 1 849 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOHN DOYLE 5096621511 1201 SOUTH MILLER STREET WENATCHEE WA 98801 FRANK J KUNTZ BOARD CHAIR 2.00 2.00 X X 3600 0 0 PATRICIA WACHTEL VICE CHAIR 2.00 2.00 X X 3600 0 0 GUS HEINICKE TREASURER 2.00 2.00 X X 3600 0 0 JULIE SMITH MD SECRETARY 2.00 2.00 X X 0 0 0 TOBY BOND MD BOARD OF DIRECTORS 1.00 2.00 X 0 0 0 GARN CHRISTENSEN BOARD OF DIRECTORS (FROM 05/18) 1.00 2.00 X 3600 0 0 JENNY CRAVENS BOARD OF DIRECTORS 1.00 2.00 X 3600 0 0 D SCOTT DUNCAN BOARD OF DIRECTORS 1.00 2.00 X 3600 0 0 MITCHELL A GARRISON MD BOARD OF DIRECTORS 1.00 2.00 X 0 0 0 RICK HOURIGAN MD BOARD OF DIRECTORS 1.00 2.00 X 0 0 0 GARY LAMMERT MD BOARD OF DIRECTORS (THRU 01/18) 1.00 2.00 X 0 0 0 KRISTINE S LOOMIS BOARD OF DIRECTORS 1.00 2.00 X 3600 0 0 LAURA MOUNTER BOARD OF DIRECTORS (THRU 05/18) 1.00 2.00 X 0 0 0 JAMES MURRAY MD BOARD OF DIRECTORS (FROM 05/18) 1.00 2.00 X 0 0 0 GAUTAM NAYAK MD BOARD OF DIRECTORS (FROM 05/18) 1.00 2.00 X 0 0 0 MICHAEL ROSSI MD BOARD OF DIRECTORS (THRU 05/18) 1.00 2.00 X 0 0 0 DOUG SHAE BOARD OF DIRECTORS 1.00 2.00 X 3600 0 0 ROBERT TRASK JR BOARD OF DIRECTORS 1.00 2.00 X 0 0 0 JOHN R DOYLE CHIEF FINANCIAL OFFICER 20.00 30.00 X 457445 0 42130 STUART D FREED MD CHIEF MEDICAL OFFICER 20.00 30.00 X 508884 0 45021 VIKKI L NOYES CHIEF OPERATING OFFICER 20.00 30.00 X 430119 0 34987 ROBERT J PAGELER CHIEF INFORMATION OFFICER 20.00 30.00 X 312360 0 40064 PETER RUTHERFORD MD CHIEF EXECUTIVE OFFICER 20.00 30.00 X 653092 0 44606 JAMES B WOOD CHIEF ADMIN OFFICER 20.00 30.00 X 358631 0 44068 GLENN W ADAMS SR VP ANCILLARY SERVICES 20.00 30.00 X 254303 0 41191 FARAZ S AHMED SR VP PRIMARY CARE 20.00 30.00 X 175592 0 16306 JEANINE M ALLEN SR VP SPECIALTY CARE 20.00 30.00 X 235898 0 41739 JAY H JOHNSON SR VP NETWORK STRATEGY 20.00 30.00 X 347477 0 48908 TRACEY A KASNIC RN SR VP INPATIENT & CNO 20.00 30.00 X 333718 0 41520 PETER N LOLOS JR SR VP FACILITY & SUPT SRV 20.00 30.00 X 246182 0 31296 KEVIN GILBERT VP OF SURGERY ADMIN (THRU 08/18) 20.00 30.00 X 426802 0 23573 PEGGI A AMSTUTZ VP REVENUE CYCLE 20.00 30.00 X 270424 0 16912 KRIS A DEYERLE VP GENERAL COUNSEL 20.00 30.00 X 245290 0 28954 CORY M FERARI-ZIMMERMAN VP FINANCE 20.00 30.00 X 222010 0 27008 JULIE A MCALLISTER VP NURSING 20.00 30.00 X 211038 0 19771 5718065 0 588054 70 0 1 1 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 SERVICES/SUPPORT BILLING SYSTEM 5308106 EPIC HOSTING LLC BIN 88056 MILWAUKEE WI 53288 SERVICES BILLING SYSTEM 4080786 COMPUNET INC 505 S FLORENCE ST GRANGEVILLE ID 83530 CLOUD SERVICES 1191137 HEALTHCARE RESOURCE GROUP INC 12610 E MIRABEAU PKWY SPOKANE VALLEY WA 99216 SERVICES CODING 991983 ADVISORY BOARD COMPANY 655 NEW YORK AVE NW WASHINGTON DC 20001 SERVICES 861873 34 1296026 19195 1315221 MANAGEMENT SERVICES 541610 106562023 106562023 MANAGED CARE 541610 79644609 79644609 OTHER OPERATING INCOME 900099 1410337 1410337 187616969 105690 105690 MISCELLANEOUS 900099 658006 658006 658006 189695886 188274975 0 105690 843363 843363 100289 100289 4814336 3851469 962867 45625166 36500133 9125033 2303101 1842481 460620 8873127 7098502 1774625 3836535 3069228 767307 1990904 1990904 383308 383308 3352425 2681940 670485 634316 507453 126863 5312602 4250082 1062520 10073489 8058791 2014698 2674296 2406866 267430 1279609 1023687 255922 344429 344429 5401642 4861478 540164 943822 943822 MANAGED CARE CLAIM EXPE 81940933 71684957 10255976 TAXES AND LICENSES 2118099 2118099 BAD DEBT EXPENSE 405919 405919 183251710 151649166 31602544 0 3580952 3342926 37149 209049 4474684 5349059 54541051 16878887 34847758 37662164 4354530 4607931 47295073 51171129 31580313 32904428 22343143 18302507 53923456 51206935 X -6628383 -35806 -6628383 -35806 47295073 51171129 6444176 148401 0 X 0 1 X 1 1 1 X X X 2 WENATCHEE VALLEY HOSPITAL 455563741 3 1 34593526 0 CENTRAL WASHINGTON HEALTH SERVICES 910171250 3 1 71968497 0 2 106562023 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 PART VI, SECTION E, LINE 3A AND 3B THE HEALTH SYSTEM IS ORGANIZED AS A NON-PROFIT, TAX EXEMPT ENTITY UNDER WASHINGTON LAW. THE HEALTH SYSTEM IS A MEANS TO INTEGRATE ITS RELATED HOSPITALS, INCLUDING CENTRAL WASHINGTON HOSPITAL AND WENATCHEE VALLEY HOSPITAL, THAT A BOARD OF DIRECTORS OF THE HEALTH SYSTEM HAVE AUTHORIZED TO BE INCORPORATED, OF WHICH THE HEALTH SYSTEM SHALL BE A SOLE MEMBER AND MANAGED ORGANIZATIONS UNDER A COMMON GOVERNANCE STRUCTURE CONSISTENT WITH THE GOALS AND OBJECTIVE OF THE PARTIES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 100137 100137 0 PART II-B, LINE 1: $100,137 WAS PROVIDED TO CAPITOL ASSOCIATES, INC (CAI) WHO IS A WASHINGTON-BASED BIPARTISAN, LOBBYING, GOVERNMENT RELATIONS AND PUBLIC RELATIONS FIRM. THE ORGANIZATION'S WORK INCLUDES THE PREPARATION OF CONGRESSIONAL TESTIMONY AND THE PLANNING AND EXECUTION OF BRIEFINGS FOR MEMBERS OF CONGRESS AND THEIR STAFF. 225088 225088 2203672 255340 1948332 14093869 8383162 5710707 38018422 8240385 29778037 37662164 INVESTMENT IN HEALTH ALLIANCE NW 2276747 INVESTMENT IN GX GREENHEALTH EXCHANGE 150000 HEALTH ALLIANCE NW NOTE RECEIVABLE 2181184 4607931 X PART X, LINE 2: THE HEALTH SYSTEM IS FORMED AS THREE SEPARATE NOT-FOR-PROFIT CORPORATIONS, WHICH HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HEALTH SYSTEM IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. ANY UNRELATED BUSINESS INCOME GENERATED IS NOT SIGNIFICANT; THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. THE HEALTH SYSTEM HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2018 AND 2017, THE HEALTH SYSTEM HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. 1 ALATHEIA RIDING CENTER 2170 SLEEPY HOLLOW HEIGHTS WENATCHEE WA 98801 451552046 501(C)(3) 10000 OPERATING EXPENSES AMERICAN LUNG ASSOCIATION 5601 6TH AVE S STE 460 SEATTLE WA 98108 930386887 501(C)(3) 8250 HEOA AIR FILTERS BIG BEND COMMUNITY COLLEGE 7662 CHANUTE ST NE MOSES LAKE WA 98801 910826741 501(C)(3) 6000 SCHOLARSHIPS BREWSTER BOYS AND GIRLS CLUB PO BOX 2054 BREWSTER WA 98812 910549511 501(C)(3) 5500 BENEFIT GOLF TOURNAMENT CONFLUENCE HEALTH FOUNDATION 518 N CHELAN AVE WENATCHEE WA 98801 911075950 501(C)(3) 517258 GENERAL SUPPORT GWATA 285 TECHNOLOGY CENTER WAY STE 137 WENATCHEE WA 98801 912112603 501(C)(3) 15000 FLYWHEEL SPONSORSHIP MOSES LAKE BUSINESS ASSOCIATION PO BOX 1201 MOSES LAKE WA 98837 911606986 501(C)(6) 7035 MAIN STREET TAX INCENTIVE AND DOWNTOWN HARVEST FEST NCESD EDUCATIONAL FOUNDATION 14 N MISSION WENATCHEE WA 98801 911349486 501(C)(3) 5500 NCESD GRANTS NUMERICA PERFORMING ARTS CENTER 123 N WENATCHEE AVE WENATCHEE WA 98801 911185129 501(C)(3) 9000 2018 FESTIVAL OF TREES NURSE WEEK COMMITTEE PO BOX 1882 WENATCHEE WA 98801 911232106 501(C)(3) 6000 NATIONAL NURSE WEEK PEOPLE FOR PEOPLE 302 W LINCOLN WAY YAKIMA WA 98902 910783225 501(C)(3) 36000 COMMUNITY SHUTTLE IN MOSES LAKE THE TRUST FOR PUBLIC LAND 901 5TH AVE STE 1520 SEATTLE WA 98164 237222333 501(C)(3) 100000 METHOW PARK THE UNITED WAY OF CHELAN AND DOUGLAS COUNTIES 105 S MISSION WENATCHEE WA 98801 910657766 501(C)(3) 33820 COLOR RUSH AND EMPLOYEE MATCH WELLNESS PLACE PO BOX 1802 WENATCHEE WA 98801 911891688 501(C)(3) 20000 2ND PAYMENT OF 3 YEAR COMMITMENT WENATCHEE DOWNTOWN ASSOCIATION 103 PALOUSE ST STE 35 WENATCHEE WA 98001 910823589 501(C)(3) 30000 MAIN STREET $30K TAX CREDIT INITIATIVE FOR 2019 WENATCHEE ROW AND PADDLE CLUB PO BOX 3925 WENATCHEE WA 98801 911661493 501(C)(3) 7500 YOUTH ON THE COLUMBA 3RD YEAR OF 3 YEAR COMMITMENT WENATCHEE VALLEY HUMANE SOCIETY 1474 S WENATCHEE AVE WENATCHEE WA 98801 910838299 501(C)(3) 6000 RABIES SHOTS FOR EMPLOYEES AND HOLIDAY LUNCH WENATCHEEOUTDOORSORG 1512 REX ROAD WENATCHEE WA 98801 260691476 501(C)(3) 12500 ANNUAL DONATION YMCA 217 ORONDO ST WENATCHEE WA 98801 910578224 501(C)(3) 8000 PARTNERS WITH YOUTH 18 1 HIV PREVENTION AND CARE PROGRAM 81 17382 BCCHP (BREAST, CERVICAL, AND COLON CANCER SCREENING PROGRAM) GRANT 1400 82907 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 X X 1 0 0 0 0 1 1 0 0 JOHN R DOYLE CHIEF FINANCIAL OFFICER 424843 0 32602 0 0 0 19873 0 22257 0 499575 0 0 0 STUART D FREED MD CHIEF MEDICAL OFFICER 495080 0 13804 0 0 0 23503 0 21518 0 553905 0 0 0 VIKKI L NOYES CHIEF OPERATING OFFICER 398386 0 31733 0 0 0 17453 0 17534 0 465106 0 0 0 ROBERT J PAGELER CHIEF INFORMATION OFFICER 289044 0 23316 0 0 0 17453 0 22611 0 352424 0 0 0 PETER RUTHERFORD MD CHIEF EXECUTIVE OFFICER 605549 0 47543 0 0 0 22293 0 22313 0 697698 0 0 0 JAMES B WOOD CHIEF ADMIN OFFICER 326250 0 25992 0 6389 0 17453 0 26615 0 402699 0 0 0 GLENN W ADAMS SR VP ANCILLARY SERVICES 235233 0 19070 0 0 0 18934 0 22257 0 295494 0 0 0 FARAZ S AHMED SR VP PRIMARY CARE 168017 0 7575 0 0 0 0 0 16306 0 191898 0 0 0 JEANINE M ALLEN SR VP SPECIALTY CARE 218517 0 17381 0 0 0 19532 0 22207 0 277637 0 0 0 JAY H JOHNSON SR VP NETWORK STRATEGY 316146 0 25150 0 6181 0 22293 0 26615 0 396385 0 0 0 TRACEY A KASNIC RN SR VP INPATIENT & CNO 309161 0 24557 0 0 0 19873 0 21647 0 375238 0 0 0 PETER N LOLOS JR SR VP FACILITY & SUPT SRV 222402 0 17381 0 6399 0 19932 0 11364 0 277478 0 0 0 KEVIN GILBERT VP OF SURGERY ADMIN (THRU 08/18) 155702 0 10021 0 261079 0 8125 0 15448 0 450375 0 0 0 PEGGI A AMSTUTZ VP REVENUE CYCLE 232144 0 9528 0 28752 0 8143 0 8769 0 287336 0 0 0 KRIS A DEYERLE VP GENERAL COUNSEL 241692 0 3598 0 0 0 9866 0 19088 0 274244 0 0 0 CORY M FERARI-ZIMMERMAN VP FINANCE 212197 0 9813 0 0 0 7638 0 19370 0 249018 0 0 0 JULIE A MCALLISTER VP NURSING 194412 0 9174 0 7452 0 8371 0 11400 0 230809 0 0 0 PART I, LINE 4A KEVIN GILBERT, VP OF SURGERY ADMINISTRATION, RECEIVED A SEVERANCE PAYMENT OF $225,000 IN 2018. PART I, LINE 6 EVERY PAY PERIOD, THE EMPLOYER CONTRIBUTES THE MATCH PERCENTAGE PER THE PLAN DOCUMENT INTO THE EMPLOYEES' RETIREMENT ACCOUNT. ANNUALLY, THE BOARD DETERMINES BASED ON FINANCIAL RESULTS IF AN ADDITIONAL (OR DISCRETIONARY) AMOUNT WILL BE CONTRIBUTED TO THE EMPLOYEES' ACCOUNTS. THE PERCENTAGE IS BASED ON EMPLOYEE CLASSIFICATION AND LENGTH OF SERVICE. THE DECISION IS BASED ON MEETING ORGANIZATIONAL GOALS, AND ONE OF THOSE GOALS IS THE COMBINED OPERATING MARGIN OF THE THREE CONFLUENCE HEALTH SYSTEM ORGANIZATIONS: CONFLUENCE HEALTH, CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION, AND WENATCHEE VALLEY HOSPITAL. PART II: COMPENSATION FOR DR. STUART FREED IS REVIEWED, APPROVED, AND PAID BY AN UNRELATED THIRD PARTY, WENATCHEE VALLEY MEDICAL GROUP, FOR SERVICES PERFORMED FOR CONFLUENCE HEALTH. COMPENSATION PAID IN 2018 WAS $553,905. DUSTIN ALLEN FAMILY MEMBER OF KEY EMPLOYEE 59137 EMPLOYMENT 0 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 SERVICE AGREEMENT WITH THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 AND SCHEDULE B, IF ANY, IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND VICE PRESIDENT OF FINANCE. SUBSEQUENT TO THIS REVIEW THE FORM 990 AND SCHEDULE B 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 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 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 CONFLUENCE HEALTH'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION 1201 S MILLER STREET WENATCHEE WA 98801 910171250 HOSPITAL WA 501(C)(3) LINE 3 CONFLUENCE HEALTH 1 WENATCHEE VALLEY HOSPITAL 820 N CHELAN AVE WENATCHEE WA 98801 455563741 HOSPITAL WA 501(C)(3) LINE 3 CONFLUENCE HEALTH 1 0 0 0 0 0 0 1 1 0 0 0 1 0 1 1 0 1 0 0 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION L 71968497 COST ALLOCATION WENATCHEE VALLEY HOSPITAL L 34593526 COST ALLOCATION CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION G 19757237 COST BASIS CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION H 19419456 COST BASIS