Confluence Health
Legal name: Central Washington Health Services Association
Nonprofit profile at a glance
- EIN
- 910171250
- IRS 990 coverage
- 2011–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Wenatchee, WA, USA
- Phone
- (509) 436-4020
- Rating
- 78
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $914,470,733
- Expenses
- $860,880,645
- Assets
- $808,404,061
- Liabilities
- $273,319,929
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
30 people listed
Executive titles in this filing
- Andrew Jones MD (Chief Executive Officer)
Highest reported compensation
- Andrew Jones MD (Chief Executive Officer): $1,170,123 total reported compensation
- Tom Legel (Chief Financial Officer): $693,209 total reported compensation
- Katina Maier (Chief People & Strategy Officer): $665,680 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Providing local care by and for our community, with compassionate, excellent care and service focused on access for all. and Vision Local care by and for our community. At Confluence Health, our mission is to provide local care by and for our community. In support of this mission, we have established a vision of serving our community with compassionate care through our dedication to enabling joy and pride in our work, focusing on local sustainability, ensuring access for all, and committing to excellent care and service. In support of this mission, we have established a vision of serving our community with compassionate care through our dedication to enabling joy and pride in our work, focusing on local sustainability, ensuring access for all, and committing to excellent care and service Values...
What it reported doing in 2024
Confluence Health has built an integrated healthcare delivery system that is in Central Washington. With 305 physicians, 158 advanced practice providers, 30 medical specialties, one hospital in two locations, and primary care services, Confluence Health provides high-quality, compassionate, cost-effective care close to home. Staying on the leading edge of healthcare innovation is important, so we invest in technology and resources to provide better care for our patients and to allow our providers to operate at the highest level.Continued on Schedule OConfluence provided the following care to its community: Clinic Visits 883,026Home Health Visits 19,234Hospice Visits 21,946Lab Tests 1,708,246Emergency Room Visits 59,058Surgeries Cases 15,801Patient Days 46,379Births 1,317
Operating model
- Revenue model
- Other-operating. 98% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Total assets are small relative to annual expenses; liquid coverage is unknown and some filed totals do not add up.
Rating breakdown
- Financial Efficiency: 66
- Transparency & Controls: 79
- Accountability: 100
- Sustainability: 54
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 73.3%; rating input score 73
- Program expense ratio: 77%; rating input score 77
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Compensation committee: Pass
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 94.2%; rating input score 94; 26th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 5.9%; rating input score 60; 60th percentile among comparable filings
- Total-asset coverage ratio: 0.94; rating input score 37; 37th percentile among comparable filings
- Liabilities to assets ratio: 0.34; rating input score 51; 51st percentile among comparable filings
- Officer compensation ratio: 0.9%; rating input score 77; 77th percentile among comparable filings
Growth
- Program expense growth: 11.4% per year; rating input score 100; 79th percentile among comparable filings
- Revenue growth: 11.2% per year; rating input score 100; 81st percentile among comparable filings
- Asset growth: 7.7% per year; rating input score 100; 57th percentile among comparable filings
Details
- What they do: 2 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 73.3% of revenue deployed · 77% of spending went to programs
- Governance: 15 of 15 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $662.7M in reported program spending
- Leadership: top reported pay $1.2M · 30 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $173.7M reported
- Consistency: 36 of 37 current checks pass · 1 finding to review
- Schedules: 9 filed schedules · includes major donors, grants, and executive pay
- Filing history: 13 filing years from 2011 to 2024
- Contacts: How to reach this organization
- Money network: 29 filed money-flow records
- Related organizations: 6 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Moderate — Sustainability: Total-asset coverage ratio scored 37/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
- Review — Sustainability: Liabilities to assets ratio scored 51/100.