CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION (EIN 91-0171250)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202403209349302080
Schema version: 2023v5.1
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 K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T07:33:38-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Eide Bailly LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 Nicollet Mall Ste 1300	AddressLine1Txt
City	Minneapolis	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554027033	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910171250	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Central Washington Health Services	BusinessNameLine1Txt
Business Name Line2	Association	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	CENT	BusinessNameControlTxt
Phone	5096621515	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 S Miller St	AddressLine1Txt
City	Wenatchee	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98801	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tom Legel	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Phone	5096621515	PhoneNum
Signature	2024-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Hunwardsen CPA	PreparerPersonNm
PTIN	P00484560	PTIN
Phone	6122536500	PhoneNum
Preparation	2024-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Confluence Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Tom Legel	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 S Miller St	AddressLine1Txt
City	Wenatchee	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98801	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$759,429,343	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	1978	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	4092	TotalEmployeeCnt
Total Volunteers	80	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,936,909	PYContributionsGrantsAmt
CY Contributions Grants	$2,126,896	CYContributionsGrantsAmt
PY Program Service Revenue	$561,251,903	PYProgramServiceRevenueAmt
CY Program Service Revenue	$623,443,285	CYProgramServiceRevenueAmt
PY Investment Income	$18,324,210	PYInvestmentIncomeAmt
CY Investment Income	$3,994,672	CYInvestmentIncomeAmt
PY Other Revenue	$1,670,404	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$593,183,426	PYTotalRevenueAmt
CY Total Revenue	$629,564,853	CYTotalRevenueAmt
PY Grants And Similar Paid	$266,029	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$809,868	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$170,017,481	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$287,940,139	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$398,967,916	PYOtherExpensesAmt
CY Other Expenses	$333,212,143	CYOtherExpensesAmt
PY Total Expenses	$569,251,426	PYTotalExpensesAmt
CY Total Expenses	$621,962,150	CYTotalExpensesAmt
PY Revenues Less Expenses	$23,932,000	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,602,703	CYRevenuesLessExpensesAmt
Total Assets BOY	$546,160,334	TotalAssetsBOYAmt
Total Assets EOY	$721,175,126	TotalAssetsEOYAmt
Total Liabilities BOY	$129,595,570	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$268,734,419	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$416,564,764	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$452,440,707	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Local care by and for our community.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$492,194,653	ExpenseAmt
Grant	$809,868	GrantAmt
Revenue	$623,443,285	RevenueAmt
Desc	Confluence Health is an integrated healthcare delivery system that serves as the major medical provider for four counties in North Central Washington. With 305 physicians, 158 advanced practice providers, 30 medical specialties, one hospital in two locations, and primary care services, Confluence Health provides high-quality, compassionate, cost-effective care close to home. Staying on the leading edge of healthcare innovation is important, so we invest in technology and resources to provide better care for our patients and to allow our providers to operate at the highest level.Continued on Schedule OOn October 7, 2023, Confluence Health celebrated the grand opening of its new $15 million Moses Lake Radiation Oncology Center. With a size of nearly 7,000 square feet situated on 1.5 acres, the new facility provides a complete offering for cancer care in Grant County and surrounding areas. Patients undergoing radiation therapy often need treatment five days a week for several consecutive weeks. Previously, patients would have to travel for over an hour to Wenatchee or Spokane to receive care. Through this new radiation oncology center, Confluence Health can provide full-spectrum cancer care in Moses Lake and neighboring communities. This center was helped made possible through the generous support of donors and the Confluence Health Foundation, which has provided over $3 Million over the past 4 years. In 2023, Confluence Health was recognized for excellence in Cardiovascular care. Confluence Health was awarded the 2023 Award of Excellence in Cardiovascular Surgery from the Foundation for Health Care Quality with the Cardiac Care Outcomes Assessment Program. The institution has 32 participating sites across the state and supports clinicians and hospitals in delivering patient care. To earn this award, a facility must meet or surpass the state's average markers for at least six out of the total eight key quality indicators in the assessment year. The second award is the Mission: Lifeline NSTEMI Gold achievement award from the American Heart Association. This award recognizes the commitment to offering rapid and high-quality care to patients that experience non-ST elevation myocardial infarction (NSTEMI), which is a specific kind of heart attack that more than 546,000 people experience every year.In 2023, Confluence Health was awarded two awards from LifeCenter Northwest. LifeCenter Northwest works collaboratively with more than 200 hospitals in the region to save lives through organ and tissue donation. Each year, hospitals that meet certain robust criteria are honored for their efforts in the organization's annual report. For the 2023 annual report released this month, Confluence Health Hospital Central Campus, previously called Central Washington Hospital was honored with two such awards. The first award, the Organ Donation Process Excellence Award, previously called the Donation Referral Achievement Award Organ, is granted to hospitals who have a process error rate of 5% or less. Realizing and maintaining a low process error rate is incredibly challenging and requires a strong commitment across hospital services and staff. Confluence Health Hospital Central Campus was one of only 29 hospitals to earn this honor in this organ donation service area. Confluence Health has previously been honored with this award five times before (2017, 2019, 2020, 2021, 2022). The second award, the Honoring Donor Decisions Award, is earned by hospitals honoring 100% of registered donation decisions in collaboration with LifeCenter Northwest. Confluence Health Hospital Central Campus was one of only 46 hospitals in the organ donation service area to receive this award this year.	Desc
Total Program Service Expenses	$492,194,653	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
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	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	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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 With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	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	419	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4092	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
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
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	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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	0	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Tom Legel	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5094333809	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 (34 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
Doug Shae
Chair	3.00	4.00	Yes (X)	Yes (X)	$15,000	$0	$0
Cori Bautista
Vice Chair	3.00	4.00	Yes (X)	Yes (X)	$13,500	$0	$0
Gus Heinicke
Treasurer	2.00	4.00	Yes (X)	Yes (X)	$10,000	$0	$0
Abraham Sorom MD
Secretary	2.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
Dave Balcom
Board Member	2.00	2.00	Yes (X)		$10,000	$0	$0
Mable Bodell
Board Member	2.00	2.00	Yes (X)		$0	$0	$0
Garn Christensen
Board Member	2.00	2.00	Yes (X)		$10,000	$0	$0
Jenny Cravens
Board Member	2.00	2.00	Yes (X)		$11,500	$0	$0
Vanessa Gutierrez
Board Member	2.00	2.00	Yes (X)		$10,000	$0	$0
Greg Hamilton
Board Member	2.00	2.00	Yes (X)		$10,000	$0	$0
Jennifer Jorgensen MD
Board Member	1.00	2.00	Yes (X)		$0	$0	$0
James Murray MD
Board Member	1.00	2.00	Yes (X)		$0	$0	$0
Catherine Ridgeway MD
Board Member	1.00	2.00	Yes (X)		$0	$0	$0
Vicky Sharleau
Board Member	2.00	2.00	Yes (X)		$10,000	$0	$0
Michael Tuggy
Board Member	1.00	2.00	Yes (X)		$0	$0	$0
Mitchell A Garrision
Board Member (January)	2.00	2.00	Yes (X)		$0	$0	$0
Tom Tuszynski
Board Member (January)	2.00	2.00	Yes (X)		$0	$0	$0
Andrew Jones MD
Chief Executive Officer	40.00	15.00		Yes (X)	$778,769	$0	$51,928
Tom Legel
Chief Financial Officer	40.00	15.00		Yes (X)	$601,951	$0	$45,975
Robert Pageler
Chief Information Officer	40.00	15.00		Yes (X)	$424,371	$0	$30,796
Kelly Allen
Chief Nursing Officer	50.00	0.00		Yes (X)	$317,120	$0	$30,092
Katina Maier
Chief People & Strategy Officer	40.00	15.00		Yes (X)	$560,137	$0	$29,499
Glenn Adams
Chief Operations Officer (thru June)	40.00	15.00		Yes (X)	$981,713	$0	$37,294
Jason Lake MD
Chief Medical Officer (thru Sept)	30.00	15.00		Yes (X)	$513,732	$0	$50,471
Kris Deyerle
VP General Counsel	50.00	0.00			$379,926	$0	$41,723	Yes (X)
Eric Caldwell
VP, Finance	50.00	0.00			$264,424	$0	$46,227		Yes (X)
Thomas Christensen
VP of Human Resources	50.00	0.00			$276,191	$0	$12,129		Yes (X)
Jay Johnson
VP Managed Care & Gov	50.00	0.00			$269,327	$0	$39,258		Yes (X)
Mauvia Sorensen
ARNP - Behavior Health	50.00	0.00			$271,431	$0	$39,998		Yes (X)
Jonathan Stoever MD
Physician	50.00	0.00			$445,838	$0	$49,178		Yes (X)
Joellen Colson Former Key
VP Ancillary Services	50.00	0.00			$109,112	$0	$24,605			Yes (X)
Sarah Battis Johnson Former
Key) VP Quality Care Transformation	50.00	0.00			$243,617	$0	$37,674			Yes (X)
Staci Jones Former Key
VP Sr Specialty Care	50.00	0.00			$232,768	$0	$26,744			Yes (X)
Tracey Kasnic Former Key
CNO/Hospital Administrator (thru July)	50.00	0.00			$440,245	$0	$23,451			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,210,672	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$617,042	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	457	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
820 N Chelan Ave	Wenatchee	WA	98801	Physician Services	$150,962,785
Wenatchee Emergency Physicians PC INC
PO Box 4600	Wenatchee	WA	98807	Physician Services	$14,157,307
University of Washington
PO Box 24366	Seattle	WA	98124	Laboratory Services	$2,182,299
Mayo Collaborative Service
PO Box 9146	Minneapolis	MN	55480	Collaborative Services	$2,078,582
Quest Diagnostics
PO Box 912400	Pasadena	CA	91110	Laboratory Services	$1,734,007

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	38	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,198,920	GovernmentGrantsAmt
All Other Contributions	$927,976	AllOtherContributionsAmt
Noncash Contributions	$551,000	NoncashContributionsAmt
Total Contributions	$2,126,896	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621110	$583,055,403	$583,055,403
Managed Care Revenue	541610	$24,758,764	$24,758,764
Pharmacy Revenue	456110	$2,442,079	$2,442,079
Cafeteria Revenue	722514	$1,503,645	$1,503,645

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,683,394	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,683,394	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$623,443,285	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,632,673	TotalRevenueColumnAmt
Exclusion	$6,632,673	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$127,199,389	SecuritiesAmt
Other	$27,100	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$129,864,490	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$2,665,101	SecuritiesAmt
Other	$27,100	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,638,001	TotalRevenueColumnAmt
Exclusion	-$2,638,001	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$629,564,853	TotalRevenueColumnAmt
Related Or Exempt Func Income	$623,443,285	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,994,672	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$743,081	TotalAmt
Program Services	$743,081	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$66,787	TotalAmt
Program Services	$66,787	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,431,843	TotalAmt
Program Services	$1,387,675	ProgramServicesAmt
Management And General	$3,044,168	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,147,943	TotalAmt
Program Services	$872,437	ProgramServicesAmt
Management And General	$275,506	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$211,787,344	TotalAmt
Program Services	$153,750,317	ProgramServicesAmt
Management And General	$58,037,027	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,786,402	TotalAmt
Program Services	$4,697,500	ProgramServicesAmt
Management And General	$2,088,902	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$52,581,129	TotalAmt
Program Services	$36,238,192	ProgramServicesAmt
Management And General	$16,342,937	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,205,478	TotalAmt
Program Services	$7,712,896	ProgramServicesAmt
Management And General	$3,492,582	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,159,800	TotalAmt
Management And General	$1,159,800	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$723,285	TotalAmt
Management And General	$723,285	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$69,102	TotalAmt
Management And General	$69,102	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$706,074	TotalAmt
Management And General	$706,074	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$147,700,039	TotalAmt
Program Services	$133,266,104	ProgramServicesAmt
Management And General	$14,433,935	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,647,971	TotalAmt
Program Services	$6,608,266	ProgramServicesAmt
Management And General	$2,039,705	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,095,613	TotalAmt
Program Services	$1,823,478	ProgramServicesAmt
Management And General	$5,272,135	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$447,456	TotalAmt
Management And General	$447,456	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,940,750	TotalAmt
Management And General	$4,940,750	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,534,463	TotalAmt
Program Services	$8,058,398	ProgramServicesAmt
Management And General	$8,476,065	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,644,807	TotalAmt
Program Services	$2,704,912	ProgramServicesAmt
Management And General	$5,939,895	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$128,267,895	$128,267,895
Taxes & Licenses	$7,904,256	$5,928,192	$1,976,064

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$370,632	TotalAmt
Program Services	$68,523	ProgramServicesAmt
Management And General	$302,109	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$621,962,150	TotalAmt
Program Services	$492,194,653	ProgramServicesAmt
Management And General	$129,767,497	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,099	BOYAmt
EOY	$29,525	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,622,213	BOYAmt
EOY	$38,704,423	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$83,406,684	BOYAmt
EOY	$132,767,302	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$22,150,055	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,968,474	BOYAmt
EOY	$8,259,127	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,836,483	BOYAmt
EOY	$11,055,049	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$496,959,907	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$302,630,590	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$143,807,961	BOYAmt
EOY	$194,329,317	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$241,394,531	BOYAmt
EOY	$267,274,320	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$16,237,423	BOYAmt
EOY	$28,576,471	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$20,726,411	BOYAmt
EOY	$40,179,592	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$546,160,334	BOYAmt
EOY	$721,175,126	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$24,794,736	BOYAmt
EOY	$73,885,557	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$99,490,291	BOYAmt
EOY	$135,744,611	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,310,543	BOYAmt
EOY	$59,104,251	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$129,595,570	BOYAmt
EOY	$268,734,419	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$400,327,341	BOYAmt
EOY	$434,295,055	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,237,423	BOYAmt
EOY	$18,145,652	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$416,564,764	BOYAmt
EOY	$452,440,707	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$546,160,334	BOYAmt
EOY	$721,175,126	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,602,703	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$31,656,123	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,382,883	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$69,102	OtherActivitiesAmt
Total Lobbying Expenditures	$69,102	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 29.4% of $216,426 = $63,629.24 American Hospital Association Dues 14.1% of $38,812 = $5,472.49	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,948,405	OtherCostOrOtherBasisAmt
Book Value	$10,948,405	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$176,188,253	OtherCostOrOtherBasisAmt
Depreciation	$73,656,484	DepreciationAmt
Book Value	$102,531,769	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$300,873,791	OtherCostOrOtherBasisAmt
Depreciation	$224,457,422	DepreciationAmt
Book Value	$76,416,369	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,949,458	OtherCostOrOtherBasisAmt
Depreciation	$4,516,684	DepreciationAmt
Book Value	$4,432,774	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$194,329,317	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Due from Affiliate	$3,900,929
Estimated 3rd Party Payor Settlements	$739,862
Right of Use Assets	$35,358,429
Due from Foundation	$180,372

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$40,179,592	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Due to Affiliate	$17,088,174
Professional Liability and Legal Settlements	$4,456,000
Right of Use Liabilities	$37,560,077

Field	Value	IRS element (for citing)
Total Liability	$59,104,251	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$951,694,895	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$31,656,123	NetUnrealizedGainsInvstAmt
Other Revenue	$291,179,993	OtherRevenueAmt
Revenue Not Reported	$322,836,116	RevenueNotReportedAmt
Revenue Subtotal	$628,858,779	RevenueSubtotalAmt
Investment Expenses Not Incld	$706,074	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$706,074	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$629,564,853	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$905,838,378	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$284,582,302	OtherExpensesIncludedAmt
Expenses Not Reported	$284,582,302	ExpensesNotReportedAmt
Expenses Subtotal	$621,256,076	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$706,074	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$706,074	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$621,962,150	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part X, Line 2:	The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.
Part XI, Line 2d - Other Adjustments:	Change in Beneficial Interest in Assets Held by Foundation 1,866,374. Confluence Health System Revenues Reported in Separate Form 990 139,024,254. Wenatchee Valley Hosptial Revenues Reported in Separate Form 990 150,289,365.
Part XII, Line 2d - Other Adjustments:	Confluence Health System Expenses Reported in Separate Form 990 139,394,668. Wenatchee Value Hospital Expenses Reported in Separate Form 990 145,187,634.

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
Percent200	Yes (X)	Percent200Ind
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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,090,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,090,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01460	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,734,855	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,642,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,092,128	NetCommunityBenefitExpnsAmt
Total Expense	0.08540	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,824,855	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,642,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,182,128	NetCommunityBenefitExpnsAmt
Total Expense	0.10000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,573,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,579,388	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,994,154	NetCommunityBenefitExpnsAmt
Total Expense	0.08520	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,573,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,579,388	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,994,154	NetCommunityBenefitExpnsAmt
Total Expense	0.08520	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$213,398,397	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$98,222,115	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$115,176,282	NetCommunityBenefitExpnsAmt
Total Expense	0.18520	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$18,523,577	BadDebtExpenseAmt
Reimbursed By Medicare	$124,559,609	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$190,637,795	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$66,078,186	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd
Confluence Health Hospital - Central
1	Campus 1201 S Miller St	Wenatchee	WA	98801	www.confluencehealth.org	HAC.FS.00000168	Yes (X)	Yes (X)	Yes (X)
Confluence Health Hospital - Mares
2	Campus 820 North Chelan Ave	Wenatchee	WA	98801	www.confluencehealth.org	HAC.FS.00000168	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Confluence Health 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
Existing Resources	Yes (X)	ExistingResourcesInd
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	22	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	See Part V, Page 8	OwnWebsiteURLTxt
Implementation Strategy Adopt	0	ImplementationStrategyAdoptInd
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	200.000000000000	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	See Part V, Page 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Page 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Page 8	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
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
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
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Confluence Health Hospital	Part V, Section B, Line 5: The Community Voice survey from the 2019 CHNA was used again in 2022 CHNA. The survey instrument used for this study is based largely on the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS), as well as various other public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives and other recognized health issues. The final survey instrument was developed by Confluence Health and PRC.To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by Confluence Health; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation.The Survey was offered in English and Spanish and was administered by SurveyMonkey. Paper copies were provided at various organizations throughout the Region. The survey captured the opinions of the Health Community, the factors to improve health, the greatest risks to health and the behaviors in the Community that positively impacted or genitively affect Health.
Confluence Health Hospital	Part V, Section B, Line 6a: Wenatchee Valley Hospital
Confluence Health Hospital	Part V, Section B, Line 11: During the CHNA process, key informants were asked to rate the severity of a variety of health issues in the community. The following were the highest ranked issues: 1. Mental Health 2. Substance Abuse 3. Nutrition, Physical Activity & Weight 4. Diabetes 5. Heart Disease & Stroke 6. Cancer 7. Access to Healthcare Services 8. Infant Health & Family Planning 9. Potentially Disabling ConditionsThe Executive Leadership Team choose five of these needs to address in the implementation strategy: Mental Health, Diabetes, Heart Disease & Stroke, Access to Healthcare Services and Infant Health & Family Planning. However, during the current tax year, Confluence Health has taken the following actions to address all the areas of need in the CHNA report: 1.) Mental Health-Provided emergency and outpatient services for mental health patients. -Worked with 100% of community stakeholders to evaluate and improve access to mental health services. -Staffed a Sexual Assault nurse who is trained specifically to treat sexually assaulted patients.-Partnered with Catholic Charities to explore and implement best mental health practices in our community. -Participated in community suicide prevention activities with the Suicide Prevention Coalition of North Central Washington. -Offered and encouraged use of the Employee Assistance Program to help employees navigate various life changes.2.) Substance Abuse-Invested in and participated in programs that are community based which will target patients and community members, currently or at risk of opioid or alcohol abuse.3.) Nutrition, Physical Activity & Weight-Invested in and educated patients about proper nutrition and activity to reduce weight and chronic disease. -Provided registered dietitians to work with patients to achieve their health goals and designed personalized plans to improve nutrition. This included but was not limited to: oncology nutrition, eating disorders, disordered eating, mindful eating, weight management, pediatric nutrition, and diabetic nutrition. -Provided cooking classes to help patients learn basic cooking skills, recipes, and meal planning ideas to help manage diabetes, with, high blood pressure, high cholesterol and overall health.4.) Diabetes-Introduced primary care redesign with a focus on chronic disease management. The program had 66.94% of patients see reduced blood sugars. -Started using an electronic education and monitoring device to promote patient engagement with their disease.5.) Heart Disease and Stroke-Through a multidisciplinary approach, improved blood pressure control of our population of patients with hypertension by 66.69%. -Through a similar multidisciplinary approach to controlling patient populations with elevated cholesterol levels, 86% of patients in this population saw decrease cholesterol levels.6.) Cancer-Opened an oncology treatment center in Moses Lake, WA and has continued to see increased volume across their primary and secondary markets.7.) Access to Health Care Services-Increased the number of advanced practitioners across the system and as a result increased access by 26 days. -Changed how same day clinics operated to make appointments available and more focus on shifting schedules to online scheduling that improved access by 2.75%.8.) Infant Health and Family Planning-Continued to offer child birth education and breast feeding classes for all demographics regardless of ability to pay.9.) Potentially Disabling Conditions-Made services available to these patients in a cost effective manner, so that other negative health consequences, such as depression were mitigated.
Confluence Health 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.
Confluence Health Hospital	Part V, Section B, Line 13h: Compassionate care is generally considered only after all other financial resources available to the patient have been explored and exhausted. In order to qualify for compassionate care, the patient/guarantor must fully cooperate with the Hospital in exploring and applying for these resources. Other financial resources include but are not limited to: group or individual medical plans, secondary or supplemental insurance policies, worker's compensation, Medicare, Medicaid or medical assistance programs, other state, federal or military programs, third party liability situations (e.g. auto accidents or personal injuries), or any other situation in which another person or entity may have a legal responsibility to pay for the costs of medical services.Compassionate care for non-emergent services shall be limited to those residing with the hospitals designated service area, which is defined as the counties of Chelan, Douglas, Grant and Okanogan as well as the town of Othello. Non-emergent services shall be defined as those services which are not considered as an "emergency medical condition" under the policy's definition.Compassionate care shall be limited to "appropriate Hospital (physician)-based medical services" as defined in the policy. Elective or cosmetic procedures that do not meet the definition of appropriate as set forth in the WA Administrative Code (WAC) 246-453-010(7) are excluded as well as procedures done outside of the Hospital.In those situations, where appropriate primary payment sources are not available, or in certain situations when the primary payment source leaves a balance that is the patient's liability, patients will be considered for compassionate care under the policy.Other eligibility criteria includes circumstances that indicate severe financial hardship or personal loss.
Part V, Section B, Line 7a	https://www.confluencehealth.org/documents/2022-PRC-CHNA-Report-Confluence-Health_Cathy-Thomas.pdf
Part V, Section B, Line 10a	https://www.confluencehealth.org/documents/content/annual-reports/Confluence-Health-CHNA-Implementation-Plan-24-25.pdf
Part V, Section B	Line 16a:https://www.confluencehealth.org/patient-information/financial-assistance/charity-care/Line 16b:https://www.confluencehealth.org/documents/CCP_Application_English.pdfLine 16c:https://www.confluencehealth.org/patient-information/financial-assistance/charity-care/

Field	Value	IRS element (for citing)
Facility	25	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Professional Building
933 Red Apple Rd	Wenatchee	WA	98801	Clinic, Optometry, and General Surgery
2 - Saddle Rock Building
1215 S Miller Rd	Wenatchee	WA	98801	Endocrinology, Rheumatology, and Pulmonary
3 - Home Health Building
731 N Chelan St	Wenatchee	WA	98801	Home Healthcare
4 - Anti-Coag Building
988 S Juniper Dr	Moses Lake	WA	98837	Clinic
5 - Behavorial Health Building - Moses Lake
966 S Juniper Dr	Moses Lake	WA	98837	Clinic
6 - Behavorial Health Building - Wenatchee
630 N Chelan Ave Suites A7 and B7	Wenatchee	WA	98801	Clinic
7 - Brewster Clinic
418 W Main Ave	Brewster	WA	98812	Clinic
8 - Cashmere Clinic
303 Cottage Ave	Cashmere	WA	98815	Clinic
9 - East Wenatchee Clinic
100 Highline Dr	East Wenatchee	WA	98802	Lab Services, Walk-In, Clinic
10 - Ephrata Clinic
314 Basin St SW	Ephrata	WA	98823	Clinic
11 - Haug Building
707 N Emerson Ave	Wenatchee	WA	98801	Clinic
12 - Methow Valley Clinic
1116 WA-20	Winthrop	WA	98862	Clinic
13 - Miller Street Complex
1000 N Miller St	Wenatchee	WA	98801	Rehab Services, Spine Clinic
14 - Moses Lake Campus
840 E Hill Ave	Moses Lake	WA	98837	Lab Services, Walk-In, Clinic
15 - Moses Lake Radiation Oncology Center
905 E Hill Ave	Moses Lake	WA	98837	Clinic, Lab Services
16 - Moses Lake Specialty Care Services
1345 Yonezawa Blvd	Moses Lake	WA	98837	Clinic
17 - Occupational Medicine
317 N Mission St	Wenatchee	WA	98801	Clinic
18 - Omak Campus
916 Koala Dr	Omak	WA	98841	Lab Services, Walk-In, Clinic
19 - Regional Eye Center
717 Okoma Dr	Omak	WA	98841	Regional Eye Center
20 - Research Building
804 N Emerson Ave	Wenatchee	WA	98801	Research
21 - Royal City Clinic
103 Camelia St NW	Royal City	WA	99357	Clinic
22 - Smith Building
803 N Emerson Ave	Wenatchee	WA	98801	Clinic
23 - Tonasket Clinic
17 S Western Ave	Tonasket	WA	98855	Clinic, Lab Services
24 - Waterville Clinic
117 S Chelan Ave	Waterville	WA	98858	Clinic
25 - Wenatchee Orthopedics Building
520 N Chelan Ave	Wenatchee	WA	98801	Clinic

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	Central Washington Hospital may write off as charity care, amounts for patients with family income in excess of 300% of the federal poverty level when circumstances indicate severe financial hardship or personal loss.
Part I, Line 7:	Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b and subsidized health services line 7g was calculated using the costing methods to prepare the cost reports.
Part III, Line 2:	The hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients.
Part III, Line 4:	The footnote to the organization's financial statements addressing implicit price concessions may be found on page 14-15 of the attached audited financial statements.
Part III, Line 8:	Even though Medicare was at a loss, the Association continues to provide services to these patients because access to healthcare and individual's health is important. Therefore, the Association considers the Medicare shortfall a community benefit.
Part III, Line 9b:	Steps taken to collect an outstanding balance are: 1. Statements will generate every 30 days for any account that has an outstanding self-pay balance. All statements include information about Confluence Health's financial assistance and charity care program, along with contact information for Confluence Health's Charity Care Representatives. 2. At 30-60 days if no payment has been made, Confluence Health will make reasonable efforts to contact the guarantor regarding their outstanding balance. a. If no communication has been received, a phone call may be attempted to begin working with the guarantor. If the guarantor cannot be reached a letter will be sent. b. The guarantor will be advised of the availability of all payment plan options, bank financing, sliding scale discounts, and Confluence Health's financial assistance and charity care program. i. When a guarantor is being screened for eligibility for Confluence Health's financial assistance and charity care program, all collection efforts on unpaid balances will cease pending a final determination. 3. At 90 days past due, further collection efforts will commence. a. Attempts will be made to contact the guarantor by phone and through letter correspondence until the account reaches 120 days past due. b. The guarantor will be advised of the availability of all payment plan options, bank financing, sliding scale discounts, and Confluence Health's financial assistance and charity care program. i. When a guarantor is being screened for eligibility for Confluence Health's financial assistance and charity care program, all collection efforts on unpaid balances will cease pending a final determination. 4. At 120 days past due, the account will be referred to an outside collection's agency. a. If at any point during the collection process the guarantor requests that they be screened for Confluence Health's financial assistance and charity care program, collection activity will cease until a final determination is made.The collections policy applies to patients with charity care eligible charges as follows: Patients with an FPL that qualifies them for free care, adjusted for family size, are not subject to collection efforts as their charges have been discounted at a rate of 100%. Patients with an FPL that qualifies them for discounted care, adjusted for family size, are responsible for the remaining self-pay balance owed after the appropriate charity care adjustment(s) have been applied. This remaining self-pay balance is subject to the collection activity outlined in Confluence Health's collection policy.
Part VI, Line 2:	Confluence Health Hospital participated in a Community Wide Needs Assessment in cooperation with Wenatchee Valley Hospital prior to the merger of the organizations in July 2023.
Part VI, Line 3:	Information about the Confluence Health's financial assistance and charity care policy also known as Compassionate Care Program (CCP) shall be made publicly available as follows:1. A notice advising patients that the hospital provides compassionate care shall be posted in key public areas of the facility.2. The hospital will distribute a written notice about the availability of compassionate care to all patients at the time of new patient registration through the emergency department and during admissions. This information will also be available on the website, with each billing statement, and in any collection letters sent by the association.3. The written notice shall be available in any language spoken by more than five percent of the population in the association's service area, and interpreted for other non-English speaking or limited-English speaking patients and for other patients who cannot understand the writing and/or explanation. The association's service area is defined as; Chelan, Douglas, Okanogan and Grant counties. The association finds that following non-English translation(s) of the notice shall be made available: Spanish, Russian, and Ukraine.4. The hospital will refer all compassionate care inquiries to the financial assistance department or when possible directly to the compassionate care coordinator so that all concerns can be addressed in a timely manner.5. Written notice about the hospital's compassionate care policy shall be made available to any person who requests the information, either by mail, by telephone or in person. The hospital's compassionate care sliding scale discount table shall also be made available upon request.
Part VI, Line 4:	Confluence Health is an integrated healthcare delivery system that serves as the major medical provider in North Central Washington between Seattle and Spokane. With approximately 300 physicians, 170 advanced practice providers, 30 medical specialties, two hospitals and primary care services, Confluence Health provides high-quality, compassionate, cost-effective care close to home. Confluence Health is a not-for-profit institution governed by a board of directors, providing general inpatient services including medical, surgical, home infusion services, intensive care and coronary care, neonatal intensive care, pediatrics, obstetrics, gynecology, and oncology.Confluence Health Hospital-Central Campus is a 198-bed acute care hospital, federal regional referral center, and is designated by the state as a Level III general trauma center and Level III pediatric trauma center, supported by a comprehensive range of surgical procedures in orthopedic, neurosurgery, vascular surgery, interventional cardiac catheterization, and open-heart surgery.Confluence Health Hospital - Mares Campus includes an ambulatory center, 11 patient care beds, 9 rehab patient beds, and multiple outpatient care facilities spread through 4 counties.Wenatchee, Washington is approximately 150 miles east of Seattle, Washington and 170 miles west of Spokane, Washington. Chelan and Douglas counties comprise the Association's primary service area while Grant and Okanogan counties represent secondary service areas. Approximately 96% of Confluence's patient admissions are from the primary and secondary service areas. The service area's population is heavily weighted in the 65+ age cohort. In addition, the area has a high concentration of farm and agriculture related employers/employees.
Part VI, Line 5:	Confluence Health Hospital's governing board is comprised of local central Washington residents. The hospital extends its medical staff privileges to all qualified physicians in the community. CWH uses its income to update equipment, technology and facilities to improve patient care. The hospital offers education for area physicians and community members. In addition, it has the Heminger health library available to physicians and the community. Confluence collaborates with many local and state colleges, universities, and our local high school in support of student learning opportunities. An electronic medical record was recently implemented, giving our providers all the medical information needed to make the best decisions in the care of our patients. The hospital is a federal regional referral center and a Level III general and pediatric trauma center.
Part VI, Line 6:	Confluence Health System was formed as a health system that represented an affiliation between Central Washington Health Services Association, dba Central Washington Hospital (the Association) and Wenatchee Valley Medical Group. Effective January 1, 2013, the Association affiliated with Confluence Health System, and Confluence Health System became the sole member of the Association. The affiliation was completed in 2013, and Wenatchee Valley Medical Group transferred its remaining nonphysician employees and its operations to Wenatchee Valley Hospital, at which time Confluence Health become the sole member of Wenatchee Valley Hospital. Effective July 1, 2023, the three affiliated entities; Central Washington Health Services Associaton, Wenatchee Valley Hospital and Confluence Health System merged into a single entity, Central Washington Health Services Association (dba Confluence Health). Confluence Health contracts with WVMG for physician services. The Board of Directors of Confluence Health consists of 9 community members and 6 physicians of Wenatchee Valley Medical Group.The mission statement of Confluence Health is: Dedicated to improving our patients' health by providing safe, high-quality care.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Confluence Health Foundation
526 N Chelan Ave Suite A	Wenatchee	WA	98801	911075950	501(c)(3)	$278,112	$0	General Support
Young Men's Christian Association
217 Orondo St	Wenatchee	WA	98801	910578224	501(c)(3)	$100,000	$0	General Support
Wenatchee Valley College
1300 Fifth St	Wenatchee	WA	98801	910817705	501(c)(3)	$12,000	$0	General Support
Community Foundation of NCW
9 S Wenatchee Ave	Wenatchee	WA	98801	911349486	501(c)(3)	$319,969	$0	General Support
People for People
302 W Lincoln Ave	Wenatchee	WA	98801	910783225	501(c)(3)	$33,000	$0	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Breast, Cervical, and Colon Cancer Screening Program	17	$10,552
HIV Prevention and Care Program	94	$56,235

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)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	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	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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
Glenn Adams
Chief Operations Officer (thru June)	$208,888	$0	$0	$0	$772,825	$0	$16,500	$0	$22,459	$0	$1,020,672	$0	$0	$0
Andrew Jones MD
Chief Executive Officer	$778,694	$0	$75	$0	$0	$0	$16,500	$0	$38,758	$0	$834,027	$0	$0	$0
Tom Legel
Chief Financial Officer	$541,934	$0	$75	$0	$59,942	$0	$16,500	$0	$32,805	$0	$651,256	$0	$0	$0
Katina Maier
Chief People & Strategy Officer	$485,062	$0	$75,075	$0	$0	$0	$16,500	$0	$16,077	$0	$592,714	$0	$0	$0
Jason Lake MD
Chief Medical Officer (thru Sept)	$413,047	$0	$100,685	$0	$0	$0	$16,500	$0	$37,301	$0	$567,533	$0	$0	$0
Jonathan Stoever MD
Physician	$445,838	$0	$0	$0	$0	$0	$16,500	$0	$36,008	$0	$498,346	$0	$0	$0
Tracey Kasnic Former Key
CNO/Hospital Administrator (thru Jul	$216,440	$0	$0	$0	$223,805	$0	$13,801	$0	$11,870	$0	$465,916	$0	$0	$0
Robert Pageler
Chief Information Officer	$424,296	$0	$75	$0	$0	$0	$16,500	$0	$17,626	$0	$458,497	$0	$0	$0
Kris Deyerle
VP General Counsel	$366,864	$0	$75	$0	$12,987	$0	$16,500	$0	$28,553	$0	$424,979	$0	$0	$0
Kelly Allen
Chief Nursing Officer	$317,045	$0	$75	$0	$0	$0	$15,788	$0	$16,791	$0	$349,699	$0	$0	$0
Eric Caldwell
VP, Finance	$264,349	$0	$75	$0	$0	$0	$13,549	$0	$35,531	$0	$313,504	$0	$0	$0
Mauvia Sorensen
ARNP - Behavior Health	$271,356	$0	$75	$0	$0	$0	$13,875	$0	$26,973	$0	$312,279	$0	$0	$0
Jay Johnson
VP Managed Care & Gov	$259,637	$0	$75	$0	$9,615	$0	$13,338	$0	$29,250	$0	$311,915	$0	$0	$0
Thomas Christensen
VP of Human Resources	$236,191	$0	$0	$0	$40,000	$0	$11,662	$0	$2,880	$0	$290,733	$0	$0	$0
Sarah Battis Johnson Former
Key) VP Quality Care Transformation	$221,446	$0	$75	$0	$22,096	$0	$12,213	$0	$28,562	$0	$284,392	$0	$0	$0
Staci Jones Former Key
VP Sr Specialty Care	$232,693	$0	$75	$0	$0	$0	$11,485	$0	$18,320	$0	$262,573	$0	$0	$0
Joellen Colson Former Key
VP Ancillary Services	$96,028	$0	$0	$0	$13,084	$0	$5,357	$0	$20,594	$0	$135,063	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Employees receive a $50 monthly stipend for a gym membership. This is treated as taxable income for the individuals.
Part I, Line 4a	Glenn Adams received a severance payment of $704,839 in 2023. Tracey Kasnic received a severance payment of $160,000 in 2023.
Form 990, Part VII, Section A, Line 5	Compensation of $567,533 was paid for Dr. Jason Lake by an unrelated third party, Wenatchee Valley Medical Group, LLC, for services performed for Confluence Health.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Washington Health Care Facilities Authority
A	911108929	93978HPZ2	2015-05-05	$109,863,859	To refund bonds issued 8/12/09	0	0	0
Washington Health Care Facilities Authority
B	911108929	000000000	2020-02-27	$40,000,000	Inpatient/Outpatient Facility & Parking Garage	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$12,795,556	$109,863,859	$1,391,468	$108,472,392	0	Yes (1)	Yes (1)	Yes (1)
B	$1,342,474	$40,000,000	$488,031	$39,511,969	0	0	Yes (1)	Yes (1)	2020

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Date Rebate Computation Performed	FormAndLineReferenceDesc
Explanation	Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 06/06/2020	ExplanationTxt

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$551,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Appraised Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Column (b):	FormAndLineReferenceDesc
Explanation	Part I, Column B represents the number of contributions received.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, line 2	Effective July 1, 2023, the three affiliated entities (Confluence Health System, Central Washington Health Services Association, and Wenatchee Valley Hospital) merged into a single entity, Central Washington Health Services Association (dba Confluence Health.) Assets and liabilities were transferred at their carrying amounts as the entities were previously under common control.
Form 990, Part VI, Section A, line 2	For the first six months of the year, Central Washington Health Services Association , Confluence Health System, and Wenatchee Valley Hospital boards included the same members. As such, all board members had a business relationship. In addition, some board members are minority owners in an entity that has a professional services agreement with Confluence Health and therefore have a business relationship.
Form 990, Part VI, Section A, line 4	The articles of incorporation were restated in June of 2023, as the affiliated entites merged into a single entity. The bylaws were amended in June 2023 to eliminate the single member and to change the election of board members from the single member to the board's vote,.
Form 990, Part VI, Section A, line 6	From January to June, the sole member of the organization was Confluence Health System. The articles were amended and there is no longer any member.
Form 990, Part VI, Section A, line 7a	From January to June, the sole member selected the board of directors in accordance with the composition requirements in the bylaws. After the Articles were amended, the board is a self-perpetuating board.
Form 990, Part VI, Section A, line 8b	The organization does not have any committees with the authority to act on behalf of the governing board.
Form 990, Part VI, Section B, line 11b	A copy of the Form 990 is reviewed by the Chief Financial Officer and Vice President of Finance. Subsequent to this review, the Form 990 is reviewed by the governing board before being filed with the IRS.
Form 990, Part VI, Section B, line 12c	Board members, executive team members, and directors are required to review the current conflict of interest policy and complete a conflict of interest questionnaire. The board reviews questionnaires of existing and new members for potential conflicts of interest. Any potential conflicts of interest are resolved by the board The executive team reviews questionnaires submitted by the executive team members and directors for potential conflicts of interest. Potential conflicts of interest are resolved by the executive team in collaboration with the corporate compliance officer.
Form 990, Part VI, Section B, line 15	The compensation committee of the governing board annually reviews independent salary survey information and recommends a salary and/or a salary increase for the CEO to the governing board. The other officers receive an annual percent increase which non-contractual employees receive unless the CEO awards a different percentage. The amount is, typically, based on current CPI, market and salary survey information.
Form 990, Part VI, Section C, line 19	The Organization's governing documents, conflict of interest policy, and audited financial statements are available to the public upon request.
Form 990, Part IX, line 11g	Professional Services: Program service expenses 133,266,104. Management and general expenses 14,433,935. Fundraising expenses 0. Total expenses 147,700,039.
Form 990, Part XI, line 9:	Change in Beneficial Interest in Assets Held By Foundation 1,866,374. Net Assets Transfer -5,249,257.

Schedule R IRS990ScheduleR

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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Confluence Health
1201 South Millre St	Wenatchee	WA	98801	454789950	Health System	WA	501(c)(3)	Line 12c, III-FI	N/A	0
Wenatchee Valley Hospital
820 North Chelan Ave	Wenatchee	WA	98801	455563741	Hospital	WA	501(c)(3)	Line 3		0	Confluence Health

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	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	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	Yes (1)	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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part II:	FormAndLineReferenceDesc
Explanation	Effective July 1, 2023, Confluence Health System and Wenatchee Valley Hospital were merged into a single entity, Central Washington Health Services Association (dba Confluence Health).	ExplanationTxt