Confluence Health System: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- Confluence Health System (EIN 45-4789950)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-04
- IRS object ID
- 202213089349303156
- Schema version
- 2021v4.2
- 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 I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-04T16:23:17-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | 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 | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454789950 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONFLUENCE HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CONF | BusinessNameControlTxt |
| 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TOM LEGEL | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 5096621511 | PhoneNum |
| Signature | 2022-10-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TOM | PersonFirstNm |
| Person Last | LEGEL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT GRANNUM | PreparerPersonNm |
| PTIN | P00355876 | PTIN |
| Phone | 4252597227 | PhoneNum |
| Preparation | 2022-10-31 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TOM LEGEL | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $240,410,613 | 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 | IMPROVING HEALTH BY PROVIDING HIGH-QUALITY CARE IN A COMPASSIONATE AND COST-EFFECTIVE MANNER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 977 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $930,453 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,080,986 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $240,103,196 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $238,917,472 | CYProgramServiceRevenueAmt |
| PY Investment Income | $220,149 | PYInvestmentIncomeAmt |
| CY Investment Income | $288,318 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$23,420 | PYOtherRevenueAmt |
| CY Other Revenue | $36,241 | CYOtherRevenueAmt |
| PY Total Revenue | $241,230,378 | PYTotalRevenueAmt |
| CY Total Revenue | $240,323,017 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $481,234 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $564,854 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $69,545,202 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $76,025,826 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $154,803,866 | PYOtherExpensesAmt |
| CY Other Expenses | $178,099,438 | CYOtherExpensesAmt |
| PY Total Expenses | $224,830,302 | PYTotalExpensesAmt |
| CY Total Expenses | $254,690,118 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $16,400,076 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,367,101 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $82,309,157 | TotalAssetsBOYAmt |
| Total Assets EOY | $117,607,659 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $63,634,917 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $113,268,117 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,674,240 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,339,542 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IMPROVING HEALTH BY PROVIDING HIGH-QUALITY CARE IN A COMPASSIONATE AND COST-EFFECTIVE MANNER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $220,205,112 | ExpenseAmt |
| Grant | $564,854 | GrantAmt |
| Revenue | $238,917,472 | RevenueAmt |
| Desc | CONFLUENCE HEALTH PROVIDES THE ADMINISTRATIVE AND SHARED FUNCTIONS FOR THE HEALTH SYSTEM. IN ADDITION, THE PURPOSES OF THE SYSTEM ARE AS FOLLOWS:A. MAINTAIN THE AVAILABILITY AND ACCESS TO HIGH QUALITY, COST EFFECTIVE HEALTHCARE SERVICES FOR THE NORTH CENTRAL WASHINGTON (NCW) COMMUNITY;B. IMPROVE COORDINATION OF LIMITED HEALTH CARE RESOURCES AND MAXIMIZE THE EFFICIENCY OF THE HEALTH CARE SYSTEM TO ACHIEVE THE MOST COST EFFECTIVE CARE THAT CAN BE DELIVERED;C. PRESERVE NCW COMMUNITY CONTROL OVER IMPORTANT CARE DECISIONS AND ENSURE NCW COMMUNITY INVOLVEMENT IN THE DEVELOPMENT OF THE MEDICAL INFRASTRUCTURE AND OVERSIGHT OF THE NCW COMMUNITY HEALTHCARE DELIVERY SYSTEM;D. ENHANCE THE PATIENT-PHYSICIAN RELATIONSHIP AND MAINTAIN THE HIGH QUALITY OF CARE AND BREADTH OF SERVICES THE NCW COMMUNITY CURRENTLY ENJOYS;E. IMPROVE TEAMWORK AND INTEGRATION ACROSS THE CONTINUUM OF CARE AND ENSURE THAT PHYSICIANS AND OTHER HEALTHCARE PROVIDERS LEAD CLINICAL DESIGNS AND CLINICAL DECISIONS;F. ENSURE THAT PHYSICIANS AND ADMINISTRATIVE LEADERS HAVE A SHARED VISION REGARDING THE NCW COMMUNITY HEALTH CARE DELIVERY SYSTEM;G. ENSURE THAT THE NCW COMMUNITY ECONOMY, JOBS, AND BUSINESS PARTNERS ARE PRESERVED AND CAN GROW WITH THE REGION IN A RESPONSIBLE WAY;H. DEVELOP A HIGH PERFORMING INTEGRATED HEALTH CARE DELIVERY SYSTEM FOR THE NCW COMMUNITY THAT COULD APPLY FOR AND BE SUCCESSFUL WITH CONTRACTS FROM MEDICARE SO THAT THE NEWLY CREATED HEALTH SYSTEM CAN BE IDENTIFIED AS AN ACCOUNTABLE CARE ORGANIZATION IF SO DESIRED AND POSITION THE HEALTH SYSTEM SO THAT IT COULD CONTRACT FOR THE OVERALL SYSTEM OF CARE AND BE SUCCESSFUL WITH A NEWLY DEVELOPED RISK CONTRACTS BEING OFFERED BY COMMERCIAL INSURERS;I. ESTABLISH, EQUIP, OPERATE AND MAINTAIN BENEVOLENT AND CHARITABLE INSTITUTIONS FOR THE GIVING OF MEDICAL AND SURGICAL CARE TO THE SICK, WOUNDED, AND SUFFERING IRRESPECTIVE OF SEX, MARITAL STATUS, DISABILITY, COLOR, RACE, RELIGIOUS BELIEF, SEXUAL ORIENTATION, ECONOMIC STATUS, OR PECUNIARY CIRCUMSTANCES; ANDJ. CARRY ON ANY EDUCATIONAL ACTIVITIES, RELATED TO THE RENDERING OF CARE TO THE SICK AND INJURED OR THE PROMOTION OF HEALTH WHICH, IN THE OPINION OF THE BOARD OF DIRECTORS OF THE HEALTH SYSTEM MAY BE JUSTIFIED BY THE FACILITIES, PERSONNEL, FUNDS OR OTHER REQUIREMENTS THAT ARE OR CAN BE MADE AVAILABLE IN ACCORDANCE WITH THE LAWS OF THE STATE OF WASHINGTON. | Desc |
| Total Program Service Expenses | $220,205,112 | 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 | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | 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 | 0 | OperateHospitalInd |
| 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 46 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 977 | 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 | 0 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TOM LEGEL | 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 (35 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ABE SOROM MD | ||||||||||
| SECRETARY | 2.00 | 2.00 | Yes (X) | Yes (X) | $8,800 | $0 | $0 | |||
| DOUGLAS J SHAE | ||||||||||
| VICE CHAIR | 2.00 | 2.00 | Yes (X) | Yes (X) | $6,600 | $0 | $0 | |||
| KARL GUSTAVE HEINICKE | ||||||||||
| TREASURER | 2.00 | 2.00 | Yes (X) | Yes (X) | $6,600 | $0 | $0 | |||
| PATRICIA WACHTEL | ||||||||||
| CHAIR | 2.00 | 2.00 | Yes (X) | Yes (X) | $6,600 | $0 | $0 | |||
| JAMES MURRAY MD | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $8,800 | $0 | $0 | ||||
| CATHERINE RIDGEWAY MD | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $8,800 | $0 | $0 | ||||
| JENNIFER JORGENSEN MD | ||||||||||
| BOARD OF DIRECTORS (FROM 04/21) | 1.00 | 2.00 | Yes (X) | $8,800 | $0 | $0 | ||||
| TOM TUSZYNSKI MD | ||||||||||
| BOARD OF DIRECTORS (FROM 10/21) | 1.00 | 2.00 | Yes (X) | $8,800 | $0 | $0 | ||||
| CORINNE A BAUTISTA | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $7,200 | $0 | $0 | ||||
| MITCHELL GARRISON MD | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $6,600 | $0 | $0 | ||||
| GARN G CHRISTENSEN | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $6,600 | $0 | $0 | ||||
| JENNIFER CRAVENS | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $6,600 | $0 | $0 | ||||
| ROBERT TRASK JR | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $6,600 | $0 | $0 | ||||
| VICKY SCHARLAU | ||||||||||
| BOARD OF DIRECTORS | 1.00 | 2.00 | Yes (X) | $6,600 | $0 | $0 | ||||
| DAVID SCOTT DUNCAN | ||||||||||
| BOARD OF DIRECTORS (THRU 07/21) | 1.00 | 2.00 | Yes (X) | $3,600 | $0 | $0 | ||||
| ROBERT GREG HAMILTON | ||||||||||
| BOARD OF DIRECTORS (FROM 08/21) | 1.00 | 2.00 | Yes (X) | $2,400 | $0 | $0 | ||||
| GAUTAM NAYAK MD | ||||||||||
| BOARD OF DIRECTORS (THRU 02/21) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAN BROWN MD | ||||||||||
| BOARD OF DIRECTORS (THRU 09/21) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER RUTHERFORD | ||||||||||
| CHIEF EXECUTIVE OFFICER | 20.00 | 30.00 | Yes (X) | $710,201 | $0 | $22,330 | ||||
| JASON M LAKE MD | ||||||||||
| CHIEF MEDICAL OFFICER - WVMG | 20.00 | 30.00 | Yes (X) | $535,814 | $0 | $49,285 | ||||
| THOMAS J LEGEL | ||||||||||
| CHIEF FINANCIAL OFFICER | 20.00 | 30.00 | Yes (X) | $500,206 | $0 | $31,821 | ||||
| GLENN W ADAMS | ||||||||||
| CHIEF OPERATING OFFICER | 20.00 | 30.00 | Yes (X) | $482,532 | $0 | $48,105 | ||||
| ROBERT J PAGELER | ||||||||||
| CHIEF INFORMATION OFFICER | 20.00 | 30.00 | Yes (X) | $375,369 | $0 | $38,894 | ||||
| STUART D FREED MD | ||||||||||
| MED DIR PHY LDRSHIP DEVLP | 20.00 | 30.00 | Yes (X) | $149,772 | $0 | $33,873 | ||||
| TRACEY A KASNIC | ||||||||||
| CNO, HOSPITAL ADMIN - CWH | 25.00 | 25.00 | $394,043 | $0 | $33,716 | Yes (X) | ||||
| JAY H JOHNSON | ||||||||||
| VP SR NETWORK STRATEGY | 20.00 | 30.00 | $381,638 | $0 | $22,330 | Yes (X) | ||||
| STACI JONES | ||||||||||
| VP SR SPECIALTY CARE | 20.00 | 30.00 | $253,042 | $0 | $47,312 | Yes (X) | ||||
| JOELLEN COLSON | ||||||||||
| VP SR ANCILLARY SERVICES | 20.00 | 30.00 | $277,637 | $0 | $19,015 | Yes (X) | ||||
| SARAH A BATTIS JOHNSON | ||||||||||
| SR VP QUAL CARE TRNSFRMTN | 20.00 | 30.00 | $253,465 | $0 | $30,713 | Yes (X) | ||||
| KRIS A DEYERLE | ||||||||||
| VP GENERAL COUNSEL | 20.00 | 30.00 | $342,434 | $0 | $42,286 | Yes (X) | ||||
| THOMAS K CHRISTENSEN | ||||||||||
| VP OF HUMAN RESOURCES | 20.00 | 30.00 | $254,112 | $0 | $26,635 | Yes (X) | ||||
| SARAH C BROWN | ||||||||||
| VP RISK & REGULATORY | 20.00 | 30.00 | $241,189 | $0 | $27,192 | Yes (X) | ||||
| JOSHUA D WOOD | ||||||||||
| VP REVENUE CYCLE | 20.00 | 30.00 | $212,796 | $0 | $37,977 | Yes (X) | ||||
| LAURIE K BERGMAN | ||||||||||
| VP CARE TRANSITIONS/MGT | 20.00 | 30.00 | $198,222 | $0 | $26,968 | Yes (X) | ||||
| CORY M FERARI-ZIMMERMAN | ||||||||||
| FORMER INTERIM CFO | 20.00 | 30.00 | $257,247 | $0 | $40,078 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,929,719 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $578,530 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 99 | 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 |
|---|---|---|---|---|---|
| MEDEFIS | |||||
| PO BOX 5066 | NEW YORK | NY | 10087 | TRAVELING NURSE SERVICES | $5,661,408 |
| ARMADA | |||||
| PO BOX 709 | WENATCHEE | WA | 98807 | DEBT RECOVERY SERVICES | $648,134 |
| MOSS ADAMS LLP | |||||
| PO BOX 101822 | PASADENA | CA | 91189 | ACCOUNTING & CONSULTING SERVICES | $639,841 |
| DAVIS WRIGHT TREMAINE LLP | |||||
| PO BOX 2136 | WENATCHEE | WA | 98801 | LEGAL SERVICES | $278,458 |
| TEGRIA | |||||
| PO BOX 735734 | DALLAS | TX | 75373 | HEALTHCARE TECHNOLOGY & SERVICES | $255,362 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $869,232 | GovernmentGrantsAmt |
| All Other Contributions | $211,754 | AllOtherContributionsAmt |
| Total Contributions | $1,080,986 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGED CARE | 541610 | $124,363,536 | $124,363,536 |
| MANAGEMENT SERVICES | 541610 | $106,616,387 | $106,616,387 |
| OTHER OPERATING INCOME | 900099 | $7,937,549 | $7,937,549 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $238,917,472 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $166,131 | TotalRevenueColumnAmt |
| Exclusion | $166,131 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $121,131 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $84,890 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $36,241 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,241 | TotalRevenueColumnAmt |
| Exclusion | $36,241 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $124,893 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,706 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $122,187 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $122,187 | TotalRevenueColumnAmt |
| Exclusion | $122,187 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $240,323,017 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $238,917,472 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $324,559 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,667 | TotalAmt |
| Program Services | $322,667 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,187 | TotalAmt |
| Program Services | $242,187 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,801,110 | TotalAmt |
| Program Services | $3,840,888 | ProgramServicesAmt |
| Management And General | $960,222 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,325 | TotalAmt |
| Program Services | $237,860 | ProgramServicesAmt |
| Management And General | $59,465 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,261,492 | TotalAmt |
| Program Services | $42,609,194 | ProgramServicesAmt |
| Management And General | $10,652,298 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,948,096 | TotalAmt |
| Program Services | $2,358,477 | ProgramServicesAmt |
| Management And General | $589,619 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,289,748 | TotalAmt |
| Program Services | $8,231,798 | ProgramServicesAmt |
| Management And General | $2,057,950 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,428,055 | TotalAmt |
| Program Services | $3,542,444 | ProgramServicesAmt |
| Management And General | $885,611 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $611,878 | TotalAmt |
| Management And General | $611,878 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,771 | TotalAmt |
| Management And General | $507,771 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,309,456 | TotalAmt |
| Program Services | $1,847,565 | ProgramServicesAmt |
| Management And General | $461,891 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $991,448 | TotalAmt |
| Program Services | $793,158 | ProgramServicesAmt |
| Management And General | $198,290 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,863,194 | TotalAmt |
| Program Services | $4,690,559 | ProgramServicesAmt |
| Management And General | $1,172,635 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,650,947 | TotalAmt |
| Program Services | $10,920,758 | ProgramServicesAmt |
| Management And General | $2,730,189 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,050,969 | TotalAmt |
| Program Services | $1,845,872 | ProgramServicesAmt |
| Management And General | $205,097 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,770 | TotalAmt |
| Program Services | $100,616 | ProgramServicesAmt |
| Management And General | $25,154 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $912,479 | TotalAmt |
| Program Services | $912,479 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,133,316 | TotalAmt |
| Program Services | $4,619,984 | ProgramServicesAmt |
| Management And General | $513,332 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,115,711 | TotalAmt |
| Management And General | $1,115,711 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MANAGED CARE CLAIM EXPE | $141,632,430 | $129,894,537 | $11,737,893 |
| TAXES AND LICENSES | $2,499,447 | $2,499,447 | |
| BAD DEBT EXPENSE | $694,622 | $694,622 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,690,118 | TotalAmt |
| Program Services | $220,205,112 | ProgramServicesAmt |
| Management And General | $34,485,006 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,564,122 | BOYAmt |
| EOY | $3,052,922 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,946,007 | BOYAmt |
| EOY | $45,267,781 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194 | BOYAmt |
| EOY | $194 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,631,797 | BOYAmt |
| EOY | $5,506,254 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $61,253,609 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $33,235,174 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,659,804 | BOYAmt |
| EOY | $28,018,435 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,194 | BOYAmt |
| EOY | $23,141,847 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,487,039 | BOYAmt |
| EOY | $12,620,226 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,309,157 | BOYAmt |
| EOY | $117,607,659 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,848,503 | BOYAmt |
| EOY | $62,574,030 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,880,000 | BOYAmt |
| EOY | $40,000,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,906,414 | BOYAmt |
| EOY | $10,694,087 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,634,917 | BOYAmt |
| EOY | $113,268,117 | 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 | $18,674,240 | BOYAmt |
| EOY | $4,339,542 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,674,240 | BOYAmt |
| EOY | $4,339,542 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,309,157 | BOYAmt |
| EOY | $117,607,659 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$14,367,101 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $32,403 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 2 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| WENATCHEE VALLEY HOSPITAL | ||||
| 455563741 | 3 | Yes (1) | $28,066,100 | $0 |
| CENTRAL WASHINGTON HEALTH SERVICES | ||||
| 910171250 | 3 | Yes (1) | $78,550,287 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Support Sum | $106,616,387 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | 0 | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (1) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (1) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, SECTION E, LINES 3A AND 3B | FormAndLineReferenceDesc |
| Explanation | THE HEALTH SYSTEM IS ORGANIZED AS A NON-PROFIT, TAX EXEMPT ENTITY UNDER WASHINGTON LAW. THE HEALTH SYSTEM IS A MEANS TO INTEGRATE ITS RELATED HOSPITALS, INCLUDING CENTRAL WASHINGTON HOSPITAL AND WENATCHEE VALLEY HOSPITAL, THAT A BOARD OF DIRECTORS OF THE HEALTH SYSTEM HAVE AUTHORIZED TO BE INCORPORATED, OF WHICH THE HEALTH SYSTEM SHALL BE A SOLE MEMBER AND MANAGED ORGANIZATIONS UNDER A COMMON GOVERNANCE STRUCTURE CONSISTENT WITH THE GOALS AND OBJECTIVE OF THE PARTIES. | ExplanationTxt |
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 | $175,051 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $175,051 | 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 | $102,166 WAS PROVIDED TO CAPITOL ASSOCIATES, INC (CAI) WHO IS A WASHINGTON-BASED BIPARTISAN, LOBBYING, GOVERNMENT RELATIONS AND PUBLIC RELATIONS FIRM. THE ORGANIZATION'S WORK INCLUDES THE PREPARATION OF CONGRESSIONAL TESTIMONY AND THE PLANNING AND EXECUTION OF BRIEFINGS FOR MEMBERS OF CONGRESS AND THEIR STAFF. $72,885 WAS PROVIDED TO DANIELS-BROWN COMMUNICATIONS (DBC) WHO IS A WASHINGTON-BASED MEDIA RELATIONS FIRM. THE ORGANIZATION'S WORK INCLUDES FEDERAL AND STATE LEGISLATIVE ADVOCACY SERVICES, CRISIS COMMUNICATIONS PLANNING AND MANAGEMENT, POLITICAL CAMPAIGN CONSULTING, AND DIPLOMATIC RELATIONS WITH U.S. AND FOREIGN EMBASSIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $225,088 | OtherCostOrOtherBasisAmt |
| Book Value | $225,088 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,216,717 | OtherCostOrOtherBasisAmt |
| Depreciation | $639,837 | DepreciationAmt |
| Book Value | $1,576,880 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,463,530 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,821,173 | DepreciationAmt |
| Book Value | $3,642,357 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,348,274 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,774,164 | DepreciationAmt |
| Book Value | $22,574,110 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $28,018,435 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SERIES 2020 REVENUE BOND | Desc |
| Book Value | $23,141,847 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $23,141,847 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENT IN HEALTH ALLIANCE NW | $2,826,747 |
| INVESTMENT IN GX GREENHEALTH EXCHANGE | $150,000 |
| HEALTH ALLIANCE NW NOTE RECEIVABLE | $5,127,692 |
| UNAMORTIZED BOND COST | $43,911 |
| RIGHT OF USE ASSETS | $4,471,876 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,620,226 | TotalBookValueOtherAssetsAmt |
| 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, 2021 AND 2020, THE HEALTH SYSTEM HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| COMMUNITY FOUNDATION OF NORTH CENTRAL WASHINGTON | ||||||||
| 9 S WENATCHEE AVE | WENATCHEE | WA | 98801 | 911349486 | 501(C)(3) | $300,000 | $0 | GENERAL SUPPORT |
| GWATA | ||||||||
| 114 N WENATCHEE AVE SUITE 114 | WENATCHEE | WA | 98801 | 912112603 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT |
| UNITED WAY | ||||||||
| 105 S MISSION ST | WENATCHEE | WA | 98801 | 910657766 | 501(C)(3) | $6,667 | $0 | GENERAL SUPPORT |
| NORTH CENTRAL WASHINGTON NURSE WEEK | ||||||||
| PO BOX 1822 | WENATCHEE | WA | 98807 | 911232106 | 501(C)(3) | $6,000 | $0 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | 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 | 1230 | $209,674 |
| HIV PREVENTION AND CARE PROGRAM | 85 | $32,513 |
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 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 (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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER RUTHERFORD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $662,498 | $0 | $47,703 | $0 | $0 | $0 | $22,330 | $0 | $0 | $0 | $732,531 | $0 | $0 | $0 |
| JASON M LAKE MD | ||||||||||||||
| CHIEF MEDICAL OFFICER - WVMG | $515,723 | $0 | $20,091 | $0 | $0 | $0 | $23,480 | $0 | $25,805 | $0 | $585,099 | $0 | $0 | $0 |
| THOMAS J LEGEL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $472,895 | $0 | $27,311 | $0 | $0 | $0 | $11,600 | $0 | $20,221 | $0 | $532,027 | $0 | $0 | $0 |
| GLENN W ADAMS | ||||||||||||||
| CHIEF OPERATING OFFICER | $449,582 | $0 | $32,950 | $0 | $0 | $0 | $22,330 | $0 | $25,775 | $0 | $530,637 | $0 | $0 | $0 |
| TRACEY A KASNIC | ||||||||||||||
| CNO, HOSPITAL ADMIN - CWH | $355,185 | $0 | $25,669 | $0 | $13,189 | $0 | $22,330 | $0 | $11,386 | $0 | $427,759 | $0 | $0 | $0 |
| ROBERT J PAGELER | ||||||||||||||
| CHIEF INFORMATION OFFICER | $350,026 | $0 | $25,343 | $0 | $0 | $0 | $17,731 | $0 | $21,163 | $0 | $414,263 | $0 | $0 | $0 |
| JAY H JOHNSON | ||||||||||||||
| VP SR NETWORK STRATEGY | $342,153 | $0 | $29,139 | $0 | $10,346 | $0 | $22,330 | $0 | $0 | $0 | $403,968 | $0 | $0 | $0 |
| KRIS A DEYERLE | ||||||||||||||
| VP GENERAL COUNSEL | $322,065 | $0 | $20,369 | $0 | $0 | $0 | $17,481 | $0 | $24,805 | $0 | $384,720 | $0 | $0 | $0 |
| STACI JONES | ||||||||||||||
| VP SR SPECIALTY CARE | $235,810 | $0 | $17,232 | $0 | $0 | $0 | $19,471 | $0 | $27,841 | $0 | $300,354 | $0 | $0 | $0 |
| CORY M FERARI-ZIMMERMAN | ||||||||||||||
| FORMER INTERIM CFO | $239,380 | $0 | $17,867 | $0 | $0 | $0 | $15,594 | $0 | $24,484 | $0 | $297,325 | $0 | $0 | $0 |
| JOELLEN COLSON | ||||||||||||||
| VP SR ANCILLARY SERVICES | $244,233 | $0 | $17,695 | $0 | $15,709 | $0 | $18,458 | $0 | $557 | $0 | $296,652 | $0 | $0 | $0 |
| SARAH A BATTIS JOHNSON | ||||||||||||||
| SR VP QUAL CARE TRNSFRMTN | $231,819 | $0 | $17,270 | $0 | $4,376 | $0 | $17,536 | $0 | $13,177 | $0 | $284,178 | $0 | $0 | $0 |
| THOMAS K CHRISTENSEN | ||||||||||||||
| VP OF HUMAN RESOURCES | $236,912 | $0 | $17,200 | $0 | $0 | $0 | $17,492 | $0 | $9,143 | $0 | $280,747 | $0 | $0 | $0 |
| SARAH C BROWN | ||||||||||||||
| VP RISK & REGULATORY | $220,271 | $0 | $16,704 | $0 | $4,214 | $0 | $14,734 | $0 | $12,458 | $0 | $268,381 | $0 | $0 | $0 |
| JOSHUA D WOOD | ||||||||||||||
| VP REVENUE CYCLE | $190,692 | $0 | $14,706 | $0 | $7,398 | $0 | $13,172 | $0 | $24,805 | $0 | $250,773 | $0 | $0 | $0 |
| LAURIE K BERGMAN | ||||||||||||||
| VP CARE TRANSITIONS/MGT | $184,776 | $0 | $13,446 | $0 | $0 | $0 | $14,645 | $0 | $12,323 | $0 | $225,190 | $0 | $0 | $0 |
| STUART D FREED MD | ||||||||||||||
| MED DIR PHY LDRSHIP DEVLP | $144,719 | $0 | $5,053 | $0 | $0 | $0 | $11,880 | $0 | $21,993 | $0 | $183,645 | $0 | $0 | $0 |
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 AND DR. JASON LAKE IS REVIEWED, APPROVED, AND PAID BY AN UNRELATED THIRD PARTY, WENATCHEE VALLEY MEDICAL GROUP, FOR SERVICES PERFORMED FOR CONFLUENCE HEALTH. COMPENSATION PAID TO DR. STUART FREED IN 2021 WAS $183,645. COMPENSATION PAID TO DR. JASON LAKE IN 2021 WAS $585,099. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON HEALTH CARE FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 911108929 | BondIssuerEIN |
| Bond Issued | 2020-02-27 | BondIssuedDt |
| Issue Price | $40,000,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION/REMODEL OF HEALTHCARE FACILITY; MEDICAL EQUIPMENT | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $40,000,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $488,031 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $39,511,969 | CapitalExpendituresAmt |
| Substantial Completion | 2020 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| IVY MURRAY | |||
| FAMILY MEMBER OF DIRECTOR | $94,379 | EMPLOYMENT | 0 |
| MALINDA GARRISON | |||
| FAMILY MEMBER OF DIRECTOR | $41,237 | EMPLOYMENT | 0 |
| ASHLEY GARRISON | |||
| FAMILY MEMBER OF DIRECTOR | $82,654 | EMPLOYMENT | 0 |
| CAROLE JOHNSON | |||
| FAMILY MEMBER OF KEY EMPLOYEE | $58,396 | EMPLOYMENT | 0 |
| SAXTON SYKES | |||
| FAMILY MEMBER OF KEY EMPLOYEE | $19,677 | EMPLOYMENT | 0 |
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 4 | THE COMPOSITION OF THE GOVERNING BODY WAS UPDATED TO REFLECT THE FOLLOWING CHANGES: - OFFICERS OF THE ORGANIZATION NOW INCLUDE THE CHIEF OPERATING OFFICER AND CHIEF INFORMATION OFFICER. - OFFICERS OF THE ORGANIZATION WILL NO LONGER INCLUDE THE CHIEF OPERATING OFFICERS AND CHIEF NURSING OFFICERS OF CWH AND WVH. THE CLINIC'S GOVERNING BOARD REQUIREMENTS WERE UPDATED TO NO LONGER REQUIRE THAT TWO OF THE SIX MEMBERS HAVE ESTABLISHED MEDICAL PRACTICES WITH PATIENTS WHO RESIDE OUTSIDE OF WENATCHEE, WA. THE ORGANIZATION'S BOARD OF DIRECTORS NOMINATING COMMITTEE SHALL CONTINUE TO SEEK INPUT FROM THE CLINIC'S GOVERNING BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 AND SCHEDULE B, IF ANY, IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND VICE PRESIDENT OF FINANCE. SUBSEQUENT TO THIS REVIEW THE FORM 990 AND SCHEDULE B IS REVIEWED BY THE GOVERNING BOARD BEFORE BEING FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS, EXECUTIVE TEAM MEMBERS AND DIRECTORS ARE REQUIRED TO REVIEW THE CURRENT CONFLICT OF INTEREST POLICY AND COMPLETE AN ANNUAL QUESTIONNAIRE. THE NOMINATING COMMITTEE OF THE BOARD REVIEWS QUESTIONNAIRES OF EXISTING AND NEW MEMBERS FOR POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS OF INTEREST ARE RESOLVED BY THE NOMINATING COMMITTEE. THE EXECUTIVE TEAM REVIEWS QUESTIONNAIRES SUBMITTED BY EXECUTIVE TEAM MEMBERS AND DIRECTORS FOR POTENTIAL CONFLICTS OF INTEREST. POTENTIAL CONFLICTS OF INTEREST ARE RESOLVED BY THE EXECUTIVE TEAM IN COLLABORATION WITH THE CORPORATE COMPLIANCE OFFICER. REVIEW OF ALL CONFLICT OF INTEREST STATEMENTS IS NOTED WITHIN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD 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 | CONFLUENCE HEALTH'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. |
| FORM 990, PART XII, LINE 3B: | CONFLUENCE HEALTH IS IN THE PROCESS OF COMPLETING THE REQUIRED A-133 AUDIT FOR THE YEAR ENDED DECEMBER 31, 2021. THE EXTENDED DUE DATE FOR COMPLETION IS SEPTEMBER 30, 2022. |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION | ||||||||||
| 1201 S MILLER STREET | WENATCHEE | WA | 98801 | 910171250 | HOSPITAL | WA | 501(C)(3) | LINE 3 | CONFLUENCE HEALTH | Yes (1) |
| WENATCHEE VALLEY HOSPITAL | ||||||||||
| 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 455563741 | HOSPITAL | WA | 501(C)(3) | LINE 3 | CONFLUENCE HEALTH | Yes (1) |
| 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 | 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION | ||
| L | $78,550,287 | COST ALLOCATION |
| WENATCHEE VALLEY HOSPITAL | ||
| L | $28,066,100 | COST ALLOCATION |
| WENATCHEE VALLEY HOSPITAL | ||
| G | $510,000 | COST BASIS |