Wenatchee Valley Hospital: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- Wenatchee Valley Hospital (EIN 45-5563741)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-12
- IRS object ID
- 201843169349305459
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-12T18:16:52-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2707 COLBY AVENUE SUITE 801 | AddressLine1Txt |
| City | EVERETT | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455563741 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WENATCHEE VALLEY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WENA | BusinessNameControlTxt |
| Phone | 5096638711 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 820 NORTH CHELAN AVE | AddressLine1Txt |
| City | WENATCHEE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PETER D RUTHERFORD MD | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 5096638711 | PhoneNum |
| Signature | 2018-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT GRANNUM | PreparerPersonNm |
| PTIN | P00355876 | PTIN |
| Phone | 4252597227 | PhoneNum |
| Preparation | 2018-11-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.129.7.100 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-08 | IPDt |
| IP Tm | 13:02:13 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7ABEDE2D465AB02E671AD8304780CB1E1B9D70B4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PETER D RUTHERFORD MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 820 NORTH CHELAN AVE | AddressLine1Txt |
| City | WENATCHEE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $368,377,735 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CONFLUENCEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | DEDICATED TO IMPROVING OUR PATIENTS' HEALTH BY PROVIDING SAFE, HIGH-QUALITY CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1734 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,195,227 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,238,826 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $336,924,464 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $366,978,014 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $160,760 | PYOtherRevenueAmt |
| CY Other Revenue | $160,895 | CYOtherRevenueAmt |
| PY Total Revenue | $339,280,451 | PYTotalRevenueAmt |
| CY Total Revenue | $368,377,735 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $76,958 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $67,998 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $91,733,835 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $96,527,127 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $245,972,272 | PYOtherExpensesAmt |
| CY Other Expenses | $271,688,915 | CYOtherExpensesAmt |
| PY Total Expenses | $337,783,065 | PYTotalExpensesAmt |
| CY Total Expenses | $368,284,040 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,497,386 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $93,695 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $80,372,060 | TotalAssetsBOYAmt |
| Total Assets EOY | $86,195,193 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $66,500,801 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $72,230,239 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,871,259 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,964,954 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE ARE DEDICATED TO IMPROVING OUR PATIENTS' HEALTH BY PROVIDING SAFE, HIGH-QUALITY CARE IN A COMPASSIONATE AND COST EFFECTIVE MANNER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $311,284,812 | ExpenseAmt |
| Grant | $67,998 | GrantAmt |
| Revenue | $362,750,335 | RevenueAmt |
| Desc | WENATCHEE VALLEY HOSPITAL WAS DEVELOPED AND FORMED AS A MEANS TO FURTHER CONFLUENCE HEALTH. THE PURPOSES OF THE HOSPITAL 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 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 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 BELIEVE, 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 WVH, 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.WENATCHEE VALLEY HOSPITAL OPERATES 13 RURAL HEALTH CLINICS IN ELEVEN COMMUNITIES THROUGHOUT THE NCW COMMUNITY INCLUDING: BREWSTER, CASHMERE, EAST WENATCHEE, EPHRATA, MOSES LAKE, OMAK, OROVILLE, ROYAL CITY, TONASKET, WATERVILLE, AND WINTHROP, AS WELL AS OPERATES A 20-BED HOSPITAL FACILITY WHICH SERVES MEDICAL, SURGICAL AND REHABILITATION PATIENTS. WENATCHEE VALLEY HOSPITAL HAS ENTERED INTO PROFESSIONAL SERVICE AGREEMENTS WITH A MULTI-SPECIALTY PHYSICIAN GROUP THAT EMPLOYS OR OTHERWISE ENGAGES NEARLY 300 PRIMARY CARE PHYSICIANS, PHYSICIAN SPECIALISTS AND MID-LEVEL PRACTITIONERS TO SERVE THE NEEDS OF PATIENTS WITHIN THE NCW COMMUNITY.WENATCHEE VALLEY HOSPITAL 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 HOSPITAL 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. CHARGES FORGONE, BASED ON ESTABLISHED RATES TOTALED $9,300,749 IN 2017.MANAGEMENT ESTIMATES CHARITY CARE COSTS BY CALCULATING A RATIO OF COST TO GROSS CHARGES, AND THEN MULTIPLYING THAT RATIO BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. CHARITY CARE COSTS WERE $4,214,268 IN 2017.THE HOSPITAL HAD 1,643 ACUTE REHAB DAYS, PROVIDED 5,892 SURGERY CASES AND A 910,946 OUTPATIENT COUNT. | Desc |
| Total Program Service Expenses | $311,284,812 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 364 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1734 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN DOYLE | PersonNm |
| Phone | 5096621511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 SOUTH MILLER STREET | AddressLine1Txt |
| City | WENATCHEE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| KRISTINE S LOOMIS | ||||||||||
| CHAIR | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| FRANK J KUNTZ | ||||||||||
| VICE-CHAIR AND TREASURER | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| GARY LAMMERT MD | ||||||||||
| SECRETARY | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| TOBY BOND MD | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JENNY CRAVENS | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| D SCOTT DUNCAN | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MITCHELL A GARRISON MD | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| GUS HEINICKE | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD HOURIGAN MD | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| LAURA MOUNTER | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL ROSSI MD | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOUG SHAE | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JULIE SMITH MD | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT TRASK JR | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICIA WACHTEL | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER RUTHERFORD MD | ||||||||||
| CHIEF EXECUTIVE OFFICER | 15.00 | 35.00 | Yes (X) | $0 | $639,999 | $46,934 | ||||
| JOHN R DOYLE | ||||||||||
| CHIEF FINANCIAL OFFICER | 15.00 | 35.00 | Yes (X) | $0 | $438,443 | $44,539 | ||||
| GLENN W ADAMS | ||||||||||
| SR VP ANCILLARY SERVICES | 15.00 | 35.00 | $0 | $250,220 | $44,591 | Yes (X) | ||||
| JEANINE M ALLEN | ||||||||||
| SR VP SPECIALTY CARE | 15.00 | 35.00 | $0 | $233,799 | $42,677 | Yes (X) | ||||
| JAY H JOHNSON | ||||||||||
| SR VP NETWORK STRATEGY | 15.00 | 35.00 | $0 | $340,794 | $50,388 | Yes (X) | ||||
| TRACEY A KASNIC RN | ||||||||||
| SR VP INPATIENT & CNO | 15.00 | 35.00 | $0 | $337,610 | $42,959 | Yes (X) | ||||
| PETER N LOLOS | ||||||||||
| SR VP FACILITY & SUPT SRV | 15.00 | 35.00 | $0 | $241,076 | $34,848 | Yes (X) | ||||
| JEANETTE WOOD | ||||||||||
| SR VP PRIMARY CARE | 15.00 | 35.00 | $0 | $230,303 | $42,260 | Yes (X) | ||||
| VIKKI L NOYES | ||||||||||
| CHIEF OPERATING OFFICER | 15.00 | 35.00 | $0 | $419,555 | $36,834 | Yes (X) | ||||
| ROBERT J PAGELER | ||||||||||
| CHIEF INFORMATION OFFICER | 15.00 | 35.00 | $0 | $315,638 | $40,918 | Yes (X) | ||||
| JAMES B WOOD | ||||||||||
| CHIEF ADMIN OFFICER | 15.00 | 35.00 | $0 | $349,496 | $42,438 | Yes (X) | ||||
| STUART D FREED MD | ||||||||||
| CHIEF MEDICAL OFFICER | 15.00 | 35.00 | $0 | $491,617 | $52,857 | Yes (X) | ||||
| THOMAS K DYET | ||||||||||
| VP OF FAMILY PRACTICE | 50.00 | $183,923 | $0 | $31,752 | Yes (X) | |||||
| GREGG E FLETCHER | ||||||||||
| VP OF OUTPATIENT ADMINISTRATION | 50.00 | $170,611 | $0 | $35,782 | Yes (X) | |||||
| JORDAN M KNOX | ||||||||||
| PHYSICIAN ASSISTANT - SURGICAL | 50.00 | $165,751 | $0 | $33,294 | Yes (X) | |||||
| DEREK A WHITEHALL | ||||||||||
| PHYSICIAN ASSISTANT REGIONAL SPECIALIST II | 50.00 | $163,102 | $0 | $55,107 | Yes (X) | |||||
| GREGORY R MCDONOUGH | ||||||||||
| PHYSICIAN ASSISTANT - SURGICAL | 50.00 | $160,643 | $0 | $23,642 | Yes (X) | |||||
| JOHN B HAMILTON | ||||||||||
| FORMER COO OF CH | 0.00 | $0 | $185,288 | $0 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $844,030 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,473,838 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $701,820 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 111 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WENATCHEE VALLEY MEDICAL GROUP | |||||
| PO BOX 489 | WENATCHEE | WA | 98801 | PHYSICIAN SERVICES | $103,667,657 |
| COMPHEALTH MEDICAL STAFFING | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | STAFFING SERVICES | $2,563,827 |
| RADIA INC PS | |||||
| PO BOX 24649 | SEATTLE | WA | 98124 | PHYSICIAN SERVICES | $1,438,762 |
| WENATCHEE EMERGENCY PHYSICIANS | |||||
| PO BOX 4600 | WENATCHEE | WA | 98801 | PHYSICIAN SERVICES | $924,005 |
| CINTAS | |||||
| 310 2ND ST NE | EAST WENATCHEE | WA | 98802 | LINEN SERVICES | $592,026 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 38 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,228,826 | GovernmentGrantsAmt |
| All Other Contributions | $10,000 | AllOtherContributionsAmt |
| Total Contributions | $1,238,826 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 621990 | $289,331,656 | $289,331,656 | |
| MANAGED CARE | 621990 | $63,303,744 | $63,303,744 | |
| PROFESSIONAL SERVICES | 621990 | $9,051,911 | $9,051,911 | |
| ANCILLARY SERVICES | 621990 | $3,658,621 | $3,658,621 | |
| RESEARCH | 541700 | $1,053,145 | $1,053,145 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $578,937 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,879 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $569,058 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $366,978,014 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $160,895 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $160,895 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $160,895 | TotalRevenueColumnAmt |
| Exclusion | $160,895 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $368,377,735 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $362,750,335 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,388,574 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,998 | TotalAmt |
| Program Services | $67,998 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,872,515 | TotalAmt |
| Program Services | $59,898,012 | ProgramServicesAmt |
| Management And General | $14,974,503 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,473,721 | TotalAmt |
| Program Services | $2,778,977 | ProgramServicesAmt |
| Management And General | $694,744 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,872,333 | TotalAmt |
| Program Services | $9,497,866 | ProgramServicesAmt |
| Management And General | $2,374,467 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,308,558 | TotalAmt |
| Program Services | $5,046,846 | ProgramServicesAmt |
| Management And General | $1,261,712 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,567,566 | TotalAmt |
| Program Services | $41,010,809 | ProgramServicesAmt |
| Management And General | $4,556,757 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,592 | TotalAmt |
| Management And General | $42,592 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,532 | TotalAmt |
| Management And General | $119,532 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,383 | TotalAmt |
| Program Services | $40,868 | ProgramServicesAmt |
| Management And General | $17,515 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,780 | TotalAmt |
| Program Services | $283,824 | ProgramServicesAmt |
| Management And General | $70,956 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,355,802 | TotalAmt |
| Program Services | $5,884,642 | ProgramServicesAmt |
| Management And General | $1,471,160 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,238,314 | TotalAmt |
| Program Services | $990,651 | ProgramServicesAmt |
| Management And General | $247,663 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,032,904 | TotalAmt |
| Program Services | $9,029,614 | ProgramServicesAmt |
| Management And General | $1,003,290 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,780 | TotalAmt |
| Program Services | $335,824 | ProgramServicesAmt |
| Management And General | $83,956 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $964,695 | TotalAmt |
| Program Services | $964,695 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,525,384 | TotalAmt |
| Program Services | $2,272,846 | ProgramServicesAmt |
| Management And General | $252,538 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,974,957 | TotalAmt |
| Management And General | $3,974,957 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT SERVICES | $160,387,254 | $144,348,529 | $16,038,725 |
| GENERAL SERVICES | $32,713,871 | $22,899,710 | $9,814,161 |
| TAXES AND LICENSES | $3,113,132 | $3,113,132 | |
| BAD DEBT EXPENSE | $2,819,969 | $2,819,969 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $368,284,040 | TotalAmt |
| Program Services | $311,284,812 | ProgramServicesAmt |
| Management And General | $56,999,228 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,825,181 | BOYAmt |
| EOY | $4,966,082 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,966,814 | BOYAmt |
| EOY | $56,643,040 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,753,067 | BOYAmt |
| EOY | $2,868,551 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,129,488 | BOYAmt |
| EOY | $1,898,926 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,090,198 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,299,203 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,669,911 | BOYAmt |
| EOY | $15,790,995 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,027,599 | BOYAmt |
| EOY | $4,027,599 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,372,060 | BOYAmt |
| EOY | $86,195,193 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,588,639 | BOYAmt |
| EOY | $22,641,317 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,912,162 | BOYAmt |
| EOY | $49,588,922 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,500,801 | BOYAmt |
| EOY | $72,230,239 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,871,259 | BOYAmt |
| EOY | $13,964,954 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,871,259 | BOYAmt |
| EOY | $13,964,954 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,372,060 | BOYAmt |
| EOY | $86,195,193 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $93,695 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $12,552 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,552 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | WA STATE HOSPITAL ASSOCIATION DUES - 20.00% OF $62,760 = $12,552 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,000 | OtherCostOrOtherBasisAmt |
| Book Value | $80,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,369,246 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,079,798 | DepreciationAmt |
| Book Value | $3,289,448 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,891,420 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,987,915 | DepreciationAmt |
| Book Value | $9,903,505 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,749,532 | OtherCostOrOtherBasisAmt |
| Depreciation | $231,490 | DepreciationAmt |
| Book Value | $2,518,042 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,790,995 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $33,195,808 |
| NOTE PAYABLE - CWH | $16,393,114 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $49,588,922 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2017 AND 2016, THE HEALTH SYSTEM HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 175.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,172,288 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,172,288 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,038,048 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,003,270 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,034,778 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07880 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,210,336 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,003,270 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,207,066 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08470 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $305,924 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $241,923 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $64,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,323,548 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,323,548 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,629,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $241,923 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,387,549 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,839,808 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,245,193 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,594,615 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,819,969 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $49,446,422 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $45,983,569 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,462,853 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WENATCHEE VALLEY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 820 NORTH CHELAN AVE | AddressLine1Txt |
| City | WENATCHEE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CONFLUENCEHEALTH.ORG | WebsiteAddressTxt |
| State License | HAC.FS.60424211 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WENATCHEE VALLEY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.CONFLUENCEHEALTH.ORG/ABOUT-US/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.CONFLUENCEHEALTH.ORG/COMMUNITY-BENEFITS-REPORT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | DOH.WA.GOV/PORTALS/1/DOCUMENTS/2300/HOSPPATIENTDATA/CCPCONFLUENCE-2018.PDF | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | CONFLUENCEHEALTH.ORG/WP-CONTENT/UPLOADS/2016/11/CCP-APP-2017.PDF | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | CONFLUENCEHEALTH.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE/CHARITY-CARE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WENATCHEE VALLEY HOSPITAL | PART V, SECTION B, LINE 5: DURING JULY AND AUGUST 2016, THE CHNA TEAM HELD COMMUNITY STAKEHOLDER MEETINGS IN EACH OF THE COUNTIES WITHIN THE NORTH CENTRAL WASHINGTON REGION. EACH MEETING WAS ATTENDED BY COMMUNITY STAKEHOLDERS FROM HEALTHCARE ORGANIZATIONS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), EDUCATION, HOUSING, AND OTHER SOCIAL AND COMMUNITY SERVICE ORGANIZATIONS. EACH GROUP PARTICIPATED IN A SWOT ANALYSIS (STRENGTHS, WEAKNESSES, OPPORTUNITIES, AND THREATS) DISCUSSING AND RECORDING THE CHALLENGES, ASSETS, GAPS, AND OPPORTUNITIES THAT AFFECT THE HEALTH OF THE COMMUNITY. FURTHER EFFORT WAS TAKEN TO COLLECT INFORMATION FROM THE COMMUNITY ON OPINIONS AND PERCEPTIONS OF HEALTH AND QUALITY OF LIFE. THE CHNA STEERING TEAM ADAPTED A SURVEY USED IN OTHER JURISDICTIONS TO GATHER INFORMATION ABOUT COMMUNITY HEALTH THEMES AND STRENGTHS. THE SURVEY WAS ADMINISTERED USING SURVEYMONKEY, AN ONLINE SURVEY TOOL, TO COMMUNITY STAKEHOLDERS IN THE REGION. 169 INDIVIDUALS, REPRESENTING A VARIETY OF SECTORS, INCLUDING HEALTHCARE, PUBLIC HEALTH, GOVERNMENT, SOCIAL SERVICES, AND THE COMMUNITY AT LARGE, PARTICIPATED IN THE SURVEY. THE SURVEY CAPTURED THE OPINIONS OF THE HEALTH OF THE COMMUNITY, THE GREATEST RISKS TO HEALTH IN THE REGION, THE NEEDS OF THE REGION TO IMPROVE HEALTH, AND THE BEHAVIORS IN THE COMMUNITY THAT POSITIVELY OR NEGATIVELY AFFECT HEALTH.ORGANIZATIONS CONSULTED: AGING & ADULT CARE OF CENTRAL WASHINGTON, AMERIGROUP, BIG BEND COMMUNITY COLLEGE, CASCADE MEDICAL CENTER, CHELAN COUNTY REGIONAL JUSTICE CENTER, CHELAN DOUGLAS COMMUNITY ACTION, CHELAN DOUGLAS HEALTH DISTRICT, CITY OF WENATCHEE, COLUMBIA BASIN HOSPITAL, COLUMBIA VALLEY COMMUNITY HEALTH CENTER, COMMUNITY CHOICE, COMMUNITY HEALTH PLAN OF WASHINGTON, COORDINATED CARE HEALTH, CONFLUENCE HEALTH, FAMILY HEALTH CENTERS, GRANT COUNTY HEALTH DISTRICT, HOUSING AUTHORITY OF CHELAN COUNTY AND THE CITY OF WENATCHEE, HOUSING AUTHORITY OF GRANT COUNTY, INITIATIVE FOR RURAL INNOVATION AND STEWARDSHIP, LAKE CHELAN COMMUNITY HOSPITAL, MID VALLEY HOSPITAL, MOLINA HEALTHCARE OF WASHINGTON, MOSES LAKE COMMUNITY HEALTH CENTER, NATIONAL ALLIANCE ON MENTAL ILLNESS, NORTH CENTRAL EDUCATIONAL SERVICE DISTRICT, NORTH CENTRAL EMERGENCY CARE SERVICES, NORTH VALLEY HOSPITAL, OKANOGAN BEHAVIORAL HEALTH CARE, OKANOGAN VA, ROOM ONE, SAMARITAN HEALTHCARE, SERVE MOSES LAKE, THE CENTER FOR ALCOHOL & DRUG TREATMENT, THREE RIVERS HOSPITAL, TOGETHER! FOR YOUTH, UNITED HEALTHCARE, WENATCHEE VALLEY COLLEGE, WENATCHEE VALLEY LUTHERAN LATINO MINISTRY, WENATCHEE WORLD. |
| WENATCHEE VALLEY HOSPITAL | PART V, SECTION B, LINE 6A: CENTRAL WASHINGTON HOSPITAL |
| WENATCHEE VALLEY HOSPITAL | PART V, SECTION B, LINE 6B: COMMUNITY CHOICE HEALTHCARE NETWORKCHELAN-DOUGLAS HEALTH DISTRICT |
| WENATCHEE VALLEY HOSPITAL | PART V, SECTION B, LINE 11: THERE WERE FOUR SIGNIFICANT NEEDS IDENTIFIED IN THE 2016 CHNA:MENTAL HEALTH CARE ACCESS - CONFLUENCE HEALTH IS CONTINUING TO EXPAND ITS OUTPATIENT BEHAVIORAL HEALTH PROGRAM THROUGH THE HIRING OF A PSYCHIATRIST, PSYCHOLOGISTS, BEHAVIORAL HEALTH NURSE PRACTITIONERS AND LICENSED COUNSELORS IN CHELAN, DOUGLAS, GRANT AND OKANOGAN COUNTY.ACCESS TO HEALTH CARE - CONFLUENCE HEALTH IS CONTINUALLY WORKING TO IMPROVE ACCESS TO HEALTHCARE AND HAS ADDED ADDITIONAL PRIMARY CARE AND SPECIALTY PROVIDERS. ONE OF THE ANNUAL GOALS IS MEASURING IF PATIENTS PERCEIVED THEY GOT AN APPOINTMENT AS SOON AS THEY FELT THEY NEEDED IT. FURTHER, WE ARE EXPLORING ALTERNATIVE AVENUES OF ACCESS SUCH AS TELEMEDICINE TO IMPROVE CURRENT ACCESS.OBESITY - CONFLUENCE HEALTH IS STARTING A MEDICAL AND SURGICAL OBESITY MANAGEMENT PROGRAM IN 2017.EDUCATION - THERE ARE MANY BARRIERS TO EDUCATION. ONE BARRIER TO HIGH SCHOOL GRADUATION IS TEEN PREGNANCY AND CONFLUENCE HEALTH IS WORKING WITH COMMUNITY PARTNERS IN OKANOGAN COUNTY TO DECREASE THE INCIDENCE OF TEEN PREGNANCY. IN ADDITION, ANOTHER BARRIER TO LEARNING IS HEALTH. CONFLUENCE HEALTH IS PARTNERING WITH A LOCAL SCHOOL DISTRICT TO ESTABLISH A SCHOOL-BASED CLINIC. |
| WENATCHEE VALLEY 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. |
| WENATCHEE VALLEY 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MOSES LAKE CLINIC | ||||
| 840 E HILL AVE | MOSES LAKE | WA | 98837 | PRIMARY CARE CLINIC, AMBULATORY SURGERY, ANTICOAG, OCCUPATIONAL, BEHAVIORAL |
| 2 - EAST WENATCHEE CLINIC | ||||
| 100 HIGHLINE DRIVE | EAST WENATCHEE | WA | 98802 | FAMILY MEDICINE AND PRIMARY CARE CLINIC |
| 3 - OMAK CLINIC | ||||
| 916 KOALA DRIVE | OMAK | WA | 98841 | FAMILY MEDICINE AND PRIMARY CARE CLINIC |
| 4 - WENATCHEE ORTHOPEDICS BUILDINGS | ||||
| 520 N CHELAN AVE | WENATCHEE | WA | 98801 | ORTHOPEDICS CLINIC |
| 5 - MILLER STREET COMPLEX | ||||
| 1000 N MILLER ST | WENATCHEE | WA | 98801 | PHYSICAL THERAPY AND SLEEP CENTER |
| 6 - SAMARITAN CLINIC | ||||
| 1550 S PIONEER WAY | MOSES LAKE | WA | 98837 | OPTOMETRY AND PHYSICAL THERAPY |
| 7 - PEDIATRICS BUILDING | ||||
| 900 N MISSION STREET | WENATCHEE | WA | 98801 | OUTPATIENT PEDIATRICS |
| 8 - BEHAVIORAL HEALTH BUILDING | ||||
| 630 N CHELAN AVE | WENATCHEE | WA | 98801 | ADULT AND YOUTH BEHAVIORAL HEALTH |
| 9 - TONASKET CLINIC | ||||
| 17 SOUTH WESTERN AVE | TONASKET | WA | 98855 | FAMILY MEDICINE AND PRIMARY CARE CLINIC |
| 10 - OROVILLE CLINIC | ||||
| 1617 MAIN ST | OROVILLE | WA | 98844 | FAMILY MEDICINE AND PRIMARY CARE CLINIC |
| 11 - OCCUPATIONAL MEDICINE | ||||
| 317 N MISSION STREET | WENATCHEE | WA | 98801 | OCCUPATIONAL MEDICINE |
| 12 - BREWSTER CLINIC | ||||
| 418 W MAIN STREET | BREWSTER | WA | 98812 | FAMILY MEDICINE AND PRIMARY CARE CLINIC |
| 13 - CASHMERE CLINIC | ||||
| 303 COTTAGE AVENUE | CASHMERE | WA | 98815 | FAMILY MEDICINE AND PRIMARY CARE CLINIC |
| 14 - METHOW VALLEY CLINIC | ||||
| 1116 WA-20 | WINTHROP | WA | 98862 | FAMILY MEDICINE AND PRIMARY CARE CLINIC |
| 15 - STEMILT CLINIC | ||||
| 2833 EUCLID AVE | WENATCHEE | WA | 98801 | STEMILT PRIMARY CARE CLINIC |
| 16 - WATERVILLE CLINIC | ||||
| 117 SOUTH CHELAN AVE | WATERVILLE | WA | 98858 | FAMILY MEDICINE AND PRIMARY CARE CLINIC |
| 17 - ROYAL CITY CLINIC | ||||
| 103 CAMELIA ST NW | ROYAL CITY | WA | 99357 | FAMILY MEDICINE AND PRIMARY CARE CLINIC |
| 18 - EPHRATA CLINIC | ||||
| 314 BASIN SW | EPHRATA | WA | 98823 | FAMILY MEDICINE AND PRIMARY CARE CLINIC |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4: | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HEALTH SYSTEM'S SELF-PAY WRITE-OFFS WERE $2,819,969 AND $4,453,912 FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, RESPECTIVELY. |
| PART III, LINE 8: | MEDICARE - INPATIENT ACUTE CARE SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. |
| 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: | WENATCHEE VALLEY HOSPITAL PARTICIPATED IN A COMMUNITY WIDE NEEDS ASSESSMENT IN COOPERATION WITH COMMUNITY CHOICE HEALTHCARE NETWORK AND CHELAN-DOUGLAS PUBLIC HEALTH DISTRICT. |
| PART VI, LINE 3: | COMMUNICATIONS TO THE PUBLIC:A. INFORMATION ABOUT CONFLUENCE HEALTH'S FINANCIAL ASSISTANCE AND CHARITY CARE POLICY ALSO KNOWN AS COMPASSIONATE CARE PROGRAM (CCP) SHALL BE MADE PUBLICLY AVAILABLE AS FOLLOWS: B. A NOTICE ADVISING PATIENTS THAT CONFLUENCE HEALTH PROVIDES FINANCIAL ASSISTANCE AND CHARITY CARE SHALL BE POSTED IN KEY PUBLIC AREAS OF CENTRAL WASHINGTON HOSPITAL, WENATCHEE VALLEY HOSPITAL, AND THEIR CLINICS (COLLECTIVELY "HOSPITALS"), INCLUDING ADMISSIONS, THE EMERGENCY DEPARTMENT AND FINANCIAL SERVICES.C. CONFLUENCE HEALTH WILL DISTRIBUTE A WRITTEN NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE TO ALL PATIENTS. THIS IS DONE AT THE TIME THAT CONFLUENCE HEALTH REQUESTS INFORMATION PERTAINING TO THIRD PARTY COVERAGE. THE WRITTEN NOTICE ALSO SHALL BE VERBALLY EXPLAINED AT THIS TIME. IF FOR SOME REASON, FOR EXAMPLE IN AN EMERGENCY SITUATION, THE PATIENT IS NOT NOTIFIED OF THE EXISTENCE OF FINANCIAL ASSISTANCE AND CHARITY CARE BEFORE RECEIVING TREATMENT; HE/SHE SHALL BE NOTIFIED IN WRITING AS SOON AS POSSIBLE THEREAFTER.D. BOTH THE WRITTEN NOTICE AND THE VERBAL EXPLANATION SHALL BE AVAILABLE IN ANY LANGUAGE SPOKEN BY MORE THAN FIVE PERCENT OF THE POPULATION IN THE CONFLUENCE HEALTH SERVICE AREA, INTERPRETED FOR OTHER NON-ENGLISH SPEAKING OR LIMITED-ENGLISH SPEAKING PATIENTS AND FOR OTHER PATIENTS WHO CANNOT UNDERSTAND THE WRITING AND/OR EXPLANATION. CONFLUENCE HEALTH FINDS THAT THE FOLLOWING NON-ENGLISH TRANSLATION(S) OF THE NOTICE SHALL BE MADE AVAILABLE: SPANISH.E. CONFLUENCE HEALTH SHALL TRAIN FRONT LINE STAFF TO ANSWER FINANCIAL ASSISTANCE AND CHARITY CARE QUESTIONS EFFECTIVELY OR DIRECT SUCH INQUIRIES TO THE APPROPRIATE DEPARTMENT IN A TIMELY MANNER.F. WRITTEN NOTICE ABOUT CONFLUENCE HEALTH'S FINANCIAL ASSISTANCE AND CHARITY CARE POLICY SHALL BE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION, EITHER BY MAIL, BY TELEPHONE OR IN PERSON. CONFLUENCE HEALTH'S SLIDING FEE SCHEDULE, IF APPLICABLE, SHALL ALSO BE MADE AVAILABLE UPON REQUEST. |
| PART VI, LINE 4: | THE HOSPITAL OPERATES A 20-BED HOSPITAL ALONG WITH 13 MULTISPECIALTY OUTPATIENT CLINICS DELIVERING A FULL RANGE OF HEALTH CARE SERVICES IN WENATCHEE, WASHINGTON AND THE NORTH CENTRAL WASHINGTON AREA. THE HOSPITAL IS A NOT-FOR-PROFIT INSTITUTION GOVERNED BY A BOARD OF DIRECTORS, PROVIDING GENERAL INPATIENT AND REHAB SERVICES AS WELL AS ALLERGY, AUDIOLOGY, BEHAVIORAL MEDICINE, BREAST & CERVICAL HEALTH, BREAST IMAGING, CANCER CARE, CARDIOLOGY, CARDIOTHORACIC SURGERY, DERMATOLOGY, EAR, NOSE & THROAT, ENDOCRINOLOGY, FAMILY MEDICINE, GASTROENTEROLOGY, GERIATRICS, HOSPITAL SERVICES, INFECTIOUS DISEASE, INTERNAL MEDICINE, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, NUTRITION, OCCUPATIONAL MEDICINE, OCCUPATIONAL THERAPY, ONCOLOGY & HEMATOLOGY, OPHTHALMOLOGY, OPTOMETRY, ORTHOPEDICS & ORTHOPEDIC SURGERY, PAIN MANAGEMENT, PALLIATIVE CARE, PEDIATRICS, PHYSIATRY, PHYSICAL THERAPY, PODIATRY, PULMONARY MEDICINE, RADIATION ONCOLOGY, RADIOLOGY/IMAGING, RESEARCH, RHEUMATOLOGY, ROBOTIC SURGERY, SLEEP CENTER, SPEECH LANGUAGE PATHOLOGY, SPINAL CLINIC & SURGERY, UROLOGY, VASCULAR SURGERY, WOMEN'S HEALTH AND WOUND CARE.WENATCHEE, WASHINGTON IS APPROXIMATELY 150 MILES EAST OF SEATTLE, WASHINGTON AND 170 MILES WEST OF SPOKANE, WASHINGTON. CHELAN AND DOUGLAS COUNTIES COMPRISE THE HOSPITAL'S PRIMARY SERVICE AREA WHILE GRANT AND OKANOGAN COUNTIES REPRESENT SECONDARY SERVICE AREAS. THE 13 MULTISPECIALTY OUTPATIENT CLINICS ARE LOCATED IN 11 CITIES. APPROXIMATELY 96% OF THE HOSPITAL'S PATIENT VISITS ARE FROM THE PRIMARY AND SECONDARY SERVICE AREAS. THE SERVICE AREA'S POPULATION IS HEAVILY WEIGHTED IN THE 65+ AGE COHORT. IN ADDITION, THE HOSPITAL HAS A HIGH CONCENTRATION OF FARM AND AGRICULTURE RELATED EMPLOYERS/EMPLOYEES. |
| PART VI, LINE 5: | THE HOSPITAL PARTNERS WITH CONFLUENCE HEALTH TO SERVE THE HEALTH OF THE COMMUNITY BY PROVIDING BENEFITS TO THE COMMUNITY INCLUDING EDUCATIONAL OPPORTUNITIES, CLINICS, AND FLU VACCINATIONS. |
| PART VI, LINE 6: | CONFLUENCE HEALTH WAS FORMED IN 2012 AS A HEALTH SYSTEM THAT REPRESENTS AN AFFILIATION BETWEEN THE HOSPITAL, WENATCHEE VALLEY MEDICAL CENTER (A FOR-PROFIT ORGANIZATION) AND CENTRAL WASHINGTON HOSPITAL. EFFECTIVE JANUARY 1, 2013, THE HOSPITAL AFFILIATED WITH CONFLUENCE HEALTH AND CONFLUENCE HEALTH BECAME THE SOLE MEMBER OF THE HOSPITAL. THE BOARD OF DIRECTORS OF CONFLUENCE HEALTH CONSISTS OF 9 COMMUNITY MEMBERS AND 6 PHYSICIANS OF WENATCHEE VALLEY MEDICAL CENTER.THE MISSION STATEMENT OF CONFLUENCE HEALTH IS:WE ARE DEDICATED TO IMPROVING OUR PATIENTS HEALTH BY PROVIDING SAFE, HIGH-QUALITY CARE IN A COMPASSIONATE AND COST-EFFECTIVE MANNER. |
| PART VI, LINE 7: | N/A |
| REV. PROC. 2015-21 DISCLOSURE | PURSUANT TO REV. PROC. 2015-21, WENATCHEE VALLEY HOSPITAL (WVH) IS DISCLOSING THE FOLLOWING INFORMATION FOR FAILURES TO COMPLY WITH REGARDS TO INTERNAL REVENUE CODE SECTION 501(R). TIMING OF DISCOVERY AND CORRECTION OF DEFICIENCIES: THE FOLLOWING FOUR ERRORS AND OMISSIONS WITH RESPECT TO SECTION 501(R) AND RELATED REGULATIONS CAME TO LIGHT AS A RESULT OF AN EXAMINATION WITH THE IRS FOR TAX YEAR ENDED DECEMBER 31, 2014. THE HOSPITAL RECEIVED INFORMATION DOCUMENT REQUESTS IN APRIL AND MAY OF 2017 WITH RESPECT TO THE FORM 990 FILED FOR THE TAX YEAR ENDED DECEMBER 31, 2014, AND THE FORM 990 WAS ACCEPTED AS FILED ON JANUARY 4, 2018. CORRECTIONS HAVE BEEN MADE TO ADDRESS THE FOUR DEFICIENCIES NOTED AT THE EXAM CLOSING AND WERE COMPLETED APPROXIMATELY JANUARY 2018.(1) MAKING THE FINANCIAL ASSISTANCE POLICY (FAP) WIDELY AVAILABLEA. THE HOSPITAL ERRED IN ITS ATTEMPT TO MAKE ITS COMPLETE AND CURRENT FAP WIDELY AVAILABLE ON ITS WEBSITE. THE HOSPITAL MADE A PLAIN LANGUAGE SUMMARY OF THE FAP AND THE FAP APPLICATION WIDELY AVAILABLE ON ITS WEBSITE AND FACILITIES BUT HAD NOT PUBLISHED THE FULL AND COMPLETE FAP IN A WIDELY AVAILABLE MANNER. B. PRIOR TO ENACTMENT OF THE FINAL REGULATIONS, WVH REASONABLY RELIED, IN GOOD FAITH, ON THEIR INTERPRETATION OF PROPOSED AND TEMPORARY REGULATIONS UNDER IRC SEC. 501(R), IN MAKING THEIR FAP WIDELY AVAILABLE. TREAS. REG. SECS. 1.501(R)-1 THROUGH 1.501(R)-6 WERE FINALIZED AND WENT INTO EFFECT FOR TAXABLE YEARS BEGINNING AFTER 12/29/2015. AS SUCH, TAX YEARS 2016 AND 2017 WERE AFFECTED DUE TO ADDITIONAL REQUIREMENTS IN THE NEWLY FINALIZED REGULATIONS. C. THE HOSPITAL BEGAN TAKING CORRECTIVE ACTION IN 2017 DURING THE EXAMINATION PERIOD AS THESE ERRORS AND OMISSIONS WERE DISCOVERED. AS A RESULT, PURSUANT TO TREAS. REG. 501(R)-1(B)(29)(C), THE COMPLETE AND CURRENT FAP IS POSTED ON THE WASHINGTON STATE DEPARTMENT OF HEALTH'S (DOH) WEBSITE AND A LINK TO THE DOH WEBSITE IS POSTED CONSPICUOUSLY ON THE HOSPITAL'S OWN WEBSITE. THE FAP CAN BE ACCESSED AND DOWNLOADED FREELY, WITHOUT SPECIAL HARDWARE OR SOFTWARE, AND WITHOUT CREATING AN ACCOUNT OR LOGGING IN, AND THE HOSPITAL WILL PROVIDE THE FAP TO INDIVIDUALS SEEKING A COPY OF THE DOCUMENT. D. THE HOSPITAL EVALUATES THE FAP POLICY ON A REGULAR BASIS TO ENSURE COMPLIANCE WITH FEDERAL AND STATE REGULATIONS.E. AS OF JANUARY 2018, WVH IS IN COMPLIANCE WITH RESPECT TO MAKING THEIR FAP WIDELY AVAILABLE.(2) PLAIN LANGUAGE SUMMARY A. THE HOSPITAL'S PLAIN LANGUAGE SUMMARY CONTAINED THE FOLLOWING OMISSIONS:I. INSTRUCTIONS ON HOW AN INDIVIDUAL CAN OBTAIN A COPY OF ITS FAP AND FAP APPLICATION BY MAIL,II. THE ADDRESS AND PHYSICAL LOCATIONS WHERE AN INDIVIDUAL CAN OBTAIN A COPY OF THE FAP AND FAP APPLICATION,III. A STATEMENT OF THE AVAILABILITY OF TRANSLATIONS OF THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP IN OTHER LANGUAGES, ANDIV. A STATEMENT THAT A FAP-ELIGIBLE INDIVIDUAL MAY NOT BE CHARGED MORE THAN AMOUNTS GENERALLY BILLED (ABG) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.B. THE HOSPITAL REASONABLY RELIED, IN GOOD FAITH, ON THEIR INTERPRETATION OF PROPOSED AND TEMPORARY REGULATIONS UNDER IRC SEC. 501(R) IN PUBLISHING A PLAIN LANGUAGE SUMMARY CONTAINING ALL REQUIRED INFORMATION. C. UPON DISCOVERING THESE OMISSIONS DURING THE EXAMINATION IN 2017, THE HOSPITAL BEGAN TO TAKE CORRECTIVE ACTIONS, ADDING THE REQUIRED INFORMATION TO ITS PLAIN LANGUAGE SUMMARY. THE MOST RECENT PLAIN LANGUAGE SUMMARY CONTAINS ALL REQUIRED ELEMENTS AND WAS PUBLISHED ON THE HOSPITAL'S WEBSITE AND IN ITS FACILITIES ON JANUARY 2018. D. THE HOSPITAL EVALUATES THE FAP POLICY ON A REGULAR BASIS TO ENSURE COMPLIANCE WITH FEDERAL AND STATE REGULATIONS.E. AS OF JANUARY 2018, WVH IS IN COMPLIANCE WITH RESPECT TO MAKING THEIR PLAIN LANGUAGE SUMMARY IN COMPLIANCE WITH TREAS. REG. 1.501(R)-1(B)(24).(3) ACCESSIBILITY OF THE FAP TO LIMITED ENGLISH PROFICIENT INDIVIDUALSA. THE HOSPITAL'S FAP WAS NOT MADE WIDELY AVAILABLE TO LIMITED ENGLISH PROFICIENT INDIVIDUALS. B. THE HOSPITAL TRANSLATED, PUBLISHED, AND MADE WIDELY AVAILABLE, UPON REQUEST AND WITHOUT CHARGE, ITS FAP APPLICATION AND PLAIN LANGUAGE SUMMARY IN SPANISH ON ITS WEBSITE AND FACILITIES. THE HOSPITAL ALSO EMPLOYS A LARGE NUMBER OF SPANISH SPEAKING EMPLOYEES AND RETAINS A TRANSLATION SERVICE TO FILL ANY GAPS IN TRANSLATION ASSISTANCE. HOWEVER, THE FAP ITSELF WAS NOT TRANSLATED AND MADE WIDELY AVAILABLE.C. UPON DISCOVERING THIS OMISSION DURING THE EXAMINATION IN 2017, THE HOSPITAL TRANSLATED THE FULL AND COMPLETE FAP INTO SPANISH, MAKING IT AVAILABLE ALONGSIDE ITS ENGLISH LANGUAGE EQUIVALENT. THE TRANSLATED FAP WAS PUBLISHED AND MADE WIDELY AVAILABLE AT HTTPS://WWW.CONFLUENCEHEALTH.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE/ AS OF JANUARY 2018.D. THE HOSPITAL EVALUATES THE FAP POLICY ON A REGULAR BASIS TO ENSURE COMPLIANCE WITH FEDERAL AND STATE REGULATIONS.E. AS OF JANUARY 2018, WVH IS IN COMPLIANCE WITH RESPECT TO MAKING THEIR FAP ACCESSIBLE TO LIMITED ENGLISH PROFICIENT INDIVIDUALS.(4) PROVIDER LIST REQUIREMENTA. THE HOSPITAL OMITTED FROM ITS FAP A LIST OF ANY PROVIDERS, OTHER THAN THE HOSPITAL FACILITY ITSELF, DELIVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IN THE HOSPITAL FACILITY. THE LIST MUST ALSO SPECIFY WHICH PROVIDERS ARE COVERED BY THE HOSPITAL FACILITY'S FAP AND WHICH ARE NOT. B. PURSUANT TO IRS NOTICE 2015-46, "IF ALL DOCTORS IN A PRACTICE GROUP THAT PROVIDES EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IN THE HOSPITAL FACILITY ARE COVERED BY THE HOSPITAL FACILITY'S FAP, THE HOSPITAL FACILITY MAY INCLUDE THE NAME OF THE PRACTICE GROUP, RATHER THAN THE NAME OF EACH INDIVIDUAL DOCTOR." ALL DOCTORS OF THE PRACTICE GROUPS SERVING THE HOSPITAL ARE COVERED BY THE HOSPITAL'S FAP.C. THE NAMES OF THE PRACTICE GROUPS COVERED BY THE FAP ARE LISTED IN THE FAP AS CONFLUENCE HEALTH AND ITS AFFILIATES, CENTRAL WASHINGTON HOSPITAL & CLINICS, AND WENATCHEE VALLEY HOSPITAL & CLINICS. D. AS OF MARCH 2018, THE EFFECTIVE DATE OF THE CURRENT FAP, WVH IS IN COMPLIANCE WITH RESPECT TO THE PROVIDER LIST REQUIREMENT. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| UNITED WAY | |||||||
| PO BOX 488 | WENATCHEE | WA | 98807 | 910657766 | 501(C)(3) | $31,998 | GENERAL SUPPORT |
| PEOPLE FOR PEOPLE | |||||||
| 302 W LINCOLN AVE | YAKIMA | WA | 98902 | 910783225 | 501(C)(3) | $36,000 | TRANSPORTATION SERVICES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER RUTHERFORD MD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $0 | $584,866 | $0 | $55,133 | $0 | $0 | $0 | $29,350 | $0 | $17,584 | $0 | $686,933 | $0 | $0 |
| JOHN R DOYLE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $392,854 | $0 | $37,804 | $0 | $7,785 | $0 | $25,375 | $0 | $19,164 | $0 | $482,982 | $0 | $0 |
| GLENN W ADAMS | ||||||||||||||
| SR VP ANCILLARY SERVICES | $0 | $228,113 | $0 | $22,107 | $0 | $0 | $0 | $23,553 | $0 | $21,038 | $0 | $294,811 | $0 | $0 |
| JEANINE M ALLEN | ||||||||||||||
| SR VP SPECIALTY CARE | $0 | $209,508 | $0 | $20,149 | $0 | $4,142 | $0 | $25,200 | $0 | $17,477 | $0 | $276,476 | $0 | $0 |
| JAY H JOHNSON | ||||||||||||||
| SR VP NETWORK STRATEGY | $0 | $302,632 | $0 | $29,160 | $0 | $9,002 | $0 | $29,350 | $0 | $21,038 | $0 | $391,182 | $0 | $0 |
| TRACEY A KASNIC RN | ||||||||||||||
| SR VP INPATIENT & CNO | $0 | $297,421 | $0 | $28,471 | $0 | $11,718 | $0 | $25,375 | $0 | $17,584 | $0 | $380,569 | $0 | $0 |
| PETER N LOLOS | ||||||||||||||
| SR VP FACILITY & SUPT SRV | $0 | $212,643 | $0 | $20,149 | $0 | $8,284 | $0 | $25,637 | $0 | $9,211 | $0 | $275,924 | $0 | $0 |
| JEANETTE WOOD | ||||||||||||||
| SR VP PRIMARY CARE | $0 | $210,154 | $0 | $20,149 | $0 | $0 | $0 | $24,783 | $0 | $17,477 | $0 | $272,563 | $0 | $0 |
| VIKKI L NOYES | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $382,760 | $0 | $36,795 | $0 | $0 | $0 | $21,400 | $0 | $15,434 | $0 | $456,389 | $0 | $0 |
| ROBERT J PAGELER | ||||||||||||||
| CHIEF INFORMATION OFFICER | $0 | $277,482 | $0 | $27,032 | $0 | $11,124 | $0 | $21,400 | $0 | $19,518 | $0 | $356,556 | $0 | $0 |
| JAMES B WOOD | ||||||||||||||
| CHIEF ADMIN OFFICER | $0 | $313,157 | $0 | $30,136 | $0 | $6,203 | $0 | $21,400 | $0 | $21,038 | $0 | $391,934 | $0 | $0 |
| STUART D FREED MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $450,633 | $0 | $40,984 | $0 | $0 | $0 | $31,338 | $0 | $21,519 | $0 | $544,474 | $0 | $0 |
| THOMAS K DYET | ||||||||||||||
| VP OF FAMILY PRACTICE | $169,498 | $0 | $7,515 | $0 | $6,910 | $0 | $13,706 | $0 | $18,046 | $0 | $215,675 | $0 | $0 | $0 |
| GREGG E FLETCHER | ||||||||||||||
| VP OF OUTPATIENT ADMINISTRATION | $163,336 | $0 | $7,275 | $0 | $0 | $0 | $14,744 | $0 | $21,038 | $0 | $206,393 | $0 | $0 | $0 |
| JORDAN M KNOX | ||||||||||||||
| PHYSICIAN ASSISTANT - SURGICAL | $159,491 | $0 | $6,260 | $0 | $0 | $0 | $17,927 | $0 | $15,367 | $0 | $199,045 | $0 | $0 | $0 |
| DEREK A WHITEHALL | ||||||||||||||
| PHYSICIAN ASSISTANT REGIONAL SPECIAL | $156,716 | $0 | $6,386 | $0 | $0 | $0 | $22,579 | $0 | $32,528 | $0 | $218,209 | $0 | $0 | $0 |
| GREGORY R MCDONOUGH | ||||||||||||||
| PHYSICIAN ASSISTANT - SURGICAL | $156,814 | $0 | $3,829 | $0 | $0 | $0 | $11,189 | $0 | $12,453 | $0 | $184,285 | $0 | $0 | $0 |
| JOHN B HAMILTON | ||||||||||||||
| FORMER COO OF CH | $0 | $0 | $0 | $0 | $0 | $185,288 | $0 | $0 | $0 | $0 | $0 | $185,288 | $0 | $185,288 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2017 WAS $555,273. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 A, LINE 3 | WENATCHEE VALLEY HOSPITAL HAS A MANAGEMENT SERVICES ARRANGMENT WITH CONFLUENCE HEALTH, AN AFFILIATED ORGANIZATION EXEMPT UNDER SECTION 501(C)(3) AS A SUPPORTING ORGANIZATION. THIS AGREEMENT PROVIDES FOR SHARED USE OF FACILITIES, OFFICERS, EMPLOYEES, SUPPLIES AND OTHER ITEMS. THE COMPENSATION REPORTED IN PART VII AND PART IX IS PAID BY CONFLUENCE HEALTH UNDER THIS ARRANGEMENT. |
| FORM 990, PART VI, SECTION A, LINE 6 | CONFLUENCE HEALTH, A NON-PROFIT CORPORATION ORGANIZED AND EXISTING PURSUANT TO CHAPTER 24.03 OF THE REVISED CODE OF WASHINGTON, WHICH IS KNOWN AS CONFLUENCE HEALTH AND IS THE PARENT ENTITY OF THE HEALTH SYSTEM. |
| 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 IN 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 WENATCHEE VALLEY HOSPITAL THAT WOULD PROHIBIT THEIR SERVING IN ACCORDANCE WITH THE BYLAWS AND TAX OR OTHER REGULATORY REQUIREMENTS. |
| 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 C, LINE 19 | WENATCHEE VALLEY HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PUNXSUTAWNEY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1116 WA-20 | AddressLine1Txt |
| City | WINTHROP | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98862 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455563741 | EIN |
| Primary Activities | REAL PROPERTY HOLDING | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $525,000 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WENATCHEE VALLEY HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION | |||||||||||
| 1201 SOUTH MILLER STREET | WENATCHEE | WA | 98801 | 910171250 | HOSPITAL | WA | 501(C)(3) | LINE 3 | CONFLUENCE HEALTH | 0 | |
| CONFLUENCE HEALTH | |||||||||||
| 1201 SOUTH MILLER STREET | WENATCHEE | WA | 98801 | 454789950 | HEALTH SYSTEM | WA | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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