Wenatchee Valley Hospital: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: Wenatchee Valley Hospital (EIN 45-5563741)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-10-29
IRS object ID: 202133029349300243
Schema version: 2020v4.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-10-29T12:19:58-05:00	ReturnTs
Tax Period End	2020-12-31	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	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	455563741	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WENATCHEE VALLEY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	WENA	BusinessNameControlTxt
Phone	5096638711	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	820 NORTH CHELAN AVE	AddressLine1Txt
City	WENATCHEE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98801	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PETER D RUTHERFORD MD	PersonNm
Person Title	CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Phone	5096638711	PhoneNum
Signature	2021-10-19	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	PETER	PersonFirstNm
Person Last	RUTHERFORD MD	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	2021-10-19	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PETER D RUTHERFORD MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	820 NORTH CHELAN AVE	AddressLine1Txt
City	WENATCHEE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98801	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$249,719,921	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CONFLUENCEHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2012	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	DEDICATED TO IMPROVING OUR PATIENTS' HEALTH BY PROVIDING SAFE, HIGH-QUALITY CARE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1560	TotalEmployeeCnt
Total Volunteers	2	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$707,933	PYContributionsGrantsAmt
CY Contributions Grants	$12,795,269	CYContributionsGrantsAmt
PY Program Service Revenue	$292,614,833	PYProgramServiceRevenueAmt
CY Program Service Revenue	$236,718,567	CYProgramServiceRevenueAmt
PY Investment Income	$244,745	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$223,940	PYOtherRevenueAmt
CY Other Revenue	$206,085	CYOtherRevenueAmt
PY Total Revenue	$293,791,451	PYTotalRevenueAmt
CY Total Revenue	$249,719,921	CYTotalRevenueAmt
PY Grants And Similar Paid	$247,018	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$236,361	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$97,989,281	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$98,881,021	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$200,683,530	PYOtherExpensesAmt
CY Other Expenses	$166,425,491	CYOtherExpensesAmt
PY Total Expenses	$298,919,829	PYTotalExpensesAmt
CY Total Expenses	$265,542,873	CYTotalExpensesAmt
PY Revenues Less Expenses	-$5,128,378	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$15,822,952	CYRevenuesLessExpensesAmt
Total Assets BOY	$74,949,334	TotalAssetsBOYAmt
Total Assets EOY	$118,760,563	TotalAssetsEOYAmt
Total Liabilities BOY	$65,702,023	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$130,494,615	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$9,247,311	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$11,734,052	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE ARE DEDICATED TO IMPROVING OUR PATIENTS' HEALTH BY PROVIDING SAFE, HIGH-QUALITY CARE IN A COMPASSIONATE AND COST EFFECTIVE MANNER.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$223,096,167	ExpenseAmt
Grant	$236,361	GrantAmt
Revenue	$235,573,495	RevenueAmt
Desc	WENATCHEE VALLEY HOSPITAL WAS DEVELOPED AND FORMED AS A MEANS TO FURTHER CONFLUENCE HEALTH. THE PURPOSES OF THE HOSPITAL ARE AS FOLLOWS:A. MAINTAIN THE AVAILABILITY AND ACCESS TO HIGH QUALITY, COST EFFECTIVE HEALTHCARE SERVICES FOR THE NORTH CENTRAL WASHINGTON (NCW) COMMUNITY;B. IMPROVE COORDINATION OF LIMITED HEALTH CARE RESOURCES AND MAXIMIZE THE EFFICIENCY OF THE HEALTH SYSTEM TO ACHIEVE THE MOST COST EFFECTIVE CARE THAT CAN BE DELIVERED;C. PRESERVE NCW COMMUNITY CONTROL OVER IMPORTANT CARE DECISIONS AND ENSURE NCW COMMUNITY INVOLVEMENT IN THE DEVELOPMENT OF THE MEDICAL INFRASTRUCTURE AND OVERSIGHT OF THE NCW COMMUNITY HEALTHCARE DELIVERY SYSTEM;D. ENHANCE THE PATIENT-PHYSICIAN RELATIONSHIP AND MAINTAIN THE HIGH QUALITY OF CARE AND BREADTH OF SERVICES THE NCW COMMUNITY CURRENTLY ENJOYS;E. IMPROVE TEAMWORK AND INTEGRATION ACROSS THE CONTINUUM OF CARE AND ENSURE THAT PHYSICIANS AND OTHER HEALTHCARE PROVIDERS LEAD CLINICAL DESIGNS AND CLINICAL DECISIONS;F. ENSURE THAT PHYSICIANS AND ADMINISTRATIVE LEADERS HAVE A SHARED VISION REGARDING THE NCW COMMUNITY HEALTH CARE DELIVERY SYSTEM;G. ENSURE THAT THE NCW COMMUNITY ECONOMY, JOBS, AND BUSINESS PARTNERS ARE PRESERVED AND CAN GROW WITH THE REGION IN A RESPONSIBLE WAY;H. DEVELOP A HIGH PERFORMING INTEGRATED HEALTH CARE DELIVERY SYSTEM FOR THE NCW COMMUNITY THAT COULD APPLY FOR AND BE SUCCESSFUL WITH CONTRACTS FROM MEDICARE SO THAT THE NEWLY CREATED HEALTH SYSTEM CAN BE IDENTIFIED AS AN ACCOUNTABLE CARE ORGANIZATION IF SO DESIRED AND POSITION THE HEALTH SYSTEM SO THAT IT COULD CONTRACT FOR THE OVERALL SYSTEM OF CARE AND BE SUCCESSFUL WITH NEWLY DEVELOPED RISK CONTRACTS BEING OFFERED BY COMMERCIAL INSURERS.I. ESTABLISH, EQUIP, OPERATE AND MAINTAIN BENEVOLENT AND CHARITABLE INSTITUTIONS FOR THE GIVING OF MEDICAL AND SURGICAL CARE TO THE SICK, WOUNDED AND SUFFERING IRRESPECTIVE OF SEX, MARITAL STATUS, DISABILITY, COLOR, RACE, RELIGIOUS BELIEVE, SEXUAL ORIENTATION, ECONOMIC STATUS, OR PECUNIARY CIRCUMSTANCES; ANDJ. CARRY ON ANY EDUCATIONAL ACTIVITIES, RELATED TO THE RENDERING OF CARE TO THE SICK AND INJURED OR THE PROMOTION OF HEALTH WHICH, IN THE OPINION OF THE BOARD OF DIRECTORS OF WVH, MAY BE JUSTIFIED BY THE FACILITIES, PERSONNEL, FUNDS, OR OTHER REQUIREMENTS THAT ARE OR CAN BE MADE AVAILABLE IN ACCORDANCE WITH THE LAWS OF THE STATE OF WASHINGTON.WENATCHEE VALLEY HOSPITAL OPERATES TEN RURAL HEALTH CLINICS IN TEN COMMUNITIES THROUGHOUT THE NCW COMMUNITY INCLUDING: WENATCHEE, MOSES LAKE, EAST WENATCHEE, CASHMERE, TONASKET, OROVILLE, OMAK, ROYAL CITY, WATERVILLE, AND BREWSTER, AS WELL AS OPERATES A 20-BED HOSPITAL FACILITY WHICH SERVES MEDICAL, SURGICAL AND REHABILITATION PATIENTS. WENATCHEE VALLEY HOSPITAL HAS ENTERED INTO PROFESSIONAL SERVICE AGREEMENTS WITH A MULTI-SPECIALTY PHYSICIAN GROUP THAT EMPLOYS OR OTHERWISE ENGAGES NEARLY 300 PRIMARY CARE PHYSICIANS, PHYSICIAN SPECIALISTS AND MID-LEVEL PRACTITIONERS TO SERVE THE NEEDS OF PATIENTS WITHIN THE NCW COMMUNITY.WENATCHEE VALLEY HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE ASSOCIATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE THEY ARE NOT REPORTED AS REVENUE. THE HOSPITAL SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY AND THE ESTIMATED COST OF THOSE SERVICES AND SUPPLIES.MANAGEMENT ESTIMATES CHARITY CARE COSTS BY CALCULATING A RATIO OF COST TO GROSS CHARGES, AND THEN MULTIPLYING THAT RATIO BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. CHARITY CARE COSTS WERE $3,606,825 IN 2020.THE HOSPITAL HAD 1,987 ACUTE REHAB DAYS, 1,499 EMERGENCY VISITS, PROVIDED 5,214 SURGERY CASES AND A 631,389 OUTPATIENT COUNT.	Desc
Total Program Service Expenses	$223,096,167	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	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln 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	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	63	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1560	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	Yes (1)	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	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 (40 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	1.00	3.00	Yes (X)	Yes (X)	$0	$9,600	$0
GUS HEINICKE
TREASURER	1.00	3.00	Yes (X)	Yes (X)	$0	$7,200	$0
PATRICIA WACHTEL
CHAIR	1.00	3.00	Yes (X)	Yes (X)	$0	$7,200	$0
DOUG SHAE
VICE CHAIR	1.00	3.00	Yes (X)	Yes (X)	$0	$3,600	$0
GAUTAM NAYAK MD
BOARD OF DIRECTORS	1.00	2.00	Yes (X)		$0	$9,600	$0
JAMES MURRAY MD
BOARD OF DIRECTORS	1.00	2.00	Yes (X)		$0	$9,600	$0
DAN BROWN MD
BOARD OF DIRECTORS (FROM 02/20)	1.00	2.00	Yes (X)		$0	$9,600	$0
CATHERINE RIDGEWAY MD
BOARD OF DIRECTORS (FROM 02/20)	1.00	2.00	Yes (X)		$0	$9,600	$0
MITCHELL GARRISON MD
BOARD OF DIRECTORS	1.00	2.00	Yes (X)		$0	$7,200	$0
GARN CHRISTENSEN
BOARD OF DIRECTORS	1.00	2.00	Yes (X)		$0	$7,200	$0
JENNY CRAVENS
BOARD OF DIRECTORS	1.00	2.00	Yes (X)		$0	$7,200	$0
ROBERT TRASK JR
BOARD OF DIRECTORS	1.00	2.00	Yes (X)		$0	$7,200	$0
SCOTT DUNCAN
BOARD OF DIRECTORS	1.00	2.00	Yes (X)		$0	$7,200	$0
VICKY SCHARLAU
BOARD OF DIRECTORS (FROM 02/20)	1.00	2.00	Yes (X)		$0	$6,600	$0
KRISTINE LOOMIS
BOARD OF DIRECTORS (THRU 06/20)	1.00	2.00	Yes (X)		$0	$3,600	$0
CORI BAUTISTA
BOARD OF DIRECTORS (FROM 08/20)	1.00	2.00	Yes (X)		$0	$3,000	$0
TOBY BOND MD
BOARD OF DIRECTORS (THRU 01/20)	1.00	2.00	Yes (X)		$0	$0	$0
DOUG WILSON MD
BOARD OF DIRECTORS (THRU 01/20)	1.00	2.00	Yes (X)		$0	$0	$0
PETER RUTHERFORD
CHIEF EXECUTIVE OFFICER	15.00	35.00		Yes (X)	$0	$635,691	$39,616
JASON M LAKE MD
CHIEF MEDICAL OFFICER - WVMG	15.00	35.00		Yes (X)	$0	$562,099	$46,620
GLENN W ADAMS
CHIEF OPERATING OFFICER	15.00	35.00		Yes (X)	$0	$394,770	$45,622
STUART D FREED MD
MED DIR PHY LDRSHIP DEVLP	15.00	35.00		Yes (X)	$0	$398,380	$27,527
CORY M FERARI-ZIMMERMAN
INTERIM CFO (THRU 03/20)	15.00	35.00		Yes (X)	$0	$365,035	$39,283
ROBERT J PAGELER
CHIEF INFORMATION OFFICER	15.00	35.00		Yes (X)	$0	$360,268	$29,804
THOMAS J LEGEL
CHIEF FINANCIAL OFFICER (FROM 03/20)	15.00	35.00		Yes (X)	$0	$348,655	$16,071
JOHN R DOYLE
CHIEF FINANCIAL OFFICER (THRU 05/20)	15.00	35.00		Yes (X)	$0	$127,365	$5,095
CATHERINE J BROWN
DNS, HOSPITAL ADMIN - WVH	25.00	25.00		Yes (X)	$0	$88,222	$29,449
TRACEY A KASNIC
CNO, HOSPITAL ADMIN - CWH	15.00	35.00			$0	$379,422	$33,108	Yes (X)
JEANINE M ALLEN
SR VP CWH OUTP SVCS (THRU 06/20)	15.00	35.00			$0	$378,255	$38,793	Yes (X)
SARAH A BATTIS JOHNSON
SR VP QUAL CARE TRNSFRMTN	15.00	35.00			$0	$248,367	$27,227	Yes (X)
JOELLEN COLSON
SR VP ANCILLARY SERVICES	15.00	35.00			$0	$257,213	$15,767	Yes (X)
JAY H JOHNSON
SR VP NETWORK STRATEGY	15.00	35.00			$0	$243,782	$27,559	Yes (X)
STACI JONES
SR VP SPECIALTY CARE	15.00	35.00			$0	$173,063	$31,037	Yes (X)
NICOLE M ANDERSON
ARNP - OB-GYN	50.00				$313,544	$0	$42,197		Yes (X)
MAUVIA A SORENSEN
ARNP - BEHAVIORAL HEALTH	50.00				$241,158	$0	$37,049		Yes (X)
MICHAEL D SIEG
PHARMACY DIRECTOR	50.00				$234,292	$0	$40,398		Yes (X)
AARON C LEWIS MD
PHYSICIAN	50.00				$239,243	$0	$7,175		Yes (X)
ANTHONY D CHAMBERS
PA-C OCC MED	50.00				$209,050	$0	$27,690		Yes (X)
JAMES B WOOD
FORMER CHIEF ADMIN OFFICER	0.00				$0	$529,269	$0			Yes (X)
FARAZ S AHMED
FORMER VP SR PRIMARY CARE	0.00				$0	$216,297	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,237,287	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,821,353	TotReportableCompRltdOrgAmt
Total Other Compensation	$607,087	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	141	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	CONTRACTING SERVICES	$69,100,737
RADIA INC PS
19020 33RD AVE W STE 210	LYNWOOD	WA	98036	PHYSICIAN SERVICES	$2,173,543
UNIVERSITY OF WASHINGTON
PO BOX 24366	SEATTLE	WA	24366	LAB WORK SERVICES	$2,057,382
VK POWELL CONSTRUCTION LLC
PO BOX 10295	YAKIMA	WA	98909	CONSTRUCTION SERVICES	$1,300,433
WENATCHEE EMERGENCY SERVICES
PO BOX 4600	WENATCHEE	WA	98807	PHYSICIAN SERVICES	$1,049,996

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	49	CntrctRcvdGreaterThan100KCnt
Government Grants	$12,374,553	GovernmentGrantsAmt
All Other Contributions	$420,716	AllOtherContributionsAmt
Total Contributions	$12,795,269	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PATIENT SERVICES	900099	$223,080,596	$223,080,596
MANAGED CARE	900099	$7,545,235	$7,545,235
PROFESSIONAL SERVICES	900099	$2,282,751	$2,282,751
RESEARCH	541700	$1,709,373	$1,709,373
ANCILLARY SERVICES	900099	$710,122		$710,122

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,390,490	TotalRevenueColumnAmt
Related Or Exempt Func Income	$952,633	RelatedOrExemptFuncIncomeAmt
Exclusion	$437,857	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$236,718,567	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$206,085	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$206,085	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$206,085	TotalRevenueColumnAmt
Exclusion	$206,085	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$249,719,921	TotalRevenueColumnAmt
Related Or Exempt Func Income	$235,573,495	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,354,064	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$236,361	TotalAmt
Program Services	$236,361	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$73,290,684	TotalAmt
Program Services	$58,632,547	ProgramServicesAmt
Management And General	$14,658,137	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,654,861	TotalAmt
Program Services	$2,923,889	ProgramServicesAmt
Management And General	$730,972	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,013,665	TotalAmt
Program Services	$12,810,932	ProgramServicesAmt
Management And General	$3,202,733	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,921,811	TotalAmt
Program Services	$4,737,449	ProgramServicesAmt
Management And General	$1,184,362	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$31,827,501	TotalAmt
Program Services	$28,644,751	ProgramServicesAmt
Management And General	$3,182,750	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,340	TotalAmt
Management And General	$5,340	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$378,856	TotalAmt
Management And General	$378,856	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$36,728	TotalAmt
Program Services	$25,710	ProgramServicesAmt
Management And General	$11,018	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$146,904	TotalAmt
Program Services	$117,523	ProgramServicesAmt
Management And General	$29,381	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,543,074	TotalAmt
Program Services	$4,434,458	ProgramServicesAmt
Management And General	$1,108,616	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$852,875	TotalAmt
Program Services	$682,300	ProgramServicesAmt
Management And General	$170,575	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,547,531	TotalAmt
Program Services	$8,592,778	ProgramServicesAmt
Management And General	$954,753	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$314,288	TotalAmt
Program Services	$251,430	ProgramServicesAmt
Management And General	$62,858	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,040,011	TotalAmt
Program Services	$1,040,011	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,347,921	TotalAmt
Program Services	$2,113,129	ProgramServicesAmt
Management And General	$234,792	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,455,759	TotalAmt
Management And General	$2,455,759	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT SERVICES	$87,025,296	$78,322,766	$8,702,530
GENERAL SERVICES	$17,910,912	$12,537,638	$5,373,274
BAD DEBT EXPENSE	$4,316,512	$4,316,512
TAXES AND LICENSES	$2,675,983	$2,675,983

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$265,542,873	TotalAmt
Program Services	$223,096,167	ProgramServicesAmt
Management And General	$42,446,706	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,799,149	BOYAmt
EOY	$11,588,880	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$44,783,034	BOYAmt
EOY	$29,528,452	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$724,577	BOYAmt
EOY	$1,265,502	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,552,959	BOYAmt
EOY	$1,762,411	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$36,587,747	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,282,538	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$19,062,016	BOYAmt
EOY	$21,305,209	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,000,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,027,599	BOYAmt
EOY	$51,310,109	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$74,949,334	BOYAmt
EOY	$118,760,563	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,218,252	BOYAmt
EOY	$21,651,349	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$13,415,367	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$52,710,534	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,483,771	BOYAmt
EOY	$42,717,365	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,702,023	BOYAmt
EOY	$130,494,615	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	$9,247,311	BOYAmt
EOY	-$11,734,052	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,247,311	BOYAmt
EOY	-$11,734,052	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$74,949,334	BOYAmt
EOY	$118,760,563	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$15,822,952	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$5,158,411	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)
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	$19,240	OtherActivitiesAmt
Total Lobbying Expenditures	$19,240	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	WA STATE HOSPITAL ASSOCIATION DUES - 20.50% OF $72,653 = $14,894 AMERICAN HOSPITAL ASSOCIATION DUES - 22.73% OF $19,119 = $4,346 TOTAL $19,240	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$239,994	OtherCostOrOtherBasisAmt
Book Value	$239,994	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,060,239	OtherCostOrOtherBasisAmt
Depreciation	$906,557	DepreciationAmt
Book Value	$3,153,682	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,507,187	OtherCostOrOtherBasisAmt
Depreciation	$14,203,659	DepreciationAmt
Book Value	$7,303,528	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,780,327	OtherCostOrOtherBasisAmt
Depreciation	$172,322	DepreciationAmt
Book Value	$10,608,005	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$21,305,209	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
CASCADE MEDICAL CENTER HOSPITAL BED LICENSES	$3,900,929
RIGHT OF USE ASSETS	$47,409,180

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$51,310,109	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$22,805,672
NOTE PAYABLE - CWH	$19,911,693

Field	Value	IRS element (for citing)
Total Liability	$42,717,365	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HEALTH SYSTEM IS FORMED AS THREE SEPARATE NOT-FOR-PROFIT CORPORATIONS, WHICH HAVE BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HEALTH SYSTEM IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. ANY UNRELATED BUSINESS INCOME GENERATED IS NOT SIGNIFICANT; THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. THE HEALTH SYSTEM HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2020 AND 2019, THE HEALTH SYSTEM HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	175.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,967,916	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,967,916	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,246,049	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,754,018	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,492,031	NetCommunityBenefitExpnsAmt
Total Expense	0.06310	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,213,965	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,754,018	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,459,947	NetCommunityBenefitExpnsAmt
Total Expense	0.07060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,761,579	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,761,579	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,549,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,755,720	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,794,023	NetCommunityBenefitExpnsAmt
Total Expense	0.01070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,737	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$63,737	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,375,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,755,720	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,619,339	NetCommunityBenefitExpnsAmt
Total Expense	0.01760	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,589,024	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,509,738	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,079,286	NetCommunityBenefitExpnsAmt
Total Expense	0.08820	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,316,512	BadDebtExpenseAmt
Reimbursed By Medicare	$31,384,189	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$42,635,308	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,251,119	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WENATCHEE VALLEY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	820 NORTH CHELAN AVE	AddressLine1Txt
City	WENATCHEE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98801	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CONFLUENCEHEALTH.ORG	WebsiteAddressTxt
State License	HAC.FS.60424211	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WENATCHEE VALLEY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.CONFLUENCEHEALTH.ORG/ABOUT-US/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	175.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	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
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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
WENATCHEE VALLEY HOSPITAL	PART V, SECTION B, LINE 5: DURING JUNE AND AUGUST 2019, SIX COMMUNITY FOCUS GROUPS WERE HELD THROUGHOUT THE NORTH CENTRAL WASHINGTON REGION WITH AT LEAST ONE FOCUS GROUP IN EACH COUNTY (I.E. CHELAN-DOUGLAS, GRANT, AND OKANOGAN). EACH FOCUS GROUP WAS ATTENDED BY COMMUNITY STAKEHOLDERS FROM A VARIETY OF ORGANIZATIONS AND SECTORS (E.G. EDUCATION, HEALTHCARE, SOCIAL SERVICES). THE FOCUS GROUPS UTILIZED THE SWOT (STRENGTHS, WEAKNESSES, OPPORTUNITIES AND THREATS) ANALYSIS TO IDENTIFY THE HEALTH-RELATED STRENGTHS, WEAKNESSES, OPPORTUNITIES AND THREATS. EACH SWOT QUESTION WAS LED BY A FACILITATOR WHO GUIDED DISCUSSION AND RECORDED ANSWERS SHARED BY PARTICIPANTS. THE COMMUNITY VOICE SURVEY FROM THE 2016 CHNA WAS USED AGAIN IN THE 2019 CHNA WITH THE ADDITION OF ONE QUESTION. A QUESTION ABOUT HEALTH INSURANCE WAS ADDED TO BETTER INFORM THE DEMOGRAPHICS; TRACKING RESPONSES OF HIGH NEEDS INDIVIDUALS. THE SURVEY CONSISTED OF 15 QUESTIONS AND WAS OPEN FOR THREE MONTHS (FEBRUARY 14 TO MAY 9, 2019).THE SURVEY WAS OFFERED IN ENGLISH AND SPANISH. IT WAS ADMINISTERED USING SURVEYMONKEY (AN ONLINE SURVEY TOOL). PAPER COPIES WERE PROVIDED AT VARIOUS ORGANIZATIONS THROUGHOUT THE REGION. DIRECT SURVEY OUTREACH ALSO OCCURRED AT SOME OF THE REGIONAL FOOD BANKS. 5,010 NORTH CENTRAL WASHINGTON RESIDENTS FILLED OUT THE SURVEY, REPRESENTING A VARIETY OF SECTORS; 33% IDENTIFYING AS COMMUNITY MEMBERS.THE SURVEY CAPTURED THE OPINIONS OF THE HEALTH OF THE COMMUNITY, THE FACTORS TO IMPROVE HEALTH, THE GREATEST RISKS TO HEALTH AND THE BEHAVIORS IN THE COMMUNITY THAT POSITIVELY OR NEGATIVELY AFFECT HEALTH.ORGANIZATIONS CONSULTED: ACTION HEALTH PARTNERS, AGING AND ADULT CARE, AMERIGROUP, BEACON HEALTH OPTIONS, CASCADE MEDICAL CENTER, CASCADE UNITARIAN UNIVERSALIST FELLOWSHIP, CATHOLIC CHARITIES, CENTRAL WASHINGTON SLEEP, DIAGNOSTIC CENTER, CHELAN SENIOR CENTER, CHELAN-DOUGLAS COMMUNITY ACTION COUNCIL, CHELAN-DOUGLAS HEALTH DISTRICT, CHELAN-DOUGLAS TRANSPORTATION COUNCIL, CHILDREN'S HOME SOCIETY WASHINGTON, CITY OF EAST WENATCHEE, CITY OF WENATCHEE, COLUMBIA BASIN HOSPITAL, COLUMBIA VALLEY COMMUNITY HEALTH, CONFLUENCE HEALTH, CONFLUENCE HEALTH FOUNDATION, COORDINATED CARE, GRAND COULEE DAM SCHOOL DISTRICT, GRANT COUNTY HEALTH DISTRICT, GRANT INTEGRATED SERVICES, LAKE CHELAN COMMUNITY HOSPITAL, LAKE CHELAN HEALTH & WELLNESS FOUNDATION, MATTAWA COMMUNITY MEDICAL CLINIC, MATTAWA POLICE, MICROSOFT, MID-VALLEY HOSPITAL, MOLINA HEALTHCARE, MOSES LAKE COMMUNITY HEALTH CENTER, NEW HOPE, NORTH CENTRAL ACCOUNTABLE COMMUNITY OF HEALTH, NORTH CENTRAL EDUCATIONAL SERVICE DISTRICT, NORTH CENTRAL REGIONAL LIBRARY, NORTH VALLEY HOSPITAL, OKANOGAN COUNTY COMMUNITY ACTION COUNCIL, OKANOGAN COUNTY PUBLIC HEALTH, OKANOGAN COUNTY TRANSIT, OKANOGAN JUVENILE DETENTION, PARKVIEW MEDICAL GROUP, QUINCY PARTNERSHIP FOR YOUTH, ROOM ONE, SAMARITAN HEALTHCARE, SKILLSOURCE ,TENDER LOVING CARE ,THREE RIVERS HOSPITAL, TOGETHER! FOR YOUTH, UPPER VALLEY MEND, WAHLUKE COMMUNITY COALITION, WASHINGTON STATE UNIVERSITY EXTENSION, WENATCHEE VALLEY DISPUTE RESOLUTION CENTER, WOMEN'S RESOURCE CENTER, WORKSOURCE
WENATCHEE VALLEY HOSPITAL	PART V, SECTION B, LINE 6A: CENTRAL WASHINGTON HOSPITAL
WENATCHEE VALLEY HOSPITAL	PART V, SECTION B, LINE 6B: ACTION HEALTH PARTNERSCHELAN-DOUGLAS HEALTH DISTRICTCONFLUENCE HEALTH
WENATCHEE VALLEY HOSPITAL	PART V, SECTION B, LINE 11: THERE WERE FIVE SIGNIFICANT NEEDS IDENTIFIED IN THE 2019 CHNA:1) CHRONIC HEALTH - CONFLUENCE HEALTH CONTINUES TO INVEST AND PARTICIPATE IN PROGRAMS THAT ARE COMMUNITY BASED AND WHICH TARGET DIABETICS AND THOSE PATIENTS AT RISK OF DEVELOPING DIABETES. CH STAFF WILL CONTINUE TO ENGAGE IN EDUCATION AND OUTREACH IN THE COMMUNITY SETTING (E.G. COOKING CLASSES AT PYBUS MARKET, GROUP EDUCATION COURSES, SCHOOL OUTREACH) TO PROMOTE EDUCATION AND EMPOWER PATIENTS TO LEARN WAYS TO SELF-MANAGE THEIR DIABETES.CONFLUENCE HEALTH WILL ALSO CONTINUE TO INVEST IN DEVELOPING SUSTAINABLE CARE MODELS FOR DELIVERY OF CARE TO PATIENTS DIAGNOSED WITH, OR AT RISK OF DEVELOPING, DIABETES. WEIGHT MANAGEMENT INITIATIVES WILL CONTINUE TO INCLUDE EMOTIONAL AND BEHAVIORAL HEALTH EDUCATION TO ADDRESS MOTIVATION AS WELL AS DIABETES-RELATED DISTRESS (I.E. EMOTIONAL RESPONSES RELATED TO THE DISEASE). THIS SUPPORT INCLUDES INTERVENTION STRATEGIES TO PROMOTE PATIENT ENGAGEMENT AND SELF-MANAGEMENT.CONFLUENCE HEALTH WILL CONTINUE TO REFINE PROCESSES FOR IDENTIFYING PATIENTS SEEN IN THE PRACTICE WHO ARE AT HIGH RISK ACCORDING TO ADA RECOMMENDATIONS. SCREENING WILL OCCUR IN ALL PATIENT CARE AREAS AND APPROPRIATE FOLLOW UP WILL BE PROVIDED. TO DELIVER THIS CARE, THE ORGANIZATION WILL CONTINUE TO DEVELOP AND EDUCATE ON THE CONSISTENT USE OF TREATMENT ALGORITHMS FOR PATIENTS WITH DIABETES. CARE TEAMS AND PATIENTS WILL DETERMINE MUTUALLY AGREED-UPON TREATMENT PLANS AND GOALS WILL BE INDIVIDUALIZED TO EACH PATIENT'S NEEDS.CONFLUENCE HEALTH CONTINUES TO INVEST IN TRAINING CARE TEAM MEMBERS WHO SHOULD, THROUGH TRAINING, BE AWARE OF THE IMPORTANCE OF HYPERTENSION MANAGEMENT AND BLOOD PRESSURE GOALS. TEAM MEMBERS SHOULD BE ENCOURAGED TO COMMENT TO PATIENTS ON THEIR PROGRESS AND ON THE IMPORTANCE OF MEDICATIONS AND MEDICATION ADHERENCE, ESPECIALLY WHEN PATIENTS ARE NOT AT GOAL. THIS FOCUS WILL ENSURE APPROPRIATE MEASUREMENT OF A PATIENT'S BLOOD PRESSURE AND IMPROVE PROVIDER DECISIONS WHEN DELIVERING TREATMENT.ENSURING CONSISTENT MEASUREMENT OF A PATIENT'S CONDITION AT ALL VISITS THROUGHOUT THE SYSTEM IS KEY. THROUGH THIS MEASUREMENT, APPROPRIATE CATEGORIZATION AND ASSESSMENT OF PATIENTS LEADS TO BETTER CARE DELIVERY. ALTHOUGH PATIENTS WITH HYPERTENSION MAY VISIT A PRIMARY CARE PHYSICIAN OR SPECIALIST FOR NON-HYPERTENSION CHIEF COMPLAINT, STANDARDIZED PROCESSES ARE IN PLACE TO ASSURE HYPERTENSION IS EVALUATED AND/OR TREATED AT EVERY VISIT.2) ACCESS TO HEALTHCARE INCLUDING BEHAVIORAL HEALTH - CONFLUENCE HEALTH WILL CONTINUE TO PROVIDE MEDICATION MANAGEMENT SERVICES TO OUR REMOTE SITES IN NORTH COUNTRY. CONFLUENCE HEALTH WILL IMPLEMENT THE COLLABORATIVE CARE MODEL IN OUR OMAK CLINIC. THE COLLABORATIVE CARE MODEL HAS THE MOST EVIDENCE AMONG INTEGRATION MODELS TO DEMONSTRATE ITS EFFECTIVE AND EFFICIENT INTEGRATION IN TERMS OF CONTROLLING COSTS, IMPROVING ACCESS, IMPROVING CLINICAL OUTCOMES, AND INCREASING PATIENT SATISFACTION IN RURAL PRIMARY CARE SETTINGS. CONFLUENCE HEALTH STAYS COMMITTED TO OFFERING GROUP THERAPY AS A TREATMENT OPTION. GROUPS CAN OFFER MANY BENEFITS TO THE PATIENT INCLUDING INCREASED ACCESS TO CARE. A THERAPY GROUP PROVIDES AN OPPORTUNITY FOR PEOPLE TO SHARE WITH EACH OTHER PERSONAL EXPERIENCES AND FEELINGS, COPING STRATEGIES OR FIRSTHAND INFORMATION ABOUT DISEASES OR TREATMENTS.CONFLUENCE HEALTH IS COMMITTED TO PROVIDING CARE TO ALL PATIENTS IN A TIMELY MANNER. ONE OF THE MOST IMPORTANT FEATURES OF THIS COMMITMENT IS OUR COMPASSIONATE CARE PROGRAM, IN WHICH WE WORK WITH PATIENTS TO COVER SOME OR ALL COSTS. IN 2019 WE PROVIDED $15,000,000 OF CARE THROUGH THIS PROGRAM, WHICH EQUATE TO ABOUT 25,000 PATIENT ACCOUNTS. THERE IS CLEAR EVIDENCE THAT LOWER INCOME PATIENTS HAVE LOWER RATES OF HEALTH CARE USAGE, ACCORDING TO THE CDC, AND WE WANT TO ENSURE THAT ALL PATIENTS RECEIVE APPROPRIATE CARE REGARDLESS OF COST.IN ADDITION, WE WANT TO ENSURE THAT ALL PATIENTS ARE TREATED EQUALLY AND FEEL WELCOME TO RECEIVE CARE ACROSS ALL SITES IN CONFLUENCE HEALTH. IN 2016, WE STARTED A HEALTH, EQUITY, DIVERSITY AND INCLUSION PROGRAM WHICH NOW WORKS TO ADDRESS AND IMPROVE ISSUES OF DIVERSITY AND INCLUSION FOR PATIENTS AND STAFF. THIS ROBUST PROGRAM WILL CONTINUE TO GROW AND HELP CARE FOR ALL PATIENTS.AVAILABILITY OF PRIMARY CARE PROVIDERS REMAINS AN ONGOING ISSUE, AND CONFLUENCE CONTINUES TO COMMIT SIGNIFICANT EFFORTS TO RECRUITING MORE PROVIDERS. IN 2019, WE HIRED 29 NEW PRIMARY CARE PROVIDERS AT CONFLUENCE HEALTH AND CONTINUE OUR RECRUITING EFFORTS ACROSS OUR SYSTEM.CONFLUENCE HEALTH IS ALSO CONTINUING TO IMPROVE THE AVAILABILITY OF APPOINTMENTS IN PRIMARY CARE CLINICS. SEVERAL OF OUR PROVIDERS HAVE TRANSITIONED TO OPEN ACCESS MODELS WHERE VIRTUALLY ALL APPOINTMENTS ARE BOOKED WITHIN 24 HOURS. WE ARE COMMITTED TO EXPANDING THIS MODEL TO ADDITIONAL PRACTICES. FURTHERMORE, WE OFFER VIRTUAL (PHONE) VISITS AND ARE WORKING TO EXPAND THESE OPTIONS AS WELL. FINALLY, WE WILL EXPLORE TELEHEALTH AS AN OPTION FOR PRIMARY CARE VISITS WHICH IS PARTICULARLY IMPORTANT FOR PATIENTS WHO TRAVEL LONG DISTANCES FOR CARE.AS WE MOVE FORWARD, WE AIM TO CONTINUE TO DEVELOP COMMUNITY PARTNERSHIPS THAT WILL EXPAND OUR CARE DELIVERY OPTIONS AND SERVICES PROVIDED. SOMETIMES ACCESS TO CARE MAY INCLUDE EXERCISE PRESCRIPTIONS, DIETARY COUNSELING, OR MEDICATION MANAGEMENT WHICH CAN ALL BE PROVIDED BY CARE TEAMS. FURTHERMORE, WE UNDERSTAND THAT ONLINE SCHEDULING AND APPOINTMENT AVAILABILITY THOUGHT ONLINE PORTALS CAN HELP WITH ACCESS AS WELL. WE WILL CONTINUE TO IMPROVE THESE OPTIONS AS WELL.3) EDUCATION - CONFLUENCE HEALTH CONTINUES TO INVEST AND PARTICIPATE IN EDUCATIONAL PROGRAMS THAT ARE COMMUNITY BASED, WHICH TARGET SPECIFIC HEALTH RELATED CONDITIONS. CONFLUENCE HEALTH STAFF WILL CONTINUE TO ENGAGE THE COMMUNITY IN EDUCATION AND OUTREACH IN THE COMMUNITY SETTING (E.G. COOKING CLASSES AT PYBUS MARKET, GROUP EDUCATION COURSES, SCHOOL OUTREACH) TO PROMOTE EDUCATION AND EMPOWER PATIENTS TO LEARN WAYS TO SELF-MANAGE THEIR HEALTH.4) SUBSTANCE ABUSE - CONFLUENCE HEALTH CONTINUES TO INVEST AND PARTICIPATE IN PROGRAMS THAT ARE COMMUNITY BASED WHICH WILL TARGET PATIENTS, AND COMMUNITY MEMBERS, CURRENTLY, OR AT RISK OF, OPIOID OR ALCOHOL ABUSE.5) AFFORDABLE HOUSING - CONFLUENCE HEALTH WILL CONTINUE TO PARTNER WITH LOCAL ADVOCACY GROUPS TO ADDRESS AFFORDABLE HOUSING. THESE PARTNERSHIPS MAY TAKE VARIOUS FORMS INCLUDING, BUT NOT LIMITED TO, HOUSING TASK FORCES WITHIN THE COMMUNITIES CONFLUENCE HEALTH SERVES, COORDINATING WITH LOCAL HOTELS TO OFFER DISCOUNTED RATES FOR PATIENTS, AND FAMILY MEMBERS.CONFLUENCE HEALTH WILL ALSO CONTINUE TO ENSURE ACTIVE LEADERSHIP REPRESENTATION ON HOUSING TASK FORCES AND/OR ADVOCACY GROUPS.
WENATCHEE VALLEY HOSPITAL	PART V, SECTION B, LINE 13B: THE INDIVIDUAL FINANCIAL CIRCUMSTANCES STATED IN THE WRITTEN FINANCIAL POLICY IS TO TAKE INTO CONSIDERATION THE PATIENT/GUARANTOR'S ASSETS AND THEIR ABILITY TO PAY.
WENATCHEE VALLEY HOSPITAL	PART V, SECTION B, LINE 13H: COMPASSIONATE CARE IS GENERALLY CONSIDERED ONLY AFTER ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT HAVE BEEN EXPLORED AND EXHAUSTED. IN ORDER TO QUALIFY FOR COMPASSIONATE CARE, THE PATIENT/GUARANTOR MUST FULLY COOPERATE WITH THE HOSPITAL IN EXPLORING AND APPLYING FOR THESE RESOURCES. OTHER FINANCIAL RESOURCES INCLUDE BUT ARE NOT LIMITED TO: GROUP OR INDIVIDUAL MEDICAL PLANS, SECONDARY OR SUPPLEMENTAL INSURANCE POLICIES, WORKER'S COMPENSATION, MEDICARE, MEDICAID OR MEDICAL ASSISTANCE PROGRAMS, OTHER STATE, FEDERAL OR MILITARY PROGRAMS, THIRD PARTY LIABILITY SITUATIONS (E.G. AUTO ACCIDENTS OR PERSONAL INJURIES), OR ANY OTHER SITUATION IN WHICH ANOTHER PERSON OR ENTITY MAY HAVE A LEGAL RESPONSIBILITY TO PAY FOR THE COSTS OF MEDICAL SERVICES.COMPASSIONATE CARE FOR NON-EMERGENT SERVICES SHALL BE LIMITED TO THOSE RESIDING WITH THE HOSPITALS DESIGNATED SERVICE AREA, WHICH IS DEFINED AS THE COUNTIES OF CHELAN, DOUGLAS, GRANT AND OKANOGAN AS WELL AS THE TOWN OF OTHELLO. NON-EMERGENT SERVICES SHALL BE DEFINED AS THOSE SERVICES WHICH ARE NOT CONSIDERED AS AN "EMERGENCY MEDICAL CONDITION" UNDER THE POLICY'S DEFINITION.COMPASSIONATE CARE SHALL BE LIMITED TO "APPROPRIATE HOSPITAL (PHYSICIAN)-BASED MEDICAL SERVICES" AS DEFINED IN THE POLICY. ELECTIVE OR COSMETIC PROCEDURES THAT DO NOT MEET THE DEFINITION OF APPROPRIATE AS SET FORTH IN THE WA ADMINISTRATIVE CODE (WAC) 246-453-010(7) ARE EXCLUDED AS WELL AS PROCEDURES DONE OUTSIDE OF THE HOSPITAL.IN THOSE SITUATIONS, WHERE APPROPRIATE PRIMARY PAYMENT SOURCES ARE NOT AVAILABLE, OR IN CERTAIN SITUATIONS WHEN THE PRIMARY PAYMENT SOURCE LEAVES A BALANCE THAT IS THE PATIENT'S LIABILITY, PATIENTS WILL BE CONSIDERED FOR COMPASSIONATE CARE UNDER THE POLICY.OTHER ELIGIBILITY CRITERIA INCLUDES CIRCUMSTANCES THAT INDICATE SEVERE FINANCIAL HARDSHIP OR PERSONAL LOSS.
PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE:	HTTPS://WWW.CONFLUENCEHEALTH.ORG/ABOUT-US/ANNUAL-REPORTS/
PART V, LINE 16A, FAP WEBSITE:	HTTPS://WWW.CONFLUENCEHEALTH.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE/CHARITY-CARE/ELIGIBILITY-INELIGIBLE-SERVICES/
PART V, LINE 16B, FAP APPLICATION WEBSITE:	HTTPS://WWW.CONFLUENCEHEALTH.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE/CHARITY-CARE/APPLICATION-PROCESS/
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:	HTTPS://WWW.CONFLUENCEHEALTH.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE/CHARITY-CARE/ELIGIBILITY-INELIGIBLE-SERVICES/

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MOSES LAKE CLINIC
840 E HILL AVE	MOSES LAKE	WA	98837	MULTISPECIALTY CLINIC, AMBULATORY SURGERY CENTER, WALK-IN CLINIC
2 - OMAK CLINIC AND REGIONAL EYE CENTER
916 KOALA DRIVE	OMAK	WA	98841	MULTISPECIALTY CLINIC, WALK-IN CLINIC
3 - EAST WENATCHEE CLINIC
100 HIGHLINE DRIVE	EAST WENATCHEE	WA	98802	FAMILY MEDICINE, BEHAVIORAL, LAB & PATHOLOGY, RADIOLOGY/IMAGING
4 - WENATCHEE ORTHOPEDICS BUILDINGS
520 N CHELAN AVE	WENATCHEE	WA	98801	ORTHOPEDICS CLINIC
5 - MILLER STREET COMPLEX
1000 N MILLER ST	WENATCHEE	WA	98801	PHYSICAL THERAPY AND SLEEP CENTER
6 - BREWSTER CLINIC
418 W MAIN STREET	BREWSTER	WA	98812	FAMILY MEDICINE/PRIMARY CARE, CARDIOLOGY, DERMATOLOGY, & EAR/NOSE/THROAT
7 - PEDIATRICS BUILDING
900 N MISSION STREET	WENATCHEE	WA	98801	OUTPATIENT PEDIATRICS
8 - TONASKET CLINIC
17 SOUTH WESTERN AVE	TONASKET	WA	98855	FAMILY MEDICINE AND PRIMARY CARE CLINIC
9 - OCCUPATIONAL MEDICINE
317 N MISSION STREET	WENATCHEE	WA	98801	OCCUPATIONAL MEDICINE
10 - MOSES LAKE THERAPY SERVICES BUILDING
938 W 3RD AVE	MOSES LAKE	WA	98837	PHYSICAL THERAPY
11 - EPHRATA CLINIC
314 BASIN SW	EPHRATA	WA	98823	FAMILY MEDICINE/PRIMARY CARE CLINIC, DIAGNOSTIC & THERAPUTIC SERVICES
12 - METHOW VALLEY CLINIC
1116 WA-20	WINTHROP	WA	98862	FAMILY MEDICINE AND PEDIATRICS
13 - CASHMERE CLINIC
303 COTTAGE AVENUE	CASHMERE	WA	98815	FAMILY MEDICINE AND PRIMARY CARE CLINIC
14 - OROVILLE CLINIC
1617 MAIN ST	OROVILLE	WA	98844	FAMILY MEDICINE AND PRIMARY CARE CLINIC
15 - STEMILT CLINIC
2833 EUCLID AVE	WENATCHEE	WA	98801	STEMILT PRIMARY CARE CLINIC
16 - BEHAVIORAL HEALTH BUILDING
966 S JUNIPER DR	MOSES LAKE	WA	98837	BEHAVIORAL HEALTH SERVICES
17 - SAMARITAN CLINIC
1550 S PIONEER WAY	MOSES LAKE	WA	98837	OPHTHALMOLOGY, OPTOMETRY, AND REHABILITATION
18 - WATERVILLE CLINIC
117 SOUTH CHELAN AVE	WATERVILLE	WA	98858	FAMILY MEDICINE AND PRIMARY CARE CLINIC
19 - ROYAL CITY CLINIC
103 CAMELIA ST NW	ROYAL CITY	WA	99357	FAMILY MEDICINE AND PRIMARY CARE CLINIC
20 - ANTI-COAG BUILDING
986 S JUNIPER DR	MOSES LAKE	WA	98837	ANTICOAGULATION
21 - MOSES LAKE SPECIALTY CARE CLINIC
1345 YONEZAWA BLVD	MOSES LAKE	WA	98837	GENERAL & VASCULAR SURGERY, OPTHALMOLOGY, OPTOMETRY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	CONFLUENCE HEALTH 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, COLUMN (F):	BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN: $4,316,512.
PART III, LINE 2:	NET PATIENT SERVICE REVENUE - THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED.PATIENT ACCOUNTS RECEIVABLE - FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 4:	PATIENT RECEIVABLES ARE UNCOLLATERALIZED PATIENT, RESIDENT, CUSTOMER, AND THIRD-PARTY PAYOR OBLIGATIONS. PAYMENTS OF PATIENT RECEIVABLES ARE ALLOCATED TO THE SPECIFIC CLAIMS IDENTIFIED ON THE REMITTANCE ADVICE OR, IF UNSPECIFIED, ARE APPLIED TO THE EARLIEST UNPAID CLAIM. THE CARRYING AMOUNT OF PATIENT RECEIVABLES IS REDUCED BY IMPLICIT AND EXPLICIT PRICE CONCESSIONS THAT REFLECTS MANAGEMENT'S ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS, RESIDENTS, AND THIRD-PARTY PAYORS. MANAGEMENT REVIEWS PATIENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS DUE TO IMPLICIT PRICE CONCESSIONS. MANAGEMENT CONSIDERS HISTORICAL WRITE-OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED IMPLICIT PRICE CONCESSION. RECEIVABLES ARE REDUCED BY AN ESTIMATED IMPLICIT PRICE CONCESSION. IN EVALUATING THE COLLECTIBILITY OF RECEIVABLES, THE HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ESTIMATED IMPLICIT PRICE CONCESSION. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ESTIMATED IMPLICIT PRICE CONCESSION. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ESTIMATED IMPLICIT PRICE CONCESSION, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM RECORDS A SIGNIFICANT IMPLICIT PRICE CONCESSION IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ESTIMATED IMPLICIT PRICE CONCESSION. THE HEALTH SYSTEM'S SELF-PAY WRITE-OFFS WERE $4,316,512 AND $4,510,582 FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, RESPECTIVELY.
PART III, LINE 8:	MEDICARE - INPATIENT ACUTE CARE SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. NET REVENUE BILLED UNDER THE MEDICARE PROGRAM TOTALED APPROXIMATELY $73,108,150 AND $97,609,000 FOR 2020 AND 2019, RESPECTIVELY.
PART III, LINE 9B:	IT IS THE POLICY TO WORK WITH THE PATIENT TO OBTAIN PAYMENT IN FULL, SECURE FINANCIAL ASSISTANCE, OR ESTABLISH APPROPRIATE PAYMENT ARRANGEMENTS ON PATIENT BALANCES WITHIN 30 DAYS OF THE INITIAL STATEMENT DATE.1. WHEN POSSIBLE THE SCHEDULER, AND/OR RECEPTIONS, WILL ALERT THE PATIENT OF ANY SELF-PAY DEPOSIT, PRE-PAYMENT OR INSURANCE CO-PAYMENT, WHICH MAY BE REQUESTED AT THE TIME OF SERVICE.2. PAYMENT IN FULL ON ALL SELF-PAY BALANCES IS EXPECTED WITHIN 30 DAYS OF RECEIPT OF THE FIRST STATEMENT. THE RESPONSIBILITY FOR PAYMENT REMAINS WITH THE GUARANTOR. THE HOSPITAL DOES NOT BECOME INVOLVED IN DISPUTES THAT OCCUR AS A RESULT OF DIVORCE SETTLEMENTS, CHILD CUSTODY, AND ACCIDENTAL INJURY OR THIRD PARTY LITIGATION.3. WORKING WITH THE GUARANTOR, THE HOSPITAL WILL ESTABLISH PAYMENT ARRANGEMENTS WHEN PAYMENT IN FULL CANNOT BE MADE. COLLECTION EFFORTS ARE SUSPENDED WHEN THE GUARANTOR REQUESTS A FINANCIAL ASSISTANCE APPLICATION. THIS SUSPENSION IS IN EFFECT FOR 30 CALENDAR DAYS GIVING THE APPROPRIATE PARTY TIME TO COMPLETE THE APPLICATION AND PROVIDE THE REQUIRED DOCUMENTATION. COLLECTION EFFORTS REMAIN SUSPENDED UNTIL THE FINAL DETERMINATION OF QUALIFICATION IS COMPLETED.4. ALL TRANSACTIONS ARE REQUIRED TO AGE A MINIMUM OF 120 DAYS, ALLOWING FOR 4 STATEMENTS AND AT LEAST 1 LETTER, BEFORE BEING CONSIDERED FOR TRANSFER TO AN OUTSIDE COLLECTION AGENCY.5. IF AN ACCOUNT HAS A MAIL RETURN STATUS AND ALL STEPS TAKEN TO FIND THE ADDRESS WERE UNSUCCESSFUL THE ACCOUNT MAY BE TURNED TO COLLECTION FOR FURTHER RESEARCH.
PART VI, LINE 2:	WENATCHEE VALLEY HOSPITAL PARTICIPATED IN A COMMUNITY WIDE NEEDS ASSESSMENT IN COOPERATION WITH ACTION HEALTH PARTNERS, CHELAN-DOUGLAS HEALTH DISTRICT, AND CONFLUENCE HEALTH.
PART VI, LINE 3:	COMMUNICATIONS TO THE PUBLIC: INFORMATION ABOUT THE ASSOCIATION'S FINANCIAL ASSITANCE AND CHARITY CARE POLICY ALSO KNOWN AS COMPASSIONATE CARE PROGRAM (CCP) SHALL BE MADE PUBLICLY AVAILABLE AS FOLLOWS:1. A NOTICE ADVISING PATIENTS THAT THE HOSPITAL PROVIDES COMPASSIONATE CARE SHALL BE POSTED IN KEY PUBLIC AREAS OF THE FACILITY.2. THE ASSOCIATION WILL DISTRIBUTE A WRITTEN NOTICE ABOUT THE AVAILABILITY OF COMPASSIONATE CARE TO ALL PATIENTS AT THE TIME OF NEW PATIENT REGISTRATION THROUGH THE EMERGENCY DEPARTMENT AND DURING ADMISSIONS. THIS INFORMATION WILL ALSO BE AVAILABLE ON THE WEBSITE, WITH EACH BILLING STATEMENT, AND IN ANY COLLECTION LETTERS SENT BY THE ASSOCIATION.3. THE WRITTEN NOTICE SHALL BE AVAILABLE IN ANY LANGUAGE SPOKEN BY MORE THAN FIVE PERCENT OF THE POPULATION IN THE ASSOCIATION'S SERVICE AREA, AND INTERPRETED FOR OTHER NON-ENGLISH SPEAKING OR LIMITED-ENGLISH SPEAKING PATIENTS AND FOR OTHER PATIENTS WHO CANNOT UNDERSTAND THE WRITING AND/OR EXPLANATION. THE ASSOCIATION'S SERVICE AREA IS DEFINED AS; CHELAN, DOUGLAS, OKANOGAN AND GRANT COUNTIES. THE ASSOCIATION FINDS THAT FOLLOWING NO-ENGLISH TRANSLATION(S) OF THE NOTICE SHALL BE MADE AVAILABLE: SPANISH.4. THE ASSOCIATION WILL REFER ALL COMPASSIONATE CARE INQUIRIES TO THE FINANCIAL ASSISTANCE DEPARTMENT OR WHEN POSSIBLE DIRECTLY TO THE COMPASSIONATE CARE COORDINATOR SO THAT ALL CONCERNS CAN BE ADDRESSED IN A TIMELY MANNER.5. WRITTEN NOTICE ABOUT THE ASSOCIATION'S COMPASSIONATE CARE POLICY SHALL BE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION, EITHER BY MAIL, BY TELEPHONE OR IN PERSON. THE ASSOCIATION'S COMPASSIONATE CARE SLIDING SCALE DISCOUNT TABLE SHALL ALSO BE MADE AVAILABLE UPON REQUEST.
PART VI, LINE 4:	THE HOSPITAL OPERATES A 20-BED HOSPITAL ALONG WITH 13 MULTISPECIALTY OUTPATIENT CLINICS DELIVERING A FULL RANGE OF HEALTH CARE SERVICES IN WENATCHEE, WASHINGTON AND THE NORTH CENTRAL WASHINGTON AREA. THE HOSPITAL IS A NOT-FOR-PROFIT INSTITUTION GOVERNED BY A BOARD OF DIRECTORS, PROVIDING GENERAL INPATIENT AND REHAB SERVICES AS WELL AS ALLERGY, AUDIOLOGY, BEHAVIORAL MEDICINE, BREAST & CERVICAL HEALTH, BREAST IMAGING, CANCER CARE, CARDIOLOGY, CARDIOTHORACIC SURGERY, DERMATOLOGY, EAR, NOSE & THROAT, ENDOCRINOLOGY, FAMILY MEDICINE, GASTROENTEROLOGY, GERIATRICS, HOSPITAL SERVICES, INFECTIOUS DISEASE, INTERNAL MEDICINE, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, NUTRITION, OCCUPATIONAL MEDICINE, OCCUPATIONAL THERAPY, ONCOLOGY & HEMATOLOGY, OPHTHALMOLOGY, OPTOMETRY, ORTHOPEDICS & ORTHOPEDIC SURGERY, PAIN MANAGEMENT, PALLIATIVE CARE, PEDIATRICS, PHYSIATRY, PHYSICAL THERAPY, PODIATRY, PULMONARY MEDICINE, RADIATION ONCOLOGY, RADIOLOGY/IMAGING, RESEARCH, RHEUMATOLOGY, ROBOTIC SURGERY, SLEEP CENTER, SPEECH LANGUAGE PATHOLOGY, SPINAL CLINIC & SURGERY, UROLOGY, VASCULAR SURGERY, WOMEN'S HEALTH AND WOUND CARE.WENATCHEE, WASHINGTON IS APPROXIMATELY 150 MILES EAST OF SEATTLE, WASHINGTON AND 170 MILES WEST OF SPOKANE, WASHINGTON. CHELAN AND DOUGLAS COUNTIES COMPRISE THE HOSPITAL'S PRIMARY SERVICE AREA WHILE GRANT AND OKANOGAN COUNTIES REPRESENT SECONDARY SERVICE AREAS. THE 13 MULTISPECIALTY OUTPATIENT CLINICS ARE LOCATED IN 11 CITIES. APPROXIMATELY 96% OF THE HOSPITAL'S PATIENT VISITS ARE FROM THE PRIMARY AND SECONDARY SERVICE AREAS. THE SERVICE AREA'S POPULATION IS HEAVILY WEIGHTED IN THE 65+ AGE COHORT. IN ADDITION, THE HOSPITAL HAS A HIGH CONCENTRATION OF FARM AND AGRICULTURE RELATED EMPLOYERS/EMPLOYEES.
PART VI, LINE 5:	THE HOSPITAL PARTNERS WITH CONFLUENCE HEALTH TO SERVE THE HEALTH OF THE COMMUNITY BY PROVIDING BENEFITS TO THE COMMUNITY INCLUDING EDUCATIONAL OPPORTUNITIES, CLINICS, AND FLU VACCINATIONS.
PART VI, LINE 6:	CONFLUENCE HEALTH WAS FORMED IN 2012 AS A HEALTH SYSTEM THAT REPRESENTS AN AFFILIATION BETWEEN THE HOSPITAL, WENATCHEE VALLEY MEDICAL GROUP (A FOR-PROFIT ORGANIZATION) AND CENTRAL WASHINGTON HOSPITAL. EFFECTIVE JANUARY 1, 2013, THE HOSPITAL AFFILIATED WITH CONFLUENCE HEALTH AND CONFLUENCE HEALTH BECAME THE SOLE MEMBER OF THE HOSPITAL. THE BOARD OF DIRECTORS OF CONFLUENCE HEALTH CONSISTS OF 9 COMMUNITY MEMBERS AND 6 PHYSICIANS OF WENATCHEE VALLEY MEDICAL GROUP.THE MISSION STATEMENT OF CONFLUENCE HEALTH IS:WE ARE DEDICATED TO IMPROVING OUR PATIENTS HEALTH BY PROVIDING SAFE, HIGH-QUALITY CARE IN A COMPASSIONATE AND COST-EFFECTIVE MANNER.
PART VI, LINE 7:	N/A

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CONFLUENCE HEALTH FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	518 N CHELAN AVE	AddressLine1Txt
City	WENATCHEE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98801	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	911075950	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$236,361	CashGrantAmt
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	WENATCHEE VALLEY HOSPITAL MAKES GRANTS ONLY TO AN ORGANIZATION WITH A SHARED ACCOUNTING OVERSIGHT FUNCTION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	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	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 (20 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	$0	$549,507	$0	$62,080	$0	$24,104	$0	$20,990	$0	$18,626	$0	$675,307	$0	$0
JASON M LAKE MD
CHIEF MEDICAL OFFICER - WVMG	$0	$538,091	$0	$24,008	$0	$0	$0	$22,018	$0	$24,602	$0	$608,719	$0	$0
GLENN W ADAMS
CHIEF OPERATING OFFICER	$0	$356,739	$0	$29,762	$0	$8,269	$0	$18,935	$0	$26,687	$0	$440,392	$0	$0
STUART D FREED MD
MED DIR PHY LDRSHIP DEVLP	$0	$349,556	$0	$48,824	$0	$0	$0	$12,870	$0	$14,657	$0	$425,907	$0	$0
CORY M FERARI-ZIMMERMAN
INTERIM CFO (THRU 03/20)	$0	$253,081	$0	$111,954	$0	$0	$0	$16,096	$0	$23,187	$0	$404,318	$0	$0
ROBERT J PAGELER
CHIEF INFORMATION OFFICER	$0	$328,787	$0	$31,481	$0	$0	$0	$16,880	$0	$12,924	$0	$390,072	$0	$0
THOMAS J LEGEL
CHIEF FINANCIAL OFFICER (FROM 03/20)	$0	$348,578	$0	$77	$0	$0	$0	$0	$0	$16,071	$0	$364,726	$0	$0
TRACEY A KASNIC
CNO, HOSPITAL ADMIN - CWH	$0	$334,721	$0	$31,896	$0	$12,805	$0	$20,990	$0	$12,118	$0	$412,530	$0	$0
JEANINE M ALLEN
SR VP CWH OUTP SVCS (THRU 06/20)	$0	$332,854	$0	$32,668	$0	$12,733	$0	$20,990	$0	$17,803	$0	$417,048	$0	$0
SARAH A BATTIS JOHNSON
SR VP QUAL CARE TRNSFRMTN	$0	$217,866	$0	$15,068	$0	$15,433	$0	$15,109	$0	$12,118	$0	$275,594	$0	$0
JOELLEN COLSON
SR VP ANCILLARY SERVICES	$0	$229,373	$0	$21,848	$0	$5,992	$0	$15,767	$0	$0	$0	$272,980	$0	$0
JAY H JOHNSON
SR VP NETWORK STRATEGY	$0	$218,340	$0	$21,193	$0	$4,249	$0	$15,441	$0	$12,118	$0	$271,341	$0	$0
STACI JONES
SR VP SPECIALTY CARE	$0	$114,861	$0	$22,994	$0	$35,208	$0	$15,077	$0	$15,960	$0	$204,100	$0	$0
NICOLE M ANDERSON
ARNP - OB-GYN	$306,108	$0	$7,436	$0	$0	$0	$15,510	$0	$26,687	$0	$355,741	$0	$0	$0
MAUVIA A SORENSEN
ARNP - BEHAVIORAL HEALTH	$235,249	$0	$5,909	$0	$0	$0	$15,057	$0	$21,992	$0	$278,207	$0	$0	$0
MICHAEL D SIEG
PHARMACY DIRECTOR	$213,148	$0	$21,144	$0	$0	$0	$13,711	$0	$26,687	$0	$274,690	$0	$0	$0
AARON C LEWIS MD
PHYSICIAN	$239,166	$0	$77	$0	$0	$0	$7,175	$0	$0	$0	$246,418	$0	$0	$0
ANTHONY D CHAMBERS
PA-C OCC MED	$203,075	$0	$5,975	$0	$0	$0	$13,766	$0	$13,924	$0	$236,740	$0	$0	$0
JAMES B WOOD
FORMER CHIEF ADMIN OFFICER	$0	$0	$0	$0	$0	$529,269	$0	$0	$0	$0	$0	$529,269	$0	$0
FARAZ S AHMED
FORMER VP SR PRIMARY CARE	$0	$0	$0	$0	$0	$216,297	$0	$0	$0	$0	$0	$216,297	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4A	SEVERANCE PAYMENT TO FARAZ S. AHMED: $216,297 SEVERANCE PAYMENT TO JAMES B. WOOD: $529,269
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 2020 WAS $425,907. COMPENSATION PAID TO DR. JASON LAKE IN 2020 WAS $608,719.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	THE COVID-19 PANDEMIC HAS HAD A SIGNIFICANT IMPACT ON RESULTS FOR THE YEAR ENDED DECEMBER 31, 2020. THE ORGANIZATION RECEIVED THE FIRST POSITIVE TEST RESULT ON MARCH 1, 2020. EFFECTIVE MARCH 17, 2020 THE ORGANIZATION BEGAN POSTPONING ALL ELECTIVE SURGERIES AND PROCEDURES BASED ON GUIDANCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE STATE OF WASHINGTON DUE TO THE EMERGENCE OF COVID-19 WITHIN WASHINGTON STATE. THE STATE OF WASHINGTON ALSO PUT IN PLACE SOCIAL DISTANCING GUIDELINES AND A STATEWIDE STAY-AT-HOME ORDER ON MARCH 23, 2020; HOWEVER, THE ORGANIZATION IMPLEMENTED A WORK-FROM-HOME STRATEGY FOR OUR STAFF DURING MARCH 2020. ELECTIVE SURGERIES AND PROCEDURES RESUMED ON APPROXIMATELY MAY 18, 2020. AS THE COVID-19 PANDEMIC CONTINUES, THE ORGANIZATION HAS IMPLEMENTED COST CONTAINMENT STRATEGIES AND CONTINUES TO EXPLORE OPPORTUNITIES FOR COST CONTAINMENT. THE ORGANIZATION APPLIED FOR, AND RECEIVED, IN AVAILABLE GOVERNMENT ASSISTANCE THROUGH VARIOUS COMPONENTS OF THE CORONAVIRUS AID, RELIEF AND ECONOMIC SECURITY (CARES) ACT AND HAS SUBMITTED A PRELIMINARY REQUEST THROUGH THE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA). COST CONTAINMENT STRATEGIES INCLUDED PARTICIPATING IN THE STATE OF WASHINGTON'S SHARED WORK PROGRAM, STRICT MANAGEMENT OF CONSULTING AND OTHER FORMS OF DISCRETIONARY SPENDING, RESTRICTIONS ON TRAVEL, RESTRICTING CAPITAL SPENDING FOR ONLY CRITICAL PROJECTS, FLEXING STAFFING LEVELS TO VOLUMES (IN ADDITION TO THE SHARED WORK PROGRAM) AND ENCOURAGING EMPLOYEES TO USE PAID TIME OFF. THE ORGANIZATION HAS RECEIVED, AS OF DECEMBER 31, 2020, $35,639,288 IN CARES ACT FUNDS AND AN ADDITIONAL $72,223,930 IN MEDICARE ADVANCE PAYMENTS. NO RESERVE HAS BEEN PLACED ON THE CARES ACT FUNDS WHILE THE MEDICARE ADVANCE PAYMENTS ARE RECORDED AS DEFERRED REVENUE. FINAL DETERMINATION OF NECESSARY RESERVES WERE MADE PRIOR TO THE FISCAL YEAR END YET MANAGEMENT BELIEVES ALL MONIES RECEIVED WILL ULTIMATELY BE SUPPORTED AND EARNED; GIVEN THE EVOLVING NATURE OF CARES ACT REQUIREMENTS. THE ORGANIZATION CONTINUES TO MONITOR AND ASSESS OTHER COVID-19 SUPPORT FUNDING OPPORTUNITIES AS THEY BECOME AVAILABLE. WITH VOLUMES RISING CLOSER TO NORMAL LEVELS TOWARDS YEAR END, FINANCIAL PROJECTIONS FOR THE LATTER HALF OF 2020 STABILIZED AND SHOWED BETTER THAN BREAK EVEN PERFORMANCE. WHILE THE VOLATILITY THAT SUBSEQUENT SURGES OF COVID-19, OR THE FLU SEASON, CANNOT BE KNOWN, IF THE PANDEMIC LEVELS REMAIN STABLE OR IMPROVE THE ORGANIZATION EXPECTS TO GENERATE AN OPERATING MARGIN BETWEEN 2.50% AND 3.00% FOR 2020 BASED ON CURRENT FINANCIAL MODELING, WHICH INCLUDES FUNDING RECEIVED FROM THE CARES ACT FUNDS. THE RANGE OF PERFORMANCE WILL BE AFFECTED BY THE NUMBER AND MAGNITUDE OF PATIENT SURGES, LIMITATION ON BED CAPACITY, ACCESS TO TESTING SUPPLIES, PPE REPLENISHMENT CHALLENGES AND EROSION IN NET PATIENT SERVICE REVENUE DUE TO SHIFTS IN PAYOR MIX CAUSED BY THE PANDEMIC. AMIDST THE ONGOING COVID-19 PANDEMIC MANAGEMENT IS FOCUSED ON ENSURING ITS FACILITIES AND TEAM REMAIN PREPARED TO MEET THE COMMUNITIES NEEDS. THE ORGANIZATION CONTINUES TO USE ITS DISASTER PLAN TO MANAGE ALL COVID-19 MATTERS AS WELL AS PLAN FOR A SURGE RELATED TO THE FLU SEASON. THE HOSPITAL INCIDENT COMMAND SYSTEM (HICS) TRIAGES MATTERS PERTAINING TO ITS PATIENTS, WORKFORCE, AND HEALTH CARE OPERATIONS AND ENSURES THAT FEDERAL AND STATE INFORMATION AND GUIDELINES ARE DISSEMINATED THROUGHOUT THE SYSTEM. THE HICS TEAM COORDINATES CLOSELY WITH THE LOCAL HEALTH DISTRICTS IN RESPONDING TO ADDITIONAL NEEDS IDENTIFIED BY THE HEALTH DISTRICTS IN THE COMMUNITIES SERVED. THE HICS TEAM IS ALSO RESPONSIBLE FOR ENSURING THE COORDINATION OF COVID-19 POLICIES, PROCEDURES, CLINICAL PRACTICES, STAFFING, LOGISTICS AND COMMUNICATIONS ACROSS THE SYSTEM ENABLING THE ORGANIZATION TO ACTIVELY MANAGE CURRENT PATIENT VOLUMES AND TO REMAIN PREPARED FOR SURGE NEEDS SHOULD THEY OCCUR. THE ORGANIZATION CANNOT PREDICT WHETHER THESE MEASURES WILL BE SUFFICIENT OVER THE LONG-TERM TO MITIGATE THE NEGATIVE EFFECTS OF THE COVID-19 PANDEMIC ON ITS FINANCES AND OPERATIONS. HOWEVER, THE ORGANIZATIONS MANAGEMENT TEAM WILL CONTINUE TO ASSESS AND IMPLEMENT INITIATIVES TO MANAGE COSTS AND ADJUST OPERATIONS TO KEEP ITS FACILITIES AND TEAMS SAFE AND EFFICIENT IN RESPONDING TO THE ONGOING CHANGES AS A RESULT OF THE COVID-19 PANDEMIC.
FORM 990, PART VI, SECTION A, LINE 2	CONFLUENCE HEALTH AND AFFILIATES SHARE THE SAME BOARD AS PART OF THE OPERATING STRUCTURE. AS SUCH, ALL BOARD MEMBERS SERVE WITH EACH OTHER IN A SIMILAR CAPACITY ON RELATED ORGANIZATIONS. ADDITIONALLY, SOME BOARD MEMBERS ARE MINORITY OWNERS IN AN ENTITY THAT HAS A PROFESSIONAL SERVICE AGREEMENT WITH THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 3	WENATCHEE VALLEY HOSPITAL HAS A MANAGEMENT SERVICES ARRANGMENT WITH CONFLUENCE HEALTH, AN AFFILIATED ORGANIZATION EXEMPT UNDER SECTION 501(C)(3) AS A SUPPORTING ORGANIZATION. THIS AGREEMENT PROVIDES FOR SHARED USE OF FACILITIES, OFFICERS, EMPLOYEES, SUPPLIES AND OTHER ITEMS. THE COMPENSATION REPORTED IN PART VII AND PART IX IS PAID BY CONFLUENCE HEALTH UNDER THIS ARRANGEMENT.
FORM 990, PART VI, SECTION A, LINE 4	THE FIDUCIARY STANDARD WAS UPDATED TO INCLUDE THAT THE ORGANIZATION ACTS AS PART OF THE HEALTH SYSTEM AND FOR THE COMMON PURPOSES OF THE HEALTH SYSTEM AS A WHOLE. THE CONFLICT OF INTEREST SECTION WAS UPDATED TO INCLUDE THAT DISCLOSURE SHALL REFLECT INFORMATION AS TO THE HEALTH SYSTEM AS A WHOLE. THE AMENDMENT PROCESS WAS UPDATED TO INCLUDE THAT ANY PROPOSED AMENDMENTS TO THE BYLAWS WILL NOW BE REVIEWED BY LEGAL COUNSEL PRIOR TO ADOPTION TO ENSURE CHANGES ARE CONSISTENT WITH APPLICABLE LAWS AND STANDARDS. THE COMPOSITION OF THE GOVERNING BODY WAS UPDATED TO REFLECT THE FOLLOWING CHANGE: - CHIEF OPERATING OFFICER WAS REPLACED WITH THE TITLE HOSPITAL ADMINISTRATOR.
FORM 990, PART VI, SECTION A, LINE 6	CONFLUENCE HEALTH, A NON-PROFIT CORPORATION ORGANIZED AND EXISTING PURSUANT TO CHAPTER 24.03 OF THE REVISED CODE OF WASHINGTON, WHICH IS KNOWN AS CONFLUENCE HEALTH AND IS THE PARENT ENTITY OF THE HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7A	UPON THE EXPIRATION OF THE TERM OF OFFICE OF ANY BOARD MEMBER, INCLUDING EACH OF THE INITIAL BOARD MEMBERS SET FORTH IN THE BYLAWS, THE BOARD OF DIRECTORS OF CONFLUENCE HEALTH SHALL SELECT THE PERSON WHO SHALL FILL THE POSITION OF THE BOARD MEMBER WHOSE TERM IS EXPIRING, SUBJECT TO THE COMPOSITION REQUIREMENTS FOR THE BOARD OF DIRECTORS AS SET FORTH IN THE BYLAWS. THE PERSONS SELECTED BY THE BOARD OF DIRECTORS OF CONFLUENCE HEALTH TO FILL THE POSITION OF THE BOARD MEMBER WHOSE TERM IS EXPIRING SHALL BE OF THE HIGHEST COMPETENCE AND QUALITY WHO ARE WITHOUT CONFLICTS WITH WENATCHEE VALLEY HOSPITAL THAT WOULD PROHIBIT THEIR SERVING IN ACCORDANCE WITH THE BYLAWS AND TAX OR OTHER REGULATORY REQUIREMENTS.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 AND SCHEDULE B, IF ANY, IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND VICE PRESIDENT OF FINANCE. SUBSEQUENT TO THIS REVIEW THE FORM 990 AND SCHEDULE B IS REVIEWED BY THE GOVERNING BOARD BEFORE BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS, EXECUTIVE TEAM MEMBERS, AND DIRECTORS ARE REQUIRED TO REVIEW THE CURRENT CONFLICT OF INTEREST POLICY AND COMPLETE AN ANNUAL QUESTIONNAIRE. THE NOMINATING COMMITTEE OF THE BOARD REVIEWS QUESTIONNAIRES OF EXISTING AND NEW MEMBERS FOR POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS OF INTEREST ARE RESOLVED BY THE NOMINATING COMMITTEE. THE EXECUTIVE TEAM REVIEWS QUESTIONNAIRES SUBMITTED BY EXECUTIVE TEAM MEMBERS AND DIRECTORS FOR POTENTIAL CONFLICTS OF INTEREST. POTENTIAL CONFLICTS OF INTEREST ARE RESOLVED BY THE EXECUTIVE TEAM IN COLLABORATION WITH THE CORPORATE COMPLIANCE OFFICER. REVIEW OF ALL CONFLICT OF INTEREST STATEMENTS IS NOTED WITHIN THE BOARD MINUTES.
FORM 990, PART VI, SECTION 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	WENATCHEE VALLEY HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	CUMULATIVE EFFECT OF ACCOUNTING CHANGE -5,158,411.
FORM 990, PART XII, LINE 3B:	WENATCHEE VALLEY HOSPITAL IS IN THE PROCESS OF COMPLETING THE REQUIRED A-133 AUDIT FOR THE YEAR ENDED DECEMBER 31, 2020. THE EXTENDED DUE DATE FOR COMPLETION IS MARCH 31, 2022.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PUNXSUTAWNEY LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1116 WA-20	AddressLine1Txt
City	WINTHROP	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98862	ZIPCd

Field	Value	IRS element (for citing)
EIN	455563741	EIN
Primary Activities	REAL PROPERTY HOLDING	PrimaryActivitiesTxt
Legal Domicile State	WA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	WENATCHEE VALLEY HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
1201 SOUTH MILLER STREET	WENATCHEE	WA	98801	910171250	HOSPITAL	WA	501(C)(3)	LINE 3	CONFLUENCE HEALTH	0
CONFLUENCE HEALTH
1201 SOUTH MILLER STREET	WENATCHEE	WA	98801	454789950	HEALTH SYSTEM	WA	501(C)(3)	LINE 12C, III-FI		0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (1)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (1)	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd