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CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION (EIN 91-0171250)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-05
IRS object ID
202023109349302942
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-05T17:24:31-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12707 COLBY AVENUE SUITE 801AddressLine1Txt
CityEVERETTCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910171250EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL WASHINGTON HEALTH SERVICESBusinessNameLine1Txt
Business Name Line2ASSOCIATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone5096621515PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 S MILLER STAddressLine1Txt
CityWENATCHEECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPETER D RUTHERFORD MDPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone5096621515PhoneNum
Signature2020-10-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT GRANNUMPreparerPersonNm
PTINP00355876PTIN
Phone4252597227PhoneNum
Preparation2020-10-29PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.59.64.75IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-29IPDt
IP Tm12:13:16IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdC6DE56114614F097EFEFA27A1F452A96C82E7D93AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL WASHINGTON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerPETER D RUTHERFORD MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 S MILLER STAddressLine1Txt
CityWENATCHEECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$555,532,837GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CWHS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionDEDICATED TO IMPROVING OUR PATIENTS' HEALTH BY PROVIDING SAFE, HIGH-QUALITY CARE.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee2289TotalEmployeeCnt
Total Volunteers176TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$92,449PYContributionsGrantsAmt
CY Contributions Grants$502,531CYContributionsGrantsAmt
PY Program Service Revenue$395,804,488PYProgramServiceRevenueAmt
CY Program Service Revenue$452,017,124CYProgramServiceRevenueAmt
PY Investment Income$5,852,007PYInvestmentIncomeAmt
CY Investment Income$7,779,563CYInvestmentIncomeAmt
PY Other Revenue$1,578,266PYOtherRevenueAmt
CY Other Revenue$1,919,448CYOtherRevenueAmt
PY Total Revenue$403,327,210PYTotalRevenueAmt
CY Total Revenue$462,218,666CYTotalRevenueAmt
PY Grants And Similar Paid$134,996PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$257,019CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$134,337,203PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$150,075,311CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$250,272,067PYOtherExpensesAmt
CY Other Expenses$285,656,942CYOtherExpensesAmt
PY Total Expenses$384,744,266PYTotalExpensesAmt
CY Total Expenses$435,989,272CYTotalExpensesAmt
PY Revenues Less Expenses$18,582,944PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$26,229,394CYRevenuesLessExpensesAmt
Total Assets BOY$418,962,589TotalAssetsBOYAmt
Total Assets EOY$456,556,453TotalAssetsEOYAmt
Total Liabilities BOY$145,474,889TotalLiabilitiesBOYAmt
Total Liabilities EOY$143,459,704TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$273,487,700NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$313,096,749NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE ARE DEDICATED TO IMPROVING OUR PATIENTS' HEALTH BY PROVIDING SAFE, HIGH-QUALITY CARE IN A COMPASSIONATE AND COST-EFFECTIVE MANNER.OUR CORE VALUES:A. OUR PATIENTS ARE THE REASON FOR OUR BEING, AND THEIR NEEDS WILL DRIVE ALL OF OUR ACTIONS.B. WE WILL TREAT EVERYONE (INCLUDING PATIENTS, THEIR FAMILIES, REFERRING OFFICES AND COLLEAGUES) WITH DIGNITY, RESPECT AND COMPASSION.C. WE WILL WORK AS A TEAM, UTILIZING COLLABORATION, ACTIVE PARTICIPATION AND OPEN COMMUNICATION AMONG ALL PHYSICIANS AND STAFF.D. WE WILL CONTINUE TO INNOVATE WAYS TO IMPROVE THE DELIVERY OF EXCELLENT, HIGH VALUE CARE.E. WE WILL MEASURE SUCCESSES AND FAILURES, AND USE THE RESULTS TO DRIVE FURTHER IMPROVEMENTF. WE WILL BE A GOOD NEIGHBOR IN THE COMMUNITIES WE SERVE WITH DONATIONS OF TIME, TALENT AND CAPITAL.G. WE WILL BE ETHICAL AND ACCOUNTABLE IN ALL OF OUR DECISIONS AND ACTIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$360,315,819ExpenseAmt
Grant$257,019GrantAmt
Revenue$445,218,815RevenueAmt
DescCENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION, DBA CENTRAL WASHINGTON HOSPITAL (THE ASSOCIATION), IS ACCREDITED BY DNV GL HEALTHCARE AND OPERATES A LICENSED 198-BED ACUTE CARE HOSPITAL DELIVERING A FULL RANGE OF HEALTH CARE SERVICES IN WENATCHEE, WASHINGTON, AND THE NORTH CENTRAL WASHINGTON AREA. THE ASSOCIATION IS A NOT-FOR-PROFIT INSTITUTION GOVERNED BY A BOARD OF DIRECTORS, PROVIDING GENERAL INPATIENT SERVICES INCLUDING MEDICAL, SURGICAL, HOME INFUSION SERVICES, INTENSIVE CARE AND CORONARY CARE, NEONATAL INTENSIVE CARE, PEDIATRICS, OBSTETRICS, GYNECOLOGY AND ONCOLOGY. THE ASSOCIATION IS A FEDERAL REGIONAL REFERRAL CENTER, AND IS DESIGNATED BY THE STATE AS A LEVEL III GENERAL TRAUMA CENTER AND LEVEL III PEDIATRIC TRAUMA CENTER, SUPPORTED BY A COMPREHENSIVE RANGE OF SURGICAL PROCEDURES IN ORTHOPEDIC, NEUROSURGERY, VASCULAR SURGERY, INTERVENTIONAL CARDIAC CATHETERIZATION, AND OPEN-HEART SURGERY. CONFLUENCE HEALTH WAS FORMED IN 2012 AS A HEALTH SYSTEM THAT REPRESENTS AN AFFILIATION BETWEEN CENTRAL WASHINGTON HOSPITAL (A NOT-FOR-PROFIT ORGANIZATION) AND WENATCHEE VALLEY MEDICAL GROUP (WVMG) (A FOR-PROFIT ORGANIZATION). EFFECTIVE JANUARY 1, 2013, THE ASSOCIATION AFFILIATED WITH CONFLUENCE HEALTH, AND CONFLUENCE HEALTH BECAME THE SOLE MEMBER OF THE ASSOCIATION. THE BOARD OF DIRECTORS OF CONFLUENCE HEALTH CONSISTS OF 9 COMMUNITY MEMBERS AND 6 PHYSICIANS OF WVMG.THE ASSOCIATION 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 ASSOCIATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY AND THE ESTIMATED COST OF THOSE SERVICES AND SUPPLIES. CHARGES FORGONE, BASED ON ESTABLISHED RATES TOTALED $9,925,634 AND $7,039,240 IN 2019 AND 2018 RESPECTIVELY.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 $9,926,000 AND $2,788,000 FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018, RESPECTIVELY.THE ASSOCIATION HAD 45,190 ACUTE PATIENT DAYS, 11,302 ACUTE DISCHARGES, 1,349 DELIVERIES AND 37,718 EMERGENCY VISITS.Desc
Total Program Service Expenses$360,315,819TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document87IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2289EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTOM LEGELPersonNm
Phone5096621511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 SOUTH MILLER STREETAddressLine1Txt
CityWENATCHEECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ABE SOROM MD
SECRETARY1.003.00Yes (X)Yes (X)$0$9,600$0
GARN CHRISTENSEN
TREASURER1.003.00Yes (X)Yes (X)$0$6,600$0
PATRICIA WACHTEL
VICE CHAIR1.003.00Yes (X)Yes (X)$0$6,600$0
FRANK KUNTZ
CHAIR1.003.00Yes (X)Yes (X)$0$5,400$0
JULIE SMITH MD
SECRETARY (THRU 01/19)1.003.00Yes (X)Yes (X)$0$0$0
DOUG WILSON MD
BOARD OF DIRECTORS1.002.00Yes (X)$0$9,600$0
GAUTAM NAYAK MD
BOARD OF DIRECTORS1.002.00Yes (X)$0$9,600$0
JAMES MURRAY MD
BOARD OF DIRECTORS1.002.00Yes (X)$0$9,600$0
TOBY BOND MD
BOARD OF DIRECTORS1.002.00Yes (X)$0$9,600$0
MITCHELL GARRISON MD
BOARD OF DIRECTORS1.002.00Yes (X)$0$7,200$0
DOUG SHAE
BOARD OF DIRECTORS1.002.00Yes (X)$0$6,600$0
GUS HEINICKE
BOARD OF DIRECTORS1.002.00Yes (X)$0$6,600$0
JENNY CRAVENS
BOARD OF DIRECTORS1.002.00Yes (X)$0$6,600$0
KRISTINE LOOMIS
BOARD OF DIRECTORS1.002.00Yes (X)$0$6,600$0
SCOTT DUNCAN
BOARD OF DIRECTORS1.002.00Yes (X)$0$6,600$0
ROBERT TRASK JR
BOARD OF DIRECTORS1.002.00Yes (X)$0$6,000$0
RICK HOURIGAN MD
BOARD OF DIRECTORS (THRU 01/19)1.002.00Yes (X)$0$0$0
PETER RUTHERFORD
CHIEF EXECUTIVE OFFICER15.0035.00Yes (X)$0$682,051$43,982
STUART D FREED MD
CHIEF MEDICAL OFFICER WVMG15.0035.00Yes (X)$0$533,212$42,483
JOHN R DOYLE
CHIEF FINANCAL OFFICER15.0035.00Yes (X)$0$448,261$42,525
VIKKI L NOYES
CHIEF OPERATING OFFICER - CWH30.0020.00Yes (X)$0$451,531$34,675
JAMES B WOOD
CHIEF ADMIN OFFICER (THRU 12/19)15.0035.00Yes (X)$0$428,583$43,704
ROBERT J PAGELER
CHIEF INFORMATION OFFICER15.0035.00Yes (X)$0$328,132$39,677
CORY M FERARI-ZIMMERMAN
INTERIM CFO (FROM 12/19)15.0035.00Yes (X)$0$238,849$33,329
JAY H JOHNSON
SR VP NETWORK STRATEGY15.0035.00$0$376,348$41,346Yes (X)
TRACEY A KASNIC
SR VP INPATIENT & CNO15.0035.00$0$365,448$34,119Yes (X)
JEANINE M ALLEN
SR VP CWH OUTPATIENT SERV15.0035.00$0$246,546$40,817Yes (X)
FARAZ S AHMED
SR VP PRIMARY CARE (THRU 11/19)15.0035.00$0$234,354$29,178Yes (X)
PETER N LOLOS JR
SR VP FACILITY SUPT SRV (THRU 09/19)15.0035.00$0$219,776$26,369Yes (X)
JOELLEN COLSON
SR VP ANCILLARY SERVICES15.0035.00$0$212,717$14,218Yes (X)
EDMOND E THOMAS
CRNA - NURSE ANESTHETIST50.00$178,726$0$32,394Yes (X)
DANUTE O SLAPSYS
PHARMACIST50.00$176,265$0$32,364Yes (X)
RICHARD D ALLEN
PA-C CARDIOLOGY SURGICAL50.00$171,783$0$36,204Yes (X)
SAMUEL L SCHULTE
PHARMACIST - NIGHT50.00$178,020$0$19,933Yes (X)
CYNTHIA G TENER
CARDIO SERV LINE DIRECTOR50.00$173,730$0$20,492Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$878,524TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,878,608TotReportableCompRltdOrgAmt
Total Other Compensation$607,809TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K221IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WENATCHEE VALLEY MEDICAL GROUP
820 N CHELANWENATCHEEWA98801PHYSICIAN SERVICES$23,232,225
WENATCHEE EMERGENCY SERVICES
PO BOX 4600WENATCHEEWA98801ER PHYSICIAN SERVICES$6,336,412
VK POWELL CONSTRUCTION LLC
PO BOX 10295YAKIMAWA98909CONSTRUCTION SERVICES$1,998,144
UNIVERSITY OF WASHINGTON
PO BOX 24366SEATTLEWA98124LAB SERVICES$1,223,868
OMNICELL INC
PO BOX 204650DALLASTX75320PHARMACY SERVICES$1,162,059
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Government Grants$59,500GovernmentGrantsAmt
All Other Contributions$443,031AllOtherContributionsAmt
Total Contributions$502,531TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PATIENT SERVICES621900$444,821,117$444,821,117
ANCILLARY SERVICES621900$5,085,667$5,085,667
CAFETERIA SERVICES621900$2,072,861$2,072,861
TRAUMA FUNDS621900$37,479$37,479
FieldValueIRS element (for citing)
Total Program Service Revenue$452,017,124TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,058,734TotalRevenueColumnAmt
Exclusion$6,058,734ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,964,322RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$410,522RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,553,800RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,553,800TotalRevenueColumnAmt
Exclusion$1,553,800ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$94,425,219SecuritiesAmt
Other$95,059OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$92,795,440SecuritiesAmt
Other$4,009OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,629,779SecuritiesAmt
Other$91,050OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,720,829TotalRevenueColumnAmt
Exclusion$1,720,829ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$109,629GrossSalesOfInventoryAmt
Cost Of Goods Sold$104,200CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,429TotalRevenueColumnAmt
Exclusion$5,429ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS900099$338,986$338,986
PURCHASE DISCOUNTS900099$21,233$21,233
FieldValueIRS element (for citing)
Other Revenue Total$360,219OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$462,218,666TotalRevenueColumnAmt
Related Or Exempt Func Income$445,218,815RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$16,497,320ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$257,019TotalAmt
Program Services$257,019ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$115,674,819TotalAmt
Program Services$92,539,855ProgramServicesAmt
Management And General$23,134,964ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,581,678TotalAmt
Program Services$4,465,342ProgramServicesAmt
Management And General$1,116,336ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,224,980TotalAmt
Program Services$15,379,984ProgramServicesAmt
Management And General$3,844,996ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,593,834TotalAmt
Program Services$7,675,067ProgramServicesAmt
Management And General$1,918,767ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$87,812,646TotalAmt
Program Services$79,031,381ProgramServicesAmt
Management And General$8,781,265ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$78,047TotalAmt
Management And General$78,047ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$281,267TotalAmt
Management And General$281,267ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$219,540TotalAmt
Program Services$153,678ProgramServicesAmt
Management And General$65,862ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$73,739TotalAmt
Program Services$58,991ProgramServicesAmt
Management And General$14,748ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,949,727TotalAmt
Program Services$5,559,783ProgramServicesAmt
Management And General$1,389,944ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,993,195TotalAmt
Program Services$1,594,556ProgramServicesAmt
Management And General$398,639ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,810,191TotalAmt
Program Services$3,429,172ProgramServicesAmt
Management And General$381,019ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$473,465TotalAmt
Program Services$378,772ProgramServicesAmt
Management And General$94,693ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,932,404TotalAmt
Program Services$4,932,404ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,166,163TotalAmt
Program Services$10,949,547ProgramServicesAmt
Management And General$1,216,616ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,689,252TotalAmt
Management And General$3,689,252ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
GENERAL SERVICES$73,661,852$51,563,296$22,098,556
PATIENT SERVICES$71,684,820$64,516,338$7,168,482
LICENSES AND TAXES$9,878,373$9,878,373
BAD DEBT EXPENSE$7,952,261$7,952,261

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$435,989,272TotalAmt
Program Services$360,315,819ProgramServicesAmt
Management And General$75,673,453ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$197,655BOYAmt
EOY$213,371EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$52,711,924BOYAmt
EOY$52,711,869EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$630,664BOYAmt
EOY$1,932,042EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$67,425,780BOYAmt
EOY$75,150,029EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$17,552,810BOYAmt
EOY$18,871,682EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,324,278BOYAmt
EOY$7,702,583EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,183,139BOYAmt
EOY$1,855,826EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$350,218,575LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$202,588,166LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$138,713,806BOYAmt
EOY$147,630,409EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$130,658,939BOYAmt
EOY$147,096,612EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,563,594BOYAmt
EOY$3,392,030EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$418,962,589BOYAmt
EOY$456,556,453EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,678,603BOYAmt
EOY$23,315,059EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$114,280,937BOYAmt
EOY$106,126,252EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$159,679BOYAmt
EOY$145,163EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,355,670BOYAmt
EOY$13,873,230EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$145,474,889BOYAmt
EOY$143,459,704EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$272,857,036BOYAmt
EOY$311,164,707EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$630,664BOYAmt
EOY$1,932,042EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$273,487,700BOYAmt
EOY$313,096,749EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$418,962,589BOYAmt
EOY$456,556,453EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$26,229,394ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,078,277NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,301,378OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$33,590OtherActivitiesAmt
Total Lobbying Expenditures$33,590TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationWA STATE HOSPITAL ASSOCIATION DUES - 20.20% OF $123,262 = $24,899 AMERICAN HOSPITAL ASSOCIATION DUES - 22.73% OF $38,238 = $8,691 TOTAL $33,590ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,276,004OtherCostOrOtherBasisAmt
Book Value$8,276,004BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$136,358,267OtherCostOrOtherBasisAmt
Depreciation$54,956,981DepreciationAmt
Book Value$81,401,286BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$193,982,742OtherCostOrOtherBasisAmt
Depreciation$143,838,488DepreciationAmt
Book Value$50,144,254BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,601,562OtherCostOrOtherBasisAmt
Depreciation$3,792,697DepreciationAmt
Book Value$7,808,865BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$147,630,409TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RESERVE FOR MALPRACTICE INSURANCE CLAIMS$5,818,810
DUE TO AFFILIATE$8,054,420
FieldValueIRS element (for citing)
Total Liability$13,873,230TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$466,018,807TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$12,078,277NetUnrealizedGainsInvstAmt
Revenue Not Reported$12,078,277RevenueNotReportedAmt
Revenue Subtotal$453,940,530RevenueSubtotalAmt
Investment Expenses Not Incld$281,267InvestmentExpensesNotIncldAmt
Other Revenues Not Included$7,996,869OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$8,278,136RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$462,218,666TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$427,711,136TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$427,711,136ExpensesSubtotalAmt
Investment Expenses Not Incld2$281,267InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$7,996,869OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$8,278,136ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$435,989,272TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ASSOCIATION IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ASSOCIATION 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 ASSOCIATION ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ACCOUNTING STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2019 AND 2018, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 7,952,261. EXPENSES NETTED IN MISC INCOME 455,130. RENTAL EXPENSES -410,522.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 7,952,261. EXPENSES NETTED IN MISC INCOME 455,130. RENTAL EXPENSES -410,522.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other175.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,912,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,912,018NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,598,750TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,801,401DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,797,349NetCommunityBenefitExpnsAmt
Total Expense0.05330TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$83,510,768TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,801,401DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,709,367NetCommunityBenefitExpnsAmt
Total Expense0.06240TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,533TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$28,533NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,680,712TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,680,712NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,208,560TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,022,390DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,186,170NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,381TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$42,381NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,960,186TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,022,390DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,937,796NetCommunityBenefitExpnsAmt
Total Expense0.01620TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,470,954TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,823,791DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,647,163NetCommunityBenefitExpnsAmt
Total Expense0.07860TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,952,261BadDebtExpenseAmt
Reimbursed By Medicare$137,078,335ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$152,745,834CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$15,667,499MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL WASHINGTON HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 S MILLER STAddressLine1Txt
CityWENATCHEECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98801ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CONFLUENCEHEALTH.ORGWebsiteAddressTxt
State LicenseHAC.FS.00000168StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL WASHINGTON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.CONFLUENCEHEALTH.ORG/ABOUT-US/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care175.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CENTRAL WASHINGTON HOSPITALPART 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
CENTRAL WASHINGTON HOSPITALPART V, SECTION B, LINE 6A: WENATCHEE VALLEY HOSPITAL
CENTRAL WASHINGTON HOSPITALPART V, SECTION B, LINE 6B: ACTION HEALTH PARTNERSCHELAN-DOUGLAS HEALTH DISTRICTCONFLUENCE HEALTH
CENTRAL WASHINGTON HOSPITALPART 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.
CENTRAL WASHINGTON HOSPITALPART 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.
CENTRAL WASHINGTON HOSPITALPART 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/DOCUMENTS/CONFLUENCE-HEALTH-2019-COMMUNITY-HEALTH-IMPLEMENTATION-STRATEGY.002).PDF
PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.CONFLUENCEHEALTH.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE/CHARITY-CARE/
PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.CONFLUENCEHEALTH.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE/CHARITY-CARE/
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.CONFLUENCEHEALTH.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE/CHARITY-CARE/
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - PROFESSIONAL BUILDING
933 RED APPLE RDWENATCHEEWA98801EYE/AUDIOLOGY, INTERNAL MEDICINE, INFECTIOUS DISEASES, WOMEN'S HEALTH, NEURO
2 - SADDLE ROCK BUILDING
1215 S MILLER STWENATCHEEWA98801ENDOCRINOLOGY, RHEUMATOLOGY, AND PULMONARY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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: $7,952,261
PART III, LINE 2:NET PATIENT SERVICE REVENUE - THE ASSOCIATION HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE ASSOCIATION 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 ASSOCIATION 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:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ASSOCIATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ASSOCIATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ASSOCIATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE ASSOCIATION'S SELF-PAY WRITE-OFFS WERE $7,952,261 AND $18,449,000 FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018, 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 A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. THE ASSOCIATION QUALIFIES FOR DISPROPORTIONATE SHARE (DSH) PAYMENTS FROM MEDICARE. THE DSH PAYMENT RATE IS ADDED TO THE PROSPECTIVE RATE FOR EACH INPATIENT DISCHARGE. THE ASSOCIATION IS ELIGIBLE FOR A HIGHER DISPROPORTIONATE SHARE PAYMENT RATE ESTIMATED AT 15.47% IN 2019 AND 14.86% IN 2018. THE ASSOCIATION MET THE CRITERIA FOR THIS ADDITIONAL PAYMENT AS A RESULT OF THE HIGH NUMBER OF LOW-INCOME PATIENTS SERVED EXCEEDING THE ELIGIBILITY THRESHOLD OF QUALIFIED PATIENT DAYS AS A PERCENTAGE OF TOTAL PATIENT DAYS. SECTION 3133 OF THE AFFORDABLE CARE ACT AMENDED DSH PAYMENTS EFFECTIVE OCTOBER 1, 2013. WITH THIS CHANGE, THE ASSOCIATION RECEIVES 25 PERCENT OF THE PREVIOUS PAYMENT METHOD ALONG WITH PAYMENTS FOR UNCOMPENSATED CARE BASED ON CHANGES IN THE PERCENTAGE OF INDIVIDUALS THAT ARE UNINSURED. THE UNCOMPENSATED CARE PAYMENTS ARE SET ANNUALLY BY MEDICARE. EACH HOSPITAL ELIGIBLE FOR DSH WILL RECEIVE UNCOMPENSATED CARE PAYMENTS. THE MAJORITY OF OUTPATIENT SERVICES ARE REIMBURSED ON A PROSPECTIVE PAYMENT SYSTEM OR FEE SCHEDULE. THE ASSOCIATION'S MEDICARE COST REPORTS HAVE BEEN AUDITED BY THE MEDICARE ADMINISTRATIVE CONTRACTOR FISCAL INTERMEDIARY THROUGH 2015. NET REVENUE BILLED UNDER THE MEDICARE PROGRAM TOTALED APPROXIMATELY $184,272,000 AND $156,215,000 FOR 2019 AND 2018, RESPECTIVELY.
PART III, LINE 9B:IT IS THE POLICY TO WORK WITH 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 ASSOCIATION 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 ASSOCIATION 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:CENTRAL WASHINGTON 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 ASSOCIATION IS ACCREDITED BY DNV GL HEALTHCARE AND OPERATES A LICENSED 198-BED ACUTE CARE HOSPITAL DELIVERING A FULL RANGE OF HEALTH CARE SERVICES IN WENATCHEE, WASHINGTON, AND THE NORTH CENTRAL WASHINGTON AREA. THE ASSOCIATION IS A NOT-FOR-PROFIT INSTITUTION GOVERNED BY A BOARD OF DIRECTORS, PROVIDING GENERAL INPATIENT SERVICES INCLUDING MEDICAL, SURGICAL, HOME INFUSION SERVICES, INTENSIVE CARE AND CORONARY CARE, NEONATAL INTENSIVE CARE, PEDIATRICS, OBSTETRICS, GYNECOLOGY, AND ONCOLOGY. THE ASSOCIATION IS A FEDERAL REGIONAL REFERRAL CENTER, AND IS DESIGNATED BY THE STATE AS A LEVEL III GENERAL TRAUMA CENTER AND LEVEL III PEDIATRIC TRAUMA CENTER, SUPPORTED BY A COMPREHENSIVE RANGE OF SURGICAL PROCEDURES IN ORTHOPEDIC, NEUROSURGERY, VASCULAR SURGERY, INTERVENTIONAL CARDIAC CATHETERIZATION, AND OPEN-HEART SURGERY.WENATCHEE, WASHINGTON IS APPROXIMATELY 150 MILES EAST OF SEATTLE, WASHINGTON AND 170 MILES WEST OF SPOKANE, WASHINGTON. CHELAN AND DOUGLAS COUNTIES COMPRISE THE ASSOCIATION'S PRIMARY SERVICE AREA WHILE GRANT AND OKANOGAN COUNTIES REPRESENT SECONDARY SERVICE AREAS. APPROXIMATELY 96% OF THE ASSOCIATION'S PATIENT ADMISSIONS ARE FROM THE PRIMARY AND SECONDARY SERVICE AREAS. THE SERVICE AREA'S POPULATION IS HEAVILY WEIGHTED IN THE 65+ AGE COHORT. IN ADDITION, THE ASSOCIATION HAS A HIGH CONCENTRATION OF FARM AND AGRICULTURE RELATED EMPLOYERS/EMPLOYEES.
PART VI, LINE 5:CENTRAL WASHINGTON HOSPITAL'S GOVERNING BOARD IS COMPRISED OF LOCAL AREA RESIDENTS. THE HOSPITAL EXTENDS ITS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. CWH USES ITS INCOME TO UPDATE EQUIPMENT, TECHNOLOGY AND FACILITIES TO IMPROVE PATIENT CARE. THE HOSPITAL OFFERS EDUCATION FOR AREA PHYSICIANS AND COMMUNITY MEMBERS. ALSO AVAILABLE TO PHYSICIANS AND THE COMMUNITY IS THE HEMINGER HEALTH LIBRARY. WE COLLABORATE WITH MANY LOCAL AND STATE COLLEGES, UNIVERSITIES, AND OUR LOCAL HIGH SCHOOL IN SUPPORT OF STUDENT LEARNING OPPORTUNITIES. AN ELECTRONIC MEDICAL RECORD WAS IMPLEMENTED. IT GIVES OUR PROVIDERS ALL THE MEDICAL INFORMATION NEEDED TO MAKE THE BEST DECISIONS IN THE CARE OF OUR PATIENTS. THE HOSPITAL IS A FEDERAL REGIONAL REFERRAL CENTER AND A LEVEL III GENERAL AND PEDIATRIC TRAUMA CENTER.
PART VI, LINE 6:CONFLUENCE HEALTH WAS FORMED IN 2012 AS A HEALTH SYSTEM THAT REPRESENTS AN AFFILIATION BETWEEN THE ASSOCIATION AND WENATCHEE VALLEY MEDICAL GROUP (A FOR-PROFIT ORGANIZATION) AND WENATCHEE VALLEY HOSPITAL. EFFECTIVE JANUARY 1, 2013, THE ASSOCIATION AFFILIATED WITH CONFLUENCE HEALTH, AND CONFLUENCE HEALTH BECAME THE SOLE MEMBER OF THE ASSOCIATION. 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 PATIENT'S HEALTH BY PROVIDING SAFE, HIGH-QUALITY CARE IN A COMPASSIONATE AND COST EFFECTIVE MANNER.
PART VI, LINE 7:N/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
EASE CANCER FOUNDATION
108 CEDAR STCASHMEREWA98815208047581501(C)(3)$10,000GENERAL
CONFLUENCE HEALTH FOUNDATION
518 N CHELANWENATCHEEWA98801911075950501(C)(3)$247,019GENERAL
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationOUTSIDE 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

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PETER RUTHERFORD
CHIEF EXECUTIVE OFFICER$0$628,531$0$53,520$0$0$0$21,782$0$22,200$0$726,033$0$0
STUART D FREED MD
CHIEF MEDICAL OFFICER WVMG$0$491,714$0$41,498$0$0$0$22,915$0$19,568$0$575,695$0$0
JOHN R DOYLE
CHIEF FINANCAL OFFICER$0$409,655$0$38,606$0$0$0$21,782$0$20,743$0$490,786$0$0
VIKKI L NOYES
CHIEF OPERATING OFFICER - CWH$0$415,811$0$35,720$0$0$0$17,247$0$17,428$0$486,206$0$0
JAMES B WOOD
CHIEF ADMIN OFFICER (THRU 12/19)$0$399,276$0$29,307$0$0$0$17,247$0$26,457$0$472,287$0$0
ROBERT J PAGELER
CHIEF INFORMATION OFFICER$0$301,838$0$26,294$0$0$0$17,247$0$22,430$0$367,809$0$0
CORY M FERARI-ZIMMERMAN
INTERIM CFO (FROM 12/19)$0$223,928$0$9,579$0$5,342$0$13,566$0$19,763$0$272,178$0$0
JAY H JOHNSON
SR VP NETWORK STRATEGY$0$331,965$0$28,308$0$16,075$0$21,782$0$19,564$0$417,694$0$0
TRACEY A KASNIC
SR VP INPATIENT & CNO$0$325,165$0$27,851$0$12,432$0$21,782$0$12,337$0$399,567$0$0
JEANINE M ALLEN
SR VP CWH OUTPATIENT SERV$0$226,985$0$19,561$0$0$0$18,717$0$22,100$0$287,363$0$0
FARAZ S AHMED
SR VP PRIMARY CARE (THRU 11/19)$0$186,430$0$13,480$0$34,444$0$9,540$0$19,638$0$263,532$0$0
PETER N LOLOS JR
SR VP FACILITY SUPT SRV (THRU 09/19)$0$165,284$0$20,293$0$34,199$0$18,105$0$8,264$0$246,145$0$0
JOELLEN COLSON
SR VP ANCILLARY SERVICES$0$195,352$0$8,202$0$9,163$0$14,218$0$0$0$226,935$0$0
EDMOND E THOMAS
CRNA - NURSE ANESTHETIST$174,673$0$4,053$0$0$0$10,294$0$22,100$0$211,120$0$0$0
DANUTE O SLAPSYS
PHARMACIST$174,951$0$1,314$0$0$0$9,934$0$22,430$0$208,629$0$0$0
RICHARD D ALLEN
PA-C CARDIOLOGY SURGICAL$161,548$0$3,698$0$6,537$0$9,747$0$26,457$0$207,987$0$0$0
SAMUEL L SCHULTE
PHARMACIST - NIGHT$171,003$0$1,456$0$5,561$0$10,783$0$9,150$0$197,953$0$0$0
CYNTHIA G TENER
CARDIO SERV LINE DIRECTOR$163,655$0$10,075$0$0$0$0$0$20,492$0$194,222$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACYNTHIA TENER, CARDIO SERVICE LINE DIRECTOR, RECEIVED A MOVING ALLOWANCE THAT WAS A GROSS-UP PAYMENT.
PART I, LINE 6EVERY PAY PERIOD, THE EMPLOYER CONTRIBUTES THE MATCH PERCENTAGE PER THE PLAN DOCUMENT INTO THE EMPLOYEES' RETIREMENT ACCOUNT. ANNUALLY, THE BOARD DETERMINES BASED ON FINANCIAL RESULTS IF AN ADDITIONAL (OR DISCRETIONARY) AMOUNT WILL BE CONTRIBUTED TO THE EMPLOYEES' ACCOUNTS. THE PERCENTAGE IS BASED ON EMPLOYEE CLASSIFICATION AND LENGTH OF SERVICE. THE DECISION IS BASED ON MEETING ORGANIZATIONAL GOALS, AND ONE OF THOSE GOALS IS THE COMBINED OPERATING MARGIN OF THE THREE CONFLUENCE HEALTH SYSTEM ORGANIZATIONS: CONFLUENCE HEALTH, CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION, AND WENATCHEE VALLEY HOSPITAL.
PART II:COMPENSATION FOR DR. STUART FREED IS REVIEWED, APPROVED, AND PAID BY AN UNRELATED THIRD PARTY, WENATCHEE VALLEY MEDICAL GROUP, FOR SERVICES PERFORMED FOR CONFLUENCE HEALTH. COMPENSATION PAID IN 2019 WAS $575,697.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON HEALTH CARE FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN911108929BondIssuerEIN
CUSIP93978HPZ2CUSIPNum
Bond Issued2015-05-05BondIssuedDt
Issue Price$109,863,859IssuePriceAmt
PurposeCONSTRUCTION OF HEALTHCARE FACILITY; ADVANCE REFUNDING 2009 TAX EXEMPT BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$13,275,000RetiredAmt
Total Proceeds$109,863,859TotalProceedsAmt
In Reserve Fund$3,323,616InReserveFundAmt
Issuance Costs From Proceeds$1,391,468IssuanceCostsFromProceedsAmt
Other Spent Proceeds$105,148,775OtherSpentProceedsAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE K, PART III, LINE 9FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ANY NONQUALIFIED BONDS ARE REMEDIATED IN ACCORDANCE WITH REQUIREMENTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2CONFLUENCE 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 3CENTRAL WASHINGTON HOSPITAL HAS A MANAGEMENT SERVICES ARRANGEMENT WITH CONFLUENCE HEALTH, AN AFFILIATED ORGANIZATION EXEMPT UNDER SECTION 501(C)(3) AS A SUPPORTING ORGANIZATION. THIS AGREEMENT PROVIDES FOR SHARED USE OF FACILITIES, OFFICER, EMPLOYEES, SUPPLIES AND OTHER ITEMS. THE COMPENSATION REPORTED IN PART VII IS PAID BY CONFLUENCE HEALTH UNDER THIS ARRANGEMENT.
FORM 990, PART VI, SECTION A, LINE 4THE COMPOSITION OF THE GOVERNING BODY WAS UPDATED TO INCLUDE THE CHIEF OPERATING OFFICER AS AN OFFICER. THE ORGANIZATION'S PURPOSE WAS UPDATED TO INCLUDE REFERENCE TO OPERATING EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC OR EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE.
FORM 990, PART VI, SECTION A, LINE 6CONFLUENCE 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 7AUPON 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 CENTRAL WASHINGTON HOSPITAL THAT WOULD PROHIBIT THEIR SERVING IN ACCORDANCE WITH THE BYLAWS AND TAX OR OTHER REGULATORY REQUIREMENTS.
FORM 990, PART VI, SECTION B, LINE 11BA 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 12CBOARD 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 15THE 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 19CENTRAL WASHINGTON HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CONTRIBUTION RECEIVABLE 1,301,378.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CWH I LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1887AddressLine1Txt
CityWENATCHEECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98807ZIPCd
FieldValueIRS element (for citing)
EIN824115832EIN
Primary ActivitiesHOLDING LANDPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL WASHINGTON HOSPITALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CONFLUENCE HEALTH
1201 SOUTH MILLER STREETWENATCHEEWA98801454789950HEALTH SYSTEMWA501(C)(3)LINE 12C, III-FIN/A0
WENATCHEE VALLEY HOSPITAL
820 NORTH CHELAN AVEWENATCHEEWA98801455563741HOSPITALWA501(C)(3)LINE 30CONFLUENCE HEALTH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd